HomeMy Public PortalAbout5734 CAMELLIA AVE_Mechanical__ ca-Big mmv."l
m� APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING-5-
(PRINT OR TYPE ONLY) ADDRESS /
LOCA LJTY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEIM
NEAREST
CROSSST. QEC IJ.
ABSORPTION UNIT,BTU a +
OWNER oN d 0D 0
AIR HANDLING UNIT,CFM AIL '7 I '
ADDRESS S/ C M A
BOILER,BTU aRY'T— C \ TEL NO. ,s9/f
COMPRESSOR,BTU CONTRACTOR
m uJA--06 iC
VENTILATION SYSTEM ADDRESS '
EVAPORATIVE COOLER CITY TEL NO.
FURNACE: FAU GRAVITY- _ STATE LIC.
FLOOR .BTU ��� Q d� LICENSE NO. GLASS
HEATER: SUSPENDED . -UNrr ,APPROVALS DATE INSPECTOR'S SIGNATURE
W
ROUGH 7-
FINAL ^
INSPECTION RECORD `�K!
Plan check fee 25%'of above.
PERMIT ISSUING FEE$
TOTAL FEE ad
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
C rrY TEL NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP CATION AND ;F7 8 3 9 A
STATE THAT THE ABOVE LS CORRECT AND AGREE TO COMPLY WfTH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR # 0 0'0 0 4 1
CONDITIONING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM TI
NOT ACN IN VIOLATION 2 ° ° 1700
CHAPTER 9, DIVISION 3, OF THE BUSIN AND OFESSIO �7 J
OF THESTATE OF CALF RNIA. io o o 1 !t Q Q F-
SIGNATURE ,
OF PERMfTTEfi 1. 19-79
BLS IUCT NO. PROCESSED BY
�i0� ,
COUN11T OF LAS ANGELES TEMPLE CITY / 0508 bui AN CAL PERMIT
' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0705230012
BUILDING AND SAFETY / LAND DEVELAPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LCL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 547 ON: .002 5734 CAMELLIA AV
FEE DESCRIPTION: QUANTSTY: UCC: AMOUNT: TEM CA 917802501
ASSESSOR IlUlORMA.TIOH NUMBER: NE]W:ST CROSS SM=i LIVE QA=
8587-022-021 Ol PEU4TT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TENPLE CITY, C
02 COMPRSR < 1 Q 0 KBTU 1.00 COM 27.00
TENANPT: 08 FURNAER/HRATER <100 1.00 UNI 27.00 ISSUED ON: YR.00E9SM BY: PLAN BY: EZPIRFi9 ON:
30 AIR INLETS/OUTLFiT9 6.00 DNI 26.10 05/14/07 SR 11/20/07
TOTAL FEES 107.85
OWNER: TEL. NO: F FXNAT, BY: CODE:
LANA, PAUL/LANA (626) 757-5252-
5734 CAMELLIA AV
TEMP 917802501 D CRIPTION OF WORK
INSTALL HVAC SYSTEM
APPLICANT: TEL. NO:
ARCH—IN INC. (626) 579-3866-
9550 FLAIR DRIVE 515 SPECIAL CONDITIONS:
EL MONTH CA
CO2?II2ACTOR: TEL. NO: APPROVALS DATE INSPECTOR 9IGNATURE
TAM AND }TANG CONSTRUCTION, IRC. (626) 429-1884-
416 W. AVONDALE AVENUE LIC. NO FAD WALL FURNACE
MONTEREY PARI, CA 91754 771180 B
COMBUSTION AIR OPENINGS
ARCH1TECT OR ENGINEZRc TEL. NO: DUCT WORK
TERRANCE CHAN —
LIC. NO: AC COMPRESSOR
NONE
T D R}p3`P?.T
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
REPORT ID: DPR264 ROUTE TO: BS0508