HomeMy Public PortalAbout6013 CAMELLIA AVE_Mechanical__ 7e A3e4- CE els- Baa APPLICATIONFOR P T
r HEATING - VENTILATING - AIR CONOITIONI
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COUNTY OF LOS ANGELES' ADDRESS 6013 N. Camellia Y �-
DEPARTMENT OF COUNTY ENGINEER
TpjnT)1p City Blvd,
BUILDING AND SAFETY DIVISION LOCALITY Tewip
NEAR EST
CROSS ST.
SLIM IL-M
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
rr0. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS 60]3 N_ CaMellin
CfTY TEL. NO.
ABSORPTION UNIT, BTU -
7898
CONTRACTOR L &
iay
AIR HANDLING UNIT, CFM
ADDRESS 166 W Live Oak Ave.
BOILER, BTU
CITY Arcadia TEL. NO. 446-6118
1 COMPRESSOR, BTU STATE LIC.
LICENSE NO. 2$ CLASS -2O
VENTILATION SYSTEM DISTRICT No. GROUP zoNE PR EBBED BY
EVAPORATIVE COOLER �QV QUI
FURNACE: FAU GRAVITYT
FLOOR BTU INSPECTION RECORD
HEATER: SU$PENDED UNIT_
ALL !Y
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Plan chock fee 25% of above. See reverse. C4A 4—C O 11,0A C� z
PERMIT ISSUING FEE S s Otl
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS V
CITY TF_L.NO.
I HERFBY ACKNOWLEDGE THAT I HAVE READ THIB APPLICATION -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPR DATE MF4C SIGNATURE
LATING, AIR CO-NDITIONING.
RO UG H
I HKRKBY CERTIFY THAT I AM NOT ACTIN• IN VIOLATI
OF CHAPTER 9, DIVISION S, OF THE BUSINEBS AND PR FESSIO L FINAL '
COD[ OF THE STATE OF FORNIA.
` 9IONATURE PrERMIT VALIDATION CK. M.O. CASH
1 OF PERMITTE
PLAN CHECK VALIDATION CK. CASH
SkK BAC%OF APPLICATION FOR C00APLKTE FEE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY 0508 MECHANICAL PERMIT
• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0401080012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 161 6013 CAMELLIA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TES CA 917802008
NEAREST CROSS STREET: LAS TUNAS
5385-014-010 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
30 AIR INLETS/OUTLETS 2.00 UNI 8.70
47 ALTER EXIST DUCT SYS 1.00 SYS 27.00 .
TOTAL FEES 63.45 01/08/04 VG 07/06/04
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
ANGELES DORANTES (626) 3D9-7510-
6013 CAMELLIA AVENUE
TEMPLE CITY,CA 91780 DESCRIPTION OF WORK
EXTEND DUCT TO ADDITION WITH 2 OUTLETS
APPLICANT: TEL. NO:
SAME AS OWNER SPECIAL CONDITIONS:
SAME AS OWNER
LIC. NO
ARCHITECT OR ENGINEER: TEL. NO:
LIC. N0:
THERNDSTAT
SMOICE DETECTION DEVICES
COMMERCIAL
REPORT ID: DPR264 ROUTE TO: RS0508