HomeMy Public PortalAbout6639 CLOVERLY AVE_Mechanical__ 7 GA 364-C E;81g-8:,.08 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CON ITIONING
� `COUNTY OF LOS ANGELES
4.- DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY -
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. /
(Print or type only)
OWNER
NO.. TYPEJOF APPLIANCE OR EQUIPMENT FEE
AV
MAIL
ADDRESS
ABSORPTION SYSTEM, BTU b7 TEL. NO
AIR HANDLING UNIT, CFM CONTRACTOR L S C7
BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CITY L TEL. NOZ4-
STATELIC.
VENTILATION SYSTEM LICENSE NO. CLASS
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU G, AVITY
FLOORBTUO x"1"1 INSPECTION RECORD
HEATER:.SUSPENDED UNIT
WALL (r
Aae
e LC
O
F--
U
W
C/)
NEWADDITION PERMIT $ 3 00
ALTER REPAIR TOTAL FEE $ G
Plan check pplicant }67 4'q
- r -
Name i
Address
City, el. No. v1
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCESAND LAWS REGULATING HEATING, VENTI- APPROVALS D TE I CTOR'S SIGNA RE
LATING, AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION FINAL
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL
CODE OF THE S` AL FO I
JACK R. ALLEN,SUPERVISI ECHANICAL ENG-R.
SIGNATURE -PERMIT VALIDATION/CK. M.O. CASH
OF PERMITTEE
PLAN CHECK VALIDATION
I At' y 1 2 7%:D" APil 3 4 .1 D 1 1 Lt Q
LEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
COUNTY OF.LOS ANGELES TEMPLE CITY #,0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS. ME 0508 0202010001
BUILDING AND SAFETY/ LAND DEVELOPMENT TEMPLECITYCA 91780
PHONE:.-(626) _285-
0488.` EXT:,- _ -
LEGAL FEES .PAID- BU LDI GVA REAS .-'
ON FILE.' 6639 CLO
EkLY AV
FEC DESCRIPTION ,: QUANTITY: UOM AMOUNT ARCD CA 91Q077716:"
- ESSOR`INfOR ATION NUMBER::. 'NEAREST 'CROS'S_STREET 'CAM_INO,R'EAL
5382=010-030
01 PERMIT. ISSUANCE FEE 27:75 THOMAS PAGE-.,::596 'GRID:`J1 i-LOCALITY:•TEMPL•E' CITY :
02 COMPRSR < 100 KBTU 1.00 COM 27.00
TENANT: 08 FURNACE/HEATER <100 1.00 UNI. 27.00 ISSUED ON: PROCESSED BY: PLAN.BY: EXPIRES ON:
30 AIR INLETS/OUTLETS 11.00 UNI. 47.85 02/01/02 JK .07/31/02
TOTAL FEES 129.60
OWNER: - TEL. .NO FINAL DATE FINAL BY. CODE: .
ANDERSON, THOMAS .E : (626) 447.-3923 ;
6639 CLOVERLY- AVENUE
TEMP 917803504,. DE CRIPTIO OF.WORK
• NEW HVAC- -
APPLICANT:.
VACPPLICANT: TEL.-.NO:
SAME AS OWNER
-
_ SPECIAL CONDITIONS•
CONTRACTOR: TEL. NO: _ APPROVALS DATE INSPECTOR SIGNATURE
SAME.AS OWNER -
LIC. Nd f ry FAU/ ALL. FURNACE
"j
COMBUSTION N
U N-AIR OPENINGS
ARCHITECT OR• ENGINEER: 1'
TEL N0. �� '. ( l DUCT WORK
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LIC',"NO:�i-! . AC/COMPRESSOR .
r, T HERMOSTAT.
y
•.FIRE DAMPERS
' SMOKE DETECTION DEVICES-
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COMMERCIAL�HOOD
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