HomeMy Public PortalAbout5011 & 5017 ENCINITA AVE_Mechanical__ 76A364E(CE,r91SA)-9/77 APPLICATION FOR PERMIT
HEATING - VENTILATING ' AIR CONDITIONING '
' COUNTY OF LOS ANGELES '
I DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
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NO TYPE OF APPLIANCE OR EQUIPMENT FEE
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Plan check fee 25%,of above
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NAME •` - -
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IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND'
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING,'AIR
.. CONDITIONING -
'•I HEREBY CERTIFY_THAT I-AM NOT ACTING IN VIOLATION OF `APPROVALS DATE INSPECTOR S SIGNATURE
CHAPTER 9,'DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE ROUGH
OF THE STATE OF CALIFORNIA -
SIGNATURE FINAL `
OF PERMITTEE ' - •
PLAN'CHECKVALIDATION CK MD CASH PERMIT VALIDATION CK MO CASH "
W0RKER!5 'C0MPENSA'T1,'0N
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'OLICY MUMBER:.AlcR1V05YP?;'`"•*:
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT -
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0905120002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ,
PHONE (626) 285-0488 EXT. `
ILEGAL ID I FEES PAID I BUILDING ADDRESS"
ON FILE I I 5011 5017 ENCINITA AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803708 ,I
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LA ROSA I
15388-009-004 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J5 LOCALITY- TEMPLE CITY, Cl
1 135 AHU < 2000 CFM 6 00 AHU 77 40 I
• TENANT 141 VENTILATION FAN 6 00 FAN 94 50 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
ILANDAVERDE/HEAVENLY PET RESORT I TOTAL FEES 199 65 105/12/09 SR 11/08/09 I
10WNER TEL NO I IFINAL DATE FINAL BY CODE. I
1LANDAVERDE, GLORIA (626) 665-0423- 1 1 /r,/`� I
11204 W. CASAD AVE
IWEST COVINA, CA - - IDESCRIPTION OF WORK I
_ I _ (MECHANICAL 6 AIR HANDLING UNITS'AND 6 VENTILATION FANS
APPLICANT TEL NO I
INORMAN R NICHOLS ARCHITECT (626) 963-7711- I I I
11200 E ROUTE 66 STE I ISPECIAL CONDITIONS .. I
IGLENDORA, CA 91740:
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I
ISO CAL CONSTRUCTION (626) 712-4823- 1 11
IF 0 BOX 96 LIC NO 1 JFAU/WALL FURNACE
ISAN GABRIEL, CA 91778 s 832488 B I I I I 1
I ICOMBUSTION AIR OPENINGS I4. I
(ARCHITECT OR ENGINEER TEL NO 1 IDUCT WORK I
INORMAN R NICHOLS ARCHITECT (626) 963-7711- 1 1 I
11200 E ROUTE 66 STE 203 LIC NO I IAC/,COMPRESSOR _ l
IGLENDORA, CA 91740 - _ C 3674 1 1 /'�',p(/�/t1
THERMOSTAT
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I I IFIRE DAMPERS I I I
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I I ISMOKE DETECTION DEVICES I I
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IREPORT ID DPR264 ROUTE TO BS0508 I 1
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