HomeMy Public PortalAbout5124 GOLDEN WEST AVE_Mechanical__ 1
7e ASS",— CE er$ - 9-71 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING p �-
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
5124 N . Golden West Ave ,
BUILDING AND SAFETY DIVISION LOCALITY Temple y
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN O"ER Suitor Austin
(PRINT OR TYPE ONLY)
MAIL
NO. TYPEOFAPPLIANCE OR EQUIPMENT PEE ADDRESS
SaMe
ABSORPTION UNIT, BTU CITY Temple City TEL NO.286-2806
CONTRACTOR C . C .
AIR HANDLING UNIT, CFM Trane
ADDRESS 501 W . Commonwealth
BOILER, BTU CIN Fullerton TEL. NO.871-1444
COMPRESSOR, BTU STATE LIC.
LICENSE NO. 265094 CLASS C-20
VENTILATION SYSTEM DISTRICT NO. GROUPzone PRo ttED BY
EVAPORATIVE COOLER �, og T —� pp
FURNACE: FAU-X_GRAVITY INSPECTION RECORD c�
FLOOR BTU
HEATER: SUSPENDED UNIT_ CD
WALL t3
Lu
a.
cn
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Plan check f4;e 25% of above. See reverse.
PERMIT ISSUING FEE S s 00
TOTAL FEE
PLAN CHECK APPLICANT
NAA4E
ADDRESS
CITY TEL.NO.
I HERE DY ACKNOWLEDGE THAT I HAVE ROAD THIS APPLICATION
AND -TAT[ THAT TH[ ABOVE Il CORRECT AND AGREE TO COMPLY
WITH ALL THAT
AND LAWS REGULATING HATING, VENTI- APPROVALS DATE PECTOR'S SIG TUR[
ALE CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER D, bIVIIIOM S, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE 1TATE OF CALIFORNIA.
SIGNATURE PERMIT VALIDATION cK IA.0. CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK, M.O. CASH
l Af' 3 2 1 2'13, SEP 14 4 1 D 1 5_50A
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHFIX1LE
4 COUITY OF LOB ANURLES TE)D?LB CITY # 0508 MSCHAVICAL PJRKIT
DEPARTMENT OF PIIBLIC WORKS 9701 LAB TUNAS MH 0508 0506140028
BUILDING AND SAFETY / LAND DEVSIAPFgT TEMPLN CITY CA 91786
PHONN: (626) 285-0488 =XT:
LEG.L ID. FEES PAID BUILDING ADDRESS':
TR: 9481 LT. 12 5124 GOLDEN RBST AV-
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TB107 CA 917803940
ASSNSSOR INFORMATION NUMBER, NEAREST CROSS STREET,
8589-008-014 01 PERMIT ISSUANCE FEE 27.75 THOU$ QA RE 597 -GRID: A4 LOCALITY: TEMPLE CITY, C
41 VEfTILATION FAN 1.00 FAY 15.75
T33aXT: TOTAL FEES 43.50 ISSUED ON: PROCEBSID BY: PLAN BY: EXPIRES ON:
06/24/05 JX 12/21/05
OWNER: TEL. NO: FINAL DA `M, EUY: CODE:SIERRA, 7E®7 (626) 286-1806- 7EXp�5114 GOLDEN WESTTEMP 917803940 - - DESCRIPTIO �
VENTILATIOf PAN
APALICANT: TEL. NO:
RA.L (818) 448-1355-
5401 RHODES AVE SPECIAL CONDITIONS: -
VAN =S' 91607
CONTRACTOR. TEL. NOi APPROVALS DATE INSPECTOR SIGKkTURI
LEGO CONSTRUCTION INC. (818) 448-1355-
5852 BUHNET AVENUE LIC. NO - FAU LULL FURNACE
VAN NUTS, CA 91411 794440B _
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGIKBMR: TEL. NO: DUCT WORK
LIC. NO: AC COMPRASSOR
TBYRMOSTAT
FIRE DAISPERB
SMOKE DETECTION DZVICNS
COl4aLRCIkL HOOD
REPORT ID: DPR264 ROUTE TO. B90508