HomeMy Public PortalAbout5218 GOLDEN WEST AVE_Mechanical__ P5A364—wE818 —1./70. c
rPLIC4T ON FOR PER
HEATING-- VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FADDRESS
7-
NEAREST
DEPARTMENT OF COUNTY ENGINEER -BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
'NO. TYPE-OFAPPLIANCEOR EQUIPMENT FEE ADDR S
CITY -TEL. NO.
ABSORPTION SYSTEM, BTU
-
L.
AIR HANDLING UNIT, CFM r
ADDRESS `
BOILER; HORSEPOWER CITY TEL. NO.
COMPRESSORHORSEPOWER STATE LIG
LICENSE NO. CLASS
VENTILATION SYSTEM. oISTRI cr NO CLASS GROUP Z/O N�E - PROCESSED BY
EVAPORATIVE COOLER 6,1 11 00
!
-FURNACE: FAU_GRAVITY INS CTIN RECORD
FLOOR - BTU '
HEATER: SUSPENDED-UNIT-
WALL
USPENDED UNIT_WALL
a
U
D:
NEW-ADDITION PERMIT $ 3, 00
ALTER:-REPTOTAL FEE $AIR_
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY 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, VENT1=� - APPROVALS DATE INS CTOR'S SIGNATURE
LATING, AIR CONDITIONING, u,
ROUGH "' A -
I HEREBY CERTIFY THAT 'I AM NOT ACTING IN VIOLATION '
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL' Q�
CODE OF THE STATE OF CALIFORNIA
SIGNATURE /� JACK, R. ALL,EN,'sUPERVIrIN )EHANICALENG'R,� I PERMIT.TEE /9/ PERMIT VALIDAT,iON M.O. CASH •
PLAN CHECK VALIDATION
APR 14 4 1, '0 1 0.5,0-
SEE
.5 flNSEE BACK OF'APPLICAT ION FOR COMPLETE FEE SCHEDULE •� r,p 'I ,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0911120003
BUILDING AND SAFETY / LAND DEVELOPMENT- TEMPLE CITY 'CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID I BUILDING ADDRESS
ITR 12830 LT 15 I 1 5218 GOLDEN WEST AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803246 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET MILOANN
16589-009-007 101 PERMIT_ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl
1 130 AIR INLETS/OUTLETS 2 00'UNI 8 70 1 1
ITENANT 141 VENTILATION FAN 1 00 FAN 15.75 (ISSUED ON PROCESSED BY PLAN BY. EXPIRES ON 1
I 147 ALTER EXIST DUCT SYS 1 00 SYS 27 00 111/12/09 SR 11/12/10 1
I 1 TOTAL FEES 79 20 1
10WNER- TEL NO I F2 AL DATE/ FINAL Y CODE _
IRUBINFELD CHARLES S,MARJORY J ( 1 1 l /� 0 1
15218 GOLDEN WEST AV I l
ITEMP 917803246 I IDEESCRIPTION OF WORK
(ALTERATION OF EXIST DUCT SYSTEM, 2 AIR INLETS AND 1 VENTILATI
1 IION FAN 1
(APPLICANT TEL NO 1 1
SU (626) 376-1863- I I
1216 S SUNNYSLOPLE I (SPECIAL CONDITIONS
PASADENA, CA 91107
I I
ICONTRACTOR TEL. NO. I (APPROVALS DATE INSPECTOR SIGNATURE 1
IWILLIAM GRIJALVA GEN CONTRACTING (661) 299-4767- 1
119336 FOUR OAKS STREET LIC NO 1 1FAU/WALL FURNACE I 1
ISANTA CLARITA CA 91351 712934 B
1 I ICOMBUSTION AIR OPENINGS 1
(ARCHITECT OR ENGINEER TEL NO - IDUCT WORK
IKWEI CONSULTING ENGINEERS (949) 395-6954- I 1
113104 GLEN COURT' LIC NO I IAC/COMPRESSOR I I
(UNIT 52 C72100 I I 1 1
ICHINO HILLS CA 91709 ITHERMOSTAT
I I I
IFIRE DAMPERS 1
I I I
I ISMOKE DETECTION DEVICES I I I
1COMMERCIAL HOOD 1
I I I
I I I I I I
1 I I I I I
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1 IREPORT ID: DPR264 ROUTE TO BS0508 1 I I I
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