HomeMy Public PortalAbout5612 GOLDEN WEST AVE_Mechanical__ CE818 — 3-69 APPLICATION FOR PERMI�
HEATING - VENTILATING - AIR CONDITIONING��.
COUNTY OF LOS ANGELES BUILDING /
DEPARTMENT OF COUNTY ENGINEER ADDRESS (r
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE, COUNTY ENGINEER LOCALITY
I-�OLEMAN W JENKINS,SUPERINTENDENT OF BUILDINGNEAREST r
CROSS ST
FOR APPLICANT TO FILL IN
OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CIT TEL. N0�6 L 7-
CONTRACT R e
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER
c CITY TEL. NO
COMPRESSOR, HORSEPOWER STATE /J LIC
LICENSE NO - �/ CLASS,--,O"--"V—
VENTILATION
LASS —L C�
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE SED BY
EVAPORATIVE COOLER
FURNACE FAU GRAVITY
,7 J INSPECTION RECORD
FLOOR BTU
HEATER SUSPENDED UNIT
WALL
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NEW_ADDITION_ PERMIT $ 3 00 L
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO.
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,VENTI-
LATING, AIR CONDITIONING. APPROVALS DATE INSPECTOR'S SIGNATURE
^
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER9, DIVIS IO 3, OF THE BUSINESS AND PROFESSIONAL FINAL '
CODE OF THE STAT 0 CALIFORNIA
SIGNATURE " JACK R. ALLEN, SUPERVI MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
6 4 1 D 13.00-
',EE
3.00-',EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE "'
76A364-0618-8-68 APPLICATION FOR PERMIT
LJ
" HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESL�5&5/ae
LDIN
BUILDING AND SAFETY DIVISION LDI
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGALITYREST
FOR APPLICANT TO FILL IN SS ST.
(Print or type only)
OWNER
No,, TYPEJOF APPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS fO f/yVTN CIT
COMPRESSOR, HORSEPOWER CITY /`/OD�i TEL. NO�2Sv
STATE
LC
VENTILATION SYSTEM LICENSE CL A&.5 oZ v
DISTRICT NO. GRT ZONE PROCESSED BY
EVAPORATIVE COO ER l 6FURNACE: FAU G ITY v
FLOOR—BTU INSPECTION RECORD
HEATER. SUSPENDED wUNIT
WALL
9-
CL
' O
V
O
U
W
d
, C/7
Z
NEW" ADDITION PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $
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, VENTI- APPROVALS I DATE S ECTOR' G TURE
LATING, AIR CONDITIONING,
ROUGH mow'
CHAPTER HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION FINAL
OF HAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE OF CAOFORNIA
JACK R. ALLEN,SUPERVISIN CHANICAL ENG'R,
OF PERMITT
SIGNATURE PERMIT VALIDATION CK M O. CASH
PLAN CHECK VALIDATION
( fi 0 1 5 2 Mdk 2 3 4 '1 D 7.0,0-
SEE
.0,0NSEE 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 0709210012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT
(LEGAL ID- I FEES PAID BUILDING ADDRESS - -
ITR- 11131 LT. 15 BL. .001 1 5612 GOLDEN WEST AV I
I IFEE DESCRIPTION QUANTITY UOM- AMOUNT I TEMP CA 917802520 1
(ASSESSOR INFORMATION NUMBER I 1 NEAREST CROSS STREET - 1
18588-012-025 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID A3 LOCALITY. TEMPLE CITY, Cl
1 102 COMPRSR < 100 KBTU 1 00 COM 27 00 1 1
1TENANT 108 FURNACE/HEATER <100 1 00 UNI 27 00 (ISSUED ON PROCESSED BY. PLAN BY EXPIRES ON 1
1 1 TOTAL FEES 81 75 109/21/07 SR 03/19/08 1
(OWNER TEL NO: 1 1 AL A FI CODE 1
IVAN ETTEN, GARY (626) 285-5996- 1 I 1
15612 GOLDEN WEST AV 1 1 / 1
(TEMP 917802520 I ID SCRIPT OF WORK
I
1 IC/O FURNACE & A/C UNIT 1
I I I I
1APPLICANT. TEL NO: 1 1
1ARGO (626) 332-8200- 1 1
1662 SHOPPER LN #A j (SPECIAL CONDITIONS 1
ICOVINA, CA 91723
(CONTRACTOR- TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
1ARGO CONSTRUCTION SERV (626) 332-8200- I 1
1662 SHOPPERS LANE #A LIC NO 1 IFAU/WALL FURNACE 1 1
ICOVINA, CA 91723 632879 1 1 1 I 1
1 (COMBUSTION AIR OPENINGS 1 1
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1ARCHITECT OR ENGINEER: TEL NO. I (DUCT WORK I I 1
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1 jREPORT ID: DPR264 ROUTE TO BS0508
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