HomeMy Public PortalAbout6439 GOLDEN WEST AVE_Mechanical__ •76A364 - CBtSIS - '.�9 II
APPLICATION FOR PERMIT u
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANOELLrS BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAR
CROS r G
7ABSORIPrTION
APPLICANT TO FILL IN OWNER /e-
(PRINT OR TYPE ONLY)
MAIL
NO. F APPLIANCE OR EQUIPMENT FEE ADDRESS
SYSTEM, BTU CITaz L. N0.
CONTRACT
AIR HANDLING UNIT, CFM
ADDRESS C
BOILER, HORSEPOWER
CI TEL. NO
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE/ PROCESSED BY
EVAPORATIVE COOLER /
FURNACE: FAURAVITY rr l
INSPECTION RECORD
FLOOR BTu
EATER: SLJSPERDED UNIT
WALL
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NEW ADDITION_ PERMIT $ 3 00
ALTER--REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
[NAE
ESS
TEL. NO.
EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ALL ORDINANCES AND LA EGULATI HEATING,VENT[- APPROVALS TE IN ECTOR' SIGNATURE
NG, AIR CONDITIONING.
EREBY CERTIFY THA M NOT ING IN VIOLATION OF ROUGH
TER 9, DIVISION 3, HE B SS AND PROFESSIONAL L
OF THE STATE IFORNIATURE JACK R. ALLEN, 3UPERV13IN ECHANICAL ENG'R.
ERMITTE
PERMIT VALIDATION CK. M.O. CASH
PLAN C CK VALIDATION
'.EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE .-.
i
C COUNTY OF LOS ANGELES TEMPLE CITY 0508 MECHANICAL PERMIT
DEPARTMENT OF PLBLIC WORKS 9701 LAS TUNAS ME D505 0110030007
BUILDING"AND SAFETY / LAND.DEVELOPMEINT TEMPLE CITY CA 91750
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID allILDING i
ON FILE 6439 GOLDEN WEST AV
FEE DESCRIPTION: QUANTITY: UOM:. AM"T: TEM. CA 917801423
MESSOR INFORMATION NUMBER: NEAREST- CROP& STREET: LONGDEN
5383-016-004 01 PERMIT ISSU XCE FEE 27.75 THOMAS PAGE: 597 (NNID: Al LOCALITY: TEMPLE.CITY
02 COMPRSR < 100 KBTU 1.00 COM 27.00
08 FLRNACE/HEATER <100 1.00 UiI 27.00 I SMJEP ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 81.75 10/03/01 JK 04/01/02
OWNER: Tn. NO: FIhLAi nA OWE.
HENSON DOUGLAS N;KARDI - I� h
6439 GDLDEN WEST AV S
TEMP-917801423 ION OF W=
REPLACE CENTRAL HEAT LMIT, NSTALL NEW A/C
APPLICANT: TEL. W:
TERRY YU (626) 575-0843-
9625 ALPACA ST SPECIAL CONDITIONS:
S. EL MONTE 91733-
P�,C,ELES Cp
CONTRACTOR: TEL. NO: DATE INSPECTOR SIGN-ATURE
TAI HEATING AND AIR CONDITIONING (626) 575-0843-
9625 ALPACA STREET LIC. N0
SOUTH EL MON-TE,CA 91733 506659020
ARCHITECT OP, ENGINEER: T EL_. NO: DUC`T WORK
LIC. M0.
THERMOSTAT
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U B L 0-"-' W010-RE
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COMMERCIAL HOOD
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* ADDITIONAL DATA ON FILE
REPORT LD: DPR264 ROUTE TO: RS0508
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