HomeMy Public PortalAbout5613 HELEO AVE_Mechanical__ ]8[364-CE•8I8 -I/70 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS _ c
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER Le'
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST
CROSS ST. •v6 O 1<
FOR APPLICANT TO FILL IN OWNER _
(PRINT OR TYPE ONLY) 1' F{
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS - =L AL.IO
7L6 _ NO.
ABSORPTION SYSTEM, BTU CITY TEL.
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER ��
CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO, CLASS
VENTILATION SYSTEM DISTRICT NO, CLASSf GROUP ZONE I PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU_GRAVITV O
FLOOR BTU INS CTION RECORD
HEATER: SUSPENDED—UNIT—
WALL
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O
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W
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NEW_ADDITION— PERMIT $ 3 00 Z
ALTER—REPAIR— TOTAL FEE $ Io 45
n
PLAN CHECK APPLICANT /
NAME
ADDRESS
CITY TEL.NO.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCESAND LAWS REGULATING HEATING, VENTI- APPROVALS DAT INS CTOR'S SI ATURE
LATING, AIR CONDITIONING.
ROUGH
IHEREBY CERTIFY THAT I AM NOT ACTING IN VI ATION
OF CHAPTER 9, DIVI5 OF THE BUSINESS AN PROF SIGNAL FINAL
CODE OF THE STATE F CA IFORNIA.
SIGNATURE Z JACK R. ALLEN,SUP RVISING MECHANICAL ENG-R.
OF PERMITTEE -
PERMIT VALIDATION CK. M.O. CASH
PLAN ECK VALIDATION
.50SELACC 6 7 4 69 SEP14 4 1 D 1 0-50-
S EE
E BACK OF APPLICATION FOR COM PLETE FEE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1011150016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 25202 LT: 14 5613 HELEO AV
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917802424 1
1ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET:
18588-003-025 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
102 COMPRSR < 100 KETU 1.00 COM 27.00 1'
ITENA.NT. 108 FORNACE/HEP.TE'R <100 L.00 UNI 27.00
1T59vED ON: PROCESSED 9Y: PLAN BY. 1
I 130 AIR INLETS/OUTLETS 4.00 UNI 17.40 111/15/10 SR 1
I I TOTAL FEES 99.20 1 .
I OWNER. TEL. NO: I I FINAL TE FINAL BY.: CODE:
1ESCOBAR, KAREN (626) 286-3804- 1
15613 HELEO AV
ITEMS 91.7802121 1DESCR PTION OF WOKE 1
I REPLACE EXISTING COOLING,LRVATING & DUCTING
APPLICANT: TEL. N0:
I
CONTRERAS, CARRA (626) 286-3157-
14931 N. ENCINITA AV 1 (SPECIAL CONDITIONS:
ITEMPLE CITY CA 91760
CONTRACTO3: TEL. N0: 1 AP?RO'✓.4.5 DATE iNS?ECTOR. S7GNATJ3F,
1coNNos AIR CONDITIONING (6 z6) 226-3157-
14931
es-31st14931 ENCINITA AVE LIC. NO FAU/V LL FURNACE
ITEMPLE CITY, CA 91780 403735 C2O tl�. �/ U
(COMBUSTION AIR OPENINGS
I
PRCEiTECT OR ENGINEER TEL NO. DUCTWORK
LIC. NO: 1AC/COMPRESSOR
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THERMOSTAT
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IFIRE D4MPERS 1
ISMOKE DETECTION DEVICES 11
COMMERCIAL HOOD
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11 I I I I I
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1REPORT ID: DPR264 ROUTE TO: BS 0508 1