HomeMy Public PortalAbout6209 IVAR AVE_Mechanical__ 76 A 36 k�•C E ,.b'�•B-6B „ APPLICATION FOR PERMIT
` HEATING - VENTILATING - AIR CONDITIONING
J COUNTY OF LOS ANGELES O
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT QF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
(Print or type only)
OWNER
NO.. TYPEJOFAPPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS
ABSORPTION SYSTEM, BTU
CITY TEL, NO.
AIR HANDLING UNIT, CFM CONTRACTOR
i
BOILER, HORSEPOWER ADDRESS, '5 'VN
COMPRESSOR, HORSEPOWER CITY do Q TEL. NO. J`-'
STATE LIC
VENTILATION SYSTEM LCE SE NO. CLASS CZD 6'/3
DISTRICT NO. GROUP ZONE P CESSED BY
FURNACETIVE FAUCOO GR
IT o v Ds
FLOOR—BTU INSPECTION RECORD
HEATER:.SUSPENDED—UN IT
WALL
O
U
O
H
U
W
CL
N
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NEW XADDITION 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 DIT EECTOR'S IG URE
LAT ING, AIR CONDITIONING.
-ROUGH
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION FINAL .�,Z. -.atm
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE OF CA ORNIA,
JACK R. ALLEN,SUPERVISI ECHANICAL ENG-R. .
SIGNATURE
OF PER ITT PERMIT VALIDATION ck. M.o. CASH
E —
PLAN CHECK VALIDATION
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE i'
COUNTY.OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT .
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - ME05081208160012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: -
ILEGAL ID: FEES PAID .1 BUILDING ADDRESS:
ITR: 5904 LT: 23. 1 6209 IVAR AV _
I IFEEDESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801526 I.
(ASSESSOR INFORMATION NUMBER: - I NEAREST CROSS STREET:
I
15386-010-019 101 PERMIT ISSUANCE FEE - 27.80 I THOMAS PAGE: 596 GRID: H2 - LOCALITY: TEMPLE CITY, Cl
1 141 VENTILATION FAN 1.00 FAN 15.80
ITENANT:. - I TOTAL FEES 43.60 (ISSUED ON: PROCESSED BY: PLAN BY:
108/16/12 SR
1OWNER: TEL. NO: 1 (FINAL DATE FINAL BY: CODE:
IKELLY CARMEN T (626) 286-0163- -
16209 IVAR AV - 1 _ I h -
ITEMP 917801526 1 15ESCRIPTION OF WORK
I 1 (VENTILATION FAN FOR BATHROOM REMODEL
I
1APPLICANT: _ TEL. NO;
IGLYCHER, ELINOR (877) 231-.7389- I -
I 1 (SPECIAL CONDITIONS:
ICONTRACTOR: . TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IMEGA GROUP BUILDERS - (877) 231-7389-
118375 VENTURA BLVD #770 LIC. NO ( IFAU/WALL FURNACE
TARZANA, CA 91356 461004-B-* I
I 1 ICOMBUSTION AIR OPENINGS 1 1 1
1ARCHITECT OR ENGINEER: TEL. NO: (DUCT WORK
I LIC. NO: ' 1 IAC/COMPRESSOR I 1 1
i I I
- I THERMOSTAT -
.I
1 (FIRE DAMPERS 1 1
I (SMOKE DETECTION DEVICES I 1 1
- ICOMMERCIAL HOOD
I I I I I I
1 I* ADDITIONAL DATA ON FILE I I
I I I I I I
IREPORT ID: DPR264 ROUTE TO: BS0508
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