HomeMy Public PortalAbout5725 KAUFFMAN AVE_Mechanical__ 76A364-CE8I8-1/70 _ _ :APPLICATION FOR PERMI'
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF'LOS ANGELES ADDRESS J
DEPARTMENT OF COUNTY ENGINEER _
BUILDING AND SAFETY DIVISION LOCALITY C
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS', SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL'IN' OWNER °
(PRINT OR TYPE ONLY)
MAI L
NO.—TYPE OFAPPLIANCEbR EQUIPMENT FEE' ADDRESS LLCit�
CITY •TEL. N
ABSORPTION SYSTEM, BTU
CONTRACTOR• $4�
AIR HANDLING UNIT, CFM
ADDRESS �}
BOILER, ,HORSEPOWER CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. Al Zff CLASS , J
VENTILATION SYSTEM DISTRICT NO. CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE,COOLER
FURNACE: .FAU_GRAVITY INSPECTION RECORD
FLOOR BTU
HEATER: .SUSPENDED UNIT_
WALL
CL
W
a
NEW —ADDITION— PERMIT $ 3 00 ?
~
ALTER—REPAIR— TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TELINO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,
WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LAT ING, AIR CONDITIONING.. -
C �s ' ROUGH
CHAPTER
C ER•TIFY..THAT.,I AM NOT AC,TIN6 IN VIOLATION
OF HAPTER 9, DI ISIOk3, OF-THE BUSINESS A PROFESSIONAL FINAL
CODE OF,THE 5 FOR NIA. '` '
SIGNATURE JACK R. ALLEN,SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE ••
PERMIT VALIDATION - CK. M.0. CASH
PLAN CHECK VA ATION•
SEE 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 0904070010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE. (626) 285-0488 EXT
LEGAL ID. 1 FEES PAID BUILDING ADDRESS:
ITR: 6561 LT: 508 UN. .002 1 5725 KAUFFMAN AV 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802506
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET.
8587-022-006 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID. A3 LOCALITY. TEMPLE CITY, Cl
1 102 COMPRSR < 100 KBTU 1.00 COM 27 00 1
(TENANT- 108 FURNACE/HEATER <100 1.00 UNI 27.00 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
130 AIR INLETS/OUTLETS 13.00 UNI 56.55 104/07/09 SR 10/04/09 1
1 154 NO PERMT $224.70 MIN 257.00 - 257.00 1 1
TOWNER: TEL. N0. TOTAL FEES 395.30 DAT$, FI BY: CODE:
CONTRERAS, JIM (626) 285-0789-
5725 KAUFFMAN AV
ITEMP 917802506 1 IDESCRIPTIOiiJ OF WORK 1
1 14 TON SPLIT SYSTEM FURNACE IN ATTIC
I I I I
APPLICANT: TEL NO. 1 1 1
ITEMPO A/C & HEATING (626) 444-8885- 1 1 1
15937 N. OAK AVENUE 1 1SPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 1 1
I ,• I .. I I
I I I I
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
ITEMPO AIR CONDITIONING AND HEATING (626) 285-1218- 1
15937 N. OAK AVE. LIC. NO IFAU/WALL FURNACE 1 I I
1TEMPLE CITY, CA 91780 - 274880C20 ( 1 11 1
1 1 ICOMBUSTION AIR OPENINGS 1 1 1
I I I I I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 IDUCT WORK I I I
1 LIC. NO: 1 1AC/COMPRESSOR 1 1 1
I I I I I
1 I 1THERMOSTAT I 1 -I
I I 1 I I I
1 1 1FIRE DAMPERS 1 1 1
I I I I I 1
1 1 (SMOKE DETECTION DEVICES 1 1 1
I I I I I I
1 I ICOMMERCIAL HOOD 1 1 1
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I 1 1 1 1
I I I I I 1
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I i I I I
I I I I I I
I 1 1 1 1 I
I I I I I I
- 1REPORT ID: DPR264 ROUTE TO: BS0508 1 1 1
I I I I I I