HomeMy Public PortalAbout5303 LOMA AVE_Mechanical__ 76 A364 -SE 818-1/75
ham_. APPLICATION .FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING L
DEPARTMENT OF COUNTY ENGINEER ADDRESS 6
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
9 ' CROSS ST
FOR APPLICANT, TO FILL IN OWNER °'I s
(PRINT OR TYPE ONLY) _
MAIL
No TYPE&SIZE OF EQUIPMENT FEE ADDRESS
SEE BACK OF APPLICATION
CITY lam' ,may TEL. NO. L_
FORCE AIR FURNACE, BTU. J
CONTRACTOR owAj67 �
COMPRESSOR, BTU � 1'
ADDRESS S�I
VENTILATION FAIN CITY j��y` TEL. NO -.Sft 1
LIST-ALL OTHERS BELOW STATE LIC
LICENSE NO. CLASS
DISTRICT NO GROUP ZONE PROCESSED BY
INSPECTION RECORD
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Plan check fee. See reverse.
NI }ill{"I ISSI;I\(: F'{.F• c 3 oo
"1 OT4I. "rGh: d
PLAN CH APPLICANT•
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION ROUGH
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATtE�\\0 COLIF�O RQNIA
OF PERMITTEE ��-i .�L�,.�t�_ PERMIT VALIDATI CK �M 0 CASH
PLAN CHECK VALIDATION CK M O CASH
5 0 1 JUN 2 4 1 8,0 0 av-0
76 A364 - ;:E 818 - 9-71 AIf,A N FOR PERMIT"
HEATINGP-1 VENTILATING - AIR CONOITIOPIING
COUNTY OF LOS ANGELES ADBUIDRESS SU IL,°
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST r
CROSS ST. 4 (, ( (J
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS C Q L SIM
ABSORPTION UNIT, BTU CITY —( 1 jFEL. NO. 7 'f 7 '
CONTRACTOR 66
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU CITY TEL. NO
COMPRESSOR, BTU STATE LIC.
LICENSE NO. CL
VENTILATION SYSTEM DISTRICT NO GROUP ZONE PROCES ED BY
EVAPORATIVE COOLER g
FURNACE. FAU G AV TY V
FLOOR BTU Qty INSPECTION RECORD
HEATER: SUSPENDED UNIT_
WALL v
W
d
N
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Plan check fee 25% of above. See reverse.
PERNIIT ISSUING FEE 8 3 00
TOTAL FEE
PLAN CHECK APPLICANT
AME
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 DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISI N 3, OF THE I ESS AND PROFESSIONAL FINAL
CODE OF THE STATE CALIFOR NI
SIGNATURE PERMIT VALI TIO CK M O. CAS
OF PE RMITT E-
PLAN CHECK VALIDATION CK M D CASH
5 5 6�JUN 17 4 1 D $,p 0 e98
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
f COUNTY OF LOS ANGELES , TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1301290001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID- I FEES PAID 1 BUILDING ADDRESS I
ITR 11218 LT- 11 BL - .001 UN 002 I 1 5303 LOMA AV I
I (FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803002 I
(ASSESSOR INFORMATION NUMBER- I i NEAREST CROSS STREET _
15388-007-026 101 PERMIT ISSUANCE FEE 27 80 I ( THOMAS PAGE- 596 GRID H4 LOCALITY- TEMPLE CITY-CAI
1 102 COMPRSR < 100 KBTU 1.00 COM 27 00 I !
ITENANT 108 FURNACE/HEATER <100 1.00 UNI 27 00 (ISSUED ON PROCESSED BY PLAN BY !
! TOTAL FEES 81 80 101/29/13 SR
I I ! ► I
(OWNER- TEL NO I - IFINAL DATE FIN Y CODE !
I CABALLERO PHILIP JR,PATRICIA L (626) 287-1817- 1 1 - / [,(, r^n I
15303 LOMA AV I IT / 1
ITEMP 917803002 1 IDESCRI TION OF WORK 1
! ICHA46E OUT FURNACE 48,000 BTU 80% IN ATTIC & A/C 4 TON I
I I I I
(APPLICANT TEL NO
(ALLEN JACOBY - (818) 735-7876- 1 I I
15658 DOVETAIL DRIVE I ISPECIAL CONDITIONS I
IAGOURA HILLS 91301 1 ! I
I I I I
(CONTRACTOR TEL NO: I (APPROVALS DATE INSPECTOR SIGNATURE
ISERVICE CHAMPIONS INC (714) 777-7777- I - 1 1
122911 SAVI RANCH PARKWAY LIC NO ! IFAU/WALL FURNACE 1
IYORBA LINDA CA 92887 799170 I 1 1
I ICOMBUSTION AIR OPENINGS I 1
(ARCHITECT OR ENGINEER. TEL NO j - IDUC^_ WORK I I I
i LIC- NO I IAC/COMPRESSOR 1 11
N.
(I 1
I I ITHERMOSTAT 1 1 !
I IFIRE DAMPERS I ! I
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I �l ISMOKE DETECTION DEVICES 1 1 I
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1 I* ADDITIONAL DATA ON FILE I ) I 1 I
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I IREPORT ID- DPR264 ROUTE TO BS0508
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