HomeMy Public PortalAbout5671 LOMA AVE_Mechanical__ 76A364 — CE818 — 3-69 APPl_ICAT ON FOV PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN �A a
OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRES
ABSORPTION SYSTEM, BTU CIT TEL. NO.07f7— l �7 "
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AIR HANDLING UNIT, CFM CONTRACTR oe
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BOILER, HORSEPOWER ADDRE �J ®® {
CITY Z, TEL. NO.p�Q AP
COMPRESSOR, HORSEPOWER f. STATE / ^' CLASS 'l
G LICENSE N0. 60
VENTILATION SYSTEM ''? DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
,I FURNACE: FA GRAVITY
FLOOR BTU (�" INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
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NEW_ADDITION_ PERMIT $ `` 3 00 L
ALTER_REPAIR_ TOTAL FEE $ P�
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. NO.
N
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 INSPEC 'S SI ATUR
LATING, AIR CONDITIONING. d .',
IHEREBY CERTIFY THAT I AM NOT ACTING I IOLATION OF +` ROUGH
CHAPTER 9, DIVISI N OF THE BUS 55 A ROFE SSIONAL FINAL -
CODE OF THE ST CALIFORNIA. d
SIGNATURE ����2/1 `_ JACK R. ALLEN, SUPERVII_UNG MECH CAL ENG'R.
OF PERMITTE
„_ PERMIT VALIDATION CK. �0. CASH
PLAN CHECK VALIDATION"" ��,►
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 0301220001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 16305 LT: 2 5671 LOMA AV
_ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802451
ASSESSOR NFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
5387-022-010 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
02 COMPRSR < 100 KBTU 1.00 COM 27.00
TENANT: 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESS D BY: PLAN BY: EXPIRES ON:
TOTAL FEES 81.75 01/22/03 JK 07/21/03
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
TRAN STEPHANIE & MACHAEL (626) 285-1901-
5671 LOMA AV
TEMP 917802451 DESCRIPTI N OF WORK
REPLACE HVAC
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO FAU/WALL FURNACE
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK
LIC. NO: AC/COMPRESSOR
THERMOSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
REPORT ID: DPR264 ROUTE TO: BS0508
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