HomeMy Public PortalAbout6431 TEMPLE CITY BLVD_Mechanical__ 76A,364 - CES18 - 3-69 APPLICATION FOR 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 STa�lmit.4
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM BTU CITY TEL NO
AIR HANDLING UNIT CFM CONTRACTOR
BOILER, HORSEPOWER ADDRED
CITU If 57,00,32_TEL NO
COMPRESSOR, HORSEPOWER STATE S52 LIC
LICENSE NO CLASS G iZ 0
VENTILATION SYSTEM ' DISTRICT NO GROUP ZONE PRDrfSSED BY
EVAPORATIVE COOLER
FURNACE FAU GHJNVITY 00
FLOOR 13Tu INSPECTION RECORD
HEATER SUSPENDED_UNIT_
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NEW—ADDITION_ PERMIT § 3 00 Z
ALTER_REPAIR_
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PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
IHEREBY 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 TE IN PECTOR SI ATURE
LATING AIR CONDITIONING
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9 DIVISION 3THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF IFORNIA
SIGNATUREJACK R ALLEN SUPERVISING MECHANICAL EMG R
OF PERMITT
PERMIT VALIDATION M o CASH
PLAN CHECK VALIDATION
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7.00^'EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A364 - CE618 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES qADDRESS
�� JBY DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDI
FOR APPLICANT TO FILL IN(PRINT OR TYPE ONLY)NO TYPE OF APPLIANCE OR EQUIPMENT FEE ('ABSORPTION SYSTEM BTU CITY TEL NOCONTRACTORAIR HANDLING UNIT CFMADDRESSBOILER HORSEPOWER
CITY TEL NO
COMPRESSOR HORSEPOWERLICENSE NO `C LATE - CLASS
VENTILATION SYSTEM DISTRICT NO GROUP ZONE PROCES
EVAPORATIVE COOLER
FURNACE FAU GRAVITY N
FLOOR BTU INSPECTION RECORD
HEATER SUSPENDED-UNIT-
WALL
USPENDED_UNITWALL
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U
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NEW_ADDITION_ PERMIT $ 3 00 Z
ALTER_REPAIR_ TOTAL FEE $ .SL70
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
IHEREBY 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-
LATING AIR CONDITIONING APPROVALS GATE INSPECTOR S SIGNATURE
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9 DIVISI 3 OF E BUSINESS AND PROFESSIONAL FINAL
CODE OF THE 0 `[AL RNI -
OF PERMRI W ✓ JACK R ALLEN SUPERV MECHANICAL ENG'R
PERMIT VALIDATION CK M0 CASH
PLAN CHECK VALIDATION
�p� 5 5 5 IF- JM25 4 1 0 5.00- q
'EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
i
COUNTY OF LOS ANGELES TEMPLE CITY K 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC FORKS 9701 LAS TUNAS ME 0508 0902190005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS 1
ON FILE 6431 TEMPLE CITY BL
ASSESSOR INFORMATION NUMBER IFEE DESCRIPTION QUANTITY UOM AMOUNT I I TEMP CA 917801435
I NEAREST CROSS STREET
5382-022-053 101 PERMIT ISSUANCE FEE 27 75 1 THOMAS PAGE 596 GRID J1 LOCALITY TEMPLE CITY CI
102 COMPRSR < 100 KBTU 1 00 COM 27 00
TENANT 108 FURNACE/HEATER <100 1 00 UNI 27 00 ISSUED ON PROCESSED BY PLAN BY MPIRES ON
TOTAL FEES 81 75 02/19/09 SR 08/18/09
10WNER TEL NO IFINAa, DATE/�, FINAL'WY CODE i
MECUM, ISABEL (626) 99]-992]-
6431 TEMPLE CITY BL
TEMP 917801435 ESCRI ION F FORK 1
CHANGE OUT
COMITIONINGIAND HEATING SYSTEM
1
APPLICANT TEL NO
ALL SEASON HEATING AND AIR (909) 524-2162- 1
15695 HEMICCK LANE SPECIAL CONDITIONS 1
CHINO HILLS CA 91709
ICONTRACNR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
ALL SEASON HEATING AND AIR (909) 524-2162- 1 1I
ICONDTIONING INC LIC NO
FAU/WALL FURNACE
115645 HEMLOCK LN 86531BC20 I I
MLOC
(CHINO HILLS CA 91709 I (COMBUSTION AIR OPENINGS 1TC 1
1ARCHI7ECT OR ENGINEER TEL NO (DUCT YORK
_ � I
LIC NO IAC/COMPRESSOR
THERMOSTAT
1 IFIRE DAMPERS
1
ISMOKE DETECTION DEVICES
IC0MMERCIAL HOOD
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IREPORT ID DPR264 ROUTE TO BS0508
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