HomeMy Public PortalAbout6361 TRELAWNEY AVE_Mechanical__ 76A363 - CE818 - 3-69 APPLI TION FOR P MIT q
HEATING - VENTILATING - AIR CONDITIONING Il
COUNTY OF LOS ANGELES BUILDING jjEDB
DEPARTMENT OF COUNTY ENGINEER ADDRESS
6361 NO IRE' AWNEY
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER LOCALITY TEMPLE CITY
COLEMAN W JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER HELEN MYERS
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS ,.p
ABSORPTION SYSTEM BTU CITY TEMPLE CITY TEL NON
CONTRACTOR L. M. HAMMY INC.
AIR HANDLING UNIT CFM
ADDRESS
BOILER HORSEPOWER
CITY ALHAMBRA TEL 425 W. MAIN S NO
COMPRESSOR HORSEPOWER STATE 1715 LIC
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO GROUP NE EVAPORATIVE COOLER
FURNACE FAU RAVITY
FLOOR BTU 00 INSPECTION RECORD
HEATER SUSPENDED-UNIT-
WALL
USPENDED_UNIT_WALL }
d
O
V
REPLACEMENT p
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w
a
N
NEW—ADDITION– PERMIT $ 3 00 Z
ALTER_REPAIR_ TOTAL FEE $ 00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING XEATING VENTI- APPROVALS DATE INSPECTOR 5 SIGNATURE
LA TING AIR CONDITIONING
I HEREBY CERTIFY THAT I AM NOT ACTIKS 110410LATION OF ROUGH
CHAPTER 9 DIVISION 3 OF THE BUSINESS/ANJO BUSINESS/ANPROFESSIONAL FINAL
CODE OF THE ST F IFOR IA
SIGNATURE JACK R ALLEN, SUP MECHANICAL ENG'R
OF PERMITTEE -`
PERMIT VALIDATION cK Mo CASH
PLAN CH7 VALIDATION
7 o Sarlou 12 41. o - 8.0 0 J,-LJ6
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY R 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0310270002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE. (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 14263 LT. 9 6361 TRELAWNEY AV
FEE DESCRIPTION QUANTITY LION AMOIRIT TEMP CA 917801312
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LEMON
5382.020-058 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY
02 COMPRSR < 100 KBTU 1 00 CON 27 00
TENANT OB FURNACE/HEATER <100 1 00 UNI 27 00 ISSUED ON PROCESSED BY PLAN BY EAPIRES ON
30 AIR INLETS/OUTLETS 4 00 UNI 17 40 10/27/03 -JK 04/24/04
TOTAL FEES 99 15
WNER TEL NO FINAL DATE FINAL BY CODE
CHI-SHENG S DING (626) 287-3746-
6361 TRELAWNEY AV t7 T
TEMP 917801312 UEM IPTION OF WORK
HVAC FOR GUEST HOUSE
APPLICANT TEL NO
SAME AS OWNERCONTRACTOR TEL NO APPROVAL$ DATE INSPECTOR SIGNATURE
-
SPECIAL CONDITIONS
SAME AS OWNER -
LIC NO FAU/WALL FURNACE
COMBUSTION AIR OPENrWW
ARCHITECT OR ENGINEER: TEL NO DUCT WORK
LIC N0.
THERMOSTAT
FIRE DAMPERS
COMMERCIAL HOW
i\ REPORT ID DPR264 ROUTE TO BS0508