HomeMy Public PortalAbout6410-6412 TRELAWNEY AVE_Mechanical__ ]6A 36G - CE818 - 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
,-OLEMAN W JENKINS SUPERINTENDENT OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER
MAIL /
NO TYPE OF APPLIANCE OR EQUIPMENT FEE AODR (Q
ABSORPTION SYSTEM BTU C T14 TEL NO
CONTRACT R
AIR HANDLING UNIT, CFM
ADDRESS -/
BOILER, HORSEPOWER
�/� CIT TEL NO K - J
COMPRESSOR, HORSEPOWER (,(/ STATE LIC
LICENSE NO CLASS V
VENTILATION SYSTEM DISTRICT NO GROV ZO PRO S9Eo BY
EVAPORATIVE COOLER
FURNACE FAU GRAVITY o
FLOOR U INSPECTION RECORD
HEATER SUSPENDED—UNIT—
WALL
USPENDED_UNIT_WALL
Q
U
O
NEW_ADDITION—1
PERMIT S 3 00
ALTER--REPAIR— TOTAL FEE $
PLAN CHECK APPLICANT
NAME
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 OF INSP OR S SIGN TURE
LATING AIR CONDITIONING
I HEREBY CERTIFY THAT I AM NOT A TING V OLATION OF ROUGH
CHAPTER 9 D 3 OF THE BUS SS D OFESSIONAL FINAL
CODE OF THE CALIFORNIA
SIGNATURE JACK R A L N SUPERVISING MECHANICAL EN
OF PERMITTE
PERMIT VA TION cK MO cASH
PLAN CHECK VALIDATION
LACO7 2 1 3;3 &L27 4 1 1 5-50- Q
`EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE -