HomeMy Public PortalAbout6453 TRELAWNEY AVE_Mechanical__ n
TSA39C
cc 810 REV B/TBI
(es APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING �uJrr �^
ADDRESS %..J /
(PRINT OR TYPE ONLY)
LOCALITY LC-
NO TYPE OF APPLIANCE OR EOUIPMENT FE]ADDRESS
NEAREST T�
CROSS ST C
ABSORPTION UNIT BTU
OWNER _ G E�
AIR HANDLING UNIT CFM MAIL
BOILER BTU C _ _ TEL NO WS-43
lo
COMPRESSOR BTU COMRACTOR
VENTILATION SYSTEM 11 '
ADDRESS
17-2- H t,4VNA
EVAPORATIVE COOLER CTy AAJ I IQ TEL NO s
FURNACE FAU_GRAVITY STATE LIC 3
FLOOR BTU LICENSE NO / CLASS /
HEATER SUSPENDED—UNIT— APPROVALS DATE INSPECTOR 5 SIGNATURE
WALL
—_ ROUGH Z,�(G'7 7 Q 16✓0z-"
FINAL O
INSPECTION RECORD
LPfT �c�.v(F vs/il.cfi S- f za�9 I!
Plan check fee 25% of above
PERMIT ISSUING FEE$ i4 Y n
TOTAL FEE
n
PLAN CHECK APPLICANT PLANCHEM( AAI I IYI
NAME / �J �t/
ADDRESS
CITY TEL NO A
HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE CORRECT AND AGREE TO COMPLY ALL 26 2 A
ORDINANCES AND LAWSS REGULATING HEATING VENTILATING
AIR
CONDITIONING PERMIT VALIDATION # . • • • 41
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL CODE 2 '2 7 0 0
OF THE STATE OF CALIFORNIA
SIGNATURE � 7 O 0
OF PE RMITTEE
DISTRICT NO p BY 0207-79