HomeMy Public PortalAbout8602 WORTHINGTON DR - Mechanical - 1969-04-28 BAS64—CE616-6-68 APPLICATION FOR PERMIT
-HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FBDBUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER Worthingtirin Dr.
rCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGY San Gabriel
FOR APPLICANT TO FILL IN
(Print or type only)
Buinton
OWNER Robert T. Gr e
No.. TYPEJOF APPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS Same.
ABSORPTION SYSTEM, BTU CITY Same TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR Lemke Air Conditioni Co.
BOILER, HORSEPOWER ADDRESS. 4937 Eneinita ave.
X1. COMPRESSOR, HORSEPOWER 3 4 00 CITY Temple Cit TEL. NOAt -1640
STATEVENTILATION SYSTEM LICENS1eNO._ 195617 CLASS C-20
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER � ''��—
FURNACE: FAUX GRAVITY cx �" / —
FLOOk_BTU INSPECTION RECORD
HEATER:.SUSPENDED UNIT
WALL
t-
a
ce p o
furnace w/new A-C type & CD
add coo in . W
a
N
Z
NEW—ADDITION PERMIT, $ 3 00 '
ALTER—X-REPAIR TOTAL FEE $ 11.)0
.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 DATE INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING. ROUGH L
�s
1 HEREBY, CERTIFY THAT I AM NOT IN IN OLATIO FINAL
OF CHAPTER 9, DIVISION S, OF E BUSIN S P SSION_
CODE OF THE STATE OF IF IA.
JACK R. ALLEN,SUPERVIS CHANICAL ENG'R.
SIGNATURM OF PERMITT PERMIT VALIDATION cK. M.O. CASH
PLAN CHECK VALIDATION
L: o :6 0.6 Q; APR 2S 4 L A 11,a 0— 4
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /
"V •