HomeMy Public PortalAbout8620 WORTHINGTON DR - Mechanical - 1972-06-19 76A364-CEO IS-1/70
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FNEAREST
SS 8620 E. Worthington
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION TY San Gabriel
JOHN A. LAMBIE. COUNTY .ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGT. Burton
FOR APPLICANT TO FILL IN OWNER R. Anderson
(PRINT OR TYPE ONLY)
MAIL SameNO. TYPE OFAPPLIANCE•OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.
CONTRACTOR Aquatic Pools Inc.
AIR HANDLING UNIT, CFM
ADDRESS 311 E. Liy6 Oak Ave.
1 BOILER, HORSEPOWER30080 D 7 50 CITYArcadia TEL. NO. 4"-4661
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. 263283 CLASS C53
VENTILATION SYSTEM DISTRICT NO. CLASS GRO P ZONE PR CESSED BY
ArR
EVAPORATIVE COOLER �(
19 I
FURNACE: FAU_GRAVITY INSPECTION RECORD 4i
FLOOR BTU
HEATER: SUSPENDED UNIT_
WALL
D
C
0
c
NEW_ADDITION— PERMIT $ 3 00
e_
ALTER—REPAIR— TOTAL FEE S C
PLAN CHECK APPLICANT LV0 J
NAME Aquatic Pools
ADDRESS 311 E. Live Oak, ����LL
CITY Arcadia TEL.NO.4"—W61
I HEREBY ACKNOWLEDGE THAT 1 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
I HEREBY CERTIFY THAT I AM NOT G IN VIOLATION
OF CHAPTER 9, DIVIS 3 OF TH BUSINE S A D PROFESSIONAL FI
CODE OF THE STATE F F
SIGNATURE ALL ,SUPERVI$ HANICAL ENG'R.
OF PERMITTEE
ERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VAL1DATl \
LACO 6'.5 15 Jm, 4 A i o,5.0�
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
7GA364-CEO IB-1/70 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING �XA
COUNTY OF -LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS Ole f
BUILDING AND SAFETY DIVISION LOCALITY
-JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL �r +
NO. TYPE OFAPPLIANCE•OR EQUIPMENT FEE ADDRESS. �o
CITY TEL. NO'.
ABSORPTION SYSTEM, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS �0 ,
BOILER, HORSEPOWER CITY EL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. 7- -CLASS
VENTILATION SYSTEM DISTRICT NO. CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER �- CL
FURNACE: FAU_GRAVITY INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED-UNIT-
WALL
USPENDED UNIT_WALL
• p
C
C
O
CF
C
NEW—ADDITION— PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
A'ND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS D ENS PE TOR'S SIGNATURE
LATING,AIR CONDITIONING.
ROUGH
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLAT
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS A PROFE 1 L FINAL
CODE OF THE STATE OF CA NIA.
SIGNATURE JACK R. ALLEN,SUPERVAr
CHANICAL ENG'R.
OD PERMITTEE
PERMIT VALIDATION M..O. CASH
PLAN CHECK VALIDATION ,
I IT- 0 3 5 SL-2 20 4"1 Ab.Cf0N CR
_.
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE _ �� .