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Home My Public Portal About9416 GIDLEY ST_Mechanical__ COUNTY OF LOS ANGELES TEKP E CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS y ME 0508 0010270022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0458 EKT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9+416 GIDLEY ST FEE DESCRIPTION: QUANTITY: UCM: AMOUNT: TEMP CA 917804211 ASSESSOR I NEAREST CROSS STREET: LOWER AZUSA 8592-003-047 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY 18 BOILER 101 500 KBTU 1.00 B0I 52.20 TOTAL FEES 79.95ISSUED PROCESSED BY: PLAN BY: EXPIRES . . ACUARIO SPORTWEAR 10127/00UT 04/26/01OWNER: TEL. MO: FI . ELLINGSWORTH ROBERT A;DEBORAH K 9410 GIDLEY ST - P15EIJ . TEMP 917804211 6 INSTALL 9.5HP BOILER AND CHIMNEY RICKARD'S:STEAM (818) 768-8320- 8902 LANKERSHIM BLVD SPECIAL CONDITIONS: SUM VALLEY, CA 91352 N 1E 'ES CO 5 C/ RICHARD'S STEAM (815) 768-8320- 8902 LANDERSHIM BL LIC, NO FAU/UkLL FURNACE SUN VALLEY CA 91352 C-4 06MION AIR ARCHITECT OR ENGINEER: TEL. NO: DUCT W()RK LIC. llllWRESSOR ll �[ SOD WOR SMOKE DETECTIN-UEV= - d Z7 D D �o4b/`c 4bservice'fh i * ADDITIONAL DATA ON FILE REPORT ID: DPV-64 ROUTE TO: BS0508 r IWORKEFrS ' 1ON° '" "° 7&k%4 °� ° APPLICATION FOR PERMIT I f+ereby eMrm that I have p wrtlfloets 01 consent to-sell IneuroLIME GREEN], �� ora wrttflcate of Worker's CompenFatIgn Insuranoe,.ar a oprthl d HEATING VENTILATING-AIR CONDMON114G copy thereof(3ec,_.3900 Lab.C.) PO�Oi NoIll? «� ry .� �l C_ )Co�� COUNTY OF LOS ANGELI=S -DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV. ❑ 06"i ed copy h hereby tum e d Certtfted copy.Is pled with the county bdldngFOR APPLICANT TO FILL IN /�/�� dWarm-nt. Ing-coon (PRINT OR TYPE ONLY) La�AurY °ids ; NEAFLEST OF FEF NO. TYPE OF APPtJANCE OF7 EQUIPMENT CEATIRCATE OF EXEIAPTION FROM CRO86 9T. " COMPENSAT"Ihi8URANGE AssoRPTlorJ ural BTU (This section need not be completed tf the work Involved by the low BOOK PAGI' PAACJ3- psrmtt la for one hundred dollars($1 DO)or lees.) AIR HANbuwe UNIT cFM orrrur No. moOSSeao ry I certify that In the perform@no&of the work fog which this permit -Is Issued, I shall.not employ any-person In any rnanner so as to Stu O become subject to the Wor}cers'Compensation a - COMPRESSOR BIIJ 'arnbVKe wru sraearcrra eiemru+T Dotet VENTILATION SYSTEM NOTiGE TO-APPLICANT`.'I1,'after m lnQ thls Certificate of AOUGR Exemption;you should become-4ubject to the Workers'Compensdtion'. E/A�oRATIVE COOLER` provisions of the Labor Code, you.must forthwith comply wtLh such FHAL provisions or thls permlt shall be cloamed revoked. FURNACE FAU GRAVITY VALIDATIOW CTOFZS PCENSED.CONTRADECLAHATIQN FLOOR BTU I hereby atnrm that l am Ilgense� •ynder,provlslond of'CHF�ITFRhaptsr,9 _ 811BPE�IDED UNIT „ (oommenolhq with Sectfon 7000)of DIVIslbn'3 o1 the Buslnees and WALL ttf,.CCT,JL Professions Code, and my Ilcenes Is In full Toros and effect. ACCT Q 3303 Lkxirnse Number O Z J l}o.Close' 3 } 1 I 1 C�t� ,a .TOTAL 73 _30 a ccrth•acmr/1.��,;r�.1'%'/1.��#14*6e3e �., - . . . : •.{�-EqC © I am exempt under 8e�n PJan Check fee Q 0 B.aP.C.for this reason 4 PERJIIIIT MUINQ FEE F- o.d. TOTAL FEE U - .p00�Ok�41 : 111319? a OWNER-BUIUDERDECLAAATN c7ll lcAPPttCIaiT IO r 6'v_cl V ?121. - .z .1 hereby afltrm that I am exempt from the Contractors License Law NAME eO i! /a G/� 19r the following reaaoh (8ectlon 7031.6,13uslness and Professions V �/ }Y / V Cods): - ADDS t �i� .1 El -�'I„as owner of the properly, or my,employees with.wages q as-their Iolo compensations, will do the work and the . CTTY ',� TEL NO. Q4 structure is no4 Intended of offered for sale (Section 7044,.. Buslnese ono Professions Code). OWNER I, a owner of the property, am exclusively oontraoting 4 with Jloensed contraotoro to construct the project (Spo- AD KESS tfon 7044, Business snd'Profeeellns Code). .. CONSTRUCTION LENDING AGENCY CITY., ) TE_NO. I hereby affirm tliat there Ip a conatruotlon lending agency for /� n �✓/� the performance of the work'for Ich this perrnfl Is iesued R /CiG (Sec.3097,Civ.C.). /� ^ /^/�� ' r; •_ ADDS ( ! C CV V Lenders Nerhe COY wV (r TEL NO.”. Lenders Address STATE LIC. I certfTy that I have read this appllcatlon end state that the above LIC84SE NO. 1 CLASS hformation b correct. 7 agree bo.comply with all Courrty ordinances and State Imus raising to butiding cortstrtxxion,end hereby auttrortze - representaiivee of this County to enter upon the above-rnentloned property for Ingpectlo utpoaea.' SEE REVERSEFOR EKPL.ANAT4*Y LANGUAGE ;i� oR