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HomeMy WebLinkAbout0398A ..�,.�. U. : � �. .- aFfirm ihaC �DEZ.'A�,�CY ' .. ..�._�. .� _.� r..,..,�.�._.......,.. ' . vr•. _-,,, �.' �, .,:�:. .::� -,�....... If�kereb t OMPENSATIfSN ' "�� . �„oR�ER�- ro"- `6A�3 ,o e� qPPL6CAt`VC�I�. IFd� I�LE�'��CAL P�RMIT ins reer�fedco fy�nereo�5ec�3rriflcate of consem to self E-�G y have o ce . . .....,:.. .. .... 'Compensa�ion��su�a�ce, COUNTY OF LOS ANGEl�E3 BUILDING AND SAFETY o � � aoo,�a6 c� � Ao�Ress 227 ����"i��,,,�"�a'�s�r.rr�£�s`A PtivC 10 OL�9 15 40 CNA '" ` . P❑olicyNo. Company .-.. FORAPPLICANTTO�FILL.IN ,. , .,.. .,.,, JOB� Ce tified mpy is here6y fumished New Residential B�dgs 8 Pools EnCH NO. FEE 6� �i. I�2[da Dr � _ i a z-Fam�i S — s iocnury Bld 55A - Units: 433-440 Ce ti fie d copy is f l e d wrt h t h e caun 6ui l di �r f y,S q.f�. : g• -..,.... iion deporfinent. Multi-family Sq.Ff. �236 3 — Z 3. NEAREST 7 29 37 Residentiol Swimming Pools ceoss sT: Diamond Bar _ N INSURANCE 9 FirSf 20 000eess R 1123 So. Parkview��� � Th s seHion need nof e cl' n Pp FIRM'NAME �'�1NSON HONIES CER7IFICA7EOK-EXE� Pyr�fROMWORKERS�'��� � putlets:l2ec_Li h�„Sw.^� �ro�ALL connveNsat�r6 Dr #36C , ( ompleTed�f the work involved by Total No. Additional ��TY .. COV171c1 Tel No.91S-H31] the permit!s for one hundred dollors(5100)or bss.) -�� �� PlAN'CHECK �I certify thot In fhe performonte of rhe work for which this APPUCANT � �,,,,,,, , ,,,,,,,w.„.___.... permii is issued,I sholl not employ ony person in ony mdnner - . . � so as fo become subjec�to fhe Workers'Compensalion Laws. �ighting Fixtures Fi�sf 20, qDDRE$5 � � � � Additional ❑TY Te'.......,.,.,_�.,_.:...:..�..:.,.,:.,,_ .. . Total No. � I.No. Dr"'... APPI wnt . ... . Fixed Appliances Not Over 7 HP PERMIT . .... .. ..... �.- N _._. 3 TO"APPLICANY:""17 afier mak�ng rh�is Certificore of nPPIiCANT �AZ�2 ����.�t�IC Exempiion, you sho�ld become�sub�ect to the Workers' Range_Heater_D.W._ - .... .... .�,.....:,�,o Compansation provisions�of ihe Lobor Code,you must forth- Oven �Dryer _W.M._ ADDRES$ 310 L F1zj=pn AVE' with comply with such p o �o s o th s pe m t sholl be Top _FAU —W.H.—� ����� '.� �'—"�'�� "" ""'��"� deemed revoked. GTY Tel N 57_4301 Immmencf^irmE ho�D ctOian7A000Oof��sroR3 o�f heC6osne�... �... P D�p.�P�r RooB a1rgeOA'ppliances I DISTRICT�NO.an 4 6$ PROCES�Cfassl�,']_Q ( 9m' ) - �BY } and Professions Code,ond my license is n full force and effect. �� �� � Size&Type HP,KW,KVA,�or KVAR L'�,? p,`�`j'q"� U �icense Number 440682 - i�,�.e�ass��C10 uP,o 1 Incl. FINAL r� Lazer Electric 7/29/87 Over 1 io 701nd. DATE F � VAUDATION ��-. Controclor �� Date Over 10 to 50 Incl. � OFINAL I am exempt under Sec. Over 50 70 100 Inc BY O.� . . .. . ... ����.� Over 100 � � B.&P.C.for fhis reason .............. z -�ote: Servites,Swbd.,MGC&Panelboards ► :�G�j�,�4�1 � ��� ���� 0-260 Amp.Under 600 V .. 1; n o a m i� Signoture --� --...�_-..�..„,:..; 201-lOpO Amp.Under 600 V � ❑ Over 7000 Amp.ar Over 600�V f �G.�.�i.7� Ezemption for Reg.Main�.Elect � �:��7 3,7 O� SINGLE FAMILY p. � ppurfenancas ,�. _.. ..-,. Tem Power Pole 8 A ' HOME OWNER-BUILDER'DECLARQTION� �� i Sign w'nh One Branch Clrcult U'`.:C>1�-8 7 . I he,.:py affirm that�am exempf from Yhe Controcfor's License qddl�lonal Slgn Branch C'ircuits law for the following reason(Section 7031.5, Business and . Profess�ons Code): ❑ 1,as owner of the properiy,will do rhe work ond Ihe Misa Condoits&Conducrors ' struc'ure is no1 intended or offered for sale(Seciion Other(See Comple�e Fee Schedule)_ ► 7044,Businessand ProfessionsCodel. --���-��-�•-��- -•-••�����- CONSTRUCTION CENDIN'G�AGENCY��� � �'��� � � 1 hereby affirm that rhere is a consiruc+ion lending ogency for ��'��-'"'� ' � ihe performonce of the work for which this permii is issued PERMIT FEE (Sub-Toral) � jSec.3097,Civ.C.J. ,.�. ..__. __•._......,....__. PLAN CHECKING�FEE�� ��� Lender'sName -.-.-. �..-�.....-..•�•-=--es.- � . PERMIT ISSUING FEE��� � � jO. O f certlf that f have reod this a limt on and state lhot fhe��N Lender's Address . . . . . y pP TOTAL FEE � 2.(73.�J( �. above�n'ormolian�s correcl.I agree to comply y - .....-���.-.�-.._.^�:. •�•-. ..,. . ,_,. with all Count ord-nonces ond$tale laws reg�loting EleUiical wiring,ond . .. � here6y authoriza repres ati� f Counry 10 enler upon iheabove-p�enr� e roP 1 o s tionpurposes � .. ..,..;...�, ..,..�: ....:.:..... : �.�.. ....:�� . ......: .,....�..., . � SEE REVERSE'FOR EXPLANdTOI�V��LAf�G"GAG�'`� ��� � - 7/29/87 Si a u ermi tee Date ��;w.z .,. r..:;,'�. . . 1,.cr +,,,. :'� ;.=.�,�, . �ti` � �. . . ,.. , . .. _. .. . - ... . . �._...,__. a:, . .,,�.._ ..._. µ ,�.� � -, ..... ..__... . . .. . ..... � '.,;'1..�.>. � .. C.} "jr: ... , ' .';-.. . .::: �. .,... • r�r e..� .... . . ; .i. ,� . . - . . _. - � i.�.._..:.:.__._.........__ , ; . ...... F ,:;�4 I�'.. � .. . �,_ , .. .. ., ...,.,. _ I � �; � . - . . . . ... I ,. . ...,...< <. ..... .._.. ._. . .I ' .. . . 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