Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0587A 0588A
.: . ,_ ._.,_�-_ �.. _ . .. AP�'l.ICATI _. _ � i WbRKERS'COMPENSATION DECLARAI"ION ��� � - � . �.- , � �� � - ��� , .. . _ , ,.... , "o-m tha),I,hove a cartlfiwte of consenflo self . ' O�1 FOR��.BUItDING� PERMIT���� � �� � �� 1 f�Workari Compenaation Mauiance, f �Ifi theroof�See.3800�Lab.G) .. . .....� �. ...._. ... . . . . � � . .,. . . 1" !� � ' COUNTY OP LOS ANGELES BUILDING AND SAfETY j'� ..y.do. Z Compony � f'Rl�d�( � , �. r ,,,�1 i Cenifisd co i�hsre6 furnished. BUILDING� /t 1 1/�� � j L,.t � pY . � � � FOR APPLICANT TO Flll IN AppRESS � g� � CenlHed co a ft�ed w��h the eoun bu id�n ms ee- L:-t't Date�i j PY� b 4� P BUHDINC . �1 . - � . il de rtmenl '� . �'. - ° . ADDRE55 Z l.r�1 A�'Vp L. � � � . �,,�y'� . , Y�" .�. . .. �. , ... _ ` :. � ��IiI�Applican� (1/'�'�"L ('— CITY � ZIP� tOCAtI7Y r'�"' �.. a . .. . . . . . .. 1� `I cERTI�lCATE OF EXEMPTION FROM WORKERS"';'. .'.. SiZE Of LOT .�... ... p�pw&�' . .. . . NEnREST ��_ �`. �"��"'�� .. � . -. CpMPEN5A710N INSURANCE.�..,�. ;� ON LOT �� CRO55 5T. �l}N d/!p�� t�OLyCN arP/�/�✓CCaS. .. � (Th1�i ecrion need no�be�compbtad if the�permir is for one -..... � . .. ..�-. . � �.. ..... ,� _ ._. .. , ASSESSOR '.... .. .. � . hundred,dO�lars(ft00)w,lesa.)���. .� � TRA[T �BLpCK � iDT NO. ryyp gppK�;�� � P GE PARCEL ! so m i o bacome sob e 1 orths Worke ePCompensar on Lawes ... � A�DRESS..�G� ,..���O� No.�..��� . usE ZONe�... ��iONS�. ... . .. .. � � � ` 1 not em lo an er;on In on�mannar - �. SPEGAL �ats ' O I p 4 Is��ss�ed�I shal A� Ileant - . .�,.' .. " ._ CIiT ZIP '^ . .. ., ... .. .. � . . .. �. ..�R . Pp �; NOTICE°TO APPkIfANT: If;�ofler makin9�-thi�CerfifieaM of ARCHITEGi OR � - TE�• DISTRICT GROUP T'cE ��� FiRE P D 8Y ENGINEER �• � � NST� ZON€ ��� �m pr�on,���you��hould becomr�sub�eu�to��the���Worken'.',� . . . , . '� � �{ ' f:em ensation�provlsloru oP th�Labpr Cod�,yoV mus�fonh- � qDDRE55 � � ' I ' wllh tomply with �ueh�provl�iont a.thit permit,sholl he ..,__ . .. . . � .. . �.. ' deembd revoked:- �� � ��� , - cONiRnCTOR y.y� � �� ��' . � �79 �; STAl'ISTICA4 C1A551F1UT10N AP7. CONDO. . fq i i LICENSEDCONTRACTORSDECLARATION .�� .�.� �. . . .:. .._ � ..tiC. 11� CtA55�NO.... �' DWELL,UNITS�� � " ".. . Z ofesfiont od ho�1 am licensad unde�provisiom of GhoPta V AODRE53 . � � �- �.�.. .T �R MAP � � ( � q th�Sxtion7000}of DWielon 3 of ths Buslnesr ond ...... - .. . ;_. . . ... .. t� _ ' � .. - ..:. . - � �Commen�C W�,and my Ilc�n;s b In fui}�ce and effxt. ` . Citt �.Uv � CU53 `. � �� � . BK.... �. . . . ..�YALIDATION� ` ' - 3q����.f �_ �, SO FT NO NO OF CHEqI tksne1Number lic.tla�e�,�, S¢E' ��' - STORIES� FAMILIES� �`ONE � , � �: . . Controct . �..�L Lff� �\.N-�K-"rDau �A! p7 .. �.. DESCRIVTION OV YVORK �� �l.L -.-..�NEW�... � _,VALUATION ..,.. �. � . . � , ��1 am sx�mpt undw Sea. ,.... . . � � pDD [� :�� O ' , . . .. . � ALTER � � . . . . .. B.dP.C.fw fhl�reoaon � � _. _ , . . REPAIR ..� .. .. , � .. . . _. . . .. . .. .. Da}!: .' .�. USE W OEMOI, ❑ t . , � � EXISTIN6 BL00, . . . � �- �OfU1�. .�. .�_.. .. .. ::.. ........ . ._... APPIIGNT nn NO. UO FINA� /D � ._ _. �D Jr H I A ..�. � OWNER-BUILDER DECIARATION PRINT r�1D �-K-�-�-� � DAT�. yr' Low fo' �trm lhot 1 am�x�mpl hom fha Conttaefory Utenu ... ..-. ./� ...'. . .. �. . . .•� • . 51' r th�kllowlnq rsanon(Secflan 70.91.5,BuNna�ond Aoeae3s 27 �lP+� .j ln�RLa� RINAL # 23 Profea�lon�Cod�): . By ( . r 2�,Q 0 � euaoirx� , . I; cs ownm of th�property, w my omployee�wlfh ADDRE55 wope�at thsir tol�compenaatlon,wlli do thf work and � � '" � '����� �� � � � �� �' �� � �� .._�� � ;,� � '••2 S��F� -. � fh��trucmrs I�not Infended or offared for sals(Seetloa �� ����� � � � ' ,. � . : . . 7044,Budneu and Prof�ulons Ccde). ...... - � MOV�NO .. . ... . TEt. -.... . . � ..�.. . ... :. .'.� 0 B,n Jr—$$ .. � 1�ot ownx of ths property,om e■duaively coMractlnq NTRAttOR NO. � , � . � .. with Ilcensed eomrocton�o�conahuct fhs pro�ett(Seu . .. � ..�.- . . ..- ....�. .. . .... - . . ..-. ._ .. ... . . . � flon 70M,Buaineaf ond Profesalon�Code). � . AD�RE53 . � .. ' .." i..�...CONSTRUC7ION LENDINf3 AGENCY . . '. ' . ��gA�K��� YARD HWM'.--TOTAPSROp,II�,E .. fo7H� .�� ��. .. .. � ' � �O S$8 A � . I herebp affirm�hat�he.e��a consrr�ctlon lendinq aqency kr . Fgp� � �. . , . , �� -the performrnctr o/��he work for which�ihis pe�mit ta-iasued -... ..P.L .-- .�. ., � '' �� I (Set,3Q97,Civ.C.��. � � SI�E _. _.. . .. . . .. . . - .� #��s ��'��� , '�. iender'fi Noms ,_ __ v,t. + • �3 6 7 S � . . . _ ,. � � Rr LDMA RaE M� � , - � :z Lender'q Addresa � . � . ... �.. v.G Fee i �d..3 �... p«mi�Fas-.._ . . . � � ■..�3 b�7 5� ! � fl8,D5-88 g � 1 ceriify�,fhat�hava read Ihia upplicallon and state.rhor th� .... _ . . _ . �. ixuanc.Fe.... Q. .LDMAPiC N . � d above Informotion ii corrxl.I agree�o comply with all County � InvuNpauon Fe� . � � � � � �� '� ord�rwnces nnd SI ts laws ralating to bui�ding consnuction, � � ., �� - d and here6y au r xa�repro:eiitatfves of th�a Coun�to enter �� -�� �` - Tmol.Fes.� . ' �DMA oerm.N-� � .. . . _. .. r upo s o - �nfioned property for irtepectio pur es. � � ;� � •, �.. � ��...�... . ... �,,� ,,.� ,. �� � ���� y � SE�RFYFRS�ROR[XPLANATORY MNGUAG[ � � �� .... �.51yn oi Applicant or Apsnt _. .... .:.Dat�- ,�_. .. . ._ . . _ .. . . . ,� - � . � . � .. . . � . . . , � . ; . . , , . . . . . .__ .... .. .. i __ __. .__ _ _. . . ....... . ... .. __.._..__ ,.__ __..,-_. s . ��x r+; . ,....., ,, .z., }..., ; , _,t,�. . . j _ _ . „ ..�:..�. . ,.,:. •.•..:i.:. � .' �ir.r :�. . . ._�. �..�.�.. ���.�... `�..-�.,, . ..... . .,. .,:..,_ . . � ..:� �... � , ,� ...�.: �.� . i. .. ... � j uo�aw � i. _� :;.< ���, . ..._ ;�, i e � ... .i,�.�:i t.� ...�. ':�'. _,_..�...... _ ..___._..�' .. ... ....�7� . ....' 't� -louij .. � � .... _ .... ,..,- � � . -i.,„ _.... .... �,_. �,- ,.,, . - � ,,:. +,� .. ...� . . �-, -. . ' Pa�sod-g��a„o� ;�. :...,, .. ..____. .._ .. ,.___.... ___.. .._�_'.'_. . .,. ...r.._ .. ., . � ' —�aquinryasnoH �. .... .�... . ._...__ .. . , ... . . _ .._._.. _._ . � 5::...�.t4 ,. / ... ......._ ... . ::�,c. ,.,.....- —.__..... ._____.___._-.-..-'--'_ ` . � . . , �, ,. .. � io�ia�x � � . 3_y�o� . . ,, , � . . ��aaaWl i . , ,, . -�,_.. _.. ..__... __...__ . . . .,,.C. i � . _ ,..__�_ _..__.J___.. , . .. ._., .._..._� . _,� ..._._..___� .. -11omR�aF4tol �,��:.��:, .,,,, ,... .. ,�zr-,, ...���;:,.� 1 �:.,��.- . ,�.:�- . _�-:�. _...�-..,.._'__'. _.....',.._ .:........ ..__.. ..__� . � uo�lo�nsu�A6iau3 . I , � �. � . ., _.�r> � .- �-..�;: ,,���..:.-, �. .._ ; , . .,.:.-�... , .,.� .,: �. . awo�j 1 .. . , . ..,.. . f i ', . . .'F' ... ,. .�:.;.. .,, .� `.�,:- 7 .... ......................_. _.... ..... . .. .... ... ' . ( . .. .�,...� . ., . � .... . .,. 4DI$ , ;.._. ... . , . �... �., . , . .. ....,�.. F . .. .. � G .;��.:;�� e .�,,. . . . , 4 .�.:...: ,....,; ..._ .....__.. . .. ,. . . _._.. _. , . . �.,,.,��;.. . .._.. . .._.. .�.. ....._ �.;:. � ��suo�;o�unoj t.1 -, �'+ . .. ' .,.�,.� -,:� ::. ..�. .+,. ..';.: { . -._...... .__..__.... . _...... . . . ._.._... ._. . _.._...__. (sp�oAB��o�o�0) I :.. _...., . ., u 1 .. .. .d.. '.- :;�-��SIlON 5�801]3dSNf-=:,-�..i � k�,�.,,.:.:.�:. ... , . . . � .� . . , . .,. . . �� . ::�..-. ,. �� } �,., .� ,'..�.�� ;. ��- �iniou6�sr�lSjlSrtxa�. .._.._i;op s�oeaddtl, ' .:�'.� � :::. � ;; � �� ... .._ .._. . ... .. ._ . . - . „ ..._, ..� . . ...., ...:,.. �_..__......_ _... . �- f -,•.: t ,..._. ....� ., . +� � �aump alod . . .. . . . . � .,. �d ���� . .... _....._......_ ...__......_ ._..._ ... ....-..._.__,,._..._ :� , ;. . .. � � r,. . . ` ... ( � . . . • uosoai . . '., � :�:< < 7 ..__ . _,._. . . _,_,_..- � . ` t . � T;4�.JOi J d'8 9' ��ag iapun Idwa a wo� � � � - . . . ,� „ ....._ . ...._,._._.._...[.]_._.. b ..................... ... ....._.... .... f, �od ..._.,. . , -_ 6ui� � . . , ..�„ ./m�asaa»q a,�ojaoapuu,,._. � .. �T .. ,..:.. ... . _..y. _ .. ._... . .. _... .._......1 ...., , � r.:,.-.,t-. - s6owo�0lal urp�07 t arlud�Pasu»�(rJ.to7.w�Juo�.i'o q(im sioahuJ'.. . . . .. . g,nf,��n/r�yntiuti�uq�n..Pan,�dqa�ary�raoo�du�:i�i�p!)?!4'.., .,,.... . , �� �.,:. � '. , . . , _ . .._..__ .,_ , , ... ._ .._.. . �°�^�. � 6ui a A�uoso ��o '� bry7n�x�adosJfti.taumo Nn o7 hlddo lou rA�lp�.nn7 asaaa�^� . � ' ..� . ..� _ l PI M)� W)(' J) - � swt�nl� o.?'9S.apu�suBisrAfud pun sauernFl 1V401.. '',:.. � �;, . . _ _.I,_....;.s . . ._. . ....._... . :. ,.,. . , .,,.�., . uo I I S �pads❑ ouad- � 1 .S))aio d 8 f Iin isuo�iadoad g �bo pes�a�i�'y1�N.6uir , , . �. ;�� � � . _.. . �8� � r�l !. )r'�$iol�o,� � �aiuoo an sri Sx u74 A; " o aa�Mo'so � :,�. ; ...- - .�...... -.._ . , ..,"_ .... (/tlouo�l(e�uaj) : (r..,_� , '� r..� .., ��{.7'1 _ --_.. . . , .: , . r .,� , . . , .� ,.�� �..... , +. . :�.... ..:.:. . •..' ,. . ;uou�s:ad uoiusapod �',� , .��'.. �a�...... �4;�talnr/o ss���nd ayJ . . . _ . . .. � � fo,(.aao�Qm�.au plenq 7ou p!p aq�7ny7 Xu�nu�d f uap�nq ' .. .._ �A}.r�d,': _ _.v p>t i..�,.' ,..__ . �.. �..� � . eyx,�arixt',ilsm�.rep�rny-�awmn..:ey7 Wopa�Qww../o��.tnaA'... . . �i,'.• t �-�';. c ..,,�.:;<.:' . ,.,. , i �.,:fo�i6o�oec� .. _ .. ..._._.._ . . ... .. ... . ..�._. _ . � .. . �� Quo i�iqt�ui prosn7ua�u�nayOw�so.b'uiplin.q aq7�taoan{uq... � ' �.:- - . � : . .. . . ._ ' '�_ ' ' ` . _. . . �JI`.�lvs�u/,'pa�affr�'�;d popua>ai:toa�3.ia��r7Naueaarud � , r . • .'�,f r��-6wpoi� . �u.f'�-'r�snr'7ay����pa�nn�l.<rji•sanFoldwo��u�nd slyv/A'A'niry�.��. �, �.. ._'_. • ,�, , fso jas ury�io�n q�ns saap uy�n pun uuaiayt s» oir/u�i aci`. .,� , �� .. ._.... �'`�.. ..... ...__`�uawuoda�anj . � TF7!^4 �y�o n.r.�do�d J aumn un oi d)dd 7 u eaup . r _ r r � �,.�... J -�. � ..i�.� . ,�, ma• ... � . p���,r7rant.m�7uoafl<f� ayo,3suot�ra1Y:F�pvnesaursrlg,.��� _- .- '.' _ . -- - ... . ... --tuewt�oda441tOeH ..... ...._ ....... '� `. ' _i � -, ,, .... . 1 OL�?�'S1 a�tis ao��Sa��;�o�o pbpuaiu,1ou si a� iarii}s,iayl:.. � ' . . � . , � ..._.. ._.,.. ._.... �. uo���om ay�op I� 'uo�iosuadwm ajos�ayr so sa6am"��� � . _�.`. .�.:". � "".� •% "-. ....'� "" � :�'.� ato�j�iiia�..i8�ory� �y�i�v.saaAo�dw�Aw�o.A�iddo�d eyi�o iauMo so'� r� '' '� _ `�a � � , ,_ . -__,_ .., , i... _._. ... _ . . .. .' flf'1003�Isavt)aq'y�+�Purul�en�j�µnqt��u�ulou/uFiloaad �. k � .. ... .._. . -. .:�pmnoiddy�o °N �9A:: j�pno�ddy . - , uni�QOvY i.l7» nr iawadu�in 749?I J�III ANl/ ..—_._ � + � :pse���sy�1od . ennbe `. lro.� T H l4 7. / .1 --_.. . __. .. __... .. ' ' _- . . . , — ' __ � .._.. ..: i n�ii 7 i P :i!�. .t� \ - �tq-5�1�(jf.,ItpiJaasf�.4vit=7wri:d'u�i��ru�7ll�unzn:puNa��n . �q7aifTFlnq�igi��iea'luaijaeq79d� aza-s}J.ij5i7%]"7ti�PVJ. � . .,...,.. _.,.. . ... :-'.:.__ . �..,_.. " .��:, .,,:.. . ... _. .._ ..___. ..... :'�.. suo�iaa o.e un'sseuisnp agt I f'uusspi�(l./�'/OOOL uola�:. = I(r r 1�!;,'''7;J t�=:.,, 1,4(�'.," ,_ .. r .._ . .- �,� �. I dY. .. . . oeua.�r � z - ... .r .,.,. ... _ . . ... --� - �-�- -.r.___..__._..,_--�- , �. ��zafy,�ylirn 8ue�uaiuwM)/G 1Tldm m�• .I r;�oJ�ns7� � ..., ` . ,ti ( �.., r�1�;�:,�� ' 1���:-".. - : f���i„ �.S: .',_ , r � I I $. 9�1 J ��:,_ _ . �.,, � �-uo a�q'osuotiiuo� s'ijt++a�twnnx�nJ�asd�+�jna��luNr�� __.�..�., _ . ° .; ��� �� ! ` . � . ... � •�aui� a•� anett n a, ot.tfnuad- �ns in .... ..._ .. ___._.� .._. _. _ _... . _.. . __._ �-,I: 1fi.p !�I Y . f7ur�s1dJn arp ..' �,r-,.. � .;_,�. i � -,:'i' , . � ,. � • ^.r:,aJ.l7n^'�}ann r�p.�)/n�sd?a1n7Nutrk �i�+;laalo.,-.. � : .., . . .,..: ,. .,.. _ , .... .: �.. .. . . . . ., ..�, �.���oxr{u .t�tln y.�n��suo�o7.rpaaa�j'�sa.�,enba.t ,,...:. ., .._., .,�1od 'oN: . a�o4 •oN ���`*-.Stu RBd:3pia,�Suoi�sufiu�f p a va�snfj .,:.� ' Penoiddy . � � ,g. � , ���.. ` ; '..` . • • , � ,.,.......II.....��v�.lann9� 411..;:; .', . _ i..,,.., . �.. �.. ,., umia� •, , �...;�; iz� :ol uo5 ai 4u rntl 9 b y o# o sua�. � P ,. , �ay�wo �d ax wo I �aia --_ .. , 310N S.M01�9dSNI 1NV�IlddV Ol SNVId