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04_20_1987 - 21073 PATHFINDER RD
, _..__._ ._-----.._..___...._._..---_..:___._..._._._...._...__._.._:.. ..__..._.. . ...._-----.--.----- ...-----.._....___..-.- ��RS'COMPENSATION�DECLARATION . � ��� � • .'_f���� �� ' ' � �,.,,.._,.,:i-. :..:. I-hereb thoi I'•ho�e o�;rrtificote of consenr�o self � � ��� � f� APPLICATI�ON�FO�R�,;BUILD(NG PERMtT�-� insure�, ...b�•iFicate of Workeri Compensotion Insurante, - ora'certified`npyihAteof(Sec:3800.to6.C.)�.. � �,6.. -----' -'..__ ..------'----'.._ . .._.. .. . .. - ------ . .' - - _ .- .._-. � •• .:�1 . : -., :.� �.,; COUNTY OF LOS ANGELES BUILDING AND SAFETY . �>� Policy'No.• t-- Company , . ;.. ---- �---.._ ___....'--�--,.. .., , BUILOING a•: Certifed copy Is hereby Furnishad. POR APPLICANT TO FILL IN nooaess �)CJ7 �/-�T7�j /.V�Z e�� . � �Cerfi(ied�topy is filed wilkthe county"building�inspec- ---' BUitDING i • "fion deporfinent.. .�. . ,, .. . . . .. , �.. ADDRESS 21n 3 r�A7�lFi.c.Y�� ,� /7/!}J�v.U/� aA�. �,:,... ��, ..,, .. ... .! ; �.....'��.: ��,..... �.... . '• __ __'. _ __. . .. . ... � .:....� _. ' __' _ '_-_' ' ' D'ate�:, . �ApplicaM � �• :� ary�/AN7C'�O I�1Q,�. ZiP LOCnIITY • ' . , , ., • . _ ��-� .,, � , ': �' CERTIFICATE OF ExEMPTION FROM WORKERS' � �- SRE OF LOT�r2'��tS NOW ON�tOiS.-- �E-� � n,Eo.REST_.. � ' � � ��•COMPENSATIONINSURANCE � • � D CRO555T. . �iU Cl4�-7yD7lI TZ�, � ' (Thirsection'need not be completed i(the permit is forone -- ASSESSOR,., ---� -- -+ � •'•: .. . ..__.....-'__ _'_"'_-___. . .__ _. _ :, hundred,dollors(5100)or less.) • . , . . TRACT BLOCK lOT NO. MAP BOOK'�� ' PAGE�� PARCEL 'ermi��s issued,I sholl not em c o�f ihee o�rPi o whic ner ____ �R 55/�8�1��E� d/�,��_���� zoNE ` oNoin . � -333 ..�:.. ..._. ... �>. , , .'... ..... ---._. us� /OS �P. . P Y YP y iK �-- --�� --� ... _.. . ._.__.-___ . . O . � so os l0 be me�su6'ect to the or ri Com ens L ws. c/�.- DISTRIC � RDU ED BY u Dote � 2� ' ..Applica I � _'_.' CIN.11LY/�tlt___ �d"^:=__.... ZIP ./_� � "_.:' � ' � .�'p� ONS , .,. , . �.. . .. . NOTICE TO APPUCANT:•If, of er � ARCHRECT OR ,f TEL , T_, �_ P TYpE..;.____. _FIRE -._�OCE55 '� �.,..,. ung this rti�cate of /�5�1 �E�y^l . .. - ;..., -�. � . ___ ENGINFER /V NO�,Y'O- I � Exemplion; you should become subjecYto-the��Workers - e-�rn� CONST�`/ ZONE - W Cempensafion provisions of the Labor Code;yoo must forth- qDDRE55 � 7 �U C�-�l'�2 'L --�--- 2 �-+�� �� � ' � P Y P .P be ----'- - --- .a deemed revoked. �, ,, � TE�� r STATISTICAL CL4SSiFICATION �� A i. CONOp.����� Z with CO°'LICENSED CONTRACTORS DECIARATION I, S a COMRACiOa '-'T'rJi��ti'S7�lYY�TNi340f�l�f0 .�� � 7 :_ ` . ._._ . ' ' : �1 . ., �,, ., .: _. .. . . . . -''- .. _ LIC:. ... - - -- .... . .. y� CLASS NO. �`^ � DWEtL:UNIT$ , I hereby affirm ihat I om litensed under provisions of Chapter 9 noORE�(,:�J��(J�'fLT� lP.Clt No.317S.3S ' (commencing�with Section 7Q00)of Division 3 of the Business and .__ ��� SEwER n�taP . � ' .=v���`..''s , ' Professions Code,ond my licensa is in full force and effect dTV :�P-Vii✓c� �� ��� � � � i3�' - - - - --� -�- --- ---- DATIONr;�"' 1 ... :- .: .�. .... . . .. . ., . „ ._. ' . , � . ____, SQ.FT C� NO.OP NO.OF C _ _CHECK . � V+55 VALI � � � �� ' "" ' SIZE�SJ�� STORIES I FAMIUES ONE� BK � . . •� -1•.: license Number " �� ' ����� �Lid Class � � �. _- � .•„ ;�, ,•�.. .. . l , . .. . ...,:.. . -_ DFSCRIPTIONOF WORK OFF/GC ����Ui. . NEW. . � "_V �7;7' _:'_`__ ' '_ : __.__ • - �z�,_. ALU TION C❑ontractor . . . Dare � �' noo � S (/v� �� '; -- . ..s_�l 5_ ,',, I am exempt under Sec. -.- - -1"MPP_D!/E7)k� _- --- . _. ---- .-❑ f �'� ?, �y ! . . . . ALTER . . . 8.8P.C.for ihis reason _ _.. REPAiR ; - '. ... .- '- --�.. . .. . � ..s _.'____.._'. _ , . ._...._. .. . _ _ . ... _Date: " . -. � USE OF � � � . ._._... ..G l 2�J-Pi 7 : EXISTING BIDG. A«�T OFf/� DEMOL ❑ ' � _ - _...--Sigriotore ' -._...._ _._.. .-.'------- ..- � nP�iCnNi TEi.7 FINAL . ; :-�%G�z O A--- OWNER-BUILDER OECIARATION PRINT M.P. WiG��v,sn.r� NO. �20DD DATE _.. .:.. �'o • . o e � � .__... __-•.• -. , -�I hereby affirm thot I om e.empt from the Contmctor's License � I7�'=}'Z�IN/T�trFu-- 1,�Y/NE�f27!/� FIN ' ' �� ' ' �" 5 � law far the following reason�(Sedion 7031.5,Bu5ine55 anll ADDRE55 � � � '"�� � I � ��7� ' . . . . ..... . ._•. .._ . _` � • e -�(! ��,.�.� . Professtons Code): ' - �' "' '"' " ' `' ' "- - Paeseni � BY - ' - euaoiric � I, as owner oF ihe property, or my employeez with ADDRESS _ __ ����(Z4 Q1-`,. _ y � � � � �" _' wages ai rheir sole rompensation,will do the work�and - � � � ._ � - O G.2 G-�7 � iocnun '; _ the sfructure is not infended or offered for sole(Seclion ' ; � � ' -7044.Bosiness and Professions Coda).�--...... . _ _.. . nnOvint�------ ---�-- �--- - TE�...-_ .�-. _ _ ...._..-.--.- .---_.: ._.... .. ....--- ... .---.. CONTRACTOR NO. � I,as owner of the properfy,am exdusively coMroUing i -�a-�wirh�licensed coniractors ro construct the pro�ecr(Sec- -----.."-�-'�-----�- �--�-�-� -�- -- .. . .. .-'--'-- ... .--- - -- �---�---.-......,. .. -- --'-- � -I'� ADORESS t , -tion 7044,Business and Professtons Code�. ---__�•��,� '-�''�,� " �•� �! .. _RE�UIRED.._ TOTAt SETBACK FROM_ - -... . ' '.'•�''.' i."- � ' '._' 'YARD HWY ... XI T. __ _'._ .-.__ _ . . .._._.._ . _'._ - �'-" CONSTRUCTION LENDING�AGENCY-- """ - ' SEi snCK PRDP.IINE WIOTN ' I he�eby affirm Ihol thera is a[onstructlon lending agency for FRpNI � � � .' . �� �-the periormance of Ihe work for which ihis permil is issued ---- -P.l---'-- -"- "- --�- --'. . .--' --'-_.. .� . . . -' '- -= - - '- � ---� -----�----.- -, (Sec.3097,Civ.C.). SIDE " � . _.._ ._... ..' ---'._. . . .-- - - � --- -- -7.L. . - -- -- ---------------- -- ---- - _-... . . _ _. __ .._._ ._.� ._._.. ...:'.:�.._...�-1 lender's Name �-7 rp ,r� �� . � ".. ... ._. . __ .. . . .._ ' ___'- .'.-. _. -'.. - P.C:iee.5. _J�C:�-�J-.. 7ermitFee_-J ,J.z..J--_ . LDMARef.il _. . _ __ ___.. . .__ Lender's Address � � �!`1�/ , � � -,." � � . t cer��fy ve reod fhis opplfcmion ond state�hot the _ . . .......... . _.._. _...-''-. iauo�<e Fee-.=- .�"��-- � -t�nnn aiC M �� � ""` . ve' formotion i ortect I agree to comply wi�h all County invesrigorion fee �7 /[��` � �, '� ' dina [ei and Slofe re�aling la 6uilding conSKuction, _. _... ."_. .._._._. - Torol Fer ' `7�� �J-� � L�MA Perm.# �/T `�Z-- . .'--- � " ' ', '•'. d h reby outh r sentalives of this County to enter \ o he above- �i propeAy for inspectio pu�poses. � �f;,� � �.f�. • ' .. - - - .._- nt ---- - --_... ._ - --�•-- -�---._..._._._... .---�--' --- - - - ---- _ -.. . _- - -- - . ... .... ... . .. '�ZD� C SEF REVElSE POR EXPLANAiORY IANGUAGE � � � I - reo gent -.. ._ ' " Date_' " .__.� .."__._.- '___""_ """""""""'" _ '. _._ ._�._ ". " _ "' _ _'_"'_'.. . __ ... ... .._. . O I ri i , � . , . �� n2 .o.. ._� .�. -„ in o �,o _ o o nv, T�". '�" _�. 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