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HomeMy WebLinkAbout1301 GLENTHORPE DRIVE (13) - N'OILKGRS'CC3MPE?i5AT10N 11EC-LARA1"IO:V - 7eiA364C �g}� i� g� g� '�y q-p� - . .... ��_st�4z-soi . �.P°"i��3��`���S•I �C'�� H"�.F��f�!A 1' � -. �-I hereby a�zrm Fhae I-have a ceiif�ate af`�donsent to set - �insuco.ara�cctifcateoiv�-orxers'.Gompe»satRo&[ra�wnp;ar ����,����-���T���„�,���,_�6� ,�,,��'�,�,�0��� � , .. . �ace:tifiede/9_p�qthere f�kSec..3&SO`tabh,C��� :'/7 , " '� �` Y . .-Poflov N�.Y1.J- ��Compan��.�t.J���^'�JV f✓�; - .- . .. J �'�?s3fi�iTY t3F{.QS AC1�CaELES . Q Certifizdcopu s her�fi}tutnished. " ��.lILDdKCG AND SAF�YY �GerCiHed copy is filed utth thc.wut�t5"�buikdi:rgins}7Cctio�i ,�: , . .. . . � . - - _�..- . -. -� � ,.. _-�. aeparzmer�i. �Dfi A�P9,LC�i{�F T(3'fi6n�i.1R3 � sv'�t�'oiNr- " � � A C16 RE a�/���',.� � .. -�Da[e ` " Appli,.ant�..,_,.:..,:� .: ,I �_ < : tPR1+VT4r� #'YFE _;ON�Y} : _ � .��y�� �aca4�ry��/Jr+'raN����/n/�_1 CERTIF'ICe1�E=C}F ZXEiYIP'Ti4$�1 PRO:y4 WL3TiKk;R5„" . ' 'VO 7YPE OF A.FPIf qNCE D„£Ql3i�'N'Et3T EE � s CON1PEsVSA1':bti'INSURAhCE�. �• , F �� . ... .'_---°-- ., NEAR�S � �-(?h,s,section need noY�.be compleiea€ iff Yhe worh 3nxo{ved nasp�a�'rJcr.na uca+r e7u � �- _ Crtoss 5'r. �',.. , a :.by the permiz ia for ane hundrzQ'da16�'s{$10ttj ar�ess.j ' . , v���.Zs�s`rAirrnad,..,,�, . cRoc�sseosv ,� �..�,�j I_�trt�fy#hat iq tbe peif�rmance of the Hrc�rk�,Lnr qvlu�:4l�is _ `�����A'Qpk,iNG��t��11T GPM �� � q ���� ��= ��'� n peimit is fssus�J,f shald'nat cmptay:�nq persuni,#vz ar�y �pet ����� � so as to hecbme suirject to i3rt.t4orkers'Coc��e�nsati�n Laws. eo�t.,Ee 8T�_• � ���___ �- . .f--. . . � � . . . � • APPRbVAi.S �:nT _ w re s�cNarl,a :'�W �-iJate ; App[tican2 ��� �_...�.„_. CON�t�fl`�.SSOft�BTJ f'sOUGH�. ' .. �" �NO'i'JCF,"L�3.-F PPU[C?,i±}.'S IP;affeF.irta`king fliis�rt Pic�1e"of � '� .� o- ^'�`��7 � . y .. .,,: . . . � - .� ., � saem non, � . • ucnl-�ttvT�ory sysrEva - • ' Z p .you should be�Qme �.-subec2 tcr'ihe Wrp�kCs� � -� -� � ` PiN/+i. � � - — -.Comperrsatio�Pxovrs3opg of thn�i,a,6o[`CeC�e',Sjau�muet tpittr� ` - .- -. - -�-,�--�-- .. � - ._ . -_ �wifb�com P�-tiviiA Sucti ,E,�fRf7(}RA71UE�,COCy6EFi 1 , � p FroY sr�ns ov t0as �sexant qYrsil'fie - . -. _ � LIDATION� il:eemedrevbke�l .. . , . � KU�tiMA'fff P�AtJ �.t AVIiY .—JC�I.��`� q . . . . LII,�E'.V`SEDCDN'CRRCT03�C'56E,CF.612t`k3TEh4". .,_. � �fl.Ot3ft ._.�� - � �F her0by�ffirm ihatTain'lieensedii�aderptd'vtsio�sot.Chaptes ��. H.EA�.Eke �6USPENOEI:9 UN17'��-,= l ��.4 (rnmmencing with Secticn 70@0)e�f�ivSslar[x of ch�LiiSsi � WS�-�C ness and Pr9fesaiop5 CudE,and my`,Licancevs rn-fuii,fproe'ana' - - �efrect. . - � � - .License Au�mber .-C�:ii: CJass --��_ — -' ��- F - : �� .) � - .' , ` ' ; ' ' - - •', _ _ ' �� �. ,----�„_'_ .—_— . . „. � . . ��, .�. . . . .;,. , . ..�i. ���.t:ontrartuz-� - _____ Dxite ., � I am @nCmp[ Ctt>m thC Eirensing geqyvemeais as 1 aitk 8 -. ,1._. � �� .. " -.� ______�:,__ _ _. _ - _T_ ��� � � � �' • hcensed as`ch3tect';or a reg�sCered profzssionai engii�eer, p���Gh C�f'�e Z�i%O$1EJ0�C��� e� . . acting�-ia mv .., .. . /1'!�,', 10iY� ., ��._._ ) p Y Cs ,'6us _ ____.__� � ...�.. inass�and F�rofe�ons�Codet�a ac4t eci�jon'7P�E -: - aE�y�i'E t�S'.�ING������ ' . , . - - � _._.._ �_._.._� , .. . _ . _ . _._ Lic.or Rek.No..��`_._�__::_�Date��_ ,'�T93$AL,F��, ;',i� ',% ' , H6"viL.OW[Vt:R-BUILDEI�D�.CLCtR�TIQ'V .� PLAN C7-18GK RPP4ICANT - - � , ��. hereby,affjrm t-haT=1 ain �txeanpY,&om,tlfe',C,�ai�kraetor'a �,An,,aE_,�- , i � - '^� � 4 icensa Law fm 4he followi�g redson �SecCioj�?037.5, 3usi� , , - _ �v E 5 C� � �ss and Pco€essior.s C:nci¢): . � -- � qppj�Er.,�q # � a �.-; _ � �. . -. .,_._ _ ....-.-.' � �}�'s 1 L, aa dWaex of tlie gropert"q,�w�U do Fhe tvork and-t6e ,�iTV :7�L t�fC3.��� � struetute fs nBt�iRtertde¢ or._ofk'ere� tpr sale (SaeLasl " - �.�a�2��� 7044�-Buaihe6s'and.�ProfesslOYtsCode). - �. ""�'""' ,J`�"{J� �.t. /:.�� _- ...... . .. .... . . . - �:�._ � _....� . . OtiWNkR V./����'Y /1!L+'�ES__ � . *� C J�:.'�L�u. s nwndr of the psopeztX,ism xcfusivaly conxruciing � � . _ ih.licen4ed cppYr&¢Yors ti constcuc4�. che� prUjeci M�G1iL /[ .i'��,�{-f ,p � � ) /�^+� y . � ' �ction 7044,Businefs znd S'rofe sions Cbu�) - A�DDF'E5�{.O_s.J 1J /�'�L� !F!/°✓�//I�� �A�—'� . �1����-� .C, . � CON3TRUGTIONLE?S61Nl�ACs,E�PiCY � cMT'N_. �J�'V�(,/IjV,IJ . ..���Q �.6-,-�/P�� � � � . . . �.. affirm �hat thece is a oeSnsCruc63�an�lentl3vg agoncy � � - -- � - � � � � {+etfonnance ot the uork��for whiGt�.ihab parmit zs ��✓�T�R� "� ' � � �� �-� ec..so��,c�u.e.). . :.. � ._ a:�ar�T�Ssr��l��'� �,e�l"��_�ini.A1� qm�J�hU � _ � Name , . . , �j ..��`�'d�"�t1!G_., . z _, .. . � 3..�X o�_. ' aaa«5a ' > ' - � - q _ ci�rr ' � ��� �E� �.�� O- � _ . _ .. . . ��TT/n! �c�6 ��� t�at I haoe�'r�ad Yh��aprrL^catian and stata 4hn2;�k�� " - �� . � - SXQ7v 2 �/ LI tor�mation es co7teCt S agtee Eo c,o�xi}11y a [h atl Cou�qty LiCE PdSE NG, C//�U Ck,A6 � .���.Q ... a�--wu: .�s_and Stai�rdaws regufaCiag Neafin'�,;y ncriahpg_attd �- '� -- � - = z � -- SiGomn€,aPd�.'hacebY authocaze tepr�scntafsires h�f-thv� SEIi I��s13LR5E FQ'R`Ea`t�liAl�tk'T'6RY�.+F�`;GT3'A,GE'' - lv:�-�nter�.�.,uPon fhe Sbotie.rhenibn€d prbper{5';_fqr � . . . ,..- .,.>: .,_ ,�_: . . .::....`.,,' . . ... ,.„ ,� :.. �. .x ,. _... .::, , ... ., . .' 'u pos s .. . .� . . ,. . .-. ,: . -,. . �l�r i��G'{-�----- ��30- .nf P.-rmrtte�. Dace ,... � -,ti- �__._____ _��___.�,.__.__._�.. ��s���T��•�n�a�rs � . — ---------_,___�._____�_w._____._. _ : aw���-�uia���z u��r,.��a��or� , �.______._�._.___.� __�._._ _ .�_ - ` , ,,x- , I he¢eby a'ff�xioi-fl�at 9 asn e�xempY fmm�f6e Con£dacib'x's _ .. � � . ,� ,_�_____.__._._._._ ..__.__-- . . E.deesase �aw €ox tk�e�fo[lawing�reason fSecsiur.�7031.5, - . � . . . . . - . . . . . Cusirzzss and Profnsseons £'ode/: ;frey ciay o!�rounry .. �. . . _---• . ..--.. - . . — . . . which��requdres-a:t�ermi! ro.�ccnsrruc8, �edt^r: sriaprvice,. �. _.� ....�� �__.� . � . . . . � . � . . . . demoPish,or repasr un��srra�eture,�eior ro srs fssuance,� . . --------------- �------------- . _ . . - .. . atso r�r{uires rhe appfrc�nt j'o: suc•h Fermt; ro fele a � � � -� - � �� � � -- � �� � . � sagned statemanr tnrrr fee ic liretasek p�ursuan; ro thz . . - .__..._.._...______........__�___._ . . . �- yrovt,c�orzs pf td?.e.��'ontsa2tr:v'r Cicen.ee LaN(Chup2er 4 - � - ;commenciveg�weth Secr:an 7i1C�3J:o}'?iv(s�ior�-�3 of:he , . . . �.._...��._._...-------.._.__.. , ______.�._..,__. St+si+�ess and 1'rvy`essians��.Code) ar tf�ar�he'is e.xempt � . rhers.�rr�rn and the basis far ehe plleged exe�nqrion.�Any�, �. - ' -. ------.- ---- .-,-------- - vdflJaErw:�of Sectic�n 7031.5 by any ap�ti�anr for'G perr+iie . � , � _ - � , sub�ectr,i�ae,appldca�t'tU a eivaY penralty�of not more thah �� . . . � . „�.�.�,,._�._...._.,_.._._.�.�._._._._.__�.._v_.._. _�_........._...._.._.. five h.u.:drerl c�oFtars/SSGOI.: �. - � � I;as owne:uF¢i1e prope�ty�H�i3i do the wock,and. . . . - " �...�..�.� _._�_� �. _,_.... the sScuctute is not iocended cc a£fered Bor saie.� � � � - � (Sec.�?04�, Bus�xaess an�t:('riifessio:zs C'��e: 7fre Co:rt�� � � � � � . — _, ______..� rreetar`s Lecense l,ak�dces�rent a�pl��to aas owne: of � -- ..p�ope�a}��vrhrs bui+;.i.c�oravn{i-riavea�ihe�non,��and who�does�� � _..�__ � _.._.-. ._s�_ �'uch wnrk hirt.reY.f ,ara��lded.v6eee suclv ar;a}�rr�✓em.ent.e . � . � � � � ar2 r�at interded ox ofJ'er2d?or sade._F};-however, �`ne � ._ ._'__�_�..._. .__—._.�_ 6uilcYi}�g. or erMFfaa✓'ment is s�iCl wirhin.tene..yepr of � - �rcmr�ietion;� the:owner-h��ttdes wil: 'rwve �zhe�?�ur•den� . � oi provirtr�that Ptc did noa buiid or improve�fnr tF.e � � --��---------`-----�---- purpace�f sale.j - -. �: . � �, zs ownes of the properf3�,�.ar�i_exclus'svely�,.ccm- � `�`.��`-"-'--"-_-'� -- .-- ..' -� t=_acGng vrzh iice�ased.contxact<�gs to consEcuct fiee project . � ($ectictt 7(D44,$usinp..s and�k'r�(essscns Code:.The C'r�it- . `""'�'�""""" "� '"�"'."- � ". . rractor`r Lirense Lew d:�es raot apPly tn an owner of..� . . .. � ,�roperty trhn b�it�Is or im,7rayes :hereon: and u�ho� � . . ... —"�---�-m'�-�- conFract.s jor sueh.Rrp7ecPs wPfh acca�traeXor/s) Ftcensed. �a;suant to the L'e.rtraMc�r's_L,icense Law/. � _ . � � � �_._.______ �5_�m exertt�;t,rin�er,�ea .�_--------.--_____-__��_._. _ �_ '�ck?.�,fux this eeas�n�s.v_.���..�..�_. __,_ �. �sa4e�.---- �____..__,.._____....__�..��� ....v,.. ,�_� Owner � - - -----.__ _. . . _._ ..,.. , . . . : , IfvSCECT�R'S[F147TES �/ . �..�. :� _ ... . . .. : . .. . _.