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HomeMy WebLinkAbout1588A 1589A � , . . . .._._ .__.._. .. - ... _ .. .. , . __ .._.._..-- '._..._._ .. ,.. ._. .._.. _. ;,...:-_. . . .... _._._� WORKER$'COMPENSAT{ON DECLARATION � �"��. : � ..�. . ..., . I hereby affirm Ihet I hove a�e,,;���a�a a���o�5e�,fo=e�f -��- � --��--���APPLICATI4N-FOR��-BUILDING PERMIT ��-���� insore,or o cerfificote o!Workers'Compens6rion Insuronco, .._ .. _ ._ ..__ _. ... . . .... ". . ..___ .._____ .__._ or o cenified cbpy thereof(Sec.3800,Lo .C.)-� -� '� � . � � , WCP6255241 Great 'American Plan 1B COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Compony -�- " ' -- -� � Ce�tified copy�s hereby fu��ished. FOR APPUCANT TO FILL IN BUIL�ING ���� AODRES$ � � Certified copy is filed�wifh�fhe-counry building inspeo �-�� � eU¢DWG � �� , � tio�deparfinenf. � ADDRESS . ..� .. . , ,. � ,. . .. _. . _ _. _ ... . . . i :� _' Dme 12-22-86 .qPPlican� The Wm. Lyon Co. c�Tv Walnut z�P 91789 i«,,inr • 'CERTIFICA7E OF EXEMPTION FROM WORKERS`��' � �---"-� � - NO.OF BlDGS.--�- -� - - . NFAREST-. ' $REOFl0T.3 SOO SF M1i1.NOWONLOT O � (,RO555T. V � �� •'�{OMPENSATION INSURANCE��- . (This section need not be completed if tha permit Is for one � � - -�- —� - - � -- -�-; as5ES50rt . . - -- -- '-' � �, : hundred dollors($100)or IeSs.) . . , ,,. . . TRA�T BLOCK l0T NO. µqp gppK' ' pp�E� PARCEI P Y P P Y Y P � P Y OWNER'THE WILLIAM LYON CO. NE�33-3600- Usc ZONE �P � } I ceriif�ihot in the eriormance of�he wo k fo hich Ihis ` ermit s issued,I shall not em lo on erson m on manner . �---��- SaEC�At- - � --� -- � �-� -- so'os to become sub'ecr io rhe Workeri-Com ensofiori�aw5. �--� A�ORESSS9 Cor orate Plaza � - - �- - -� coNoinon�s � V „ •:. acr_Newport Beach, CA zir 92660 � _.. __ -' - -_ _ _ - ne Dafe'�. ' .�... �APPlicant ... .. .. . �� ARCHITECTOR . .. . .. TEL -... - DISTRICf. . GROUP fNPE .FIRE._. . PR ESSE�OY .� _:{- �c)TICE�TO�AGPIICANT: If, ofrer making th s Cerlifimte af ENG�NE£R Hales-Langston No. 547-0862 ro�T. � `ZON � .._., � ( `mprion, yoo should become sobject to'ihe Workers' ' -- z ,W .�mpensofion pro��sions of Ihe Labo�Code,.yoo must forlh- qDbRE55��� $. Main St. StE�. 105 OYBR 0 � ✓ �� �- N wi�h�comply wuh�such�provistons or ihis permu.sholl 6e 7EL STATI571CA1 CLASSIFlG4TION � APT. CO 'r Z deemed re�oked.:,;. , ,,•, ., . . ,. coNTznaoa Same As Owner No �5n LICENSED CONTRACiORS DECLARATION:, � -��• - �� � � -- � --.. . .. . . . . -.. .LIC:� -�� --� aA55NO.JL�DWELL.UNIT�L I hereby oHirm thar I om licensed onder provisions of Chap�er9 aDDRE55 NO. ' (commencing�with Section�000)of Division 3 of the Bosinessand . . _ . . . _ ���, �SEWER MAP� �, � � � � �•� : ._._. . _... ... _...... . . __- Professions Code,and my license is�in foll force and effect. CITY CLASS ����-BK' �-�- - '� --- VAIIDATION-��-�-� �� The ♦Wm76LOon Co B_i so.FT. No.oF _ _ No.oF _, cHccK COMttl[lor Dafe SR - � SiORIES FAMIllE5 ONE 1a35 "' -." .. . . . . ❑I am exem t under Sea 1 z�2Z-$6 -..... . .-._ .. NEW. . VAL/UATION _ I ./..). ..._. P , � OES[RIpTION OF WORK S (� � D O�/� ' � Licanse Number ���'� qDD' , � _ ,__,�.� 'in le-f mil h me con ction aireu i : __ s ' 0.8P.C.for ihis reoson � . � � _.... REFAIR ' .._ _ ._.. . ._ . . - ._._. ...__ _ ..: .. . . --- -- --- - . .. ._._. . oote: .....n,.� � ixis°Nc eio�. oeMa � --- , �— � -�1 5 f;8�F . �,; . ..$ignafure ' .._. �_ ._ . . . . � - � AGRICANT TEL � FINAL �' • r •�� OWNER-BUIIDER DECLARATION ...... vviM.. . _. . NO. .._-.. .�. • DATE . � -. ' . __.� .__._. . .,._ .'. .. .. ._.. �1 hereby aftirm that 1 am exempt hom the Con�rocrols License , , � . law for the follo.GingYeason(Section 7031.5,Business ond Ao�REu � FINA " �� �� -� ���'�- � •22.�Z�8�� __ 'Protessions'CodeJ:_. _. _ ....... .._... .._. _. _._ _:�-By� ._ _ . . . ._ . .r .,,T , BUILDING . . . '� • •�Z.1 Z� ' r� 1, as owner of the property,or my employees wilh nDDRE55 . � - _ _ . .. � woge:cs tfieir sole compensotion,will do 7he woik ond �� � . ;� � � �-� , � . , 1he slruclure is nof intended or oifered Ior wle(Secffon ��^��TM • . �2 3 1 .-8.b �-- �� - 70A4,BuslnessandProFessionsCode).-- �---�- � -��- MOV�NG� � �" "�� � "- "-��TEL. -- �� ' ��- �' -��� - _ -fl D I,os awner of tha property,om exdusivaly cantrocling CONraACTOR NO. � .... � _.;� �__�. �` =� . _ , 5a9 �with licensed contraatan��o construct the project-(Sec- . .... .. ._....` . `.. . . . . - . --.'� � '.: - �__. . -'� � . $y . .-� � . tion 704d,Business ond Profassians Code). AD�RE55 � � � � � �/. .. . .. .---�-CONSTRUCTION LENDING AGENCY"." ._.. . .. s[QenCK YnRo HVJY- TOTaPROTviiNe �wioiH -.� . .... . .. . �� --.. .`�. . .1 s-3 9 Q�O 0... �: � �. � .,, I hereby otfirm that there is o conslruction lending agency for FRON7 , � � - �� -fhe performance of the work for which�his permi�is issued � � - P.�. -� - -- -� � - - - � � � '- -� � .., � -� -�--�-•,•„�J'o.o o s - (Set.3097.Civ.C.). SioE ,`.-. . ., " .'. .. � .-: •- . _. _ _ _ _ r.i. _ _ � _ ".� ": 1 2.31—fi6--' Lender'sName�on in .ntal Illinois Rank � . _ �. IDMA Ref.N ' . Lender'sAddress.Q,31 Cn. i.n Cnlle+ R[�y Ch-0rggp P�C.fea3- Permiifee . - � .�-�- -���� . -' � .1 certify fhat I have reod.7hls applicatian and sta�e that the . . ._ . .. ._.._ .... -.-.leroonce Fee- . �On�A Fi�M - . . ,. . . ��.._..._ -.� ' � .'.; . above informafion is ogree to comply with oll Coumy Invesuga+ion Fea y,� . ., mantes o ate Iews r ing to building conslrocfion, __..__. -io�ol Fee � oO LOMA Perm.�M�/�'�v - � � LLMMnd hereby aul orize repr en tives of this Cavnty lo enter � ', 4po t ov enlion pr erty far Inspecfion purposes. � _ � `. _ _. ....._. . _ ...__._.. _ _ . . _ . _ . ... ... _ .._._ .. ._ . _. _ _ __. _. . . � �'� SEE REVEItSE FOR E%PLANATORV IANGUAGE ' .' ''Signatvre o qpPlicont or Agenf . ......._ .... Dare . .. . .. _.... . ._..- ._ ._ . . '__. .. . _ . .. .. ......... .. .� _._.. . . . _Op i ` PLANS TO APPIICANT � INSPEQOR'S NOTES .OWNF.R•F3UlLDFR.DECLARATION , , , I here6y ofi�rm thnt I om exempt from the Contracto�s To: . RNurn�d��� �� " � � � License Low-for�-the;folio�ing reason`,'�Sec. 7031.Sj . i ,.,.�, ..'..�, ...•. . �� . � -�A rovad .. '. ... . ,- :'. : . . � .�. : . _ . .... . ., .; . ,. PP � �DusineuandPmfestiontCodeiAnyrityorroanly.wbicb No. Dofu �• No: �� ��-�Dnf��.� � � .� �- . � , . - ��: ;�c� .requirrs apernei!ta construet,afler,imJirave,demolisb, , � . _ ; . . .��.nr�epairany�struclurc,priortoitslstuance,alsorequires ���;. , ,��� , , _ ,. .., � � tGe applirant Jnr surG permit�to file a signed statement . .. tGal br is lirensed pursuan t m�Lre prorisinns nf tbr Con- ' , �� �� trad�ra l.icense Law(Cbopler 9/(commenting witb Seo- .._. . . •.�:: .,_,: ; ,� .... . . . . ` � ' . � . ..� �.'�.:�.. . . CodrJ000!at br'is rxen�t tberefrom ond ehe bas��fOr�fIJC ._.._... _. . ___'- . . .. ...___ .'� .._� _ __._ .. .._ _'_.'__.�..__ '�_�.. . �.__. - .•-...' flaqvlrad,'. `.. �DatoXaeelvad .-_. _ .'- ..._ . .. �.. :�_� • . I � _':c' .._ __�_ � anyopplcarttfnraf�crmilsu6jectstl applicane�oan�iJ Appro Is a�Approved' .�- . _ .: fenafty of no!more tban five GundreJ Jallars(SSOOJ./: _ ,-Y�f No. . . _ ._. . . __ ' .� . . . - � � � � �-� �-- ❑ 1,os owner of the preperiy,or my employeez with ,. ..... - VJmer Cenificme ';.c. '- '. . ' :.., �� . .____... . .. . . . .�_.�..._ . __._. . ,wages as their sole compensation,will do the work,and � -� '-� --� �� -�' - `- � - '--� Ihe slructure is no1 intended or pffered for sale(Sec..704dj Heolih Depanment. ____ .____. . __�'. .._-- -. . .. _ ..._ �—'.. . -_----. '`-. . --.. . � .'-- � - :.Ousinesi und Professions Code:Tbe�Canlractor's License , . � � , , , l.aa�docs na!aJ+ffy to an oa�ner of property u•bn builds Fire Deparlmenf.. _...__ . _ _ .. ._ _- . �� - -�----- - -' �- - � proves tl ereun,and wGo does suab u!ork Grmsel�or -'. . � . ' .. . ,� . � - '.:i.. � � ;�, , .:�.,I- I,�J�.� � - 1Grovg! Gis.ou•n�cmJ�loyces,.provided�tbat sucl��,im-� - Grading ' � " ' _' � ;.pma�ements are not�intendeJ or ofJcred Jor aale.�� - . ;,�� ; `;� � , ' ��.Gou�ea�er,tbebuifdingorimpronemrnlissalJa�itGinn.. �; ; . .. � .. . ..� �-- � ..i. ,: .�����: � . �.. '___.._ " __ .. �. �'''..�� .�- :`_ Ge'ofogi[al :.,. ..�.�— , .. .. .. , ,. -�Year n/mropletian, tbe ownenbuilJcr.wifl�baoe�tie � � ' • � � � � '�'� '� -� —�� burden oJ J�muing tl at be did not build or improre fnr -.... ._._ . :��rurn i � . ._ ,,. . . . aseo rale. -.. . .. -:.,;�... ...,. Pedestrion Proieuion �-�_ - � � .. '�,. ' .' .. . � (Fence)(CanoPY) � ' - .�� . - .-.-_.___ . __... .._. . ._ .___ .__. _�..� . � ' .:❑".. I,as owner of Ihe properry,am e clusively coMrae- �ing with licensed mmroctors lo�consvua�he project(Sec. � ' ''� � " � � � � -�� -7044�Uurineis and Proe.eiiona Cndri�TGc Cnntractnir Special Inspeclion'- , ..:'..: ___ . '.'.:. ....... . ..�. ..._ . ._ . ..-. ), I , . (Conc.)�MasonrY)(Welding) '- �..' . .. � �.. I. . r . ... .,,�_�,�.. . I.irense�Lpu•Jocs nnt apply to dn ou�der oJproperty u�Lo �� � --��" ' - - " '-- � "E-uilJs-or impmves lbrrenn,and u�fio-tnnlracJs for tucb Lof Draina9e ., ' .).�. ��,� � ��'� e _, J�rojects.u�itb a ronerarinr(sf ficensed punuant tn fGe � _..__._ ._. '_._.'._ _.__... _ ., i ' �" , .'�.. ----Contractnr'rY,iren.re l.au.'l. ...... ..----- 9 � ,r, �.._ _. ..�.. . .. _ . .., ..._. __ '_..._ .._ �.� . ,. , . � Porkin , ; �, - -- , ❑ I om exempt under Sec ,6.8P.C.fo�ihis . . � . . reason__._. __._ � , .. � . . . _...'� '-, _. � ._. . . ;. _"___.____.. _. _ _. _.. ..__ .__' " . �ate Owner . � ,, ,.�, . . . � . .. __.. .._ . .._ .__ _ _. ,.. . , .. . . .. , �. ,.,:.. : ... _ � �Approrals.. ,� Date . �- Inspecfor'a5ignolvra,� , - � � INSPECTOR'S NOTES�. .. . ..-. . . ., , . . Lacatlon— � �� � - �- _..__._. ._ .. . . __. , (Ser6ack 8 Yards)� , y/� � - � . . - i"-�'' .i- � Founda�ions � � ... . . . � � �- . � �. .. - $lab ,. `3 . . .. . . . . . _ , � ' -r ' ___. ...---. ._._..... .. ._.._ . ' . . .... . . , , . Frame� . , ,. G/�� . . . . . . . . . - . ., . . ... .. ..: ... Energy Insulaiion • '.__.�..'___._..:. . _�___.__' __..._, _._. .__ ._. . � . ..`.. .;� . .�.. ' .. La�h/Drywoll— G�e� -. _ . . _._._._.__ . . ._ .._._,_ ,.. . . � - Interior• . . �jCll ��� �_ .__.-. __. _ - _' .._. . � Laih—Ex�erior , .. . . � . - � . . . ".:-..'....I.i'. - i..i. ::.:.��:... �.�: _.• , . .. , r�. �r"- -.�.• �.. . HouseNumber— . .. ,. . ..- .__,•_•.-�_ . _._. _.. • ... . .., . � - , . . . � . �._ . .._ __. . �. .� . . ,.. .. . . CorreU 8 Posted ._ _ . " .... ..�......� ...< . r �,.,:�. :-..�. .. . . Final— _. . �.� ^..._... _... . . _ . . ��.� . .. . . _._. _.._____ ._. ___— . ___ Enter on Fronf �.!y. �.F�: ... ,. ' . . . . ' .. . ` . .