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HomeMy WebLinkAbout1580A 1581A .. . .. ..._.. _ _.. . _. ._ ..__ _ ,. _. _. _. _ _ .. ...._ _. . _. . rrvKKtHS COMPENSATION DECLARATION , � � � �• ��-�" ..-�` � �.`�< - � .�', -` I�hereby aTfirm thm 1 have a�certifimte o,�o�,e�,�o,e�f �� �� - --- � ���qpp�,�CATIOIrl--���FOR ;BUtL�DING PERMIT� � �� insure,or o�cerlificate�of Workeri Gompensafion Insurante, or a cer�ified copyYhereof(Sec.3800.�Lab.C.)-...' ' _. . _ _ . . _ . . . . . ... _ ., . . _.. .... ._ . ._._. WCP6255241 "Great'American Plan 2C COUNTY OF LOS ANGELES BUII.OING AND SAFETY . � - FolicyNo. �� � Company ---- O Cerof�ed copy is hereby furntshed. fOR APPLICAN7 TO FILL IN ApoqEu � � �CerliFied ropy is filed with ihe munty building�inspec- �'�" BUiLDMG � �ioddepartment.� � A�oRE55 Dote .112-22-86 app�;�a„��. The.Wm.�Lyon. Co. aTr Walnut - - - � - -� zia 91�89 � iocnuTr i '� � CERiIFICATE OF EXEMPTION FROM WORRERS' �� � � � - NO.OP BLDGS.� � - �� NEAREST �."'��-� -�--.�-�- • - �--�-� ' � � '� COMPENSATIONINSVRANCE � � . 92EOF10T3 SOO SF Min.NowoNtor O CROSSST. . - (This aect�on naed not be completed ff ihe�permit ir fo.ono � -- -� A55ESSOR . , , - ---- � -� hundred dollars(E100)or less.) , .: TRA�T� BLOCK IOT�NO. � MqP BOOK� �' vqGE PARCEL - owNea TttE WILLIAM LYaN C0. Na$33-3600 - us�zoNe nv�P ��_ r I certify tha�in�ihe-performance of Ihe wo�k for which Ihis � �� perm'rt i5 is3ued,I shall no�empl0y any person in ony mannaf _ - � SPECIAL. , n' so as�o become subject lo�he Workers'Compenso�ion tows. � a0DRE5519 COf or te P laza � � ���-� � � coN�inoNs� � � �V .,..,.. ,.,. . • Newgort Beach, CA zia 92660 - _ _ O ' an - �aie�� ` � � Appiicant '.� . . .. .. .. .. . . . . �(OTICE-�TO AFPIICANT If; ofte makin ths Certilicate of _ F+RCHITEC70R TEI. .DISTRICT GROUP NPE__ .._ FIRE PROCESSEDBY. .� 1- 9 fN�iNEER Hales—Lan ston No. 547-0862 T �mpt�on,�you-should bemme eub�eU ro rhe Workers' - � � CONs-r7..-�y �-Z � .mpensation provisions of Ihe(abor Code,you mus�forth- qDORES5777 S. Piain S . . ] i1 -�`� n' with comply with.such�provis ons or,Ihis permil shol� be - CONTRACIOR __ NO. �� STATISiIGIL CLASS�COATION � � deemed revoked.� � - '�� �,• �, .. Same A5 Owncr �� a . CO .� T LICENSED CONTRACTORS DEQARATION.. - . . . . . - -� CWSS NO. DwEu.UNITS._L_ � _ 1 hereby affirm 1ho1 I om litensed under provisions o(Chpprer 9 A�DRE55 N0. � (tommencing witb$ectian�000)af Divisiod3 of the Business and _.__. . _p�,. .. `"E�R�'"�P . � � ' ._.._._____ .._..._ ... _ .. . .._ Professions Code,and my license is in full force and efiecl. [i7Y C1n55 �- -eK�--�-�: ��-� ��� � �� . -�-�'-'VAIIDATION� - - • '•...' .. �1 CO 4"�' � . .. , � .�� . $O.FT. NO.OF NO.OF CNECK : . LICCl15CNUTb2lL�Vvol � LIC.CIO55B_1 SIZ � STORIES � FAMILIES �� � ONE ',�^�� ' : � ... .. . VAIUATiON....''._ . _. _._.._. .. _. ' � The Wm.,Lyon Co. .: 12-Z?-S6. DESCRIPTIONOFWORK "' "' ' ' NEW ConhaUor pote ADD � s _. � . � � �I am exempt under Sea ` . ,„ . . ... -- 1 . m'1 i . . .� . ,��� . AITER . . ...._.__ ,.. ,.. ... s . '�. 8.8P.C.for�his reason . .. . --_._ aEVAie. - ... _..'_ _ . . ..._.. . .. . . - . _ . .. ._. .__._. Date:-. ., u5E OF DEMOL � . : ' ' , EXISTING BLDG. . _.. .._. ... . . .- . �Si oture�� ' . . . - .. � - ... APpLIG4NT TEL. F� ' � _._ . . ._.., . 9� PRINi ' ' NO. ...._. ".�-'�Jr B�O A.... OWNER-BUILOER OECLARATION __ _ . _ . .. _ . _. . .. . .- ._ _ - DATE� -� �-� � - � -��•�� . -J he.eby affirm tha�I am exempt irom�he Controciors Ccense qDDRE55 FtNA�.� '�� � �, #�' �"'2� ' low for fhe following reason(Seclion 7031.5,Businets and � � . _ Professions Code):..__ .. . __....-_ _... ... ..... N gy c - --: �-�. z�: . ^ BUILDING _ �.. �.'._•�. I .•Z G 7 2 . .,. /^.� I,as owner of the properry or my employeas wirh ADORE55 � .._,_ . . _ .T { woges od Iheir sale mmpensat on,will da the work and � ��A��TY �� , • •C Q i 2 u the structure is not intended or offered For sale(Sec�ion - ' 7044,Business and ProTessians Cade) .. '..... " � ' - MOVtNG '--. ..-�- .. .. . TEL . _... .__... . . . �._. _ ..�2.3� 8�i ,.. . COMRACfOR NO. � '�. � � I,os owner of ihe property,am exclusivelY�onfra[Iing , � .;- � � wilh licensed contraGrors fo construtllhe projed($ec• - � �� �-� "-- "' " "� -` � �j �j�,� � tion 7044,Business and Professions Code). ADDRE55 ' lr�„ i-�\ R% ''� REOIlIREO- YARO HWY. ..fOTat SETBACK . . ._ _.. ... .._ . �, ` �.• •-. . • �-'.-.' -' - -'- � 'CONSTRt1CilON LENDING AGENCY- �- --'�-�� �- SEt BnCK �WOP.LINE WIDTH� � .,, _ I hereby affirm thal there is a constrottion lend�ng ogency for FRONi -�-. � �. �'� � � � '. ..the performanca of tha-work for which this permi�is iasued - v.t. ... - -.-.- -.. _. . _, _.__ . . ._ . . . .- _.... . . . . � � �'(i 2.�fl�, ... (Sec.3097.Civ.C.1. SIDE ��- �. '� __ _. _ . __--. _ .. P.4 . _ -'_:. �:.+.=_. .4-2(z�O v lende'sNome fnnt'non�l ill ia Aank � `�' , - . a.e.re�s ei� ae.m„Fe� ionva aet n _. ,,.1�2 3 1 r 8 b . . _ _ � � , LenderiAddress�'�1 G i� C�17� Cr (`h;�ygp /� � � " � �. .1 certify fhaf I bove read fhis applicalion and state Ihm.the . . . . __ Iswonce Fee � I!/� D �fM P/C k- �� .-. � .. .-. -� ' �'�. o ' n fs mrr ogree to comply with dll County ��estigaiion Fee �-y� ; � ,' • rdinancax and aws re fing to b�ildinq construclion. ._. _ . . . .. _. -. 70�01 fee-- .(/V lDMA Perm.A���.. .."�'-....!. . . '..``-� + � nd h by ourho ze represe ives ot this County to enrer ' ' o Ih va- rNioned p riy ior Inspection purposes. �ri !'�� _ , f�SD�,_ � - , . . . . . _ ._ ' _ _ . _ . __. .. .. ._._ . ._ c/- . ._ .. .. . ___.. ____. .. ,_ _ _.. . .� -LL.� SEE RfVE%f fOR EXPIANATOaY LANGVAGF - ' � � � .._... 'Slgnalvreo4 pllcvnrorAgeif... . ._. .....Date . . ... .' ' _ .._ . . .. _ .. ._.. ... . _ _,..' ' _. ._ ._ .. . :.. . • _:OI PLANS TO APPtICANT INSPECTOR'S NOTES .OR'NF.R-HVi�unc�.............. I hereby aifirm ihat I am exempl from�Ihe�Contmclor's To: � ' � R�turnid , � � � �' � � � � � � � ' � '�License Law�-for�the�'following reason:�(Sec.'7031:5) ' . ,.. � ' � Iqpproved ' - � BusinessundPraJesiionsCodeiAnyd�y,oroountywbich No. �me �� No: .- �.�.�Dafv'.... '. ......- .�. `.' ..�.'�. ; ,. ;,.. , .requires a permit lo,construct.altcr.improvc,demoluG, , , . . �_.orrepairnnyatrucmre,priorfnihissuante,a8orequircr � � • . ' � . ., . . . . � , tbe¢pPlicnnt Jor sucb permil fo Jile a signed s�atement tGat Ge is licensedyursuana to tbeprovisinns oJe!c Cnn. . � , . . ,- -,,. j . . ,. .. ::-: trattor'aLicenaeLnw(CGapter9J(rommencingu�itGSeN "�� � " " "�-� � � "�' � ' � tion 7000/J Dioiainn 3 of tbc Business and Pr f ssions ' �' . ,•. ` .. ':�'.. . ,.: . . ' .' Cn3eJ nr tGat bc'es e.'xempe tGerrfrom and d�e�basisJnr tbe __ �,. . � � ",,- , . :_ � ___'_ _ _.... _'' ,. _.... _. ._. __......�__ _ _ .. . _ . ._._.__._.__. _ _. _ - � _. .._ afleged exemplion.Any��iola/ion of Seceion,703/.5 by � . , .� .;. _.Requtrad .�. '�' DateRauivad . .. ��' . . -�. . �� � '��: '�.,. � �. •� �� . �. anyapplicantfnrapernri[aubje�lstheappficanttoaa-irif A�PfO°°16 er Approved . , , � � hexalry oJ not mnre tfian fi�re Gundred da!lars(S500J.J: � ' Yas No .. � " . '. � . .�_��...'. . .. , -�-""--"��- � � � - `"- -'- ❑ I,os owner of the propeny,or my employees with , _ . , . . . . .... . `" -�" . wages os iheir soie wmpensafian,will do Ihe work,ond Woter Certificale '- ..., �, ' �-.` ' . ..._ __.- . � _ L_' .._.� . �' . . . . . .. . , - - - � ., the strucWre is nol intended or oifered for sale(Set.7044) _ ..__.. . . . _. . _ . . . . Heahh Department_ ._._ __..__ � �.. ��.�.. ___. '� - - �� -�- � �- ' ' - � �-�� � .- -., ,Busineis and Prnfesaiaas�Codr.Tbc Cantrattor's Licenre �� _ , Lnu��does nne applp m an ou�ner of prnperty who buifds � , . " i.: , ,..,.� : ,n,.., Fire Department_.__.,___ ._. . . - - � � - o�irnprovcs 11,erron,and wbo does suth work 1 imsrlf or _ _... � • ��� � �- .- - -� �� �tbroagL J is.nu•n rnrployees.�psoc�ided lfiae�iarh,im- � ,..._ _:....� .�:�.��-.��.i',.' � - �' Groding ' . � ! " � : � -- . ,�- .� � �" �pronernents are�.nof intended or offered for sale.'1� . -� ' - . - �_;, - - . - .bou.�eoer.rlebuilJingorimprooe+nentissolda�itGin... Gealogical�- . . � . .�. �. , , . -yrar nf��o�npfction, tGr nwner-builder.u�ill l�ave�lGe �-� � �� ��� burJen nJ franing ebat 1 e did noe bui/J oF imfrooc for , . • __ _.._.. .__. _....__ .... .�. ...._�_.. . .- Pedeslrion Protec�ion..� .,. � ' '•. ' ' : t1 r pu,pose bf salel... .. .. '.� . � (Fence)(CanoPY) � . . �.. .�:..��� � . ..._._____ _.... ._____ .__. -_-. .�..� '- 'ling❑wihl'ce sed(cofnlrocorslo'canslrezclusivelytarilroc- . ucl the�pmjeU(Sec �� . � . � ,. .-- -.` .--. . . - ..- .. . .-. .._---� -_-� � 7044)BGainesi and Prnfcix ns Code:Tbc C�ntractnrb Special Inspeciion"` • -, �..- �- . .. . - -� � � � . . (Canc.)(MasonrY)lWelding) . :- � � . ..� ,_ �;__ _' _�.�._.. :. ...� -�C Lc:1.� -. i..' --�buifds or�im��e es�lGe eon,`d�d uGo co trac�Jor sulr i.\`.` , ,' ,. � ._.___...______.__._ :-:—--.-.-- . . ---Cnnernefnr4 f.censerl.au�J.�s/lrcrnsed punuant!n t/1i • �c Lot Draina9e .. �"�}' .�'i .` (- ,.__. � Porking . . - . . .. �� . � - - __...... . ._ _... .__�._. ...... _.. _.._ . _._.. .___ ... ,-. . ..: . ;.-.. � - 5- i , ❑ I om eaempl uoder Set. ,8.8P.C.fo�this . , � ..... .._.. r: .. �• .. reason � . .. . . .. ... .... . .. ..._. . _ ___.... . . � � , . , Dole � Owner ; .� ..� . . �� ; _ .._..... _ __ ._._ . , ;. '� . . .,., . , • �� . ,. �Appravals� . Oafa Inspector's Slgnature; � „ � ,- �.��t� , INSPECTOR'S NOTES location=- 2 �� . ; � --- (Setback 8 Yardsl �-� .. . '-�• FOUfICP110f15 � . . . . , ,. . . • . . . . • .. � . .S�Ot1-' _ 1 ��..� � �: `_ � , ._. ... '.... � . . ., . � ....� ���� '. "'""" .. .. .... . ....... ...._. . .._�.. .... . . , , . ..... . .,. . . . • � . ' '. Fmme � � � . � ' . . . . . . _ . _ . . .. � � . . � �... .. � � , . ..... � Energylnsuiation � �'��/`7 :� ., �.-'.__._. ._ :. . . __.'. _ .� � � .::_J_ . . . . . . �� . .. ._.. � _ .. _.� . i � loth/Orywall— ' ._.__ __.__�----.. ._-._ _.. ._,.-'.--' . �.. '_._ �Interior -_ . _ ._'._ . ,' ' . r .' �.'� Lath—Exterior . .. . . � . . _. ,. - " : -„ ' � .. .. ... . .. .... ... . ` ,�.. _._. _. , . ' . l .._. . • ,K- •�-•.., � HovseNumber— '- .�..v -.�. . .. �__._...__. . ._.._,.. . .._.,-_ .._ :,� - . . . . . Co.rect 8 Posted � t, ..... ......��. ...�., • . .. . � ^ ... C'� ,A . • Final— . .......... . . ..__ . ._.. ._ _,.. .. . _ . �. ._ ...._ __._. . . .._. .. __. ..__._.�. , EmeronFron� "- �. r•\.:., . . . . . .. , . . . . .. �..`^ - -. . : � . . .�. . �.:..�. . . .. . . . ,. . . . . . - � ' .�. .. .. . - .. �- ... � - r� .. - 1 .... � .. ...� . .... . . Y-•. S l. \, l..i�...) " _ .�_ `