Loading...
HomeMy WebLinkAbout1613A 1614A (9) �� ___-_' _.,,..���..,..n�rv ue��nRATION . � � insure or�afce rifca}ie of Worken'rtomperoo�ioo Insuron e", APPLICATION FOR BUIL�DING -PERMIT � or o cer�ified copY thereof(Sec.3800,lab.C.) ' Po7��Y�.`005-"l!9-OO�omPany Na+�inrnaiAa 60/D (2 CdT) COUNTY OF LOS ANGELES BUIIDING AND SAfETY � C¢r.ified copy is heraby furnished. FOR APPUCANT TO FILL IN no Bess 604 Bowcree3c Drive � Certified copy Is filed wilh the county building tnspeo BuaOiNG lion depprlmenf. ADORESS oo�e 5-18-87 qpP���a�� Tf� ANDIN GROUP arr Aiamond Bar z�P 91765 LOGAIITY Diamond Bar CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF 6tW5. NEAREST COMD£NSATION INSURANCE S¢e OF LOi NOw oN toT CRo55 57. (ihis saclion need not be complefed I4 the permil Is for one ASSESSOR hundrad dollors(L100)or less.� TRAC7 4 89 BLOCK LD7 NO. Mqp gppK PAGE VARCEI owNeR THE ANDIN GROUP nio.967-9541 USf ZONE NOP ���",� � I cerrify thoi in the performance of ihe work for which this �_( permii Is issued.1 shall nat employ any person in any manner SPECIAL � so as ta become su6ject ta Ihe Workers'Compansation Laws. AODrtE55P.0. X QTI�L CONDITION$ � . . C�7Y ' Ziv ' U �1ate Appliwat ARCNITECT OR TEL � / TICE T�APPLIGANT: If,after moking 1hi1 Ceftifi[pte Of ENGMEER Dave Szany AIA r,o.445-4073 DISiRICT GROU7 C P�T. ZONE ��SSEO BY Q .amption, you should becoma avbject to the Workers' , � �7 V Compansotian provizions af Ihe Labor Code,you musf/orih- . qDDRE55 N. F' dia �� �-� �� J-v�- W wiih compiy with such proviaions or this parmir shall 6e �-� Eeemed rBvoAed. TE�� SiATISTICAI CLPSSIFICATION APT. CONDO. (n CONTRACTOR THE ANDIN GROUP NO. n n �}�� � LICENSED CONTRACTORS DECIARATION pC.- QA35 NO.�DWEII.UNITS �, . 1 hereby affirm�hai I am licensed under provisions of Chapier 4 AD�RE55 j� c1bpV NO. (commencing wi�h Seaion 7000)oF Division 3 of ihe Bvsiness and . ���, `'��R�`P Professions Coda,and my license is in full force and eHecL Crtv CW55 BK �; - VALIDATION ' 51D560 B s ie"2375 5 OR� AMILOIES S CONEK License Number lic.Class Tf� ANDIN G�[�U B�LB�87 OESCRIP110NOFWORK S1R le famil NEW � VAIUATI�N ' Contractor �"II"ate ADD s �'�7�6�0 �I om axempt under Sec. - A��R , :^1 6 1,3 A 8.8P.G.for Ih7s reoson REPAIR f �r� • • •2� USE OF Uate: EXISTING BLDG. ��'�� � •J 3��� �L SignOtV�! APRICANT TEL. FINAL �j� OWNER-BUII�ER DECLARATION PRINT NO. . DATE �' 2/ • •v J�,� 2� �hereby offirm that i am oaempt from Iha Comroc�or's license qpDRE55 AS abOVe flNAI Law for�he following reason(Section 7031.5, 8usiness and ,��` �9,� ,� �-E'] �rofessionsCode): Hy //"L' � I, os owner of the properfy, or my employees witM AD�DRE55 J ages es their sole compensation,will do the work and � . � �he s�ruc�ure is nor imended or offered for sale(Section ��A��Tr � � 7044,Buiiness and P�ofesstons Code�. - MOVING TEL ' � � I,as owner Of the properly,om axCl�sively conlracling CONTRAGTOR NO. . , . �� 6�.4 R with licensed comraciors to construct the pro�ect(Seo- � qppgp55 tion 7044,Business ond Professions Code). fi��� �� � �� EQUIttED TOTAL TBA ' CONSTRUCTION LENDING AGENCY SEi Ba[K YARD HwY PROa.uNE WioTri 1 hereby affirm tha�Ihere is a consrruc�ion lending ogency Ior FRONi � ( °Jr"6 7�C iha performonce of Ihe work for whith this permit is issuad o.t.� � {Sec 3097,Civ.G.). SIDE • °b� �.C�cii C,'1t717dR�C P.L . lendei s Name IOMA Ref.M �9'� ��8 7 444 S Flower, L.A. 90017 a.c,vea s Permif Fee , lender's Address I cenify�ha�1 hava read Ihis opplication and srale that�he hw e Fee 10•50 IDMA P/C M obove informafi ia correct.I agree to comply wifh all Counry Inre�r�goiion Fee ��� ardinoncee o iole laws ralaling lo buildfng conshuciion, Toml Fee 567.�� IDMA Pc.m,M and herab oriz representatives of this CouMy to eMar / �pon manr roperly for inspection p pose3. ,S . � (� � �7 I'Dr'A SEE REVERSE FOR EX�LANATORY IANGUAGE � \ � Signolvre of Appl�co��o�Agen1 Dot � \ :/ FlANS TO At'PlICANT INSPECTOk'S NOTES i f,�rrbv afinm d��n��l n eaemf�n t.on�,n�rnr�r:r•n.s Tn: � . . , . Refurned � � , � _ ' � � � ' �� lice x� Ln+. for nc�.foll. � � r � i;or. 7091�5f , APP�ovad ifusenesaunJNrnlr�cinn.�(:udr.:ln�(citpnr..ni<ntp�ud�iJ ' No. Dme No. � Ome .�. ' ' . . •. ��. � .- (.,•'1 �. •\".,-, rryi�ir�•c�pr•rni�n,rmi�rru,t.✓fry�r.inr(,�,-r::frn„�N.7.. ------'- - — --- rvpu runLstrdan�r..pr r t i..,u�r�...��L�,r�.�,n�•c i ,i,, � . ,. , . � , lhe qpLwnf/,��eu:f,�,rr �f t Jilr u.ucurd st�ten����t -- - - - _;.t{,a:G<•it li.rn,rd J„rrsu�e�r n�.�l,r pmm��,.n�,�/rhr(.b�,. t.,�.�,�.-:i.«��;��� r.,,«�c:r.Jrf,>�,�r�„ ,,,�n�;,,,t�,<•,�i,s��: _ „ , �.., ., ,, , ,��, _ _. _ . -- -- _ . _ _ . , d„n^onn�„r r���r,�,��,��r,.��v��r,��,����d r�„f�-�,,,»� �� �•^" ' '�'- � ' .� I' -- - . � �]C.,d�Jortb�thri� ffl•crvJr.�nrundlh�h,�ai./�rlbr • .._ ._ -_____.._ _... . __,.. _ , _... : ._ __ . . .. '.. . ..�.". _ .." __- t�m/� olfc�eJ e.rn�flin n`A n v riotd tio n u/.lerti.u� i(+3 L i fi�. � .. .,- .'Ro ed '.-' '�� ' � _. .. _."_: ' � . . .. .__._. . .___.'. .�,_ . �nva Lc�ni lserh'atsNr !� rnfniu.i�if _ quir DcMfteceived , �P /uraprrnri 7 pp - ApProvals ar Approved . . prttullv aI nnt nrnre ll Jn(ir� In�nd.�ed J 1ln.�(eSfqIJ.J: � ' Yes No . ' � . . . � ; � � .. � . - ._�__'`-_ �__..____. _ .. . .__.. ' - ���� - t_' I,�s owncr o��he p�oper}y,�or�m mpiny!�=s w�!h _ __ __— .._ r,_..,. _..., .. . _ Wn+�.G��f w�a '� -. ` _ � � � �..�. �� � ., ' �.�- •� .,,.wnacs as fhe�r snl�compensnnon.wdl do ihn.vo•4,and '. . . ,.:� ,- ._. ._"' ._. .' ___ _ _ . _.._.. . . . . . .... . - � - -' - � � ��� ' - . the svucture is no�In�ended o�o�fered for snl�{Sec 70ae`� . ..".� . . . �'� Uusrnr+s and P l.saium�CnJ<•:77ir Corrtnrctori f.i.-cnse Hcollh DoFortment.___.- �.. .. �.� . . �. � . . _ ... . , . , .'__.__._�,_.. .. ._... _._ _.__.. . _. ._ ...... . . . � . .-,.. , , _ i.u«,�„�-,��,�,�f��,„�.,.,.��<•n�.,,��.,,��•�r,��<<,,.�.'ur�.c, � F�reOennrtment..,.. . ._. _ , . _ . .. . --- � - -- ..��riuy�ro�<<rher���n.nnJ4•luJnex��alu•..rllnna//�� - . .. „ . : - .., : ., ; , ,t,.�,u��; t„: ,��tn ra��r,�,��•,.r�,.���,.r t�,,,� .��.r,. Grading . . _ . , hrnrements,ar�� nnt irsr�nded� ,y//crrJ/nr sn!<... . � � ,,i, ' �:' . .:,Gnu�erar,rbe LuilJinfi ar unJ,rn ,n�is c�dJ ir�ibm une Genlogirol . . � � � �. - .. � . . . •. "� j�eur n�cnrrvplrtinn.-tbr numrnbiulJ�r�rif!bnrr�ti�e � ,'�. .1.. . 6zrJ,�n o(1'rr��•i�,,�rl���(h�•JrJ R�,t l����I.!rrr ir„ornr•r/��r , . . . . � . _ ._ _.. . ... -- '.r___ _ 'r�,. �._. .. �� . ._._ . ebrp�rpns��n� atrl. . ..., . Ped�s!nan Froreci�on � . . . .. , , . , ;. , . � . , . . tFer,co)�Ce�oPYl . ,r -. .-� ' .. __ ._.___ _' ,..� �p.._.__.'. .�. . ,.L I us o+raer of rhe prope•tv.bm e I i��erly ce��roc � � - �,Iing w th(;[ensed contraUo�c ro canslr�u ihr.p.o���($ec, ,.. . , _' .'. ' __ _..__. '_" -_ _. Soec a!��sp��Ya� ' � - - , .� - . � � - �70aa��U��unric�nJ Yr,�j�. '(,Jr. 77,��Co„rr��t.�ri iCcnc 1(�hnson.r)f�'leld,ngl .� � . . � .:. , , � . I,irens�I.aio dues nn��pp�,r,��.,,,,,•,��•.,r�n.,,����,u�l�n . .- ...-" - `-. .. " ' ----hui6Js�,i rrrrprn<•�s Ihrrvim;and u�l�n n�ntru�ls fn>:a:l� to�oramaae ,,., � �.� � '. �'. . '�2'�prujrrii u•rr7,S .n-r 41r(s)! �� r ru i.� nf Jf it•iird r su,inf Ihr . . . . � . ._ . �.. .__..._...... . u . . � � -Cnnrra:tur's l.icense 7au•d -..__--_ . .__. - P�.king . . � '.- ..�. ..-�_. .... . �.�. ...�.. . '� . . '-_.`i lomexempi under Sc-. � .B BP.0 fcrlF:��� � 5 � � � eason ... -- - - .. . . . . � . - � . _ _.__. . ' ' . _._.. .._ .. . __"_. Oae Owr .___ __ .____. ... _ . .... .�_. . „ � • , Approvols polo � Ins cloh Si afure �� � ..'� . �. ' ' P° 9O �,� 4. �) S�YI �` .. . , , IRSPECTOk'S NOTES.. Lo«»�on ' . _.-_ . . , . ISetbacA P.Yards) ��/� y.�_�. / .-� �� 'F'7_.��'j ... . .. 'rcundo��o�s //i�� l _� . � . _ . .._ .'._..._._ z.. ._.._ ._ . . . .__. . : ` , � , „ . . . . . Y'..-� sinb . /p��,^ /f} J �. � . � . . ... . � . .. . . . � ,. .. v. . . --� - -... . _... _ - ----- ---. _ - . F,�,,,, (�il Y) ,./j .. , E.,�rav��s�ioror, � i?23/� �� �� ._�_ ..! — - - '-._. _ _. . .. ..___ �. _. . .. . .. Lo•h;Drywoll- � � v--^ ____ ...___ ..._ .__._-__ . _.._,._.,,..... _ .. ` . �n�er�or ' � � *:?�`,? ...-� -��vU ----- ----- - � i . ' tath-[ste�{o/ � � �i� ��Q � _. � ,. , � . . . . '_-.__ _.._ _'_ . P�7/v . /��J_ ' '�i" - � . .__._ .... ....._. . , -�: , - � Hr.use Numbc..._ . . _._ .�. ... ._._...... . ._....._; ... ,._ _ . . . � Co�rru 8 Pos�r.d ��.1_ ; _ .. _._ .�. - _ _'-. --_ . � . F,na! . _.. �� _ �.. ._ ._ _._ ._' _ _._ . ____ ._ ... . ' . . . En� n F.om ��.� �`,.: . '_ ' . , ,. . , . ., � . . �L��. . _ . , , r., � , .��'. ,. . -.. `�'�.