Loading...
HomeMy WebLinkAbout1606A 1607A (9) i Y . . ... ..._ . _. ---- I.hereb afloirmK Ihat IOMPENSATION DECIARATION . . .... .�... ' ."... . . .- .... . . ...._ . . _._ _'-- have a certrficate of�o�;e�,,o se�f ��- - - �-�-���qPPLICATfON �FOR��BUILDING PERMIT �-�--��� insure,or u certificp�e of Workers'Compensa�ion Insuronce, or o cerrtied m ihereoi(Sec.3800,Lab.C.) COUNTY OP LOS ANGELES BUILDING AND SAPETY WCP62�5241 �" Great American Plan 2BR PolicyNo. � Compony � � �� Cenified mpy is hereby furnished. ��� � , FOR APPLICANT TO FIIL IN � eunoiNc / ADDRESS � f'A��Cerlified copy is filed with�ihe couMy boilding�inspec• " � BWLDMG . �� fiondeparfinenf. A�DRESS Zp$41 East 12-22-86 P � The Wm. L on Co. walnut 91789 I Date ' A plicant y CITv Z�v . LOCAIITV . . � �CERTIFICATE OF EXEMPTION FROM WORKERS'��� � - �NO.OF BlDGS. - ---' NFAREST.. ._ _ __... ..� • . ' •- � • � COMPENSATION INSURANCE • SrzE Of�OT 3,800 SF Min.Now oN ior 0 � ceo55 57. ��� '. (This seclion need not 6e completed if the permit Is for one ��-� 7RAR L� � BIOCK t0T NO. �ESSOR_ � � -� �- -. - � hun[lred dollan(§IOOJ or le5s.) . ._ �P B0�' PAGE' PARCEL� . OWNER THE WILLIAM-LYON C0. No 833-360� use zor�e n,wP I ceitify thai in the periormonte of Ihe wark for which this �� ' ��l�3 � �Y permit is issoed,�shall nof employ any person in any monner � -- SPECIAI - - � - - -� -- - - - - a � e Workers'Compensafion laws. A�DRE5519�COi orate P 11Z8 -- - - '�� GONDITIONS �� , V TIPE TO`YPPUCANT•�f'a CITv Newport Beach� �'.E1 ZIP 92b60 � .._. ... - _. . .. O so as to becpme sub�ect to th DOte' ' A IiCant �� ARCHITECTOR . . TEI. � � fler mokin lhis Certifimle of Hales—Lan StOtl 547-0862 DISTRICT G OUP TYPE ! FIRE. _ R SSED 8Y. . ..�p 9 ENGWEER b' NO. CON57. � ZON - m uon,' ou should become subjecr ro the Workeri -- - � mpenso�ion provisions�of the Lobor Code,you must forth• �. � �_ � � y �"with�comply wifh such provisions or ihis permii shall 6e .. Aooae55�7J S. Main St. StE. 105 Oran e N Samc !�S Owner �E� SiAT15TICAt CL4551FICATION A T. DO. z deemed revoked.,�,� �. � .. �� � ' CONTRACTOR NO. UCENSED CONTRACTORS DECUIRATION, ---- � - - � - -- � ���. � � �- �� � CLA55 NO. �B� DHlELL.UNITS t I herehy affirm ihar 1 am licensed under provisions of Chapter 9 AODRE55 No. (cpmmencing wilh Section 7000)of Division 3 of ihe B�sines5 and _., _,. _ ��� SEWFR/MP ; _ .._. _.__. _. . . . Professians Code,and my license is in full force�and effetL CITY CIa55 ' 'BK �-' �:- �- - - -- "VALIDATION- �� -� �,Z J6AO1 . , $-1 . . . 50.FT. Np.OF NO.OF .CHECK , � License N�mber � Lic.Class� '' SiZ STORIES FAMILIES ONE � . . - : , . � The wm,..,L on Co , 12-22-86 -- NEw � VAIUATION _ _ .-. . ' Y � DESCRIPTION OF WORK - f Q d � . Contractor . • '�Dote � D , . � . .. AUD ❑iame:emPrunde�sec. Sin le famil home construction ALTER , B.BP.C.fOr Ihis reasan . REFAIR ❑ .f � � - -- — ..... - � �1 6 0.6�A , . . __.__ _. . _ _ USEOF �' : . . -..' �ote: - E%ISiING BIDG. �Ma � .. ..... .#• s • •'Z�' - SignatUre -' -'"�'- - . . .' -'�' APPIICANT TE4 FINAL OWNER-BUILDER�ECIARATION CRINT T W' �O. _ pATE - � ' -I hereby olfirm Ihat I om exempl from 1he Contractor's License -� -- - � - �� . � ����'?`� . law for the followin eason Seclion 7031.5,Business ond /+DDReSS p�pp� .- .-, .,. ,� � z � ..Profess�ons Code):...`?_'_.._�_( . _.. _.,.._... . . . R N �Y - - .. _ _ . .._ •C�.�.2�i: . - _��--� my employees BUaoiNG " /—�� I, as owner of the praperty, or wifh a0DRE55 - . `.. .. � . .. . .,. �, �2..3�."�.�J _. � '-��wogei oi fheir sole campensa�ion,will do the wark ond �� ��� � � • : �he sfrocture is nof Intended or offered for sole(Setl�on �OU+utY , ` " � �� b�7 f� � -7044,-Bvsiness and Professions Code). ��--�- --' MOv�NG -- - - - � � '�' 7Et. � � -� --- -�-�- - - _ -� , -- - - - [ONTRACTOR NO. � � � �• • • • •� � � I,as owner o�fha property,om exclusively contratfing . _ � � _� �, ' with licensed contratrors to construtl the project(Sec- ' - Aooaess .. . .. . . _. . .. . . . . . ._ . . ' . I •4 2 b�0 � '- tion 704a,Bosiness and Proiessions Code�. - .-. ., -y . �' •. REOUIRED ipTAL SETBACK '-----"CONSTRUCTION IENDING AGENCY -�-- "" sei sneK YARD HWY' PROP.LME WIDTH �_ � ' � G(��i_ � • __ _ __ __ __ •4 2 6 I here6y affirm that�here fs a construction lending agenry for FRONi �-�- -""' ' : �'_�j��% �ha performance of the work for which ihis permi�is�issued -- v�. - � � ' � " -' - -- : �2 3� —H 6 ' (Sec.3097,Civ.C.). SiDE -- - �� - ' � - -- - � -- _ - . ._ _ ... .._Y ; '.-� .. � . F.l. _. _ . . _ - � - - iende�'sName Con[inental Illinois Bank � 3 IDMA Ref.N . � Lender's Address 231 So. i.a Ra7 1 P�St.,_Ch;ra p - P�G Fee �, vermu fce � ; - -� - � - - ! I.cenify�hat I have read this opplication ond stafe thot the g._ . ._., .__.. - - luuo�ce Fee � U• IDMA P/C N /�Sa.. ' � � above infor 7ion Is wrrect e to comply with oll Counfy i��av�gm�on fee ' ' � ; _o ' nces ond$?ete I s relatin to building consfrocfion, . . 7ma1 Fee- � IDMA Perm.M ��3 - � -- -� I her authoriz represenm' s of this Counry�o enfer , up n 1h o v me �ioned pro erry'for inspection purposes. . ���� ��r � � ._ .. _ _ . . ._ . . _ �1 _ _ J . . _ _... _ ._._.._ _. _ ._._ _... ', �_r l� SEE REYERSE FOR E](PIANATORY LANGUAGE � � � SignoWre of Appl ant or nt-- ' Dore '� '- � - - . . ' � .. . . .�'� PLANS TO APPIICANT INSPECTOR'S NOTES •..OWNFR-l3U14DTR DECLARATION , 1 hereby affirm ihat 1 am ezemp�irom the ContraUor's To: ' RNum�d '� ' ��� . � . - � � �License'law�for Ihe,following reason. (Sec.�7031.5) � � � '� �� ' ' Approved , ' UusinessandProJe:st�„sC�J�:Anydryo.eo�r;rywbicG No. Date � No: ' -'' Oatv�' ,. .. �. �.- .� . ., � � �� �,. t i; reqaires a permit to consiruct,aker.rv�pro�.r,Jenmlisb, � __,or r hair an y strssrtu�e,(�rior ro its israartre,ulsn reguires , . . "_ -. ,. , . , , " ,, , ,. , fGc afplitant for sucb permrt to jile a signeJ state�nen� , lhat be is lirrntrd pursuanl to tbepronisions of t!c Con- � . . �. troctor's Lrrenac fau•(Chupter 9J/conm�encing uit!Seo- � � - .. . .. '����` i;��; _., ,... ;.. - � � - - - - -- linn 7000J of Di��isinn 3 of tLe Business and ProJessinns ,_ ..._ _ _. __.._._. . . . ':.��:� .. �_' . _.. '_.�. ' ,i� _ : :��I_ _ . ., - Co'deJ ortbat 1 c is exrmpt eGcrefrom axd tGe bo.sis for 1Ge i �...:' �._Raquired�: _ .`-poNRaeoivod� ----.:-. .-`� ,� � �, ��.. ��-�� � .. - - -- ��anya�plicantfnraprrnritsubjedslbea�pJ�a t�toan�il � - Approv6lz or Approwd;,;� l o t rnorc�tGan t Gundred ollars SS00%J: � ;:. .,.. . Yaa No� . , . �. , . , ` . . Pena y fnn /i'e . . ( .. .,. .__._.. �.� _ . _ . •� �� '- � - -- ❑ I,os owner of the property,or my employees with . , . . . . . . ... .. . . Water Certifimte '-'.:� .�. . � . . .� .._._ _... _ _ _' _ _. . _ _. . __ . wages as iheir sale wmpensation,will do the work.and �'---��--- - � - �-`-- � � �- ��-- �' . the atrucWre is not intended or offered for iole(Sec.7044) � . Heahh Departmen� __..._...._ _ :' _ .'.! - .— . _ . ... .--" --'- �� .. �.- �'� �--- . . f s Code:TbFCorilractoh License Business ohdPro ession � - . I.aw Jocs no�app/y 10 an owncr of property uGo buifJs � '� � �� �� _. or im es tbcrron,and ivGn does sutG u•ork Ginise!or • Fire De rtment . __ . ._ � _ .__ _ ..- . -. . - . - - . � - proo . J � : �' , � '- -�-, .. '. �. tUrougb Gis oa�n�emJ�lo��ces,.'provided tbal suc! im- . Groding � �'� �" �� . � prns�ements are not inlended or.aJfered for sale.,�" " '� , .. �. � ���� . Gnu�ener,llebuildixgorimfronemenlissoldu•itbinr. ' Geologicol ' ' � � �--- -- -- ''- �'� � •� •, .:. ••�. :�.' �.. •� . Year of rnmpletion, the ownervbuildcr a�ill�hace tbe� � � .. • . . . ., .. . . . burden oJpmceng tlat Ge did no!baild or�impmnc for P,. � � -.. - - . . ._ ._.. _. _. . . __ .. edeslrianProtection � . ' ' Ibe/�urQoseoJsoleJ.� . , _ . �� . � (Fence)(CanaPY) .�.�, . -; .-.. .- . � . . .-. . . - ----� � . ❑ I,as owner of 1Fe properly,om exclusiJely tontrac- , ling witfi licensed co�iractors to cons�ruct ihe'projecf�Sec. Special Inspedion� � �--� "�� -- � -�� � ��-��� -- ' " "- �� � 7044)Business and Pr fessions'Coder�Tbc�Contrattor's . . _ ___ - � � . - --�. . � (Conc)(MasonrY)IWelding) . �. •.� . ,- .. . ' . ��: �:., .. LicenseLa¢�dnesnntapp(ytoanmm�er Jpmprr{ya�hn '�..,� .._. . . .- . . ... . . ._ buildc or"i.n/�rores t!crenn,and u�!o confracOs far suc! lotDrainage ,' e-� ''•. \,•'�'�� � . .�. -.. .. . —'- - . . . I. . - . ...... ��-CnnJrartor'sLrren'scl.auJ�1 . ^sed purruanf to tbc � ro ects�u•itb o tontracto s lice� . . �_, '.',+ _.__ _._ . _, Q Parking �. . . � ' .. � ._•.... ..,. . ; ' � ❑ �Iamezempt�nderSec. ,6.8P.C.forlhis � __ . . .._. .. . ._ , .��,.,;. ,..� :. : reason . . .. . __ . '.'. � .._ __..._ __"'_-___ .___ ' ' Dale Owner � . . ��.. t:.l �� . . , . . ., -- . . ___ .__ � �_ . � _ " i i . ' . __ . ,.. i, .. . Approvals Dofe Inspeclor's Signalure . � �� � INSPEROR'S NOtES : .�, Lomtion— -- . ..._ ____ � . _ .. ISeiback&Yards)', -„r . . - _ _ , -..,.. . >.' . .., . _ ' Foundaiions� � �'l .�' . __ _. .- _ _. ._ . ___ ...,. ,: � -: �.� ' Slab" .: _ c . ,��� � ' � ' Frame < <� _ . . . � . ,.. ._.. . � . ,.- � ...� . Energy Insulation . � �� • .. ' ' . . . .. , . , ,. . . lmh/Drywall— ' --�---- -- - - - - � - - , . _. _ Interior --- .. -.. � j . . Loth—Exterior . . , � '_� \\'. _ c._ �'`'.5' . . _ � � . _ _ ._ � ' _ ' � .. �.. ; _ c_ House Number— ..., .,•,>_... -... . . __.__ .-_...� _.....•.. • ,. ..•; . . � . , �. . .. _ - _ .. . _ .__ � . _� . . Correct&Posted ' '. _ . .. . ... � ..,. . .. . . . .. � . . .. ,�, ., . Finol— _._. ... _. _ - . .. ._-.. . . ,. . '. -.. Enter on Front ' �c� �-� � � - ��� � _� . . .. . �. , .