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HomeMy WebLinkAbout0796A 0755A (4) i _ _ __ ���_. .__ . _ ,__,._ ,__.. ....._. _ y W,..--... �_�;...___._.._ . _ . _ _ _ _ -.�..__� � _..._ ._ _._. __---.,, i .. .,. _ �. � ��. ' .. ' ' . . . � w�oaK�as ��ti,t��NS.4����:�U,=.��Aa4T�oN �E':�,a� - . ..;. .A .1_ t�'^�A-1"ION ��'?Ft PERMIfi � [ hereby �£firm that I have a cer[ifica[e of consent to�seif ��42-80> .I"���L�i\✓ insure,or'a cevt3ficate ot vV'orkers'Gomyensation lnsuidnce;or H�ATtNC/-V NTH„ATiNC`.+•A!R CONDITlONING" °- � � ti a ce�'.fie�l copy{hereof(Sec,38 . Lab.C.)�-� ��� �t— � . .� -� ; �,��r,'.t�; p l t...�-1 � PolicY�N Y.. om any� Jf..tGtA__t .. �. .' � . . . � � . . � . � � . . . �� ❑ eertitiect copy is herebYturnished. COUNTY OF LOS ANGk`lES _ BUILpING pND SAPETY ; �.../' � � � � �i � �� 1X� �Certified copy-is filed wit he county�uilding inspettfon . .. � � � ` T'` department. � � ` �-. F�R.APPLICANT70FIlLIN �But�DtNc, � � �'� � - Date y-�-t�g Applicant .._ .._u� (PqINT OR FYPE-0NLV1 AdDRESS � . � � NO. TYPE�.OF APPLIANCE OREQUIPMENT�� FEE�� LOCA�ITY� � � � . . I , , � CERT(FICAtE pF'EXEMP7ION ::F20 'WORKER$' � . , . �COMFEPISATI6N INS RANCE� - �� � � � NEAR - '- �� , (7his�section�need�.not be completed if the�work invatved-�-� � a6soaP7�6N UNi7,BtW'� �: cROSS ST. �� � aY� - , by tfie permit is Por�one hundred dollazs (5100)ar 1pssJ . .. � oisraicrrvo � �- . rnacesseoer : O . ' � I certify that in tRe�pedormance of Ihe�wutk tVr which�this �NiR HANCIUNG UNIT,CFM �'� '�, 'U i . permit is issued,I shall n�ot emP�oy any pers�n'inany manne[ � . . . . , QI�/\.� � � � so as to 6ecome subjec[to the W'orkecs'.Co �nsatibn Laws BOILER,BTU . � � � Q �- � �1 I /+PPROVALS OATE � �NSPECTOR551GNATUHE' U Date� Applicant � . . .. COMPRESSOR�� .- ��r7"� (a d�� RdVGH � � � � a �NO �:TO APYLiCANT�Tf,sfter makin&this Certificate of � � �� � � " y `Exem tion, � V£N'f1LATION SYSTEM ' � � FINAL � � p . you shduld become subject to the�'Workers' � Z Compensatfon provisions of[he LaborCode,you must tnrth� �� ��� � . � � � � . • � � . � witF com I wit}i`�such p.. � EVAPORATIVECOOLER' , , �. p y pmvisions or�iliis �rmit shall ba � � ��V/i I�ATION -� deemedyLICLNSwth3�cnn7TOR5�E�LARATION P . k{EA7�ERE�.SUSENDEDG� �d79�b� . . . �. o do ` ' .� � 1 hereb�aft�rm that I am ticensed under rbvisions of Chu ter UNIT - � � . ; 9�(commenc�ng �t 00�)of Di is�on 3 af the Rus� � �LVpI.� � � � ��� IA '. ..netis�and.Professinna�Code,�and my.license is in#ull force and Q � ��`{�� - - � - � #� �,� �.�i$ . - � effecL �r��� . � '- -� . d„ - . �.�License Number�,_j._�.,1��Lic Class�_,.____, . .. � . . �_ �) '7--2t-88 i ; . z 2 5 ,, �' Contractc�n�y,�S:ue. . . . ... . . �� �.� 2�'�J�a .. �� �� I i ' � t um-exempt ftom the I�censinx requiremen[s as I am a� � � � � � � � � � ' - I licensed-architect d a-registered professionai�engineer P42fi Ch2Ck'�0C 25�o O�3b0�8. ' -� . .. ������ �`�I� . � �acHng in my�grofessinnal capacity(8ection 7051,DUs- � � � � � �� � � � iness and ProtessiansCude). ��,/� PERMIT ISSUING FEE� (� p , 1�c or xe�-Na,��� Dute�,/�� ' 70TAL FEE �{,'y�.rf,�j ' ` �' � HOT7EOWNER�IIIJ(LDF'R DtiCLARAI"(ON� �- � pLAN CHECK APPLICAN7 '�� "-' � � - � � � � ��� . . . . . ��� � - . � ! �'. .-� I�hereby�affirm�-t6at i.am exempt from�the�ConhactoP's� ��:NAME .�.�. ��,.��. � � � - � ��� . I License Law for the fo]lnwing reason (S�ction 403L5,Eusi-� . . � . � - � �� . - . .� ness an�i ProFessinns Code): . - . - � ADpRESS � - ' � � . .. � � ii . . '� � 1, as owR�'*�bf�the propzety;wiil do�the�wprk�and the � � � , �- � �� �'F Q 7 rJ.Jr R , � stmcture is. nof intended or offere4 fot sale (Sectinn� GT�' � TEL.NO. - �. � ! -�7044,�gusiness�and Professions Code).. , � w�+- � + . ��+* • a M�8 - + � � . �- .. OWNEF3 {.r AAA ` ' � . � � . I,as owner of the property,am ezeJusively controcting 1 � v� ���i . � y �4 O tJ�:.,o witN licensed�cont[flctors ib cnnstruct the�� project MA�L � V � � � ��� .. . (Section 7044,Business and Professions Code). � � - P.DbFESS �� - - � . • � �4 Q;J�"'id U CONSTRIiC'TION LENDING AGENCY �- � CITY - . . � .�7EL NO��,r�.�$� . . . -Q&� O�$iB �� �l��hereby a[firm that[here is a cunstructiun lending�agency �, CONTRACTOfi � ���� for the per4ormance nP 1he wurk for. - ch�this permit �s . � �`�" :.' �-" � � � ��-� - . issued(Sec.3097,C1�.C.). � � ��. Lender's Name ��' �' ADDRES 1����-h"'1` �.. .. . � a. .... k : .. . ..� . � : . . 1 �c'i• iiv' _ � � . Lender'sAddress_ : CIT � � - TELNO.� �•# 1 I cer[ify that I Bave read YhSs uppLicatloo.and sCa4e�that�Elie S� a6ove information.is cotrect.[agree to comply with al]County � LICE 8E Nfl. - C ASS�- .. � . . ..` �i, �ordipunces�a�d$tnfe lav✓s regulatinE ff4ating.Ventilating and � j - �� . � � �� Av Cond�tioning,an ��rehq authori�e representntives of this � ��SEE REVERS6�FOR EXYLANATORY Lp�'IGUAGF'��� . � �. . .... i��� iuniy to er'�� n�the above-mentfnneE propetly for, . . . � . . � . � � - � � �v zc un ,os` � . . . . � _Signature of P mi[tc � Dat�� .,. _ . ,. �� .. . . . , � . . � .. t � - . . . . . . . . .. .j . _ . . � . . ' ' . . . . . . � . . ' . . I , . _ _ , - --_. __.._ _ _ _ - , --.__- - - - � _ ,_ _ __ _. ,. ,r-_�-- .,-- ___.. _ �,., E ___ ,. � � , . . ��.��� . �,... � ��� �,. �.. .._� ,�IKISPECTOH'SNOTES �. . �� . -� ' , , QWNER-BUILpER DECLARATION , � � � r .r'� {. k '�. {, 1 n (�+� 1 � ' � _ � ? f heeebya�fir�h�tli3��afin exempt hds�i"'Ehe�bntractoc'e - ' � � � � � - � � - � License Law for the foliowing�teason(Secrian 7031.5. � �, ,�. . . . � . ... . . . . . _ � . Business and Professinns Code/: Any ciry or eount�/ ; � $ � � ' r i� (�'� t . . which requrrei-,a permir.ro constrt/ct, aTter, rmprove, � . }!1 �, _�,�: •. ., ! , . . . � _ demo�ishp,�r�g ppir i�y`f(rtecJure,prior to-{(a,tssuance, . ' � . � •.,�- � �.� . , also�equeres��Ihe'�QpPlrcant-�for auch.Perniff'to�ji�e a � ,. ��-,_, � . , �� , . � . � � � . . �� segned srerement ikrrt he rs liceresed pursuant to the . . - .. ... . . . provisions oj ihe Coritra2tor's.Lleense Law/Chepter 9 � -•a (commencing with Sec[ion 7000/ of Division 3 oj the� � � � i.,•:��: � . . . . , . - . � . , Busrness und Prajessions Code)-or that he is exempt � _ • � _ � � . . � � therefrom and rhe baris far the alleged exemption.Any , ��,�' . - violation aj Section 703L5 by any applicarst for a permit '" ' - � ... ��� �. . � � subjects fhe npplic6ni to a civil pettalty oJnot more than . � . . - .. , � '.jrve hundred`dollRrs/SS00).: +„ . � � � �} � � � � - ! �,t�5�. � . - �.❑ 1,as oivner of•EtLe property witl du[tie�ork,and , �� f '� ' f� the stzuc[ure is not inten�ed or oPfered Por sale. `�. . f .t.� i.`t�� ' . . . � � . �/Sec. 7044,.Business and Professrons Code: The Con- _ i tractur's License�Law doei not�app7y.to an owner of . � . � � � �- properry who 6uilds or improves thereon,and wha does - � � �. � � y �, such work himselJ provided that n+ch improvemenrs ��. �. � . _ � .., .. v . .�i',�'�k•_. . - ' � j ar¢ not rntended or Ojfered for sale. If, howeve�, the , � . , ' . � � - � � burldrng or Nnprovement rs sofd wrtitin one yea� oj : . � - . � � � ' . . comple�ion, the owner�builder wi(! hnve the burden '� - , - � � � � of proving that he did +rot build or improve far the � . . . . . , _ ... 1��..� .. �- . __ .��., �, .� � , Purpo e;ofgalFt.l . � ...� �_ . , . - (��;>a�.awner of the pxope[iy,vn�exclusively con- � � ., � . .. � � � [,.dn ting withilipensed m��aefors to coAstiuc,t,the pruject ' �� . . . ... . - . �-rSectinrf��70�14,Buxiness and�rofesah.lrs Etidt::#'he Can-. . � , - � . � -tractor's License Law does not appfy to an owner oj ' � � . � � � - , - � � property�who bur(ds or improves thereon, and who �. - . � �- . � . . contrac�s for�such projectr with a contractor(s/licensed � � � � ' , . � � �� - - `,.,pursuant to ide Contractar's Lrcense LawJ. � .. � - :_�� �` �t ' . .. , . . . -..��� ~"- �.,,� . . � I am exempt under Sec. , B&P.C.for this reason ; _ , , � � , � a, t : - ... Date � .i,;,� n -,r, i .:_J _ . �,' Owner . . �, � � � �r"��� � . . , . - . . .r ,tti;� . , . - --- � � I . � .. . _ � . - . . . . . . . -. 3 ...,i , . �, �. � INSPECTOR'S NOTES - + � ��''. -- i � -> l.p�=r . . . .�..�.,, � . . . . . . � . � '�. �3':�1�.., . . .� 1'_. ._�.� � . , � . . �' �, a� t;(!... , .,� . . r, . - . { _- - . .. . , .._.. ....�. . . . - � .:�; . _ - ---- � � - � . . �� . , . . � � . � . � �\� .� :. � v _.j�,,.���.-. ".�.,r'� t 1 \,. ., ���., i � � . � � ,\) ,,'�- �