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Home My WebLink About1574A (9) . _ . _ _._.. .___ __ __ ..._ _ _.�.___. _ _ _ --; __ M. _ _ _ _. . �� . ._ ,_:�_ �_ �, f�,�' �: � � �� WORKERS'COMPEKfSATIONpECLARATION � 76A667A APPL�{rA�I�N�E-��C�� . �i I��J PC�IVIIT �� . � I he eby off�m`t�iat 1 have a t�rtificate o(cansent to self�n` ��'�b 6PW</87 "" � suYe ora cer7 f cate of Worke s�ompe sotion Insu�ance,or a ' �'g-��yR�0.�;-_-•-�--��-�-�� . - . --� . � �' .w� .._: � - ' -;. � : ceit f ed mpy ih ,�s� 3800 Cab�..C J - . : :.. - _ :.- �' 9 �`.�� -� ��_ ��^ � • ,� ��4u� RepubCic Incie�nnity COUN7Y QF L�S ANG�LES � �EPT.�P�LIC,tiNQ�RK�S� PoJicy No � -:Company� _, .. ._ _.;, .. ."-_ . _;�.. �.� ,...: .w...,�..-.. �....��_ _ - _,� .,�-.-,.. _,- ._. _'TRAC #�3`_b 6', l"-1 2 _. , , � Cert fiea copy�s hereby fom�slied. - ' ` ' � � �- � - � _. y iriSPE�ft�T��Cr�s OWNEii 6UILDER DECLARf4Tl�IV ' � _�_-_ _..�s.� m . APPROVA DAT9 INSPECT�T�� . . .. .... —•_.-_ .. �_�... ,._ . _ �_.�... ,._ �_...�.,....�.,,....-m...,��.,.�..e...,..-.....:,.,.�.�,.,.,.--,., .a.:-. .... UNDERSLABWDRK -�-� ('� - ' � . -� . � �.hBf9�y df�kfll 4�I8t � ei11�8k�,l,hpf ffOYR-ihC contracmrs. .--_-,:-: _-��__.�...�_._-_-�. _-�,,,x�.�, Lioense Law for the tol9owing rea�son(Sectiop 7031,5, r _ .:_ . ..,,.-,.�.,.,......�._. _. ' �- �oucH a�u�fsivc: ;_ �,: r: . " usiness an��Professions Code}. Any city or couniy GAs��Piy� ` ` a � �;� '"" wbich reqwres a permit to construcG alier; improve, «_ _ _.__ .,.,nm,,�.�..�.,� -�,,;:5:,,:�,�,. . -- - GAs vEN�:_._ �� , - -. �� - - - . - � - � -� �e"mo or repa`�r any sfructure,.,brror iQ rts i5suance, Hor wnTEa!tearea - � � :,- .'.-,.� rn��.�;,a�..,�.�,, a/so requires Jhe applicani iar such permit ro file a srgnetl sta�Er�h'�fit tlia`t fie is fioensed A��uanf t�the provisions , ALJdABiNGr1�XTURES - �� 01fhECOfltP8Cf0l;SGC2175BL8W(Ch8prBf9(C007lYIBRC%/IQ ..,.�:3�, .. ,,... -.._.. . ..___._....... - � - .,:.d.,,,Y..;w_,.... �ns T�sr �-^. "��L - ' WLL `'"Y w��ec ion"5��o�Div!'s`ion 3of the Business an,d Pro- __ " -- tessions Coa'e)or that he is exempt fhe�efrom and ths UTILITYCO,NOTIFlED _.. . .,. ._ _ _ _,.. _ _._. ._._.._._,.. ...,.,,..��µ.,�:.�:�. .,�_.�.�-...,. � � ..... . _ __.2.�_,, _ - .-...t-. basis tor the afleged ezemption.Any vioJation of Seqtion ��.s.�_.__..,.,.v _ ,,._. �,�_„ _: - ' 7031.5 4Y aRY aPPIlcani for a permit sabJects the aP1Ni- FINAL --._ .. . .__.. ,...:._ .._.._,..��-.�.-_�r.-�...r.�..�...+u-:a. -,,,asa�m�.>��.�:- . . _ _ CnEe�on�ront `�� - � ��a�crvil p2r�alty of not more ihart f�ve hun�'red_,.. , ._ _ _..-v,r.._-....a...., _..., dollars($500).. �_,__.d_ - - .,.. . .,_ ....,_.,,:_,.„,...,,.,.,.. : _�,�,�„, -- � . . . - ❑1 as ownar Of the f�P�Y will da tl9e work.sntl the .. �N��sTRiA�- �_-�_ ,. -:�- ' �._., - - - � _ — -- � structureisrptintendetlarofferedforsal� MIASTEAPPR�VRL � ., . . . .......... ........,.. ..-,�-_«�.�,k>..�,xr...+.:.*e��_,.. . ��., -..�-un�+a�. ,,.s-- �. .,..,. _,_ ..�<-.-�-._ �.�_�� (Sec:�b'44:'�asiness and�iess�ons Goiie�"ie` oL�`�fn iac'"""" .. -, , _ _ ' _ _� 4� �f�� -"` tor's License.�Maw does not_app1Y ta an owner oi property _ _„ ' ""�"�w�b�s or�mpiove�eieon,and who does soCh Work _; ; ,,. , ' himself p�ourded that suGh rmprovements are rrot intend- .,...m;,Mr_.�.b-_w,�..�„�,. _ _ _-. - "�°""`�"`�''�`�e or ofieretl for:sa(e. If,_however, the twifding or im- - ` _ �:.-_•. �� .,, ; . . `__44NY �� .,� provemant is sold wiihin one year of oomF7etion, the `""'o`�v"n�i buildei yil!have the burtlen of provmg that he did ' : ,w...�.,:.,__..�..,�>��.�,�.,:::: not builtl or rmprovs'for the pu ArAose of sale.) ., " '_ ,.;�, ww..,vx,:.� am axemp-under 8ec� , ,-�.,��:,.�.�.,,.. - - � , �,w ._a . � � _ B&.P C.ior this reason�`.. ""� �.�" _ . _ ,-___.,._K_�.� _...,�..:::�y �, .�,�;..�.. ��.�.,.K.�.x,�.�.,�.�.:�.�....,sia��,..Y:. _ .,_ _ ...� ..�y,�.:_F�.v ,.� - __ _ .�._�....P-�._ ..,, ,�,-.�:�5m ,�,,,�..� , > _ ,..,�,.m...��.,.� �.. ..,�-:��.,� . D�te __ .�,. _ _ �,.. _. - ,� ��.. `- _ _ _� __'�_.__� `�.,�;K_-r,..��.'�..z�..�..�;�..� Owner : � . ,:.�._,��.��,�,9��,..�- ,_. � -`. �,�. . . iN$PECTO�F?'S NOTES _ �.> ,._ ._ .: _: Y ..�.�.,. .: , _.._. .�_.. n. . .� ... a,......_-.� . ... _ _....,.b._��»,..�,�.. ._...� .... .. - ��s�� , _�.�r�.�a,-�.,.x��„�....�.�.�.,.,�;��:: - -__. _..