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HomeMy WebLinkAboutNo Permit Number (5) WORKE(25'COM7ENSATIONDECIARATION 76A�63 10�81 pppL�CATiON �FOR ELECTRICAL PERMIT � I hereby offirm iho� I hove o certificaie of consen�to self �'�G �nsure,orb cemfcate o+Workeri Compensmion Insurance, COUNTY OF LOS ANGELES Rr1F1 I ING AND SAFETY or a certlfied copy�hereof(Sec.3800,Lab.C.) � Bld 9fLa�A-2 � a�y No. 054336 ComPany Wausau FOR A//l1GNT TO flll IN �oe Certified copy is hereby furnished. New Residen�iol 81dgs.8 Pools EACH NO. FEE ADDRESS ZO73A A—D E. Crest�Lane � Certified topy is filed wf�h 1he tounty b�ilding inspec- 1 8 2-Family,Sq.Ft. S — E LOCALITY _ tion department. Multi-fomily Sq.Ft, 457Q Q!{ — NEAREST CRO55 5T. 00��-28-87 Appliconl Berner Electric, I C ReSidenlial Swimming Pools OWNER Ok FIRM NAME The William Lyon Company CERTIFICATE OF EXEMPTIQN FROM WORKERS' Outle�s:Rec_Light_Sw._ �� 19 C t PZ COMPENSATION INSURAMCE Fir6i 20 ACDRE55 (Thls s�ctlon n«d mt 6.compl.i•d Ii�h.work levolwd by Torol No. Addiuonol ��TYN2W ort Beach CA ra�.N�. 833-3600 th�p�rmit Is for oe�hundr�d dollan(=100)or I�as.J ' PLAN CHECK 1 cernfy that in the performance of ihe work for which this AGGUCANT permit is issued,1 sholl nol employ ony per5on fn pny monner so as to become subject�o the Worke�i Compensotion Laws. Lighting Fi:tures First 2D ADDRE55 Total No. Addilional . _ �aie aPPiicanl - CITY Tel.No. NOTICE TO APPLICANT: If, after making this Cartificate of Fixed Appliances Not Over 1 HP PERMiT Exemptian, you should 6ecome subject to tha Workers' Range_Heater_D.W._ APVLICANT Berner Electric IfIC. Compensation provisions of�he labor Code,you must forth- Oven _Dryer _W.M._ ADDRESS �5 E t Ci n B V with comply wiih such provisions or this permit sholl be Top _FAU _W.N.— �, deemad revoked. Hood _Fan _O�her_ ��TY Corona CA J�7�9 Tel.No. 73(�-3�7� LICENSED CONTRACTORS DECIARATION uceNs�oR - Disp. _Room Air Cond. — '>Z2 Clms. �hareby affirm Ihot 1 om licensad�nder pro�isions of Chopter 9 REG.NUMBER�185 C�0 � .(commencing wiih Sxtion 7000)of Division 3 of the Business power Apparatus 8 Lorge Appliances DISTRICT NO. PROCESSE�BY d and Professions Code,and my license is in full forca ond effecL /1 , � � ✓ U Size 8 Type HP,KW,KVA,or KVAR d W . Li[ense Number 4a5322 Lic.Class C�� Up to 1 Ind. FINAL � Berner Elec. 9-28-87 Over 1 to 101nd. DATE "')7 /f p� Contractor Date (i �t O VAIIDATION F— ❑ Over 10 to 50 Incl. FINA Li1 I pm exempt under Sec. Over SO l0 100 Inc. BY �.. 8.8P.C.for this reason Ove�100 z �. po�e: Services,Swhd.,MCC 8 Panelboards ► 0-200 Amp.Under b00 V � �) S�gnalure 201-1000 Amp.Under 600 V �,' � Ezemption for Reg.MoiN.EIecL Over 1000 Amp.or Over 600 V SINGLE FAMILY Temp.Power Pole 8 Appurtenances r HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit `� 2 Q 2 A ,���1 hereby affirm thot 1 om exempl from Ihe Contracfor's License �,z ' �low for Ihe fallowing reoson(Settion 7031.5,Business und Addi�ional Sign Branch Circuits �f• • • • ', IPro(essions CodeJ: � I � 1 9 1,4 6 . ❑ I,os owner oi the propery,will do tha work and 7he Misc.Condvits&Condoctors . slruUure is not intended or offered for sale(Section ��her(See Complere Fee Schedule)_ , � • 1 0 1,4 6 r".: . ��� 7044,Business and Professions Code�. 1 a' 6_8 7 � CONSTRUCTION LENDING AGENCY �� ��hereby aHirm that there is a tonstruc�ion lend�ng agency for � he performonce of the work lor which ihis permil is issued PERMIT FEE [Subdoiol) . .Sec.3�97,Civ.C.). . � PIAN CHECKING FEE � ender's Nome . PERMIT ISSUING FEE 10 5 � ender's Address � �certiiy�hat I have�ead this applimrion and srote thot the TOTAL FEE 191 4 �bove information iz co�red.I agrae to tomply wiih oll CooMy rdinances and Stafe laws requloting Electriml wiring,and �. . - ereby avthorize represemetives of Ihis CouNy to enter upon - - �e above�memioned property for inspectian purposes. - SEE REVERSE FOR EXPLANATORY LANGUAGE � � `!"n.C11��.C'n.�n., .(� ��z8'Q7 Ignorure of Permitfee Dare . , ' � . . . � .�.�. . . : ` ' . . .. . .. �. . � . . �. . . . i . ..__. .._., .. ._._ ._ . .� .� � .� �. -- � ; . . .. ._.-...... ._. . � WNER-BUILDER dECLARATION � �. . , _, - , AFFROVALS DATE . SIGNATUFF.. ..� .. . . ' ___ . ._ ".� - � .� .. . - - , �� . � - � �� �� I hereby pffirm�hat I am ezempt from tho Controctor't � _ _.. _-_..__'_ .,. • � T'eM°.POV:FR POIE. . . . . . �� . . ��; ' , , � �Licanso Law for_tho following reason (Secfion 70JI.5, � -��-�-- - -�-� - �- UNDEFSLA9 YlCRK . - ' � � � � .- ,, 8usfness artd Pro/esslons CodeJr Any clty or muNy whlch � -------- - � - �-- -� � ROUGHCONDUR � I � _ _ � . ' ..-� ' � , , , �reqvkoiap mitroconsVu ,alfer,lmprove domolish. I or c� , ,-. . . , . __. . . . ..or repa r any sfructure,prlor to Its fssuonCe,�a so re- � ' �- -� �� LVIRMG-�-�-- - � qviroslheeppliconfforauchperm�ttoll(eosfgnedstafe- ._....._ ....._ � _ . FIXTURES . -. . � ' - � menf fho!he B Ucontedp�rsoant to fhc provlslons of/Be ' --- � — --- � � Comraclor'a Llcense lew(Chapler 9,(commencing wifh � � �� - .� � � FO'.':ERpUTHOF,IZED.. . -- - ��� � - � -- ' � '-�--� ' ' � ' � � Seciion 7000)ol Dfvl.�lon 3 0l!he 8ozlness pnd Proles- ; � � -- � ���� � � - - � slons Codef or}hat ho Is exempl lherelrom ond fhe 6osis UTI!IN CO.NO71FI'_D � � � ,�.,.for tho afleg3d exomption: Any vlolotion o7�SocNon _ _ . _� ----- . ._. _ FINA; c7 -- - - � - � � , 703I.5 6y ony applfmnf lor a permR sub(acts the appli� �`�,rd�r m� �iran( � can}}o a elvil penolly ol no�morv ihan flvo hundred .._ . - � - ---- - --..._ _ _^ . , '� � � 'JOTiS � � � . - -� ; doflors(S5�0f.: .. „,. _ ._----- -. - ....--..__.._- --'- - � . , .. _ �,. . .. , , - � �� - -�-0(,-as owner of tha propeny wdi do tha work,ond ' � ' ' ,�Iha strocture is nct in�endad or oNorod for sale. � � � � . - � �, ' .,_ � , _ . __ , . -. (Sec.J04<.BuslnvssandPro(oss�onsCode: ,iheCon�rac- � � - � � �tor's ilconse law does no�apply to an ownvr o1 property � . �� . � , , , , who 6ulfdc or'improvos Ibereon, end wbo does svch • � '� --- --- �-�-`--'---` - ' � �-- -- --- - " - wo-k hlmself provided fhaf zuch�Improvemenfs are nef � � . - � � � � -- -- �- ' � ' ' �' - � - mtmded or oNarod lor sofv.-11,however,•thv 6vllding or " "��� "� "�" � ""�"``����' ' ' � imptuvemaM!s sold wlfhfn-ooe yevr of complellon.fhe ; . . , � , � � � � owner-6Wlderwtllhavefhoburdonofprovinglha!hedid � � ' nof bW7d or improva for tho purpos3 of sale.) . � . ' --�---�-� ' -.- �� �� ._. .. � I om exempt under Svc. � . . � .._. . . __. .. - - . �. . _.__ .. . - --- � . . . _ . . .. . _ . .. ._ ._. . B&P.C.fcr this reason . � - . --. -__ - � . -� _ _Cate_ - � _ � . . � ., . _ � Owner . . , i . . ._ .. . _ ' . . . . . � ' - �. i . . . �� . ,. . ', �, . . � . . . ' '' � ' .. � . ' ,1.