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1815A (10)
v ncKS C.OQ�P�NSAiIONpECL'YaRAT10N � 7�6A�7o�Hi .. A�PI rY�,AT�Q� ,�.,��� g�tj•WTR������'P�R��T � I hereby off m iho7-V h o ce hf<ate of coosenr ro ssif �4 4 VJ'�A . . ns�re, �f��e of Workers C mpensanon Insura�ce, ���COAJDIT?F�F 105 ANGELES BUILDING AND SAPETY or +# c tHer o c 38a00'pLa6���Ci) �n ` .. - �I���� C�o� dn�AA W��''^"r�W FOR APMKANT Td.ICL�M. � ' JOB"- . �1�r,'„G�. /�. �,�I�j . ❑ Y P . .' ' ':�EACH• Nl] FEE-�/ A�FSRE55 10.1 �Cj1�'7GV G Cen f�ed<opy.iz here6y fumrshed. New Res dentiai Bidgs &Pp LOCALITY .k��^t`. " ���i.&2 Fom�l� Ff. -.• _ $ . _ „ , . �� e i fied copy�is filed wirh t�e county bui4dmg Jn,spec Y��' - NEaREST,. � . � � . C — ondepartmenL � � - " �Mult✓famify:.Sq Ft .� CR45S57 . 8 r��-_1+��2 Cl 1���3��� Residential 9w mirtg Pools OWNER OR�"'�+.' �a�,.�--�,a if..��Q Dote L.SJ RJqPRI�cantL� . . �� ' / � FIRAA�NAME 1`C.1 . i 1✓!� u,��3�.. l �����CER7IFICATE-0FEXEMP710N FROM WORKERS' � � �Outlets.Rec-_.LL�ighl�5w� qo REuZ„((�� .��"1't'Y! �,. {t-"(,� �� �� COMPEM1dSAT10N HdStiRR.NCE�� �� � � � r First 20 (Thfs�se[}ibn naad.�nol�8 completed if ilie�work involrad,by ioraf No: � . Addifonal ..� � CIN�... �-Z� �Q;.'iel.N�-� � th��permit is fo�6ne hu�tl+ed dollars(5�100)'dr less�}� �� . � � �pw�v cH�CK � � '� - 1 cerr�fp-rhar m the�'performance of ihe��wor�C far whicM1��fhis '-� ' ` . � � -�AP�ticniuT .:- :�.,� � . permi�is�ssued,I sholl ndi emploq qny peison in any manner t� ���h �Fixlvre5 � First 20 -- - ADDRfSS �'� � � so as to become.subjec��o�he YVorkers'Compensouon Caws g. � 9 . . .. ... .. � Total No.�. Addaional ❑TY. � � TeL'Nd. . Date ' - �lpplimnb � � �� � � Fixed AppLances Not Over�1 HP � - � � pERMIT 'l' - NOiICE TO APPLICA'N7� ff, afrer making"ihis Ce�ifitate of ���Ran e_Heater_�D.W �� '� aPPtiCpniT���� �'�CiT/ �C. � . Exemp4on, you sViould become sublect�to the'Wo�kers' -- g — - � -- . Compensafion proviso s oP>fi�e'lobor Cad�;�y u mu1�-+orth Oven^Dryer _W.M._- � A�DRE55"���5� �� . �,- s witk�camply wi�h�suc6 pravisiorts or th�is permii sholF�be ioq —FAU, _�W.H.— . ��jY Y'}'. ��l�y�.. Te� N ��1...:.+. deemed e�oked..� ' �.� * ��r Hood _Fan _bihe.� � � 1'� [.J � - LICENSED COND2ACTOE�$pECtARATION :,� �� . .�UEENSE OR /j.I F�24,h � Clasn�-CQ- � i hereby off m ihat I am 1 censed de pcb is7o s oi Chapier 9 D sp Room A Cond. — -kEu.NUM6ER '-C Q L u (commen g w�ih Sechon 7Q00)of Di o.3�of ihe B..ness powe App atus&L rg .Appliances. DISTRICT NO y� �..PRO�SSED�BY �„- and Pro4esswns Code,and my licerts��s rn{u�I fwce a�td effed ��� . � ,,,/ �� � r 6 � �. G� Srze 8 Type MP,KW,KVA;or KVAR� , �{ . L U License Num6er ����""'����ir,Closs '�� . . . ����yp`to!lnd.� - � FIPIAI ` ..... .�. . . . .. . �Over 1 to l0.ind. . .. � DATE �./Q..�� � VALfDATION . � � Q �f 1-i� �1�L• :8�25-�3 dz' - � CoMratlw� Da�e Over 16.to�`A Ind. - � � ~ . .❑ .' - . , FINAL�� . ... .. :... -. W I am examp�under Sec. � � -� �� -Over$0 to!00 Inc. . BY � y B.&P.C.for this reason� � �.'. OveF 100 � . . � � , � � '_. �..►.. . . . . .. Z . . Seivites.Swbd:,MCC&PdnelbeaFds . . . . . . . .."."�.. . � . ... _ Datei �0 2W Amp.Under 600 V . - _ . . Signature. 201-1000 Amp:Unde(b00 U . . ._ . . ..... . . .. . '. . .. . � . . a.. . . � � .... . . , Over 1 WO AmP.Or Over 60`0 V.� . . .. . . . Exemption for Reg.Maint.Eleci. �"�- - � �� �- �-�1��1.u"fl��� - � SINGLE FAMILY � � � ...,Temp.Powee Role�B Apporfenances- � �. --- ' -'� . ,... �..-e:a.o• � HOME OWNER-BUILDER DECIARATION � Sign with OneB ancB evc�it � Phereby otFirm�l�at 1 am�exempt from�he CoMractoi's license .qdd�honol5ign 8mnch£ireurts. , � � �� - � - (�c����e�'F,'� "�. � Law for ihe follow"ing reason(Section 7031.5,Business and . � . � � � . . . - , � - ProfessionsCode�: � � . - . -� .� �� - " � a . �. � Misc Conduiis 8 Conductors � - �- . . � •�° ���,���S� 1,as o er oi�he property will do rhe,work pnd fbe ' . s+roct re �not i�Mended or offered�for sale�(Secfion Qther(See-Complete Fee Schedule)_ �� _ G�Q���?� . 7044;Business ond�Frofessions Code). � � . . , , ; , � � �CONS7RUCTION�LEN�ING AGENCY �� �� �� - -� �� " �- � �� � I hereby affirm Ihat there is o con� dion lend ng agenry-for - _.;.. � �� � . � the performance bf the woik�for�which-ihis�pe�mit is issued- `PERMIT FEE� � ) � � � -(Sob-Total}- � �� � � � � _ �- - � - � - -��-� - � (Sec.3097.Civ.C.).. . . � � . . . . . � , �- � . . - � . � . . . . . �PLAN GHECKlNG FEE . . � _ .. . .. �--� . . .... . - _ ... : . . _. . . Lendci s Nome . . . . . . . � �/f� � � ' � � � . � � � PFRMIT ISSUING FEE- .. . ,. . . /�,/ . .. . . . . . .. _. �.�.. Lender's Address � � � - � � - �- / � I certlfy thot I have reod ihGs applicntion and s�afe ihat the� . TOTAI F€E.-�.... ' ��,.._ ��� � �.�/. .. � ...� . . �. . . . . -. . . a6ove infwmafion is-carrect.I..agree ta comply with all Caunry . - � . . . . - � ordinances and Sraie iows regvloring Electimal wiring,and� . . _. . . . ... � . . �� . . ._ .. . _ ..... �.. hereby authorize represenlatives of this�Co�nry io enfer upon � . � � � � . . /fi�et o�hove me�tianed propeny for mspebtlon purposes�. SEE��REYERSE FOR fXPLANATORY:LANGUAGF - � [1��rt11:������� �3-�.5--�g3 ' _ - Signofure Of Permittee , . � Dote � - �� .. , . � . , . '� � . �,_. �, . }. . .. ,:�< _ _ ... , . , � . � ,F.: _, ,, ; ! .�, � ~;r API�ROV.ALS oAre _ � �� - .` oWN�a=9�1�oE�bE'c�a.�nx�ew� ' %� . . ., .. SIGNATUR� � . .. � . �ry5p i�}��pp�,E _ �� '^ �� . I hereby affirm tiBirt-I.am bzempt frotn tke�Coniroclor's ; , .- �.. . _. ,' _" , ,y . � . . . ', . ,. � .. .`�` ' ,"� �', � �,.'� :� liceriae�,�lr.�w for.the�following,reason (Secffon 7031:5,� �� �� - � UNDERStAB WOP,K a' .;- _ �. .�' Buslness and Professlons Code]:Any�city arsounty wfiich y.r� , � !,.� .�ROUGk4 CONQC�(l7 -.-: .-....- �_. - �_� , . ;,. <Sequkes.�Y-P��1t.tp canstruct.alYe,,.qnPrape,d�moltsh, � _ '� . � � or repdiv`any-3TrocYufe,priat to I(s Isivance,also re- WIRFNG � ' ,�-�' quiresJh�applitant�-forsuahpecm3to-fifeaaigned.sfate- PIXTqRES �'� ��� ... . � �� . memthathetaheentedp�nuant.tathaprovistonsoffhe �� ��-� � � � , ConlydckorS Llce�¢a.Law(Cfiopter 9(commencfng�wifh � .'� . "_ ; , .. . . �' � "' POWER AUTFOR17ER � �- "� - Sattlon'7000)of Dlpision 3 of iMe Business and.Rro€es- � � � . .. � �� '.. ; siods CodeJ or.thah.he is axempt therefrom pnd fhe basia�, .. � -- .,UTILINCO:�NOTIHED . � �, ' � , . � � for.J e all � . � h eged-etemption_,�Any��violafio� of Sedion ...-�.. . . . �FINA1 . r � �.. :�c� . ...... �� . . . . �'�_ 703'i,5by any oppllcant for b.�6armit subjetts the�appfi- �� � � Grtter ori�trohf ,. `. . � �- � � � . : . � cant io a Nvil penahy of not reore tkan ftve�hundred� � ... , NOTES � ' doI(ors(5500).� , . � ',{ ' . � i � � C]J as owner of t6e propeity will�do:the work,�and . , �..., ,_+ . .. . � � �� . i -�• , .} : . " . �; ,thaatrpGtVre�s not intensfed of offered fo�sole, �, � ��.`'��` � �:J .z 3 i:,� .,•<� '_.��'., ��.:. . - � � � . �� . �. ..�.: : . ��.. �, � (Sec..704L,�Business end Rtofess'ronS Code:.The�Cartfcoc � . . � � i' .. �. ,' °:x ; "` ' � ' �� �. � who ycettse Low doas�nof apply to�an�owner of property � `- ``' ��'' ° �� .� � � - uffds or improves ihereon, ond�who�doaa such , . .�. .. . .., _._. -.., ,. ' -� ' `�'� ' � - � - , - work fi7rr5s�lfprqV(dadi6ot such improv�inents�.oro rta�' '. ^'...' � . , ..:... . ... " �.,.. . . ... �.......`. .. .... ... `... . ... -'� . intonded or offerell for gale:-If,�however.fhe buildimgdr , . � '�. ��. �� � �� � . ,.. . ,.: . ��-��imprb4ementis3old'wifhin'oneyeaFoltompleilon;3he �� .'. . � , � � . . . - � �. � �,�� ' 'own�r$utldBrwillhevetheburtlenofproving#httNadld . � . . ���� ' . .. ��-.-. . -�� � ��' . . ' ,..:' ''� � n�fbuild or fmproJefo�tffe�purpose,of safe:J " . - . - .. ..- , . _y . _ . .. '. ,._ . : . . ... ' . ' . _ ' � ,� .� , h er Sec .t_:� . . . � . . -- . . . am.pa�er pM uatl ,_ � . .. , .��,... _::. . ._ . ._. . . .,- . .-. ..._._ : : B.&P.C.fAr}his[cason � � , .. . - . - ..__ ___... ... . . �_�. '. � � �....Date.. .. .�� � . . . . . . . . . Owber� .. .. . - .. � . . . . � .. � � , _ . . . . .�_. � ._..... . .. . �. ;: . . . � . _ . .. . . . . . „ . . . �� � �..