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HomeMy WebLinkAbout0794A -- _ - ����..�. �;� , _.,;_ �., ,� �_ _ .< �.�;� � - �.�Y�;�;.���.�� -�-� �: .. _ �,� � V � µ' �,�,.,Q,h,.�F.NS-��'�4�`[DECL¢RATI01 - 76A663 �' � . - � ' .�-..- . - ��_ _ CE$05G f2801 O�. . I hereb -' f irm �.x"�, :'*",..�"" `�'-� "vtt�"�. . x },��. ��at I h�a�e�e�Tt;��,xe,,,.g�,�un5ent to setf �����:�TJtICAL4P�RMIT . . msure or a cerS�ficate ot Workers Com ensptwn Insurance,os "' by.C�ZUII�TYQF LOS ANGELES BUILDING ANp$pFETY . � - �.�. acertfiedp opy thereof(Sec 3800 LabPC.)"� --- ` '� ` � Y � `� ' '` � - i.�JC�ZI ` ; ` `. PolicY,,,hY,p� �a' �'C��n�},r-� r��YfG6#i = .= F.�J�.4PPLICQCiTTOFI'LL,1N �106 � ' "" ',.- ' :. � ❑ Certifiedco -� NRwf.�e5�dent�IBidgs.&Pools EACH NO. FEE AG7ORESS ��3f� ����C 7--�-� � . py�s here6y furnished. ��' :<.� , -. . � p. � _ �� .. . . . . 1&2 FamilY,$Q.Et, . $ — $_ LQCALITV G?�4..��. .. �. .. . . � �Ceztified copy is.fi��tvith the county bu�lding�nsDection ��wL family Sq.Ft ,,.�,,.__. — -NEARE T� � --�-�--�----� --�-- -- . �'- department. _Reside�ttal_.Swimming Pools CROSS ST� Q�r y7� �rX �- .• . �! _-� . OWNER OR��^-�_ ' . _ .. . - _�__Date�� �a ApPhcant . - ... .,, �.. q. FIFM NAMEt_�t '"� - - � puile2s ftec�Lght�Sw.� " MAIl """"''�""""' �-" . `""-- = ..- . . �,�,,y,�,�E TIFI �T�,_OE$XF�'�J,��.i��'ZtOry[WORKERS' .. . � First 2D.: ' �� �� -� ADDAESS.. .. ..- . . CO,�IP�.'�[�,�,7'IO[N_INSURANCE ,Total Na._.[.�_.__,. pdditional - CiTY - � ���-- -.�.- :,.G ' . . . . . - Tel No.� -� 7 � } Pl.AN CHECK` ' ` -"" ' � - -��� - G� � (Thyc secrign nee_d not be completed,�,�_t1t,g.�,}y.pfL�,,,involved - -qpp4��,4N7 p by [he p,e,�,.,is [oX,qPe_,6undred doflgrs_($100)oc less.) Lighnng Fixtums First 20�. '• C ..- I � - _.-.-.._ U. � .::,. �. ,,. . . .. _ Additional APQRESS � I ceitify thai in the` e Totaf No�_. � ._ , ,,. � aere�m. �,,.,p.Q�,614�,..�'-i.�.4i.which this- „�-< .:.... . . _ . . permit is.is6ued,��ha]Lpot employ any person in anc:mattner . Fixed AppljaRceS NoT Over 1 HP . . �CITV � � -- TeI.Na. ,_ . . so ag to pecome sub'ect o„ e_,4Vnrkers'Com ensatiAn.I,aws. _Range._Heater_D,W.__ ��� � . .:1.nS. k� ., . P PERMIT - .—'--� -.^-�`.-.-z- .. . . =° s U _:�_ .._ � .Oven . ... . APPLICANT f �•-J.� �y� -a .. „�� pryer�W.64,_,_ ADDRE55 -� � N ��Date _ A��hcant Top FAU _VU.N._ . - . . _�- ,-_ .. � .. - ,__ _ . � . .���'T�.�,z�O�APpLICA7vi.If,after mak ng thjs Certificate of �:HOod mFBn_.�„Other.-_ � �� CITY � -�� • Te�No�� �r� � - .� „-« Dis, ' Exem tion, �� P,.___Room Air Co�d._.- � �ICENSE R � r-=� ---- � � � p �ou should becRme,sub�,iect to. the Workers' �- -- - - - REG.NVMBER ` C s a Compensation_prov,45ipr�s,o�,theyabor Code,you musY forth power A Class : -�:with comply �tith such " � � pparatus&Large Appliances - � � . provisions or this;permit shalt be � DISTFiICT NO:- . PROCESSED.B'Y ...deemed revoked. � � � . � .Size&Type HP,KW,KVA,or KYAR � � _� _ Up to 1 IncL � . FINAL ' ."` ->"b ,,,,...,,�.,._.A,�-�,C�}�SED CONTRAC_T_9,AS..DECLARATION . - �•°"�"�"�--.�����iO��OIncL � _ DA7E � �� .-- -` .' .-� M�v..... ..<�-.Qye710S�.fi0lncl:�� -- � .- w�. ',�'.y.-.�`�Z VALIDATION .' � I hereb um ha a ' � ,----.. ---. ....Ya--�...._,.,��_J�„�ip.l�cepaed_underprovisionsofChapter � ..Over.50to.1001nc. FINAL � �- � 9..(coFulnencing with.Section 7000 0 ' �� "' -"""`r" � -: .� r ' ). 5���}3in�„9,,,of the_Hus� -.. p�r tOD B� ,n�ss apsj._Etofe&sions Code,and roy��cgn,se�s Fn 1Lll force�and -� � � - �Q Q,6�� - effect. �� --� - . � - �,/ Services License Number��l 7i�//T r ip. �8 �'�-� /Q. 0-200 Amp.Under 600 V .� a e;(p:y y �� ._. . � s�—^- _ - • 201-1000 Amp.Unde7:600 V- -- � - r . Contracto e /p�_"�1=,�� Ove�1000�Am - �� ��'� '��' �� '�T . .... _ ,p„o[,Qver fi00 V � ��� .x..�.<.�:sz���x�a„�BU��?ERD.ECLARATION. � ..; � . ::n ���'/--v� "`�" ' � Temp.Power.Pale&Appu[tenances. . 1 hereby affirm„thaS..,l_am exempt fco5n the Conlractor's S�gn tyijh QRe„BrdnCh Circuit - � Licensg�Law_fot the following reaso�] (Section 7031,5,�Busi- Rdditiqqal Si9r!„B/agCh�.Circuit5 � �ngss a'nd Professions Code): - - . -- - - - - - � - , ._�-,' � � 1,as.owner of.the. ro ert�, � . M�ig.CQnduits,.&�Conduclors - - - � � � _ -�- P P } �ill„do,the,.y.ork anA the Other(Sea Complete FeeSchedule)—. ___ struct�re..is not iatended oS,,,pffered for.sale-(Section . - -� -� 70441 Bus�e��yn�l,-,p�4fessions Code). � � --- . ' � �."-" . z-.,...� -: CQN3'IRU(�,T.fOY I,ENDWG AC#ENCY _-�re - � � _ I�hereby affk t at�[hefe,ls a conptrustion lending agency - ��� � -. -� _. _ foi the y,�fpc�aqce.,q�,.the_ywQrk_for whieh Ehis�pecmit is =• --� -- .' �� issune�d��(S�e�ci.3097,Crv.C.). � - _PFRMIT FEE - � (Sub-Total) � � �� �' �Cai1�Fe1��Y'� - . .. . � � PL/lN C�.-I_ECK�NG FEE .IQne-fourth Permit-Fee) - �� ,- _" � Lender's Address -�� - - - � .--_... �.:.�. . .... ...._._,.'.d<..._, __._._ _ ' . . . - . - ,P�R�IIT.d$SUING FEE�. _ .� .� .'. �:... . .I cert�fy that;I�av,e rg;+¢.t6is appliSation aqd�,state[hat.the TQTAL FEE [ � • � ' � - � ��RYQ,lnfgrq¢stioa,is cprrect.I agre&to compfY K°iYh all C9unt- . --�' - �-� • /�j � � - " " �. � � .__or�{lirtanFes and,State la�us regulating Electtical�-.wiring,��and ' - "-' '�"�-"" " ' � hereby authotize r'ep,�r�e,�atives.of.,this.County to enter upon _1he ahove-mentioned property for inspection pjuptiges, . �� -- -` _ - : _- ��� <��.' � - ���,� - ra'�a�:��—��.-;�..=e.• - - ' '�"�,o� . _ . �E.a�P*�'�TO,i�y.4APjGtiAGE� . 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