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HomeMy WebLinkAbout0956A __ -___ ....... .. ._.__._, . _ ._ ._.. , -.. .., __ :.__.._. ...�..... .. . _ __ --.. .... . � _ - . . . . � - . ,�..in.--.�— . -._-.-.�.-•_._ _._-�_.,._._�...._.."_"" '__" � .WORKERS'COMPENSATION�DECLARA7'IC�P7 "� �easna � � �� �� � �� � �� � �- � �- � �� � ��� . _ � .. . . .. . _._,.... I hereby affirm-t(iat I��have a cert�ficate of�conse,nt�to self ` ceai�(z-aoj PPLIGATiON FOF2� �P`Ll]�vIBIPfG����i��ERN�"IT"` � ������ ' insure,or a cer4�&cate ot Workers Compensa[ion[nsurance,or � � , � a certified copy thereof(Sec�3800,Lab C.) � - - ' - - ��? .�-_�/.t.s'S,L�,�''i' ��� COUNTY.OP LOS ANGELES BUI LDING AND SAFETV Policy No. (;ompany� � � ' � I �'�' � , . . .... . ..., . ..... . .., - ._,'�4k�'sd< FOR APPLICANTTb FILL IN(PRINTO�R TYPE)� � BUILDING. Certified copy is herebY ` ` " ' ,, .. . aooRess 1136 Diamone Bar Plv�. Certified copy is fited�ith[he co uil 'ng i etion NUMBER FIXTURE OR I'fEM • FEE -- ---��---� �- -�—• ��. department. WqTERCLOSET LOCAUTV vj_qn;�nQ' ^aYe Date Applicant - r�� NEAREST � ��� � � - �� , BATHTUB CROSSST. �YaP.Cz �.'.:. �.. . .. .CLRTIFIC,ATE OF EXEr�TI N FROA�1 WORKERS' � -- -�--�•-� . COMPENSATTON IISSURAt7CE-`-`���-'����"� �� � SHOWER� OWNER �l.1kJF..�'rl CO. � . � . �. . . . ..... ......... . . ,. �.,�... . . ' . MAI L . . :. . . ..�.. . . .. _ . (This section need not be completed�if the��droik involved LAVATORV i p2G� qpoRESs "'`- - by the�permif is foc one hundred doliars ($100) oc lessJ ... ............ . . .:. .:- .. . ..,... --- :.� :. '•-.. . :-: . � SINK CITV TEL.NO. S I cert�fy tHat in the performence�oP the work�fnr�vh�ch this DISHWASHER -�� " '� UO 'permit is issued,I shall not employ any person in any mannec CONTRqCTOR i�0�1t?Yi. L, �i2171S071� IZ1C. � sti as to become subject to�the Workers'Compensation Laws. CLOTHES WASHER � � ' Da[e- �Applican[ � � P.ODRESS 3p'7- Vermont � '1 JO. �� � '�" :,,,;„;,,„,,,,-;,.��_.w,,.w SWIMMING POOL RECEPTOR i - . ._. ,�.,:>>_...,.r � + (.lc�ncora ___....^_.. . � NOTICE�Tb 4PPL��'A�T�Yt;"after meking[fiis Cerhi�cate of�"�' CITY TEI..NO. � � � Ezemptian, you Should become subject to the Workers' LAWN SPRINKI.ER SYSTEM � �- ---��--- -���------� a Coinpensation provisions of[he Labor Code,you musf forth- � STATE ?p�q3�"� LIC. �.,.�� � tivith comply with such provisions br this permit shall be Wf1TER HEATER LICENSE NO. __.CLAS$_,,,_, _ deemed re oked - GAS SVSTEM OUTLETS �ISTRICT NO. � � PRO ESSED BV �" osLICENSEDCONTR4�T"6RSbF,C�(RSTTb"17��`��'" ��'" OUTLETSDVER �{rl ,���_�/ I hereby affiim�[hat C�um licensed under�provisions oF Chapter 5 PER SVSTEM ' 9 (commencing with Section 7000)of Division 3 of the Busi- � FINAL � VALIDATION ness an[YProfessi���s�Code.'an�iiny license is in full force and � DATE ��[� �7�} effeck., j ; I oS f � ' �j �n FINAL License Numpe Lic.Clas.L� �� BY Contractor D1t� � l am e empt from the licensing requirements as I am a Plan Check fee licensed architect or a registered professional engineer pLUMBING PERMIT ISSUING FEE$ ��acting in�my professional capacity (Section�7051";Eus--� C:� iness and Professions Code). . . . TOTAL FEE ,,r rf e!f� Lic.or Reg.No.��� .- � Date� � � � � plan check applicant . .. . . � � � ,. Name �095�hA � HOME OWNER=BUTI:YSER DI:CY:iIR'ATIOI7�""�"'�` , . . � . � . �. . ..'�: Address .. . I hereby-affirm�that"I�am`ezempt from the�Contractor's tt• s o s •5 License�Law��for the follo�aing reason (Section 7031.5.Busi- C�ty Tel,No. ) • •�[�rj O ness 5nd�Rofessions Code): � -���--����•--_. .. � I,as olvner of the property, am exclusively contracting ! � �2(�5 O x U with licensed contrnetors to construct the project ; (Sec[ion 7044,Business and PrOfessions Code). � 2 O(�y 8� � � . . ,-.._, .__... ...... ... .__._�..._.,.,._.._�_ ,........,.,-.., .._.....,.._....._..,..... ._..; , ..... . .........�........._.�..___ ... _.,.._..»_,.._.__.. _.... .._...._._..,. � CONSTRUC'CIONI,PN6T1�"G�AG$NL"1'""�� I herebY af�rm [hat 2hzre is�a construction]ending agency � � � � � � � � - � f�r the performance �f the w'ork for which this permit is issued(Sec.3097.Civ.C.). � � Lender's Name � � � � ._ . .. .-. . . .: ... �_�. .' � . . ": . '. _'.. _ _ . . . �. , .-_ l. ' . . . . . . ... - � _ . � ., .... ,: . . _ . ... ..'. _ .�-. ,.. . _ . .._. . -�._. ... . . . . . _ . �Lerider'sAAdress� , , - ,. . , ...'- - _ _ . . , _ , I �ertify tha have reu this application and state thut the �a ve infor 'on' orr c. agree to comply with aU County� .__ ,,,, ._„ „ ,._„._, , __,,.___ . „ , „ ,. ,, , or inances n S e I v gulating Plumbing, and herebl' S8E RtiVERSE FOR EXPLA1Vi1TORY�LRNG'U.AGE��� ' au o'�e re ive his County to enter upon the . a� e e e y 'nspection oses. . � �� . �Sign tu of Permi[tee Date � � �"""—.:..��iR""'�,........::�.erF......:.........:...�.,..:... _.;.._... . . , , AY'PROVALS AT II�.SP 0:75 GlJATURE� ., �`�SPECTCR'S NG ES �wNF9�e.•LiU3Y DER IDEC�,rRpS1S'I'ION UNDER SLAB iMCRK �� �__3 - �� . S . . ' . . . . . ..... . .. .,_ ..,. ... ... , _�. . , . , .,„.' m. _..u....._,..+... .....�,...�.... � ��= L l�ere�y aFCttm that.am exempt�osom the Conicactoi s FOUGFi PLUMBING ' � — . -L�cense LaK for G:,. Fo9,owieag Yexsan/S^ciion 70.31.5, GASPiP!NG . , , -.�..,,.� . . .. . . ... ..:. ..............__..,,..,.._......._,,.. _._,. � " Busin2s„ ar.d Professicns CodeJ: fi?ty rit;� or caun;y ` _ . cas'v=_tv:r -i .� :..: . r-�.- . .�, "� - . . . .. ...` . ' -.. ....::.."._ . ..... ::. :.. ..`....- . `whic'r, requires-c pemxi[ ro cortsrruct. a!rer. rmprove, HO�"WArER HEATER . � � . .. ......"_..,._._._. .. deH7oleSPr or.reparr any strucrrre.prior to.Ys issua�c?e, P�e.nnai^�G F1XTiiRES � ��ISO requ res ?he a��p:icont fcr suc:r pennia to�fe'a __+ ,���c�.,G�'�w .��. . .. ..-. , . , .. ... . sig�re� sJctement 2Fa:'h.e is licensed Au suanr ro t:re .c;:s resr i � provision� of the C��r.racror's License baw(Chapter 4 � ��—� �� � � - eomn�en.c:ng;v;th 3ection 7000 o Li��iaran 3 o rhe u?�urv co.No-riF�eo • . e ..„ ., ( - /. f ! _.. , .. . ,... . ' .... . ..._. .._..._.. .,._.�. .,_. . ._..:..�...�._.,,...._._�_.._.._._.. .,._: ' ._....- . � -. Rugine�c and`PYojecseors CodeJ ur�that he is exemr�r _.,.,.._ .__. ,�� , .. . � , . -� . „�,,,y--,—. , herefro n r�nd�he bas+s f�r the alleged exemptiorz Firey � . ��vr.�...�. mz�f& tifs �.� . ,.. ...... . VJ ... . Fi�vR� . .. � - - �� � - - - � �� � � v,afettm -1Section-��31.5�bya�rydp�Rcenrforapermi; �. . :.. '.' . . ." : . . . . su�uJects fhe ayolic¢rst Po a civi:p2�!�ItY�jrot more ti+aw. � -- . . .. . .... ._ -----.--__..._.._._..__:,_.—_.__..,.. .�_ 'iive huitdred dollars 1SSO�P1.: ._ . .. .. . .. _ . . . -- T,— ItV6Ufi'�R(AL ; .. . , � -. ,. ., . • . ASTE APPRQVF4L � . ---..__ �. � �O I,a5 Ow7'.e�O�[ile.px6p¢:ty A'III AO{ilE W07I4 9Pd .. , , _ . ..�.�-_� __ � - the st>acture�:s nat i�3+ertded er offered for sale. �� _ '.. �. '-. . .. ". . .. " . . _ . _..�.— �._.... . - (Sec. 703=a, Business and A•efessions Code: The Cor. . �, _. -. .. _. . . . - . .. ,.. .. _ _... ...... .. .. . . .. . .. - . . . , . � �� . .. _ ._ _ � � _ trac:qr's f,icer.se Law daes xot apply ro c:�owner oj � � ���� � � - �� � - ' ' �� � pxroperiy.who ou8ds or irnproc•e.:Ehereon,cnd wiro doe.�� - � � � � - � � - - � ` ��-�� .s�,�ch wc;k ?rirrse7f p;epided�tnat such improvesrenr,r ; � .,-:, -� - .;.,. � ,. �. . . . . . -..-.. . .. - .. . . �. ,. . '. ' .. . . . are r:o;inrendeci nr cf,.�ered,faz sale. IJ'. ho;r•e�er, tha . . �_, ......... . . ' � - �.c.., .__ ... . . . . . _ .. _ , . - ---�._.�_ ' , , :' . . ' � - , . . „ . . . , . - �buildfrig ar ;y:provemert s so/d withrn on2 1'ear of . . � ���_ ; � - car,epietion. the nwr.er-builder a�r�? huve the burden _ -. -�...:....:...........:.. . . � � � � �� �-� . �� � � � � ' . �" � - � of praytng tha7 he did nat burld or improc2 fov the .._._ ,.. .. . . .....�. �. ,. : puxpos ofsaie� � : . . . .. ... . . _.. _ ..... ,._..,.. � _ . . . . , . , _ . . . . . . .��,. .. ......,, ,.. _,........._.., ...�...,. � . . � ... , ,.....,. . � i airi exeinpt usider�ec.—�;—.—.__.a:___, ..,. . , ,.. .. . . . ,..,.-,,..,_,....,.... . . -.. - . . - S&P.C.?�or Eh;s r.asoii� . . ... . ISaie -. .. .. .. . Owner _—___ �.e.. nr1?On�a . ' .; ..: . . . . . . . � � IPISPFCTCR'S NOTES � . . . . - . . . . .. � . . , :�_ _ _ _ _u . ' .. . �T�'-�+--'�� -. _—_ .. . , ....�.,,......+ . . . .. . . _ ...,. . —Q..t�-.--Q-�.�� . ... . . . � ._ . . � .. ., . . , ., ., . - ... _ � . . . .. . . . ,.. . .....�,.,.< .:: ....... "fl' C5�. . _. . . —_'___ .... .. -. . .. .,�......:......_...:... . .. .. . � ... -__:....�. ....... ......... .: .......>� ..:.:eH.. , �.,.. f 9–��1 C i_---' ..._,._., ..... • , . _ . .,_ .-, ...,_,....� ,�,.._ .