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HomeMy WebLinkAbout1117A 1118A (5) Y 9 .. . �rr ,, . ... .._ .._... .._._...._._.�-"•._. .._ _......._.. ._._._.__...-._.____.. ...:....__....._..`___.,.._,_._. . _..._.�.'__'_'_' '__..""'_' orsarcertifedco�ficihereof Sea 3800,LobnRATION ....J 2J��::�*:�.;'--."... ' ,!.� ., �.' ...�• .�: ,. WORKERS'COMPENSATION�ECIA . ��. , . v=�...-H . . .. ...,_..'. ' _ .- � -� ^ - - - ' ' - . - . _ - I.hereb ffirm that�have a�e«,f��o,e of.�o�5e�,�o=e�f : APPLICATI�N��FOR�—BIJ.ILDING �PERMIT-�—����-� • ' � p salion Insurance, . ,.. . . . . . _ . . . .. .. . , `.73WC005-2�79-0004 Natiomai_cle 10/C COUNTY OF LOS ANGELES BUILDING ANO SAFETY ..::� ,...•� Policy No. . ... ompony � ' ' _ -. '._ . ' . ._. .__. _.. O Cerrified copy is hereby furnished.' ' . '� FOR APPLICANT TO FILL IN eu��o�NG � ADDRE55 704 N. Featherwnod I?rive �� Certified mpy is filed wirh rFi6 covnty bu�ld�ng inspeo- ��- gUILDMG tion departmem.� ' qooRE55 7 4� Fea 've ! . � -� .� �� �� . . _.. - - .. oa�e 6-19^86 aPPlicom '����IN c'�' dTv- -Diaimt]d Bar Z�P 91765 ` iov+urr Didit1o1x1 Bdr i , ' " CERTIFICATE OF EXEMPTION FROM WORKERS"'�''� �"� -"' ----'""-"�--"�`� " -'�"" -�NO.OF BLDGS.----�- --- --. nlea.aESL_ � � "` �COMPENSATION INSURANCE' ', "'� SiZE OF LOT NOW ON l0T CROSS ST. H1CJt1 KInI�,S�,GO�.CZP11 S�r11X�S ' (This�ieciion�need not be mmpleted if tha peimil�s fa.o„a ---- �----�--35761�-- �--�--�---�— -- �- � - -27--��--� Au�ssoR..,-,,: '���� � �-� ' hundred dollars(E100)ar less.) . .. . TRAR BLOCN tO�,N � MqP BOOK�� PAGE� PARCEL .. .. .. . .. . . ,,. .� .. __... owNea -�THE-ANDEN-GROUP _ —No-967-9541' "^^P ,. u zon,e /Z3-3 I cerlify that in Ihe periormonce of the woik,for which this ' �'+0• � -� ' y permit is issued,I sholl not employ any pe�son in any monner , �,--- 57ECini- � �- ���- - � - � -- � ���- 'd � so ds to 6emme sobject�o the Workero'Compen'sotion lows. - �� � � � �� ,V AODRE55 P.D.Box-3329-- Uvr� CONDITION$ , ... . .. ... , - 91 22 � . � . . , , .. . ._. ,.:, -- �- CITY_ _��71�.__�____ '__ZIP_.__.7_'_'__'.___'.I _._._.._.._.._ ...___ _ '..._. _. ._ ._. _...__ _ __.' . e ..... �APPlicont' . . . .... . 'OC ARCHITECi OR TEI. ..DISTRICT..._.GROUP� tYPE _ _ FIRE .PROCESSE�BY . �� TICE TO�APPLICANT:�If, after making�rhis Cerfificale of FNGWEER Dave Szariy AIA No. 445-4073 -- G � �mption,'yo� should betome s�bject to�the Workers' --"� y CONST: Comensa�ion rovisions of�he Lobor Code; ou most forth- 3�-4'N. F�.rSt; � ia. 1 J ,� _ � � � 'u� P P Y ADDRE55 . U_.__'/.1:3 .'.. ' ." . .�G. wlnc �omply wi�h�svch provisions or this permif shall be -�-- �vi deemed revoked. ��•..� , �., � �. �� .. �. _,. �� ��] � TE�• � STAiISTICAL CV+S_SIF1CATION � APT. CONDO. � i 2 CONTRAROR NO. ' _ _� ._-{��. _. . .. _ LICENSED CONTRACTORS DECLARATION��� �'�. -��� � � - - -- ��-�-� � �----�- �� - �- � M55 NO.����� DWELL UNITS i r -'.'-' l�C.- .. 1 hereby aKirm thot I am licensed under provisions of Chopter 9 AODRESS F1S 3270V2 r,o.371580 � " � (commencing with Section 7000J of Division 3 of ihe Bosiness and .....__ ���._ � ��R�P � � � -���� ''� Professions Code,and m �'cense is m full force and efiect. aiv CtqSS $ -- '---�" . - ' - " --- ---� -` � ' � . Y � �. , . BK. pG. . ..VAIIDATION LiCenSCNUmbe� 3715�n' .'. 'LIC.C�ass a. "' �.EFT.1446-- TORI�E$'"". .. F MIlOIE5--1"" �-CONEK , ' � . ':. : � . . . , . . . .. . ._VAWATION ' _.. ._ .. __. _ ���_�_�,7 A•�. I ....� �I�.'.ANDIN�GRI�LTP• '. 'G�1��$E .... � DESCRIPfIONOFWORK'-Sl le-family ..-.... N�,.._� 54,000 .. . ;;i Contractoi Dare Gara e 470 SF ------ Aoo � f �$e . e .Q� �I am exempt under Sea .._ ..---- - �...g_-'--.-'-.._..._._._._ ._ . __ ,;. . . -..... .__.:.: .. .. . � � . .. , ALTEF ❑ ' I °Z J�.� 6'.:� B.SP.C.for thts reason . . .. ---_-- _ gEpq�g a -S -- .._ '� - � .- .-j-- -- - �_ _- ._ .. _ .._ •__ :.___._ .Date:" .. _ • ' USE OP : � C 3��� IJ c=.� E%IS71NG BLDG. DEMOL ❑ � .. . _ __ �........ __..__ _ . _... ...__Signature .-.. ..� ..-'---... ..... ...��..'! --- - nPRiclNi ret. FINAL 0 Q�2—8 6.. OWNER-BUILDER�ECLARATION .._ . . PRINT NO. ...DATE-j.Z•�Z��.,�. . . .__ ...._. .._._,.. ._._'._.. " -I here6y affirm that I am e.empt 6om tha Conrroctor's licanse ,. ' �aw for the following feosan:(Sedion 7031.5, Business and ADDRE55 � �Ve flNAL ' ; ' ' ' ' ' i, )fessions Code)i ...._..-""'.'-. .-. - ''-'.. ._... _. .- PeESEnli . By ' . . . . . . .._.._. f�__ '.-.- BUILDIfJG _ ... . ._ . ._ '_._ _ _ .'_ -' �� �, as owner of fhepropeny, or my employees with ADORE55 ?� �����fi � _I' wages os rheir sole compensction,will do ihe work and � the strudure is not intended or offered(or sole(Section _ ����TM ` , '� ;� �[• o e •-.'�"'' ; .-.. -70a4,Business ond Profess�ons Coda).�- -.._ - --- nnOwNc ... ..--- --_ _ --.---.--- ieL. -.__.--- • -- - - - _... __ :. .. _. _;- — . . . CONTRACfOR NO. � � � � I,os owner of Ihe prope�ry,am exdusively confratting ; � °�3 b 0 0�'"� ' with-licensed-tontratlon to'consiroct the project(Sec---- - ".".."'_ ....--- - � --- -- -------- �--�' - - ------- '------.' ..-�-�---- --"--- - --. . ....-- - ADDRE55 � �'-•. ; - ^tion 704d,Business and Profeszions Code). ��' � '�����.•,-.�, " A 3 3 G p 0 c=i- � .RE�UIRED_. -TOiAI SEiBACK F XI�.� ... . . _ . '.. j�� -. � •. . .. ._ .. �CONSTRUCTION IENDING AGENCY' SE7 eACK YARo �YY PROP.LINE WI�TH ,y I hereby aifirm thot Ihere is a mnstruction lending agenty for fROrvT , •,`.-�� . '��`���`�_`:,. � - ' �Ihe performance af ihe work for which fhis permif is issued - - -��P.L:------ .-. -"-- -----'-- ' -- ----- -----' � -'--'----�-!'•�.i'� . .-.��- . '_ .. _.- - _ . �A ! '86 ' (Sec.3097,Civ.C.). SIDE �-- ' � ' .. . . . _ .. . _ .. ,"_'. _. ..�...._•"._ .._ '_' P.l. . ' _ _ __ _ _...___ '_ . __ '__.._ ..__ . ,.. . _. '�...' _ ". '. .�.__ ....__ ' . . . ... ... . ... . � lende�'s Nama �'nnt-i t�n}al Tl_l.i miS - V�. , , . . , � • ; �rnn a�r.a..' _..lt ,,:��::...� ; , . Lender's Address � 231' S.-LaSa1le,Chieago IL ' P.C.Fee S' . fj .�..." PermifFea' -'--32 � O' • ' ' '- '-' -'-•. � 0693 � ' � ..I certif that 1 have read this o licalion.and stare-that.the � . "�' � Y PP .. .' _.. '._._..... . ._.,. ._. - Issuonca Fre... -. . -. LDMA P/C N..........__ . . '. � abore informatio "s torrect.I agrea to mmply with oll County invesiigat�on Fee � ' � � _ordinontes a te.laws reloting to b�ilding constr�clion, To+al Pee---���� - � IpMA Perm,M�� - - � � .' ._"""_..__._ _. ....._.. . . .__ , __ . .._ __. . . ond hereb�l� ut rize represenlolives of this Coumy fo enrer � upon the m� oned properry for inspetlio purp ses. ' '-. _ . - - .. ._ . �j (� �j/ ..._.._. _ . . _--- -'--'-- -"_ ---_--.' ' . ,_._. .- -'... . _. . . ' -- . .. .. _ O 6 0�7 1 . SEE REVERSE FOR E%PUNATORY LANCUAGE � . ...._SignarureoFAppllcontorAgem _ __ ." _ Do�e '__ '._ . . ..' _ '__"" _. _" '. _. .._" _ ___ ' '-�._ __ ... " ��'_._' _ ' -._ . .."_" ' �'Q� " Q �O' , • � � ' S ��� � �T O � O ,c� '� •-G1" o �N �+ '^m 19' o- .O 7 ''�n - r (YO � Q- �� � p •,m Y O . �p O j�i+, f�9'� � � O 'AO =„ �V, � O . , r� �- � .��., C O� � � .o ` '. � • T "=� � ry o0 � .. t4 Q 3•�,` � � _ .. m co �n 1 �{O r '7 a � 3 O o � c0 ���: 0 0- � �, �- . 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