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HomeMy WebLinkAbout1153A 1154A . .. � . -�..i Il� .�._.... Y WOR�KERS' . _, . .__.._......--•----...._._.M._.. .__�_._._. _ .�_.. __,... __ ._...__ , ' . ,-. COMPENSATION�OECIARATION ::?.,�•. � . .�,,,, . ._._' ._ .. ...__._..;_...1;;__. .., .`._; .... --'- .-"_...-.- . _' �nsure,or a certifta ' , � .T ...w._-.-.-. .. '- - . .... I�hereb offir thot.l haveacerti(icate.of,consent�to�self APPLICATION�-FOR�,�BUILDI�NG�PERMIT � �� ' i te of Workers'Compensation Insurance, or o cer�iiied co rheieof(Sec.3800,Lob.�.1 . ,. .� _- - ' - '- ' -� -` � - -� - � . `"' . .' .. . � . -. _ - ... . � - � ._ _.._ . 734���15-279-Q004 Natwnwide• 60/C (.2 Car) COUNTY OF LOS ANGELES ! BUILDING AND SAFETY - � Colicy No. � Compony..-. _. . . _ .__. i.. .. ,.. _.... . .._ .___. . '. _.. . _-..� Cerlifiedcopy�isherebyfumished.�.'�•�,��� .�,`�t BUItDING ❑ . j FOR APPLICANT TO FILL IN A�DRESS �19 N. Feathexzaood Drive � �Certified copy is filed withlFie toonry'building insper -" BUaDtNG j�]. .k'p� Drive � . � �'fion department.`� � �� �•� A�DRESS� � Date '6�19^H6 ��APPlicant . ���IN.� �^ � CITY � ZIP ! iocnurv Dl� nd Bar � � -CERTIFICATE OF EXEMPTION FROM WORKERS'� "-�-- -- -'��"'-�-' � � -`"-----"-NO:OF BtDGS.� -----�-:--. NEARFST�� � � � - • : - �. S12E OF LOi NOW ON LOT � c,�oss si High Knob &��Golden�Springs� �� ��� �� '�- � 'COMPENSATION INSURANCE� � � � (Thfs section'need not be tompleted if iha permil is for ona �- -- -�-� �-3rJ�I 1.-- --- �-�-�-�--� ��-�----�� ---' nS5E550R. • ,. '" �� -, --�- � - � -hundred dollars(SI00)or less.). � . . TRACT`��w BIOCN l0T If�"�.�+� /�,�,qp gppg�" 7AGE PAR�L . . .,_ . �,,. . ... . .. . ., ._._ _'.. .'..'.'_... .. ._ .. TEL. _ - 967 9541' u55��ZONE rnnP 1 tertify that in the performance of the work for which this OWNER NO:- � �� � Z�-, �� , ��• � i� pe�mft is issoed,I sholl not employ any person in cny manner .._ .... qppRE55-p.� �C7X��3329--•- - � --�� 5ve[tnl �--� -- � -- - � �-�� --�� '.6, � so os to become iubject�o the Workers'Comp'ensmion Laws. - � � �v „ �� arr__ .COVli7d _Z1P 9�.'�2L {YT� CONDIT NS � , 10 __ '� ' � . ,,- .,. ____ . . .'_._"_- ___.____. ._.' '__�._. te � ' �,Appliconl ' � - . . �TICE TO APPIICANT:�If, ofrer moking rhis'Cerfificoie of ARCH1TECTODave S ATA TE�'�I�}rY4O�J3 -DISTRICL_ GROUP TYPE- . I FIRE_. . a20CES5ED8Y_�. ��0 I • ENGINEER � NO. � " - "1� mption; you should become sobjetl���o��the'Workers' '��--�- CONS � qZQNE . _ V Compensation provislons of the Labor Code,you must forth- qDDRE55 314�N. F']SSt Arcadia �91006 .___I� _. I���i r W � with�.comply.wi�h'such provisions oa:this permif sholl ba'-� � � � � �� � ���� � �� y deemed revoked. •'� :��,�: ' -.�,��.... L.. � � ��+ �� Ci�P TE�� ; STATISTICAL MSSIFICATION � APT. CONDO. �Z . .� .,�. , . � . . .• COMRACTOR NO. � .. _. .. � ._ _ _ _ / . LICENSED CONTRACTORSDECIARATION ..., .'.,. �'-'. ...-�- �---- .-. . ..._.. ...-' '---LiC. R/u NO. � �' DWEIL UNiTS �� I heieby of(frm that I om licensed unde�provisions of Chop�er 9 AWRE55 � �Ve No.371580� � (commericing with Section 7000)of Division 3 of tha Business and ���__ �R�P • " ' � ' . --'--- -�------_._..--`-`--------�--- �----- Professions Cade;ond my litense is in full forca and effect. atv � QA55B �� --���--'���--- -- ---- '--� --VpIIDATION- � „ . . . , , , .. �. . � :�.�.. . . SQ.FT. NO.OF_ ._.__. NO.OF_'.1'__ BK PG. . . .. . : _ ._._ �7S- ...CHECK � � . �. .�.�� � LicensaNumbeF �715R0'� Lit.Class' B' �' SizE STORIES FAMILIES ONE l . . ' � VAIUATION.---�. - - .,- . .,,,, z �. �7.IIE•ADIDIN GROiJP,.. . ,:,F7-�.9-HF) _.-._ DESCRIPTION OF WORK S11X�10 P�RI7.�.Y''-'_ Nfly'._.� _ _- _. ' ___. __�-1_C�'.,A . Conhac�or pote � • �� � . • ADD O S 86 080 � ' i� � ❑1 am eaempt under Sec. —--- -------GaY'd e-510-SE'...---------�— �-- �r • • •2�- ----- ' . .. ' �, . _. . . , . ..... . .... . . ALTER a ; . . � _. __.___ B.&P.C.for this reasan '__ _ REPAIR. Q -- ;�" -� '----'�:-��- �'-- . '�-"-'-�I ��'�'�'-�•� �- �' . __. '...._ . ..._"... ' ."'' '_Da1e: ' ' USE OF ' . , ' . -4 ,.. .. , ,. .._' E%ISiING 9LOG. DEMOL ❑ . . •_v���;�.-� ��:_,. APPLICANT TEL --.._..Signdture � '----._ - - ---'..- ------- � ' FINAL OWNER-BUILDER DECIARATION PRINT EN GROUP NO. �..DATE�z-ZO-��-..�. ...._._..�.._O�_��.'".�6___..: -�1 hereby offirm�hol�am exempt from the Contmclor's Licensa � �pqe - ' � ' low for ihe following readon'(Sedion 7031.5,Business and ADDRESS FINAL ' " " � ' . .'._.,` .. ' `. _ .-- ' fessions Code)c'-.__ __- - ---.- ..-.. - � aRe eN . , - By" ' - . .. . . BUILDING y�� ..,��. � �d�.+i �,.�} . . . i � I,as owner of the properly, or my empioyeee with, L�ln`'l , .. . ,, '" ___ ____ _ _ ,_ . _ _ _ _ ..� . _ .�' �._ �_. -= wages os their sole compensation,will do tha work and -` . ` '�. �. , ; :. � - , ••,. , , ,---'--- -- -_. ,.. . ._: �� � �11 A the strottore is not intended or of(ered(or sale Section �� � �•' - - � -��704C,Business and Professions Code). '`��`� MOVING � TEI."`':' � - �-� I,as owner of fhe property,am e*tlusively confracting CONTRACTOR rv0. ,�� . e � � " ..--wiih�icensed comractors to mnstruct the projecf(Seo-....._ ._._ .._.._. ..._._ .._.._..._......__..... ----... � ... ....�-�--- . � ._ ..._.._r._ _ _ .. .. - --, - -'--._..�. , � (.`C..\`. ..` lion 7044,Business end Professions Coda). ADDRE55 ' `��1 '� �11:..,.;;t ' -'"� ��- � CONSTRUCTION LENDING AGENCY"'"�' ��� - - - REouiaeo. -�ARp. �.. .iorai serancK M. . xi _ _ � ••��'�� ��. - � -� I �L&4,5�0�.�_ - - � � ' -- .... SET BACK PROP.lME WIDTH -�_. i�� � I hereby affirm�hat ihere is a tonstruction lending agency for FRONI � ��..,_;.t��,���'j. '�.,� � • � Q�Q j'�� ' '�.j.�. �--the performance of the workfor which this permil is issued - .-- --P.t:---- -'---'----- ----..._..'' '... .. . .' _."'_�. "_. .':_i ._. , ._;1 _ _ _ .. ___ '_ _ � _"__ . ($e[.3097,Civ.C.). SIDE ', � ' _ � _..__ . . _ _.. _ _ . .P.L .___ .... . . , •� ': . �. .... ,r_..��.i �.;� , .'..:,". .1 ' �8Cz Bb • - -- .__. __ __._...... .. _ _. r . ,: ., . : _... Lender's Name C�f1Y1�riPnta� Ty.].itY�1S �i ' 231-5. La5alle,Chieago IL P.c.F«a331"12 — ve,m��Fee--474.00 __.- _ mMnaer.x �. ., _ Lender's Address � � , � � • �� .... i . 1 certify-that I have read fhis applitation ond state ihat t e93.. .---....-- -.-. -_ .--- . 1S5Up1CpF«-�.O.SO.____'! LDAM P/Ck-. � ''-.��:--.'� - -- - -- --_: _ .__._. obove informati correct I agree to tomply with all County Inves�igauon Fee � I _ordinonte:a �a lows relating lo building conslructian, _ __..__ .. ._ � ' � " " ._._ ._..'_ __..__. . To�olFea._-__ _ _....___._ ' 'LDMAPerm.X'__.._.- _ '� �. .___ .. _'___.. ..__'_ ..... ... " and hereb a rize representatives of�hi:Covnry to enler � � � upon�h - tioned property for inspectigp�rposes. - : . _-- _ - --._. -. .- .----"' ' _ _ .. Q T.,/ - _ __� . _ -$75- -$35 --- - - r� a�o SEE REVERSE FOR EXPLANATORY�A:.:.JAGE ' ___-Signature o Applimnt or Agenr..�. . '-- - pata. _ -__. .. ._ _.___ ___-""_ __...- __ .____.._"� . _. __-_.-- _ _ .._ � ._.... •_I ... . ..___QQ i _ ~ - y� a . ` ' -T ..'s � L " Y• �_ � m 'W O' , O� �1^ . � �n =^m � �a �.'v 's '�(� � nv �W o � � � � q� O Q ' 7 �'. � ,N—, m � i° - � � F O t� p .� n ^ O ��n O � . � • o ��� � p 3 0 � . . 'n N G � O � 7 3 w: O -o . �� m � ,M , . 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