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1054A 1055A
. ,. .PY .-..f ., ..P ' . ._.__ ---"- ... . �._ " —'-'-.._.. .,..___.........-.'. -'-.. _.... _._ _. .__.. ._. .�WORKERS'COMPENSATION DECLARATION 7--�• - • . -- `--�-. - � --�-- � I I hereby affvrn�hot I hove a certificate�of�o�,e��,o se�f — — ��APPLICATIO�N -FOR BUILDING--PERMIT -� � � insore,or a cer�ificate of Workers'Com ensa�ion Insurance, or a cerlified co ihereof Sec.3800,Lob:C. ��'�"- " - - -- - � - - - - - � - • . � •• ' ' • COUNTY OF LOS ANGELES '. BUILDING�AND SAFETY Polic,7r33"?�OQ5=279=@�n;, Nationcaide' 60 A (3 car) - O •Certified copy�s hereby Furnished. . � FOR APPIICANT TO FILL IN BUIl01NG V � ADDRE55 8SH N. Feathei'tat�Od D 1V2 � ' Certified cop'y is filed�wifhlhe county'building inspet- --� BUILDING ' _ , , j 'tion deparfinenl." ' - •� � ADDRE$$ , , . . ., . ,, .,.` :... �i`.,.,,��.�' ,..,; � ; . ..��� ....__. . . _ . ..... � oote_6--19-86 ,nPpucam „441F: ANni�nl.rR(1iTP --- cim D1�iqOlY3 B�r---- ziv 9I765_._.._._ �ocaurr D1.a�o0I1C1 Bc-�T j . i �� "� CERTIfICATE OF EXEMPTION fROM WORKERS'�•�'� --- � --------- --���- -- --- NO.Oc BtDGS.��- �� �- ����� - rvEqREST_. � ' -- - - - . . '-'- ' -�COMPENSATION INSURANCE'-' .`�" SIZE OF l0T NOW ON tOi CRO55 ST.Hl �1 KT37I,�.Q�GQZ(�pSl S r S . ;..., , .�,�r:. (This seUion need not be complefed if 1he permit h for one --�� � 3rj7 --- --_---..-.- . ...---.-.- ...---- ASSESSOR .,. -�- -- - �� • .. . hundred dollors(E100)or Iess.J: , „ TRA B�� �oT MAP BOOK� '' PAGE� 7ARCEl � ... . � ; . - - owNea--� ANDIN-GFd7LTP- --No967-9541-' , � � - U ZONE MAP ,,' � �t I certify that in the.performonce of ihe work for whic6��fhis � � Np. �.Z�J�3Y - -� :�. permil i's iisued,I sholl not emplay d'ny person in ony manner ^ SaEGnt�----- _.-.. - _._. . G, so'as to become subject�o�he Worken'Compeniation Laws. -� -" ' -"- - �� CAN�ITIONS � �v ADDRESS P,O.�BOX 3329 � � . ._ ...._. .. . .. � ,. Covina z�a_ 91722 -- .- _.-. __-_.. , .. . . .. � e� . .��.�....Applicant � �..'. ,�, _. CITY :OL _ �iKE i0 APPLICANT! If, ofler moking this Certifitafa of ARCHITERORDdVE S TE�'4Q DISTRICT _ .GROUP TYPE _ 'FIRE .PROCESSED�BY. � ENG�NEER �Y� No. 5-4073 .� Smption; you'should betome�sub�ece�to 1he�-�Workers' - CONST-- ZONE .{, Compensa�ion provisions of fha lobor Code,you.must(orth- pDDRE55 3].Q jQ. F'� t Arcadia _�_(O__ .�{3 �•� :� � � �W wfth tomply with such�provisions or,Ihis�permit shall 6e .. TE� - � � � � 'y � deemed revoked...,�.,..�..•,, . .,.�,, , ,�,,,..� . �,„ 'j'�jE.�]DE�1 GRQjJp • n �TION '' APT. CONDO. � Z ' CONiRACTOR � STATIS CAL QHSS�FIC LICENSED CONTRAC70R5 DECIARAT10N ;� �� .- . .__..,_._ .. _ . _ _ . . . ���. -_� '--CU15S NO. ��� � DWEtt�UNiTS �/ � � � � I hereby affirm�hat I am licensed under provisions of Chapter 9 ADORESS As abov e . No. 3 7 1 5 8 0 - � (tommencing with Seclion 7000)of Division 3 of Ihe Business and ��� SEWER MAP • � � ,- � '... ._..___. . _'_ .._. . . Professioni Code,and my litense is in full force and effecl. Cltt � pq�� B ��� - . .. _ ___. _ _........_ _. _ ._. ' .. .�:. . . . .. .... � � �� , . ,� . . � ' � � SQ.FT. NO.OF NO.OF CHECN BK. PG. • , VA LIDATION ' ,. . L7censeNurobe�'' 3715H� , `lic:Clais' B . °`' size 5 STORIES - FAMIlIES 1 -- oNe ' :. . ..:: . ....._,. � Con�rattor Z� ADIDE6I GRCWP"oate '''6 19�$6 - --'' DESCRIPTION OF WORK--.5�. �-e'f�([�� "' ' NEW"� . T�ON _ _ _..' _'._ ,_'_" "' '._.. . . � . . Garage . 674 SF n�R o VALUA `� O Jr ll A�_. -. _ s 87>680 , , _.___ ❑I am e:empt under Sea _.._. . ._.. ._.....-.-- -. -.-._-,-'-.-., , , ... .� . .. „_,. .., ..-- - . _ ' ' B.BP.C.forthisreoson _._ REPA�R � _ s.........---. .—i.' ...-; ' --. .'-......h.�-• •�►-2 - . __...._... ..... . _ ._ Date: --__- ..., �_ USEOF i ... ;.. . ___ �.,., � EX�STING BtDG. D a ❑ , EM � ._.. _._ . . _ _.. .. .. Slgflatufe . . .. _ . _.. ._.._..." _ ' ' APPLICANT�,i �IN � TFL. . � 3 69�---: FlNAL ' 3� OWNER-BUILDER DECLARATION PRIM NO. � ' -. DATE�-IZ Z ••-. "-".:�.�... .�.,e •J�J ll,b a v--� ---' -- -- - - -- - -- - --- ._, . .._ _ . . � ere y a irm t at I am ezempf rom I e Contmctor's License j�$ �pVe ,,. . : '�w for the following.reason(Secflon 7031.5,Bvsiness ond A�oRESS FINAL��� '"" �•- • ., fessions Code�:... ._.. . .,_ _... ..__........... . ..-_.. PeE eNi - Ey- �-�' -- � .. � _ ' �.0$��2 ' 86 BUitDING � I, os owner of Ihe propeny, or my employees wilh ADDRE55 , � � � � , i� wages as their dole compenwtion,will do Ihe wark�and . ... - - . . . � . . . . . 1he strocture is nof intended or offered for sole(Seclion ����TY � ' , � I , . , � -'- 7044,-Business and Professions Code).-- -- - '- � -- - MOVING..- - . .. -.. _.__.._ 'TEL.. ........... . .. _. _. . ._ I_. _ . ' . . � I,CS Owne1 of Ihe ro eff om exC�uSivB� COnfrOtfin CONTRACTOR NO. � : fi � ; P P Y, v s � , �.......1055A - -wilh-litemed comractors fo construct the p�oject(Seo- -- - ...' - -- ---.-. -- .-.. _------- -, ._. _.. ..... . ._ _ . _. _.__. ___.._. ADDRE55 tion 70<4,Business and Professions Code). � •,�", � .�� � k� � . . � � ' -"'.... REQUIRED. TOiAL SEiBACK FR M'_'. XI T._, '��' ���`±.���'� �, -�--CONSTRUCTION LENDING AGENCY--'""--" � � SET eAIX YARD� MWY� " PROP.IINE WI�TH � -" '- -- - -�-'.-.� .- � . ,- . ._ ' '_._ __-'_� 1 I hereby affirm Ihat there is a mnstroction�ending agenty for fkONT • �� � •u 8 9,0 D .� -the performance of Iha work for which�his permit is issoed �- - --v.t.- "•� •?�"•�� , ' ... . ..'-. .--- - - ----'— --- -. _._..--- - - .. ._ .. .. ._ _.. � ($et.3097,Civ.C.�. SIDE . . � ,,., . ° •4 S 9.0 0� ' . .... ._.._ ._._..COI1t1DPS1�C1L-IL�.ITYJIS __ .-. . P.L. . . _ � "".__...... .___'_._ _ -7! "t%�F��� J O , Lender's Name - "� .. �� - �' i .� . 6 . 231 S IaSalle Chica ._ r.c.F«a334.F)�J ' P _..._ IDMA Ref.N ,1 • ����.�_r: . $22 '8 �,mn F��-- ; Lander'sAddress_ • � �-II+ 478:50 '- ' -.— , _Lcertify that I h reod Ihfs applicatfon and stale IhoGG1693 _ .. .. ---_- . _-. –. i„�a„�,F«._-1 -�-� �onu aie k. , -- ' �. . ' .� � ____._ . _ . - '---- – , obove inform ' n' torrect.I a ree to com I with oll Coun �'' - � 9 P Y �Y invesrigarion Pee ; ��, ordinontes d �e lows relating to building construction, To+al Fea- ---- �pp,�q p�,,,�,-;y__.__._. ' ' '"' �" � ' ---.. .. '. ' . ----�--��-- -. - , and here ou ize representatives of this County lo enter � �- -- -�-- �, - � --� - � upon -m �oned property for inspection urposes. - ;� ..... . .. .,_. _ (/ -- -- - - Ln}.{Q- - $75. _- - - $35 - O TE�1(EVERSE Ww eX►IANATORY IANGU/CG! � � SignoWre o1 Applicant w Agenf ... _ . . � _,. . . . ... . Q� "__ � . - . " " are. . _. ___' ' ' __ ' � . . _._ ..__ ". '."- . _ . ._ . . ._ _.. . ' __ ...._ . . . � . . .. , � . • . � . . . �. ' ' .. . . _ - , �..• . . . m T r m T (n �n r � � (/� :�v._ � Gl. = S. .o . , __ ." _ '_ 0 ,,p co O � C S T N O O � rJ R � � O W j'a. p: O CJ p � 3 � � �o p � ., „ �o a — ;c� o � :Rm I �p '.�° m o 0o y � o ^ o co ; �' � � T �n i . 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