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HomeMy WebLinkAbout1590A 1591A _ ��__...--- -- ----- .. � - - ^ WORKERS'COMPENSAT�ON�DECLARATION � � �. � � �. . �� � � �� � � I hereby affirm tha�I have o certifico�e of consem lo seif � \APPLICATI4N ����FOR BU�ILDING �PERMIT � �� � ' insure,or a certificate of Workers'Compensation Insurance, � � or a cerrfied copy the�eof(Sec.3800,tab.C.) � COUNTY OF LOS ANGELES BUILDING AND SAFETY GoUcyNo. �3wc005—�a���16 NATIONWIDE �^� �] n�oaess 23545 E. Goldrush Drive Cer�ified copy�s hereby furnished. •�FOR APPLICANT TO FILL IN � � Cenified copy ie filed wi�h the coonty building Inspec• � BVit�iNG . lion department. ' A�DRE55 23545 E. Goldrush Drive � Date 6-30-87 Appliconr THE ANDEN GROUP C�tv DIAMO�ID BAR Ziv �ocntiTv CERTIFICATE OF EXEMPTION FRDM WORKER$'��� � ��� - � � NO.OF BtDGS. r�IEqRESi _ � � COMPENSATION INSURANCE� . SRE Of LOT NOW ON l07 � CRO55 ST. (This setlion need oot 6e complered if the permit�s for one TRdR �43435 BLOCK l0T NO. ]. � �ESSOR hundred dollors(5100)or lesz.) PMP BOOK VAGE PAR�I TEL. USE NE MF�P �/ I certify�hm�in the performante of,the work for which�h�s � owrlte THE ANDEN�GROUP � '-� No. 967— 41 � No. . �/—,3 �. permit is issued,I shall nal employ any person in any manner � .... q0oRE55 P.�. �BOX 3329 �' ��0 �ECIAt - . . - � O. so as to become subjec�to Ihe Workeri Compensalion laws. CONDITIONS cin COVINA zir 1722 v ���re � Applicant � �. . . . .. � . . . � ��Ti!'E TO APPLICANT: If, ailer making�fhis Certificote of ARCHiTECtOR iEl. DiSTRiCT GROUP ttPE FIRE PROCESSEDBY O � :K,.,. �, r, ENGiNEER DAVE SZANY AIA No. 445-4073 � . �a�T, - � � � .ir..�tion, you shauld bacome subject �o Ihe Workers' / .. ,�4Compensafion provisions of Ihe labor Code,you musf fonh- qDDRE55 J� . ��3 � � ,� � W �'-wtfi comply wifh such provisions or fhis permit shall be n.' iEL STATISTICAL ClAS51FICA710tJ APT. ONDO. ,. (n ,'deemad revoked. cor�teAcioR THE ANDEN GROUP No. r Z �� LICENSED WNTRAGTORS DECIARATION '�� - � -- � �i�,- C1A55 NO. -�� � DWEu.UnlitS �/ � �� I here6y affirm ihat I om litensed onde�provisions of Chopter 9 AD�RE55 AS ABOVE No. 1�0560 '' �. (commencing with Sec�ion 7000)of Division 3 oi the Bustness ond .. _ _._ . . . . . ��R�P, UC. . Professians Code,ond my license is in ful�forro and effect. Ciiv CLASS �� - BK � � VAtIOAT10N I �� 50.FT. NO.OF N0.OF CHECK licanseNumber510560 ���,Class B SIZE 1786 STORIE$ 1 fAMIUES 1 ONE - . � � VAIUATION; . :� Controctor THE ANDEN GROUP pa�e 6-30-87 DFSCRIPTIpN OF WORK NEW App t 89,000 �_1 �2 0 F� �Q 1 am exempt under Sac. GARAGE 445 SF ► e 6 . �. ALTER ❑ 3 '�` Ly . 7�� °2� . � B.flP.C.for this reason ' REPAIR ' � - � � • � USF OF � ❑ � °2 C/D.O 7 � Dafe: ' EXISTING 6LDG. ' DEMOI _ ...� Signalure � . � . . .. APPUCANT TEI. FiNAL . a °��'l�,C�i 7=. ' OWNER•BU�LDER DECIARATION VRINT THE NO. . DATE �j'z3`� � � ' � - -� 'I hereby affirm�ha�I am exempt Srom the Gontractor's lieense . _ �9� � —�7 �law for the following reason(Section 7031.5,Business and ADORE55 AS ABOVE � FINAL /J � -�iofessionsCode): " � � - � � - '� -� ,� � by 1� �• - BUIIDING � �,*-�•� 7,� I, as owner of 1he properly, or my employees wNh ADDRE55 . , , , ' . •t.,--��. wages os thelr sole compensation,will do the work and � �. , � � ihe struc�ure Is nm Intended or ofiered for sa�e(Sedion IOCnLirv � � 7044,B�sinass and Professions Code). ' " -� MOVING � � - iEl. , � � � � �� �9 � F��� , � I,os owner of the property,am exclusively comracting COra7RACTOR � ND. � , � e s with licensed eontroctors to construct tha pro�ect(Sec• qoDaE55 ' � � �'' ` • �- tion 7044,Business and Professione Code). �- - - - � . ' . REQUIRED tOTAL ETBA • ' � . CONSTRUCT�ON LENDING AGENCY � � 5ET enCK raeo NwY pROP.lWE wioTA - � � ���� � ��'��7'S� I hereby ofiirm�hat�hera is o construttion lending ogency for FRONT � ��. ... � . x ; ��he perfarmance of the work for which this permit is iesued R�. � . . � � ° °`*5%•������ (Se[.3097,C(v.C.). SIOE - � � lender's Nome CITIBANK P�. � _ . 0 9.1 1—8 7 v.e rsa s 290.07 Pa�mo Fe� 447.00 � �oe.w,aer.x . , tender'sAddress- 444 S. FLOWERLLA 90071 1�.5� � . � 1 certify that I hava read this opplica�ion and state thm ihe iswon<e Fee LDMA P/C M � . - pbove informmi is mrrett.I agree fo comply with all County Inveatigation fae � $ ord�nances a tata laws reloting to boilding construc�ion, , _ Toiol Fee 4 io�.w va��,,.M� � - � R and hereb a ori e�represantm�vas of this County to enter . upo •man roperty for inspecfio� urposes. � �A �•�5 $35 ' �Z SFE RfVERSF FOR EXPIANATORY I�NGUAGF . - Signotwe of Applicont or Agen1 poro .. . .. . '�, '. - . . , _. __ _ ___--._...---.__ -,----. ._ . _ ___..__._ ' PLANS TO APPLICANi INSPECTOR'S NOTES ,.•.C)�1'i1P:H.131�11.1)1?N bIlC1.AK�\'170t' . I hereby oi!i. �hni i am exemp�kr.n��he fnv�v.7c�'s , . , � .. � . . � � . . ...licen e��Law�lo �hc��follo q� �..-+so �Sr.c '7031.5) � io: ' { � Returned ', . , � . . . . . . . , .. . ' . ' � . �APP4rovod �Ii��s�nc�cnnrllrqlrscinns(.rxli..lnt'citlur.nunhiiLi./. _ No. Dafe Na. �� ��Dafe... . .. . . .. . .-..`-., � rcyuires¢prri i!1u�n�rst �t JR�r.iiii�.m � drnu,lirL. . . ....�r rcp¢ir uxy�struclurr.pri.r tn ri.dissi�.rucr,l dlsn rryui , , �.'. :�� ; ' . . . -. .. . � ., 7: �,, .. . . nerr r./il��a si,enrJ srat.•nn�x� ' n,,.,-, , �,..; . ,. ..,: .. , . ..,.. � .� i !G�u/,�,fi.rnr/nr such per . .. .. �� ... . , .. _ ... . �. .._ ... -- -- � ;..tGu:G�ttlkrns�•Jp��r,u�orr,�rGrpr�� .-���:,/r/�<�[:do,. ^i• _ . ,� . :ru.ior'�1.;�.•�r.rl.e���lClwprr.9lho�,��,en:;n,��rrrh5o<�- ��,. .. ... ._.. ._ .__.._-. - _ _--_- - .__.. ` .".�:.'- �5'__��_ _�� '- __..�_�."�. -. riun 70!lOJ.,/Uirid„n 3,�/rGellucir�r..cunJPrn/�-csl,�ns - __._ � " • :�.,'�.;. �_ �.� _.. _A'�..�,�.? .�� ,�: . ,. ., .(�, }1��� .�(:.„!r/nrthall�ica�enrrelbereJr neurtJtlrrhuris/nrfhe , . .. _, � t __-__ ' r u ,.. _ _ ..__.___. __ . . . . _. '"_ ' _ '' . ..__". _.-� - - � - .. . �. �!!�¢eJ exemf�nn..ilnv ri.�L:tiurs r/Jernars 7(�37.5 b�. . ., . , ..'. . .. . _. ., . �.��:...I qPprovola� ..- •'.�Roquirod.._ -"�pafeAR ceived ...�.-... . ... . .:�.. �. . .__ _ _'.:� ._ unr�pf�ianlfrrarrrnrsf c hl'•albr��f4<<rnrt,��u��il �. -- Yas No PPrv6ed � �. . .. . �prn�iti'nJ nor o�o��timrt/i 1 undr.�J ��Ilar�/SSf1pJ.y . � ' �- -- �� �� -'---- - ='-.-- -- -...__...-.: �... . • �.. . � , . , , . . -� - - ` ..., I,as owner of ihe p op.ny,or my e�nnloyrPs wiih Wo�er C�rt�f�ca�e ;'.�,?. . `\ ;,� .'.' . . .,. � . ...... . . ........ ...... _ . wages ns!hert sole co�e sa�on.will do ihe wo�V.and , . _.._�__: . ___.—... .... ... .. . . . . ... . :. ��-- -� -�� � - �- �� - � --� ' �� ' '' �the s��ruuure is nol infen ed or offered for sa�A(Sec;'70dsJ ' .., ;�� ,.. _ ,., �. Hcahh DePartmenl _._._ __. . . . . '�� � . ..-.-. -...-.---_.--__�- .: ....__.. _. �..... .. �._.:. ..IJr srneti und l -/c,siuris CuJ�•:.71ri�C�uh;��for's l.i�ense ----- - . ._. ._.-. . . �l.uiodors�not�,���,•�„,,n„���n����./proprrtr«�l..�RurLtx i. ..,;., ... ,.. � .� , Fi:aDePartment .. . .. . . . . .. . ..... �.-�.-- orimprnres t/�rrnn.unJ��! J��essa�b u�nri:binue!/.^ .. _ . , .-.��.- ._' ... . . .. �_. . .... �.,�. .:, �' . . � �tlrr uq� Lu o�n-�r��plr�le.c�.jr rJcJ-�1Lot su( r .. Grod � -- . . . �./�r�rements a� mnt infexd�d or ��/rred/nr s r � ,. - mg . ..,, . , (. �. , . .�.. .., ' �•�1 ' `'...;. ;� �� ;., ,. . .. .. � bnurrrr,thebraiLl�nXnrrmpr�renrrn�issuld�<�i!linunn� :.�. � ��� , � .. . .___ '. .�,... ........ }:� . � __ ...,._. .. _. _._ . ; . �.-•. Geologicol��. . . - .. . .,_�,eur �>f���Mn��•rr,,,,. u,�.,��.•„�.-nr,�r�r�r �rr!!Gm•<• tha• i , r. � burJrn n/prnrin,��hn!he./iA n.�1 Frsild nr imprnrr/nr . .. . . __.. _ .._.� ._. _ __ PedPsrr�on Pro�ecfion �: - � .. , �.- �.�.-. �� ����, .�.. . .` ." � . ". ' , �r ��r�,�f„�F r�� I '�,�aso�wnrrofihr. t mercl�s�velyron!•ac� - �ience��ConoPY) . - �-_ . .__._. .. . _. . __ . .._. �'ling w��th Ikensed conirocPto�s io<onstruci�he-proiecr�Ser. � ..__ __�_�-_ _. ._ .._._._ . .- __. "�... _ .-_ - . .--.. 704a)'l3usinrss and Prn(•.vidrn CoJ��:7Gr(.on�r,.<t�;>'s � Speclol�lnspection � .. -. ...- �� ,... .�.. .. . ' (Conc)I�dasanry!(Welding) � .�:� .�.� . .�. . . �.'_. .._ __.._: '�.t--_ . ____.. . �..'.: .'.... .'..�. ._.l,in•nse/,.n<•Jn<•sn��fap/�!7lnunnu;l�rlrfrroper7vu•hn � �huilJ.i�i.r impnirer lhercun.,�nJ u�bu���n�rads fnr si�;h '� lo�Drainaoe .. �'� '� . ., :.� _�..�. .. ..�- �'._ � � � fr.Jr�tru�it!a ianlractrr(�Jl�rnsrdpr�nu.nit fu 1be , . _.. . .'. .'_.:_._.._ �_ � _ . . . .... '. . . - � ....Cnnfra.-!nr's l,icenir I.au1. ' . �• - ,,I" ' i � Parking . . � .;___._'... .. _____ __... _ __ ... . �_ ._ . __' _ � ' .._ , _. . . ' � ❑ lamexe pi�und�a3ec. .B,BP.C.fo��fh�s , . . . _.._..._.____.. . _ _.. .. � �. . . � . .. . reason �' ' • .��.: : . . �.� .. .... . _._..._.__. . _ _ __ ... . . . . �ae _ . _ Ow _ _ _ _. . - , .. �._. _ _. � :,�� :: ��, i •. .. _ . . . � ' � . ._.'-'_-- i -' - - . . .. .. Approvals Oote InspeHor's Slgnatuw � , - � , - . - :INSPECTOR'S NOTES �- � Lom�ion- ,. ;� . . . .. . . . . . . . . (Setback B Yardsl � � . ..:. .. ..._ ._�... .. �� ' . , �'\-� Fo�ndnnons �' � ,�,.. . ,� ... . . . .. . � .. k � .._._____.. . .,.� . ; . � � . ..._ ____._ _. _... _.._.___ .�,.. �� �i. . Slab ' � . � .. . . . . . .. Frame �,� _ � . .. . . . . . - _ .. . � �. � : ,... . . . . , . Energy Insulaiion ,,. • 7 .�....; ..._: . �..:.._____.._.._ �.. ..�.�.. . ' , ., .. ., .�. . ,. I La�h:Drywdll- � ! _. __. .._ ____'_'__.__._.. _'_______.._..�. . . . . - i��e•�o� . � . ._. ....____ .. . . � .... -.... . .. . laih-Fatenor 7 ' . � ,�. �. . . . :.. .. . � -�� • .. . . _..___ _.. ___. ._._.. _ .. .. .' , . .. , , '�.' .._„ ' ,. ,��, "'� _' Ho�seNomhe.- :. ... __. ._.__'__.._ .___ .. _..__ .._ . .,. . , .� . � ... , , . . . � . , . .. ,�., ..., . �� , , . . Corren 8 Pos+ed .' , �--�� '-- �� . _ ,. final.. ._._. ..__.__ _ .�.� .. .__ . :..- . - , _. __...__ ...._ _ ..__. .__..-. _�_ ._� .,i. , Enier on Fran� ' ,. .� �. - . . �. . ... . . . . .. - _ . ' . .. - . . - . � �. ... , �. � . , , I� :�` . � . .. . .. ..., ,., . . . . ^\� ```,\! `.} _1`��, . �