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HomeMy WebLinkAboutNo Permit Number _. _. _ _ , _ �.K,.�.�-.�s,,�P�. �.�,,. .�...�.,. ,,,�.. ��,,.�_�.,., �..K 4.., a. ,...: .__��,_.. � ,__ _ , I fiereb a ORmE ho�tClOhaPve aAcebN'Dp BL ok�/�ol�'�V�� 76A663 10i81 �� . . , � . ,� ��:,. �.� � ...,- . e�,,0 5e,t �E_e�� e4PPLICAT�bN FOtt ��.�`�i��t1C�l PE�tM1T _, . ., nsure,or a cert ficote of Workers'Compensai on�nsu�an�e, ' � � COUN7Y OF LOS ANGEL�eS ' � � ��� �� BUILDING AND SAFETY � � or'a certified copy thereot(Sec.3B00,Lob.C.) � � , . . '� � ' . .- . .. . � ... ..... "v .. a:. e �:s, 'M:?�'. ,..�.. '.. , '..:� 'S. ... �.,. y Y-fi'_' N .::.,.+ . . . �. . ......... . _. � . . �_ . P❑olicy No C'1 OQ� l�'nmpany TNA ...� FOR APPL1CdNT TO Flll ffd�._.... .,...�..._ ..... ,. JOB .. Certrfled co s hereb fumi5hed. EACH NO. FEE ADDRESS I,pt $ - � � � . PY� Y . ,_ New Residantial Bldgs.8 Pools . ..- . . ... . . �- g _�g . LOCALITY �� � Certified copy is Filed wirh the county building insper 1&2-Family,Sq.Ft. - 30"�4 _ ��� tion department. , �Mulii-family Sq.FL � CROSSSSL� - - �- � " ' � � Resideniial5wimmin Pools � � �� n --:.. . y OWNERO . _ . ._... .. .... ....�. oa+e $Ig�83 Applicant C M�(zee Electri�c �l;J. Brock & Sons. „.,,.. PIRM NAM ... .. ... .........., �,,..... ':�� CERTiFICATE-OF EXE1i6PT10N F�i�0IJ1�N'ORIT�E#S ,�p. ,..� � � ��MAtt � . � � COMPENSATION�IN5URANCE ' " � Ou7lets:Rec_Light_Sw..� 7.Fi98 Greenbna.r Ln. #224 ,. ADDRESS ...�..._, . ..,�. ._ .:... . .__.. Flrst 20 (This sectian need no1 be Completed if fhe work involved by� 4 Additional CITY Brea Tel.Nor�z�_8170 the permiT is for one hundred dellars(;100)or less.) Totol No. _ ....._ PLAN CHECK I ceriify that in the performonce of lhe work fo�which thls APPUCANT permit is issaed,I shall not employ ony persan in any monner ���� -���-������� ��������- ��....���:y,k�F� soas to become subject to}he Workers'Compensotion Laws. lighting Fixiures FirsY 20 ADDRE55 , ._..._ ._. .._...,....� ..:........, . �� Additional � � � � � - � � � . - - - Totol No. 1 .. �- CITY � Tel.No. Date � Applicant.. .,...„ ,. .. .. �-' PixedAppliancesNotOverlHP� � vERMiT ...�..... .......... .�.,.� •. y. .... �ID7ICE�TO APPL�CANT If after mak ng�rhis Certificate of aPPLICANT��C�� MCC F.l r rin �'"�'npfio , you��'sFould become sub�ec7 fo tMe Workers' � Ronge_Heoter._D.W.— a'�4.'—�-Q-J-t—� ....npensation�prov sions of�the Lobar Code,you most forth- Oven-_Dryer _W.M.— ADDRESS Z390.:S. ReS@YV01Y , with comply wdh such provisions or�this permit sholl be Top —FAU 1 W.H,—. CITY Poinona �� Tei.No627=6936"�� deemed revoked � Hood _Pan _Other_ ������ � ^�-�� � � -� - � .;vw,�-:. .. .. . : ���: LICENSEb���CONTR%{CTORSDECLA�A"II�N�"�' . g 5 �LiCENSEOR - I here6y affirm that I am I censed u de pro��sians of Chapter 9 Dlsp. —Room Air Cond. — REG Nl1MBER. �-S3$7H Class C-],Q (commenc ng with Sect on 7000)of D v s on 3 of�he Business DISTRICT NO'���� PROC SSED BY..��� and ProfessionsCode,ond my�license is m full force and effed. Power Apparalos&Large Appliances � � � �.S�37B �� C'-�.0 Size&Type HP,KW,KVA;br KVtLR` _ � License Num6er � � Lic C�ass � Up�0 1 IncL FINAL Controctor Electrical � pafe�8/83 � o�e�1 to 10 Incl. DATE f� ��_��� VALIDATION . � .. � a: ._ �_-. . _ . . Over 10 io 50 IncL . FINAL � I am ezempt under Sec. ��._ -�Over 50 to IOO lnc BY � - � B.&P.C.for this reoson�� � � - � � Over 100 ��� `'�""� cn �_ �.-...... - . .. . . � � � � Services,Swbd.,MCC&Panelboords ► � � - =�-�a- -�Da�el 0-200 Amp,tlnder 60b V ���' -� � � Siqnature - ����--��----�--.-.•-_.�.--�� 201-100D Amp.Under 600 V ❑�. . . � . .. . . ��"��� . " .. .. . . Over 1000AmP.or Over 600 V� Ezemption for Reg.MainL Ele<t. - � � � � SINGLE FAMITY ������ _,_,,,�,_,.w.,,_ iemp.Pvwer Pole 8 Appurtenpnces � HOME OWNER-BUILDER DECLdRAf101�7 Sign with One Bronch Circui4� . � n ;�'^�reby affirm�that I om xempt from ihe Contractor's License �� ��Y a,h r� v for rhe following reason(Secrion 7031.5, Business and Add tional Slgn Branch Circu'i�s �c ^ � �Yrofessions Codej: � " ° °' " °�� ❑ I,as owner oP the o en Misa Conduits 8 Conducfo s pr p y,will do�he werk ond the Other See Com lere Fee Schedule)_ �y' � � . � strudure is no�intended or offered for sale (Section � ( p ► � � 7D44,Business and Professions Code). -�� ���-����-- ��" � ' � � . :� �. . . ...,..,.......,......� � CONSTRUCTIbNl�Ntl7N'G`�AGENCY ' ��� .. I hereby aHirm ihat�he e s a.const oction lend g agency for - " ' "`"-� " � �-z�' � the performance of ihe work for which this permit is issued PERMIT FEE � � (Sub-To�al) �. . ..._... .. � . . (Sec:3097-Civ:C).� . . . ..._ . .... ... .. .. � � � - . PLANCHECKINGFEE� Lender's Name _�., ._._..._.<..,..... . � . . .. . 1� rJ� � . � � - � . � � � � . PERMIi ISSUING FEE� Lender's Address .-.... .-.,....-.---�.----•. . � I cenify thot I have read rhis,appliwtion and state that�he TOTAL FEE ,., � w . 1,39.11 ......_. ..,. ... obove i.nformation is corre<i.I ogree to comply with all Counry ordin6nces and State laws.regulating Electriwl wiring,and � - hereby ih�rize��representatives of ihis County to enter�pon � � �� � � � �� ihe o 've. ioned property far inspe<tion p�rposes. � ��� . „ ... ...,.... ..::..�. ..,��...�.� :� ..�...... . .-:::��.... . ...:: _.,., . ,, SEE�REVERSE-FOR�XPLANdYOkG'LA`NGCYA���� � -i � ./���� . . . .. . ... . . . � gnaru're of 7erminee ��$ at'�-e, - .� � � � ! . . .. .....:._. k , :>,�,.. �.r�...,�:,,. „ ..:...:,:�. .rr ��.��e�,�a.:+';�� ,< <""',s��.'.�"^^�„"�,,,�.s;,.er,f��'%".�` �£>�:.:n�'�' ��+„"�<�4""5�"7 ,�f . �''"- . . �..:m...,... .. � `�", ..'. . - .. :.. . .,...: .. .. .. ,.. . .....- . , . � . ...:. . . . �� . �OWNER-BUILDER D°CLAP.ATION . .. P.PPROVALS � - � DATE �SI�GN�ATURE � �� ...� . .. . - . � - � � � _. � � � � �-- I horeby affirm ihat I ur e npt irom!he Con?ractor's � _. . SEMP..4QWER POLE� � - � 1 - �� � License Low for ihe follow�ng�re ., n (Sec?ton 7J31.5, _. . _�,.. .' . . . . ' . .. c o �-._,. . � . .....,.. .. .. .. iJNDERSLAB WORK � Business and Professions Code):Any cify ar cou�'ry wiich . � � raq�tres a permtt 2o constru<t,alter,improve,demolish, - � ROUGH COtdDUIT � " � ����- or�repafr�any sfrocture,prior.4o i4e issvar_o, c!so re- � � ' � �� .� /� qui�extfieapplicaMfersutfipermittoi"Ieas;gnedsfaPe- . ... _ - . W�RING .... -'' ��g��/, �� G�a,��G-,e.. . � , .. �' menf ibat he is licensesl pursuanl'so tfie provis�ons of tl:e � ' � � ���� PIMURES � . � Confroctar's Lfcerse Law(CFapter�9(commencing wilh r -' ...-: ' ` ,':�.�:".. � �^� - Secfion 700D)of Division 3 of Pha.Business and Profes- � ��� � POWER AUTHORRED . � sions Code)o�that he is exempt there4rom ond the basis � � � - �� � - � UTICITY CO.NOTIFIED � � for the allegad exempiion. Any vio!aiwn of Section .... — —'- 7031.5 by any appficont for a permif subjecis tbe app.i- (� . _.:.._ . . ._.�_.. - � PiNA! (qf¢r oa�rorol � .��. canP ta a civll ponalfy of nvt mcre fhan five rondred -., . . .. . .. , . .. , .. , . . -. ;..... .. . . r �dallars,($500).: . . . . � NOTES � � . . .. . . ... . ❑I,ns owner oi tha praperiy wifl do ihe work,and � - "� " � � ihe strocfore is not infenqad or offered for safe. � �� ,...� .. .- . ,,� . � �� - � '� "� "�-^'7"^ � ^^��-���- (Set.7044,Builness and Professions Code: i he Con.. .- :... � _._,...�.. �. _ .. .. . .. . : ....:R.., , _.,z.!-. , . _„,.,,,. . �,�.. . • ' . � � � �� ror's Lfcer.se Law does nof appfy to an ovmer qf property �.,,.. .:.. . .., � - � ... .... -�. _,_..�,. ..,_.:_.:. .t..:� ......�::� . .,.,..;�,� �i;i'^s ._._ ...'Y:=.�" .�.'N;¢�:� F _._-��- Who bu�lds a Improws fhereon, cnd who does such .___.. . „ . _.. . � . - � - ., -_ -� . . � �� work fiims'elf p�ovide.d thal such improvemeMs cre no` .._ ..� . .._.... _ ".. . ��- � ���� �^-�° -• '-'-` �'�'' '� n';�"'lnierided or offered for sale.li,however,+he buildir.g or _ . ..:..... t.. ..._... ._.. . - . �� . . .. . _ . . � � -� � � � -� impreJetri=nt is sofd wifnin cne yabr of completion,the . �..�. -. �. �:,...,.4 . .:... .,:",� . •,.` ..,� ..`°. �a- � .. '� �.�•���-.'o'fdfier.bviide�wlll have the burtfen of praving fhai he did . ,. ... . . ._ .. _ . .. . .. . , ...:.:..a u,_ -.�.._. ..v c,�...- . . . . . � � �-� � � . � � "ltof�buiid orTmpiove for 4he�purpose af safo.j - . . -� m__.._.,. . . . --a." . v _... .�. xu ss�:rys�.. c _.. �` .. .��.;. :�� v �-�� . ,. i am rgmpt vnder Sec , . ... �. .,-..-.-,-.. „s,a.,. .+« , ,n_...n�s.ti�.a..,..�. ....;::. ,�Nw:�r. �m.�. .�. :��.N-�e.�.� � �;� .,,,wM.,a. � � .. �� - � . .. - PB&P.C.�for ihis reason� . ,"..V T . ... . . . ...:, ..n,ur�:.vw4.+.,.a .N..::::..�`. . Y -n.,:.; :.r?ve;r�^4T0.a#cu,e.Y.:!"7;x ....Yr,j��,+, x... � . �'irbdv4'�"._,�"s�`�'�6.'�:_i.,'�w,.$ 4�;-.y3x�,&�.a, ,:i'r.' t,�z rr, nar'm�fZ�:-i�.d�`�'�3�;�,_.>� � _. ., ..�..«. �.,�.. ,� ."'- _ . - . " - >, .,_._, _.__. _. _.._�,_ �.-.�».�,' , . ,: ,wm•,�.,�: .�w; . C� ._,., b..w. �) . . .... ,:..,,.. . .,,, .., Date .... .. . .--- = �— . 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