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No Permit Number (4)
_. _. _ _ , _ �.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 �SIGNATURE - . � - � � � _. � � � � �-- I horeby affirm ihat I u-n e npt irom!he Con?ractor's � _. . SEMP..4QWER POIE� � - � 1 - �� � License Ww for ihc follow�ny�re . � (Sectton 7J3t.5, _. . _�,.. .' . . . . ' . .. cso� �-._,. . � . .....,.. .. .. .. iJNDERSLAB WORK � Buslness and Professions Code):Any cify or cou�'ry wiich . � � ra7�(res a permit 10 constru<t,alter,:mprove,demolish, - � ROUGH COtdDUIT � " � ����- or�repafr�any sfrocture,prior.4o i4e issvar_o, e!so re- �. ... . . - � � �� �� -" � � -u/� � Gui�estheapplicaMforsutfipermittos'leas;gnedsfafe- - � W�RING � '����! �.2 G.a,���'`. . � . � . ,. ... menf ibat he is licensesl pursuanl'so tfie provisions of tl:e � ' � �� PIMURES � . � Confroctar's Lfcerse Law(CFapter�9(commencing with , _. .. . ....._- ,. . ...-: �^� - Secfion 700D)of Division 3 of Pha.Business and Profes- � ��� � POWER AUTHORRED . � sions CoCle)o�that he is exempt there4rom ond the basis � � � - �� � � � UTICITY CO.NOTIFIEb � � for the allegad exempiion. Any vio!aiwn of Section .... — —"' 7031.5 by any appficont for a permif subjecis tbe app:i- (� _.:.._ . . _.�_.. - � FiNA! (qf¢r oa�rorof � .��. canP ta a civll ponoffy of nvi mcre 7han five rondred -., . . .. . .. , . .. , ., , . ..:. ;..... � . . r � �dallars,($500).: . . . . � �NOTES � � . . .. . , . ... . ❑I,ns owner oi iha praperty wifl do the work,and � -..-- ---�-� �' �� ��•� "' '1 � � }he stroctore is not infendad or offered for safe. �^� , � �� - '� "� '�-^'°"^ �-^':��" -µ"--^.'- `^'-�-�� (Set.7044,Bu�lness and Professions Code: he Con.. . :... �.. _.,..,,.:. �. _ .. .. . .. .. ...., , .. . ' �" . _„,.,,_ .. . • ' � . � � �� ror's Lfcer.se Law does nof appfy to an ovmer pf property .., .. .:.. . ... . � ` � ... .-. -�. ,...�,. ,-.,.:_.:. ;..:� ..:..�::� . . �-:.�r- �i;i'xr ._._ ._9�?' .�..'N:4��=''+ ;.��-'�-- %"ho ba�lds a Improws thereon, cnd who does such . ..__... . . _.. . � . � - ., �_ -� . . � �� work fiims'elf p�ovide.d thal such improvemeMs cre no` .._ ..� . .._.... _ ".. . ��- � ���� �^-�°� -• -'-` ^ �'�'' '� ';�"'lnierided or offered for sale.li,however.+he buildir.g or :..��., t. ..._... ._.. . - . �� . . .. . _ . . � � -� � � � -� impreJetri=nt is sofd wifnin cne yabr of completion,the ��� -. �. �:,...,.4 . .:... ..:",� •,.` ..+� ..`°. 'r . .'� .�•�=-:'o'fdRer.bviide�wlll have the burtfen of praving fhai he did . . ... .. ... . . ... .. _ .� . . ..::.+.Y N._ �.".... ...4 E,.�.- . . . .. .. .. � � �-� - � � . � � "ltol�buiid orTmpiove for 4he�purpose af safo.j _ . . . -. m _....,, . . --a." . �w _... ... xu ss�.rss�.. c �r -.;. �:�� v �-�� .. ,. .:, � d S i am r�mpt vn er ec . , . ... �. �-..-.-,-.. „s,a.,. .+« , ,n_....e,s.ti�.a...... ....;:;�� �w�+ �+.w�r .�. .��..�se.�:".3� � �;� ,,.,wM.mc: � � .. - .. - . . . .. � . PB&P.C.�for ihis reason� . ,�...V � . .... . . . ,«.t:7�-t;K l"r.: �'irti��._,s�ls.��:.<.i,K,.$ 4�i�.ytx�,�&�..�.. .4i'r.' ,,«. �-.,�z a nar. �`".a�'�"1i7+��,-.u . . ...., �.�,ur��vw4�+.,.4 .N..::::..�`. . Y -n.,:.; .:.r?vnxT4T0.a3c ....Y.4"Y,+. � .�..f> . .- . . . . . . .. . � .._ .. .. �� .�. . � . ...... . ._ ...�, �e�iw.hv .�t�,m ��u+..w. .. ..... . .... . .. .. �. .. .._ .. 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