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HomeMy WebLinkAbout1240A 1666A (6) ,.� .. _ ... . .. . ... . , _. _.,.. � WORKERS'COMPENSATION"Y3ECLAI2F1710N���� _ � � � � �� I hereby affirm rhat I Move o te rificote of consent ro sell /► insure,o�a certifica�e of Workers Compensaiion Insuronce," � �- /"OPPUCATION���OR��COMB(NATION�SWIII�lIII�II�G POd�L�����T��V������ ���� o.a ceri°ied mcy Ihereof(Sec.38C0.Lab.C.) 7. . . � . . . . .. .. .: .. , ' � GE7 e i:e'; ._� . .. Po�icy rvo company COUNTY bF LOS'ANGELES BUILDING�1ND SAFETY �� Cerffied copy is herebY fu nished . . .. . .... .,. _ .>....,.-,:,�., , .,w.....: ...,,..,,;. ,�,y,w., ,,...�^ :,, . ....•::�..� aBUII.DING _ Certif�ed copy is 4iled with!he coonty building inspec- FOR APPIICANT TO FILI 4N noDRE55 �-�- �y � �`-e`'�� w� tion deparfmnnt. , BUILDING C ��� AODRE55' IOCAIiTY Da�e Applicant . NEAREST . COMPENSQTION INSrJhANCE R� ���� aiv � Qy1(� � zia �� f Ce055 ST. � � CERTIFICATE�OFEXE'(J�PTfON F{tOfv1 Ci�lb12YZE , ,,.. , SizE OF qSSESSpR . � � TRACT� LOT l0T NO. �Z MAP BOOK PAGE PARCEL . ... .�.. . ....... ..... � . (This seition need no4�be completed if the permit is for one� 7E�. ! uSe zoNe r,nnv ,.. �.�hundred dollors�(5100)or leas.) OwNeR' ?.� =(,.�NO. J- 12,.^:j No. l r . 3 ��� �I certify�hot�.n ihe performonce of the work for which this� Z SPECIAL _ permit is issued,I sholl not employ any person in any mnnner� ADDRESS - � � ���-JU COND�TION$ ,_, ....... so as to become su6jecf fo t kers'Compenso�ion Laws. ^�. DISTRI�'f STATISTICAI CCA55��-�� � T�'PE � � vROCESSED BY� �"� CITY S� ZIP �� )U CLA$S NO. . . CQNST. / �.�ate� �� ��pPlimn� r��, ARCHITECT O . . .. . . � TEL T �„. r� -)�. (�7,i NOiICE TO APP ICANT: 14, after ma ng Ihis Cer�ificate of ENGWFER N�� � Exempt�on, you should become wbject ro the Workers' l �� � D • VALUATION - � Compensation prvvisions�of ihe Lobor Code,you�must torih- ADURESS ,�/ VqLIDATION winc �omply with such provisions ar ihis permir sholl be �ONTRA�iOR ,NQ_� W3� s deemed revoked. LICENSED CONTRAC70RS DECLARATION-�������� �� ���' G'S . � � AD�RE55� � N�� Pp'r'T � I hereby aff��m ihat I am licensed u der provisions of Chap'er 9 ��C. / S L y� �,(commenc g with Section 7000)of D vision 3 of the B s�ness CITV �� f �1�r ��—CLASS {4 5�. �O `j ��.U'� ond P fzss'o�s Code a d y I cense s in full force and effecf. DESCRiPTION OF WORK � ��l, . +1C � �'� FINAL fl�.�:., �'1f' o�m a�'s'Z�'. License Numbe��� � r ^' Lic.Class=a,� SWIMMING POOL ��-y DATE —'-��t � a � COa� $""�y� e � 'Z SPA� L� FINAL — i � �%C37Sy U I a m e em� � �.� � � Contrac��.-� . . SQ..t. . BV F ':�. �.. ..._,_ ° "��:�.J/'J- _ � x pt under Sec. SIZE " � '� �-� \ --__...---�"� O s ar.c.to�,h�s,eoso� eiecrRica� �,�-�•-J � �v �.��, -.i 9 W 1��7 � .. Dare: �( i .��� !l '_� �- Si nature Steel 8 Conduit Bonding �—�r � - 6 5.6 r� � 9 Conduits,Conduclars,Equipmem t '�I � � z . . . .�.. �� � SINGLE FAMILY� � ��_m�g a �,3 HOMEOWNER-BUILDERDECLARATIbN���� ����� - PLUMBING I hereby afsvm thot I am exempt from the Contracio(s license . �X l�. ,jU i(v . '. � -i..J�,�(�' Low for+he following reason fSec�ion 703L5. Bus�ness and P_T�aP ���'�tl; � Profess ons�Codel.�� Gas System . ;� � � � �+ � 1uG50� I,as owner of iha properry,will do the plumbing and Aml-Syphon U y �,,��7 , plecrrical work.I,or my employees wilh woges as ihe!r sole compensatioq or o Iicensed coniroclor will do all MECHANICAL . �. � . � other work ond the s�ructure is nol intended or oNered � � � for sole(Sed�ion 7D4d$8P Code). Swimming Pool H`he�a�e,,r.C � � � � CONSiRUCTION LENDING�AGENCV���� �� � �� . `�'TR,�-'� ��Qi� � I hereby affirm 7hot fhe�a is a construcrion lending ogency for A7PLICANi . � TEL� � the performonce ot th¢y Hork for which this permit is issued (PRIM) _ �F hl0 � . � , (Sec.3097,L'ip:�.A l�� � ���� �� 9/��/J� �v ���j/� Lender's Nome— ,.,..._...,_ ADDRE55 Z���f�/77Y e/ • l!/G��'�+ Lender's Address , p.0 Fee S Permu fee r� . I certlfy thot I hove reod Ihis opplimtlon and sta�e Iho��he above informa��on is correct.I agree ro comply with alI County Issua�<e Fee 1a �� ord�nances anti Sia!e laws reiming ro buiiding, electricol. . mechanicol and piumbing construciion,and hereby authorize Im.esngarion Fee � � - (� repre n�atives f .his County to en�e� upon !he above- io�olFee J , . ��ent prope ty o Inspecflon purp�ses. � �.� r S 19 S� _ _ .. s�9�m,.e cf aPofc���o.q9e�i oa+c �� SEE�NE4ERSE FdR�€XPC"AIiA125RQ�lAP�t,1�S��E���-��� .�r.+�,.��a�..�.�. - ----- —a' . . .. ...«...,. ,. ��- .�".�PCANS�TO�APPLGbN7.�..-... ' � . .".. �.. "..INSPEGTOR'S�NOTES.� ....... . . . . r ...--.......----- . �. . . - '..�.`—... .'��+•:•,:"'....'.'�.�.• OWNER-BUILDER DEClARA710N � .. .. .---...---.-...•�-.....-m^�-u,�.=..-..:.....:-.I hereby affirm�haf I am exempi from thz Con^racfor's To: . Returned . . Llcense Law for :he following reason (Sec. 7031..5 -- Approved � . .--........... ......._,..,_ ,...:....,,_..,.,,,...,,,gusinessondProlessionsCode Anycity ��r�counry�which �No. Dote No. Date �. � . requires a permit ro mnsfrucL oller,Improve,demolis6. . -. • . . ._ _ . .. :-... _.• � - ..�.c .:-1=�or srru<+vre, or ro rts issuancc, alzo re- . . .. -....- ��-•.��, repair any pri '� � � � - � � � quires the appli<aot!or such permit�0 4ile a sigr.ed state- '� - .� � • � - . �' ' '���-� �����"'ry �Q�•+� ��--'"�-""���� �� meni thaf he is ficensed pursuant fo fhe provisions ollhe � � � � Contrattor's License Low(Chapfer 9)(commencing with . �. - �. -,-�.:� �..���-��:�^-��,��µ.•�. .:-�::.-Sec/ion 7000)of Division 3 of�he Business and Profes- —_ � sions Code)or ihat be rs exempt therefrom and ihe basis . . . . ..- .._. _..._._..__ ........._. _:._..._,., . �::'__.��__,_,,..,,,,,..._,.,.,.,.,,,,,.�,,..t.,„,R,,,,,;,,,,,�„ �: w,.,_,„,.�,y for.fhe.alleged exempiion. Any violaTion cf:5ection ' I - i � � 7031.5 by ony applicont!or a pe�mit subjects fha appli. � INSPECTION DATE� INSPECTOR � ~ __ . - �� � � �� .,�� cant to a ciyil penalty o�not more than fivs Mundred LL�CATION ' r/i ,. � . . � � . doll❑r:(5500).): i _ ..., � ,. -� � �� � - � ��---� - m:•�.,:, ❑I,as owner of ihe property,or my employees wlih STEE:B FORMS � � - � - woges as iheir so!e compensatior,will do ihe w,ork,and � � /y `�� I - � -��--�--�-- � �-� the sfrucfure is nbt intended�or offered for sole,(Sec 70a41 LIGHT GONOl11T� I ) � � - � ' � i �� � ,�J � � � Business and P�nlessions Code:ihe Contrcdor's License �sOnfoiNc � � � "��� '-�-��'�""" "'_"-�`"`"'" Law does not opply to an owner of property who builds or . � � �mAroves thereon,ond who daes such wo�k himself or � I � � -� .�-,.--����•-�-'-�. tbrough his own emp!oyee>, �rovided thot such im- _ _... I ._ . , . ._.. . }" provemenfs ore noT infended or offered for sale. If, I - �i " /=-� . � "�� ""--��> �� -'-°���'��'��� . ��'"�"•��' �-"� however,the Suildinq or improvemeM�is sofd within one_ �CONDUIi � 'U • ' ��'' � year of compl�hon �he ownenbq fder will have the I � �^� ��� ' � � � " � '-^ ' ����-•.^- •_�• �-�--�•= ' '� burden o/proving thof he did not build or'rmprore for IFe GAS LINE . '� ' ' .purpose of saleJ. .- �, � , �- ���-�- - :----- �� ��-�•^- L��I as own r of ihe propeny,am exclusively con- �,WATER LIhE ,'�'-'3� � �✓J'f`I tract ng �.th I�c. .ed con`r�ctors�o construct the projec� �- � • -- �-- ��-- --- � -.=a:::,-=.--.. i5ec.7044;�'Susines,s ond P�o{essio�s Code:7he Coni�ao- 'SEWER ' tor�s License Law does not oppfy ro an owner ol property � - . . . � � .--- ..��'-."�,.�-• ..=:=r.� -�.���: who burlds ar improves thereon,ond who confrocTs for - such projects w�fM a contractor(s;(icensed pursuani ta . '�� - � � .� � � � � .. . . !he Conlractor-s Licenso Low,l. ��j AN7I�SYPHON VALVE � .�.�.......,•..�. .�--.v.,.:.,�v�,.� �.. .�:..r ......::..❑I am exe��p!under Sec. .B.&P.C.ior Ih'�s ; _ _ ',ELECTRIG WIRES � •eason ....... ........,.. ,-_�, .,:..,,_....-...... <.::,..�.wti�:,:....w..wwws�n., �-. . °' .s,,:;, FENCE�HEIGHT) ' . _ . Dale �Owner � � . . ........ .,._,., .... . . �� , ... . .......... .....:..,. ..... ,........s.. ..u:... . ...�.. .. � SEIF-CLOSING � ' � � � ��-- '�.GATES. �SELF•LATLHING� IN$PECTOR'S NOTES � . . _.: . . . . . _..,.._. 7,.Y;_,,:. .,...:....,�.-+.,..... .., .: t .w.,....�a R.�n;:�:u.+� n++�k-,��.::: :h, &OUGH WIRING .'..'. .:.`. .':.�. "... ��^��"+�+_ . 36d7.x FINAL ELECTRIC = ..- ..... ....._, ._ .�_:_._..� . : ._...�., . �.�n:�..;�YJ,.-._�..:�.::t..s�.�a�ta.y».�J;...u.s._.,' i ; ' . , - . .. ., .__..... ...r._..... . � � .. . . . .�- . ..... . ��..... ��,-. ...,. � .___.. .. . . _ . ...:.�_r c_�t -�;+:z'9'4't'., .t!V^.'.;>,.....:, ' ,. _. ., � .,.._....�� . :�:-_..-_ F......,Es _.,.�.,�.. _..:..,;r e....�..�.,,,,....M..,.�....�r_,...,, , _... -. -....... .. �. - . ... . �HEATER(LOCATiOP1 3 V@M) ' , i . . .. ..... ... -......,..-..� ...,>......�,,.�w.�.,.,,..�,..... ....�..�,»,..,� �x,....m�...,.:.. . GAS LINf YEST . . . . �.,-.....a.sa�..a..a..w�..w...an�..ru..+.o..s,a...,..,.,.�...,,. ,PQOLDRA!NAGE ... . . . . ., ..: �, ...,.— v-�m�•:: .s.:.,,,, - ,.�,..._ - ... . r ' '"..�... ........._: . w...,......:: ..,.,.,�......: ....:..:,..,.. ........,:n-...w�m�...f:3:�iai... ,. . _,...,�i-�.at�..,; p-TRAA . . . .. . ...._ .. . .......... .,...«.,-,.. ....�„..,..�., ...,... ... .,._......,,....,.. . ...._, .. .,..�... ...... .. .. '. _ .,�,:.._..- . .�.....,.. ....tm_:...... ,.,n,»,J•...,�.t,,.�.: . .. __ ,,,,._..... ..........�..:.:.r. ,.:...:. ....;*«—.....,suw::av+n.��wxs.��'�+�.imsa.ue:nr,�'rae.�a'saPrawi.:1�'� s.:....�.