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HomeMy WebLinkAbout0838A 0839A , . _ .__..�_.......�...... .__._. __. .._____.._. .�__. ..._..._._,......._.... _.._ . _ . . .. ._.__ ___.------ __---- _.._ 7 I hereb a(Firm Ihot I hoGe o ter � � ", � P ... .. . . . . .: - :: ' . � ......_. _�..... .. . . . _ . . ...-- mzure,oracertifimteofWorkers'�ome�5a,�o���,�,oee1f � APPLICATIO�N��FOR�,�BUILDING. PERMIT�--� WORKERS'COMPENSATION DECLARATION Y tificaie of consent t .� ,. ' ance or a certified capy thereof(Sec:3800,Lab�.�C.]'. .. . ..-.._. -.. .. .. -- - ... .. . ..'_. �.. ..__.__ . Poi;�,,N�IWETX7993co,„�,�fartford�Group COUNTY OF LOS ANGELES BUILDING AND SAFETY � �_'�, .�- - - _ '! �� Cer�ified co 'is hereb fomished...� '� ADDRESS � ! � ( ❑ . . . PY Y �'�. ����"'� FOR APPLICANT TO FILL�IN � �� � Cerliffed topy s filed with'the counry buildmg'inspec- --� �-` BunDiNG , i ; hon deporfinenf - � � '' ADDRESS �� � �'�,• Q� i Y _ __ . . _ . .. _ .- ___ � . ' Date'1 ZS-�Appl'cont_�y�%�����t��� Cltt Diamond Bar � z�P . .- � �a,,�,TM ; ; ; � �CERTIFICATE OF EXEMPTION FROM WORKERS" �� -- " --�-- �- �--------•-�-- �NO.OF BLDGS. ��� ---� .��. NFqpEST. / � _._.. ..--�--- . - _. _.'----' --..._.._ _._ ., "� '� COMPENSATION INSURANCE �"' . SIZE OF LOT NOW ON LOT CRO55 ST. i i. ,, r... (ihis''section need nor be completed if the'permif is for one � -�� - - '--���---�������- � -���� - ASSESSOR --- --- - �-- - • � � hundred dollors(5100)or less.) . . . TR/n 4256 \+BLOCK . LOT NO. 77 � rylqp gpp�(�� ° PAGE PARCEL � . . .. � . TEL. ��NE �P � . OWNER I[erlify Ih6t.in 1he performance of the work foi which���his m �f01 d��-`�NO$ -1 1- � n � ` �� � �3� � , �., .,_, :} permi�is issued,1 shall not employ any persodin any monner . . '� SaECinL �- �� � � - -�- �---� ��� � -�C. I- so as to 6etome subjetl to the Workers'Compensdtion l6ws. -�� ADDRE55- ].5],-' -AV c��S i e�N-�--�- --; .2.e-m7 �pp�pITIONS . .,.. . .Q IGE-�TO�APPLICANT: If aftei�makm thi• v ; . ' CITY.. ' '-��-� - _ __ _... ___ Date �-�' ... qPPlicant �.. .. . ' .. - �__. .. . - --�---._ I ..--�--- � _.. . ,--- . ... , ,... IOC g s Cerlific'ole of ENGMEER �R Aram Bassenian N`d.52-1864 DISiRICT. , GROUP. NPE, .__ .FIRE _..PROCESSE09Y__ r� ( • }nption,`yov should become subject to'1he Worken' '�'- l CONST. � ZQCIE, . . ;W l.umpeniofion proviiiens of ihn Lobor Code,�yoo mosf forth- ADDRE55 3990 Westerl Pl ace SU1 t0 17�'� ---�J��-�- �3 -�_� --�-- � -__ _ __ . ..�o. w'�th comply.wiih such�provisions or 1hrs permd shall be �� - -- � �.y deemed revoked.;,+ . . � , � � TE� STATISIICAI.ClASSIFICATION ; � APT. G N00.� +: ��Z • - • � �••• coNrenaoe Bramal ea Cal i f. No.850-1001 y.p � ...... . .--.GZJ - — -- - _ _ ---- _' LICENSEDCONTRACTORSDECLARATION� .- .��. --�-- ---._ -_ . ._.... _. . ._. _...._ _ ��� -_ __ . CIASSNO. DWELL,uNiTS_L(_ I hereby oifirm that I om licensed under provisions of Chap�er 9 ADDRESS 3151 Ai rwa AV2. N No. 409610 - . (commencing wiih Section 7000)of Division 3 of the Business and . ��� ._ _ sEwER hwv . , ., � ., . Professions Code,and my license is n full force'ond eifect. � �� c�rv �COStd�M2Sd���CA.'� ���Y� ��q55 B ' --- ----- �--'� --- ---�- --- -� . . ,., . . . ... . ._ :. . . .. . BK PG � SQ.F. NO.OF NO.OF . . CHECK � ' j VALIDATION Litense Number 409610' i,�.eiast B � SIZE� H4 �S70RIE5 Z ��� FAMILIE$ 1 - oNe ; - :;0 8 3.8�A� � �' � � - � ��� . o p...! . - VAIUATION cooho�ro�Bramalea Calif. Oate ��. — DESCRIVTIONO woRK-23BR ,�= - --- ---- N� -� 7�.� ,�. .�� � . • • ADD S I�I � .. ❑Iome:emptunder5ec —$111 le Eamil ..Res�dence..__ - -- -- ; : � ----. - . � �, :� .�.�..:. ..,..,.� . ALTER � I �' I •v2Q�L�. _. 6.8P.C.for this reason ' ..._f... ' .._ : _._ . REPAIR. '... ...�. . ..- _ ,- , .__;... USE OF � � � °�2 O�� � I . _ ._. .___ .. - -- �� Da1e:-..... . DEMOL ❑ � E%ISTING BI�C'i. (l ne s "a�°` ' "�ti a�rG`� A°°`pR Ti Bruce L. A6b No.850-1001 F�NA� �&� �1-H b OW R•BUIIDER�EGLARATION - DATE-�-�-. �.r�- ..:..____ . .... --- -----.. _ ... _. .---.. . ... . ._ . .,..__., ���here6y oifirm thal I am exempf from�he Contrac�or i Licanse qDDeESS 3151 Ai rwa Ave. N Costa Mesa : � law for the fallowing ieason(Sectian 7031.5,Business and FINAI �'� - � - ��- � � �. Y ' •' ..Prafessions Code): .. .. . .. ._.. ---._. .-�- --• -- - arteSeNi 8 � . . __ .-.. _- - . BUtt01NG I, as owner of Ihe properry, or my employees wilh qoo&E55 ' ' _ ..____ .. ', i '. -� �wages as their sole compensotion,will do ihe work�and �� � � � ,,, ;,� -- r�&t��G A�-� _" _ LOCALITY : ..-�' ` the strucrore is not intended or offered for sale(Seclion � ' '- � � � . . '---- 7044,9osinessandProfessionsCode):-.. . .._..._ MOVING� - ---. ._-. ......-----' TEL.-...- - �-- -�- --- � - • o . .. CONTRACTOR NO. ' '� ' . . �.�. .. . .�.� :.' � I,as owner of�he properry,am axc�usively tontmtting � � � � �• � � .. •.., �..->`., . 'with licensed cantracrors ro mnstruct tha project(Seo- -- .. ....__.... _. . .. _...__ ... ... '--_.--_- . '- ..----"-- . - - ._ . . . :� -�- _ _. . ' tion 7044,Business and Pmfessions Code). ADDRESS - � Jr�C-9��:�", --�-- . .. REQUIRED . ' ".iOTAI SEiBACK M . %I - ` . '_ w �^('�; `... � -CONSTRUCfIONLENDINGAGENCY --�- � - - �Yaao�� Hwv - �---�--�� $ET 9ACK PROP.LINE WIDTH - G 7 I hereby affirm ihat there is a construciion lending agency for PRONT ',� ' •,� _ ` 1he performante ol�the work for which-ihis permit is issued ..... ..p.L-.---. ----. --- -�'--�- - ---" --'..._.. .._ . --_--.__._----_. _ ._'. .._. --_`:-'. --G�Z-�ci�8 6-..� (Sec.3097.Civ.C.). SIDE . ' �� , . _ Toronto �ominion Bank r.�...._ .. . __ _ ._._.. - -- . - ..._.. ---. . ; .. ��:_ . ' i._ . � Lender's Nome � - � ansome . ul C' LDMARe1.N �. . . _,. ..,: ....�� lendeisAddre�dn Franeiern� f.A. 94104 - P�e.Fe�s-- . - v�.m�rFea Se���-�� _. _ _I.tMify.ihaf.l.have read ihis.applicalion.and std�e t6ot the ._.. . e _.��'.�GJ-_--_ bmon<e Fee''- ID�� -� IDMA PiG k-. . . ...`.�.�' � ��-` �' ._ . � �� .... _ _ obove informa�ion is corcect.I agree to comply with ail County invesri9auon Fee ��-7/ � -- .ordinonces ond State lows reloting to building construction, ._.___ . ' � �.�.�,.. .. � .___..._—._..._.__.__._... ToralFev....__.-��''�7��... : 'LDMAPerm.N-_._.._._ ._._. __._ ._'_'!-_..'_.__ ..�.._ 1.���I and hereby authoiize representalives of this Coanty lo enler - - '�� upan the above•menll ned prpperty for inspeUion porposes. _p R J'�r� _. . � � � '�-+ _ �� _ ; { _ _.. ..._... iAlL !I _�__ ---7. . __._ ._..-------- _._.. _--- O�r�R.�,iY _- -- - - (J;�CJ'�9 ✓{i�J� SEE REVERSE FOR EXPIAN�TORY LANGUAGE „ ....._. 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