Loading...
HomeMy WebLinkAbout0802A 0803A : ._---- ---�-�- —._ _......__�_._ _. , -�----------_�.._.�. WORKERS'�COMPENSATIOlJ�DECLARATION � ..�:y< � ypi�� : -'.:'. � .-",---..- _..__.._ . ,_ , . . ,,., , _ . _ � ., _ . �, ,I hereby offvm that,l hove a certificale.of consen�to�self ��-" - , insure�oracertficafeofWorkersCompensation��5��a��e -�-��� ��---APPLICATION���FOR�,:BUICDING��PERMIT�-� �,; � or'o cerfifled copy�hereof(Sec:3800,lob.C.)� . . . .._..- _. ----._.. . _. _ . ..._ .. . . _. .. ._ . _ --- Pal�tyNo6 WETX 99�om� COUNTY OF LOS ANGELE$ ! BUILDING AND SAFETY � 7 ��Y: Hartford.'Group �_ . ... _ , . ' � Certified copy'is hereby furnished-'� , . . FOR APPLICANT�TO FILL IN pppaEu I a /,,z y't.t.�..r � ,Certified�toPy is filed with-the�ovnly building inspec- "'"- gUROiNG �� . ' '�tion deparlmenf.'�"' � � t•�' � ADDRE55 1075 South Lon V7@W j � . ..,. . .. . ;,-.,,;, �...,;. .'. _ -- -- -- � � _ . . .. __ ... . .-- - - � �ote... !�APPlicant CiTV ---LP - . . • ' ... �� LOCAIRY : � � � ''� ' � CERTIFIGATEOFEXEAAPTIONFROMWORKERS' ��" '-- ------_.----._.. .---------NO.OFa�oGS----- �-- � / NEnueSi. ....._:..___-------'---.;_._._.____-- -. .— .. ..� ���'�"� ''-""��� COMVENSATION INSURANCE••�- •; -���� SIZE OF LOT NOw ON LOT / � CRO55 5T.. � �,,,.;,...,; , (This�settion'need not be tompleted if the permit is for one �---- - - ----- - - • �•��--�- ---• �•� .� . .... .� .hundred dollars(5100)or.less.).:.......... . . TRAR 4256$ - si«K----��--- �oT No -4�`� ��� ",,w�;BooR�c:�'�:" ' �i^. ' .vAGE PARCEL � so as to bemma su6jecflo fhe Wo�kers'Comp� O�R • � TE� U ZONE �P '` '_'. ' 'NO. ' I terlify that in the performance ot the work'for which this - ' �PJJ_ ' �i�I".3 �f /�7r^�J ' ;} � permif is issued,I sholl no1 employ Cny penon in any monner ADDRESS--3151-A1 Y�Wa Ave.-SU 7 te��N ' - -��� SPECIAL----� ----i- �-- �-�- -� � -,p, I�� ensalion Laws. �- y'� ���'� - O CONDITIONS i Q -- Date: �°'.�� �. �. �� APPIit6M.. .� � : . ,..,� __._- Cltt .. - -"-ZIP. _ _ ---� -" -'---- ---i-"-'I - . ..- . .- -.. ,O ' ' '... .... � JCE�TO APPLICANT: Ii afler making�his`Certificate of ARCHiTECTOR� � �� TFL. �, DISTRICT ,GROUP�TYPE_, _ FIRE PROCESSEDBv_ I ENG�NEER N� � ' ' � ' ';V �nption;'you shoold become sobject-la�the�Workers' �'-� ' l �Q CONST.. ZONE- Compensation provisfons of the Laboi Code,�you must forth- ADDRE55 3990 WQSt2Y'�y P�dC0� SU1 t2 170 ;. _..`Q_ _..../�.'� . _�y with�comply with.such provisions or this�permit sholl be' ---- TEI. : STATISTICAL CU1551FICATION � qPT. C DO. daemed revoked.�..: .. . �... _�. .,,,; � , • CONTRACTOR g m 1'f No.850-1001 . �,,��� _ UCENSEDCONTRACTORSDECLARATION--�.�'.� �--- --_--_ ._ _ . ____.. _. _ ..���....-. . .._ ., qq5gN0. ���� � �DWELLUNiTS� - ` � � N 1 Z I hereby of(irm thof I om IiCenSed under provisions a(Chopter 9 ADDRE55 3151 Ai rwa AVe. N r,o. 409610 � (mmmencing with$ection 7000)of Division 3 of ihe Business and .__ � sewFR nua � � �. +.���� � � - -' '------------' .'- -- - ' � �— ' „'-'- Professions Code,and my I cense is in ivll force and effect. CiTY CtA55 B --- - ---- --�- -� - ��� � .. � . . . ..�. .. . . . , .. , �. 50.FT. ' _ . " _.CNECK , BK. PG t �� AL ATION' 'I lice'nse Nvmbei�409610''"`• lic,Class' B ' ' __.. size HH4"- SToe�s Z_'-'FA°ni°Es��l oNe , � . .... �. � ., ., Io . B . . ,� � . .. . . . ...t .__... DESCRIPTION OF ORK ... .�I__' ... _____ NEW.. � _ _ .._._- '.-.- _ p- _ VA UATION � "O B Q 2�A ' co�,�a��o�_ ramal ea Cal l f'. oaie Aon s /��J �vv $. .�� ! ❑Iame.emptunder5ec. -.- -Sltl]�2_Fdllll�,Y R25ld2nC2_._.__ _.. __a �, . . , � . . ... ..,., ..., . ALTER ,i - -. 8.&P.C.for this reason . . . �� � _.__._. 1'U tl �I REPAIR._Q '"f"-'-""-'' ' '--. ' ..-"—_ .-_�..�3 2_Q 4.1 ._ �'-��" USEOF � ' � _ _.._ _ _- - - oa� :--.._... exisnNcaio�. �Ennot � ' ..-'-----''-�20.41 � � - Sianoture— �-QNIT`�'// " -'-'-� APPLIG4NT TEL. � FINAL � . � .. ��r,r� Bruce L. Abbe No.850-1001 ' � of? 19-86 O ER-BUILOERDECLARATION -.�ATE�-•� � � L 1 _-- --- .__ _ ..._.. ... J�I"_•_ ..--- '--'- --..__. .__...__�__ -�1 hereby a(Firm�hot I am eaempt from the Contractor's License - -� - � -- � - . Law far the follawing�reason'(Section 7031.5,Business and ADDeE55 FINAL��' ' ' �'`'� � '�""""'' , 'Profestions Code): - . .. ._. ..._..___..�...�--'-' .- _-__ BU l�NG . .. . . ..BY .._._...__.. _ ^-.. : - -i �• I, as owner of fhe properfy, or my employees with ADDRESS � . ; � wages as iheir sole compensation,will do the work ond -� -` � �' 1he strodure is not m�ended or offerad for sale(Settion ���ITY � ��8 Q J.a ,.. -'_- .704d,Business and Prafessions Code):... ._. ..._.._ ''....... MOViNG_ . _ '.__'-.__'_'. _._.._._.... TEI..'_... . -.. _' `'- ....___ � . .__ - _ . _ . i I I ' �µ� e • •��i � CONTRACTOR NO. �� - ',� " �_..:�; I,as owner of the propeny,am exclusively contracting �with licensed mmractors io constroct the pro�ecr�(Seo-'-'.._. .. --- � -- --- �- -----------�---...__..._ __ ._ . - . - .-_-- __----_.......... ...._.._ . ADDRE55 - . 1.__'�.�.�..0(�O O� • tion 70d4,Business and Prolessions Coda). - ' -�, i ..� . _..___ . REQUIRED. .__iOiAL SETBACK FR XI CONSTRUCTIONLENDING�AGENCY�' '"�-- -"' SEiBnCK YARD �HWY- PROP.UNE WIDTH �� ���� � �� ��������--���--;--� ���� -•e FJ"4Y�OOu-1 I hereby ailirm that there is o conslrotlion lending ogency for FRONT �. . ���. : . " . • . - � '.. .^:; �.;•i . � �he performance of the wo�k-For which this permit is issued � ---- ��a.4.- - -�� - -- �---'� --�---��--'.._......'.'--. --_- ,. -' __.- -.-.-_.:.-.---. .-_.-_ -. - .y-_0�.�:0��6. (Sec 3097.Civ.C.). . SIDE ' � . � ' ---_ --- ronto Dominion Bank _- °�. ' ._.�, '. • . ;.j Lender's Name ' . .. .... . . _.. _- -'---._ --`'- .._... _._ ._--- -- ansome �. Ul E +� �r ry �-7� IDMARei.M ` ' ' � . . .. . ""' P.QPeeE...✓.GD• � - PermilFee-..��U'3v".'.: ' . LendefsAddressSan- ransisco. CA- 9Q7(11 ' � �" A -1 �.--y� i '._. � � . I.cerlify�haLl hava reod ihiz applimtion and sfote thol.lhe . __. . ,e•'._. _7S.C�Y..._ Issuonce Fee-..�Or`� �_.. ' LDMA P/C k--.-... ------ ._"'__...:. _ ._.___ abova in(ormotion is correct.I ogree lo comply with all County invesrigaiion Fee /� � ' �- . � _.ordinances ond Slate lows relating lo building conslruction. . ___'_._'._'._ Toial Fee�!�-.�...�.-"..._:. LDMA Perm.N'� -�------ ...-�- �---C----'`--.�.'..:..�.1� V I and hereby authoriza represenlarives of fhis Coonty to enrer � �. " upon 1 e abave-mentioned propert for inspedion porposeCs.A . �. ' . _.. .. . .. ... . ._ .. . v V. A',. ...... . . . .. . ..___... _ ____ G`'! ._.__. . . '.'___ 2� SFE RFVERSE FOR E7(PUNAT RY LANG�GE� � � .'` ..._ .. ignoNre of Applicant or Agmt. - .. pote-. . - � � �' _ _ _.._-. _'_.' . __.'_'. ' " __"" ' ___ _ " "'_'_'_. , ___ _"" �i - . . . , !. . . , � 7 O O � � � O � O NO � ��" '�fn T�_r"�_ "�_ .T' _S_ _-_-'__ __ _-_ _- Z '.�.. 2'fl C S S c� � c A " om '° cy m m ��- : o o- � � � I �� � 3 � �o ir p � ., �'� o� o � o Ifl i . o � ^ `° r„ v -c '° o- o o y � n ^ u� o °- :v }�c ; ' � -Z x m' o ., � o �° �°,a m• � �•m ? ' � i I i T QDc � �f 7 � �i '�o , 0 j: o n• � .� � Ito ; : o �3 , - o c � o ,0 3u .. i>> o:. . , A D, � '^ � � i O � O� C lD ��+ 7'� . •� Q �. �. �D � — � n � 0�O -- fD '� !n , � al � �` a « � ?: � ^ � � +�: o"��: � i v '� '' ,,,,:o' i � � ,, --� ' ; 4 � � � t. .---- -. i' ' � � : � �� � 1 h � e � a _'_ _ . ; . . � � (�, �./ 4,, � N '� � 'y C 'c . ' ' ; ' ' . : , ` D Ai Q ° i � �� ' �< r Z � ^ � r m �, � � . G., �� � ' ` v� C� � C i� � -. '� ' ` � �- � ` v - _ .. ., , `' . , - - i . o ,:.. . �; ; M._ .m a ��. ' �- � � � 1 � . . - � , I- m `- .- � � ' � ; . o a 'J v. ,3. y^ ' �� � '�O, i �� : I' I � .d� Z , I i � i. O. . ' ' I � ,� . I . " �' . . ~ w �� p � � i � �i � � i ' - ' ;- v o .. A.. : � o; .. ' ; ' _ . :';. .Q�' o. , ; , s , . • . ' , a . - �. ' � i � . .., , , ; � , �- ' ., � � u�. i S � i .. '1t' �- -• � �- �- -' '' ' � i i I_ - c ,_ i ; ; i � i� ; ' � � � , ' �'i. � � � � . • � � i . - � � � � � ^ i � � ' . i . � ; i. . _ I. i ' � �I ! � � � � � � . I t �. c �• ,' I , � , , . � , ,. .i 1 � I �� ` _ ( � j ; � _ r. � ; , : �: C: I I I ' ' _ - -� I � ; 1 I � _ � '9 ' ^ �_' "�' "" __'� � !_ IT � � � � �_ ;_ ' ' � � �L' • � � .:. `' I '' , I � _ .�� � I ' - i ` � . '_- ^ r'' � i j�f I j =- r'�' �� N • • , `� � � f � I � ! � f'� , � • •! 'r' �� ,�• � �. . • j� � � J �� i 1 {-� .. ^� � N � - i - . I i '_, , � I' 1 _ .` m � , - -' _ i. .� ' � - :- 1. _ .1-. - ' . . . . _ t `_ j J .., . i � ' � � ' : ;' j . � , ,: ,.; �. �.. . , . . � _ _ ,. � � , , , . ,. . . . ,. � .� _ _ - � � � � ; � � : � - ; : .. , - . ���o i : nb c-..� - ' �a�e e�� �- o �.�s.F b c c n.. :. q � t• �. ( � �o , = P.�'a� � � 'c ° o.i�� x �oo '° a � a'c,��c�.'� � - . '' . W � �O ' � _ �'J�Ci � �.�J �.ti � r. C .w��,ti.�� � ��Gp �"'`3 w n-G w�� T : � ` ' i. , � ? ' M .£- m " ': tt,e C3 N q m `�c �.c+J a' � m � � M � ,� C=- ia��^-� '�� � N ^ _�b.�'� cY ,�� M-�'N:.� �•. 1� �.' Q, �'J � � n .O N �" N � O rJ C f"� �l�.M M . .Q. . ' . � z �.�'^ -� �\� � c� c ; o �.�'.k ct�w�•a a o'•-�c.,p � �� y�•ti v .0 �•I�.O l^\J �M N.N � 1.� S N � .O. �'i �O�1^ C �� � � Q.�" ' . . . ' r,� ' x i P�L b�4'^ � � o �a c� . ° �-.N o w " �...�� ,����e � C f_��< = .i " � ti ti-V. £ � a i� �' O�... F .,�� 'o�, , - 'D' :;coa �o � M � �e . o „ ab� � f ` .. N�, • Z ' !_ _ - -� � - � 3� m. c �° � a�o ca' mF �boo.o � ? y `c''° O`° .,� -°� �=»''o 'o3n' `` : � v' M .� w � $ n ,��° o'C� :` c'�m c n a N'r,��M n. .„ x - . , - N .I j ; ?� �•y �w ��,o, �y a�•� � ��e« �� o, i'o� W y `e'�e n � o .�.o.C _ _ . . ' � ' � � ,�~ � O y �S . � � C"O'N.�p 1 ,.�'. �J 1�� C'!0 ry � �;' � `- - n i_'• : 7 �� `-c c b��T� , �e, i ����=«,a� co a ��e.b `.+�a m b N'�-o�.0 � . _ .. _ � . I I �� ,`� � c'.��- . �F4CncF��,o � o �tt.�a�,`a.� �.ir � � co-x "" _ _ .. u; ; i °�` � o � C a '� � w o � A o v ��,o-� � C n � ,� ,2�A'£ - i _ ' ,. i � c ti.� ,� � 0.' �,� p a.m ��,. � q ti . c.` �� C7 Z � '0.ano� �. � ti „ o'ootiN �� e ^ ���b`�� •.°ra�°.3t=: O � �a �`� c.N o , a� -, o M o e-� � A s, e �"=�.�.,; a %-(� . � _ m ' I '"n �.,��- ,��'3 . z�,�"o � �j� a£ °.i C`�� �.c� ,��'.J� .o ">� . � - N �-O' _ •_�� ti �:x � �.� ��e.^ �`O' =3.o.n �na � �:� a F.a`'� o.x � i f � , - �b c � '� r, c.ti � ti 0.�"4 a o a.c �•y w•c,.., � '^.'^ �'e�,� 3,Y _ - �.m � �.�. r M fi b� m H ` i S °�.�° ~ � °� 3 "b•`o'�� n � a :' c '' � s�� w.. .c ?. 'c n�-m`� i..,.Co.w'��:o m ��° � ° a�ar.� `^ �c �'C.<^n2 , " . . � � M b � � ~� 1�� .�F'ti.N c � N ti V� ��0�N ^.�i • r. (D . � • ' �n�• n ••� '"C ,J l: • N �.�`.`h < `G 1 '1 �.�^�S •� O '- - - � - � . _ �'.,°ti '' ^,o = � �c'�i� °"Pnom �o:o .`°.�:`� � n � - � � � j - - ...p�" --p N�C � � r^- n z'^..�A C�,�•,v.F u�i O A O M L`� .. 'C 3'F:O� r' ` _ -� �'�. r-� c �' c%' .ti� " oo-f ��.�� tin.. � w�.�n . . •_ ._ __ __� ! . N '..' �.�L�"�O h'^.0.. `v� . C C N'v> � `� P�A � � �.�.�.^� 0 . l fJ A •1 N iC dS ��C 10 ti - M��C'�UN