Loading...
HomeMy WebLinkAbout0850A 0851A . . . . :... .. . . .. _......-,--�---......_... __.._. .__..._.-�-- -. .-- ------- _ _ . _ __ _. .,3 . _ _ . .. --- --- -- ._ . .. . __.___._ WORKERS'COMPENSATION DECLARATION :�'-�"�� " "' -": �� � ��'�:��.� ^ �` .'• .�. �� ... . . ... • .... . _.. . ,_._... » � _' . . . _ _ .. _ _... . . �,here6y aNirm that l have o cerlificaP af�o�=e�,�o,e�, APPLICATI�N� FOR;.BUILDING PERMIT� ' ., insure,or a cerlificate of Wo�kers'Com ensa�ion Insuronce, . or ii certified topy�hereof(Sec.3800,La6.C.)� '..,.. . .. _. ..---.. . . ... " . - - �- -.. ". . . . . _ . _. . . _ .. COUNTY OF LOS ANGELES BUILDING AND�SAFETY .:.�, � ,��.WETX7993 com��aartford"Grou p � .. .. .. ._.. _ - _--- Polity . - - - � Cer�iiied copy is hereby furnished. •�� � , ti� FOR APPLICANT,TO FILL IN suaoiN� ' • ADDRESS O ��,�CerliFied Fopy is filed wiih the-counry bullding Inipec- '- BUiLDwG �{` liondeparlmenl:���� ' AODRESS ,�v ��.....� . ,. � . . . : ' , ..... ..__ . .. ... _ ....__ _. .. _ . ._ Do�e�12�-�,ApplitoM � arr Diamond Bar zir iocoutt � ` � CERiIFIGATEOFEXEMPTIONFROMWORKERS''��" "' ' - " � " '�"' '"""NO:OFBlDGS.� --��-�- � nIFAREST_._._,__ - ___. ..-.�.. ..__._ SRE OF LOT / NOW ON LOT i � CROSS ST. _ �... .___ _____.__. . ... � � -��COMPENSATION INSURANGE�' ' � � - � . . . ..�., ��-,... � ' . .. ___.'_ _"✓.__.: ASSESSOR. -_'. ... � .__... .,..--� . (This setlion'need not ba tompleled if Ihe permil is for one �-- --�----- -�t/--�-- ---�- . q.-. - - � ho�dred dollors(SI00)or less.). .. , , . TRACT BLOCK LOT NO. Mp.P 900K� PAGE- PARCEL � - •• - --- owNeRBramalea-Limited-- � -No. 850-1001 � 1/-3 MAP I certiiy ihal In�Ihe performance of the work for which�his U��� �� ' �� '3 �� I .. -permi�is issued,I'shall not employ any peFson in any manner ' ' � - ' ' ' -� '- �- -�' ��� ' ' � � --� SPEC�AI :. - ,00RE�151 Airwa -Ave. Suite-N�----- -- oo� CONOITIDN$ � i...,.. i� so'os 10 become sobjett lo Ihe Workers'Compensation Laws. V . , .. y(�. , .. . ,. .,.., : .. -' ....;f ili7 . ,.'Appl canl� ` �.�... .. . CIiY. ._ . ._._ZIP._ .. _.._ .. , '_. .._..-._...._._.... _.. . _..___. _ _ .. . �OG ��e ARCHITECT OR - iEL � ��O � �ICE'TO APPLICANT: If,�aftei moking�this Cenifica�e Of • � ��,. _DISTRI�T,_. GROUP �PN ZONE -"P�ESSEDBY. I nption,-.you�should 6erome suh(ect to'the Workers" --�- ENGinIEER NO. L ',�j Cvmpensofian provisions of the Labor Code,you mvsf forth- ADDRE55 3990 Westerl Pl ace sui te� 170 ._��_ . .. �3 .._.._. , __.._.. .�3 __.C�'__�.-�_ .'d with�comply with su[h�provisioas or this�permil shail be - - TEL. STATISTICAL CIASSiFIUT10N , APT. CONDp. ;Z aa�m�d.e„ok�d.,.. ,._ .... , • . co�ARo�Bramal ea Cal i f. No.850-1001 , .. ...___.. . ---- — - LICENSED CONiRACTORS DECtARATION �� �' -- --- ���, aA55 NO.�_DWEIL UNITS � I hereby affirm ihal I am licensed under provisions of Chapter 9 qDDRE55 3151�Ai rway Ave: N� No 409610� ', . . � (tommenting wifh Sediori 7000)of Division 3 of the Business and _____ ���_ . SEV`'ER AMP �� � � " � � '. Professions Code,ond my license is in full force ond eHett. CIN COStd M2Sa Cd. QASSB � �- �- - �-� - � � � " --�-� VALIDATION .... .• . � . . � • ,.. . . . ,�`. NOO NOOF E K ' . ..., :.. . . .. .. . Sq.Ff.� '..._._ . F ._"' ' ' __' '_CH C ' . _ .. .. . .. , . BK. PG. , ; ' 409610 " ' i;�,aosi `B ` '" s�ze STORIES FMAlLIES ONE ' � License Number Q� - '�C� . ... . . . �� . . .� . . w VALUATION__ . 5' Confractor Bramalea' Califroe4e� .. .,..,'`� ..---- �escR�P�' oFv�oaK�--- R•f.- _ _.._. ._ AD—Q - s 86, �b[7 � �; • • • •2�1 . , ❑1 am ezemp�under Sec. - ---S1 ft 1 e Fami 1 -Resi dence.- - . -- � , � 1 •C 8 2�J � . .:, � . . . . . .. . ALTER New Construction � --s --- •-- - - ---- _ ' 8.8P.C.for this reason _. REGAIR_ .. - . - . _ . _ _ . __ USE OF � � e a 2 H 2 O 3.�_.' . . ._-Daie: " -_ �' EKISTINGBtDG. fl f12 DEMOL Q . .�._. (.� . __ � $'anature " AP7L1(J1M TEL. ' '. :,. �G� 9�H 6 � .1 O ER-BUIIDER DECIARATION PRINT Bruce L. Abba NO.SSO-lOOl ' ._..DATE���-�3-Z-,3—,;..� � .��- -- - ..--- �----- --� .. . ... ..... . _._. _ _.. ..- ------.. . �I hereby affirm that I om e.empt from ihe Comractor's License qDDaE55 3151 Ai rwa aV2. N COStd Mesa' � - � � �� � -�•�� '� Law for the following'reason•{Section 7031.5,Bosiness and FINAL��� � � ..�__._.. __ .._. _ ... . ...___. _. _._... ,_.. . . ..__. . ..ProfeSsionz Coda):" - . ..._ __ .. ... . u N . SY...._.. G l.- _ . . . �.. .. . ��._� t, as owner of the properiy, or my employees with nDDeEs�s ___ _ __ __ � ,r-. .��h�p��'j n � whgesosthetrsolecompensoiion,willdoiheworkand . .. - - --- --------- , . .__. . .-- --y.~� \I_- � .. ' tha struclure is nof imended or offered for sale(Settion __-_ _ _ -_ � ' � -��---7044;Bosiness ond Professions Code). . .. CO�NTRAROR TNO. .,?'�� ` _ ��°[j_F�Il�3�� ' � I,as owner af the property,am exclusively conlracting - ��with licensed conrractors to cansvuct the project(Sec-'-"" �-'� ""' lion 704G,Business ond Professions Code). AODRE55 ;� ._" __ ... __ . .REOUIRED.. YARD'.. HVJY. . TOiAL SET9ACK FROM._ . XI . ..... ..........._..�'.."� . .�\� ��'' e.^U:�.�.(�Y ' -�� CONSTRUCTION LEN�ING AGENCY ��� - set anCK CROP.LINE wiorH . , I hereby affirm that there is a consiruction lending agency for FROM � • .� '� � '' � ..Ihe performonte of ihe work�for which this permit is-issued ---� --P.6--._. ..__..._ .._._. __'___._..__._. -_._ _.____� .' '_'.... .._. .� ....; ._.. � ._I .�B.�.9"'S,�J..._�� (Sec.3097,Civ.C.). . Si�E � � '�� ' "_ . "_'_.._ . . . . _ ___ � P.L . . � . -.. .. . . . . ._ Tronoto Dom�nion Bank-�� �� ' " -" � ' lender's Name ,' •- -- 1 4 Sansome. t. u�. e _..__ _. . �,w�Re,.« � _'�, i:� - P.C:Fee S-�S(2•O - '�� Permir Fee �- ��- - "-�'- ' � Lender'sAddre:s$d❑ 6ransiscc�, CA- q4��a .. • � .1 cerlif that I.hava read.this a lication and slete thol�he }�',�,�� �-' ' . � �� � ' � Y PP -- -- o '""7fi-.... S�� -� hsuance Fee- ... U'�-...: LDMA P/C 8--- • . ,`-' - above information is correct.1 ag�ee to wmply with all Counry In.earigoron Fee . ' . . . ,ordinances and Srate laws relating to b�ilding canstrutlion, _... ._. .--- To�al Fea - ' � � - .. _.._... ..__ .. �� � .__; ' '...5��-� -IDMAPerm.-N_,_._.'__._...._.... .."..' ...._. _. _...... . .. . and hereby amhorize represanlotives of this Couny to enter _ . ' � -� � upon fha o6ove-me ioned propery for inspection purposes. r,(''� d� ; .. •:: - � }•_. ''- � ' - - � � - ---- -- . ._._._ ��- -�- -- -•---- .. ._._.. . .. _..__ , ._.... --'-- - �-- - . . _ . �Y�'1�-��P �. SEE REVFRSE FOR E%PLANATORY IANGUAGC � _'._.SignormeofApplimntor gent_ -. . -.."Da�e -- _ .. _ . . . .. ... . . . .. .._.. ... .._. _ __.___ . _. .__ . '__._'_ . _'._` .. _ ._ . ._ . _ _ Q I.i �_ � � _� (� 7�n 7 � N C NO . � �. �N. T�` ..�_ '._�. ._1'. _S_ �c. .._ __ !�' � g o ° ° o o m n n� co: �e �u � o .o }� ��N'� c S T � 3 � j p � ir ° � ^�a O� ° � n I N � y O � nN � 7Q IO �y O �O D . � 0 VO W:�' t0I 7 O = _ _ _ � , T Z % A� � F 7 9 . 7' _ ,,,,. . � .� . �^ i � o °'3 ': oo ' °� wI o ° 3�� o� ° ° � " >. � c . ; _ � , . o� o � < < m ov': �,� 3 0 � v ' ��c � ° o M o � ' oo m � � a i a n. - � ,, �;� � 3 ,o ,� p � �\ v� ...n _, m :m .o; c j.. t `I � �. �o - Z �. -«; o ,� i �,". �.. � F _ ...__ F -. \ N '� \ \ ' `/�0 a . _ � � 1 N �t N � , � . _ � .� � c� o '° � _ � � 1 � C� w � �� ✓l� ° '� Z -Ni � � c ' � c ; � �� o G. . 0 _ � \ I _ I _ " � ,c � = d � p ra. � ' � � �. � . �1_ ��i . ' �_ � � � O 4 Z ) � �, � � ~ ' i .^�r .. . ` . , ... O,i . � ' �. � � .. � jl. .,,;. ; , .. � o i ; j, o.' � -- - i ;'_ -- �o � �D:: � � :� ... , ,o $ a . , ' �°� ' . , " n.a � � � i ! ,_ -- ' - -..._ � . � � �, ; �I i • - , � ' �_ i �. : i � �_� --- � '- � ; i i _ � . . . . ; _ _ _ � I � i � _ . i I.-. -- - --`; -,. I'�� .. � �' I � i . '� . - I � ; I � �'� , I �� �. � _ ! i _ - r� � , � i . �._- � ' 1, - -- i . , _ I � i . I ' 1 ^ _ � � ! i . � I � � _ � ' ' I . -� • T , � . : : . . ' ' ' : — ._..; .....�. ._. : �. � � - � - - i , . � . I � � ' . F ' f, .. �' � ' '.. � .L,' 7N0 . ' I _' � - . _ _ I r' _ I 1 , I.� . ,. � � • � . � �'i:' � ' I . . ' . T � . � � - � . � :" .' ' • , ' . _ �. . � '' �.- , . - . � i ' � i ; � '..� ;;^ '•(' i_ .., . � . _. ' .. N . , . � 1'• . � I; '� ' . . _ � � . . � � - � Y � . � - , t': : � _ . . , . i � , i. � � � �'� . .. - I � � ; i ; , . _ : .I ... ' I ', i', � . � : � j � • - 1 - . • / � . � io ' �y ; nticnp� �e� C�b �iL_�T.f ? � �'n=•� a.e-��inC� r I.%: c. - . j �p � � j � av. '� p� ❑� ��,,iEn ^.�•E��.a� ❑c�Do �an � `� ��e �� �.T . . . O . ; ry I�Ci � � b ra � . 1:` wl � fD C q .`v~ V C 1 ..� fD - -- � � � I a � - r tt c '= z oo. C„ ^ N � �.� � ,�^a �...�'�-m'�u.. _ ry N p R �.." _ 1 `ry �9 C.H _�C�J C y� �O .y� N.. - - - �. - -- � � � � �� �.��.T- b o ;+ � .c H��^ -OH � C ��+ �'+ C .�. i w '�;• - i � „ � -G °�� � S w�'.� �-c. p �c s•;C,`r'r� A ° A .c��� � .' . _ � 3' F�� .. � ��l1N, f��•J3t1. ~ H-In3 CJaSH $ �.� �w el�.^•.� �! ��/ i i . _ lL i ID�I7 .O 9 f1 - ti �w_'fD O ^ . l'i. �p �G..�O � �.T'� _ _ _: . ��•�'. x. l�.�b-�N.�;f �`b o.,' ° L c:��<N f ��;a-~N'�\" � b �;-�:7_ - iC: - ,i . to' �.a o � � �. •� � � i�.y � s C e�:� c fi'z ...0,3 r., +,• . iI ,: � _ ' .�� � 3' v,. O c, A d f� C Z • � �' C O,O �D ti�C � .'� fi � . 'iL I � `� �l,_ . - I � f�n,j M.�il js`���.� `�O O �.�il ��C!�,M .(� 1 L` �.�'�M•��O N w�~�M.� "SC �: � () - _ � " Z : c� � 3� � � . �� a�M �-? ��� n �. ��-�'k•� t n ti,�� '^ T.o�:C r y ' a � n° b� �' ti � z °:°.�-° s e-7 a ; `a �h �'� o'a� `D�- s �� , ' _ . - - - n .. � �, �-n ���.°� - C�y �c.Ca,:'"�.a� m s ��cwwL.n.`�b �'h..o°:^ � f - - - ; - -r ; I N `.o a�%� ° o ' c :�a�.� c .o a��° \«-� \'� » � •:, n �'Cr . _ . .. _ 0 � i ��. '� a•�v� ��: C b C� L� ��o � c e�e�o �.. `-ti ^�C'� z;z .- .. ' _ " 70 a • ,' 'a F- ��O'O iy � C^ 'O w w O . , � ' - � i ' �• '��.s �'^�� � .'; � �`b �i�y°�,� e�^eti�`i o � A �m'.3 tC--. � -• .;: _: _ . : 1 - 2 - ' , - i�, o n�i : ° o-a .i �-� � c,m • s � = o t �m��_., a _v_ f� _..ti . - - " - _� �y � ! . i.^ v��� t.H 3 l, �� n . 'O'N�1� 1J�.£ o ;y c..�.��.o� m•�'=� � t^ . _ . �� m _ . . ; c p�� m �.�p. �,. ` '�`.��;ebf��_. n �`o � 3..pA � 'o'o.r"' =3�Ca .ha ��e x . � . �� . � - � O� ,�*� o � y=.n. ' C:t �n'i.���L`.�C a-�.Q.� C+S ^ �N �-`•a ��b o..��3 ,'i • � � ` � � � �w' I�i �~�mN ° F � �^�c � Loom `�c•��:n �� : o.., . -s,... , . i_ -� � � I `^ c� ~ `���e:.^. _T3- �n .,, m �..•N A c' e.in��0 , � . " I .•v. .� M'o 0 0 �o..'. z.��.��.��,,-Nco o.« .��.v'�`b�vtiM�� � n n2 - _ . ' ��� _ � . . . ; (�- ..o� i..n ^ b c �,��.c��'c.��� o c�c���y�,,fiti`�.'�a � o�,.. o ' r _ o ° e n'- N ``N .. .. �.v , •� - • o.:.. ':gM�e ^ 3 n " s��`; e,��'� �h �„i '^ c`0 :r `oK-�o �.: y " - - —� / ��1': ' -: c z o<^ ' ^!�:.ti- .o o f ` . �•�n n n,� �;�C':-o � . • _ __ _ . -i . N .. r..� n �:1�� � ~�� . C L h.�a 7 ' `'^ P�3 � a�,��e•���v . ' �Q L:C N�'. . `� Q �0 .``I �n �0'v'd S ' �`r'�l' R N . .. �y� .C." N 1 .