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0798A 0799A
ed o �ther F . ....: -_._.�..._�_._ . . .-_ - .'-_ . ....,...,....._..-'-"-....._ , --'_._'-•- .- or a certifiv�RKERS'COMPENSATION DECIARATION :�•, � .��-:- � ����� .::"�. '-" " '-"�- '"� '"�'-"""'�"'- �msore•orace.�ifim�eofWorkeri Compensalion��5�;o��B, -��-�-����-��y�APPLICATI�N�-��FOR,..BUILDING��PERMIT�� �—�-�� 2 I herr.J�y'off rm that I hove a certiiitvte of tonseni to self • , . . c PY� eo (Sec.3800,lab.�C.)� � �:..._, - . - .'- .._ ._ . .._ _ , ' . . _._ ... ._. .._'- - ' " ' ' ' � ' "� COUNTY OF LOS ANGELES j BUILDING AND SAFETY rou�YNo.61WETX799c'�m��Y Hartfo'rd Groio ..... .__: _ _ Q� Cer�ified copy ii hereby fumuhed FOR APPLICANT TO FILL IN BUI�DING p 4 ADDRESS �OO � Certi(ied copy-is f Ied witfi�lFe toonfy bu Idmg inipec- --�- gUItDING �J ��' lion department: � � � •� - ADDRESS 1�8], � . :. ... �. . ..- . � � � . . �7 �/ ... r: :� . .. . .. :._.._. . . Da�e '/•�-ZS�Ol9 Applichnt� �� CITY Diamond� z�a � ..^.J LODUTY . . .. '�� � ��CERTIFICATE OF EXEMPTION FROM WORKERS' -�`�� -"-�� --------'---�---'�--`----NO.OF BlDGS.--------- . NFJ�REST-_-.-�___ � � . .. _.__ ...._. . ...___.__.._. . ._...._. _ � �- "�•��'� ��COMPENSATION INSURANCE�� - ���� SiZE OF LOT NOW ON LOT CRO55 ST... � ... . . , , ,. ., . ., P -'-'-" � ---" _, .__. . . : . . ... ( (5 ) � e ermiY�s for one __ --- ,y' _ .._ __ _ f..... assessoe Thii section need nbt ba com leied if th TRACT 425 etOCK LOT n10. 2� �hundred dollars 100 pr less. . , , MAP BOOK'j� � PAGE: PARCEL � erm 1 is issued �ub�ect to the WorkenPC � TEI. 555���,,,���QE � - -- owNeR Baramal ea-- � m' ---No. I terfif'thot m fh� performon2e of Ihe work for which fhis ' u/�(pNA Np �� Y p ' all nat em lo� an - rson in an manne� • . � i.��.i_. � '3.._._. _ �� �.�- r ; ,.. ��� Y ADORE5531�J1-A71'Wa -AVE.-SU1tQ-N � ��---i SPECIAI- � � � � � .- ...- . .O so`os to bemma s' � ompensalion Laws. --` COND�TIONS � ' �� � I —_ �c�ro nvr��cA , . . �_ ��rY _Costa_.Mesa,_CA. __.z�r92626----- - - -- - _ . �+ -- - -- bale ` � APPlicanl. . . .,,, .�.;., '- -, . . . - , :� ' �r1� NT: If ofle('mokih this`Certificala of ARCHITFROR • TEI. DISTRICl.. GROVP. TYPE_; __.__. FIRE _ PROCESSEOBY. ;� �' �Poption;�yoU should��be[ome wb�e I fo�the�Workers' - -�- ENGMEER Aram Basseman NO.7SZ-IS6U . CONST� ZONE � I Compensotion piovisions of tha labor Code,�'ou must forth- �Q "'�' �• i viith tomply with'�such p�ovisions or this permit shall be--.__.._ ADDRE55 3990 Westerl P� S l - -�V- � V\"3 - .�- --.--- - . .__..___._.__ _�y deemed revoked: � .,.. � .� �. . �� . , ,. � .�....� . TEI. STATISTiCAL CIASSIF�CATION � APT. CONDO:�^,- - �- - � ' CONTNACfOk Bramalea Calif. rro. 8 0- . ._.._.. _ ,._ • .. /� _ _.._""_ . _.... _ ' ___.___ ' �Z IICENSEDCONTRACTORSDECLARATION -`• ��--- - ._._ _ _. _. ..__. _. _._. _. .._���. _.____..._. C1qS5NO..v�_DWELL.UNiTS 1 here6y affirm thot i am�icensed�nder provisions of Chapter 9 ADDRESS 3151 Ai rwa AVE. N No.409610 ! (commencing with Section 7000)of Division 3 of the Busineu and .__.._, _ ��� SEWER MP,p . , , . , , . -- .- . -_-. ... ..--'_'- -_'---- Professions Code,and my license is in full force ond e(fect. Citt Costa Mesa C . GtASS B � �--���- �- �-- . �.. ..,� ...,. . _ .. . ' BK._ _PG. ' .. ... __ ' _.. . ' . vauoanoN , � .. . . „�. ._. .. �• __'_. SQ.F7.,_ NO.OF. . . ._. NO..OF. .'.._. .--CHECK � � . ._. . � licensa Number - � � ���� -' Lic.Class "' `� S�ZE-- 1844 STORIES-2 FAMIliES � ONE `. -..�,�. � .,. . , ,. ,.`.. . . � ... . . ,• . .... . �..-. .'.' �FSCRIPTIONOF WORK'_.__. _.. ._ . . LU ' _ __ . ._ __. .._ . � _._. NEVJ-....� Conlracf0i • .. .. Date ' ADD �. � VA ATION �_ _._ , _❑ s ��� �� �I am ezempt under Set �-- �� - 1 tl � -F Illl� � -- -��� �7 �� -- - -- - --� - ,�� , . . , . � . . _. ... ALTER � . :_'O / �J.S A,. . B.BP.C.for this reason .. . . .. N2W COI�IStI'UCt�OII - REPAIR-Q --5--...-'-"..._.'...... '-_ .' .....u� .�2��.��� ____._._.____. ..__._._..._ . .- � USEOF / ` _--Date:__ _ - , � • • ,., , . E%IS71NG BLDG. (p� DEMOL ❑ � � � � !�\� ..._ ..._. . _ ,\ -� Signa(we y --" � ..._..-. APPLICANT TEL FINAL ' � •3�Q�4 1--- OWNER-BUIIDER�ECLARATION PR�NT NO. _ �� i � . �-DATE�-- . -. � � -Iherebyaflirm�hatlamexemp�fromtheContractor'sLicensa -� - - -�� - � �• �� � - � �"�- - " � � , • � �� �� �"" --:-"e•a J�CQ-�t��r�'; Law for the following reason(Section 7031.5,Business ond ADDRE55 3151�Airway Ave. N. COStd M2Sd ! FINAL � �` /�"�"' �� �t � '' ' -ProfAssionS Codo:' '- •-` "-•-- ___ p � ....._. . __.....' '_.__". PRESENT , . BY .......,(� //�...._. _ ... _.O Q�_�J .U��7 ._ BUIIDING ���� ; �� I, os owne�of the property, or my employees with ADDRE55 , ' �, �.�� �. � wdyes es tFeir solc compensotion,will do the work and-- �- �� � - - --�- - � - � - -- -- - - ---� the structura is nol infended or offerad for sale(Setlion LOfALITV �, , . ' - ' _ . ..'_' ...._..._.__ _.._____-_._ ...._.... . . . .__. ^ ,. . , --�7044,Business ond Professions Code)r -- �- � MOVMG� �- ��� -�----------�-TEL:- � •:�- • � .__0 7 9.�A � � I,as owner o(tha p�operty,om exclusively conlracling CONTRACTOR NO. � ,__ � . .-with licensed comractors to mnstruct the-pro�ed�(Sec-.._... . ..--.-.-�- ---� ----- .--.. --_.... --- �-- -- +. . .. _ .._---.. _._..��_ -��_�. . ._ � ADDRF55 �"$�e r�a a��-� tion 7044,Business ond Professions Coda). '� ", ;, _ . ' ,., _ REOUIRED_ . . ...TOTAt SET9ACK FR _. . I � " � -"�� ' __ .._.__- -CONSTRUCTIONLENDING�AGENCY ._... -- --� raRo- Hwr - ---...._...._ . . •. ,.--- �- -- ---1-•54�9.40-: SEi BACK PROP.UNE WIDTH I hereby affirm thaf there iz a constrocfion lending ogency for FeONi '� • � � - tha pe�formance of�ha work�for whith ihis permil-is issued �-�-� -�P.L- ...- .__.. . .... ' '--'-.---- _..__. . ._._. ._. -__.__---._. . . . '._._.. . '� :'=� e.e(; 4-9 0 Of�� (Sec.3Q97,Civ.C.). SioE . ' . _P.l... . . ` ' c- `.-i �� _ ... ..- --Toronto Doninion Bank—_ . _ .. _ .._ _..._.. - _ ..�..�--� d8_LQ-86_.:.; lender's Nome , , . i _ 44 Sansome St. .Suite. 700 . .. 9� __._ �t ` ��w+R�+.K • . � . ... -� P.C.FeeE--�w(J. PermitFea'-V . �1�/ � ._,. .._ lender'sAddress��p Fransisse�6J1 9Q� y �,�1 � �� ...I.cer�ify.�hm I..hove reod Ihis applitalion and vote that.the �r� ' �. .��. � � ---- .! �i'-._7.5�.+'.U__.Issuance Fee-._..- �<V-(/.. :. IDMA P/C M ...__. .."' . '_' _ .___._.. . � _ ... obove information is correU.I ogree to comply wilh all Coanty Investigotion fee r�J - � . ordinonces and S�ate laws relot(ng to building conslroclion, ��-� Toiol Fee-v--"J'- -.�D- (pMq perm.N - --- � ��� � . . ..'. __ ___... ..._... . . . ..._ _ . : .._.. �._._f�__ :�.v I . and hereby aothori:e representattves of this Counly to eMer � � �- - - � - upon Ihe obove-mentioned propert f r Inspetlion pvrposes. - ` ., �1;: ,�' . . _. ---._._ _._ . . .. ...--.') . . �/` .. .... ... ._. . -`--. ...._... .-- ' .. /�s�p(Q SEE REVERSE FOR E%PlANA70RY IANGUACE . . ignamreo}Appli morAgenr- �--- � pere�- -- �- - - ---.... . . . ._.. � � �, ' ' O i - . _ .._ .._ 11 �.'.l . . . .._. '. ..__.. . . _.. 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