Loading...
HomeMy WebLinkAbout1153A 1320A 1321A (5) . _ . , 1`l�'...... ' 1 �, � � /J . . � ,__.. _ �, � �,. , . �__.., � VlO4KER$'CO:lFFNSATICN DEC�, . ION � \ j � '—� � ��"+ 1 ' I hereby affirm iho�I have o«�„�,«���oF�(a�s����a sP�� APPLICA'TION FOR COMBINATION SWIMMING� POOL PERMIT insure,cr n ce��ificele eF Workers'Cr.m`ens I�e�Insura�ce, or o certified ropy thnrer.f(Sec 3PP7,Lnb.C.') �76n:^o LV�f��—=(s"L ti Cfr �y CE-fi75q1/81) Pol�cy o. Compn�y.../ �'PrL�N�� COUNTY OF LOS ANGELES BUILDING AND SAFETY � Ce��ified cepy is herr.by fu�nished. � � ,e � FOR APPLICANT TO FILL IN Bu�ic�:c ,�Cerlilied ce�Y is fi,.d w�'h ihe county b.''dirg irspec- ADC=FSS Q� � r�on de;.ortm=nl. � L•UilCinG /7L � �J��� AD�RE55 L//4 LOCA(ITY DoieJ�J App��[anl NEAREST CERTIFICATE Of E%EM,PTION F40M V.'OFKERS' CitY Q Zi� CRC55 5T. COMVENSATIO'J INSUQANCI: TRACT 3S3 OT�� LOT NO. � MAP BOOK PAGE PARCEL (This�eefion naad nof b�eompl�l�d if th�p�rmil i�ior ona ret. use zove MPP ( ' hundred dollan(SI00)or I��t.) C'•':M1FR Q n0. n:0. S , I cerffy ihat in ihe per(ormance of th�wo�k(o�whfch�hfs S?ECinl p�rmit is issued,I;Fall nol employ ony person in ony manner �DD�r55 � E U CCNDITIC':5 so as�o becom�subletl lo the SYorkrr5'Compenso��0�Laws. — DISizICi SinT15TICAl CLA55 �Y�+E PROCESSFD BV CIiV (�t/ ZiP C� D��n qppliCant ARCHITrCT C4 r TCL. /-}.� 1 Q C1A55 A'O.�, NOTICE TO AF;LICANT: If, n�icr making this Certiflraro of ENG'!vEER f', , NO. g �{ppr/ � Eaemplion, you should bacome subje.cl fo �hr. VJerk?rs' �/ � L`f�✓t � v VAIUATION Compensa!�on�revisions e(Ih?la6M Codo,yo�mus�Forth- nCDAF55 A 1 � VALIDATION wlih cor�piy w��h soch p�o��vor.s or ihrs permii s�nll M ! � / �p t � a S S 6� Q deemed rev^krd. CC�:iRnCiCRLt��J�t�'(J � IICENSCD COtiTRACTORS DECLARITIOY ��/J�1�_n ���� ne^o�s LZ,SU �/ �,..No. 3/9 I hereby offirm ih�i I am licensed undrtr provis�ons of Chap'cr 9 ,� ��� S ' �;� � �Z�(i (co�+m�ncing wi'h Sc:��c�70nJ)ci D�v�s�on 3 of Ihe AIISI�f?55 �iTV �C,/ ' ClASS . , y ond Pro'ess�nns Ca.Jr.,ond my Ucrrsn is in(u!I(orce nnd r.i(rtct. ' CEXRi-;ICN CF VrC�K ,! • • 'C� �F�j FINA O �� ► O Li[ense N�mber Lic.CI s� S:Vi".:•.'•:G I'OOL U �AiE �. ��e •�`j.C� Q, Co�t.ac�or �a��.L✓.� S^� � FINAL .. � n e •(:�^ ;i.i � �O.FT. � dY �J � I r.^�ea�mpf urdc•c^�. S�ZE � L(i�'"ci:i a � y^� N 9.RP.C.icr ihis ronson ELCCTRICAL 5�,��\J z Da�^; � $�eel 8 Condui�Bonding a�` �q� 5��7no�wc Condui�s,Condudo�s,Equipmenl � SIVGIE F�M1�ILY . ����� f!0"'E 064'NER-BUILDER CECLARATION GLU:lBING ' I he�eby a'!irm ihoi I nm exempi frem:hc Conrra:•c%s Li:ene� � . � low fo��hn{ol�nwing rcosen(SecEnn 7031.5, 8usir.css nnd P T�o� � Professfc�s Cede): Gas Sys�em � � I.r.e ow�er ef!�e F�cper�Y,w��l do�he plumbi�g nnd M�i.Syphon ele:�rical wo•k.I,cr my emptoyees wi!h war,es es ihe�r �^, ������� solc comp�nsatlon,or a Irce.nsrd co�lroc+or will dn aq h�ECHANICAL ;;o • o , .� � ottier work and ihe shuc�ure is no�irrended or offernd �-}.. � fcr saic(Sec��on 7C4a BSP Cod^). Swimming Pool Hcatc� tx� . � •C[:t�'l) CONSTRUCTION IFNDING PGENCY � ,. I hereb offirm ih�l�hern is a conslruction Inndin a.enc for � � �=`��`��%=- Y 9 9 Y AFFIIC�NT / Tf.L. G the pr�fo�mance of ihe work for which ihis permi�"s issurd (P�1NT�/����,'�'p ��XI'�/lr N���7�� � ► (1�.� :—i;f �Sec.3097,Gv.C.). l Lrnder'SN�me ADDRE55 J � /J � fja/Q/� � lend��'s Address P.C.Fne S �y� Pr�mn�nn �l.�i �t . . • . . I ccrtify Ihal I hnvr.reod ihis opplicolion nnd s�a�e that Itirt � . • —� abeve iniermalion is cr,rrcU.I agrea io mmply with oll Cconiy r 6 �� . �;; ordinnnces a�d S�a�e Inws re�o�ing lo building, elrtcbical, Issuance Fee _ � * methnnical and plumbing cons!ruttion,and hereby authorize ����vi;���on fee � "' '� � represcN�eive.s of this Counly In entrsr upon Ihe abovr.- ToinlFen 1 � � s� � r � , . meniio�d . .rty fry cpr ion pu.poses. _ � ��}{ S�c�aro��c ann��ra^�n.^?^^i ��� SEE REVERSE FOR EXPLANATORY LANGUAGE . � . ! . � (' ; 1 — -_ T —n ' ^ -, - -- -N• `- � '^- — -'-�-n' ^ N�i—— , -- � - s: C� v. y ' c �� .- �+ � �� � n O i [� :i � � � o n r,i v+ `. ' C �' 7mo r• Gl N rn -,i �� � - r �� n C� � - �--�— — � ii y; .-. � � � i` .'�., � _. I �i O � n - I I . �. Q �y �: ^� ��• : � - � �, � ' I I I " v^, n ,: ?' ��� C] �. U' � c� �. �� I ' p :. �i �j �:� in ` I I � c � .r:. I � () �i-� 2 I � 'n"' I i C .I ` -±O t , ' O � ° ia n v. n ( I � c j � '': I : i I ^ �G1 — -- -� — —�.� -- \ -� 1-- — I I I I � '�y _ — � ` . � '— _ ' '__ _^. ._'_ —'�_' - �_-F—�' _' _ ��� .��`'(�\ � ��� 1•� \ " V C i � b I� � � w �� I ' � � � I O � G 6^.. � , � I � _„ - I I n — — � 1 - - -- -- - -- -`- - -- — —� - -- I � � � --� —�— v ' n > � 4� � o n � � o a H I �� �I SV � ! , N '9 n 0 Tr� _ A Z1 O t O a Z i m n � "' O , �u _ tn ' _ O . . y T � � ' _- ? p'ii� .: '"C r�,,: ��7 �= C : S ^ �. ��n fn fl �� ; � n� -- �.� � : : . [� t` C' ^ U .. � C � ,� �� O 0 O - p n O C N i � f� =C a ri � Li_i f O O�� � _ ��: � � � n � ? J.1 ' � I i' �� ��; �.�- '. i �^;i �' o c �N � ii`N' � �N �_�N� �' T n� � ' °� �_ n �'` `' . � � C n Cj'� � G. 'N q C C ��! V n T � �a O r, O, � r„ ; in C`� n L`.�+ O � �, r „�`� �i ° �' i. N �.� c : H � �� _ r � n � = � n � o U c � c: e G C y �': ° L` � _ � � c. , `.'n�`C' l� r'�=""_� G ^ -` , C !! r� � r � "C�r � q A 1l �' " ;� �� ry, � � =• _��� �J _ :] :,• � _ i - ,� 'i r C S V .1 � � C p.�. � _ ' -_ (� . i. y •-;�, q � ? `�il � =. � Y+: O U O_q �n�: O ,c � � _ �� � �: �i C�` n u 1) ' �U � O p n� J � O [: n k S a '- �' ' + U [' F � c - . N p CL O, t.. J C: ' j ^. C �� r .r. ' --r. '= n u. ' n o c: n N ; _ G' m � q �' �� � �� � -; _'•) (1.� V J _ 'r < � -! -' C c1 V � O p �. C= O 's �, ". "" n `' %. _ _ u �'' � n ^ _ ' �<` o � ii':i � o �Y � � z ti � � N � _ p � c, i n � � c ii zi �"o � L� c i o 1' o � ' y c �"' r1 � =� c o u r, r' :J " _h �:, J n ci �$ :: .. � ' =L� u J . n o - j � c � Si ,' - � `; 'l7 an � _u' o � � �>_' ' : o ci n� !? o -' �_. : ..Zi o r_ � ' � � C o '�N �, n ° ri � o _ . �a _ e �. �.. O ' o' p . cr�� ;� =��' , .': 3 � '� = o' _ , _ n 'y `� n H o :• c_ c o p ° c� � ^ � r, � c ° o�o � ' � r '� '„ D m � C>_ n n � > ; nl�__� - � N . _p' ' , .. �; i . N u S� O'.': ., O i � � C t i � � V� [7 �e O N b•�• p'�3 ; �� • � C1 `p 7 !% � n :s y p (1� [j `C C f7 r, V �= l� '' N ' U f1 � �_, �! n -i r^ — :: - S �� ,-7-� �� -� e ^ < V, ^ r- �n '' Z "' O �� N �(�p O ��p .. r J .• a (1 �.:�: ry .• O �, n Z' � 7 O •• �. C1 T� ' S U .�n t O r � O 'L � c) ;: C:. j r, n C. �� ~ �a � r � � n r, ri = u c , � �! n � �t °o `� a� � �-�� �� � �:`"° � n � c-o �.'� ° "o o F w c - c n _. � _ o _ =N� o c `r, °-Z; � �� � F =n =-� - c. �, o ° �c` . _ ' n .. . ` . ° ° n ._ i` � c='<� � . � �^ c : ^� �