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HomeMy WebLinkAbout1155 SOUTH DIAMOND BAR BLVD (98) ".. rta Y lr K Ky,.e .qd`'L, .. �,. ... _ �- 3Y t -+' 4 ,u� rt. �: � . "���-��_{.,. ;.. � . . .,,� . A►PPLIC :;:».��. �.`� � : . �� �. . ,., .. ,.�.. � �'r w�R��^." P r���n'�'t����r ��._ AT O8V F4R�P UIVI�� E`�IVII'fi���� -�_ .-I � . � � he ehy aff rm iho� I have a te tif cate of consent to self 75Abb7A - � � � �� .�,insure o b cen fica?e of Workers'Compensafion Insurpn<e, CE 8n lREV.10:81; . 0 o cer?f ed copy ihereof(Sec 3800,La6 C 1) ! CpUNTY OF L05 ANGE'L�S� - � � BUILDING AND�SAFETY �'��e '" "� �B-t�F�1t'�.n.9` PoLcy No�Sttb9�3 ComPany .. . . _�.. . -� : - �� ..�. " '.k�;� � �'*`"�ru�,;i t � � Certified cop s he eby farmshed "'"��- -� - "�- ' - N-X.; °:''"",-•-...`-.. '..`" ' `..".... -'".. FOR APPUCANi YO Fltl IN fPRIN OR TYP.j ,... , BUILDING { ' I �� Ceriified copy is filed wdh ihe couniy boilding ir.spec- - � - - � '- -� ADDRE55 �{ .0.K�in {j , _ .. . rimenf. NUMBER FIXTURE OR iTEM � FEE Y ��;4 t o�de ...- . d. /�.�� � ''"- LOCALITY � ��,Dat�e � L�1 � APPlicont ! �—��'"�-. WAiER CLOSEi - ' - �� � NEAREST � Y 3 �' �� � �'�M �ERT ICAiE OF EXEMPTION FROM WORKERS' � eai!�7uB CRO55 ST. .._ _„�,,,,, r s�, �i:�,.'��"��-CZShIf�NS.4"fffJhfYN,S`U'RAPICE.� , . . OWNER 4 � �Th�s sedion need not be wmplatad if fhe work involved by SHOWee �L� { ��fbe perm� s fer ona hundred doNars(5100)or Vess.) wvt 70Rv qD�RE55 � ��lJ J V o`�'E � , }, ,��cert fy t�iat n theYperformance of the work for which ihis �*%"%'F'"•.. � SINK � CITY � },N TEL.NO. ` perm t is ssued I shall not employ any person m any monneY „p � t,�, �'� s�so as to become subjecr t the Worke s Compensat o La s ��' .(��E y �r��,,�� ,�,; .- ,� .� . DISHWASHER CANTRACTOR a t `�h�i.^2'`� ��;., '- :���y� .......f'�5���. . ;.._ _ ��* �Date Appl<anf , CLOTHES WASHER ^ �f �.. . . . '' , . .. . ,_. ADDRESS r c a Nd�ICE Yfj�.APPLICANT; If, afte mak�ng ihis Cert ficote of SWiMMING POOL RECEPTOR� n N .�Exempi on, you Should be[ome'Su6jecl to fhe Workers' CITY ` iEL.NO. �j � '-" ��ompensafion provisions of ihe Lqbor Code,you must fo�fh- LAWNSQRINKLERSYSTEM ` � ✓ � � 3y�;.`w ih comply wiih such provisions or th s perm'f shall be STA7E UC. �deemed revoked . . r WA7ER HEATER LICENSE NO. CL4S5 �.r � . . ,,K..,._,.z-::• ,,��„�,��',��,���F�S�b C0�3T���'f R JJECL,ARATIDN , Oisra� N� Paoce55eD BY E�' ,;�I here6y offrzm thaf I am I certsed unde pro isions of Chopter 9 GAS SYSTEM OU?lEiS � .+„�.�(�^amenc gwithSectio 7pp0)�ofD so 3aitheBusiness OUTtETSOVER -�- � � . -�-•�' � ('rofessions Code and my I cense is m full fo ce and effect 5 PER SYS EM FINAL � s; �*'�iK �.�z,;'�. ,�, s:..�,, ,�.; VALIDATION _ � ���1L���-- � � DATE� --r/�Gr"� C3 � FI cense Num6e L c Class � C[ 1'sx3^-�a��,� r.:�?�4;�43w:'tbeh`Y '-3ace ,.�..s.»'{ FIN v sy � ¢ 4 .�Co�t acio��'4-d�r�: ��-s�Date �Z� BY � 3 h '• . . . . .. . . . �„ � ���S . . . . . ,... . � �❑ I am exe pi u der Sec � � _'s-A.¢�'sd.-,;".iA� reu' -_�. �d `".�.k -... � B&P C for this reaso � '�� ,.,. P � `� s#�+.r•x� 4.� x �r�s�a �,� ; P{an check{ee � ��'�-+r^i€"�'ik"�?,.''+�.r�^,C��.��,�s�-"�' Date . ..... . . ' C'�✓;:{� 3 -s f"` �}`y,;�t�.,-��,�c�; �r�{�..�:�• .4.,t�t� �-a �� ��` PLUN6ING PERMIT ISSUING FEE 5 r � z� S� �����r �gnat�re . . . � ; � c� c a m� �t_� �����„£�,�'.�r"E t"-,���� ��'£,f�'� ' i„_ TOTAL FEE K �� '�`7•�i��i. .1"���4���k"�>�y�a�`�&?x�,.--¢9° �° ...- ; Plan check aPPlicanl '.�- ' < :_'�.,l.' `� ,SINGLE�AMfL�! �' .. ... .. r.v r � � � ��� .r"�`'�; HOME O�SNNER BUILDER DECLARATION - � � �� � �� Name � ----`- � y - �'s 5 li� {,.p:rr . ...:.._ . ...., . . .... .:. . . .. . _ k� .I,he eby affirm that I am exempt from ihe Controcfor's License Address *"`" '� ` " Law,for ihe following reason (SecYion 7031.5, Business and . .. . ..... .. ......�.. ..,,,-��:„. 4 C �4'"'�fJ :..��'"�Professions Code�: n,. _ .,_... .. ) City G_.---,.. Tel.Na--;. �� ❑ I ❑s owner of the properiy,wi�l do Ihe work and the i4 itr ctu"e s not nt�nded or offe ed far sale(Secr on �' .�� "7044 8osiness and P ofesswns Cod� . � ,. � y :c��•_.�. _&�q..a.,,o,: .. .. .c.,: .-.� ,. �✓--_ �.'F'rx- ���.��'C�h: d �- __: ....,...:. .ti ,.. . .. _. .. .„ .. . . . .. . - r.z_�?� �y�� ;�,�SiRUCTIOtJ LENDING,4GENCY - T here6y affirm thot there�s a construc.�on lending agency for '"the performance of the work.fo hich ih s perm r s issued � ��(Sec 3097 C v C) - . , . . . , _ ,. �✓,� � �s�i �x . �,. - s w,ra-_'" � :. - <t-�`��: � .,�.�` � .{ �` _.'`�'� { .,s� � �., q�^4,., �' �, .$L��' te. � ��v.w_�� r �S� ... r� & � Len�er s Name � - � � - , � � � z s � . ., x x�_,>i ;;^'. �.#.., z� . -�-:� .�`F ti '��s�r1"_�a�n ..a"�'.,��''.a���"Qi,.; a. fit..:>ss�:"`"''a .�'�`.'.�N.. A. .,.: ... . .. _ � , . > ,..s .. .__... .,� .... ........... ..�.. _ ...,.,..,� .. .. ... . . . � � � t; Lender s Address . .. . ...__. . .... ._, . ...._. ... ..... . ....._.,_ . ... . , . . . �' (cert fy iFai I ha e read this ppplication and state that ihe� ':I� `abo e formation�s correcr.I oqree to<omply wifh all Counry „"`:;qrdinances pnd�State laws regu�a±ing P�umbing,ond hereby _ '`"outhorize representdtives of this Caunty to enter upon tne -y�"'"ab v entioned property for inspection uroos s. � ���� ...: . ,: . .-. .. .... � � ... � - � ' ' ���� . � .. � SEE REVERSE FdR EXPCANAIORY LANGUA�E �./``�. . .. ti �8� , _ " .. i �S g at re of}Perm 11ee ' .� f e .:_ .' _ t .-_,.. 1, . . _ � < y,,: �_ F ���:_L �r....,<��4....._,.._..";.....a.or».,.,��...M. s ,� i. . -. . _ ,. ., .. . _.. u� _ ,� , : � .-, . • . , � ,. � _ ., . �,. _. _ � .. . . .'. . ' � . .. ' � - " OWNtR 131.(LDER DECLARA�iIOW ^�—^�^^g INSPEC'OR"S tJOTES APPRC'JAW DATE..�� �IN E OR'Sf NATURE 1 — . . . . . '�' : , -� .. . ..,: � �. '.'. . UNDER SLAB WORK �`� _ � nereby offirm that i am exemp�from ih cUor s � � �. . . . . , . license Law tor 7he iollaw�nc� reason (S.cfion 7031.5 ROUGH PLUM6ING ��`%`�� Rvsiness and Pro`essions Coda):Nry clry cr cour,ty whicn GAS PIPING / �i � �r ' � --------�--,.—�-.--'----,- :-.`. -.-. _.:.� requires a permif to con,iru<7.a.'7e�.rmprove,demoFsh. GAS VEM � j . ar repair ar.y struciura, prior to Hs issucrce, also rc- HOT WA7ER HEATER � " - � � � �� � � � �-�--� quire�the opplicar,�for such permit fo file e signed sfiafe- PLUMBINGFIXTURES � ��i !� ... ,------, ,_ ..... .-... , : .� _.. �License5eaw�!Chaptcr�9h(commenc�ing wrife ment thoi h Confractor's GAS TEST � � Setfion 7000)of Division 3 of fhe 8usiness and P.r.ofes UTILlTY CO�.NOT!FIED�-- � � � ��°'•�-�-�� .'• - ��� `-�'`'"""" -'�'�� sions Codej or that he is exempt Pherefrom and the basis . �- . � � _ for the aileged oxernption. Ary violpfion of Sacfior. P 703i.S by any applimn�ior a parmii subjects the app%i- �INAL ` (n�ar nn �roost caaf la o civil penalty o£not more than five hundred ;, ..,..:::;_ .. , — aoua.��ssoo�.: . .. . .� _..,,.._..,. >................... �....,,. ....,,....,.... , ..�.»....... .. ,_. .... . .., ,.,...... , ..,.: ..... � � . �o-, nd Q I,as ownzr of ihe property will oo the v- :k a IN�U'TRIAI. . .,_....: ._ .. _, . ... ...__....._ ,.. ..., . .... � — -- � ���-� �� �������--��- �•-�^�� +-�- tha siructurs is nof�infanded or of�ered for sole. WAS7E APPROVAL � .. _ _ .- --- (5ec.7G44,8,vsiness andPrafessions Code: 7he Conrrcc . . ,.. . . ., :. . . . � �' . . , . - -. . . for's Llcense Lbw does not appfy to o'n�owner of property - ' �� ' + -� - , ?:.... .........� - .;�, _. . . - . mpraves thereon, and who doas sucR .._- �. .. . . , ��. ,... . . wh bmlds o r. �' � , � -. '� ; - �,`�..�" ..�' - ��'-� - . � work Fiimself prov)ded tha+such improvements are nof � �.._... .,..- � ..�;: _ . : ... '.,.,, :� . _ _. . . . . �. ,, ,, „ . �',� , ,, � .. ,. .�: . ��.�, �� �_ irtfe»ded or offered for sale.If,however,the building or . . .- . . . "'��`'�� ��` " ' r<one yea�ol corripletion,fhe �.. ..,. - .:.,� .. .. � . -..:�. , � , ;.. ...�. �. .� . . . ' - arhed�d . ' :� ' : 4• � �. ��.., mprovemen{is sold wifhi .. . ��,.:.... . � . ;, .��� � ,�� � . �. ' �� '�� �'�.�� -� ' � 6lriner-builder wlt!heve tFe 6urden af provir,g th .... :. .. �_ . ._...__. . . � . � .. : � � . � . . . �. ., . ; . . .. �.�-. . � � � ... ' ,�... ' - :'•:._-.:�. . .- ....... :._�`.., . - bvlfd or iriiprc've�For the�purpose of sa1F.1 'nof . . - ' � . - " . . .z.,. .. -. ' _ . ,•.. � ...,. � � :.-.. ,.!,. ', ...,s der See.:` , I am exempt un -- ... , ,.' ..._.r , . . _. _.._.,.. _ ,..._ ,.'_,- .... . .-..- .�. . ... . - .. � ._. -_. .-. .� : B&P.C.for th�is reason-.. . � . . � . ... .. . .:� . ,_.. -- . ' , ' . '�r, . ,-t r�-. .., . . ,,.... . . ...... ....., . . , , . . .. .. � �. - _� ' � . . . .. - -���Date �. . - -- �.- .�.. • . '. , - . �:. :.,�. :;. _ �. :'.-. �..-�.:-.- .....,. , , . , _ . ..,... ._. . Owner , .,.;- .:', ' .:... . ` INSPECTOR'S NOTES _, „ :� ... , _. . ,. ' _: _.,.: , _.. �` . _�, . �s:; _ . , .. '_' _ ,. . , . : . ,., - - - .. . - . _ :. . ' .... . _ _. _ �r -��.,. ,.-... . � .,^ ,.. 4�� ; ' ,. .,.:.. �....: ,.., �: .._,-:� .,;:.,, ..,. a............. .. r... . . ._.. . _ ..:.. . .. .. . , • , .. .. .... f,�s -. ., ... .-.. �..., v,.. �-..,F ,.v . . . .E p,.�.R� � _ �