Loading...
HomeMy WebLinkAbout0922A (5) "'°RKERs"`°^"�"�r'°"°E`�"""T'°" APPUCATION FQR PLUMBING PERMIT � -, I heceby,offirm thal I hova a certificole of cansen�lo self 78A8e7A insure,or o certifico�e o}Workers'Compansolion Insuronce, CE B1T(REV.8/88� � � � . � � � � � . �. -or o cerfified copy fheraof(Sec.38(10,Lab.C.� . _ .. � � . . • P❑olicy No�$�omponyy��Lf�P �71� COUNTY OF LOS ANGELES OEPT. OF PUBLIC W � Cerfified copy is hera6y fumished. � � � FOR APPIIUNi 70 flll IN�PRINT OR 1YPEJ BUILDING ;� � . Certified copy is filod wi�h th.covniy buildinp inspac- A�RE55 . . �ion depor�men�. . _ NWweeR NXTURf OR ITEM � � �j.ao_p , � WATENCL06ET IOCP.UTY ; � Oo�e D O� ApPli4ont ��h�� �i��7�" NEAREST � � , , .CERTIFICATE OF EXEMPTION FROM WQRKERS' `�' • a BnTH TUB , CROSS ST. a ' - COMPENSATION INSURANCE 5�� � OwrrEa . . . � - � - (This aMton n��d nof 6�compl�t�d 1f fh�work inwlr�d br � �ii. - � . th�v�rmM h fer en•hundnd doilars(5100]or I�.s.J IAVATORY pppgE,S ' . � . . . . . � I cenify Iho�in the performonce of Ihe work fo�which fhis --- , . , permif is itwad,I shall nol employ any perwn in any monnar SMK CIiY� . ' so os to become subject lo rhe Workers'Compensolion laws. 1 DfSHWASHER � �� - /� ' � �,` ' - ' . . / �+ O[� COMRACTOR': I P - . � I eTplicOnl CLOTHES WASHER ! O � '� n.1TICE.TO APPLICANi: If, ofter moking �his Certifimte of ADORESS. I � ..__ Examp�ion,.you should become subjecr �o Ihe Workers' SwiMMiNGpOOLRKEviOR � - Compenso�ion provis�ons of�he La6or Code,you must forth• ��T��p/q _�O �� LAWN$PRINKLER SYSTEM � �i � wiih compty 'ih such provis�ons or this permit shall be Su�E � /� � ' ' �deemed revoked. � ' WATER HEATER IICFNSE NO. � �{�{5$ �3�p �� � � LICENSED CONTRAC70R5 DECIARATION ' DiSTR�CT NO. � PRO�ESSE�Bv - �I here6y oHirm�hpf I om Ucensed under provisions of Chapfer 9 GAS SVSTEM OUTIETS i � (commancing wi�h Sedion 7000)of Division 9 of�he Business OUtieT50veR . � � � > ond Pro#assions Code,ond my license Ic in/ull face and effecf. S PER Se57E/n d FINAI � VALIDATtON O . li[ense Num6m � !�d�� Lia Class C�� DATE �/9/� �' V '� � - � � FINAL � , Coniroclor po�e R ao'R7 gy ��"`� O � ❑ I am exemp+onder$ec. - � . . a � B.BP.c.for rhts,ea:o� ptan check fee , ' i � �'e� - PWM8ING PERMIT ISSUING fEE S 5" � SignoNre � , . � TOTAI FEE . � ' � �. Plan check opplicant � - � ' � � SINGLE FAMILY . . � - - c O 9 Z Z A � HOME OWNER•BUIIDER DECLARAiION Nome � �. � -.— � '� I hereby affi.m rhar I om eaempt from the Coarractor's Licenae Addreu � � � - � ����T'�� 'S law(or tbe followinq roaaon(Sscrion 703I.5,Busineu and ' � � � � ' Profeesioes Coda): � City Tei.No. ' -1 • •9 4.5 0 � ❑ I,os owner of the ro er ' -. • a = p p ry,wiil do�he work ond the . . •O Q 5 O� strucfuro i�no�intend�d or offered for wle(Sec�ion _ � .��- - - - . � 7041,Bvsinsa ond proFessiona Code). ', , O B.G� �'a 7 CONSTRUCTION LENOING AGENCY ��� � �����-��� � ' -- � '- � � � � • � - � ' I hereby offirm�hot�here i�o conshuction leeding agency for ' the performance o1�he wo.k for which this psrmir is issued � - --�� � � ' � - - . (Sec.3097.Civ.C.). � ' Lender's Noms ... . . . . .. . . . . . Lender't Addrsu . . . . . . . . , � �, 1 certlfy thot I hove rood ihis opplicorion and siaiw that�hs . . _ .. . . _ .. _ ► . ' . . . obov 'nformo�ion is corcecr.I opree ro comply with oll County � .. ' ordi a es and S�a�e lows repulotiny Plumbinq,ond hereby . . ._ . -_ . au� ri e�eprosen�a�i sa of thi�CouMy to en�er upon.the ��� � � � � � � �. - � - �i abo a erty fo i pection purp��.�� .. . _ . . SEE REVERSE FOR EXPLANATORY LANGUAGE �I: qnmuro of Perminee � � � - - �, � � 6 � i . i.. .. . �� 4� . r f( � Yr. , }f -' b"" '.t,� ., ... . �., . .._... . ..'(. .. ... ,. f. 5-�, .. ... , . . . " "d� ' .. _ . . � .... . . , t ._._ . t nrasqvais�: ... enie IwveCro2�55cv,aTua: �. . . . �� `` ( i f3U DEF C' !�A�i. .. . .r- o h�� I t L Ir SFECTOR S NOTE ` � UrioER stn8�oRx ��Cg'�-(�T r� — . . . .. . � .� hc�t 5y ff .�.; i s. �� F�t z.,_1 �'Cc �or's '��. ROUGHFLJ R..,�._. 2.:(,_YI7 �=��J i-_ ..... __,.. ....._ -..._._ ..,... �-_, L . s L f i a l ,;a r ,an.(5 t !03{<. o ��.� ' ,����;+ Ausinc s c-ncl Fro(essrons Codc, f.ny eity or counr��vv'h�ch ..�. �GAS PIP'NG . "_ • � � '.� ' ' � . . . . . . ' �.•1 ,'� ,�• ,. . =-1 , �, .. . '_� P— . r 1�i110 coiitirtl[I.''olfOr:�-(mj)I�C�t�emcl�;h �_.�: .���. 'I . ( �� f^ ._ . . . .. � "'_� ...� , .,... Ga5 VE�u � � ��� - ..c"qui s.dp. r . .'. ."� -,.,- rior ro rz�r oncr.�afso-rr � '�,� ..� _.. , ___.._ .. ___ . _ ._. . :__. . __.: ar iepoir any siru<�ure. P su ,�.. � -..,_�. ' - ' -__- . . . . HOTWATERHEATER_ ._ :.._- _' -,-�'-� . - .. i � � .�.,. .. � q�lresfh ,oppliSv ffa. �chpr f�o�llcos�9 ds�o�e� e,u�.�a!t�GFi��ws�. .� •.:• • �._ „ �.r ; ..,:� ..,..�.:. .__�_ ._ _._._._. . _-- .. _ .niit 16 ':I�c �dFur r-�� ihep orihc , � ..�:._ ..-.�_- -'--' ..{--__I _---._._.. _.-- — ...,. . . .. � - ns � --�-� - ' � ` Con�ru fa�s licen<<an 3C�o(Ihc�g���om �c c�ng w�!h GASTESr .. . - ' ' ,.__-_-_... , I F ------.- � "-�� , ��. . : ' Setfion 7000�of D,v s siness and Profes� UTIIITYCO..N�TIF:ED_.__ ' _ .,�.i.-.. __._':_ ..._.,'__ _'__... ... . ,..�...._ . ._I .+ . SI . J .. - �- -..:-. � � ���ens�edcJ brlhaf t IS r c/npYYh rcirom e d�hC tCii3 � �n ,,. �.. .�-` � .�_�:___._.:____ . ___._____ _..__.__�_ ...._�_. '�J031.9'b� ��p c ��ir'oh'rt � v-clef brSecl�o�, fi^�ai �.� � . {'� (r� ._..` � .. ,.... �� � •, .;_c. ..;i ` -�NoRars $SCD�'. P1 Y .or'a F r !�s�b�c rs-�f c-cppU� `_. ` _ ' � .- � ....1^ foF�rh ofl , P,`nort o('rio�m e�fhnn 1 vo 1 undred r I( cor ( ' +�.i.."_�. ..,.'__. ...�_'"�' -,'_ ' . _. . .. . �.-. ,n7J57�LA_ . __ .. � � �_� -- � ', ❑I s o�.vnc f�h p op y� I.do fh ,'"��d W:.9E(�PrrOvn, j �-, � � ...�i— -`-` : -�-ihc sir u �is no in e �_^d e off .d far oic-�' . � . _ ..__ . ___ _._._ .� _ . . � _., ... ..._,__ _...- _.._. . __..__.� . - �; �..,,, . ._, i i �,'(Seci 704d.Bosfnest and Fro(eSSwnt Code.�-The Controo i_ .. _... _�_ ., , . . . L r�` - � ',.;�. _,...•:� . ,- � _.'— . ...__ f ._ _. _ �nocktcens ��aw �o naiePP?'fo �cw e o7p�operry . ' .' .:.., -. W—.1� - 'u "'` _-'i - � + wh's�bmlds-or imp i fFo o nr/wha�d ,s such 71 ' "' '-' � dcdvc'oi�e��dfdsale�f��howFve��fhebufdeg�t `� - � � .� , i �..�, :•,�, ,�mprOvemenl fs so�d v ith�nrone yecr o(comp�e!ion.!�e c. . i,., � •�, :. - ;---.��- _--�....- �_�.,_. ��--- � .�..owncr6�ifder�4,1!!ha'✓al6eburdenofprovmgtbcrhndid f� i �.! (� _.. -,� __ .:_ . �. .__-1_.__ . . �_�_. __ � ' .I .--' ..._ . ....�.,'_ -nofbuildC��mprovc�.fc'1h�purpose�ofsole,l..--. .�.- z:: i 'GI ._�' . . .', - .__.__. _ . ' '____ . `� __ ��:=._�_� . � .. � ; . � , � . _I ., , tr' , � .. . . -. ___ _ -_� _1-- :- , -_ _--- ` ---. ._- ----, —.�'t�am exemp!und�rSec: - _ . . � __ ' i , , � ;. � � � - - .,. , , �. :� ��__ .__._.-.. _ .-_ __� ; �, �. `. � '�6�8r�P.C.�cr this rea3on�� '- ", , � . ; ._ ._. --- ___ �_.._. . _... _ ._.., , . . - -- --- �---- �._ , .. , , ---------.. _ _.__-. , , '-._._ �� 1 I ___�. _ . _. _.-.._. _, . , - y '_'. _' ' ... "_ __ .� _ . , . 'i `_' _._ - ___..._ ._.. _. _. _. ._.'_'__.. . . ; .....-�. _.___ ____._. ._._._.._.__ - � __t:_.1..__c^ __... �o�e----------- —_ '-.._. ..,,.. . _�_ . _...__ ._..-- ----"--- �--�-�--' --' -.. .. � ,�.t � __.----'_.- -__"-�_-�---- , � -.- � - . - Owner � � ,. . . . .� ; ' - . . ..._ ._ -� � — . -. . ...—.. _ _..._ _.._ ---. _—. �. , ��. :.�NSPECTOR'S NOTES I'--- ---- -- ----- - ---------�,�,._J� _ -._ ... , .,.�. r� , i , . ., - ..�. ,. , ,r. ����,,. . . . . . . � . ,. .� _ . ;�.� �.r�.,;. . �.:�� �.�.:�:'.�� . _.� ,. : , . , _ ,. . . _.. _. .. . .. .. . .,.. . - ,::.� . . . . . -.. . . . . _ __, — � ----�- �---- - �---.._._._. ._.__----,..-_`-_ '.__ .- .. ' .�.�..., �.. ,....�._,� ,,...._.,.. :�.,,,.,... . i � .. . �. . . . . . _ . . , .. __1 , , Y...,,_� -;�. ..,��:�JI!:d,._ ,.._. � ' . ,{ . -� - . . . . , _ 1. - � . � , ,..... .....� ___'__ . _ '__ ._ . __ ..,�_ . . . . . . .. . . ' ' . . , _'_i . '. I .,1 . . . _ . ...... � i �, . . ..� .� . . . . . . . . ....... ..... � .. . ....._. _.. ..._. •,� .x �.. . , _ � . . . . . -r .- t-.. . _ . .-. ..— . ; .. � . . .. .-.. . . . .. . . _ '_".__. ___�_, _r.__.._ __ ..... _. ' . ., . . . ; . . . � i