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HomeMy WebLinkAbout1050 GRAND AVE (6) !_ __.._._ ___._..__,_.._ _��_.�__..____._._____.�..__._--._..._.___.AP-�PLI.�CAT141�1 F�'JR PLUMBINC PERMI�' �_._.._.._._�, , woR�as comeFNSRnok oeawao�noN ' 4 hereby oHirm lhet f hpve e cerNflcp�e cf�conae��ro aelf �q,qys�A � � � ' ;wsure',ola careHimro o#Workeo'GqmPe . �on�nsvrance, Cfen tREv.iaia�� k or a centi�etd-c°-.d'°qtqE{54e.p80p't°b'�1 [OUNTY OF lQ5 ANGECE�' BUILDINI"s rANDSIIFEiY 9 (, ° �r,�� �'v..+l3 Voitcr No SrlS..,_. _ampPl�+y 1'� . � . � ' . _ . . � h�r Cen�ed copy ie horeEtY feRNahRd . . . .. - s� � �F CeKiilsd WA15 b:�!wI1N 81Y C4uM'�iAitdit?Q mspeo- FOR APP[ICANS tQFLLt W(PRMTOR"fYCEI �AbDRFSS l �3 rtorn,�IdeD � � � r+umBER iuRURE QR r�t � � tOc�w�v Q DpTe.1e'!��`�PDlk0At3������ .�WATERQQ$Et . . _. CERTIFI(�AtEDFEXEA4WtQN�gQMNlS�ItKERS" ' BATHNB ��65�cT. QD74i�N5ATIQj�INSlJ�l1SNCE - 6MOWER ��R � (This s�ettot�ewd nefS+�RbmpT�Kd:IfYh�Mrodt�nrolv�d 6r ah�p�rmll�fi�ecro�+Fan���1 dollon`(f101]�r i�ss.1 wvntoar ,�a�,q i ,,,I . .I el9nity tAat fn IFa pltfo►+Yrt]�1CiF oi�fFiC work ta which�his � � _ . permN is�3fVbd.I shalReM7rom{flQy anyppRoo�n arq+manner � � � � �'(�j,' so as ro{ietom�wbieeFro rha Wnrbir!CompemoHan laws. p��� - CONiRACIINt N � . �� DofB - s�ise�l{CCN Q.QfMFS WASl�R �/j..2(,2 _ . NOS�CE TQ APP�QjW3 ifi Qirar�myf�n9 r51i��CeniAmte ot . —7..L.1 � . E.+�emptian, you 16oatd'°69C6Dib au61Q�fp tk�� Wmkeri �'"^"^'"16�R�� _ CamPemalan pco��siota af ih�r tqbop Codm Wu musr fonh. an �.rq.+�'��, with wmPIY with i�etr�.mUtOe4t Qr thit f�tmit fha�1-6e tAN�ntSNt�MnERSY57f�n STAIE IIC. d�emed re�cokexf, ww�t+�cmt uc�use wc�, �i_ anss �� u4Ef+13�CONRBA��iCRS GF.CtARA'tIQN oaTwcrN4. PROCE55eo eY � . I hp[B�y.P��ih'�ti qdF1IC�1nq��,,�➢dAr Prav4ioM of-�haP�er 9 GAS Sv57EM OUtIETS - � �Q 5 ' �. (eum�ne�CUng:�131r$p.Non TDOQ?af bNlsion$uf ehg.B�niness OUrtE75ovER � � and-RafBulOnsC9d0.tlfd�Ty�liCOnle iE in fu11�fG[CQQOdOffeN. S PER SYSTFM flNA n � . C• �f �� �� VALIDATION � �E l;�en�e Numbx' r-��tl Z �it.Uass � � ut . /fj� }�,� y��� �i� flNAt O Canrwctor� �C2L��•_ �..Gi�'�F'7afe��,+6a���?4�-•-,_� ' � 0Y _ � ; � Q i rnn exemp+arnler Sea y B.BP.C.for thu reasan . Plan qheCk feg Z Date:_..r.�-_,,..-�. PIUMBING PERMIT ISSUING FEE S J�L� �V � . sQea+u�e._. - E� �8 1 B 4 A iutat�E . �....v$ � Vlan check OPPlicam x;,! . . '.. suv�tE Fanv4r 1 ••2&5 0 HOkVE OWNER-9I11[OEQ DE�IARAtIqN Namp. � . �. . . . 1 henbv offirm thu�I amazetnPr fcom tha Cantroc�ar�Lkenae . ��� . �. •.• •2$.5�t� Law for ehe foUowing rQaao�($ectlon 703T�.�Bmineu and . � . vrofessions Cade): Cify Te6 No. �' 0 2�9—8 5 ❑ I,m owner o4 the pfopqtty,will do�dp work a��he � � - ► � � r mvawe is nor iMpndeel or o£f�red tCr enk(Setnan } �Oaa.Boalnsu and Psaf4ssiar�{orfs} . � OONSTRtl�TaMtEND11NCrAGENCV �hereby aiEtrm Niar�kefe a ocpnmuG�tan�tsi�ld�ng�d0e��y for � �he perlarmonee of fhs�wa2�fpr wHteh eNb�permix is isaued . � � , . - (Sec.3097.Cfv.t.j. . . Lender i Nome � � Lender'./�dreaa � - � ' �. . � I certify tlwt 1 fiove rEQd�tRlq tlppllCqtlOn 4���fqfe thqt�Fe � ► � , �_ _ � � abave irrformuTion is coveer.W0$SDn�tO oDnQllii wi1N 01ECounty . � � � wdinance�and 6tute Iwin rqyvlc�rin¢PIu�tlEiYng,aed fieroby � . � authorize repr . (�rei of'tPiYy C181mty.ro enror upon IWe . . � ' .' a memi �fdpc .try;fr+nSCRtiiWn� SEEBE�IFRS�F4$��SPL�NATARY�:ANGUJ4GE SP4notur �r nee �Dme � ' r � . ,..'.r...I. _..._ ____.. __.__ _ - -__ . -.__ ___ . _ . _-- -- __._----_.._ . ______ _. _---- . - - -.. ---__. -- __--.. _ __ _ _. _ __._. ( E WSPECTOR'S NOTES OWNER-BUILDER DECLARATION��' � ~ , APPROVALS DATE� WSPEQIXt'S5IGNATURE . UNDER SLAB WORK • � I hereby affirm �hoi I am ex¢mpt from 1he Conirocto.'s ROUGNPLUMBING � . license Low for Ihe Toliowing renson (Secflan 7011.5. j GAS PIPING � � Buslness and P�olesslons Code):Any cf�y or county which , � GASVHJT � requlresapermiffoconslructofferrlmprove.demollsh. or repa�r ony slruclure,prlor lo Hs issuance, afso rr I� HOT WqTER HEATER , . � qvirss/he oppficonl ior such petmft fo���e a slgned stafe- GtUM81NG FI%TUR[5 menf fhaf he Is llcensodpursuonf la fhe provlsions of Ihc � GASTEST � Contra[tor's Lfcense Law(Chapfer 9(commencing wUh 1 IUTILITY CO.NOTIFIED Srcfion 7000)of DINNon 3 0/fho Business ord Profos- � . slons Cod�J or lhof Fe Is exempl thorsirom and the 6csls ' � � � �(or the olleged exomptlon. Any vlofa�ion ol SecNon � FINaI � . '.��' �� , � 7031.5 by any appllcant/or o permH svbjech Ihe appli- nlar on ronf cont to a e1v11 p�nalfy o/nol more fhan live hundred � � . dolfars(5500).: . � INDUSTRIAL , � ❑I,as owner of Iha property will do Ihe work,ond WASiE APPROVAI � tha srructure is nat intended or offered for sale. � . � � . � � � �(Sec.70M,Bvsln�as andProf�sslons Code: Tha Confwc � � � � � , � � , � � � for's Llcsrt:a Law does/roi appJy la an owner o(propar�y ' �'� � � � . who botlds or lmprowa th�rson, and wha does such ', � ' �� � ' . work himself providsd fhaf sucb Improvements�ore'na� �� ' infended or oflsred for sale.If,however,the buflding or � ' � , i� . . 7mpfovemen�!s sold wlib7n one yeor ol tomplelfon,the , ' � � - �owner-bWfd��wlllhavef6e6urdenolprovingfharhedid � - . _ . . . � nol boifd orlmprnve(or 1he purpasc of sofv,J '. ` . . . . . � , . . . � , . � � I am exempt under Sec. � , � � - � B&P.C.for this reason �� Da�e � , . Owner � i � INSPECTOR'S NOTES �. � I, r � \_