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HomeMy WebLinkAbout0980A � �___.._. ._____._---._.._._._.__.__.._________.�._.________,__._._._----�._.__.._..._._.__.---._.__..:._.._---__..._.._.._.__.------__.__..___..---_.___......__ _-. ' �R�'�N�,;,QN°�"�,�" APPLI�C�ATI�J�l:FOR PL�UMBI�IG PERMt�' � � i heroby afMm�ha�I hmn o eanN�cme of coroene tq.elf ��� G insure,ar o�rffficpke cf VV9�ken'Compemarion Insurance, CE�IREY.1o+8i� G arocenifled�mpy�he�eo4tSec.8800.tat+.c.) COUN`I'YDFIQSANGF7,E5. BU�LDINCANDSAFETY �0!�83�.3:$2camaamrE�'emon�t. Ittdetttxl�t�+ � �6�� � L� Centiied eopy ts heuaby tvcflu6ed _ - -- FOif AFGI�CANT FO fiLL IN�PQMi O�tYPE� fL.�- � Cenlfilpd wpy a Hle�ti wi�R�he counfy bwYding ieypeo- A � `-�� iton deimMmanr. NU�R F�xTv�oR ihnn Qote�..-ApPlk�a�t. • _ ;wwTEHt105ET� � . ,.� tOCRlrv _ . II� - �'n. Co.'�.i#aalLe�ron ce�icn���nal�ent FRa�n woa�E�.s� � e�n�wa / cdnn S�st�oK iNsuar� �� � �,� � P�� ;ie o� Sa. �a. (TMU t�tome��d K6t�8�tompl��dtt fhr wotktnvolwd by �n � ih�p�f�+if rt#ec ae�humrriA'db�Iers(S100Y er 4:s.1 uwar�ur G ^ nooREss C� i cenNy�hu�ia�he perfarmorree a!�he work fer whieh�hia � � permi�is is�oed.I ehalk noremp�aY aM Person in aery manner �� �p — c�T'� . TE�N � ', h w m ro hec�ne�ubfecF to G+e Workers'Compeniatioo L�wa. � p�wA�ER -- -� - � �R . . + oaro _. a•,pt�am aon+es wast�a — nnneRs 12�8� M8 n 1 ia Ave. k �r�cF To APPtKAt�iT: �R. of�er innk�na�hy cenH�m�e of suviMrANGcoa�REfEvroa . . . - � - . pp�icn, you adould bemme wbiEa� ro iha Wackan' ppp npenaption pro�isiqrrs pE�f»kobar Code,ye��must fonM �,���R 5� "'kiverside� 9250.3 �`�"'� 1- �00 r � ` with comply witl� such pmrisiom or ihis permir slwlV 6e SfA1F K, � desmed rnvakad wqrElTr�Fia� � ut[�No.- UCFJ�15E4 GONTRACiQRS DEC#qRATIQN / � rnsi G7 NO. OCESSFC 8v I herpky otfirmrhoe+am Iie�R�ed�uoQe�praroia�af ClwP�e.9 :���M �p �� � (commenc�ing wi�+S��an 300U)of Oivision 4 6f the 6uainea ,p��� " � and praf8�sia�aCads,ord-my lieems is in full fores ordeffect S FINAI d i � , �� ��2��, VAGDATION d � License Numbpr_��....�Ua Clau�_,., � � R.C.It. �3:tunb�.g,�, 10/3/$5 � ev� o eonwctio� u O W � I am e:emp�undei Sea 4 i B:BP.C.for ihis raason plan ch��k fee � N 2 I� Date: PLUM6JNG PERMYT ISSUING FEE f ..�� , :-C�:S'�J+. i Siqnn�urn I� 70TA1 fEE Ie�. ,� - �" o e � A e� I� Plan cheeF opplicam . .. � , } ��,; �I SINGLE FAMILY � ��'- H4NIE UWNER.BUIIDER DEGLARATI�N Name ,_ 1 : I I� ��re6y af{iem tho�I pm exemp�(rom ths Cantraevor's Liaerae �e� ` "`' J for�he fDllowing reqsOn(Section Y031.5, Busineu ond �',`;._��_s t nofeas�ans Ccele): eiry a.N ' ❑ I,m awne.of�he pioperty,will do the work ond the - - � snucture ia not inteaded�affered fa�wle(Sacnon � 7044,Bns��ns�and Profe�aiom�ode). - � CONSTHUCTIpAI lENO�NG AGENCY I hereby affirm thi7t tkero i1 o carohuUfon lendinp apency for k �he pe�ormance at�he work fa a[hirch�hls permir ia iaaued � � I'� (Sec.3097.Civ.C.). � � LendaY+Name �� Le+R1eYf A�ftlss . . I cenNy�hap I hore racd�ihis applicatFan cnd aTqte ttiat+he � a6we hdormano�b correeR i ugiee+o comply vNR+afM"(�pun�Y ordinoncea m�d Styfe bws royudGling Plumhinp,ond hbieby ovrfrncxe roprofenranres of�hia Cuuniy ro en�er u�on+he I' RGR $Y� e+i prcoe�*Y�o���ape�ae v�,.Eqo��/S� 5EE ItF�`EC{SE E�R E%PLANA'C�RY LAl)�V�� '� �ax..3��,.� i� � SignoNre of Pormittee Do�e ' I' � -. . -- - --_. , -._ - --._ ___ _ . . . ._ _ _.. _ . . _ _ .. . ... . - - _ _ I � APPHOvaLS �AiE INSPfQOR'SSIGNATURE INSPEQOR'SNOTES OWNER-BUILD=RDECIARATION UNDER SLAB WORK I hereby affnm Ihar I om exempt from Ihc Contrac'or's ROUGH PLUMBIIJG License Law for Ihe followiny reoson (Sec/lon 7031.5. GAS PIVING Bvslness and Pro!ess7ons CodeJ:Any city ar munfy whicb GAS VENT requlres a pe�mlf fo consfroct,aBer,improve,demo'ish. � or repair ony slruclure, prior to!is issuance. also�r iHOi VJATER HEA7ER � �- �' - qdires fhe opplicanl(or such permil b fi(e o signed statw PLU�t16WG FI%TURES - menf lhof he 7s licensed pursuanf to 1hc provisians of Ifie GASTEST ,Z' Controdor's Llcense!aw(Chcpfr, 9(cemmenUng wilh �, UTIUTYCO.NOTIFlED SecHon 7000)of O7vlsion 3 a1 fhe➢usiness and Profes� . . tions CodeJ or tho�hr!s exempt therefrom ond fhe 6asis - P c7 ' /or ihe olfegrd exe,roplion. Any viola�lon o� Secllon I FINAL C n(¢r nrt _dronl ' � � , 70JL5 by eny applicon!for a permi!subjecfs fhe app11- � ' con!to a cfvff penalty af no�more than /ive hundred ' . . � do(fars(5500).: INDUSTRIAL ' , ' ' " ❑I,as owner of Ihe property will do the work,and i WASTE AFP60VAL � ' Ihe strutlure i,not infonded or offered fcr salc. Y . _ (See 7044,Buslness and Proless(ons Code: 7he G �t- � . . for's Llcense Caw does nol apply fo an owncr of pr, „�ty . , who 6uilds or Improves thereon, cnd who doc. such � - - � � � work hlmself provfded lhot such Improvements arc noI , � „ - � Intended or ol/ered lor sofe.If,however,the bWld�ng or . � � lmprovement!s sold wilhln onc year of compfelion,Ihc � � - — ' � owncr-bvifdcrwillhavefheburdeno(provinglha}hedid , � - _ not 6utfd or Improve!or 1hc purpose o!safe.) � � � � .�, , � , , ,. . , '� � I om exempf under Sec. ' , � � B Z P.C.for this rcasan � � Date ! Owner WSPECTOR'S NOTES � �