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HomeMy WebLinkAbout1567A (9) _ _ _._. _. . . . . _.—.___ . _._ ,.. .�_... __ .._... __ __ _. _ ..__ _ . '� • '^'�'�"s'�°,�,�"�?'°"°�'�""°� APPLIGATI�N �O.R��P1:UNIB1l'+�1G PE.RIVIIIT 338/B � � I hereby aHirm d+ot F hcwe o eer+ifimte of constln�to sNi �a�p . imure.w o carrtfimre of W4rkeri Gomperaatiarr tnauronce, �Bt'7�REv.1w81). . . °'°e°"�'���'°��`��.c� [OIJNiY CF lO5 At�GELES BUILDING AN��#1FETY eoticj��17fi.7{147. Coo+Pnny =`ram.�`Rc F',�mA � � C6llified�ooPY ri hetebY�umi�CtlBd. . _ � . . � fOR APiIICpNT FO FILL IN(����) g��2$QQ -.. , ULi�CS 3Q1—�Q� Cptufied copy ii Rled�vWeh the mueug 6vitd7ep�bnpec• . riort d enc � �xruxe aa r�n ra� ����lCl,$Sr �pfe 2t��_ ,�,,�,��'., ,A �„�t� _ CFRt1�r�sk�F ��MPI`tC��,��' aa+N rna � �bi�O�ILl B3r Vd (�iattd Ai�e. (This��tWn�e�dv�ef�jw��Eo �} •�+ IiY41�tn4l.yy � � .� . . _ .. -. . . ihe•p�FmIPN#di'blr`(I�IIdtF�a11Ei�' �OO�Y�ilti..J� �µypip� �� I cernfp tFim in�he p�eFannatiCB aP ih�b wvffi#m wbieb rhis . . - . - . . permut:Yssued.haFwf�no�ea�S[nY�penqnm�mry:muener � �. � . .�� _ � so m ro bacome��ublecr ro atre Wa.ke�Y Canperoatloa Lowa. - ��R - � �' etAutrtaCioR R„(`+.jt. plllmb � I11C: °°te.��CQtD �`�w`s�` `� ��12785 1ia Ave. rnCE f0 np�iCnAt:tf� dhet mqlBfi�9 iN�Genlf�te of . � mprton, fon thontd bamme wbtaer ro t6e Workera ��� - � - CnmPen�yTfan PrOvaio�nf+h�:WHOr QadlG�nn m�61#onh. � R7.V�6�f12 �.�' . wifA conTply ntiab�ueh pmvao�ar this iterma=Riall be ucwni SVQuarztFR Srs�EAn �q� . E1C. � .. da�+sa�4�d. ��a _ ��. 336428 aass C-36 . t1��CAPTTBAE�ORS�dEGtnRATIQN p57cK7N0. � -@Y � �here6y a�.n�fo,►cm.uceR�und�,.prwrLtta�sof�L`d,opim o � Gns:,�s7F�w ,�� ountrs � .'�.Yi '� p � .. � (carYime�ina wi1Fi SOpMn�740.Q)os tl'�xason�oE�8usmssa !f p�er� � . dD . ' d ' ar$�rof3sSipmE�e.and-mylipfnSel3infu1l'f�mMd��fflc+. P- � FINAL oA� � ��l{ VALIDATION � l;ceme tlmnbe� „34fi1�9R t;c.dq•<(`..�Fi � � . p n� J�,�p� fINAI �/ �y, _l O ' CaninoNrnii.� f,ulxt1�11���n...Q�.li1l31=r»� . � L /�"� V � J 4 � I om e:emp�under 6ec. - _ � � B.BP.C.for thia reaaon � Plan ckieck feQ Qara: Si n4h+rw PWM91fV1"a VERINIT ISSI�ING fFE i .y� a TOTAL Pff � =� ��7 A � Plan cheek aApileon� . . �,!� • • • ��j I � HQME Q4YfJ��$Ufl;[1fK OECkARAi1QN Nome I •J 7(l.�O ' �eby piflrm t5pe 1 am exeropNnom�h��,�nemetods kiaeroe - - �� '� , w for rhe�t�TweFnO.rooson(Sedfon bQi1�.5,Euaineu and �'���� � • .;.%�l.J Q� ' Prq�uinn7�CQde} -Ciry Tal.No. ��;.�OOO � ❑� 1,as ownet of�br praperry,will do the wark and�he C�.1 `��E 4 �tr�ewre it nvt iruended ar afFArod-�iw mb ESec�io� � . , . . 70QA:8d�irreu and'p�blSio�o CSp�lel� . w cOt�5tR4fTIpN lEnlDttvR AG�7uCv � 1 here6r affNm�hp��rhere$o aOnmlrucrbn teodin4.a$E�u.y.for � . '�. rhe pe.Formance ot rhe work for whicA rhis pe[�t�u�t iuued � . , (Sec.309J,Giv.C.). . ' leeder'a NCme S�'� �� � � � �ender':n�roas N�t���• � .. I cfl�tHY�Ot I t+a•s razRi Ufia CPP1�WtWq an��tam rhm Kn aboae infn�r�lqMn is eor[ett.I��C fq qspnptq with QU-(Apunly - ,� o�dinoncm an8 Stons lowa.egv tlfing:PGmmiqg�rm�I 5i9tefly � audwrize rn➢��Ra��+tiB LbwuY ro pNar vF€on rtie � � � � � ab�a-men���ed�ro�*x�ta��sv n pur�4as: +�E�fi��1E1tS��A�XP��S(VAT4�gY EqNSLUACE p�rp �' �../ � 6 4 �. s�g��o��e'af P�.mc� a �/ :'/}�' . ti � APPROVALS oaie - iwSVECrOa'SS�OwnR1aE � INSPEC70R'SNO7E5 OWNER-BUILDERD'cCIARATION • � UNOER SlAB WORK . . . . I hereby affirm Ihc�I om exempl irom the Cannocfor's � ROUGH PLUMBING � � Licenee law for rhe following reoson (SeUion 7C31.5. GAS PIPING � - Buslness and Prolessions Code):Any cNy or counly wh�<h G��T . ; . � requlros a p�rmif fo construcf,aNer,7mprova,demolish. � . or rapalr ony structure, prior fo 7ts ISSU7�CC. OI50 ro- �, HOT WATER HEATER � � qutrss rhe oppl�car,r lor such per.�,n�o lita o s�goeJ s+ar�� ' PIUMBNJG FIXTURES - manf fhaf he Is licansed pursuon/10 Ihe provlslons o!Ihe GASTEST - Confrocfor's Llconso Law(ChopNr 9(cemmendng wilh UTILItt CO.NOTIFlED � Sed�on 7000)o(Dl�ia�an 3 0l Ihe Bucineas ond P�o�es� � slons Cod�)or iho�he ts ex�rnpf there/rom aad fho basis fc'� for fhe ofbged ex�mpflon. Any violvfion o/Secfian � FINAI Gn(vr nn ,3��nf � 7037.5 by oey opplimnt!or o perm7f su6jects ffie appli- tanf�o a c7v11 penolfy o�nof moro�han five hundred � , dollars(5500f.: IN�U5IRIAL .. ❑I,as owner of Ihe property will do ihc vrorl�,ond WASTE APPROVAL � � �- tha slructure is not intanded or offered for sale. , (See 7044,Busl+hss and Pro/essions Code: 7he G�ic �� . .. � � rorh Lle�ns�Low do�s rtot opply 10 an owne�of property wFfo buifda or lmprows therson, and who does such ' � - . work�hlmsoff providsd fha!sucfi improvomsnls are nof frtfended or offerad for sale,If,however,fhv 6ulidin�or � . � improvement Is sofd wf}h7n one yeor o(complelion,Ihc � - ' � owner-bulidrr wlll haw}he burden of proving fhat h a did � not bu7fd or Imprave for Ihe purposc of scfe.) � I am exempt under Sec. . � B&P.C.for this reoson Dale Owner � INSPECTQR'S NOTES . i I