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HomeMy WebLinkAbout0939A � ___.T_..__.__—._ _---_ _---_----__.���__.._.._ ---------- ""°�'�s`°^"�"s""`°"°E""�""°" A�PP�LI�C�►Tf�JJ(a1 FL-'�R P-�U11AB1NG PERMIT � ' `.��l � i harebp off�rm ihoi I hay�.n c�ifflfiaqre of consenf��selt �ytiy�a . ' inswe.o.o ear�Nieq�tr at Wgrkee}'Wmp�nsar�on msunance� CE9tTfKEv.�aat) � . �" or o cerMled mpP thtlrecE($6t.GQ;pQ.iqjf:C.) . C(,�UNT.YOF'I�OS:.t+1_`1.�'s�[ES. B�lILD1NGANDSAFEIY Polley No.T__,�CyQmpcnY_ 4 Q G4rt'rfied coPY iF h000�7Y tuml7hed: . . . --- - - - r ('� rorraevix-.u+rt ro Fw mi�ewr at rvvF� °,�n�� 12 S K2 E (:6ntfEpd copy i�itkr$'with BQ cannry h�it�ltng�mpee- 1" 4 nasr dePilnmaeit � NVM9ER `. c � EOtrnEiv� , � . � - -� - � � p�°-...-+�...—�ApP��nM . _..-.. . . . _ . iWAIERC106�t ItX�STJT1' - CERTIFIS�[1E�yVP�pfq�g �yyp�(q� ��BAYFIYy$ CRtSSS��'1. _ � orxa�, �� - - � (ThU ircflon�alNd Kej ti�eu�nplsis�8�F��wnrk[melr�d br � 1h��p�rry�li U�Ibt+pM I�unl�fid dP��tf(�IbOj Ofl}ft.} ��R�. � � I certify Mor•Ya flie pprtamrqnes a}rhr work tQr whkh this - 5� . . �. - permit it isaued I�ht1j{notamp�0ynpnY pqeron inaliq mqnner �.�. ao cs ro trecame w6iad ta+Ae Wtxke� penyQtton tawa. p��R � mt�ACrac � 1 � ������enPUW _ L � I,�'�+ CtC1ltkSw�44NER ADDR655 NQTtCE i0 G�1T:1#, - kiry thi6 tHflCOTe ot 8������ j Exemp��o�. Wu aAaoid�EReome snbieeT ro� A�s Vlla[kers' . . . ; Compemotion{xowsYOns�qf4 lA��dQ.1�must farth- tKWN3PAiMqEgSStFNF � �..�ro. i with complp Nrirh �¢ch pr�.R8fan3 Ot Ufi1=pectnn�holl be l dea�nsd�.erakprl. WnTER��EatER- - -- t��fitR cKi� I ���ISfCC�NtR(uCYDKSOEctAR6x�N i��srfllCrWo. peY I hero6y oBiemet,af Eqm 4ee�}p���prQvltion�qf�Qhap�er D / �6��+ �E � - � Icamrr�mcinq�nK 54encn F�SO)4t G $of�He @saine�s �� �O ondProfes�mtriCcdaundmyhcentlsu;�tfor��eRe�r. $ff��- ,�,��°n''i.�y►, VALIDATION O � LieenseNum6er �k.Gasf _ _ ... . .p0 DATE • !���'rj � : V PiNAy / m E Canhact� 6a1e . _ - 6y .// � � a� i am erzemp�under SeE. - - -� - W0. � B.BP.C.for r��s�e,so� Pfan che�fs fee� - - _ . _.. . • � ome: nuu+n�tiG�ta�ur y5�uir�c FEE t � s�qrw�me - fU`�d ` �1'OTA1 fEE � { �� 'Pian chedc applicam .. -. .�. � �Q 9�4 A { SIN EqMI`Y . . � I FtOME O�WNER-�UILOER�DEMItAT10N .Nome f�• • • ..v� � �he.ehy atHrnrehye bc�axempi he�,g rhe Conmonnr■Lccense � - - � - taw for the tonavri6g rec�en(Sed�on YQCit.S,duiiness and �r°�' I • •2�.5� ❑Profesaions Cqdt+T .pry fbl:No, •. .2 2 5 0�' I,cs avona oE fho-prop erey,w�li do ehe wwk ord ihe � slNctu[0�i3 r+o�inMrg[Od cr affered for aaYc(�pafon , 0�.1 ��8(� 7Q4d,BuslnnssondProfeaaiansGada�. � � � QONSTRUUCrRIN kENGING AGENCY � ' I he.eby afflrm�hqf�fi1lfp i�¢eonyttucrion lerrtling,aBency ior �ke perFqrm�of�hb wark fa whieh thia permi��a is�vad � fSec.3U47,Ctv.t.y. Lander't Npn1p_ ,� � Lender's A�dros � � I tertily thqM#Kpre�rCA[1'161t Opptrtyiqe Qnd tlGtR IFOt�he � . 1 abore infqrmt�ttpn is�nea,�'4�r�eC.eo eomqlY we6 ali Cyypry ' ordinancm and'SWtQ�dwe eay�1[lHpp�.PI4m6inp,God!�[QbY outtwrize ro .�4��0.rh6�a�tiva Cou�ry ro�entu ypon the . . d , riYtwinspss+tanOatPa++S�: SEE�FI/��SEJ�C_$:#�'�N��O1t1G�Y1N�'e$AG� � w�o.— ►—1�--$"� 5 na re of Perm fa pate � � APPROVA:S DATE MSPECrOR'SSIGNATURE �NSPECTOR'$NOTES OWNER-BU�IDERDECLARATION � ��, UNDER SIAB WORK I hereby a(firm Ihal l am ozempt from thc Conlracfor's ' ROUGHPLUMBING� � License Law for the following reoson (Secfion 7031.5, GAS PIHNG 8usiness cnd Pro�essions Code):Any dfy or county which � GAS VEN7 - raqutres o permH fo construcL aller.improve,demofish, or repalr any s�rucfurn, prior 10 ih Issuance, also rc- HOT WATER H'ATER . . quires Ihe opplicanl Ior such permlf fo lifea signedsfclr i PLUM.BING FIXTURES mant fhot he 7s litensed pursuant fo fhc pror.'sions of 1F.c � GASTEST Con}rotlor's Llcense[aw(Chopfcr 9(rommen:ing wifb � UTILIN CO,NOTIFlED Saeffon 7000)of Oivislon 3 0l fhe 6usiness and Proles- � slons Code)or ihat he Is exempt therelrom and the bosis � n (or Ibe alloged exempfion. Any viofctlon of Seclion , FINAL [,i/cr on ��ue( � 7077.5 by ony applimnt lor a permit subjec�s the appli- eont fo a eivll penalfy of nof more�than five hundred � dolfors(E500J.: I INOUSTRIAt � � ' ❑I,as owner af fhe property will do thc work,e nd I, VJASTE APPROVAI the siructure Is nof intended or offcred for salo. I (Set.7041,BUslness and Professions Code: 7he Con}rac- . for'sliesns�law does nof apply to on owner ol preperty wFo bwrd� or Improves thereon, ❑nd viho docs such . . . .. . . , work hlmsel/provlded Ibaf such ImprovemeNs are no� infendsd or offered lor sofe.Il,however;the 6wld�ng or ' � � _ . improvemen+Is sold wlfh�n one ycor of comp(efbn,fhe � ' - owner-6utlde�wil(have Ihe 6urdcn of proving 1ho�he did � - no1 bulld or improve for!fie purposc o(sofe.) , � 1 am exempf under Sec. , �� 8 8 P.C.for this reason Date Owner INSPECTOR'S NOTES i ,) f � , f