Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1573A (9)
'�. WORKERS'CON`1�PEYV5AT16�"DECY�'RA"�PO'�` .•_...-.", ,_".,"' .�. _». " �� .".."".""° � `... �. - _ . �,.,_ _n,.�.,.»�..;,.r._ " � �9 I he eby affirm thot I ha.-e o cerTificate of consent ro self ir�- 20Cb26�hW d>gy"" �pp���a`�I� iywA'�-' � ..... 75A667A sure 25r a Lertif cate of Wo ke s Compe saf or Insuron<e o q �8177REV $/Hb `�� �" " - "' ��`M` � .�,,:. �..- �, �rIY� tErhfed copy-thereof(Sec 3800 Ca6 C} ` � .. y��' �u° _��- .� - coi�,,rvo 9892�3 ��compQ„�epubl ic Cndemnrty co(lNT�6"�t�3�,���E"i � ���j �� �.. � . _ ,� ., ,.� P � �: � Cerhfied copy is heref�Y fumished � - -� - ..-= .�-.-.-�..,... , - . . _ ..- .]7�. � � .. � r1 ��rt fiecl�copy is filed with the cnunty �il i inspechQ + f�R Av�CANTr�N'jpR1AY"�"�P��"`" ` " B01_DWG' -� - `�'-�`" . ��Y L�� department I' ' n jj��' ' MBER FIXTJREORIYEN� -- @ � FE`� . �+DDRE55 20fit0�-CLtILA$`� RCVE � � ` '-� IOCALIT �- � . �are S/S/H$ qpplica�iCR�BY " ' , ' wa�Eeaoser Yorcert "`- �411ALIVl1T � �� ' � - --� � �$I OA_ NEAREST�. � � CERTiF1CR'TE"t5x'�`E�fiM1"�fP�O"�1`�F�(SA�Wb�RIZE�� .- . , �- eqrHTLB �. ... . 12 DO CRo5557�. .,.`..£ . � �.' , �"- �. -.. ,COiv�p�E'tlS;4'YiZ7iv TNS�`�I`C�".., . . �.-.__ (Th s sec}on naed no}be-wmplefe�J if ihe wqfk-involved by �2� �HOwER� � � -- �� �2 . OWNER � .� _. fhe perm 1 u for one hundred do)laro(S70OJ or(ess.� LAVATORY .. . . �� MA. � � - � 1 cert fy thar n�the perfo�mance of the�work for wh�ich th s perv- --..._ �� I . 3� QO aooRESs� 1 799�_M I r�.�-(E(„L $�(�''("(-( L �� mit's issued,f shqll not employ onyperson n any manner so'�' ' SiNK � r - Ciiv � -� ---- �3, �� 'as-to beromegub�ecr to ihe Workers'Cnmpensotion Laws � -- . �RV I NE �' N p6O-�OE6O� . .'` ' , , - . .:��� . . . . ,�.- ..� DISHWP.SHER .` .. � _ . _ _ ' � �� 6 �0� CCNi2ACTOR - �-� �4qie APPI conr .� . -� CLOTHES W145HER'-� .... . "... .:� -NOTfCETO:�'P�Lf�A�}T'"If after ma�C�ng th s Certif mre of Ez��' - ` - n�t]RE�52]$rj h��Q�`�['���"""�� " . , . : . ...x ......_: 'eriipt`ion,yau 5nould becamesub�ect to rhe Workees Compen � 5�`'�IhG�O96L`RECEPTOR� ��- ' �Lv� sat on provisions of ihe Lalior'Code„qou'must forthwith�comp=� � - -�� � ���� �� Ci�v � � - � I. w�ihsuch - -� LAWNSPRINKLERSVSTEA� �-- - -��.- ,._�.::,-.., TE. �0-�� -���-�� Y pcovis ons ocihis permii sha�l be deemed revok- � _ � - STATE � �ed-. . . . -.. . -, . . ., .. _. -- :. .... ��CENSE NO ; .._ I -� LICENSED CbNTR-A�O��TS.�I.AR 1��-�-�'•�`'�•�•+«,„ WATER.HERTER -.� . .� _ 33 Z �� ...� �RO� � ' �' _: _ G 3 1 hereby affirm tna�1 om licensed unde provisians-of Chopter � . GASSYSTEM OUTLET5� ' DIS7 7 KO""' " o �--. SED BY �-� � - 9(comJnenang wi�h Secr on 70001 oi Diviswn 3 of jhe Bus��ess� ��� OUiCE?5 OVER' - � oo. � � � � and Professians Code,and my I cense s in full fo ce and ef� 5 PER`SYStEM � - �- fect " ' � - - -' � - � - - . � . `. FINAL p -- -� ��--. I ( VALIDATION ' >. LrcensaNumber 3���{�A L¢ Class� 3fi_ _ - DATE pLr� � . _ . ._d� �. F , . _ , _ O. s���.r„�= �.,�..-.;,..,�_�_ . ._ F NAL :. _.. ... U Canrocto R:{��.�"�'umFS�n�te R`��7S3i � 1 A N Y ev tt�,.� ac �� RAY o = I am exempt under Sec �� - . � - . - ,�� , n __.0 '�. B&P.C.for th s reason � . � - . .� .- - - � ��� iy. Plan check fee - , : - y ' Date - ,._ .. .i . . _ . -Z PLUMBiNG PERMR'75bUIfJ�"F'�E S �� _ O. n� �- Signarure� � , � .: .__ .....�. �. .�,...-��.. .e. - - ! . .: r.� ., . ... , . . ....: ,. : _ .. .. . . TO7AC FEE' . . . . _. � S�IJ-GLEfifChlfC�'"' ""` --�- � � .. i "? HOl�E 6V4K7�k BUfCbER`D'E'CL,�K'f�'ATTbN'� �' ' � Plart check appfica�+t ---- - . ' " �-� I hereby pffirm thoi I om exempt irom the Co�•ractoF s Licenie:� � - . � �i i �"U:Li . La6✓for the�followirtg�reo;on(Seclion-7031.5`Bus ness`and�� Nqme- - . - � � Profess ons Code? ..- � � Address . - - � f, as owner of Ihe property, will do the work and�he�-- C�'Y 7el.�No � �- � ' structu e.s:not intended or offered�oisale(Sechon 7044,.��� ' ' '� �' �""' =�-- ' � a�` � - � � �.� Business�find P ofessions Code).. .� _ . . . . .• . -.�.. . .. . . - . . . -... . . . � � � �:-;...��.�.�:��a.:�.„,��a..�.�.....-..,-:��.�:..�-�m:u.e.o-..:. ..,...�.:u:�_,w�,...: ... .. . .. ... . ... _.. ..... . : _ COI$STRI)C71Q`�J'L�KIBI�-A�j'��"'.«"`"•,"`��.°"•°•"•"- . _* - , R .__ . . I kereby offirm�thaf the e is�a const tio lending oqen<y for �- " � � � � ihe-performdnce of ihe work fo hich ihis;permii is'ssued. � � - � �� � �, . (Sec.3097,G`v.C . '----- . - � - - � - .. . .. _ .. _ .... . .. . . _ .. .. . .. s4K_�,e._ __ Lender's Name��� � - � Lender's Address � �- � �� �- -� �. �� � � - . . ,.-, , . a.�..-�.-»t....-�.x..._ �wr-.7.�, .�.-,.z.�. _� .r..��_ .�, �.� .b _ ' _ -�._.,._ � ..:�...e,=.,:�� s.�._,<.�-�. , - ,.t..�...�:. ,�._...-�..: �_ �.. _.... ... �- - ._ „ �_' -__ _-'_,. __- _' " _ _ -.� . I ceri�fy'thar I--have read�th s app�cafion and state tha�rhe � � .... . .... . �<- .._ _.:� �...:.... . _ ..:.. ..::, ._... .::_ , _:___. _ .___.:.,. :..>. . __. .. abbve nformqlion is mrrect.I agree to comply w ih:oll Couniy�' -` � - ► � - � "� � ,. ordinances'ond��Stpte la�ys�te ulat ng Plumbing,ond hereby� � puf��ze epresentati� � ouniy to en -..upon the � ..� ._ . .. ... '� .. -..- ov� ntioned pr t r qatpectron p s.� - . � .. �. - � - . l SEE�REV'�RSE�bl�j`�E�S�P�'A�.T�SFf�`L�1�C,�]�i�G'�� �,.x���.�:,��;y�;�,����:..�-.�.-� _..�._��. _ �. � s..:. �: � ' ignature of e_ dtee ��... -�o_ . . . . ._._.. ....... ... .�.� ..._ .,.. . ..,,- _ _ �.... . . . . _ . . . . ,.- ... . ..:., , ,,. _. :.;. .. :� „' ��.,n- E:__:.: '�`� � _ ' _ � - .. � - � � . w.t �-.: _ _ _ _ __ ___ _ - -` ` ` �- - ~ "�MgT�E�T{1A�Na�TES �� �GLARATlO(�_ <, _. �. a,.a. -.iOWNER BUlLDEF{_D __.� �. : naaqoya�s " o'n'rE'"`' iASPEcroRs'�"s�c�35aT'�° ....,..<.,.. :.,,,��.. �!herebY aPftrin'that i ain`exempt trom the Contrecta'a _ � .� �.�ww u�oE�S��BvuohK �: � - � �, Lfcenae l.aw far-the foliowin� ressan ($ecYlon 7031.5, ._ .„ - _:�� -� ���^A�-�-�=`�-r� BusinBss an�Pro785srons CodeJ. Any city or county � ROU N PWMBWG "- ""����""'�LL . _,.. ,�.E which rBquileS a pB7h7�P f0 cOnS(ruc£, a1tBr improva, cas aiaiN� `'�"`�"�` � : --^°�^�°^��^°^����`�� ` �`ifemoii�i or rePair anY structure,Arior Yo r£s issuance, _. ._,. cns vEnn _ ' ' �_�_also requires the appUcant forsuch permit to file a sr'gned ��. .. K�., ,.,�,- Nos wA7ER HEArER'� -. . - �-- `"' �-'��'-'-��^"'"�` r .� � `s�`a"�eine"�5�,f That.he es hcens8tl pursuant Yo the provisions . -- �� of theCcntracto�'s Gcens`e taw(Chapter$(commertcing PLUM61"16�FIXTi1fl�ES•�� _ _. ... .-' .._ �. ,.,,,�_ < ,,��r'���.'_ . �- . ,v--�--• - -�u ith eet�on 7�00)of Division 3 of the,B.usrqess a»d Pro- ,._ GASTEST �� �-:��. . ;� � -� .. . . ' __. ' ' . v. ;_.,,... fesslons Gode)or that ha is exempt therefrom�nd the �___ ...,�_ _._-_.., _. uriurv co;�on��eq " --- -•-�----�����•°n�°�- �`W^^�=��'����� as s or t e alleged elcempfian.AnY yiolatron of$ecti�n ---,•---W.- � �'" 7031.5 by any apGlicanf for a permit subjects the applf- -�- r:.,_ ��^�s' --y-��'��^���� can#,fo a civil Per'alry ot not mora ihan�ive hundred .� .._. _ ,; .. ,.:.. � FiNni �nter an�roRE doifars i$500).. - - -��. - - � .=-- �.-�----�- � _ -"'^�''-`��;c.._�` -�9>�aS awner of 4he WroP�!Y wili do til�WM'k.antl t0s _ . ,� . _ . .. u �_- �.:�- _.« _�_�::. .,_�z,«�._s�� � structure is not InFended ae offered gor aele. . INDUSTRiAL , � ' , � --_ �.�e---"'""" -'.,«..'"�" `.�'�. ..e.. e . ...�..� _� . . . �- wasra�P�ova. _ �""`�"�`-"" ($ec.7044.�usinessarid�'rotessrons�ode.TheCcnhac- � ,.,.. . < .,��_ -. �,-��,r tpr's L�cense LaW,�_does not applY to an owrter ot proAertY � - . - _,_ ._,_�;�.�� '. �.w�.���'�p'ryo tiu�or�mRroves thereon,and who does such work hrmselt provided Yhaf such Improvemenfs are no[inientl- -. � •�.:-•-��^<�� '�-"�- ' ��-�= " 'eiix'o'r oflered_for sale !f,twwever.Yhe DWldin oi tm- � , :_. , , provement is so1C wlthfi one Y�ai af.completgion, the -:, �• - -=.w-�-�-_�-� "" �-�'�`bwnterbmlder wili have the burden oi proving thaf he ofd _ , , . . - not buiTd or imA���r the R�rAo�of sale.) . . �� -- ` ,...-...:_,..=.w-..a��c:�r . u -�-;=.s..�,..<- - ` �� - - _.,.:_ - , .. _ �..r. _. . . _ , . . .. ,,• .. . , ...._. __.._.�_,._ ___:y.,...h..<,�1.��.,�k -�' �-,.._=5�'�.�`i"T, �8R!$X�If��Q�!l11�Bf o58C... ,. �. . . . . ._. .. , _- � . . .. - . _. � ^ - -_ ,. y �.��.�.��� &P'�for t i�tB�S 1a ���.u��...�� .. _. v.__��:,,�..�.�... �.�� • .. _ . `.. ' ' .v9"3 va�_,>im�`�l�c� r.: . � _, . -.; - .vo-.3.�+..+�+�^e�:sra'�, � ..._, ..:�,_ .. .: : :_ _c� .. ._...... .._'. , .....».... ».. .t,-..__.....;�..�<< <.�.. ..-..€,A�+.+e..xw..=.��.et�,.s'����._..� . . . .<:. . . . . .:. . _.. .'__. ....,.q..-.�..�:..-,.�,-�,.,xw__..,�.....-...�;„.t.a;.-..w":.i... . . � . . . - - _... - ...--.a'cs",.a,=:s'.`«l:=+-'=w'a+s�rt' #:� ���:-� _. 'JtiAa��3,�Ye.�,:.+u.,. ..�. - .. .. .....�..aa� , . ' DBte . . �. - 4. .�_:�*,.w.�.�a��s-.+,a:.�r�ls..r�_v.�..x,x..��cu.:x�,,;:.�`ta�'i'�''_^.t"`a"`��-m�.�*�.:.a��?z«�"�"'�a��.".^-�.ti_:.. .. . . - . �'" ._ :_ .. ... QWfl@f _._._,�..a.,=-.�:....w.,r,r.�..�....�...;:�: �.�%�- ���.�.�..x� -- ,.,"�`.-`����."•��'> �. _ � � . >���, � �«�._ � �;.�:. _. _ � �.. INSP�CTOF4 S NOTE3 __ - -�,�,� .--.n �,._.� .� � ��+;-.--s � . �- ��,. _ . _ _.__ � - - - �:>- - -� ,..:. E.�-.-_�.�.:.�� _ .A u ..r. .,..: : �� .. . .._z..> w...�.�:.��� _.- _� __ : - -� _. _ _,, _.__: ��,���. �� ..,:�,�� "=�_, �,., �-�..,... _ ._.... - �: . . � . . � � .- - - �-.�.-fz-.� _. �.� -_�s^3 r�,�3a��-`^-�:*r=:::�.�+�,._r�. � -. - �� - - - .. ,- --�'- "" '�,,-��.,_ - � ..__ .- .. ._.�. _ - ��..._�_..�,.w.-..-- ..._ .,:�-: - �...�,.� - _ �.rt .w.��-:*.._,..k,_. " �..,n �-, �, _ _. _. . -. . .. - . . . _'"� �'- .�ss- � . . . � . . . .� � ..-, r.-.. ._�w.�.a. .._Y-�.�. - ,�„�,,.:..�.,�:. . ...�.� ,,,�,. _ �-- '��. ��� �.�.s �.�. > r;; . . - :.:._ _..�_..�a,�.�.�,�.._�� ..,,�an�- .�.�m.=A.� ,.: . . .. . . � . .; . �,..�.. .,. _s-:-. --�_ . . -_ „_...:.. ���' r`� _ _._ .���"` - " . -�. r, .,� .. __.....__�, ..4.,.-.�.�,.�.a»,=�- .�___. _�... - . �,.: . : " '� - . . - . . . . - � ... .�_�� .. .;.-.� ,-. :._;_.. _-_.. - .����.-:_ . � - . . � :: � ...- .,.._ .� :. _ �- . .., . �-:� _ _� .. -T __ ....., -. �_: . ... .__...._ _>...._.....»,.-.f.�-�. . - ..,.�:=. u. �.�.-_.�--�.»��.------'a`m.._�.�_ _ . �._�.. ..��u .. . . .. _. . .. _...,.... ...... . �c_...... . - � .- _.�„ ��;, �. .'�..,� - :'m � --_ -�-'� �� --._, . . . . . . . - �`�.��> �- _ .. . . � . . . . .. . ' - . . . . . �� �� .�,�fr+�.,.�`..�.v* ._� _xz+r>� -.;.. ,:v .u,.��- �.`��'