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HomeMy WebLinkAbout1740A (10) --...- .-- --..._.�...�__.....__...._.___ _.._.. ... _.__... __._.__ .._._._ _ _...------.------ .__.. .__ ____-- �, . � ', WQRI�RS'WMPEN$AT[Qj9:DEClARALIqN � ��PpLI+C,�1;TI�.N��OR.PI:UMBI.NG PERMIT i �he.e6y aK1rm+hat t hwe o ce�tlttmrs af crnae�i ro aeM �Mpp�A � �nsu.e,Q o�tufkst�m ot Wgtkars'{;bmpermci�a�inaunsnee, c�BYs fatv.ioie�� or a oentf�tccpy�haroof{S«.3BQQ tay,c.) Ca[11�i1�d�L�S ANGEtES BUILDING.AND:3AF Y � Pat�,��'��p��y�fi�'7',p�et��...TnAarmrit}T. ❑ Ge7nAed'coAY+s herq�tpeN3had - � . . . ��-. - - � . � � CerrAfled�mpy-i�fltedwithlh0�m�n{y ' rfqin} e- iQRXPRICRtITTO'FRl1N(�QVTd4ME� p� . � . J uon dapanmsnr. �� �� � rEE - , Daro�y,.AaB�9+m • �.. ww�aaaaE► p ._ tOCA1TM biatnond Bar e:�a►�rm+r�aF�o��woei�xs� ,� aan«n�a _ �sx. 6DJPhi113. s Ranch � carnpENSATtON iwsnaar� :s„� aw"Ea Souttl. Counti Co rthi•.�e�rewda�t�bM eoOtpbNd it ih�work:terolv�d 6� rF�p•►m��s�faren�+fiuetltwl dotfan(ST60)er Nis.► uvwran ""'°n a� i cemfy fhm tn.�hq A arehence ei�he work tar whkh th�s ;�� � � cttv , p9rmiKia iesnDd 1�ho�npr�tuplav any persan in any mcnner f � . fEi. , �a as�o�3ieeomeaubjee��a l+n VQodcera'Gompernptlon Inwa. � — °�5"""'� � CON�^��R.G.:R. Plwnbin INc. Dafe eppiicp�n �J.piH�rpsl¢p� � � - ¢N � Ju0710E Tp/SpPLKJ[N'f: If, pftet nnOkinp tl�it Cer�lfkvre of ��������� �� 12 S o1'a.A e. � • mpa�on, yar ahouW bqe�ne s.ubjeex ro tha�Wurkers' � � rnr . �p.rap. -.inpenaW�oo p�arp5qns oE+Fe labor Code.you mua�fonh• wy�g���� _ ' ese sme�e,mked �vew amb�o�:a ������.hau � WAiFR�NFATFR �IQNSEND. 33U�Z� q�q�q C-36 LILE[`1Si ED GQN7RA.C�QRS:QEClAR14TIQN CISTRK7 NO:� 7ROCESSED BY i hsreby�raffum�d�aT��ocsl�ee undgr aroviUons o�awcro.v rw srstF�x� ount�s �a �� Icomm6aOnq r¢It6 SefllOn 7�of ptvoion 3 of ihe Buainau p��py� � � ord Rafeseiorq�Cpdp.Cpd mp p�errsl!a in f�ll farce•ara!eNac�. d9ER 3YSS6x ' ���f„/� �y� VA IDATION � ��, �� License Num6pr�ic.Clws��.,� � � Cantroctor �u^ ��t�T��Oote 6(19�,8 5 BY����� O OV I om e:empl unda�Sec. � N e.av.c fa.�ti„.eoso� plcn check fee z s�o�,,,�. o"': aanneM�r�R/wr issui�uc�s l0 t� ��,�� d � 1740A ' � Plan check qPpllcdnt 51NG�E FAMILY � ��. . . . .� _ HONIE OWMQ2•BCUIDERt�1�ECIARATION Nome 1 � �• . r'�re6y aHirm�hoi i amasempt from Ihe Cantrac�al�License �� . � . '.��'�Q - .S for�he follpwinp rCayon{Section 7031.5, 9winess and ' , Viofesswna Cade1' Ci+Y eC No , ' -`i'�,.�i�� � ❑ I,vs owner of tFie pw�0�/y,wilf do rhe wak ond the � � - ► G�.C S—S: ; anuelurs ii no�'u/MneCdtl�ar offered for spls�(SeNbn � 70p,Bu�fne�s ond Vrofessions Cade). � COAbTRUCTION IENDING AGENCV � I heraby offirm thet�here ie a�construnion IendinB cyency ior � �he per/Ormence of�IuD warQ fpr which ihi�permit is iu�ed . - (Sea 3(Al,C:..t.). ��. Lendei s Nome � Lender't qQdron � - I cpr�ify Uq�I Apve reaS{rhia QPPflcyrfon a�state Ihot the ► � a6aw mforn,onon�a corren.1a�re e[acomply wal.al4 Counfy ardinonce�or�d 6ta�e lowa ro�ilarv�p:plom►iinp,and heroby � . �� aotAarcze rop.ese�+a� os ikrs Coun�y�a emer upo� Nro ��• abuve-manrfoned. ta[' lon purpoaea. ; 5EE�EYF,&4E FOR:EXpIANAt1pRY[�1NGURGE R-�-R- R� 1�i � fi/19�65— '� Sianaturo of Perm�Nee Dote ' � APPROVALS DATE INSPECIOR'S SIGh1ATUR[ INSPECTOR'S NOTES ON�'N[R-6UILDEP.DECLARFTION UN�ERSIAB WOtEK �� � -� I hereby affirm tha!I am e empt from rhe Con:roc�a.'s � ROUGH PLUMOING , � # License Low for ihe following reason (Secfion 703�.5. GAS fIPING � ,�j Business cnd Pro�essions Codc):Any ci�y or county.v;lilcb GAS VEM f requlres a permif lo cons7ucl,alier,improve demolish, . or rapoir any strucfure, prior to l�s issuonce, olso r , HOT WATER HfATER � � . qvires ihe appllcvnl for such permif la fifo a stgned sfa�o- PLU�^hBING FI%TURES � � - � "-� ' ' menf thof he fs llcensedpursuonf to 1he provisions o�Ihc GAS7@ST �(i I�/�fd. � Controcfor's Llcense Low(Chapfer 9(commencing wirh UTIIITY CO.NO7IFIED ' - SecMon 7000f ol Divfsfon 3 of 1ho 9osfness cnd Proles� sions Code)cr fhat he Is exemp�fherel�om end thc 6osis (or the allegeJ exemptlon. Any violafion ol Sedlon FWAL � • �'n����� �r�n( � 70J1.5 by any applicanf for o permll subjecls Ihe appli- �, cant fo o civll penolly o(nof more�han five hundred � dolfors($500).: 14DUSTRIAL ❑I,a,cwncr cf ihe p:operly will do thc work,cnd YJASTE AF7FOVAt � -- �he strocture is not iNended or offercd for sala . (Sec.704<,Buslness ond Pro/esstons Codc: iha Cc ~.- , '� , . lor's L7cens�!ow does nof opply fo on owncr of pro�.orfy . � � � who butlds or fmproves ihernon, and who does such ' - work hlmseff provlded fhat such ImprovomeNs cre nof Infended or offored for sale.If,hov�ever,fhe bulfJin�or . . � , Improvemenl ls eofd wfihln one yeor of compleficn,thc � ownar•buifder wlll have fhe burden of proving thal hc did no�6urtd or(mprovo for the purpose o(salc.J � . I am exempt under Sec. � , � � � � B E P.C.for ihis rcason � Date Owncr ' INSPECTOR'S NOTES . ' — i . 1 . , ._ ...