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HomeMy WebLinkAbout1767A (10) -�T � �'��C�1Y:;5�*s._4�"�{�$� 4�N�� �"���. �:r �e x�,v -. y�� WOR'K SCOMPENSA710NDEC�AR'qYION �� � "��� �p /��� p w-B r�y F � �a - x�,'�`I here y aff rm that I.have a cerhficote of consent b se�f �� ��• ���/Y�7o1@ d�V�'������N v h � � �"'"V"' •.•""n. "" " . �'� nsurA or d cerhf cale�of Workers'Compensption Ins rpnce �6n667A ,, ^ p ,�"� f"d�"b cerl fied copy thereof($ec 3800 �ab C,1 CE 877 rREV 10/Bl l �� -� � _ � . V r�� �T .,. _ _ � r,s'�.Polic -,,� �. 'k�"���6...,..� .>_;. ......,x. ._.x...::. ..,.. __ . '2 �A C9UNTY OF COS ANGELES �<,,� ❑ Y oo,pa�y FrPmnnt TnAcmrilt}� BUlLDINGANDSAFE7Y " " ""-' `� Ce irfiad cop�i�s hYe oby furn�shed .... �., , . ., . .- �� �k.... .Wr .. .... .. .. . ..... .. . . �^ �Ce�tfied capy is filed with�he county buii ng ms ec- FORAPPLICP;NTTOP1111N F�RINfORTVP�S�"�� `"�' 8UiL01NG�„ -��� ` '�" '"� ��n. -4t t on de a tmenf � � p � "`� +' 'a ��"��R�Y��¢„yr�',"�d�r�„w�i�",�.a � n� 'l^ NUMBER�I .. FIX7URE�ORITEM .� . . • �° - �A�DRESSca' � � .., . � ,� . ..... .........,...,. :� �.�:.... ���a����qppl canf , i - � . VJATERCL0.5ET . . Q FEE � �w.tACxLW,s:�. .. .... . ..�.� IOCALITY I]' - ��t�'��,� �sC�R}�'CYA�E��F EXE�MPTION Fh*OMWORkERS'. .... .-. . � ` � NEqRESi 1�ond B r ���`�„.� �, �CC�"i{PECVSATfOMlNSURANCE : BATHTUB ! --- CR�SSST. CO�Pt111I_la5 Ranch � � � � �.::.: � (This sechon need not 6e eompleted�¢the wark involved 6y SHOwER � � OWtvea � Phe perm f is for one hundred doHqrs(SI00)oF�less.) � � � � � �� "� �"-� - 5011't17. C011T1tY' (,'OY � ,...,. .v........... . ..... ' � LAVATORY � )NAII..._ . . r� aµ,�,l,tert�#y t�at in the performpnce-of the wo�k for which�rhis � � •� ��.,._�:.,. f � `� ADDRE55� � ���-" ' � ��"�� � �� �������' � � �, 'y'perm 7 is ssued I sholl not employ any pe son n any manner SINK � � � � . x Sa aS fo become sub�ect�to the Norkers Co pensat on Lows � � � � � --�-=-� '--� � � � GiV ,.., ....,,. � ���,*�€� �:'��.��,'�`���.��,�"�'��"��.�.�s#`�',,��, .�'�:E•�°�av� �,�,:�';;�: �isHwASHER � � .. oa�e . — corvrencToeR.C•.R. PiLuri ^,;,,,. Appl�ant .:.,,,.. � CLOTHES WASHER' �� - . � �'"$�`�QiICE 7���(1'�"q�VT�,li, ofter�makmg ihr Cenifimte ot � � � �� � ^-'---�� ~� ADDRE55 � � N . bin INc. ..,. ,...: j �npfion you should become subjeM ho ihe Workeis' SWIMMINGPCOLRECEPTOR ' 1278 Ma riolia Av {� ,.�n�eii�alion pro sions of ihe Labo Code,you must fo th- �' TM • - � � -� . '�t w th comply w th s�ch p o s ons o fhis p¢m 1 shall be �A'�✓N SPRINKLER SYSTEM �-'� ' CI7V - , , '� deemed re aked � ....,, � � ��N�" '� y���"'��'�"`j `"`^".;:E"'' WATER HEATER . . STATE _. _. 7E ,,,� ��� �N�SE'��ONTRACTORS�D ECCARATION � LICENSE NO 33�6428 �IC. . — ._x ,.,._..� ..���ss C 3 6 �.�I he eby offirm�hof I am�censed under prOvisrons of Chopter 9 GAS SVSTEM L"�� pUTLf75.� DISTRICT NO. PROCESSED�9V ...�.,....,. �� �(commenCingr with Sec�ion 70pp)of Division 3 Of ihe Business �� n Y �� � '�P � �and P ofess ons Code ond my�cense is n full fo c.e and effect - �PERE5YS�7EM 5� . ':��'s,�+'��8�a+����k��`�a.y���.����"�trr�`'�`"`e��c�?2.,<r :�.�?^:; . .�.�- FINAL ,..,..,,. . . .,,,.,q L cense Number o'��I n o -L c Class� ,�� . DA7E !'�"�/I/�J `/..���/,j��N�.�.. �' ,:. _ . . s�i r �.ip�F—L�7-- / .� _ .... .:.�-: � , _. ._. . _ . ���0 facior umbin Dafe 6/�.9�85 ... . . ....... � 6YA`�Z�� . �3 L J �am exempt der Sec ,_, ,,,,,,. �^ A e�"',� tx`�i xs��§�v"�€'a.�'&� �«,�3, �#aro u-�� .� �:-x, ': . .. . _. � B$P C for ihis eoson �`y����,��a�������'r�"�,x�i`�'.� �u�s» r ��^ .: Plan check fee ... x �' �bate � � �r,�9�{fi�'zF"asrry"�A°'" ,N.zh5 z2'r � : . . . . ,..__ .,.•.�� ,P ��, Signatu e PLUMBING PERMIT�I$SUING'"���`� / � �t'�'���`'"��� 3 .a 4����,t�$ �°c'4r s��E,��,� _ . ._ �� t (J �� r ,� *� �+�,�����s � � • rora�Fee � � "�(�".�,�1 C). �T 7 Cx i Fl ' ,c�y� i ,� c.x ����'�t kr r F�a .;�`'�nC".F,..��s:-sTS, P:an check applicant � � . ... . �:� .SIM1IGLE FAMILY� .. . ....::..,.� m.�:.:�, ,�x.+;:-.a- ..�;�.:� .��-� r.�p e�F, f�`eb affir�rdnMhatO om�exem�L�i fro�mE h`e ConrrOaN � Name- .R. P � � eer Y�-^ u` ,.. ` , '°' , UMBING, INC. � P ao,s u�ense.. ... . ., . fo ihe following reason�;Section 7031.S,�Bus'ness�and Address . g 1a�' Ve � .v s'��S C �P'ro`�fessions Code�: . . . — . .. .. . �:.�.... ,�.,,, -. ,� ,��;��,. u . � City � _,..., 7eI.N _ . �e N s�76.J�Iu I as o,ne,of._�he property,wi11 do rhe work and�he � "� ' sYYudure,s not mtended or offered fo sale (Sect o � � � � � ��-��� � � ' 7044 Busmess ond Profess ons Code) � � ��,2 n��j � " '�� "n "k t�?Y' �i a vF, �.�r�y,�,„ ,. . 4�v;�.. :S±,�'��,��S�CT��N LEND�NG`AGE'NCY.�.�?. .. �.5.. . , , .. . ._ . . � I�here6y offiFm thot there is o construction lending oqency for � ihe performonce of ihe work for which ihis oermit is issued � � � �� � � t (Sec 3097 C�-�C) � � a�sf rs"�':"� ��'$''� a'..*�, x�.;. �i.. t 4 �a' F +. m . - �..3 Nryn3.�..^.w�*�d�v_a�krt��.y,,,r'�e".:€.n`"'�'. .w;:���:�47s�._r,a.��� ,�'�s�,�"',„?'?,... ���.:¢�,.».�„��A� ��`s%'E.�w?.�..�.,:.n v � ..-��� ^s�. s� ra< +s�, %A r..,�''r�^°� '<�..,:°,:��, lend s Nqme � � t� � � � �� � � &�E A �",'��X,��13.��:��rlx�r�s'✓.a v�sa..sm;•�*,:�,s . H,��r: .,,,,'.��oa` Nr.,-r,..*..r .a.wn,...—waN �,.n.�'.tt'..a�cw�w.v�ttr�,at- ���.�cw.�.s-�ti.-..a r x r�"� �� '�� � �,r � ile s A,{ddress . ....._ .. ....v�;.�:.�.s:wr,.,na.`5::.,, .,r.w. ..e.: 37 a.,r.t.;_.v�,.,..<.,�....w ,..,F„.;,�a. .. ,. :�,...w. . ,os..__,��_,.....w..,.s,s�.a.xv..�,:.ce.�..:_<,. ., ,... �.,: ,^c�.,.y . .a...:�'�, . .:�,.... y I""ce t fy ihot t�ho e read th s appliwtion p d siate ihat the � � � . �.�above fo mpiio wrreci.I pgree to comply with oil County � �6 d"nonces and$late Iaws reguloting Plumbing;ond hereby � aufFo ze epresentalives of 1nis��County to enler upon !he r ��s��a�ove me�n�t oned pr� erty for inspe rion purposes. � � � � � ��- � � �. ��" �°�.' � SEE REVERSE FbR�3�pL%lMI1T'�I�V LANG�IAGE -�. " , ' , _ � � G�R. Bv tLh F,�,�zts`r�/19/85 S gnotu e of Pe m t�ee Date � ,{ 2 2 #-F' �... r �a ,?'� z. ::4 A.. .{�' .: <. � c �� - .t� � �;� � a • ..,.,> .. .�.� ,. . �.x.. ._., . . .., , r. � �—'~'^'^-,��'�,�..,:�•� ,.�.*�.�..'�,^^ .�z�a"..r�re:7�.�.^� .�".i y� .��'�a''`�,".�s's ��,s,..r '�n`s;,r � . , k >.4.h'4�.+.�i..?� .w :k`a'C�.dWu' sw�'kr.4a-.rvez�:v -04 _ � , '. . -:x a � x�v��'x��' i �' .�"{� � ��`r.r ..�.��.sl�� a�''x kaa.a�e � ..� t . • . . i. .�; • ^.' , ., ..: , ,.. r. � �: ,� � � ��� -'- ' � ' � MSPECTOkS'NO7ES O4VNER BU �ER D°OAkAT�O`v � ` ......_.�.__ -� � _� : .. .. . .. APPROVALS DA7E � �t�P�C"1'OY�551�`,I�}i'(UkE" .. .,..._—" .<�.w*..�.-,.,.,�. .„ ..,., . ..,�.,r�«,.�.,,..:. ..r,�� ,.,• . ��'m�.�••• .f from�fn C ni a�•�•'s � r.' . . e�a6y of�rm thai I o eze p .. UNDER SLA&VJORK . .. �j I .t VW�—� .. . , .., � . . . . e � P�r tn tol�.owing reason (Sect n ` s . .y.? •�"" s'y�,.�'.'� �.}...�.� . .... ., .. .��� - W %„„.m� � B�u9nessa7dProfe so Codc)�i�nyiityorcb ttxni�_n _ L cens � QOUGH PLUMBING � �"r �t , � . ..... .::;;,,- �t.� ,p• . , ires c penrir Ya onsfruc7,o�ier npro e ., emo isn. GAS PIPING -� ��.?^.,�-r •7'� . . .. .• . ....., "`w•-:•^_ . .+".""•" "•`;,. �.".. «, r to Rs issuance also ��- ,._,,,, . . .. �.^ .� � � � �� or repcir any structare, prio . . . uA5 VENT � : �^ -• .. - .,quires�fhe ap�hranf dcr suth parmif to�fi'la a sr�ned stGte- _. ...,„,. �� -_._._... . .. �� ....,, . ...> .. . . . ,..,.:._. .........._.. ._ _ ...._ .__.._...w.x ... . :..x . . � HOT WATER HEATER � � � � men}}hof he is Ilcens�J pursuqn!to the p,-o�'rsions o���" . ....:-.„ � � �. � PL'JMBINGPIXTURES " . .. . .. � . -_... _ ,..._, ,..,...�._. .. ._.,. ;.... . �... �.m ontraciors icense Law(Chapter 9(ecrr encma wit`� .. .,.., ..�� �,t� " � ' � Section 700�i)�oi�bivrsiort 3 of the 9usiness,pnd,Hrofes- GRS TEST ..rs,.r "� +v�:.f"`�,d � . . . . .UTILITY�CO.�NOTIFIED.�.:'�•` ' .' .�.. . . ... . .-.•.,,� � ' :.. '. .� . ...�..�. . .:'.:�:• .'-�..:. .. +�ons Code)or that Ae is exempt therefrorrr and tne basis ,,.,._..;.., for ihe atlegad exampaion. Any viaictor of.S�ttia� . . .:,.,: ..., . , .. .: ',. . .. . .. �. . . .,.,,,a � .-....:� 7033.5 by any applicar�4 lor a permiP sub�ec+s the appli- � . . .. .,._,..:..: — ... ,. , . _. ..,_, .. . .. . ....:..... . . . . , . . ...... ... . . „ .. ,... FINAL ��n/er on �mnf . , � � � cani 10 q civil panalty of not more rhan iivo hun rec .�. .. ...,,. .,,...,�..w„�so��*.�',^;,vs:a!:�$".w�g. .: . .e-.,.._... _..,..:...... .....�;�.:; ..,.;:...._.�"._-i.. �,._`:,..,.� ....:.. will do�Fe wcrk,and do(fars(550�).: ... . ....,.,,,...,_ .:: .:..: , -.:�.:: �....:���;� .: ��f as owne of ina,property 'NDUSTRiAL� - . - �"� �---�:—..--. - � � .�� �. ina siructure s no7 i tended or offered for snle. _. . . _ ,.,. :��.., ,__.,.:.-__.,._,..._�..� ......�..:: ..,._..._ . . ._. , �WkSTE A'PRO�AL - �' .' , �mw � . � � (Sec.�7�-0�,��usmess an. Professions Ccdc; 7'e � �c- .; ...: ;., .,, .;; ,��. . . �._,� ..,� - o�'s GcQnse!aw doe not a ply ta an ownor af prc.,.rt - ,_� �.4� f Mv , .. �...W .�..��. �. .�� who�im(ds or ln�r'b�ve`s-��hereon,�5nd wAo does such � �+ � � '� "� '" work'�imself r vded fhaf such improveme ts�are not. _ - T,,, ,�,y,,, �.: . ,� ��� �'. � inFended�or of e�for sale..lf,boweveq the b�ilding oi . .,; ...: � .. , Y�: �� � �.., mprovemeni�s soltl within�one�yeal of compfefion,'ne ., , . .,...> , . �,, .��. `� �� ��. � �: , � ,�� �-.•r S y o4vner Su Ider wl.!!6ave the burden of prcving iha�he drd "��"`F � :� .�:: :;;. ., -..:.. -. .--'� - ..` . ..:.. :�� �'' ' rot buJd or imp�ove for tne�purpose of sale.J - .�s..,., . . .. ' .. .. .,; ;.. . , . .� ,.. . �. ._c . . ,- . ,.: . .-�. ,,... . . . . . � �'.:: .' ..:�- . � �".�, , - :�, r� f am exempt`u`nd2r Sec ... . . . , . , .. 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