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HomeMy WebLinkAbout1783A � $a�I� s'''.P �re. a _��- . .�"�.Y',..���a' z�,� y .. ,.y �;S'.�F '; .. '�"' >,.,>-^'... . . �.,r.:: a , , '. r� . ....,.. {, "^��y:.KbI�K CON�PEYJSAT CSN DECLA ATION`" A w����� �"-'"�"� .'_.... �3�,��� e eby aff rm thot,l have d cert f mte of-consent to self . �� e ... � . �',insure or a cerf ficate�of Worke s'Compensatron Insurnnce, ��bb�A TtON FOR PLU11� .k `.oY'"'�a cert fied copy thereof(Sec 3806 Lob`C� -� CE 8U(ReV �D787 J �- �� � � � � -�� .ss'n. -� _ ... _..._., _ 1/�B1N� PERMIT 3� `� ����� �_y: ,;.:. � ._. y..: . .M ; �t _. ��-��Y ompany Frpmnnt Tnr�omrilty COUN71 OFLOSANG�1�5 BUILDINGANDSAFETY " � � Ce t f ed ropy s he eby fumished,. - ,. � .. �/ �,.� _ ...._, ..: ,��,�.;...., ��' � � ',T��' r FOR APPLICANT70 FI� IN�PR1NT OR 7YPE� - BUiIDING ' '� ����, t on de a tmem. ...... tY buil 'ng in5pec ,- ...... ........ � �� . l � Cerfified co is Aledllwi h the coun �� ' , '� � NUPABER 'rIXTUREORITEM1fi . � � �u � �EE����� A�DRESS��� C �_ � `�,• p Dare � R f'R ht,x (1''„i� I ez(i�� � wareR aaser .. � . ti?� i.�:� ��._� - ..,�=sH�, �' ..... .<,. . .� � ..... �ocauTv plamond Bar � � _.. ,, .,,,,. .,,, `y}h�s section need ofEbe com leted if heCwork inyolve� � BATH 7UB �� NEARE57 ' .�, � CE- �FICATE�dF EXEMPTI'ON FROM WORKERS � . � CROSSST 60/Phillips Ranch " � • . ..,. -- �� 4'� . . p d.bY SHOWER � . . . OWNER S011�l1 CQUT1.tT CiOT .,_.:..... t �fhe pe md is for one hundred doliars(5100)or iesa.) " �`"�' � C .a ..».;,, ..�,......�,�.,.,,.. , :AVAiORV � J MAII � � • .Y cerf fy that fhe perfc monce of the work fo h ch th s �/ AD�RESS a�"���e`"`�`mif s ssyed I shaH,noi employ ony person in any manner�� SINK� #� �sb ds fo�ome sub�eci b ihe Work�ers Compenspt pn Laws. � . �� � � ��T`� >���w'�i „ ;z�f�"�����w"�,��.�.��-u;�t`:y.'-. DISHWASHER .. �,f��Date s .-. APPlcant ...,w� ' . .._: "'. CONTRA ' . �.- 7El N ... croRR C:,Re Plumbin ; INc. CLO7HE5 WASHER' "' ¢.r+��I�1�71�E,TO;APPLI'�CANL�If, pfter mak ng ih s�Cerhfimte of �� �- � '" AD�RESS � �"�'� � 12 8 ,zempt on,�y6u-should bemme su6�ec1 to fhe Workers' .SWIMMING POOCRECEp bYd ""'"`��� Ma. T10113 L�V A�y. Compensaiion provisions of the lo6or Code,you musf�forth- � '" . . �� .:uwth...comply with Such provisions or_fhis permit 5hpll be �AWN�SPR�NKLERSYSTEM - 'Fy�' - ��i� ' �•: ' �TEL'.�NO,- •� deeme revoked ' -�'�^"' SiATE �� " �3 .�"' e� a.�n+P:qa3:sa+� �»-�. .��.„q w. - .i.,-•..,, WATE2HEATER . .. � LICENSE'NO 336.428 �..I�I�CONiRACTORS:DECIARATION �A , ; ,__ � ,....t. ..�., ss. C-36 ��, ere y offirm fhaf I am licensed under pro isions of Chapler 9 GAS SYS7EM��� pUTCETS DISTRICT NO. ���-��� � PROCESSEb BV .� ,(commena.ng wrth Sedion 7000)of Division 3 af the Bvsirtess - � "-� /� r) � �N dS�d Profess ons Code ond my I cense s f I�fo ce and effect. ..S�PERESYS�TEMR ae"�'n��License N m��� �'.,.�'�`.��`��;3�4chy. �.:M�,_,v��� .. . L ii•� , .. > fii7a,����#", ,...... � ' FINA! / . .. .. +d � ber�_�c Class DATE {�)�%z��J`� TIDN � ��; ,..,�.� ..»�,_., ,,..W...,�'_ ..` ,, VA'DA Co t a tor �-U1Ilb 1T1 �Dote��-9�$5 . . . �:�.-„_. FINFiL� �} { BY :,;�f'�� ,�e�Lj I om exempt under Sec �� . � , ,,,..,, ..,,, � � <k "� �',�'� ''sk��.a`wd+'6 �4�airs:,� � . . . . ��r 4� B&P C.fo �his easo . .. ... . .. _� ��- � �" ;���+�r,����,,.�„ r,,� . Plan check fee .� `�-�,„� . "�„�„`z�:3"+i.y�.t�+ 34tv'�arr.�nscwt�°�w au �. �; : . . .. ::- �,� p� �� gnature .. . , � PLlJMBWG PERMIYISSUIUG FEE$ ` r' c '� ".�.. �, �� �X .h .. ..-.. . ., .. �.�-�i � � C �'i /8,3 F� m F �` � .. ���i�t�F�3�^c�; . . .,. TO"AL FEE � r��.J� - � �+z, � ' � '� � �'•'�'�' Plon check opplicant �' k �,` N�GLE FAMIIY - � �� ��'������FI��M�E�b NER-BUILDER DECLARA710N ��. . ., , �� ``��`...'` ' °.'.a"��� ^._-r�^'..�. t 9�i o i a,_S, . Nome R.C.R. LIIMBING, INC hereby offirm rhot I am exemp�from the�Controctor's License 1 e.•�b,J��;/ } Caw for the followiny reoson (Secfion 7031.S,��B�s ness and � Address ag O 11 V2 � �•Y��w�ofessions_Code)� . . ... .__ ,.,...:;.�..x,.�.;��.e. , :..atin�s� . o o s�`(�.� u City , ..- Tel.N � . �S �� ❑ � as owner of the property,will da ihe work and�he � �� � • (f.']�C�..�� '�. siruUu e,is not inrended o offered fo sale (Sect on `� y���,�x� 5044 Bus ness o d P ofessrons Gode - � � � � - di "' xt ��.��'�'°'': ) ��:; ...a�� a1�S��.#tc�at'S+� e : , . •:�.:_ „..... �� ,v. ..,. � _.w.:. .. ...:.: ..� .�..� c s.. . . ..,, . ::,. . ... ., ..<. �� ������p„pC. N5T UCTION LENDING AGENCY�' ' � . ��5� �he eby affirm that rhere is a construcfion lending ogency for � . �� � � - � � � � � � Yfhe,pe formance of the work for which ihis permif is issued - (5ec 3097 G� C) �'�d"�w.t' ��" - M F."'�f24 h � D-.R .�' �3f 'Y' J " G i' +'., '` N',..�i"�4.r ..� �..� .�x:�'.:'<wh,��4zs;aR'"'7„�1,�,d H,:�k�n?'.r,`K� 4e3'`�^a^.�ra.,'�'w 3 "�'��,-�&'`u�ty"ded.f �'"�';��;��'��'�,^F�.':4"�a�.�na;�,a�;�;;�s�r`r�.���4,"��,�„i.�'`�'����.w��N��,w*�;'.:dt'� m t�,.:�-:. Lende s Nome � �-� � + � e;�. ��,' ,ys��'r��'' m•aP � . _ . . .. , $:+'�f,�:Y�e�..a's'*pyt'�+",PianNl='.�.��.�u�'��;!:�s'!d1�Mt�k`84�t+'F:dT.9Pa,b.i:+i ,.,4y,�..�:�.C�N'ixf�wk:�b.�s-L,'Y'c>,J sa�i-.��..:.�'+ail^+trt.xt.'d+=°��rv��+?�3,,...;��M_�dns�u,, r."u.a:�;.��r.r.ei:ati�.'S�iSsY@uY^31:;�s9ar���rt Wz�+.¢a::�,:.+..r1,.ak..c.�i,�..: lender s Address � �� � � �- �� � �� � �ee t fy rhot I..'. . , uar.Ks�:s�».s!�i,aEs.e�.,'`�.�",.+�aG.:.u�acs`�as;=ai..-�t%?aw�+:��;�r.i �- ' c3:�+.��.�,«.,tw�.d��a%t�^5'�i,�-��a��.+m�n�<i'a�ew���:.�+"s�.max4+„���w.,e 2-�-�-...;:�.. ,� nave reod ih s applicqtion and�state thot the . � � � �o17o e info mation is correcL I ogree to compiy w hh all Co�r.ty � ��, o dm nces pnd State 4aws-reguloriog Plumb�ng,and hereby � ��'d"�Su�or ze representafives of this County to�enler upon Yhe � 'a�o e menf oned pr. p y f inspe tion purpose4: . ... . . .... t �������� � � �� ti o r� �R C R $ �, � SEE REVE�SE�Ok EXPLANATORY LqNGUAGE S g�ofu e of Perm nee ���-"�'— � � � Dote %.�r ;�;f��.y �„� x i ""� ,y�. �. �, '� p .'. . ,� �.� � � �i� ��k^'t .,r :k �: �� �,r ...a' ,�.�.�:��Y .cc+1, � .: , ,�n+� .. 3, „ �Na,.R a. Ek, :'�.�'�,� . � � �- -�-�-'-- -�._,......,:;.�,,, .. �.: ..�, ..:. ,... ...�:�: . .. ,.: _�r �... . . � . ,.,. ,., ; ,.. �...�.��."`,....�,.�:..^�..,a.e,P :� �; .�..�..:��, ,,. .,,. �:, , .. � � ` �g " �.g �y. .,T�, , 's° "E.;�"�LY� .fi f� h"��t}��q'i�t ,q'�'� RF�1 M+�a �4�� 4��` 3�X 'cr d : .� ` :. �'��� � ' , .. .t� .. � .. � • OVJNER-6UILLcR�..GEC..ARGTION � ; �. , ` �: .. '.: . . , �.'�: ....Y� ,� �A5'�",•.�' INSPeC'f0"F2 ' . ..•.�- .. ,, tIJ$PECYt3R'S�N6TE5 :. APPROVALS � 5 S1�NATURE . . . . . . :: . -. �:. �.:,�. I he¢b � m haf a em .. �Y sx . x pe f m/S a}C� 703 �, � UNDER SWB WORK '"'� �� . ,.�k �p�'?�. 'fd ,s^ba�"^'�^0 . . . ' . L<onse La for the fol�o g ase e o . . . ..,_ ... ,. . . .: -,� .. ..:.. . " . ��- ROUGH PlUMeiNG ������*} 1arS� " �� `�� ' � .Bus)ncs. nd rro4e;s ons Code) Any c�Fy cr unry•ir di . . .,,,,,,, y� , -- �� ��'-� � r uires a p m C to cons'ruct,affer 'mpro e dercrol;sn. � �GA571PING�.:..��` ��.. ( �e ."'. �`. �•"R`� _. — .-. .• '..:,,•.�- °�...."..�" °^.":...-�:: -.`.�:: ".::�; rsepar any�sir�c4ure, onor to ifs 'ssuanc also re- '3.-, s .. . O � � GASV'cNT . '' �� - . �.� .. .._..�,..,.,,, ..... .— ..: ^. .:.. qm.^es�t5�appl�..cnt for such p�rm�t�to frie a s�qned t -r�- . .. ..,,_.�. �.;.�. . ...... . . ..... . -.. ... ...:.�._ . . � � .:.:. .. HOT WATER HEA7ER , � mon%.thaP hc�iic2ns9dpursuan:Po fhe provisicr.s or'r^ .'.. . ..,..,._...... ' � r^.UMBMG.FiX7URE5�. ... ..'... .. .. �... . . . � . .. . .. . . . . . ..Con,racfor's Licensc.Caw�IChapter'9(tomnennng v✓iFh � . . . � -:.,-.: . . . —" ... .�-: �.. .., ...: ... ; .,. -, � . Section 70D9)of Division 3 of the Business and.Proles- GAS TES7 �.�,: .,..:.,�g'q° ,� . . ,:7�.�,.�..�� . . . - - -. ..,.�,_�_._.,,- .. �-- •-� sion;Code or tt;af he is exempt therefrom and the basis . . ... . . . .. . . ..... .. ,....,- .. . �,.,,.. ...,a-....�;..-,. ,.. ::.u� .,.., .,.:. � . � - UTILITY CO.�NOTIFI.D�-""`� ' � � � for ihe clleg�c)��exemp/ion. A�y violcHon of Sndion .........,... .. ..,,....... . ...,.._.... _:. . :.�. c ,.. .�...;.,. ,. �...�. .. . ,:._; .., -, �::��c. �-�;- .. -.;' -r. .,.,: hundred ;, 7G3l.5 by dny applican�fo, a perm�t Su6jec�s the c�pii . .. ... . .... .. Lrefer on _}ronL �. . . . FiNAL . canT��to 9���ivi1 pvttaky o1 naf-more than five � . . .:...._. ,<... :.t-::;..,.� .. . - dollors(S500j.: .. .. .. . ._ ,... ... — ...._....,., ...;.�,,.. . , :�;....f . r_,..-« t..�,. ,::.; � � . . . ._ .�:,:,._,,.... . ....... - � � ���"-❑I,as cwner o`9he propersy will do!he work,an . -. ,., _s,,. ...�._.,. . .. - .:: ..____ . .. _.,.,..::, �- the structure is nct intended or offered for sole. � I�DUSTR7AL � — - ..:. ..�._.:.... ..-. ..,,. �.. ...�:�:M -,,. ;..:, .... .�.:: ..,,..:_ .,.. . , :.,..r..:..� WASiE APPROVAL � •' � � ' � � ' � (Sec.'�044,8usiness and Frofessions Co a: T e onf. ., , ., . 70's License Law does naf a ply to an owner of prope�, � p r -� �'' y a x,�-�.�r ' i,, �. vlho°�bUilds or'(iripr`oves thereon, and aiho does sucb i _� ��: k €'��^ � . . . .. . . . �;.. �f . . - _ .��. . y, :; � .� , ��- �, . work himselF prowded that such improvemeMs am not � : 1. , v1r�V � ;._. - .�.. , �� v. . � � iniendedarolferedforsale.ff,however,ihe.builuir,gor � "�`" .., p�+. ��:: Y':'' � :.� �'�`�... :..�.� ��� � . m"pr"o�7'ernenf is sbld w(lhin one�ytcr of�comple{ion.the ,.. . : ... .. .. � .. � , _ . . . .. . . ,. . . .. ��� > : '� ., ��� �+�; �'i -• �� �� ��� z ovJnerbuJderwiffhavei'�e6urdenofprovingthathedid ��� �.; t - �� %- �` �� - 6vild or lmprove for f5e��purpose or sale.) :��, t '��;a 3�,Cc �, � �. '� .. . .. .rs <-r'k"' Y >t` YeOf � � C om'exempt under Sec � -- . w,. , . i : . . > , , ; . '. . ;�. i . . , .4 .: , .,.._. . � r . .� �:.. `. '. .. ; ' ,. ._. .. �;i i '`:�' , '.' :�: :: , _.. •��. C for th�is reason �� .. . . �: ......:. .. . .. ., ,..... _ . ,: . , � , -. .. _ ,, � ,. ...,�,:. . . . :..... ,'. , ._... � �.� , . , ..- ::,:». . . ...- ..,:: ... � < . - . , .....;. . .'. _ ..:. _. . . .: - . . �.�... � .�- B&P , .. . . ,. .. . . , i . ;. ,� :; ,, .-_ i_ , . , - �..::. .,;' ... ,, . , .. . �: . .. � .; eit -. ¢ '¥ ' -s' ,,°rp,y 5';'. �,� t,' . ;, . .;: ;,; ,.� ;;�" v,c Dnfe _. � �� ��t 'r ..3""�". Owner : , , `� <_„ �v�r- rt 3 , . r.. +r. . . . . , �ri .. ..� ,. .;. .�. ,... ... ., - y �+�r , ..., ..r . �.�,'. ,,. �'' _ y .� . ., . . _ .: . .r ta CT ... m :..2 `�,aR�.�'{�' .- 1."'i% t .F,;. �;*�tv�K.$�b . .... . � ... :. ., . .. . ,� x � INSPECTOR S NOTES _� a.�� r r�,: �" �.�. .�� ��, r. , - �... ,:,: . � �' x 1 A t: � '.' �.. .: ' �� :, .� -. t �; �.:.. � `r �:. ;;� �,: *s�-i:.#r � �am; ��,:4 �s, ^��r�i:..• �. �:�-: r�«+ �� �s, s ...; .,.�a �n5r�;"k���a,.*�-�� �'mr ;.! . . ::: �,-- � :, .-: :,. . ., . :. .:: .,. �� . ..-���+ . " � i�, ...�, „ a ,, . ,, . , . ��, . „ , .; .. . : < - . . .. � ....� ,.ar�.��: g.o�+>...a:�sAa�+r �-.�.st��i:,i nar�..;a +�',�t,�? ,�r �«e::,rx pr,r r:..v ., �"�`�a+ �a�.��;iw��ra rv�stwr�'ssa.ssaiiry.�n a�Sra;•�.,�.t.�"F�-�cu: .. - .' .. ..,: : .�, _,.._ ...:. ..�. , ,�,. � ', " ,�, ''. ��.L . , .�� : .. .j .: , ... . ..�. 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