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HomeMy WebLinkAbout1768A ��vk� '�"T"�i� � �� T 7 �'� `� ,�a 7�'+.a�;x��4".�:�.:.'.��'�,-k,-d,h.FLY.�'�' �«�a•.��a.ah=,.�aa.ix-�����"�^+fz�a»ke.�adz � .r�.mf,�`3.�-`� �a�s �.:' ,✓� :'F.,,.,.... �� ' ,.:, f�E ;� �,,�'a WOR�i'ER��OMPENS E RA�N pp /� .. e ..�j'`�/�[�,,.M. �`�/1 �yC ,�....,.... i,. , '�� '�i hereby affi m ihat I�have a cerhfimte of consent to self � �• • �'���'V� f�f( rLVftl'���YV I�G�� ' J{4j � .�' insure or a�cerf f cate of Workers'Compensafion Insurance, �dA667A �". ... CF 817(RE`J ib Bl l.. ,. .,,•, ,�"., .... . .� . . J�° �� � 3t a ce i f ed copy�he eof(Sec 3800 Lob C J ' ^,,4,,... .�v.*.^�,. . .... O�.J 1�(,r �.�� ��.;,,Lt+ ��;+n`wroa ,a �,. �� 1�.�n �.+,� v�x ..,.,. � +�;.�o�l�yW8�32���� " "•• ` " ."• •,.' �- COUPlTY OF"LOS ANGE'LES •• BUILDrNG AND SAFETY , _._ �. Y, � ampo�y Fremont Indemnity �❑ Certified copy is hereby fumished. � � � ' � �� �..., .,.. ,�.�. .�-�. �.�., ., // � Cetfiedcopy 5fileclwifhfFiecounty.bui nginspe� FORAPPLICAtJTTOFILIN(PRINTO�2NPE��- -- � aUILDING,����^a .s/1� '�-"""�� � ' . .. . .... ., . ..� , r .. ` � � .D �C:� rrx� tion depa ime t �� � NUMBER FI%TUREOR ITEM " /+DDRESS �'r"+,E¢�'- '�!. ac:,ri'`�"K.t�n.42a:sd-:.�..i�s.,.,.wdiv'�� � ��+ C� ._ FEF..,:, .00ALITY 1 .. . �l.ar ` .. s . -��iL���Appl cant b ' �tRV ,�� e•{ WATER CLOSET �. _ ., . ..., 7 .. a �e � 'bare ... � ,� ` .�... �1Y'� `���CY-_�fF�CAfiEOF�XEMP'�T� RKgRS` �`.:"�":es; . ' . f NEAREST 1 1PS� 2.12C�. _..., eAtr+rug / — cRoss sr. f}�'����'�`��S"�OYv��'N�"ATI�N'�N$UI�ANCE ._ . . ... ..,....... � .. �,. .- � '��� s set}on neod no!be compfe4ed i the work involved by $HOWER �� ' � OWNER S�ut� � COL1TitYy COY'IJ �the permit s 4or one hundred dollprs(5100)or�l�ss.) . ........�..` ".. "'" - . , ' � v.x�rewrs�si ..,...... .� LAVATORY ' �' MAIL P O. BOX. 3�29 iq�I ce hfy'`thar n ihe performance'of the work fon c�h th s � -� ���-�� =- ADDRESS {lerm 1 is issued I sholl not employ any parson n ony monner � `� SINK . CIiY � ^e so az'to become sublect to the Wo kers Compe sat on Laws � " -�^ '° � � "��a�'`�t�-�n�����' ��`t,„�'�� ,�,., �. oisHwasHea Co 1 g rei � 7 95 � . �.: ..__ _.._- � � CONTRAC7'OR V ..� � ,���afe APPI cant . � . R C+nR P lumbin N....6INc.4 C.OTHES WA5HER -`- ��� -- . f ,. _... _ ;�� 7'I�E 'fZ3 AP'��(�'s"�IT �If after mok'ng�ihfs�Cert f caie�of�� ���'� �' �" ADDRE55 p T�-� � -'�• -�� ��-� npton, `yeu s�Foold��bemme subject to the Workers' SWIMMINGPOOLRECE�'I'UR�. "'""�"" 1Z7�7S� 1'icl I7.O11$ AVE?. �-,,rti�'H`�at on prob s ons'of tf�e Lobo Code you m�st forth- � � `""�' - � _. :AWN SPRINKLER SYST�M ��TY ,� � ith comply with such pro �sions o th s perm t shoil be � � � ' TEL NO. �dee ed revoked � � `�-�� STATE. ��� ^�"��`��f�'C�E`NSEb CONTRACTORS DECIARQTION � � �✓ATER HEA7ER � ' ucFNse No 336428 "� G36 ............. �. ... ,.�.CLASS. . ...: . .,«� .. ,.,�.._ � ��..���. . .. . , �. � DiSTRICT Nq. PROCESSE6�BY� � I liere6y aff m that I am licensed unde�provis on5 of Chap}er 9 GAS SYSTEM l" OUiLT$' - / � . � �"�(co mmencing w th Sedion 7000)of Div s an 3 of ihe Bus ness OU7LETS OVER: . � � � ti�d Profes5to s Code and�my I ce se�s n f II fo c and effed 5 PER SVSTEM �'�� � " " a wt�`'� �'��d'�`''�m+-�4,.&�X�z�.�����c �Ss :' ......... � � �"t" .+!,s� , .._._� i. .;: �cen�se;N�mber 22L/ �o lc Class 6' ���,�.. . ' ... DA EL � �f/�z��� ALIDATION � � � ��G'G'*��um�b'inh J. .../. �__.. �, .�..�;�� tr 'C1/�-9I8S � . ..� FINAL ^��L� "'Contacio , b�ate . .' -. BY J/1 � Ll , ..�... � I am exempt under Sec - � �. .... . ...... . . . , � �� f B&P C�oi th s�reason F �'��� � � �, . _ .., � M � �"`�'L "�r� �z�'� �Dar'��'�c s'ta � = Plan check fee .,. . � �' � �x "� � k'� f '�� E � -� � � � PLUMBING PERMiT ISSUING XEE`$ � a 'S qnptu e _ . . ��a.,r�� 4��'�'�t�.�. �'`t��4 "`S�e.�-'����. �" �� � .��l �� , ��-.��, E?�'������v�'�'"�m�'"1���"P.�x�'�'�'w„'�'�l��r�'kaf���'�r�Plan�checkapoliwnt w �� .... TOTALFEE • , /-�/ � � . - SINGIE FAMILY � ` :1 7!�8 A .,� � - .,>._..� ING, INC.. � �,� �,Nonne o�!�i�k�sUi�o�R�p�ctAaA"rroni ' ' rvome �'.� . a a e 5 Ye�y aff rm thot I am exempl from ihe Contractor's L tense. 1 V2 .✓for ihe toliowing reason(Section 7031.5;�8usiness�tind � Address � . � . P ofess ons Code)� �_.` � :-.:. ,• . ..., r�-,�--.,+. ... J a y% � � . � . Ciry .,. . TeI.N � . . . �5 �- I as owner of ihe property,will do the work ond the �� ��� � o � 1 6,�O�. " stroc�ure-s not�ntended or offe ed for sole (Sect on�� � � #s�� 70dQ`�us ness ahd Professions CodeJ �+�,C��8 .Jr �.�s y�: e as� ,r,u�`�z 4a.�r��.%�Y,zr,.,._..�.�,< .-:,..� ,.,�.�.�,«-::�,,4 ,a�a...., ae,i�_. s e-:<�,.:�;��. 5>:..:: 4 s: .C6NSY�TI01�L�TN�QG�!CY -• .. . . . I he eby offirmlhor there�is a conatruciion lending agency for � � � � �- � - -��� �- �� � � � ihe performance of ihe work for which this permif is issued - �Sec 3097 C �C) . � �- # � ,ps��, � ..:,� � y..��t C:r' F ,. & :,: r ..: �� '�,„ '� ..�°'� �z,��'��r,"a�.�`z wx_.W=..". .�.�1d:'�.�r.d.,x.c,,.Y�,t'�.:-La.3'�^��.✓e�ae„�.:�,.+'�"+.h..sm..,�,a;�srr��?�.�P>�a�:�'+ e.,t�t. ,: t m �a� a�s. ca'�aaa�a�i` a� ��.z�- t �, i rn{ �r�a�# �,s.k�,,cw.� Lende s Name � � � �N . . �� � � :.w. "i;'�.k..�.nW��.>1s.�'�b.�-u�'"` '� 5'w!�'ss�u 1 ^a S�.,as,� w*x. t �4# j F, 2'_. ..�,i �r n `.�`,�. ,r�_�.� �..:.�a w.ir...;*aZ v.: �. •., z ten�der s Address .�,„N..,.�»..�.�,�...,«�,u�r..:.,a:.�.�«..c..w...,,..�.»..�».�...a_.T...,,a,�,...n..�r,zm.e..�.,..�.,�,.�..+�n,�.,a.�,....,,..�..,.,-..,�.uv,�vwr.��r-,s.::a��.,�.�r.�.w..u,.3,�_m.;s,��w..,,.....N:.... ,.�.�......,:�.�. s I ce t fy Ihot�I hove read this applicotion ond s'ate rhat ihe � � _ abo e fo mqf on s correct I agree to comply wrth all Couny � � � � � � �� ora"nonces pRd Stoie�laws reg�ulpiing Plumbmg,and�hereby � � � � � � . � � 6urho ize epresentotives of this Couniy to�enter upon the � � �$�"p aboye e tioned pro rty fo � � . .... - -. .. . . ...... . . .. -. - . v'� �aS�`���4:��°f�',:�# � . nsppGtion�purposes: . E k.� ... „wk„M.... „o�.�. ,a. , .�t^ •�� ����'M�� � � �� SEE R VERSE'FOR EXPL"ACNA9'S)li1'l�I�f;l1�S�"" "' ' " . �.' R. BV. llti.i/� .,...,,,,»,... .: ..._ .., ,.w:a. ., ._ :;. = 6/19J85 S gnof re of Permittee ,.y Date � „ ,d>�rr::� �-J+S,A.a,r�.t«4.�.�ni�. L ' +, x,. M. � ... ' -: .. - .: �'?--.%+x.'';.;��'�m".-.�.....�'�*x,��rv�ra.�-�,`%��'�.�°�ks�=s%:�,tfi `�°`�'+z�a6a3.4.a;su.S�.ttr w .,t,� ��' ` y; r r , � � - ,� , � ; : . , ' '.i '� � .�4 k .. t. ✓. ... ,:: LL..� ._... .:- ..... � �' ..:.' , . �. .' ;.,. .. :� . :.... . � ������� . `...IhSP�'CYOR'S f'a0�:'$_.,.�. .,_-".'�"..- ",..•.>,.'. _'. -� OVJiJE�2 6UILDER D"tCIARATIC"�I A7PROVAiS � '�ATE.����.'�TNSP"@"LPd'dRs"s�� ,. . , �.:��:� � � � .. <.,. .....,—�=-,�:�� ,,.�,s � UNDERSL4BWORK.��� � ��� ��� � � � � � �� �� . �J,� ' � I hereuy arf rm�ha I am�-eze pt�rom�"t�he�Corircrfor s�_� ROUGH�PLUMBING.....�...'" ,�•j�] ..[a.". ,,�?: . ..'."'."'.-" . . ..,..'. . . . .. : ..»,..gy.::e�;_.,�::., L cene I.r.w for the followinc� recson j$ea`ro^ 70�1.s. � . .. . .,.w...,� ,;.. vA5 PIPING �-.�. .�j�`�6'�fj� t"' �4,�,�ff,�,a . ..-' � S�siness and?rotess.is Ceda1�.Z�y ci;y or ci n y-.w�'.;.. { GA54ENT .... , . .'..'.. . .......�..��•�. "'_,.°.�:°""`".`w""1Bn"�".:"""""�^"'�""�"'^"-"��^-�+`�'•��.... r,equires o p_rn��lt to mr.struci,dte�,�mpro�v,demo(i h, - . or repair any structu-e. prior io its issucr,te, olsc re� � � -10T VJATFR HEATER•'�.":.•.. . . . ....,._,,..... . . ' - . : � �.. . . . ...... .::._...-: , e ,-.::.,_,.s:*•:":,:.:..r*� 'quires�flie anplicanf ior surn permit to fJe a signed stare- inUfA817�G F�XTUeeS-- � � �����-��� - � � � � � � rner.t thct he a Fcensedpurs�ar,'to fhe provisions of ihe GASTEST � :. ;�.. , .. . � . . ._..._:._ ��..,...,..,., •.,., `."`.,,4..".°„`,. �",,,"'""°`""i°�"„"'•.�"'-'�N9^f .�°v-^�:n,�+�{�+ Corttractor's iicen e aw(ChapPer 9/commendng uvit;, �j` � '�� Se[Hen 7000)of 0 vision 3�oi Phe 6us(ness�pqd Arofes- -. ...._. .._...,.�w.... UTILITY CO NOT7FIED - - � � .:-•�-.- -,.,.:-..;e,�.,:s x„,.,,�,;,,;>:;,;,����. sions Code)or that fie is exempt eherQfrom ard fne bosis . . . . . . :.. . .. ............ . ....,..._�... . .... . ..... ' � (or. ihe aileged er.emption..Any violohoo of Sectini; n ,...,... . .......... .e,h.<-.,... ---_. - � �PMAL..�. . c7 .. �-�. . . . ... .� ."::° ""."'•`":�""'""""°""'�""w""`' 7C3L5 by any cpplicanl{or a permN sub�ecfs Yii�aopl;- .� � Gr(er on Jrnrzf ..� . - � cent fo a tivil pena(ty of nof more thcr,fiv¢hundred . . ... .,::..;; .;,,.,.r., . � . ..._ _ . . _.. .._�_ ..,_. ..-�...... ,...�.,,,.:., x..�.�:,�_::<:..t.-.t.:.:�„�-.:.:.4c; dof(ars(SSOD).: . .. .:.:.�.:`' '.."�`"'."'.`""""" "`.,�"``"""'�.. ..:... . ❑i,as owner oT ihe properJy will do the work,and- . ��� iNDUS?RIAL . . . . . . . . .- WASiE APPROVA� . . . . ' . .. .-�-, .4.........µ... .�•..�:+.�r .<;�-:.xch�„.�r,�..x;;�:.g,.: fhe stroctura is„nof_intended or oSferod for sale. �:�-�.. . . .,;"r, ,. ':; �:. � -.- . :�.-; , ;.., ., ;,�.,:. . .. . _ (Sec.7044,Business and�rofessions Coda The C� - .:�� ��. >'. '.. ' '. .:'.."' •'•" .^ .t: .i�w+-.�+ �...T.b M,'.n.,t�d^„¢� ior's license Law does nof apply to�oi oWner bf oroper?y� q.x. : � y ,� �� � who 6uilds or lmproves thereon, and who does such � ,�� ,, ". - ' r, � ' S; - '"_'�'� - t, r� *rr,;...:� work himseff provided fhat such improvemeMs are r,o� .. .. . .. .,�: ., .. . � {'.;. �" ��� �._,��,- ' �� ;� . - .�;,;��, ' ' . ._� '-' "" ' intendedorof.eredforsale.H,fiowever,thebuilainuar � , '�.:� .�` ; .,`:: .' .:;��' ' . ".�� :�!,' ,. `y:F�:: : �`:`. ' g *t aa pr��„�.:;;w a� Imprcveinen!�is�sold witfiirt one yaar of tomp/e"ion,Vtne - .. .,_:... . .:.�. . ..., :.,. _._ ?. ,,- .�, �.,. ...>. . . ..... ,. ..- -. ; '::.�. ' . � � �� owner=oWfderwiN6avefnebu:denotprovingfhathe�drd '.� r :'«:� .. ..:_. ' ,�, �� . ,,:'.:. ...;: . ..,'. -:�: -- -*�..;'.„ 'h'ot Suifd or imprave'ior the po�pose of sale.J . ��� ...:�.. . .. /�.- ._,�. ,,..,. ., .; ..:.. ,. .... . .�. , r W".,�,".' ��'..`c.'" `.`�*a'a s;:"" ."�1`om eze"nipt under Se . . ;, :; ; . , :. � ;. �. � ,� , ,:,.� � r� �,�.ac.. t - . _ _., : c r..�,„ .a,�,- �.B B��P C�� �"�'i`'�`a.r�. . ...�. .-....,.. ,... . �., . . : . . - �:: .,. �_ .. . :� � �� or f is r ason"`���""" """."`F'*�""` . ,'�y � _. .- .� ,.. .: rh � - �.r nn ,�.� .. .u:xT.� ,�nxx>>. ..ra�s^ a-.�.::�-�- :..�::,�. ,� d..s�i. " ._ :�Da�e .. . ._ , ... . .. �. �;�, . . .�:.. ,;:� ,. _..: .� . �,; ,- "�� Qwner F ., �^��xv', �''- -. .,.. _ . �� . _ ,?�aw^rh"nyw*^�*$� .x`.a �i �ra-� �x ra��,;..,�,.�z r.�'. '�.�,.; . , ,-� . . � ._ .:� ,� : �. , .:� �M . - z. �- .��. ._ : : .. _ . :..• '*; y ,.., . . :.. -� 5 -, �,. 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