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HomeMy WebLinkAbout1780A ,8 a�tf'`nig�""� ye,`� �r 'v. +s z t :_ x ...�'.,c^^y � uk +�.....' "�'w-r_*� .�. . M^�-+-*^*'t^.� ^s-«� n n � -^x--t'�-'�,"' ^-r :-� .. "� - � �� �`�+-�'"t ��'`"�;..��"� x �.x-���� f � �'���.'�`'.�'`r�'�rF���r �s � n:.z, Er- ,. a�. 'G","r«�a � s 3 :._�y� ..s� - .r�',�',p..���a�: �"7`e�w� ���x�� tll�xR C6M�NS.�YtbIJ��ARA`1��5'N „�.. ._......: . _......,. � , ,,.. : � .. , � r� ��..�� k . ,...;r� . �:., V FOR PL ' �� } I he eby a�ff m that I-ha e o cerirf cote of consent to self �bqyh�q . - . . . . y� .nsure or p�[e hficate�of Wo kers Compensation Insu a ce CE 877 iREV 1C 811 �� � . �� � - � - �,� �b �`2eYt,f ed copy thereof(Sec 3600 Lab C) � - .� __; . , , .., _,v.,,,,. p�� � � . .... ...._.. ,, w � <a� .��-��w�+�s:��� �„ ;.�. �...t,�.���.x,.s:: .<.�.,,��.,.k,„;COUM1FTY OF LOS 106VGEiES BUILDING AND SAFETY t�__Polc .� � CompanyFramnnt Tnr�amRlty .� . . . . . r` /� �� � Cert f.ed copy is hereby fum sbed —�—��--.+� •�- - - • • �� d' �L_} � . .""� ."' �:. . ��:' . ""'"`�.:.'.�.':.' � FOR APPLICANT TO FILL N�lPRINT dR YYFE'1. ". BUIiDING j . '��' � Cert fied copy is filed with ihe rounfy bui d ng nspec- � ' �-=�- � -�- ADDRE55 �1 ' � �y;a�, �on department �� NUMBER I FIXTURE OR ITEM ' �q F E - � . � � �,,�a���.` ��<�K���:�+x�*�� � ;�.� , �ocnurv Di&mqnCl Bar y y Dat APPI eanf - J �e � � WA7ER CtOSET� . .. .. . ._.. ,,...,... +�34k��' � NE RE �� � ��.,������A'"�"��"��r�b�ni���t�7d'k�'t��s"""` `�'" o? anrHrus cRosssr. 60/Ph�Ilips Ranch .p,��:£' '"'��- a.,,� �OAhPEN5A�1613"�INSURANCE.....` . ..,,,.. SHOweR. .. . . . � ..J�. . owr,eR South Countr Cor `Y (Tf�is section need not be compleeed�f fhe work invalved 6y -� . ��'fhe permi� s lor one hundred dollnrs(5100)oi less.) � � � . rowi:.� � - � ,,,;, ., , � 3�, i ...� .s.,::,..r .w,,,..a�,.;,v.� . ., . . C4VAiORV � �- ADDRESS ....... . �`�€^�I ce h�y t�ai n the�perfcrm6nce�of the work��fo which this � � � - � 5��`7'�e m+ s isstied I shal.l nof employ dny person in ony manner'- SINK � � �_ CITY � � , � � TEL.N . � �J��y so as to 6ecome sub�ect to the Wo kers Compensahon La s .. . � �� � - Y,?9� �� 3J���������. :'avy' b� ,RJ .r st"C i£9e'S` :.m.-". f �ISHWASHER - .. ' C R .. ' .... ��4� �ry.� t� R �� ..< ,: . �. �•, ,.. r.., �R.C.R. Pl.iunbin INc. CONTRA T v �" Dafe AppLcanl C(OTHES WASHfR � � ``- qpDRE55 '-� - �" ' �.�`N6'f"IC�E Tb-A�'�LI�'A�,�fT�If after makng this Cert�f�cate�of - .. . 12785� �3 nolia .Ave. � - ,� mp�ion,��yo� shoujd become subjecf to�ihe Workers' SWIMPAINGPOOLHKEPTOR'�� � . , �. . n�`ensat on p ov sions of the La6or Code,you must forlh- IAWN SPRINKLER SYSTENi � � ��TY � ' ���""`TELNO. g wth comply wi h such pro isions�or this perm t shail be - � siaie '� �� �- ��iC. ?,�s�ee��dre�oked � � � Wq7ER.HEATER �� � � � � LICENSENO. 336428 qgg C-36 . .`C7��ECS���T�"fI�A�Y"O�S`�B�E`C'LA12.�'Y�3�V�' .,., � _.� � C L � �� rou%w..--w��.�^ .. ... +-,.� . _,.� . - � � DISTRICT NQp Pf20CESSED BY �. `�h�he�eb�y attirm�pt I am licensed unde prov s ons of Chapter9 n GAS SYSiEM. C'J� Ol1T:ET5 � � commencin w ih Section 7000 of D v s on 3 of the Busi ess I � +-���w .9 � OUTLETS OVFR �- - � � g, �,"`h�n�P ofessions Code and rcy license is in full for�ond effed� -- 5 PER SYSTEhi� � _ ... FlNAL j �` � � �b��� 3�"`�`�. ������ �'. ' f x ,��; �Are l 1-/I�% �7� VAL DATION 4�] �r L cense Numbe��_L c C�ass���,_ � � `�,� ,.a�M: . _:�.. , . .�. B�A� � �����"�'�` � Plumbin� 6/]:9/85 �,�1� ._,r' � fk5f'��on,tyacho. �Date .. ��. �G,,,.- 5.. C .� '..�:., . .... .. - � ('`� .,...... .. y"�r5.1_I I am exempt nde Sec . � � s,#.' ��r tse�D' ."w�'9�.t k+u-k, e �" S .� . ,: . . � ,� . ��B SP C.for th s reason � � � �,� q�������t� "`���� s y � �, � �� ��s Rlan check fee - W` ��� �� Dote "�v.F� g�"F^a�'-'�'^�'+�'�'�`2��a-�'�'� : t°�''.-+ ���e�-� " r :w- .wa�¥ . ,. PLUMBING PERMIT ISSUItJG�FEE 5 �j 7$,O{A �' � C �grrature �- � t� C: . 'i�����ax � ��.� s� Mv t + "�� r�R`s�F�'Y�,'�T' ;3. ra�'�`,� -^ � r�r.�::� � t � TOTRL FEE -�- ',�� C'.� , . ... ft e e o s a� �����,riM .�3ro. ��Y `s�, iai'�-;.'�.,w�.3�. S- �'�3,a "�;,,+.k xa .< ' Plon check oppiicont . 6 il t, . . + g r . 5`(f3GLE�KA'IVYI�.�' �- � :°�.,y ��s N� NE'It�UILbE�2 b�tLARATI'bf� '�,`.` • �� Name ..• • • � y , •''lz50 ...� .. ..�.. . . � «� o?!a �gf a�e6y�affirm i�iqt I om exempt from Ihe Coniroctor's L cense- . � . rJ li c: � for ihe foilo �ng reoson,(Section 7031.5, Business��ond Addcess • � � . ... .. .... . ... uZ29'�85 � ofess o s,�ode) . � �py , .,. � Tel N . � I as owne of ihe„property,K%ill do the work ond Ihe � �'+` � struc�ure is not iended or offered for sale (Section � � � � � � � � � �?o�.S%044 Buvne'ss ond Profess pnsCode) ���hereb afir�m�th�ott ere��acons�truc�to�le dn,�� �'��.�� ��-.�:� �..������.� � �.'� � � .��- � �� ��� ��`a��- �. �r � f �� C CT . . .... . _ . _.. , . ... .. .. .. , ., .. . . . , ... ....__,. _<, .... .... . .. �� . Y� } g agency for � � � � �� ��IFe perfo once of the o k fo wh ch thi5 permrt s ssued � �Sec 3047 C' C) � Ka��y���"' "� ���k �"�•' ,� ,f a� . - ` � r. m s�z� x r l�. "� , �,:�� k � .� � ��.t a �' a.. �+K�.'��a�' .; z � s '� r-1.f .��N.�w^�i '�.u. ,t:3� `� � - '��.�. t �Asn 1 -�"�,+5` a'1s�a^.a�'� `�"'�`s' ta�'a&�a�-3�'-} �.� k�3+*�'��n`#:;. z�"��en� s Nome . . 4,��r�-.��'�r"'�'`�r�,�,w<?��.,�'�.�...c�`�t u��.�+ °�m'2 �•x � e�r s. .� ,r�K.r-�t s'��t.�-: �'Yf «�r,rs�.'k�,,w 2�.1�.� �.c�.3��` .�. ;.=� f. ,,."g'i. � '�.,+����,"�fis.'TM'�;.. ..,:��-:��;�..iE?:ti-«.�-:...�a�';m,���'�:.:. k��lender s�lddress � � .., _..... _..._...,..,.._ .. _.....,.. . ........._. ...:......... .._�..................„_...... , ...._.,.<... . _._ . ._._. . _.., _. ._.........:.. �+^" 1 ce ti�y that I ho e ead Ms applimt on and siate hhat the � � �.}.�...~. "Y. . � . � . .� . 6�a�io e fo mohon�s correc� I ag ee io mmply with all County . � - � � . 4� "'ordinances ond State laws egulating Pi� b g,and hereby df7tFor¢e representot es of ihis Cou ty to enter �pon the � � � � � s abo e me tioned operty fo spect on p rposes � 'k������B� ���; � ` , . : ' SEE REVERSE FOR:EXPLAN,ATORY LANGUAGE . _: � _ . ., . 6/19 85 §� Signature of Perm f�ee Date � � +��Y �j�,- "F� ��t,�,� ' s . x .;. .'. ,: �-. t .,��; 1 S �: ��j'�����'�eS^`,��a mr s."� 'i�„*.7 + . .''.. _..�^: �� � c,. 3 � �s �a �,.i^a`t&.��'� ..� t � . , �.e.�..�...�.�.,.r,.a.. ,e,�,�,:,�@'..�«.�.��..,....:� �, a .u�,u �zsr�:w' _ .ar��-�,w- .. . ____ . ..:- - -�_' . .:...:. . ..� . .,;�. .sl, r. s..a-,`-�..,.�',.�,�:�-r ."��' � .. ' � ..-� , , ..: .. . ,... .:'_ ,.�.-�:'«r .. ..,.C., ...,l.«. ' '-,�- . .. . . .., - . �.,, ..' ' , .' . S- t k �,� R" .f� r * i;: R'* a"7� s :,a r 3�,'% +.� � , .. ,.. . . .: .."�$ .� ��c. - -, r,�a .� �. a . - .: . .. .. ::' .�.,.. ,& -• . , :..n�.e. ,.,. ._' , , .� �? .� a . ::. " . ';!. .�: .". . ' . , '".'` . '.'�,:: �T2"Y5E . . . .. .:: .: :�.,. �..Y �.�� �,:? ?' t , .�, ��,�,-,��.N. �" : � . . . �..,. .., i`Pe��R°sr�oF�'s_.,.,,,x�,��,�..,�..��,. �Cn�i.�`4�t7ft�5 �1.�,eA�tb.� � .... � APPRQVAiS DA7E� � INSPE OR'SSIGNATURE -� �� , .;,.,.,.. ,,,,..._,;.,__,.,,�,,,,,,.,...,,,...,._„,.� - � � �� - � � � � . ' .... .__..� . :: .,..�..- _.„y..w. .. . ww.,.w,..� �.,.-,»-_...._,.,_,... : UNDER SLAB WORK % p,f� Q„L �I F��eb aff rm iF�at I ri exemai from ih C ni acto . . . . ._. � • pa��t„'a� .,.�.,_,_...... .� . . . . .._.._. ., - � ...:�. ..L canse la for he {ol o y (� � RCUGH PLUMBING'.: ���`��9,,f�� „r ... . `""`..""' " ""`.""'' ! � ; �. �son ''ecf on 7G3! n . C-P,S PIPING ��d. .�.'t"i ..�;�•`'e��� -� � . S�sines�and r'.roFess ons ods�-F�y ciiy er cou��ty wn�ch . . ..... ._._.,,„....... ....,.......,...„..,.„.=,�M�,�«.,T,.o..............�..,.,,requ'rres o permi!io co�sfrucf,altec improve,demoLsi, . GAS VENT - �' ` - � -� or�apair cry siructure, pr7or Po its issuon e, a!su r e' � HOT VJATEP HEATER � � �. .-�. . . .... ......-.._...—.:.........„e,. ...,.........�.. �. ..,.�,-.„..._.F��.���urres 3he tioplirnnf 1or=uch permit to file�o signed�sfate- - PL'JM01�G FIXP.7RES - �� � - � � � � menP fhct h^is licensed pursucni;o IBa yrovivons oE ih= . . . .. �... �.� .. ...,.. . .�.:.:_... _.__._— ._...,:.... .�.,>....:�...,..........,..,..... --._........._....Contra[tor's cicense.Luw Cbapter 9(commencing wilh GAS TEST � ,.!�,�!v-�'� ��,.�mA.t�,.���' � ��� SecNon 70QQJ of Division 3 of ihe.8usir,ess and Profes- UTILITY CO.�NOTIFIED ` � � � .. -� � � �������--- �����.•--.,-.- ••.-�-..-..--y����.�----�.:�..�.�slons Cod=)or tboi fie is exempt therefrom and fha basis �-�� - � tor 16= olleged euempticn. Any viofofion of Secticr, � � . .� ...._..._... . . ..,.�._...:, .—.._.......... ...,._..._,,. ,...„.... �,:.�„..-..,....�.,,.w:.,.. 7G31.5 by any apnficanl�or a permil subjecis fhe opp!i- [� c� ,� ' PINAL ,_ , (nfer r.n �liont ,. �� � can�to o civil penaffy of not more fbar:fivc hundred � . �' . ' .... .......... .,:.:..,.u........ ......__ . ;�._ _ ... . ..._ . ....... ...:.. . ..... ... ._. . . .. _. .. . .. ,.�. ,. . � :.... . .�-:.. . �.,:,-. . ..._... ... .:.,: .:. dallars($SOD}..,. . �. �...� . , ..- ... ..:,.:�:..-... •^*-���^��-»_.-. � . . . �. ❑I,cs owner of She properfy will do fne v�erk,cnc 1NDUSTRIA.L � �� ' `NAST-AP?ROVAL � � � - � '--''� �� -'�' � � -'" ' � " '�� ��� the stru<iure,is not i.ntended or ofi'ered for sa!e. � ,;;._,, '.,: ,,. . ,,..,,,;. ..,..,,_-.- .;�..�.-,. ,,,�-� ,•..,., .,,,„. (Sec.704G,BuslnessandPro£essionsCode; iheCo-"- .- � ��.. ! �.. ...„y,...l.F.�.. '-� ., :. .::. . .. ... . ..�. ., • ^� tor's Lfcense Law does noi'a ply�to an owner of pr.. . �: .;, :, '.. ' .M,. p Y a �,. � who�builds or linproves ihereon, and wfia does such .�=� � ^«�-� u Ms-�,rs�; *+k+- work himself prov�ded thai such rmprovemcnts are not � 'ntended or olfsred for sale.f{ however,fF bu lding or �� �'� �� � � �� ��- ,� � �?* +mprov mert is�sold w t6in one year of co plef on,the ��: �` ° -� - �..: ' ��. - �� - ' ��- wner SJ�(de wJl ha�e the 6�rden of prov:n'g ihvl he did .�. ...... �,_ .. .. . , .: ,� . . -�., ... .,�. . . . .. . .._ .�.�: .. ,,.. - ..,..,. _..,.." ';; ,- �'� iboJdorimprove o�the'purpcsaofsafo.J. . . 0 >....:.. ... , � ,.,. , .;- - .. . . :. ,� .. . ,- -.- ,., , ': �.. . -... .. . ,: . .,..� . .:. , �„_....r:u ua��;:.�wa�„x.+;.i+�� �w _.. .....�.t.,. «.,_ I am.exempt un a"�r`�ec. , > r , . ., ,.s.�a�d-ua�.,��n'� �.:�,es�w �.r«-d� ,. ; . ... ... ... . �.. .� ,.: , �� - '- — . -: � 5 .�: ' � B 8 P C for ihis reason :�� R .�a t - �."�.. ���� , -�� . . '� .. . ,. . ,. , . ., �. Dare .. � �, r, '.Y A '�' , .. .. . _ s . . ! � '_ '_ ' � '.. r .�f �� ..'- ..; . . .. .; ; -. .� .. � �. �.�� � . :. �'J w..Y� :.. ' .i,�� �.-� :.: yS. . -' ...; Owner ��.� ��c: .:.. .„' . ..., .� G< �:. , . . . . . .;�:.. . ... .... .:...:,�T,-T..m. �.. .�,.,�::;:-�-.«� �-.,,.,...;:.:u . ...�, , .. ._ .....-�-: ,-.�r.,, .�,�,,,�.��,n ..�n��+. ��., ,...... '!NSPECTbR'S NOTES ` }� ' ��.�. 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