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HomeMy WebLinkAbout1779A (10) ,�� ����� � -�� � � � � � �, � �;�, �--�;�. x ��"�'��s��° {�t��`����`L-"'�Cx�}�,���.:�s ��k���.��€� �`�.�:.^����p€. + �p;7 '� E< .y� x ^� ,�.-� ,::nr g r•^=�g P,�; :,;;�; T;, �`.w�,,-��"�",�.,;; ` G 'a � G✓OR� R$ �O �`NSA `N S LA .$Tf��J Af"P����l1 � �L ' S . �Y�-%�, 1�k.«Mw na � .«.,... , . . , ._ ,,.x ;: M. .�, . :. . . . xar,��,.I�e�e6y af�F m ihat I have a certif cple of cqnSent to self 76A667A . - � Y - ' insure oYc�cerif cpte of Wo kers�Compensation Insur�jn<e, � CE 81'71REV:10I81) ' ��"'"� '�'� �""' �"" A . .. �. _ .. . 9�-. ��{� S a ce'tt F�e,d copy thereof(Sec 3800 La6 C)� � � , , ... �^ �„,:; .�,� ��s�.:�.�.,; ,,;t ..�4.ro,s,a z, :,..:>a�.•�.w..�..,,.._i�.n.�...�c,,,,a�„COUNi7Y OF LOS AlVGEiES . , � •BUtLDING AND S14F�TY Y �� � P�i�� ampa y�rPmont l�nrtamnity � � � � � rtf ed copy�s hereby furnished - � �-- -��� -��- -�-- ���� -• Ce ��, .:.� ,.,, ..::., ......:..,;.,. � � FOR APPLICANT TO fILL IN(PRINT ORTYPE�� �' 'BUI:�ING� 9 Cectified copy s filed with ihe county bus'�I�.i ng spec �� �--- - �-�- • ��•- �_� ADCRESS �� ��y t o,�,depar�me t- (i � NUMBER Fl%TURE OR ITEM �A FEf . . � �.t.�`.�; ' a�rr�z3a,.#���Sc?'s t � �. .- , .:_. �ocA��7� Diamond Bar �� Dafe Applmnt 1 � o� WATERCLOSET���' � �. . .�.. .._ _ , . . �._ .,�, ' NEAAEST ,.. �,..,�..,.. ����� ���R`�i�Cbfid�l•�l�5A�PO�su�iy E�����s'" ` earHrus �. ' _ cRosssT 60/P11�111p"S RanCh ��..°�+�dn�i.`�,Sk ra,na,..u.w�..�.. ,.�..� . �� .... .. � SHOWER . . ... .OWNER'' ,S'OUt�'1. COL1IZtY......COT ...�.-.. �r,.,�Th�s sectiun naed nof be completed if fhe work involved by �� - , � ehe perm�t is Eor one hurtdred dolldrs(;100j o:less.) � � . �. � � � � � �� �.�..- M1...r ,H. . . ...,..;. ' L4VA70RV� . f '"' ADDRE55� . .�. .... .., .. `� I<e t°fy rha� m ihe perfo mon<e of the � � ' work fo which��tFiis�� �- W "j7`�rh5if s 55ued I shpll noi employ pny person In any manner" SINK� CITY � ' � TEL.N '� so as la become sub�ect to ihe Workers Compensation La s � ������ ^ - �� ��W�-,y Y ' DISHWASHER'�� —� .�CONTRACT6RR ��, -��°`�" ;;: ;`� `�'#;�r�a�� - -� ���� a:.��; � , .C.12 Plumbin , INc. .�� bate a I cant . . � - . . ..-,.- PP ._...... .... .. . �' CIOTHESWASHER� ` ADDRESS� '. ... ' ..... :.' �NO�'IC��A�P�'I�A'�3�T"���If;�diter making this Certficate�oi � �� � � �.2 85� Ma nolia Ave.� 'Y mphori;��qou should be�ome�subjecl to the Workers' SWIMN�,INGPOOLRECEPiOR,'.:���.', . . . ,omp€fisation p ovis ons of the Labor Code,you m st forih- - � ��T1' .• • �TEL.NO. � h�� W ih Cor»ply with su<h prov sions o fh s.perm t sholl be �AWN SPRINKLERSYSTEM �'�' ' - _ � deemed revokPd . ����... f �WATER HEATER . � � SICENSE NO 336428 � A� C-36 ��,,,�c ,�""��L'��P3�eb C�I�'YCt�S 6�`CY�,�ri�N �';""" s � � � �µ•,M1� V�,�'.� �. . .... . GAS SYSTEM L'�� �� � .• .1 . OISTRICT�N� C PROCESSED BY.�'.. . . ._ .. ._. ,.. �f I hereby affmm ihof I om lice sed unde provisions of Chapfer 9 �} OUrIE75 .-� � .�",(c`ommenung w th Section 7000)01 Dmsion 3 of�lhe Business . OUilET50VER�� �-�� � ��� � . � � ��"�BR�dp P ofess ons�ode and my I cense s m full force a d effe I 5 PER 5Y5?EAa ., � � - � --- � ,��,��.a�„i�����.'�"�`�;"€� S.,x:`, � . .�`�',ras t >,,:.<.�' DA E� l!� /I7��/J� VA IDATION .... O �' l cense hJumber /�p��L c Class�(��' � .... � �� EJ MFsyL��Wh� .'� �'iG(J - lr—.J[T . .. . . . . �i�CS�)u y ix.upae,a' •�)u'aryy.'+s, vu ' �f.. Coniracio �-UIl11D 1Y1Q Dale 6/1 g�g.5 � � . � � - . ... BY A� '�" . . � ,�.f,�,❑ 1 am e e pr o der Sec � � . � �" �7(�A ...' ;i £�,�':�,y��, y^'�,"a��i^�4^^ '�-,,g".S't.:: Y " } . [. � I � �B&P C for t s eoson � „��.,<,���� '�s����.-w�b�',�c��' ���;��sW ,, a�.�. :: Plon check fee � �«o o r e i,5 _ � _. . s� � }q� .�. � `'* �Date s ��'�7+� �"�'"�G+'�9''t°�'ri".�`.'�.'"`�a S9z'3� � «. „�' •'� PLUM8ING PERhi1171SSUI�JC'i'FEE$ . .. � '° e 7 f1.�i�i ,��. . �,<;g5ignmu e . : . . .. ..-... � (� 3'4,�s'f`��*'z �x��.-s�"`��"�s ��S ; � �' � ,.���� TOTAL FEE � � ' (n j e� k f fA " �.'�����"Y����������f ��'� .,�r�'k a+��4 s�'; Plan check applicont � .w . . . . �� . . . . .. -y -8 � . .. � ..�C,i �� £«��"dd FIOAh�¢O�WI+IEk$t�iDE bECCARAT�OT7 � ..' Name U�1 �'r� INC,�.. ..... ,•,� , C ,� , •• �G�: .t S .�th �:_.. �na:.r„ ......... . , . . . • • •... �"-X.r eby affirm Phot I qm exempt from the Gontroctor's License qddress � � Ve. � � -Gi for�fie following-redson(Section 7031.5, Busmess and � � � � - - �� - ' � Pbfess ons Code) " � " �` ' ���❑ I as pwne of the p operty,� 'll do ihe�work and hhe �C'rY� 9'�G��TeI Nq���v �'�tsi cTu e is nat ntended o offered for�sole (Section d *�7b44 $os ness a d Profess ons Codej � �'"`��y �'�� „� i ,�4- -',s-��.2 .;x' � ....v,.... ,,,)� ;wt , .n.�.t�v.a��;., x,�..,?nti�a� ��...k v..,. e.r^, �t'������ ��Cof��viit�ni��€"Nowc��eN�v_,. . �:�,. , __ ,. _ , . '. ' ' .. . :... . , `. : �I hereby off m ih f th'ere is a mnstruct on lending agency for � ryt�.'��"�fhe performa ce of the work for which th s�permit is�iss�ed .., _ .� . . .. . � . . . .... . . . . _. ... ... ... . .. . � . xw?t�{�ec 3097 G C) � � w r?t m^�., u�a�e �fi ;�� z � '. .:�e y� .. . j `�,^�. �i.-M5,�;'�'�':�..._�<�„��r,=.' .?��s,�_,.,.�..-�: 7..! sut' ''s�' .,. �+ ..., . -::3 ..,s:�,a. �:�.�:, . <m. a a-�u.�,s.w� � ,.w,..:�s w.�..,. _. �'�Lender s N me � � � �� t'����`a'n, s ,Fw u&:-�`z�"i'�,`�`• '^'Cf��'� ', z F 4--.:0, „8"4' , � t.1�� u 3'. #�-b� t` � v � 3R N x u.m sQ s^.4,.'sP 1"�;as^s s#� r �i s:.; �.,'k��k' .`�Z.��. ..*., r�,.�'�.-,. re ,... ,<.... � Y� : .� k :.�. s3.G .��x ,�r�: �v.... s`��'�fa:s t� .����s> ,� �r��Lend�e sAd�ess � . , .,.. ._.,.......,.......... .,._.., �. .. .,a �... ,.. . ...... „»......... . ..._.,. . .. � „ �..,.w.... .,�....,.._. .... ..._.._ ....,. :_.,,. ......�.__....... �� f�ce�fy fhot�l ha e ead th s opplicat-on pnd srate Ihat�the , � � abo e fo mol s<arrec� I ogree lo comply with oll County i� �,�oit� ances�o,nd Stpte Iows.requlafing�Plumbing,ond hereby � � � '�'�au"'iho ze- epr�seNahves of fhis County Yo enier upon ihe � � � � � � � � . � � � }�'��above me honed pr erty for ins�ecrion perposes.'� ` -� � -�� -� � � ����� ' � �� �� �� � � ��� - � � ... .... , ..._. ..,�._,,. . .,�....-. ,., t,�„ � =', �'�`�+� ( � + SEE REVERSE KOR EXP[P�NAT�RV LAh1GUACE •.`. " . . , _. �� �� .`�C� R,•.. BY�S �,��li�_-fi,L19/�� ., , ,�S gnotu e of Perm itee � Date 5 � lx� $ a j 5 3 g '. ; . ; �,. �"kA §s� � p t J- �, :. - . q`1 5 �V�w �a' ta. � ..bg.i� _4� -�� � '�St .;: � 35 �`S '�, �iq ��.v�!'{bF�i4x� " f 'E� ; �5�i�t X = q �.. ' `�',=��"�'.�` +.%:«r.P:d:` n-.:�sarm,wP - �.�.M.w.a�.a,�a4�ue�...:^.t-.�."�"�...��� 'SL�f �f � �' #�'3 v«'� �''^�� _ :.�.F.°�.�x _�.'"�,c " ,a"3;'� ��".��., ,.�_ 1 � � "4 4 .s`7�f YA 'J� 5' +i9� . ����,�rc� � .�� �.N i �.tk y����'Y 3����°" x; u-..,�.�.'�.t p �,, ��,-� ar> :� � r„�s � r.�t �� .. .. . : , .":�. . �.i « �� ; �, ., t . . < �. .:. �' F: (1 tx.W .�> '.;,, .� -: �. � '_ .. ,. ?t. . :> - . r . ,:r� ,. . .'.� „ .:� , �"��� �', . ",��� ,'.. . �INSP�C`'TOR'ST�'�O�'S' � 01h��fckAUILDEP,�'j C ARPTION .. . . -; � .._.. � . .. APPROVAIS ATE INSPE OR'SSIGNATURE� . . .' .,..------- ..,-.....,� ,.k.�,.-a�,n.. --«,m :-rr,o -z..--+�w.+v...�«.��.w.�n,�ac��r?:.x•:�,was,-r,.-:�a...,,-.�..,-. -: UtvDERSLAAWORK. � �f � , �4�.ty-a—"'� � - I h eby affirrri-thut I om exemo'from •h-.�C�ntractor's .. . ..... . ,._...,._. . . .......,,..e. .-.,F.,..-..-..- .�....«s:,:.>.a�... .:«Licen�e Law for�'7•e follewinc� reason�i5e..Lon 7GS1.5. ROUGHFLUMBMG � � +��' � ��' ' � . . .. . . ��:e�� ,., �'E��� � �,� ...._. ., ,., , Business and P�ofesvons Code; %.ry crty or courrry whkh � -GAS PIPMG� _ ,....i..,b�.�,e,...—.,�.,s�.�c.:..,.,.requires a permit to cons�ruv,cller,improve,de.moush, . . . .. ......_....._.�... «..�.s...,.:.v,....�.. � GAS VENT - '� � � � c:repair any sJrutfure,prior io "rfs�issuance, dlso re- . . .,... �� � . � HOT WATER HEATER .. . �.. . �.�•� .. —'......`. ...""...`.: .`."":.`."�.._."""`.'''*"'"""'�'ires#h�applimn!for such permiY fo.file a'aigned s;:sic- -� . -�•--..•:•. � m nf 4haf hr is Lcen ed ursvant;o rhe rov s�ons of fhe - �PLUMBING FIXTURES �� � �� � e . -� A � . . .�- �'.y ��-�, .............. .. _......-- _ . ,.:...., ._..:�,.....,,-.. :,,.,.. .�:,. -�-.Co,irac4or's License a:.;.l�Chapter 9(tommencrr.g wi;h . GAS TEST � :���,.�.d s� �:�e�..:? � � : . . . .. . .. , �- p � .,_ ,, Section 70G0)of Divrs�on 3 of The Business ai,d Profes- � UTI�ITY CO.NOTIFIED� � �- ---- ��- �--��•�-��� ���^�^�^•�-• �'�"�^^•'^���x•�-��°�°sions Code)or 4ha1 he is exempf fierefrom and fh=bosis � � - - � � � � � � for the afteged exempfion.�Any violoCion of Ssction � . . .. .c..7 ...__ .. ...._:.,..,_.,. ... ... ._....,,,,,,, ,,,,,,,,,,„_,„,,,�,,,,,,:,,,,,..,„„„.,;,.,�,,...,t>,..., �,,,,.��.,�, 703L5 6 an �a lican£for o ermif suS ects fhe a � F;NAL' . . .....�fer ors�.?ront "�' ..._. . . , � Y Y PP P I PP"- � . ...._ �_.. . _ ...__ __:.,. ,.-;_,.�..�u„ �. can7 fo a civrf penaltv of not more Than five h✓ndred � ._�. . . . . .. . _......_..... ..,_..»�,,....N,,.,�.�,....-�..;,. .,,.:,.�....,�::< dolfars(SSGO).: . :. . ,.... ........_. .-�.....:_....:..,,..� . _.-.,, � . !NDUS7RIAL �� � � � -� ... � . ❑I,as owner of the oroper•y vaiil do tl e��rvor.,and WASTE APPROVAL „_ � -- � �� he s rur.ture is no?,intended or o`fered for ale.. � ; s ,, ., • . _; .,,,,�.. ., ;.., � ,�., � Seet7044,Busines<andProfessionsCodz. iheCot' ��.� -., r�� �.,�r . :s .. , .�. . .��� :•.•+ ��r�^ ���'^��'"�'-� tor's License Law.does nef a pfy to on aviner of prdp . 5 P i� � �-� wBo��bmlds or improves lhereor,, ontl v✓No does sucb � �:� � ��-�:, s^t^� -� work Pomse7fi provrded tbot such mprovements are not '-• ;� . �.. :: . ���.�• �� : mfended or oHered for sa;e.If however,the bu Id'ng or . ," '. :. ,`� � n,.-,� .<w mprovemenP s'3bld w thlri one year of compfet'on,the� , � :_...;:' , :'�_r :: ' ...-."� . ., '.;,.r: ,.,�::.. o4tner bu lder w fl ha e tAe 6urden af p:owng)hcf he did 7 ., ,. ..: - .. ..,. :.' ..�,. of sale) - .,, .,-: r �. y �: ,... :_. .. .� ; .�. f��u!d or vriprove�tor ffie�pvrpose .;. . .-, :. .. ....,s: .. - �.�� i:� . ...: , � �� .. , ,.:;., . ,> :,:. , ,..,. . . ,i,. , .. rto ` r c - - .�rs�.. a. r�rr�,+�wwwu«� . _ . .. "`�`am exempt under�`ec _ . ' � ` _. 4 ., .S x :� -.. s - � �r. ,.. - . . �, � `.,'. ..� . �vwa ar�aw.�.,u.o» �3rM+«F•�y,�nm�nr .�n..^��� ne-., .. . . . .g�y. .�+..wk � J"::Fx s .: ..:. , .`.'. :` .:. . . : — . 5m 9� x� rtwr�+.�Sw+N�+ss Htx+' . .., . ,.. , .. _,. . . .. &P�C for�s re�ason �� � ��� . ..„ �„ . . . ;. � ��� � �. ;. : � , � .. . •..: .... . _ .,;m� ro s a 4a, �. . :` . _. ... , 'r ', �'a. �: .- . ;.: -. , . ' :-.. . .,�r�: ...,,: W�.�.a.,,w,, �*awa,* ,+p.pe�*.v-r .v+�,v..e.u'n..wnfi�"'�*� «�w•,`�',,.,�,»�»ue.;.,r ��r.Y�-�*u e:�wma::�.'✓�-,,.';-. � �'c. ��� - n'Yi6 ., ., . , � ,. �� �}i �t�'�,_ ,v .:� ,�wnar � � � ,. 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