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HomeMy WebLinkAbout1743A (10) ��3e+ t ,��, �`�. '.'� .r, sz.:4 ro�� a �, ,f. � ��"� -{`' � :W�r'v�" �.:�� ` '�y,"z,�u-+�,�",n-+-s..sa�.*.,^x�°rr. ar�::^t T� z"�. .�xa. �yn'�:. a��^��u� � '- � �ia'a�'�€�w �����i��hs�xz..�,-�,ra'.;�'er A`"� �� .'�^�� z...., yy� �r/�,'��r,� �r �t i . �::.�.i� . � �����,.�.:��:�'.��ti'��%�.s�:z..� ������� ,R �Sy oYv�l�F�SA�N�D`�CiA r'f o�f H�LC�r/°! �� � . .. „ ._ .s.,.,N..a, r�-n.0 i�� I hereby affvm that I(iave a cer�ifmte of consent to sel4 76nb67A ��. � " " _ � , � �L,/� p �in5Ure or a ce f ficate of Wo kers Compensa�on insurance CE 817(REV 10i811 � ���� ��'� "� ' -� ��" � or a"c°err f ed copy ihe eof(Se� 380d I ab C) t_a p . �, _C¢UMTY OF LAS AIVGEi.ES BC�ILDINCr AN�SAFETY �- +""�,-g�tC,.t a.-+-.e,�x<A _�„� .. _. ?._T''J T j!� �:.v �4. Y om an �F- � - �•��Tllt� �/ .�, o r .�.. ..s, � ..�Po�c�r, ,� P Y �'YPiIl[1T1Y Ti'7 37 . . .. .. :. .. . �* py is�he eby furnished.. � --- `f' � orC'. ��" � C rtfiedco . � � � �. �� � � �] r� FOR APPLICANT TO F LI IN(PRINT OR TYPE� ADDRESG /= � �� Ce�fi�e�f�p�rifiled ih th��nf i�ding inspec- . �'E NUMBER'' � � FIX,TURE OR ITFM1M1 � ,�OCALITY Diamond, Sar , ;� t on depariment � ]�r � j � �EE . 5',����..���k�"N 3��5'�fic.��,ti`�s � �.. J � � �WATER CLOSET�.'. . ' ' . � Dafe App icant NEA��ST -'�� "^�^�`a °'��^���, �u�^- �g �.,�.# < ' - BAT cR s 60/Philli S Ranch F,s'f�tm?� ��C`ERTIFIC TE�OK�CE�`M�"fION�(20��v1 WOI��C�RS . � H 7U8 .' �`.. �. .�'�, . �������,��.����Z'CSM�PEf�1`�IOKI INSI�R"�A`N�EY4, �, ,�s;, SHOWER � � �� � OWNER, 5'OU�ttl �'i011R.�Y COr ,. �,b,,�T�ls secfion nee�nat be compfeted lf t�ie wark mvolved by � . . �,.. ._. '. _. . �a+�`� fhe peemiP,s for one hundred dollora(5700)or less) � � �IAVaTORY �- � - . . � � --� q DRE55�� � -� � � . .,:,v.:�.. ......<,..� ....., .. ..._.. . ' ' ^'�� l cerr�y t�ot n the per�ormance o�the �ork for wh�ich this � � � � - � .� . . - -� „��'�^ ' � �- � - SINK ._ CiTY � TEL.-N �- �' � ,�'cm1i1 is�i33ued,I shall not employ any person in any manner - ��, sq as to become sub�ect,lo the Worke s Compensat o Lows � � - � � ��� � - . �� - .. . - �t�ti��.�,��,.rr�,,,�r{ e e � �.. �.. �,�,�n�,r.� T si;: ,t� � . DISHWASHER � _—- CONTRACTOR . . � . . � . . '{°� .k � `� yr R.�+' . �.,. 'k , ¢-. Date � Appliconf � / CLOTHESWASHER -� �—�- ' ' � A�DRESS �_wt.�T�CE 1'�J A'�'PIfCANT�1# af er mak ng ih s�Cert ficafe of �� . . 12785 Ma nblia Av � �, mption"you shou d become �sub�ect fo��the Workers' SWIMMINGPOOLRECEPTOR. � �� CITY� TEL NO .-�. rii�nsai�on pro s`ons of rhe Labor Code,yoo mus+fo th- , . �awhlsPeiNKteasvsreM � - }� c41h comply ifh sucF pro sons�or ths perm�t shqll be � � � STATE � -� -� � "LIC;���'�� " ' �""�- � WATERHEATER� � �- � 336428- ��y"� �eemed.rev,oked � � � _ LICENSENO .CLA55 C-36 � �`" I�J�EY�'CO�N'TQRAC�Of�5�b�L�L,�RAflCSI� � . �pISiRIC7 NO.� PROCESSED BY - � waea.�..ara,a..� :u J�x�,-+,n -R ,.�n,rc / `�-'� �iereby affir ihot I am il�ce setl under p ov s cns of Chapier'9��.' ' GAS SYSTEM��'� OUTLETS "� �C . � Ly� <��' (commenc ng th�c3i�rl�7Q(JI�)_of D visw 3 of 1he�ness � OUTlET50VER � - � ���-� �� � � � � � � , �` � �nd P ofessjppS.Co�.pnt�njy�cense s n full for�g o fEecL 5 PER SYSTEM' FINAL �. � � .� �'`�'FsF"4�qm tcLK 1 l71n ;�,.,Ij y,/�-�t�" VA IDATION � "�r,; �: �',�`���'�t� ��a� �� g 6��.9�8 S � DATE . f L cense Num�er Lic Class�, . . . .�� � � ;� a�.�y.��'�s:fi`"'�'� �����`s���'"'�.!`�a�gw�42� fi- � . . . . .. . i FINAL ��,f� s'� z �'� �ontractor� � Dafe BY T!O ,. ,.,.... ..:.._...,: .,.,,., .,. a.., ............: ��� � . I am e empt unde Sec �- f � � � ..��� "°�8��fo t�i S �ason� � � . - '� � . ,. � � � �v��Ys�,�5�,���t���r' �,,;k��pare � °a Plan theck fee � 1/1�A � ' �,�. .,�,'*� ,��,.�.�5�,�q�7'��,2�r"arv„ y,x:'` �. t_ z.e, .. PCVMBING PERMIT ISSUING FEE.$ J�) .() a� ,_ �.�'�".� ,� Signatu e . . ... .. ---. �+e e c a-�s,� aE �� §'�p}- �� f'�' r „+'��s� ' ,� ,�z. � t � - TOTAL FEE ��� �� . a��n,xk��� ,���.'A"..z.�# �-�I l�t� .: } 3��'a r`�� �. '�; Plon chetk a licant. . . . � - . . . �-� ���':)(;' �'�.r:,'li� "��^.�4 � �fJ�'L��RMiIV --� �, W: -,,. Pp_ . - . „ - s�afl'- � d'�ibM"E�dWI+jER B�11LDE��ECtARA�'lt��J "� " 1Vome � -�' ��� °�'-'%'�" � Srx`� ' ..,.. . . .. � eby a�fi�rm that I am exempt{rom fAe Conirocto sticenSe���� qddress -.�. �-� - � � ��� � � L /;�7�R� . ; �fo the'follo)�ying reoson�(Sech'o 7031.5,-�Business and � , `�-�Profess ons Code .. . . ... . . . _ C�ity . .. • .. .:..Tel.N . - .. . . . �. _ ,�P 9950� � I os owner of ihe properfy II do fhe wo k ond fhe . � � - � � - � - �� .. � � -�- - T.*'�e sT uciu e s noi �'�tended o. affe ed fo sale(Sect on , . : :. �S�K.� 704d Bs�s�nyess and Profess ons Code) � � � �'��F,�{. � ���Cl�NSTRUC}TION��NDIN�i�,�E�� .. �:.., �,> s,. t �. . i: � „3� ��. �,..� �. ..,t�z.✓ m�. .rt .��r.�._. � � _.. . �� .� , . .N�.,..,�.-, „,,, .,,.....,�.�. .._<,::�. ..�,,,; �...�.. �.,��.r.-.�. . .�.;: � .., .�; .... .. .. , ,... .�:�. . _..., �v... oz ...�;;, ...,...u_....>.,�.. �....:�,.,u_.n.s�w..:. _... ....�,:._..:.-. � ��I he eby affir ihot�lhere s o consiruct o lending agency fo� ,� . . �1ie performance of�the work for wh ch this peFmil is iss�ed � . ''� ,(Sec�3097'C C) . . .. . �. , . . . . . � . . .4, {, � . � ': e �=y U ��. ���.t,�sf,i :t:. �ra�.' � .� s c E .,i £ ,. r�;��£i.'F...'.�4'�.>�S;ix,�F �.,...»�vJ�.., e,�:��v,.,p .+ .f:ia �`r.-��'',���:�S��z4"���,+.:�"3��J.s�,�,�*r�'�'M,�'dK. �'�;r �,'�,y',�T,£`�e'�"��'�.'�«.."�';�`�4��'�`sc..�`'���';a,�`a'°;�x::;k„rb;��. a.�._.,�.�� .<+�... sa .t. �4 Lender s Na e .. . . .. � xi*�'�,a� �������'� ,_�'�,%r.va`Y*fr�s�"G� ��.A:��'"r � rk... �a,��y,s,��rt1a m�aS"5-�j��:�'��-3�"��'�-�'��r '�<F��b:_ °¢�+ n��11�.i�ari"���»r.��Y,*r+�w'��.�<�������-. �� d.... ,� Le de s A d ess � �� � .� �pr 1 ce t�'y thor i'Fave ead rh s applicat on and�siate th t�rt;e� >.< `, ... .,..��.. ... ,:;....,. . «. ....... .. ..... <.. , . ...„..... �,t � ..._. �..�,,_ .. ,._ .�._ ...... � a6o e fo mot o s co�ec I pg ee ro comply w th oll County�� �� � � � � � �� "�� '� �� � � � o d n ces,a d�at,e fows.egula+ing Plum6ing ona hereby � ,�� i5utho ze..epresentohves of ih�s County to enter upon�he . � �� . � �� � - . . � � - . � - � s�rz abo e me fone prope ty for� speciion purposes � � �- � � � - � � � ' �� � - � �" �'°'"Rsa�s.�* � 5EE REVERSE POR EXPI.ANATORY LANGUAGE : �. ,.... ,By�t#n,����:�1��y�12/85 . z i $9 1 re of.Pe flee . . Dote . . .. . .. . .. . . f ,�,� �'�*�� ��� � � �., x �'4 �,� �z � ,�, M �� � : �r ���+��*.� � :��"'����- '� � �', z�F�w '�i-'� i :3�5;;,7�.-�-^'-,-�.xh;`,,, � .,-'h�' �".-e.,a.,.ww.r,..�r.�. . =F" " • c a �,y'�" -x.v.. � �.. � 8''S .;:�� r tr -.�,,,., rm,r-.,-.-,.. ._,.. . �.,..,;�r-.s.-+.,r.r..+,A..,�+��e�+f.+m.iGG..��*'�+�z;a«A�a .'' .. . .�' .§ s�La'' x. ,�. 4r �S�t r �,.�""'`�°�`k"i �+� �:�,� '� .dr�r ,�:3�"" z���. x � �n r ,� _�� . �, '. � , N_ . . � '.� L { : : . ,. .. ''-� . 3 ,t t Z lk r1 • • �`. �:, ,' ...:. . ,. �'x ::.. .. t " �� � .� w' Yd � . . '- �� •r :. �, �. ,.:: .,�.' _.... .. . ..... . �11JShF�Of��tJ�O'f�b�..........._.., _...._ �..,. ._'. . ... _��: OoVNER 8J1LD�R D�E�L�'1R'ATION� ...._.;,.;... ., APPROVALS DA7E � � INSPECTOR'S SIGNATURE . . . . . . . . . . ...,.. .. .. .., .-. .. . . . . . UNDER S:AB WORK 3 � '� ' � " -����'- �I�hercby aff'r-i ihal i am ezempt � �4ror,.'he o vatro(x ROUGHPlUMBING �D /,+ p�T' .fi„�+ � . ' License Law�for the�following reason (Sectinn 7011.5. - GAS PIPING '�r�< <.��;-^ "�,1�".. � � � - � Business and Professlons Code):.�ry ci;y or co�nPy which GAS VENT � � � � � requlres a pe.rmit to consiruc7,a)te�,i:np�ove,deco!ish. �- � or repair any struclure, p�ior to its issuance, also r�- HOTWA7ERHEATER �-���- -� �� - �- ' � � � - , - � �� � quires fhe applrconf for such perm t�o file a signedstnte- P!UAM13INGFIXIURES � -- � � --�� - �����-� � � menithatheislicenSeCla�l5Uan97p!�e�o�ovisiDnsot'A? 'GAS?E5T {} +p.�^A"'. �,,p:� � � � � � � � � Can'rac4or's Licerse taw�!Ch6pter 9�;cbm nencir.g wi;h ' UTIlINCO.NOTIFlE�� � ' - � _ Sectlon 7000)of DNrsfon.3.of tha Business and Prefe:- . � � siors CodeJ or ihot he is ezempt fherefrom ar.d fhe besis �. __� � ` - � � � � for fhe ollegsd examrfion. Any vlofation cf Seciion FlNAL � �� - �nfer on �orot � � 7037.5 by qny oppl.canf for v aerrnrt subjects�he cppli- � ' �� �' � "��-��' �' "' � cant to a civi!penalty of not�more ilian�liva hundred . . . . � . . dof7ars(5500j.: ItiDL'S7RIAi�'�-� � � . �� � ��- ❑I,as ov✓ne�of the prooer'y will do thz�vork,and WASTE APPROVAL � � � ' � " � "" � � . � � � � the strudure is not intended�or affered fbr sale. .,, . � ��: .p'i ,� t a.�. .. ,..._ . -: r rTM�� ,,;.�� '' . , �.:�. ��� .tors'L�ense!aw does ROP Apply ia an�ov n�r of prop��rty - � ' - who 6vlds or improves'ifioreon, ond who does such - �� }�. � „": ,'. - � =� �,�,. work hfmseff provrded that sucH improvflmeoPs are not ; ,-_ :. ....,�. .v_-> ,; ° . - '''� � :"T " '' k ', '�� . � nteridec�or offered for so7e.lf however,the buifding c ,�� :� °t. `. '�.�. ��,� 4, " . �' 3���:,�. . ,x: ,��,,� . � mprovement is�3old w fh n o�e year�of compfetion.the ;.«. .. � ,;� . . awner-bu ider wifl 5ave ihe�burden of provfng that he dld ';: .- ^' �; .:.,: � " , . ' ,,,y:.�- `� .. `,.>� orlmprove/or the��iurpose of§ale.). � ...� , �..: d nc�t 6vr1 i 'F 1 am�exempt under$ec. � � � _ �: , ` ':�. . .(. ... .;._, . ',-.' ,;.. .. _. ...::� � -- ... . . _.,._.:. . � . .. � �.._ ...,:. . . . =L� -:;' , ;�. �- =• B&-P-.G {or 9fiis�reason - a, ������ Dare��� _ . .. .. --� � ., `-'i�..' Owner— ._ .. . .. . , ._ z � � �z � - ;3 , . ,,.. .... .;... . 'INSPECTOk'S NOTES . ,.. . ...M M; ..,,,..,.: �., . ' : -., , � ���:� (.f. �::� . .:'. ..,: .:. ,�..., r I . - . . -,: . _ - , ,. ,...� _..- _� . ., , , ,_ .s., . . .. :_,�. . . � , ., .�. _-.. . . . : . . ,- _ �. , �, . . �:_ , .:. , �-� .:.. _ �. �..� - .. .�:,. :- , .. _: .. �.. �.. , , , ...: ... . � ; �`:. . .. .,. . �.: . .��. _ . �:: .c,.. �r .:. , �. �.. �- s:�'. ;�� ; �.� -� � .. ...}.i .:•]': '. ;. ':. ..-, .. . '., . ..- � ....,k.�J «i�W...js.w.._w....r..m_»..u..�. .... .. ... ,. . :�. _ ....' ,... . �. . :�. , .,. , . ..." , , �.. - .,. � .� .. . , ,.: . . , ;':: .. � .:. ,. ., .� . ., '-. .. , ..: ��.: . .�� .. . ,.' . ,:__ . •'_. ,�` - ... .:�: - ' A� � . _. . _.. . .. � . � ar . �. ., . _. ,...: . �:_ � . ."....: .,. .. � _ �'� ..;;: ,., ...�.� w,. , .»,,, .,)�. �:.�... :, : , ,. �. . : - . _ Y� �wl. � _�., :� .. � �rS. � I �-s4 � - -�m .�1 > .e E 3: . ... . ` r _ r.i� � '.s��,� < � -