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HomeMy WebLinkAbout1770A (10) s �`? ����=s �� �,�" �a�r,,����,��� ,.-rt,.�.�a'';•� ;ra�r��;�.�x..�x;_:a�_.��a�.�.�a�tr�r«�,.,._:�T:p`:�''��Bl as �r�, � -., W�kKER��OM1i1PENS'AT��.SND"EC'�ARAiI`ON ��pL�CAl6Of�A F���r�� f hereby atPi m ihaf I hove a certificote of consenf to self � '� - 76A667A �� ;�Rt insore or q2erf ficp�e of Workers'Compenspfion In5 rance CE Bi7 REV 70 811� ��������� �` "� ���� -� �� � - - � A � ��s f �-a .a� +r hrs' �x:,.r..� F or o cert f ed wpy the eof(Set 38D0 Lob C� `' 3 ., � 3�,.��.rn r <t,...�.�a�:�.i��,. :�e�.��sia=.�.as.+a�.� �a+ BING PERN(IT� � Po�ic'"� -;�«, �.:.�.,, �wn,.:�. � ....p ,.�.. .COUIVTYOF'LOS�AM1lGE�E5. , .,:: .._.: _ .��-??� `7� �� ��s, y �ompany�'Y2IIj,(]1'1 t Trlr3amril ty BUILDING AND SAFETY �.�� Ce hfied copy is�hereby furnished ��, . . .. �_.� .- .. .. -eza a .. � .,.: ...-, ....,. . �"7; Certfiedco FORAPPUCANTYOFI['LfNlFrpINT'��2Y"�PE;`�`" � BUILDING !� � 9 ��e py s f�led w�fh the co�nty-bui ing inspec- � ���� � ���^ • - -� -.. ...,...m,. noD2E55 0��},,7� �� ! � �§ .$,.t on depo imenf p � NUMBER FIXTURE OR ITEM ,p�'�-'F'��'4��`r,'�.js.�'�krS.'4'«�.'�"y�§;�'�v?�v;4;N . � .. . ., FEE � ' i -' �ocnurr Biamond Bar s�, ate__-13iL1-9-��—r}APP�cam � � �. WAiERCLOSET� �� � ..r . .._,. �.._,:.. .- �. � . ,. '�',as���"�'n Ekl�'.�`"CA`�"�E'�M1�' � ,. . .. . .....�.. . � . . � . � ,:.,..-..�.:w*: � � NEAREST�. ���5 ,� er,rHrus — cRosssr. 60/PhiZ11pS RariCh � �$�£„y��'�"�r C�7vlCEN�S�ATION,INSURANCE.��... _ _ � ....._.. . :� ,. . .. .. . .. . .. _... x�.,�'.(This sachon need nai 6e completed if fhe work�nvo�ved by SHOWER � ' ' OWNER � SOuth COLI17,tY COY � . . .._ ...._.w� fhe parm�is for one hundred dollor;(�100).or less.) �� � � • .,� ....e,.... . � . LAVA7G2Y ... .. . . r, MAIL ' f ��I�`ce hfy t�ot n rhe performancZ�oflhe work for whicn this .,�.-.�.. ADDRE55 p,Q,. � � �� � � �"'''p�rm t s issued I shall noi employ anypefsore ircony rttann'et`"�� SINK -,, CRY� ��� ��� � �.�8b"83"to 6ecome su6�ect�o the Wo kers Compensat o lqws - � _.. ., e a ' �r xl�� 'g��. 7'C'� � ..' +,s � �. - DISHWASNER . . . . .... . �'�"`��rso-�,��'�� q'.�� .�+3,��,��+�'' � '�,"�F:. _ ' -- coNrencroeR.C.,R. Plturibing, INc�. ��:� ,. � �afe pplicant _ •. � GLOTHESWASHER �� � _ y .. ..�._.. �TICE'YO A�P�LIC.dNT If afre mak ng this Ce�t f c6te of '�-� ADDRE55 � � �� - � � iSpt on �ya� should-become subject to�the�Workers' SWIMMING POOL RECEP7OR � 12785 .M$ nolia Ave. .� -�'r��o'f"o prov�s ons of t�ie La�6or Code yoq must fo th ��TY R� Y �c1 2 TEL N�. � ��`with pomply th soch provsons o ih�s permt shcll be �AWNSPRINK�ERSv57�M �� � �y�eemed evoked � _.. .....,,,, � . .. — . �y .r� STATF A � �C�VS�EDCO�J�RA��gg��tCLAAI�.�.�,�.��:,����± ' WATER�HEATER . . . .� L!CENSE�NO 3364,28 uc. C 36 �����s�s�' � -- �.»�_ uss . ... . ,...••, 1..• . . .. � ` DISlRICT N . .g �r �IFere yoff�rmtheticmlitensedunderpro isions.ofChapter9- GAS�SYS7Ehd L" � OUTIETS PROCESSED BY���� �(comrpencing with Section 70p0)of Drvision 3 of ihe Bus�ness . G w `and P ofess o s Code and my license s n ful�fo ce and effeU S�PERESYS�tEM - n.��� � � �,� �';'�+�3�� df'� .�:7�".�, •::�;..,�, �__ .,,.,. �� FINAL � ...... � .....-t� k ts+�xl cense Nu ber 3 VqLID ION� - =J ; Go_tractor � �'���8--L c Class��,�_ ,..: DATE f��/�Y�� , � �x�� �. �� a '��`` x u� . ...,r�>� ..,.,�r,,... ` bin 6/19/85 _._ F!Na��� � � .... .. Date_ . . . BY . .. � I am e empt unde Sec ,� x ��.��s�a �i�����.W w �TM� B 8P C for ih s rea5on � � � �_'"�`�,�`r : ��z���.�`c�'�✓` �,�Dafeh '� < �... Piqn check fee .._,.. , � :� ^. � h 'L, rr rou4q . . .. .. �- S gnature , PLUMBING PERMIT I55UlNG PfE���u � p . .=a /7•�i�i .mm+x J C.� � �.�. �� �.�3, .Xr :. 5�p t ". � �'tr�: a 4�t � �� r�. TAi cEE � a o y � i���..0 �i � l�k Y Y. .T � TO � �p , ��At 45 � ..... _ C `- .. � .c�E+ .s � `; �.1 C `e � � s� -w :�Plan check oppl'con� � °'0 7�Jr 6 's �` �`� �"`� S�IVGIE F�MILY � �a�Hon6e ouiN�#=aui[oER'��'z�aaA`ri'iSN., ...A. , Name � :,,. a 9 6,5 = '"te6y off m that I am exempt from ihe Contrador s Lmense • � ° ° �1 u. i ior the following reason �Section 7031,5,��Business ond �AddreSs �� � Pra�ssions Code). � . ... � . .......- :�..r.�-.. -..;� � e7.29W85 � a;Y . . Tei.n, �, I as awner of the property,will do the work and fhe� : — � st uctu e s o� nte ded or offered fo sale Sect on � - � � � - - �5 ^4�: 7044 B ai ess ond Professions Code) ( �� � �.� '� rf �r v'si�' e v a�"b.! �� ..�;a� tix K �- ,�;�..q�,s . � CON'$7�UC7"ION�CE�DING.AGENCY � � � � � � �' p I h�e eby affirm that there is a conslruGion lending ogency for � � . � � . .,{he performance of the work ror which ihis permit is issued � � � �� � � � � �� (Sec 3097 C ��C) . rv � ., `� �t° i'�. s G'-�` ":�.Y�� iS.f r `^ � �°'u . �r. R#�i`a 5 3.Te'�5: t�[� :�� 1�:.�'� 4r 44�r . "�� r fi.�a<s 3�,€� bdr-� i .�'�'-�"" i'4p.�r " 'K .,�'-. " - �: Le de s Name � � - e s .� - . as �.-,.�az�+msm.auwaur.�s�.t ,..:�.,:�w�.. � ;w. �.m+ �*m-�+..,+m�«f � :H.was...u.. �, S..'�'} 3` .zs�'.:.��i�„5,�'',.._� h.�,fis'p.eo',krg.a2'°*.+�+k '� r,. �',' a� y`" n `°���'s'�"kr T'E 2 ; S.. ;. � e r5;, .+ "s. j7i v.3..? �,�. Lend�er s Address .. ,_�...,.,:a:;rc�:�x.,a...�vn.+.xas�,msa.,t.ti.e,c..:e:s...s.,�.vcr...r�.:�_.. ..✓....�,w.,..�...-.w>..;,.�w,s..,..�.w„�:�;.w:;o-...,,�::�.,ww.-.w.:„c.s..:,:..:,a,:�.�.e�.,¢�,.:,s.,��:,,,....,.�.».�.,s�r.�,� ,.: .. ..._:.:_ ,...,....��.a�,. . .:. :.::�>�, I ce hfy�hor I hqve read this appl cation and state that the � �- - � � .� above formotion is correct.l�ogree+o comply witn dll County - � - � d x d din ces 6nd$tote.lows regulating Plumbing,ond hereby � � � � &uthor ze representalives of ihis Couniy 10 enter upon the � � � � � ���bo.?� ���d pr erfy fo�i sp fion purposes. .. . - ; ` W .. . . . . . . .. , . <.-��:1_L_tL,L_ : � .. .- . .. .+:...,.. ,s.,..r<. . ..�.:,<. ........, .,.,,_.... ..._,..,. .._..:.....__. � � C � B � ..-. �ate SEE REVERSE Fpk'EXPC�(KI%i'1"'��ty"Li4NGUACa@ � 3. S g o1 re of Pe mitt e � - ' � � �. '<. �, a u a . �, � it 4 � 1 . h � ,�>1: . ._ �(� I�� Iy � ,v r. s •::..� .v :� . .. ... . � .. ,. . . . ... . ... . . x , ., �....:, y,.�,� � ..:.: � ..�.. _ .. �. .'.�sn....�.�.:::e��' , i..... +� r .�t W'^'� :�` h.^ 'x�'8 . �"�l �^'�' . .. Ck�'�":u ___. : -:.t �.:: ..,�� �.":: ✓.oti.,'. ' r'k(.�. , ... � . .._ . . . . . .. .::.. ... ... y . .... _v �. . '..:: . e :.� �+ . . ,.f;'' -W .�.. r r � { ;; `�� b� x r y��t'�`* �`F "'a�:'{�`a �� �'� �� � S � � i ..` ._� � � .. " ., '. _ .. . '!.. .. � .,., .. _:. ,:;.. ,.,: .�, - ��uNoeast BRWORK � �AY�� � �� �� � I�SPECTORSNOYES � � � ��- OWNERBUILULR��D�ARATIOU � "�INSA�CTOR$SIG?VATURE . . .��... ..: � :" ..,s. �. " .�.:�� .. , � I hc eby f m�h I exe pf f om�tfie Coni ctor's - . .. +�� . _,,..,. . . . ......._.:_. ., „„. , �� License �aw far the fo��owing recson�(Se�bett .v3i.S, .,.-,._� ..,,..,...w ,.,.�.:..sw.::.�, w.,.....�;. � . . . . ROUGH PLUMBING ,., 1�f�r l�,'P ;���.> � Susine s and�'ro�e s�on CodE1-A�y<'1p o.courf�wL��n . .--.. . . .,,....,.-. . �. . , . ,�. GAS PIPI4G... . . .. .. r£,,,t,9'"^.5� ��P..3� � � .. . --..�.� �.:��,:.- ,n �,,.a�,.: s...�1��..; .r.,..�.•.+�.. ;.ti requires c purmit 90 canstivc7,eher, mprove demo s� i GAS VENT � � - � ' � � ar repair any sirvcture, prio o �, issuance, aiso re-. . -�..,_.. .._.....,_ . ...--.-. .'. .•...:. :*.,•..�:,,�.��.;�,.x,a.....!..n quires ihe applicm�t for such perry��t to ii!e qsigned staf�- HOT V✓ATER HEATER.. . �. �:L� . .. .. ..... . �. , . . � � mant thqt.be.rs.licensedpursuant to tho provis;cns o�+'r.e o ' �.µ�� ':•.M••:..�i, . .. .::�:._._._...... ..._.... .,. .:.�.. , ,,,...., _ . . Sontraclors License Lcw!Chap4er 9(commen ing�n'�b ......... . .._... ........ lL'M91NG FIXTURES C �� � � t � ection 700G of Drvisiori 3 of ihe Business ond Pro(es GAS TEST � �I[�j.$c; � � I . . . ,...,.:....:. .. . ._.._.___ . . . - UT�LITY Q,"`.-�NOTIFIE��. � � �- -�� ^^�-�- ��•^�-'�°'��� °�*^�'�"��'•-- �^M��.x.:���"'.,�`` ,`='',,=: siotts Code)or 1FaP he i;exempf iherefrom and the basis . � for ihe ollegod ezernpfio:�.. Any violaiion of Sacticn , . .:..n �..c�7 ...,.......... ....,.;_».,,:. .: .. ........,....<... .,:,;� �. ,...,.; «R>„.::.:,t, c ';:=:�•,a...: J091.5 by any appOconf ior a permit subjens ihe appl�- FINAi � . `nje on _3ronE � � canP to a ciyi!penalfy of nof more than five hundred �..,.... ,......,.,. ....,,,-:. *v,-r,.R:.:�'�ra4� . ,�m... ... ...............w..-.n.�.s,_.�.:.��..ti:w:xk��r.x.k��.,'�u.a..XeH+��:�.�u.dollars(SSQO).: . .,,., . �* �.����� . , . ❑I a. owner of the rop2rt iil do th„wor,c,c�ic F / IN�JS,RI:4L� � .'��. .....:,._,,...„,:�..„�..�,.E.�:,„um.:�...,...�r,�a.,n..�.;.,..�..�,„,<�..a ys.w...;�.,,r,,,��, .the sfructure is;not ntended�or offe ed for sqlo.. .....�.....,.. .�.WASTEAPPROVAL � � � � ($ec.7044,Bus;ne5s and Pro;essions Cocle: 7he C� c ���� ��^�'�` � tor s.ilcense Lqw does not dpply to an owner of pmr.,rty � .f: ,,, � .,•`.; •,�<t+�.'�+w,.�,x�,d�.w, . �z, . � �� 3 �:." �:''. , .'.: ,���.. ����F r�lmproves�"�hereori, and who-does such ,:_��. �.-; ,...`.. �. .�.,: :, .�,. ,. ., v�ho 6urlds o.. . . :�-- � = = `�n '��' ^ � � :,_.,. �- - � work himself provided tliaf sucb improvemerk aro nof �`�{,;;- frtTended or offered fo-sa7e..ff,howerer !fie bu!'7ng or ._ � _ ��� ,�, ;, mprovemenf'(s"so d within ane yeo�04 com,o�efion,tfix w.., ' --�� �� ,-- �,i�,'�:- . . '' - ^�" ouitier buildPrwill have ihe 6urden ofprovmg t,iat�he did "-. .�y:�. ,,,,, ,�,,,n�a,-s�.c,r,�, „� y rrot�6utld or improve o�fhe purpom o9 sala.) , .. �y r,. w � :_, .; ,:. -.�:� .,...:,:..., __ �., , ,:.. ._..,�.,. .�_..� .:� �._. .; �: + t:.,w � �'�� '� �^ x� I a�ii exerripY under Sec. - � . ',1 i ' ; ,_ _ .. ,. ,: ,,, . .. , a �.: _ , ,., _. ,. ,. .... ,.. ..:. - - .., . .. . . ... . . . _„..,. ..." .-..... B 8 P C for this rPason:.' � 2�. .- .. �s++c.er�w•.�"iFS'^".+.n"s em h awr� ax"}8*n�3wl.:#an'+s^.J�#R'�fnuyw,���°,at,�'y.asHsrw�.e i.�tia:Yd t.e.f . � . �.: ' . .;� ' .i3�5��` 7.. '� •,_:_ , . . e�. ; ,,.�:. S.. �piE. - _ �. + . : '..,-. '.'. . �„ .'. . . . .: �^ 6 F.:r 4.�� - ' . . '. � - �r��� . .. . . .. . ..'- .�� » �.. .�p : a g„a ..; ,',._ � � .. Owne ? «;< . ,:; � ; - ,.� , . � > ��r�.�' �,t '� ' -�,: ,., _ . � . , ,. .. . .- _ , ..:.. .., .-r , . .. , � f�.P _ .z a.< - - .. . . . . :.. ... . .;`-'e�re v;, a�,. 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