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HomeMy WebLinkAbout1137A (5) ;, - '-� �..�F i k,�az��'-^'f. . � �� ��' ��� �~���"�;�. ���'7 �"���` ����--�.�,� ,� � ��.�_ �_s: WORKERS,��h7PFRSATIO�ID�CL�I2ATCCi*Y" �6A6�w AP��lC����N ��� �L M. Ilr� I� � � I heceby�affirtn thaf 7 have a ceFt�ficate of consett�o s`�e`t� c�"'ei�z eu1 - •s� :.:�'� ��.�`.�.>'�.�� - insure,or-a certi'ficate of Crorkei5'CompBnsaT on�nsurance or `�`�" Y - �jtr` ..''�' � � '��`"`� ` � �� � a certifi d cogy there"e Sec.3&o ab.C.) ���� �� ? COUNTY OF LOS ANGEIES, BUIlDWG RND SAfETY �//�/�� ������`'� , _ — _w.� ,.�.� ,,.. � _.,_ '�� PolicY No. ,.CampanY -� .�.... .. .......�= .. .-. ._ , - ❑ .,='.� .:-: ..�;. ..-s � - __ _.._._ .. . BUILDtNG .. /' Certiffed copy�s hereb}furn�shed .. �- � POR APPLICANT TO FILI.IN(PRI ,� ,_„ �� ADDRESS �j • -9V- Certif1ed copy is filed with Ih county uilding inspection, ;^ NU[JIBER;� FIXTURE OR ITEM _• FEE LOCALITV _ _:,_.. .--�n -. I - 9 ar t�. WA7ER CLOSET NERRES - ���� �� �z����'� .' _... .. .. . - Dat✓�APPlican _ � � _ _..._ ..,. . CROSS ST. .. ... . . 1 �._ � � �- -BATti TUE . - .. CERTIFICATEO"F'EXEIviYTCONFRahT440RK ..S -- `�- ""' - OWNER _; �� �A/,t����J�������� - ' COMPENS�ATION I��R4N�� ° .SHOWER -- .. ,� . . . . , � a .�. -».. ___ MAIL � -.- ; ,. -; ':_ - -s ': -- LAVATORY . ADORESS .... v �.� � � �3. . � �'I'F.is sechon need�nat be g6mpleted d the wozk mvolved . ,r, ._,_�_„ _ � � - . ,.-.v...-nf.s-..,x...�,�.��� �- � by�`the permit is foi one hundred Qollars ($10'0)or less.) �SINK � " CITV . . TEL.IVO. � . . .- ..._ ......, . .. >..._. , . �:._.ti. _ -._... , _.._ :.:_. . „ _:.. �_ . _ ....-_.._,.. � .i .`. . _ _: . � I certify�that itt the per£armance o3 the w�ork for whi�h ihis,w � �ISHWASHER -- � ��� �CONTRACTOR;� ' �'-- , Q _. pe�mit ts�ssued,C sfiall not employ any yeison in'an}•man�rer ` ._�.� .; -_-s R.,� : . _ '" o as to�Uxcome subject to the Workets'Compedsation.Laws. � CLOTHES:WASHER , ADORESS�� �� � � � .. _ . ., . _r .,, � �- - . ' _ ilate �� .ippltcant �._ _�� � - S�NIMMING PDOL RECEPTOR��. ' - CiTV ~ �-�N�� �i�.3 �� � - .. ... . TE �.. ?.. /� VOTICE��TO APPLICA'V'C If after making thvs`Cer[�,ficate Of � ��� �p�;�yN SPR-INKLER$YSTE,tiM ' ' ��Lf�:""" - -�� � Fzemption y�u�shoutd�ecoine subject,Io�the Workers` �. � � .-� STATE �� CLAS Compensat�o ptoansions of the�Lahor,Cpde,you must forth- , WATER HEATER , _ � - LICENSE ND. - _ � � S -- , uhth compl} msth-such pcovisions o this perm�t'shaIl be � -_ _ .�'� " - D78 _ .._ ,f_ � ..„. � TRIC7 NO. PROgE3SED BY deemed ie oked � �� GAS SYSFEM OUTLETS j� �LICEI�SEDCONTRACTORSb�.�L.4T£itTIO�" - � - OUTLE7S.OVEpt . �"` . -_ e_...,_...._.�._..._. ..-, w , �� �a_a�..- 5 PER SVSTEM _�. �. ,.. :✓-.Kt.tr�,�fi I hereby aff�rm tfist I am l�cense�„pnder provas�ons of�hapter _ , ., _�, , - FINAL ''7 � .� .,__,.., 6 A (commencing wit6-�Section 9000)of Dn4sion 3 of the Bus� -�, t,�� ,� ' � E;G- DATE "�t� �� ' � �VALIDATION . ❑ess anG.-Professioqs Code;and my license;_is in ful)force an�`}� � ..`-.�,��.;..� !� '�- � - � �� - „.� •fi�. ., . � . ,... . .._� _.�... , � effect. � � PfNAL - . . z �,�"� � � � BY �tij�l�xfx-'��. Lxce[�s'e�,.!` ...P�l2l �I.tc Class ..� (J o.. . � . ... , - - � 'n.� . . . . 7F' e�J-- •�-c7 �/ . . . � fJ Contracto . -:: _ . ._� - ���. � -���` ����� a ' '�" : £ Plan check fee � � �j� I am exempt froro the 1 censmg cequuaments as;l am a r_ , _� 1¢ _�T ic,ensed architect o a reg�stered�profassional zngineer ._ p�UMBING PERMlT iSSUING FEE$ ., ��L:' �/!�(f IZ' ��O�•�� ��� V�q,� airing n my professional�capacity($ecUon'7051, Bns _ .. ._ - - _ - . �iness and P[ofes3 ons CoAe). � ..... TOTA�FEE -� f,;�. �� . - . ,v` ��. . s� � .-. _ _,,; _ >. : ._.���.,..�.��_.,�.�,�,��..� �1.1 3,7 A Lic br'Reg No. � � � Dat�e � _- y� Plan check app�cant_ �.. . .. ..� � - a , : _. ,-.....r -,._'�'tr'z #o c • ���- , " = - � Name - . - 'HOME 6V.d`Ik.R BUILDERD�CL4R4TIQN u� A � . _ �_ ,,,,,e,,,,b �,�.�, . � � , ; . ,, ., :. ' Address � _. .,�.sa...�..,�.�, �.- .�- ..�-.o •1 2.5:0 . . I hereby af�m that I am exempf froln the Contzactor 5 . e �. _ . ..� �,.;.,��„�� . . � . - � . � ., -_.� �.� - License Law for the fo�lo 9ng_�reason (Section 7031 _ Busi , City � - Tel.No. . • • e � 2�Q� � < < , ,.... . �.. -._. _..� rtess`and..Profess o�s"Code,�.� . : . -. _.._.�-v...�...-..�.... .,�..��o,.:...�.w,.a�:o. ,..�.�.�...�:�.���...<, �.�,w4�... - - - . -., �;,_._. a....,, .�...._.s.:K�u�:.._ � .: � ... . 12,28-81 �- � 7,as owner of-the peoperty,am exclus�vely eontcactjng ` '� �� � �� � witb 1 censed_,contractor5_to construct thz ,..projec[ _ _ . . ,_ ..» . v.. __ .. __.._ „r. .�,._ ._..,.: . , t,. . . (5ection 7044,"Business ag3 P ofess�ons��e).' - � �"��� ��� ������� '���� �� ��- CONSTRLCSIO�7�NDIN�dGFNCY _ "" � . . .., . � ,: , .�:. �. . I heretiy affi*m that there is_a construct4on�en3mgYagency .- � � � � 'for the�-�erformaqte of the}vork for wh�c�i this nermrt [s _-_ '� ' � ��' �"�" ��� � � : r,_;�.. --<a.W..,.�_. ,. . ..s..: �. .;�_ _ �.� ._.� ' ..... --. � - issueA(Sec�3097,Civ:CJ. . . � , ,`- �Y -.- . � �.- • ,��-� A - �. .d... .� . . Lender'sName - �- r..,_,z;,,. v._. ,�,.,.„,,.�,.�.,,,� ww�.,�„�,r,��,�.,,�,,,. n..,. Lender's Addre'a �- /7'�4 9/f f . ... . �.. �: .. �.:. ,. .-. �.....�,�,.wY-.�..w;.�«e�.,.,�.sw�,..;������..�ss.a.r�+.�-.�. >w�..=-..r������-ser,:...�r�:n.�-e.-�.�.,�n �.�-�.�a... I certify t�a[I have read this,�appLcation� nd stat�that the �� w m ,�� . „ m, -. ' -. - � -_ above informa[ionig,co zct I zgee to complv 5rth alt.Cauntv �E REVERSE FOR EXPLAN4TORY,LANGUAGE - : £ , brdinances and State laws regulatmg Plumbing, and�.hereoy - . �� ` .� "- ' ' ..�' ` . ` „ '>' . '- . ' ,�`-' , `,_ __� . - _.. , -...,. .r.a- . . - . - - authoriae re`p`reseiiIatrves of TNis Count :`[o nfer tipon the _.- � .._ � . ab �e-�ion d property for inspection pu poses . � W� .� ,� tl „s AaY - i4. }���q� �1.. -V.-.. ��n �.��r�.,�.�� �� ���"/ ' . _:.� .a..�,.. .�� .,.;� t.. .�, ,� -�-�.Signature of Pe�mittee Date _ p . . . ���`� . - � -���- _ `-��� ,�..�s <� .,�.�, . ,_,_ . �RPPRCVALS DATE !'VSPECTOR55lGNATCIRE .. NSPcCTL'fi$NGTES W :,��.��.$���,�����.�����,�I�� _ v..� .. � -_..._._,�,�.. , ,. ....�, „-,,. .._.,� UNDEftSLABWORK --� .�.. . _ � � .. .. . ..._ . .���.. __. . . �- .._ . --R6UGH PLUMBiNG � r�_,.,�;x�c be c�y�af�irai G�at�-kam exemp{gromthe.QonYacEoi's �.GAS�PIPING � :....-, ...... ... �., .. ,.. . .... .. .. " .....�.TiCeliSe-La}v ioi�fl�e�'fal�ou'ing-Ze250t1-lS_'CHON.7�3:;5, . . .. �.� i.- --�-� -- ., �.� �.sv�� '" �:�.8usirefs-aild I'rofe;��or, Coda;;.Ar.y citY.or�tcurey,. � GAS�VE�VT � " �"... . . . �-_' HOTWATERFIE.4TEfi' -�;: .. ��� ' �l - . ..._. . �. . . .. ....T 3YYIiC!] YEqittlEs O�OE�f` t0 COii�r:py�t, rildEY: iIlFF1TOY2, . � '� . .. .. -�.. --.,-•^�.b . .��- ..:+:��;dervo sh.-'ov repaer.any s1n:r.nsre.:Pre�r ro ita �ssua�ce;.. P�uM6�Nc'rIXrORes`. °.:.�-. - . >.-�` . . . . . ... . : . �urso :,P�uir-e .ne sy�iiicma:.".for-sueh, pz;nt%- to ;IYe�a � . :- . � ._�., . ...._. s,:...: s3...,.."#'.0 J+ � '`_ ;.. , . ._ . f . GASTEST �- � .. � - . - . .. . �"X' .. s-£�:.3:ll�'2➢heiE..'$31G'f�.�o'S fiCef7SPG pt¢rSi:ari. {o�.:�£}12�. ' � - ��pravtsicns�oi tn_.Cor.-rmctor's-Llcense Lc;v�(;hapr�r 9.- ti'ri�17v�NOTixIED . ,,:�. .. _ - F .... " ..-. t.:� -,�z,.<._�,:�s�,,..r�eneing .vrtie�Seciiorz-92GUJ.:af[�ivirion 3of�the�. _ . r., �� . �- . . :-. .. .-.- - .B z_c•ss rnd Professio�s Ccdej or' rhet he-.[r ex2m.pz. FI�dL �. _ � .. -. . � . -'°..� �'-�^'�"'='7he"r2front dnd.he b�sis fnr€he ait�ged exemption.Frny-. � - ������ ��� - . -. . � . .:veo(ution v:Sec ran 7d37.�$ ' . . .. . .� — "��� . � -- f YHrY.ap�licanrjoraperrnit ' _ . � "`" ^*"^°"=v--� z=��Tub�ta"the-a'�is7icauf to¢cnd penatry oP�eot more a3ian.-. :- ._._ .,.,. ;.... _, �. . . . ... INDUSTRfPL �: ` . . - � . ;fJ126tidR[t`72dl1J1fCCS:IS.SI�f: - - .. . WASTE APPIiGVAL . � . . . -*�-+�%`--'�1'h,'23`�:O`�Vr!@r of Yhe groperty.-wi3t ria thc;�axk.an�-. _ _ ,_�_ ,_.�... ..,. . . .. ,: - ---... � . � . . - . _ .t-ee�.fzuctvxe is:[ot;i�4ende.d or�ofiere�fo�saic.:. . � ; -� `.-: ' �-..- •' _ .. ...�- ......_._ " ....'; _-.-.'-�'..� ..,`..;��./Sec.�7J44i-Bzsai»ess--ard�-Pr�jesstors Cude:e:.:�s7:e.-Ca �: •.. .. .� . . .� . . . . . t.-cctcrs�Lecans�Lcw"dr�es':.n�:-aaPFy';c g"n"'nwr.er. � _ . �., �-.._ _- ..... �.-:_. ..���. -�-�,.�.z�r�per:y�vh h�erlcLs or..tn roves_*.hereon:4i:r1.wftc tloe ; . ..._ . ... - - - . � � - � .. �. � sucrt wcrk.:h�mse£,+' prov=ded:.�..>hat s.ach�i.nprorerr.em�. �.._' . -.: � ' ` . ,.. ._ . ..- .<.-.. _�, � . .�: �„_._�_�_�. .��-qro'ndl'inFer.ded nr o#'ferett fot�.sale.-.-!f,_howeier,'tYe � _. . . . � � . ...._ .. .�. .:Suilding. cs-itnpra:ement-��is��o1d within.�Une yecr..oi .. .." . � .. ..: :•. '.rompletio.z,..the cici;_er-huii�er.�i�? have-.tiae.hurdert ..:. . . ... . ��:. 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