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HomeMy WebLinkAbout1717A ,�.� �^m � rc �'� � '� :: ,� t' _�.,, +� a-..r;��. g�-k ::�.�.& �..�q.J,.,, ��. ��"�tw i�a'�� � �" �. ;.'��j"'� WO K CO NSA ON�D r _:_ ��� x,.,..vsz�...i,.,.��P41ird°i �/ ��^, � . �y'�� ' ��""'�-�•s�TM.".�.�,�2 �. ➢. r war ,�.ua� u.wn�r�.�. .ro^ .�rn+ .......r.,,, � �7 e� y'�'I,�he eby ati rm ihat I have a ce t{icate of consent to se�f 76A667A ' tp . ifx .�`� ., ... , .., ... .... ,......�..,. „.. Y� ��,`insure or ci'TeFtif cpte of Wo kers Compensation InsUrance; CE 817 jREV 10/Bl)� " � � � � '�3��.r�°'6�P�"'c rfifiecl copy thereof("sec 3800 lab.C.) . � � . . ......::... .:.. ,.. k� r"�S�SSe�-S'�i / COUNTY OF!OS ANGELES BUli.DING AND SAFETY "` ��.Policy No. � Company . v�Tjff'F� fCMi(67 � . . � . . C..-.rJ�s ����❑ Cert fied copy is heieby fu n shed �- � . . . . . . . � . . � _..._. _..... .. . . . ,.... . .: _ ,._�.a.._. ���"" s'' '^ �'��' �"�""` '"-� ""''' �FOR A7PLICFlNT TO FILC IN(PRINT Ok 7YPE�� BU I G - U Cerfified copy 5 filed wrth the county 6uilding inspec . �� ADDRESS ���� �P�,eFi�• ���,�:� tion depariment NUMBER� � FI%TURE OR ITEM Q FEE . �: �y�r'�K.�''�s�'��n'4"�`.w�"'�'.��',�'a.'�r�`��c�.+���r�,N" t� ::: . . �ocAnrv ��- � [7ate Applimnf � . WA7ERCLOSET .. . NEARES7 ���`�� ��tR�1X�C�A,`f�'O�F'"€�'�'i0�l+1��1't`�O`�"N'�bR�7E�2'�'�t�x .� 'r earHiue � . .. cRoss;sr. �rC�o�tr�PJ - i � �v.Cl .r3 . ��'�x,�.� ^��"`'YAA�PETJYfC1�105�11N5t1RANCE y,.., . . � OwNea �. .��... . . .. (�s seafi n�need nof be completed ff fhe work-�nvofved by �'�� I SHOWee �'�y��sy �yL','_ -� ��. �}ha pormi4 is for one hundred dol[ats(j100}or-less) LAVATORY MA!L � - �� - � �.,�>� ��. <._.., , . ...«. � : . . ,..: ... ADDRE55 31SI p�8.£1�q � ' S�.7P � 'N. � ceri fy ihot n 1�ie per(o monca of t�e work for hicn this �`����rmit is issued I shall`nof employ ony person in any manner SINK � �� � � � CITv _��,��/ � D Et.NO. �' S`o BY�o become sub�ect to ihe Workers Compensat on Lpws � C�s7A � r .o�`�'�f0�s y, . .: DISHWASHER� t ��e�#��"�����.��d�;����i�`�`.��'S��f�'�r,;;:.c;;; corvrRncrorz�„=-�9%.r'iv� cC � f�Dafe ApprCant � CIOTHES WASHER-' � s.�'�,'�t^Y1C�Tb��L"fL�A"fJ7 'If after mak ng tfiis'Cerhfi�ate oi���� � -� �, . /+DORESS� C` �y, � SWIAA�/v11NG700LRECEPTOR��"� -" � pho you s�iourdM�become sub�ect �to ihe Workers �� � � � � S . *'��C,� pensat�on p o s ons�of the Labor Code you musi fo th -� �� ��Ty � — 7�' � �� � LAWNSPRINKLERSYSTEM ' " with comply w th sud p avis ons a ihis permit sholl be - � �� �- ��"' deemed revok�rewd �n,�� �WATER HEATER.�. . � SI ENESE NO�� (Cj.�i�� Ctq55 �`.� ,y.��° ����µIC����E��CON�AC�O�S�DECC�ARAT�VN ... ,•.. DIS7RICT t+lp_` .':': . . ....P OCESSED BV�. ` . . . � ' "r '��`'"�' �'"'�-''"s`" ��GASSY57EM� � nUTLET5� �` I here6y aff rm f�ot I om��censed nde prons ons o4 Chop�er 9 � . �� (eommencin j'w th Sect'on`713Q0)o`f�ivrsion 3 of fhe Bus ess. � OUT.E75 OGER �� � � d � ��. � ii'd Professrons Code and-my I cense�s n full force cnd effect. -5 PER SYSTEM �� � � � '� - - �� � � _��0-��- '� �.g ��a'��+ at��x� ��,zsue,n ai.v�-�; �iNAL VALIDATION � �� Licen����er3e��G*El3� l c Class �f'�� . DATE _. .. ...... � X,? t ��� +,�,� � ,., , .. ,. . � - C; /�'�9�2w�a •C-�-uo.Yc�s-'! ,i��?,� �-Y-� rinlAl � �3�7�Co t octo� Date ..�� �. BY �, � r1 : �. �. .: ._, .... ... ... � '��,i��❑ I om e empt unde $ec � - . � � .- � � � ' � � � � �.��. �<*, 1'� u.�.:-�"���3��w�"-a.t �sa.�' � . . z'��'��+k°�B`�P�reoson - � ��,�, �T�r�,����,v!�-+��«s�„ -��,�,�,�N, y; Plan check fee �� •y �^U"'�s�caa.ti�-�'��'� Dare � � � ��� u"��;�+,'.��`w' :�`k+„a-'� ^� 32�."',crUk•"" ,rc-^�j. „�b 1 K PlUM81NG PERMIT i55UING fEE$- �� � �,q§�,�psS gnat�re . . r���"^k�r��:g,s:�'"��' �'ki�"-� '� �ir� � .�t§^t's,�'� �� .. Y� TOTAL FEE � E it• . `'",y���rg:�` �x� N KA '�L� • =��E� Plon check�appliconr � r �.�,��4t,�' _ ,,ER�U1Cb�f2 DE��IA"I�A7�ON; . _ . � Name _ . _. . . , . ,.. . . _� . . h� .I eby aflirm ihaf I am�exemp�'from the Controctor's License�� . Address ��L ror ttie following.ieason(Section 703L5,8usiness�and � � ,4��Pro�ssions C�"oa�e) � � � ��}� � . � � �� � Y � � .Tal.No. t�'�° I qs owne of ihe prope ty II do ihe work ond ihe � � ��� �P� � '�:�� '�tructuie s not tended or ofte ed fo salg (Secr oF1. �. � - � �� � ._ ... j� ,y-,,��044 $�usiness ari���P o�ess ons Code�p) � � � �� t �^��`-w�� �'�"�'���T'�R���C'T��;�.�D ��E�1�Y�,f`KR i �-.�..'� s�. ��:.'x � r .�-,;�s .. . .n.,a.,�....�...rv c�#s5� .� S °�.4'�.... ..e.�- , �. -s ��. ��� ..,. .....,.. <�, ; . . ... .. ..... . .... .:., .... �.,._ y.,,, _.. ... �. � '�j-.. � . -. � I he eby aIl rm ihat the e s o o st�chon lend ng agency for � � � r ���ihe performance of the work for wfi ch ih s pe m t is issued . . . . ���_i` ��'�a fSec 3p97 C C) t� � . . �,�"�",��� �Fh'�Ss�"'���d���`�,:��"^C��s'�L���'`�.�r5'�w,u`.��a�'�'.,:`h,h,"r� � g'�,.:;-e�`��ti�'��v�����'��'�^`�P,�y�-�'���'�� '�'���,.3�.ri.�,�*�w#�''`. 4-�a ��� 3 � � �axy h..,....-�:�... . .�,� Le de s Name - . .. � .'. .� � '�"'�"' �w��� U �`r�" �z����,������*�'.'����'�';�ra¢���"�'��� �'`�:�a�'�...�'`�r�1'�,"�`��.,.�+��sa��r'��.����?i��'�''-�s;�� ".�?���--���-���`��+a�s�'c�.�������s , .. � �`�`Lende s d ess ,,._ ; . . ,,, . _.. .__ . .�. ... ..-.:� �.�.: r ...,.�.,.. ._ .. ���ce t�y tFat j have read th s applimt on ond�stote that ihe � � ����- � - �-�� d 2 abo e nfo pt on s co re,ct 1 agree to cpmply with oll County � � . � � � ,��� o cfno Ges a,d Stafe laws egul nng PI mb ng,-and hereby � - ���� � � '.y.�ouFho �e representot ves af this�County to.enler upon the � � . , � � �� � � �,��a��e m�e�ntloned roperty fo - ct on purposes. , , ��c t � y�, SEE AEVERSE FOR EXPLANATORY LANGCJAG'E '� ` ' ` �'. - ,,,; S g atu e of Pe m itee Date �� � .av �. .y r.�7� s�%cSr.�,x'k;:AY.,ss-�4 2 -•»,^<�S y �� rh' �� + +� � t �,�st'���.�£.�....�a�`"'�"�.�Y� �a��g' f� s,+�- . �+M .. .:����: r�s�'�s�a.',� r"",�n§��'vtt�',��.``�.,,..�.����ta'�:- �`�kaa.�t'���.��'�'���d�"t°`6�� �k�� s'r�'.�. h€'4^� -..� e,..-i...sx�---. rv-.-..-- .u�� ,�.*.•�z��z. :�i+�� _.., ; , __ ,.�. - - �. � a„ z' ��Y� Ra k'sei< ' z :i'c a ..� . .. .. ,�: , s ; ..v:'a` . � . ,: � ' ' .;; .- � , _. . .' � .. .-: -.: . . ;.. .;, .:. � . ,>. . :. ., ,. �.:. ,...'• ;' .._,.`. ' ::: ., ;. . . . � ... ,;: .. . �� � � "� � �������"m" � ' ���- `WSPECT0�2'SNOiES �� ��� � - - OWN`tR$UILD�RDcC`LFPATIC��I -� �� � APPROVALS �A�E �� INSPECTORSSIGNATURE � . ,. , ,� _ . . .. . . ... ..,... , ,. ,.., »�. � .:. UNDER SLAB WCRK �T� . .. .. . . . . . . . . � . i here6 ff rm tn 1 I . �. �� . �. �. . y o � axe p rom i C �rcct r';� � ROUGH PCUMBING � � � . � . ����� ���� �������� � "`�� 4icense Law for the followin� reason ($ecl�on 703)5. .�� �GAS PIPING � � � ' -� � � ' . Business and Professions Codz)'Any city or county svhi:.h ... _ '_...._.._ . ._..—.—...—.... ..... . . . . _ . --��� �_���•�— �-��-��-�����---��� requires o permil ta consiruct,plter,im,prove,demo!ish, .GAS VENT � � � . , ,.�,. .. , ... .,„ or repcir any sfructure, p•ior tu its issuance, also re- �HOTWATER�HEATER ��� � - � - '-�-�� . �`- ����qUirestheapp(icanNorsuchpermif,ofileasignedsfct�- � PLUMBING FlXTURES � � � � menf tFfal he is!'rcensec+pursuant fo fhe provisior.s of the .... . ..:. . --_. ' __,__.— — . . . . . . . .... ... . .....-.... --.-�.�..... . . .. .. .' >.� ConTractor's Li<ense Low Cha ter 9 commenrn �.. -GAS TESi - ( A g v,'--, UTILIttCO.N071FIED� � � - -- �����'� - � - . Secfilon 7000)of Oivisiqn 3 of the dusiness and Yrefea . _- � - ��' � �� ����' �.'����� ` ' "'°�'' ""'�-" ""'sions Code)or tha!&e is exempt therefrom and the basis � ' �� -�� � � . . � � � for�fhe alleyed_exempiion. Any JioJotion of Section , ." . ..�-7 . � � .. ....... ..". ,• ...,.. ... _...._....- 7031.5 b on a licant for a ermit.u6'ects the a Pi�A�.. . � �reier on._Yronf . . . . �� Y Y PP P ! r^P��- � � -���������� � �� -- - �� �� - �� � � � � � � � _.:.. �. � cant to a civif penclty of nol more iixon five hundred . ... . . .,_ � . . ,..:�� . ... �_��— �--- . - ::...._ _.,.,...._... doliars(SSOd).: ' iNDUSTkIA!�_ ... . . ,- �.�.:�... .::.:..:,. . , ' - � - - � ❑I,as own�r ot Ihe property vaili co the work,onti � � WASTE AFPROVAL � � � � � � . � �� - � ' '� '�"����"�'" ' � �--" ""�ihe strudure is not intended or offered for sale. --_. .. . . �.-. .�. ;_ ,,.-.,, ... ..�.� ..'.', _:'.,.� ., ., . . � ���� ,,r, � �.:���:��,r-:r (Set.T044,Business and Professiona Code� The� or ,,. :_ ?`.. ..y...._ .... , ..�. r ' •:^.r*r. tot 5 Llcense Law doas not appfy to an owner of pr.,perty _ . '.:., :.l , . ., .., .�: " ,:.:� ,.'_ � ..:l. . who buuds or rmpruves fhareon, and who does such q �' s ; �'��� work h�msa'f previded flaaf soth imp�ovements ore not ;._�: ,.; ,_:, a_. . _. .;, . . . ;i ,. �' ��i� . � '.':: , °�::'�;' ' :��, .... � ..., '�';, , •'; trfended er of{ered for so(e.If,however,the buitding or �°. , mprovemenf is sold within one yeor�of comp;et'ron,the �� : .:.. -. .� ._<.. , ._., �. �.�. owher builder will have the burden of p:oving that ho did � _-�� g.., : � ' • ��� � .<,. -.�� �::�.: r � " "+iot'GuJd ar improve)or the purpose of salo J ... � .�. . .: .�.,. .. ,>. .. .. ,. . ,., -, .. _:' .:.� ...; : , .�,.. ..�.� � ;,- �.,: '. . . . ..,, _. ��., .. . . :. . ,.� .. � . " ^, I arri exempt under Sac � y � y : .., : . ..::': . . .'��., ' ,:..',... . .,r. . _._:. •�`:... . .., ._-_' .:��... .. C.for�this reason � . . , . :_ ., `:.. _. - . . � .::.. : C.. .-... ... �..�.. ,,.. ,...:�.. .. . ...�. : � �,..�,.... ` : ;t ': . : , B&�P _ . . . . . . :: ., ,_ , .�, . . _ . ,: . . ,.,, . , . .. . . � . . . . . �.- . �.. „ . , �...-� , +. , : , ,. �,� .;�. �:, . � .. , ;. ��. . ,�, . , ... ... . _.: .. . . .,.... ... .. ._. _. ...�,� Da e � ... . ,. . .... . , .�.. ; :.. < � .,., _ :, .:. :;. . , . .. . .. . .���... ... :., . ,: .,x .. .�.. , :: �.:, . . . .. . ._ ., ..., ' .. Owner .: .,_ .,,.. . � � ,,, : ;, ' INSPECTOR'S NOTES : . . ..: ,:- ._. .:- , ., _ . . ... .� .��.. . . .... , . . .a. .a. .;.:_: ;.n: „_..: Y i, �.:.,y. <�i k- Y Y 2 d'�� } M L:n ' 'ry"rv MY-+�'�y',. �ri yi�..•+a+.�+�'^Mvti».Y"�"F k•e �. ',afYC � Y�S . .�. ,::. �.. ,. . � •%. . - :.; � .,.:.- . ,,.. „y�� . ..; � q iniA �.;. i, :::" .:. s ,. . ... .:�. ... ,, .'., : . �': ' ,. , . .. ... _:. .. . . �.:'. '...'a. �..'. .. ,. .: '. .. �:. .... . ... ., . , � ,..,',g' ... �:':.,. .' .,.. . :: . .�.:. ... .:.�:.� .. . ... ' ,. .: ...�.. ....: .. .�. . .:.... .�. .., .'.��'.: ,. . ..... . ....... . .:..�...... .,... .,,.::. . .' '�'.i: .� _ A i� :- . , .- ... t ml r;-srM 1�+.?n/TN•a�r���t,*. ..�! �`�,tS"'�:aF'sy^hu'�.�✓ i" ! y'':-Y�� � �k ri� ��� �.�. ... . .:, .i� � � ,'.,. . � . . : �:. .. . _.-. , i._ ..�r. .,,. .v� - ...� �mnm,� • ; � �:". . . ..._. . ..� . ' .. .-' -�.- - ,,. - �.. ... ; _'. .. .. , . . ... . .. . , ..:. . .. �� �i' 4 � - .,.,��.., .�., .�.....n� �,�.,;t ,�;.�'�..,�,,�,.,�,�„..�.� ���. ,. , , ': .,. . r ..,: ... -, .r:.�. � , .. . _ - �.n,. .-� , _ �,x� .�„:�,�,, „ ,.w... � . ':.; �:; ,. �.: ., „ '., � ,... „ ,�,