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� � ���r� �tm x�a� ri �" a'-� ' �.r�s�` v� 7 " S d/��. cs>:as �h,�j���,��"�'i,��x�;-*.�; �t..� 3�P a ,�' �T `r ,ti'�, ';�"°"',�c�,x�k» ��- ����� �,+ ra p� �ry r - ,�`�.�Yr„ WO�KE'RS COMPEI�S�A O��CL�R�'710� , . �... .,� P1T��I�I����� ��������� ��R�IT Ol��� I '� q ���,.+��,a�.�ma. a. ,� I hereby`aft�m ihpt I �ipve a certi�cate o��consent.to.self 76A667A. - � - . " . - � . � ' '� '� ' '�� �- ' � ' ��� �.�"nsure a a;cerhficate of Workers"Compensafion I�suronce, CE�817(REV,t0i8�1 � � : . �� � M, � m. ^. ~. o�'a cert f�ed copy t reof(Sec"3800,L66.C.j � � �,��.. � - �,�,���,JS,���d �� GOUNTY AF!OS ANGECES BUILDING qND SAFETY, � "�s Policy o Company ^�'T�� �Z�'�°d . .. . ., .. ... . _ . ��'� � Cerhfied copy s hereby fu n shed � � ---�- ���---- �--- - - - - -�-- FOR APPLICANT TO F�LL IN PRINT OR TYFE) SUILDING #"�` Cert f ed mpy s f_led wiih the tou ity buildi q inspec � � ADDRESS cj� � .�?F' � �'�/.�a f on deparfuinde.nf y NUMBER FIXTURE OR ITEM �. F�e l�A��TY 'x�} I�� - � � � � � �yF3'<�.,*w�5'� fi�K,A�S�v:+T..''�siPcif.4 'C',3 Ai '�b.�y"a� :. . . ... . . r/i�'T�•� : . .. . . . Date��t ���-'�"��'' . z -; Ec`` WATER CfOSET � �ppl mnf . NEAREST awt �- ��. ai y�� .�s w� -..:F.�,c . � � � .CROSSST. . ,�"' � u"�` CEf�T�FI���F��P IUN�M W�}I2,KE�2� 6ATH TUB �='A°�� �'`�'',�"�.CUA�P�NSA'TIOI�INSUf2ECFJCE � .. _. ..." OWn�ER 3 � . -xc b� � a. SHOWER = ' � .� jY �s section neet�noi be complete �i fY�e woi�mvolved�by . � . . . . . . . .. � ... the permiT ts for on¢hondred dollars(E100)or less) �AVATORY � � MA�� ^ .. , . ....,, . . ... ADORE55 �J/SO �{✓/pW �.S't.7� �Y � �cert fy��af n the per�mance of t}ie work�fo hich-Ihis - SINK . ' CITV EL.NO. �p2Fr�"hi�s issued I sholl not e�pl.oy any person in any manner �C3.j /J9c9�y¢ 7� ,$ �/Q �/ �yd so as to be�me sub�ect to the Workers Compensa�on la s �ISHWASHER � � � - CONiRACTOR���� ' ' '-" x"�.yrN��}�`��',+�i'x�°�f�ts;:�a �"�.a;����-����,�i.., .,:�- ' „ s Dpte ' 6.pplicant - CLOTHESVJASHER ' � �.;,�lO7YCE Y�O.,_A,,.P�I'CA�IT' I£ aNe�r,mak ng this Certificate of � � . ADDRE55 C�9.v �—� �•^� �� 5WIMMINGPOOLRECEP'OR� � �� e'mpt on you sho�i� become�.sub�ect to��ihe Workers' . CITY � TEL:NO � orti'�Y�sp'io provisions of fhe La6or Code,yo�musi'forfh- LAWNbPRINKLERSVSTEM � �' �jF - � .� Sy �—`���' . . . ::............. us�'w t{� comply wtlh such provis ong.or �Mis.permit shqll.6e�� ;��� STA7E�� ���- -"� ���` OC - �� c/eemAd revoked�r� ' ' , � WATER NEATER . , NO. 3aZ lA LiCENSE .3 C 55 �,:���, ��CE�15cy C�1�1'f2J\C�TO�S`rY1E�CXaRATfOFI -�� � �� � � � , �DIS7R�CTNO�:�� '- P CESSEDBY� . . . T +�� �'+��'+,�' a+"�+�'�y'� GASSYSTEM �' -- -OU7tET5 T hereby affivm t�ai i aro�'censed�ntler p ovisons of C�iapter�9�" � � . - �1� `�� a (comme <�g w ih Sect on 7000)of Div sion 3 of the Bvs nass : OUT�ETS OVER ' � ��' � . .. . � . � `'� �,�"'and Professions Code and my I cense is n full force and efFect. 5 PER SvSTEM� � � _� �, FDI�� . VALIDATION . . � .. �� �.�'�€x,'.�y""vE`.rm.+� a �., �„ �,... . �•�i ...?�� �5d��a3� Lc Closs�-�7 L cense 1Vum,b�er . .-... . .. .- � a �r? :. �w'v s� .rasa,p- ,,:a •a�.�s�� � ,. '� .:�y,erpg C.ryn/4SC•�7�,� •f^✓c,. � FINAL f7 �..Contraeto y Date 9 �I 8'.�C � � � ��--�" 8Y �.7 �� I am exempt�nder Sec � � � � � . .:.. .... . .. .... ... . . .. � cs+ � �'�J F��` '4� `-'�,'�c"n ' E M� L '3�1+'4# K .� Y' ±. ��-`�`. f '�; B 84�'C far t�is reoson - <��:�. ` �i�t�r�^"}��'�'•'��,'��.� ��'���^�' r 4 : ` Plan check fee � _ .. ., � a s s ate . . .. tirr�.�r� rK�. .�,-e. .,�4�.$,Fr� t""y y�b�' �,�;;�t�y,�€'�u .�;;: PLUMBING PERMIT ISSUING FEE$ 'S 6 ���:�� S gnptu e Si � �� .1"v.tr ,� � j �y:"'�`'�'`w` '"�„ ,�..� ; �,. � �� TOTAL.fEE . . '������k����5'xl,�, d��s�d`',�,,,�u�f�'°'�..� ���s�'��k,�:���.. Plan�check aPPlicanl .., i"�. . �.��;- bm+x:e a .,� SI�T�LE�A AILY ' . ... ._.... �r ��HOF�IE OW�IE�R�Ultb�k OFCtARAMON � ..Name ... .. .... . . . , -.�.x.,.M-�aa, m.. _ - ;.. . . . . . .... .__ _... pre6y af�'irm tha�I am exempt�rom ihe Con}rpctor s License .. qddress � � N for the�fallow ng reason(Section 7031 5, 8uvness and � � � U�•�'`'�' �, . .. .. . . . . .....,.,. ......... ....... ........ �� Pro essions Code).�`y �� � City Tel No � �� � '.... ...,.;.. ... . . ... .. ... .. ... ... P� ; ❑ � . .. . .,._, .. . ............ ..._.�.�-,.... ... ......... .. . .... ^.,.. . ... .. I os o e of ihe p ope ty II do the wo k ond ihe F ti,_ � sfructure is not intended or offered for,,,sale (Sect on , . , ,, � i U,v,,. ' �7044-�usi ess and Pro�ess ons Cod�eti � ��' .��3�' ��i,�.C(7FTS�"f1�J�iON CE��NG AG{EN�'G -r .. k ..?. �. �: ,.'_' ... � �-,::.. �c:.: v;xi ...� :��.' .�. ��:'.a�r. _�I C.5 C� _..M_, �i l ere�b a �m�'haf fhere is a�.,.;��.�« �«.. . .,....:,. .,.„. . . . � .. , . ...„_,.. .. Y ��,�d �a�y . . . . .. y tt c4nst uc�o �end ng agency fa ����1�J� v dx the pe fo mance of Ihe wo k fo wh ch ih s perm t s ssued , �. -(Sec 3b97�C C J �. .. .. .. . .. . . �' _ti�'2u',. R '�r�+c`�tn u ��."�'S u',��`�'u..��s ��h,A.�,«:�,.,t i., .rs� '�'t .2��,.��•�s7*cr:..��`r � ...�":=��i.�...:.,,. .��`�,....a;: .? ,, .,::4.'sr�h y,�.i,...�: ..Y,o s'�-..�. ..� elr,..:.R.. - ���`�"::�.: '�.�a x�� x � !enc`�er s Name � - ���„ �, 0�¢K?< �� + k ,s��x"'�Ea �t�. � � s j<k': .rS� ''aWs�t +,' r a �, �'G�,a �- �:i 2� Y. '�3,� � � �` �t �� � a k� -'i�� �e��r- �.x:,I3�S�'��,t��r 8 ,�'"�*�„„�•;.�t'a'Y-.�' ..a;.. �S �t,:,�, -t�.+�.'�,�. �x.,,..�. .+ d� '�'�,ka.f�a� E r�.w s. x''��. 5(a,,:�t",�d.:�r.5�-;5 �3,__. ,h<.,:..>�'', ,n.., ...., ... , Le de s bdd ess . _`" Yt�.,w�.I cetfy t"noi I ha e e6d�ths oppli ahon�and..stale�fhat"fhe .� .,� • ....... . .. ... .: .. . ......,�: ... � . .. . . . abo e Fo ot o s o ect I agree to comply w th oll CouMy � � � �-`��brdmances a d S�tafe�a s ogulating Plumbing nd.here6y � � � � - � � � ���� � t-� � p P. P Y P YPurposes.upon ihe � .. . .. . ' . �"�a ��o e re ese ra'ive of�this�Count to enfer' bove mentio ed o ert far ins�edwn � � � ���'' �" � �� � � � . � � � � �- - � � � �s �+,ar`�*�"'" SEE.REVERSE FOR EXPLANATORY EANGUA,GE, ,��#�;�� �2�s,��y��s� _�'`c/-�'.� ,, _. y�� _�S q atu e of Pe m itee Date . . v' w. -�;r,.� ',.is �'- r v ::,� .. ,x* u � b a'. .. ., � r � i e .� ���,��t.-,�........a.'��..�.� Y.;.1 ,�'c'�. a�=...: �rv 4.es _. ... . . . .. . "�....,_. . , . .. ___ . ... - --__ .__._.. n.. , . - -; :., _ ;:. � , . ;, _.. ,_ � , ,., � ` � Y" t. � � „- , , > 4.� , ..,: ,,...� ,,: . - . _ � _.. ..„ � . .....: ....:..� ..:�,_,.... _ �... , .... � u" �''������� I.NSPECiOR'S NOTES����m ������ � O�VNER BUiIDER DrCLARA -^,'v P.PPROVALS , � DATE � INSPECTOR S S�GNATURE � . - ���� � � -� ^ ��� 4���-� -' . " , ...._;�,_ ... . :.. .. .. . ... . .. . . . . . . .. ,. ., - UNDERSiRB�WORK - � � � � f hereby atfirm rhof I a exempt?ror the� cnirac*or's _ :_ .... ... __.. .. m � ROUG4 PLUMBING � � � � . � . � � - � License Law for the iollewing reoson (Sec±ron %031 5. � GNS PIPMJG� ��� .- ,. � � � � � � - Busrness and Prcfesslans Codel Any afy or rounry.v�hlch _ .........�.................w..�..,,,.._.�...«.u.u.. . . . . GA54ENT - � � - ��� ' � . � . � '� reqwres a perm'ri!o c �sfr�c},�a�;er,impro r,dem,^.lis'r., �-��- �-�� �� ��� ��� � rior Po its Issua,^I[e, a!sn re- . � . . or re�air any struciure, p HO7 VJA7ER-HEATER- � - - � �� - . � quires the applitant for such permit fo tile o;igned stcte- PLL'MBIhG FIXTURES ' ',�_ -�� � ' � � ' � menf fhot he is licensedpursuant to fhe prevlsicns of fhe . ... --___ '__—_ ._ , �_ . .. .. �.....� GAS TEST 1 . � . . ,.... . . -. ':'� . ' . Contracto s!'rcense I.aw jChap/er�4;commencinq r✓�fii � UTILIN CO.NOTIFIED�"���-� � � � - � � ��� � � „, Section 7000)of Division 3 o€�1he Business and�Profes- � ._.. .. , _.__.....,,.... _ sions Code)or,'hof he is exempf iRerefrom ond;hebasis � - � . . for t.be alleged exemptton. Ar,y violc�tion of Section � c7- , � ._ __...._ .......�.�,....._ `- 703L5 b pn o 1'cani for a ermit sub eas'r`ie o i� � F�NH� . . �.LrsEPr oav.�3raat .. � � Y Y PP' A . I PP�- ` �� --�- ---�-�-- - - cant io a�ciyil-penakyaf not more tfian hve hundrad . , . . . �. . _... , .,_.;_ . .,.,.;_.,. ..,...M.-�«,... . . ��� _ .: . .. . . . . . .. . ��dollan($SCO).: � ����� , ner F 4he proper'�wii;do he ork;.ond iNOUSTRWC . ,�.. . .� : . . . . G I o._.._......_.... l'WA57E qPFROVAL � � � --'---� . - � - the 5!ructure�s noi ntended or offered for s le' , � : , -:::- ;:.._:. ��.. , -.-,�.� .;._ . ,._z. .. �.;_ -.. ... . _. .,..,�Sec,7044.8us)nessandProfesvons�Code:�7heCcr.� ... . � for's tfcense law.does nol cpp7y fo an awner of prop_.,y . .�'��: �-: .�;� �,�: :;. .'�' ' ������ . .`��. mproves ihereon, and who does�such - ��. , . .-��. � �: � _. _. . �� �. � .�'.�.� ;:. -.:; w6o 6mlds or�t - � '..� ..��':� .<. ..::�. .:, ..:�.:. ' .. .: : -;,.,.... .�:..�.� rev'rder!thut suoh improvemenfs�are not _.._ ._..�_..__ .. .. .,_�. .,.�, •�-- .. . . ' . . , .- ;.. ..'. ..'. ":�, .�.�. .. . .:. .::., �'. . .�... . dforsale If howeyes:the.bu�fd�nyo . �.� ,..:.: .,.:�.�,� .,. ' �l.; .�..� ,.,":' . . � ..-;..', °;. . . '.mfpRov mentfiis old'within�oneyearofcomplslion,the 1, ..r .,,- t. -.�- , -;�_: :�; .,...� -.` . -._._. _...._. . ,. �.�� .-c�� ' ' � - owner-bu�ider}yffl,f�3vethebp�denqi�prouiiig;hcthedid ..����: "�� :.:, ,� "� �' � .:... . ,.>, �.:'. �::.� �-.::: �.i�� � . LL6uildarimprovelerlhe�purpose�ofsaie.j ,.__v.. -��; .��.�� nof � _ � - I am ezemp!under Sec - � � 'l� . � . , � - ;, ,. ._ ,, _, .�. ' ` �; s ,. .: .. .. .. .:; , .:� ,,.:: .�:;�.. � C.for this reason .... .. ... . . . ;�_ ._ .. . ��-. .' .�. 8&P.. . ... . �;��.�. ,.:�� . .r�:� ,:..� :....: :.:. :";,�. ,.�.... , :��� .' � . . .. . ; . . .. .. .. . .. _ . ... .. ... . ;;: ._.,. .. . .:.,. ........... .. . �. �,� .. �.... .._. , .. ," ,.: . .. �,_ _.. .w::._..�.�:Date� _. ......_. ::. � `; ' �.:- , - -� ::� � � ... . �� . .. . . . .. :. :. , -� ,�., ..��. =.e. ., ... .,�.: . .:,= .., .�,1 ,.�,�2 _ . ..: . , ::, .'. '': ....,'....,..�.�OWREC �. ��.: "'. ' .'.�. . . . .:,.. ,».:, " . ". , . . . . .. .. _ . .. INSPECTQR'S NOTES . . .'. _... __ .__ .. .. _ """ -- '.• _:' _..... . _... ,'. .�. �;s,� .�;�... �„ � `- '; , . :. ..i , ` ,' ;. . � � ,- -.<;� ..;, , ���' ;�a�.: .:� ' � ' . .:.:.. .. . ;.��,a,..e,.e.�a.�.,.w:�, „ _. <��.;:.,Fn�nx+�..u��si.a,n,Mi�,w��.ra;:K.,,.��.�.z�;. � .,.s, anz,n ,..�,. r z rc. �em��',n�_ hS:- - .. �' ,�: .,., _..:,.. , l��.., . ;.��� .�_., tt ..�...>_,� b, ...�.:...�.a ,.,_._,_..:.. -,..a, -a�� w,.�...a��vsoMmex.,,:�u,->..� . �., . _ : . . :.. ... .: .... _'_ _ .. . . ,� . - ., .,_ . �, ,: . �.. ... ., . �, .. -� . :.., . . . ., , . ., . ., .:... .:... .�. ...,.:�.. ., :- . . �.� . . .:�_.� .. . ...'.,t .:... , � . : .�_,.. ;.. . , ...� .�� ..... , . , ..: � . .. .-.�... . ��.: ::;•,�,.. �+s+:'in«rri. ., :mam� .�. . t .,. ... . � � .. , , � ..�.� �. . .. � : . ': .. ;.- .. . . '.:. ;.,. . .... . . . '.' ' . �. n. ._,. �-.::' ., .,�.....`.,.... ,....�..e, _....� ��,,..�, � �.���:... -.'._.. � � '-��;wsyesrm:>�zsa.•.-�,a�rsn�.»wmY.�.,au.�+r�x�e:e .ws.xa. . . .., _. ....--� ���. � ,.:.:, . ... . . ... ... .��. . ., -;' ,� . ,:�.� , .� .. ,... ,. : '�.:. �..'. . ' : - � ...._..,. �-' :. .. � .. . ... .. �.' '�owe��.ww�rsuae..uaa�a' +wnw:w��e. .. ... . ,. ..: - . � . �. .. , . .. .;. , _ . . . ,_.. ,:. ., . : .> ;.. ,.. . �_, ; . . . _� . , � . . . ... ...� �.'. . : :.. ...-� ,:. .:. � .- . ._..._. ...tre�on q..roa.,u'mu-"-eA.. .. a