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HomeMy WebLinkAbout1710A i � .. t � . , : ..:-.., �. u.,k,e,.,.: ,,.r,�, ..� :�.. . ,p _' � � t �[ 4o e ( t> �`�y�4���a��au�,x�xar,e���C��ro:'�w�N CI.AR`�ON'x�"�i �'�r� ..;..ie �x.w.�:��..�#r�^•J�$�d LI R�l� . �� ......, � P� 1,. 7�� .... � �C�, .� �€ �;��, I hereby o�firm�thor I �ha�e a cerhficate�04 conse,nt.to self ._,.76A667A, ,. . . ,_ . � .., . ya� ... f a"�" ni"�rcert fied c6p I the eo4(Sete 3800,�y nC j on,Insuronre, ��C 817(REV.10/811 . , , '"� '�'�Sa 5�� —�'� COUNSY OF LOS.ANGElES BUI.LDI�JG AND SAFETY u,y �y �i��� Pol cy No CompanY �'3—R�£ ��^.f0 . �.�... _._ ... . ...._. . .�.- � .�� . !`'� .. . k� �� Cerl fied copy s he eby furn sned;, . . � -� � ��� ' �- BUILDWG . � �� y �;,;,.;, „�, ,x.f,.:,,;.o-, .. y,..2 ,..,:, fOR APPLICANT TO fILL IN(PRIIVT OR TYPE! �! .. _, Ceriified copy is filed wdh the cauniy building mspec-. At3DRES5 q� ,� �.z-�' •� � menl NUMBER � FIXTUREDRITEM -C�- � � FEE� ��A TY � ..`^ -.."_ � uon depart ,� ��"� �D ie�f`�'st�"",s��'4,�A'f ant�k"t'�'xs:." �9 r�i� r' {:. . � wa?ER c4o5E7 , . �'�� . . . .... ... ,.. . ....... �' NE R ST ✓ .� PP 4 �� �, � . . . . CRO S ST G�2�FiVD F'FJ' ,Ff( �','����` TlFI A E`�0���?fI�N f�O�ith 1�R'�C���'�' BA7H*UB .. .. . . ��'S�� �ZjMPEN�SA7ION I�1S(1RRINZ�E Y.$.��'u � `HOWER� �� � - OWNER J3�9 sy;9� �;, �°.'� a ��axu ..xaw� �: . . ..,:..:. .. . . . ...... . ............. .... ._. �T s sec ion oee�l no4�e eDmp�le4ed ii fhe work mvolred,by .. .. . . , MA�L. �'����}h�e perm�t is far one hundred dollars{f100)or le§S'.) ' LAVAiORy ' I ADDRE55 �.`5f- ) yy � y • � � ,.�/ ���I cerhfy ihot mY,t6e perlorriiqnce o�f t�ie wo k fo �wh ch th�s �� , � � � - � - � � � � ; #��rpe'�'mif s ssued,I sholl not-em lo a ers6n n pn monner SINK � CITY � TEL.NO. . P Y Y P Y - ..._ . C�. 7/Y- [�S�'/ �s$as�to become s�b�ect to the Wo kers Compensation Lqws DISHWASHER �n�..�� v r i x-"+.,s � CON7RACTOR�-,��- �����'��'-��z `s �v+,����''�s"��?.�''��;��5��x "�-� � ,� �,�#xDote� - Appl c nt CLOTHESWASHER qDDRE55�F� - � ���� , ��iCE�6 f1PP'[i'�'(� If qfte making ih�s Cariificate of - � � . - . . ������... .w. -4� .. . 5WINJv11NGPOOIRECEPTOR �� �� s3`�,with�.comply rh such prov s ons or this permii..shall 6@ . � ��- �� �5 ENSE O.r�� / EL NO,rJ. ,, { f� P Y IAWN$PRINKLER SYSTEM � ..-. ����deemed e oked WATERHEATER J��� � CA55 . Pi on i'�cEtJs€t���w7r�nefoRsg6"�cLaeA4io"�v Wo ke s ciiv .C, t f6t on ro sions of�he labor Code o must forth �+ � _ ��� "�. , DISTR'ICT NO. . � .. � RO 5ED.6V .., ; ,�' � ' � .�,�.""* x�tu,R'H'�''�'�'x '�,^'.`" ''��'.:� ��'1d..: GAS$YSTEM ' OUTLETS �'�+"�y51 �ereby a�rm�ihpt I am licensed unde pro is ons of'Chapie 9 � � 1 `y (cpmme ang with Secho 7000)of Urvision 3 of ihe B sine s OUfLET50VER - �� . �` ������ ;;�;��ois�3� e�ss�o�sC�oNd���n�my,lce.se�n_�fv�l�force�effecr. .. saea5v5TEnn ' � � ; F�NqI . . VALIDATION . . . ... �' � ^, . ' ��,7 �,.:� � DATE .. . ._.. .. . � ''�-,�„�L c�se Num er����3�+ LiC:Closs '�� � .�.,...4:rs.r-.s.�s�s�,�:w:u� a ..�s�; ma w...x ..�.., :s:.a � . .FINAL � � � ..�'�r wvy �«Wasc.yoo�,�s�""�.C�". � S/-�d',F � . . +f � � rt�,Contractor Date f. . . .. .. . . ..` . . BY ;. � :. � �.. . � . , .. . . . .. � :tq�'�� I am e empf under Sec „ . - - �� � � � �" N1 = � r����B�CY�fo �h s$eoso��`�� ` P1an check fee � � ' ��'�y� ,xar� �a � � �s�°��� ���;'� �� �a _. ; � �'ys f,� c� ��- ���e r � �.a.�, PLUMBING PERMI7 ISSUING FEE$�� �. y4. �`� .Sgnafure x�tr� i'�: �x 7.� 7s ?,€' k ��� � Z,'` ��:,ry c �"�'`� �` ���'�'y�'�'�5`�" �''�,ix r � � � +5;.. i OTAL FEE . � . �� s�`����rk'4""��'u��F.dp,i's�,f.y 'F�p'`i' ;�.s.�r A �'� 5rro �.�, Plan cher.k applicant.. ... -- . ..... _... ... :. 4 d�i�h R�.���.�u 2�Y-*S�IV��C�/�IV`���/ . . . ._., . ,�.., � "�' ''�' '�"i.'�""e� HbA���OWf�Ek 9lJILDER�ECCARATFON � � Name . . ... . .. ... � � t P p.w1�aE.z �-. � a�. ..�v..,�; . :w� ,.y..: 2M , �._� "� � � �by affirm t��at I�om exempt from tFe Cont vctor'slicen5e � ��. -��-- " ��"""' " . . � � L �o the Follow ng reason(Sedion 7031 5, Business ord Address _. - {��Fi � X,�,�P-o}�' s ons o'�� ...... .:.:. � . ..... � CSty .� . . . Tel No ����I�I � as owne of ihe property II do ihe work ond the � � - � .,.� �, . . .. . . - �k�� .:$fruciore s no( ntended or offered for sale (Seciion � a� � i- .;' ",�'�,;,,¢�.«�i.7'044'$u�ss��ness and�rofie,�ssyians Code) ; ` � � � :��� .'��#.�`'��;-�,��,.� CONSTRU�fON'YEFIDyI°NG AGENCY •:: ..,'• '• ..,,� � '� N �s � .�.r -t�. 7 ,. ��. x „ :,ts� ..a � t�.� �n��j�.� . � x _ , .�.,,.,..,. .rt.-�gu:�. ,.,., � <.. ......, :. . ..,s �...,:.�.. , �..��:: .. ..,,, . _. . �_. .. � -:,,. .,,,. . . ..,. .,. ,. '.�,�I hereby a�firm Ihat t�ere�s a construd on lending ogency�or ' ` �' " ' N . yx�` 'U.J�� � ihe pe fo mance-of the work for wh ch Ih pe m 1 s ssued � `, � (Sec 3097 Crv C j � �. . . . � a� -i�./'y"�"aa�'�F� �� ; " ".� . ;� , 4 �� t�" ':.�, � s -�c .`a ���� y„�`,7.��' 'k- �sz�. .1w j�� w rr��. z tr�'� W+4:r? •N t�- '� �' . � �a�tax^ ''�" f�ame -. :k � s - �' � y ���. ,.�s t �� .tb 5.: x , s sf. -- " . '�.. � . ��xs}'�Lenders .�a� vi# `�.., A t 1'_ # -ir �. � ; .?,y w -;,�,• u;3y'a 7sfi+ s.w,�- a'., a Y y L,a�>* � ^s �'t i " �.., yt"y abo e n ha�ai�On s co�ecth Isa r e to comol dw tate� ��, .;'ar °.d�+.*r "r ,?"�'='i. t^""fs. �w�.a �'�R@F.f,3��J"r��- �'�' &�. ��- i:.,...��� ,.....� �a'�,�Y.*�'.irkA,,d."�.� . �; �'�'� �q�`z'.�r �•'"�h. �'`s� c, �� . � ..r �.,u,., '., _tt� . . , � .. . . . . _ . . ..�. Y PP ._.Ihaf ih@ ' .. . :.... .�� . .< � . � g � py nallCo nty .. ... ._ �.� . . ' .' o�'U nances and�tate la s�r"egulahng Plu b ng,pnd here6y . � � � � � - � � �,.a, � �',y.�auihor ze rep esentot�ves.o�th 5 Cbuniq to enterbpon'the � � , �:r .�.�,abo�e e tioin,ed roperty for nspection purposes:�. . � � - SEf REYER5E FOR EXPIANATORY LANGUAr4E ,.._ � ` .. . _..,.... . .. . . . .... . . . ��,5�. r. - �. ._,_.c�_.`?�"�+�.� . . �. .. . - . . ... .,. _ . . . . . . ... . . .. � �� ignature of Pe. ne Date . . � �. � �- � - a ..,_.�—_'L � �r a?��f�����t��`k�..___��-_r��(+�����:.� ...,,c.�,:, ': F ' r.�,�'r��riw-+r �'i`t ..�m.-s-:.a� �'�Sw2�.$ ,��';S ��'3z�.�`...;,..��-:.;..,,;� ... .�. .�n.a�^muR•=�..�,s,am.zres:a.� .«,t._.M. _ . _ _ . _ _ , — — - — �— �� � _�_ . � s �,� � ���APPROVALS�� DATE y� INSP�CT°�ORSSIGVAiUitE � INSPrCTORSNOTES �� � � � �Ow1NFRBUILDER DFCL4RATION ��� .- ... _ ..�...:.M.»;... UN�ER S�AB WORK �„�., ...�..� . .�, . "... ... . �.. ,.. .. . ., :.� , . � . .. : . .. . � .. ` ROUGH PLUMBING ��� - - � �� h s6y ofrirm-thot I an exempr from ine Cmrrcct��'s -' �....:.�� � .:m. � � . - License Law iar ihe 4olio�n�irg reason (Secf'ron 703J.5, GAS PIPING �� - . � Bus�ne s nd r rofess ans Code).Any crty or courtty which . � ... . .. �.,....,...:... �,�t.,...., .�......,._....�.. ;�. GAS VENT �" ' � � ' . ,., , ,,... , ._ . . . . � _ req res o per t'o construcP,ol�er.improve,�der,.o�ish, ' - - � �' � orre alr any s}ructur., prior io I;s issuance, aLsc m- �� HOT WATER HEP.TEk. ... .... . . .. � ....,....,.,..,.,,..., P � . qoires ihe applimn?for such permit to flle a signed siote- .; FLUM91hG FlRTURES�-� � - � - � � ment thot he Is liconced pursuont to the provisions o�the .. � � .' . _' �' _��.� ...,.......-�.,...-..�G.,.,...a«..,...e„�,,..e,,,�.�... �� � Controc;crs Licensa Law(Cbppier 9(commencing witb GRS�TEST - - �- � - U71UTY C0.NOYIFIED �� � � ,,,r, Se�ition 7000)of Divfsion 3.o`the Busrness�ond Proias- � � - V�sions Codef or thct he is exempd therefrom ahd 9F,e Sasis -� . � � . � � _ � � !or the alte,g�d exem�tion. Any v7o(aSion cf Sectinn FINAL . . ...........�.-. ,.,..�.._.. �� Gn.te�nn �ronf..,,. , :,:......_. .,...... ..___.,._ .. ._...__ _.__ .. ..... . . ........_ . � . .._7031 5 by any applicanf fer a permit suS�ec�s the r.ppli- � � . � ��-� ��-�- .._cant 4.�.a�,,,,,,,,,,civil penatty of not more ihon five hundred . .. � � . . . � � . . dollcrs(5500) . INOI!STRIAi � � � ❑t cs owncr ot the o ert will do 9iie work,ond �............ WASTE APPROVAL ' — . . � .:.. . , ... the 5 rsctUre is not intended or:ofi,ered for sale. ��� '. ' +.� �."� � , . � � .�. . :�. �.. �� ... .�..:: " `: � (Sec.7G44,8usfness arid Professions C'ode: 7he( ,cc-�.�:.. ,,- .;�. , �:�. �� ;': : �� � ,��. . :.. • ,� .J . '.��� .:.tor's License taw dons nof apply ao an awner ol p�werPy. i;���� ��,who bwlds,or Improves fNereon, and who does sucn ,.. ., ., .. . ... . ,,._. '_ - � �.wbrk himsei6 prdvided ifiat suah'rnprovements are not .. ,.. , .... .-. . �, . ; ,'� ;;,. r� � . : . �. .. .. . ... . . ��,.., �� ' � '�-- ���- - �� �.. , ,'��� � ��nlnnded�or offered for sale.1f,however,fhe buifdtng or �"- -� '�. ��: :;�.. � ., '., - . . . . ..,'. .::. �:.� . . � , -� . . � -.:�.s �. �. . . � ``,� - '� mp;eiion .....:.. . ..:... . .:.:.: . ... � . ,:.. -. . ..--.�. �. . . ..:�.. , ..:�.. .., . ..��'!�: impro�emer.f is sofd within one year of to ,9ne � �,: .:�.�� �: . ..,.. - ... ..-- �,. �,. . ,..�.., rbqll�erwJlhpyaiheburdenofprwingfhafnedid p„�owtte _ - � "'no�buifd or Jmprove for fhe purpose of sale.)� � - M,y. �.� .,,..� �.... . . . , . I am exempt under$ec. . ,. . , ' . .._,:, , . . , .�.,���. ._ _, ; . ... . �.,.. :. , _,.. 0&p.C.for this reason ,«.«...�.�.a...�,.�,r. '. '. : , ' �. < , ,. _ ,.,_ _. ..: � � ' ��ate -� . . ,.�. ..i y. � . '. . ..,...- . ,: � ..:.:S , , . . .. . � . „ �.�. . . , .:�:�; �.: .� ....,... 'Owne�-�'.. ... . .. �:: . . .. _. . . . , ,. ' .�.. � . � .� .�: � : '. . ..,, . , .. . �. , , .i. . :� ; . �. . . ...,.�._,.. ......._..:... ... ..._..�._...........>.....�... .,_.._...��_ ._.._....:._ ._..<,.,.�_....«.. �......��.,..._ .. .:., ...R , I INS?ECTOR'S NOTES . _ ..�.:.>.,..,.�...w...,.�_._ _,.... .... ,, , ,: „ - : . , .., .. ,-.. __: .��+ ,�X.�.�-v_.�.,��a _ , ::., a ,,u . ,.. . 5eu:v�M�..1.u..#s.zst� .S'su^2x�_,.C.:%&�,�ea.W,�:��w T.�e..s_v�m::�d'.."m93�vt.ar:��: - �Ci,�"w'hrYm4'Yffr,�u3-�uJS%ar.:e.,L.u'.w.�J.�+1a,e..'E6v:.:C�SEJM,':Es:a , : _...,. ' . ., . ..: .:_... . -..'...: b�. ��-' ' . �..'^.s .nv:.-. - .. . �v. atiro� vwau.......�.�Cwy-.S:.snsM1kB?�G.A�:,.b:+9S?G}++�g'.6++(A+o-.�?iS,w'X'¢ce.uv=AYeYY'�..wak.af..n�Uv.iaxsr4vhWi��i.e:n«,.� : . . .. �. : . :. - '.:.:.. � �� ::.. . ,.. �.. . . . . . .. "�� . r . . . . a ":_ � . ',' _e. � .. .., ..'. ..,. .. . .. ..�.� .... .. . .AwX6' ax . .. . . . : .. : . '. - "a.�,iWrveb�z -�K+b4'.Np. ��..._. ...�..�. : ' �..:. ... .:� _ ...' ' "'.:' ..�_� .� " .. � __� .,-..:'F_ ..�. '..��;: >,.>..er ti�.�.a x.SN`�^�+w+ o-ri.�s-re'A.vm. ze:rt'wr�'�c.Y z".'#ae�.wus:tt.'�ro+ .:;�,;s,_' ,. , .- , ::_, .. . ..: . . ... . " ' . � - . �. �" ..�':' I � . � � . - .� ,.. ..:�': : '�' .'..� . ; . . . . .-.:... ..-..��,.: �..:�. . �' . � . .. . . � . . . . . . . .