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HomeMy WebLinkAbout1625A � ���� �� � ��s aw �>�� ��v'�" . ,-�- .� t 1�"�:�� � .. ��p� �i�� �� ..:,E�« �.�r�^.. '�'�i�.�A f�w.�.�/'k�►at rq�q.... , � ...,. .�.,._..""� WORK�RSgCaOM'E�f��ION D�CCII�2�N� � . .� ..„/`7[� ���A �4'V� � �U(Yl I'\V P �IY��:.;�a<.. ���; .,�wt�x.«�«�sr „�:�,ca.a.._.�s ,c r_. . . ...:,,. � _ . . .. ��'�I heiebyyaff m tha!I ha e a rernf cate of conseni io sel��%� 7yq667A -;insure or a wrtifimte of Workers'Compensation Insuronce, CE 817 lREV 10�81; %'oT"a te tifi d copy thereof(Sec:38b0,lab.C.1 COU�iTY OF LOS ANGELES BUILDING,AND.$AFETY. ,. �'�,. �� �y `'��(((P���oli���cJJJyyy.```.yyy;___�JJJ���Company �✓�,�� - � � ���;h�erfified copy is here6y furnished. - ' ' " '-" ' � ' �BUILDItVG /-,��..�. G �: -� FOR APPUCANT TO Flll IN(PRINT OR 7VPEj. �S a�'"'�Fd '�;�`� Certlfied copy s filed witn ihe coumy building ins ec- AD�RESS � �'�?P �t,�o(n d{e�pJartm 1. NUMBER FIXTURE OR ITEM C fEE �OGALITY �� �-tw.�8�a f�•I � WATER CiOSET � ,r� _, _ . ...._. .. , �%Date� ,�Applicant NEAREST ,,' .� �,s'��C- ��54 - ' . . �� CROSS ST. �,,,, ^t}' E�RTIFICA7E dF'�cXE�A�I'10`�}�RO1vS��RkERS _ BATH 7U8 �'� '�.yr� ��oMPENSA�ioN'ini5uRxNcEh OWNER ��� � 3.$ }. a�2� 1.%�a , eKr�y.a.t C '. ' . �SHOWER 3-�- (This secTion nee�nof�e complefe�it 1�ie wo�k invo�ved��6y�� MAIL � �+ /�� � TM�The permit s for one hundred dollars($100)or iess.) LAVATORY , n f' ADDRE55 s7� � ��+�'� ' ,``�'k;�f erii{y`tFiar'�in`i�('ie perfo'rinance�of 8i�e work for�which iF'is � .�:,F+���m t s issued,I sholl noi emplay any person n pny manner S�NK GIT 7EL.NO. ����Sd as to hecame sub�ect io the Workers Compensat on Laws ' " �.._f r ,� t ,�,w,���T _� �� .. x,.h ��`., ���_, ., DISHWASHER CONTRACTOR J� �'� �'�' CLb7HE5 WASNER � ix�k.�.: � . `b�Da�e � � � A.ppl cant �- � �x t ,' ADDRE55 D S 'k 3'N�STICE""fC��+PPUCA�'T If�affer making 'his Cert ficnte of �'� � . . �t` .- - � � SWIMMING POOLRFCEP'iOR K �":;Exempiion, you�should became subjec� fo the-Workers' CITv TEL NO. �?(�� ';;iie;��Compensation piovisions o4 the Labor Code,you musf forih- �AWN SPRINKLER SYSTEM �v th,eomply with such prov s ons or this permit shall be S7ATE 9 �,., /� r �deemed re okecl WA?ER HEATER LICENSE NO. � ��!�S 3*� � `�.;��YSa,�`•-'��ICENSED COI�S�FA�'f�RS D�CLARA7�ILSN ��� M DISTRICT NO. PR ESSED 8Y t= �' -� �. + *�" +�+#'?�•+� �� � '+^":�,•>_ "-' GASSY57EM OUTLETS ��'I�iereby off m t�iat`�am I�censed under provisions�o�C�apter 9'�� /� _2�..e.y.-c� y `T"`'��lcommencing with Section 7D00)of Dwision 3 of ihe Business OUTLETS OVER . . p_ -�„..-bnd P ofess o s Cod ,and myy l'ic'}eyn�se/Js in full force/a'n`d effect. 5 PER SYSTEM � FINAL`//�/�� VALIDATION '✓ ��;�^ r� '-�t����f!V IC{ C.y.� DATE `� License Nu ber ic CI s `"= ,:.�°::�uQ. 17w��,.k:G�','',�,�i.o'`��5` � ` ""'A,, Controclor � �.n_..�-n. Date �,.. �:.�:. .......:.......r-._..._..�..,,,.....-.-,_,�,:,.r...�>;..,,>..,.�.;�F��.. ._� ..:...,., y�' '� BY � 5""'��,.°� 1 am e empt unde Sec � ' � � r�y�,, E s�� kr -,�-. �, r-. �"`r + ,- a .. �� .., .. . .. ... � ����B 8P C to rh s�rea�son ���� � , � plqn check fee � v �, �fie--.s-t�' k�! .�,s. .` `.s��'` .�s€✓ +�?�.�`�ote ._. �. L D �� � -z �p r.� .�,,:' ,� y-, �.g,r.� 'r� ,�,w: q _�, .:� PLUMBING PERMIT!SSUING FEE 5 �r'�� y�'j � '�'�,'�^`YFm S g afure . - ,r a o n " T c ` a� '��`a s-°? '' t -' '� ,�n,� �*:.+�..+� � Y i. ��E'�r. Y-...x. ��1*�.,,t h ��:% -�-' Plan check applicant . .. ......... . . .... � W e�G J�Q TOTAL FEE �,f'� �, 52�� �- � SINGLEFAMILY �� � . . . . ,. :•.. �. ..� ,.--�.. . . . . _,.. '�-��" �f- I�OhA�-0�I✓PTER�BLJ1LD�R DECCARATION � � � Name � ° `�G��=� '�`"!� ,.,..,-.�:�:� �:- � � ;`I hereby oFf rm t'hat I am exempt from t�ie�onirocto s licens'e���� � � � '� �'���� ��� �� �4 M��'•Law for the foltowing reason(Section 7031.5. Bus�ness and Addraes j 2,i i " '�Fi<.i_.....� . . . _`. ....... �,.... .. ....... ........_ ......, ..,. . :;;};y.*!professions Code): Ciry Tel.No. � ❑ I as owne of the praperty, - . .. ... . . .. ..... . .. _..... .. . ....., -_ _.... . . . . .. . ,'F wJl do ihe work and the �y �,r 'sl uc'`u e s no� nte�ded or offered,for sale(Sec�ion A , � y 7044 Bus ness and F�r`o�essions Code)� � - � � _ �, r . . �..�. ..., ,.... _. r> . ... . . . .N .�.�E .a„< .,... . �.- . ,. . . . ....... .. .iu;k s� s cx�y �- ... , .,.�. , . t._,3�n ���YL .fi:- .. �.s . r.. .�x�'. .., ,.,,, �:�.����ONSTRl7�if����W�AG�NCY � .. .... . . . ... . . ... . . . .. . ... _ ... _ ...,. . ... . , . .. . �; I'nereby af� m t�ipf ihere s a consir�ction len�ng ogency for -� �+ � � ���� � � � �9e3 the performance of the work for wh ch this.perm i s�ssued � r '� ' (Sec 3097 Civ C) �� �t.2' ses�:rt'�fi��''s�."[it';�.'�'�"'-��a5ki�s$�i'^"a� -�. � r,.`k Tk.T4�ak��i�'�����'4�s�.t`� ����.<s�k.s.°S "`�5.�''� t cw`�a,-'`S¢x ,����.�iD'-�,�.�'� ",�,�,. � .3a�r ,p --,t:g ", �:'��ender s Name Y ,� �-:; r��2 �� � '�aS�'?'._ �:?".Y�+^���-'�a.k�'ic .��`:.� ���, '� �-.:.,gir-�'�'��,�.'��������'x�A.f...''Sia�r i�'uiE _�a �Yfi�+ a.�t. .-c�`_d'�.�.�.:�<�?,-x Z"!�:'r,�"r.4. �.:�,�` ��`ci��' .� ,.... .. }uc,lende sAddess � � '� _ _,_,,. ' ' �''"'" ' �" � "�` " --. ...,_.. ,�,.�,.r . _. .. � .. ...... . ...,. . .,...,. . .. ... . � I ce�fy ihat I hove reae�t�his aPFLcohon and state t(�at t(ie . ... . ,.. �. ,. w . ,. � . , �y�above nformaFon s correct I ogrr.e to comp�y with all County ih ord a eeg a c(���ate I�pws regulat ng Pli bing,pn ereby� .��.q�itho z'e eq��e�sen�"a�fiv�e��s ih Cou enter n 1F� ' bo e...•�.t otR1d e/RRkY P ti `? , . , , ;�►—v � p SEE REVERSE POR EXPCANATORY.LpNGUpGE., .:N,. � Q . . .... . . _,.. _ ,,.. _� . . .._ . .._ -r;`. 5 gnat e of Permittee �6ate �. , . _ Y' __.. -',.� .. .. .-. ,.. ... . '... -.... ... ._ , ".. .i i' �....i. `Sa�- x '�<.���.,�,,.. 2 f ."'.xti� ..�.r- +.-.�n ..�......, 1. ... . . . 7�t,�.�� ���> f ��.��� . � ,. �.. .��-�s'S` t 6�+ry .. , ' ,.. .. . APPROVAlS ��� RTE INSPECTORS GNATURE ��"+SPE�TOR'SNOT"tS ��KY��x•� OWNER-BUICER_DFCIAR..CiIQi� �~W�,� UNDEF SIAB WORK �� I herecy affirm thai; om exempi from'he Conhacror's ROUGN PLU/viBING �' - . � !�cense Wva f r !he followiny rccson (Sect;on 703L�. 0 GAS�PtPING ` � �" '� �� - � , 6osirtess ond Yro�essions CodeJ:Any ciiy or county which � GAS VEM ' � � raquires a parmi'r to ccnstruct,atrer,improve,demelish, � HOT WATER HEATER'� _ or repair anY siruc+ure, prior�o iis issuance, ulso re- �����quires the applimnt for such p�rmil tc file u signed siote- ` PLUMBING FIX?URES ment Ehai he is Ncertsed pursuant fo tie prov;sions r.f the GAS7ESi � � � " Confracfar's t:cense Law(Chapter 9(mmmencing witn �. UTILRY CO.MOT�FIE� - Secfion 7Q00}of Divislon 3 of 7he Husiness ond Profzs� . sions Code)er ihat he�s oxempt 9Merefrom ond the basis " �- c7 � „_, iqr�fhe alFeged oxemption. Any violotion of Scc�;vn ' FMAL� �n(e�on J�roref. . ' T09i.5 by ony applimnf for a permit eubjecis fna appli- � ' ' """" �"-'�-�" � mM 1�a 5ivil penaliy al nof more�han five hundred - � dpl(ors($506).� INDUS7RIAl^ � � � �, ❑I,as awner of ihe property will do tha work,and VJASTE APPROYAL � - � �� the strucluie is nof iniended o•o4tored for sale. ' ., _. .,.... . . . :- . . ..,1'. .'_ '. ' ..s , . ; '. . .. '. ' . � :,,, � .: :'_, _ � _ . . Conirao- , ���„-.*� " � �.:.:'-� '�..f�. . , . �-:. � .:', tar's License Law does not oppty�a an owner of property � -' ' � - _ - _ '� 'v✓ha builds n{improves}no�aon, ond wfio does such , �' . . �: :, �..�;, :....: . . .,�,- �='% , . -.�' � .. , - � wa'k himsel4 prov7deri fha!such improvernents are�nof . .<...., ._ ..:,., .' .,. :. . .. ,. . - . . . . . :. �: _ . . .. . _ .. �. . � . � �. -����-� -`�'�-:- .� �� � '-.�- � :� �' � � , rntended or offered far sale.!f.howeyer,the bu'rf�ing or . � . ' � . . � - � . . . ' ,. . � �.4�LL rmp;ovement is sold within one year of compleiion,fne , . . . a. �... _ r . , ___:.:..�. ,,..... ..'r.. ... ..:.._-.... ..: ._.. . . . . . . ;... athed�d . , , , ,�ovinet-huilder v�rll fiove fhe borden of proving ih ". ,, . .. ;;,,r;- :.-' ` �., . _ .-.. ,..-,_., .:._:... .. _ . . _ or sal .. , ,not`6Uifd 7mprove!or tne purpose of e.j ' . � ..._.. ,. . � t�. � � .. . .� - . .. �.. , � , . . , .. .. .� .. _ , : . ' . , � I am exempt under Sec ' ` : , '_; ..:. ._ ,._ .. . .__._ _ ,�..�." : ._ , '._,. . B&P C.for this reason - ..,. „ _..T._... . .. . . _ . , . . . . , ' _ , ..... .Date. .. . ... . .... . -.. . ... . - . ., . . .. . . . . . . .. :: . . . .. . . . ... . . . . ,ry,_. �Ovaner � . . . � . . . . .� �.- � ,. � � _ - .. �. , _.. . .� ._: .. .�� , - � ,. ., . .,._._._ _._... . " . � . �:-.. , ,.; :..a .....-.. �-.- .:.. � � ' ,...�...., _� . _.,_..__ ..._._ _........_ .. . . � . . '� � -.:,ai b,..u..,�� --,.....�,. -�:,�..�....,,,W,,:....:... . ... . . .. ,. :� .,. . ..- _. ..__. _,_ .-.- ._. . .. , .., �. :. INSPECTOk'S NQTES _ ' w.___'.. ..S ' . � . , .-�eM�r.,,n� ' �aw*�wmrmt�+s�x��taic�w'.w..,.w . . , . , . . .+., .MiGi . .�.,tti�,.� w..m.rs.,���R.�se.�E��.�,'sx .�.. .... . .� ' - � - _ . ax.ti..a.+c.a�+,;�'t:' . . . .. . ..::-,x.:..� .. . . . .. _. ..� _ . _ ...._ �....�. ....... � . '�.-. ._. � ' . .:,.'. . . . ... . _ . ' ' _ � ;.. -� , .. ..: - , .,. ... . - . - ..,�� �. � .. . . . , . : . . . . , . ... .., - .'. , . . , , . . . ,. �. �-., :. .; . _ ,. . .. - _,._ , -. . - . ., . ' . � ,: .. ,., ._ .. . .-:' , , ..,. _ . . . -_ . .. . ... �q..o.,.............,w.».�u......ri-,.,.,.,.„�-�.,..ow..v-.,.*-c,+mne�s�ea3�..,.bxxe �..ris»rx.r ^rn.s:a,.,:,'c�r:.�'�R.'�Fnr+a��nn-tt,xt�+a+.,a,F>5vhP;a!uA:x.e,,m.*s,^5 Y�M�xs3S'^�r . . . .:.. . � . , . ... __.'.._ ..�. . .. ... .. '�.... ,-v.. ..' .M.u:�w �. , ''z' ' . . .�eR"•#'-�'•a�ar£+3a'�'R.i� � �'�'L�.Ya^,Ti��,:\7&.iin`L;t%FS:.:'6`..�4tiY+..:,:"tz:= � " � � .. ...:....... ....�.. ',._....�.....� '� m..�ma 'umamav�•.wefAa�.s`Rrstiama a.sm' �Arn'�".+t�&.�+'X!,4'.k"'@.W.k�S.zFN:... ++`3Wtk�N6fW5'9e'�x9MkYcY�,.Xltiv4.a'�6��;e4v�W-„ , ', . . , . . . .,�,. _.. ' , ' ' � . . ... . .. ..o ...�......,., .�:.� . . .�vun -fw .�-. _�'^rt...Tnytm�'a+..,N.,ra.»P'.4, r+: ., wa+�.�, w�n's�«�M�:-.. ..