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HomeMy WebLinkAbout1447A (8) ; ; ' r.�:��. ,x �:. �,�.s�.'-��.� .�-.��'rF�. ,: �,, ' _ A '� �� T� �CS�t LUNIB G T :-��, F _�� wokKeR� connb`sntco`nr oec�a.a�+nt��7 . � � _<,,. ,_ . .. .� � �� �m ._ � ,-�� :,.� �-��� fi���= .�,--� �� I hereb aff rm ihat I have a cert fimte of consent to s If 74A�6��R � � � _insure or a�2ert f cote of Worcers600 ab.nCalion�nsuran e,'�C'E;��l"/�"([2EV 1bf�Y}:.`""` "" ." `'."."'. „ '�`,` .e. __... _ .. ,.,._ , . .� �. ar a cernf�ed co y ihereo� 3 ; )� �/� CQUNTY OP LOS/►NGEC@S � , gU�CDINC�.AND,SAFETY ; :. �'"t�rSF-�J '.�aolicY��6fied copy is here6yP�^Y� ._..� �.,.._. ..�r� . n.:.M., . . � � _..��� ' -.. O O ,SHed <, xi ,. . ._.� .. '.� ,_ ._..•_ ,ADDRES� ... � _. c�-�—.�t._ _. 394 � . .w,,. _ w ,�Z�� �Z'�-� � FOR APPIIGANT TO PILL W(PR1NT R TYPE) c,!1 -- �Ceriified copy sfiled wirh the-county buildmg mspec-� -� � - _. - .,.:. ��h� �' " ":...`."`"'" ' 1 deparimenl � �. � � NUMBER FIX7UREORITEM . @ FEE�� ���A��TY�. '� � "� 1 G��� WAiER CLOSET .: ... _.._.._._....._..-...«..�...� . 6ate APPlicant � .. . NEAREST �� . . �° - ., .'" CROSS$i, " � ��R7iFIC�A�TE'OF EXE/v`1'�TI N FR�Ar('NIOR'KEf15 ., .� eaTHTu6 � . � '�' � _ .. : .`._ � 7 + COJ„AP�NSJCTi�f`�RJSUR7iFlC� . --... � OWNER � i . ,.... .» ..,,_.».> ...�». . .�This sedwn need not ba compieted���f t�ie+vor�r�nvolved�y.'� SHOWER : �:,„. ,. rotqlL �. . � The perm�t�:for one'�iundred dollars(f7D0)or less) ,,..� tAVAiQRv �. AADRE55���� - - � __.... ,I�'cert fy that'n the performance of the work fqr which ihis ' -�" """"� -"' . . :. SINK� - � '-� CRY � . T �.� � 'perrri�t is ssved I shall no�employ any person in any mannzi : � � _ . ... --�. . , ... ._.,.�. .✓ f _.. ... [.-, �. y 3o ns lo beca,me sub�ed ro fhe Workgrs Comperts4}ion Laws, „ � DISHWASMER � CONTRACTOR� � C , ,r`.. -. .. . �., , . . ; T,. a, y.... 4 2,. .. .. _ K . . � : '� , , � ' ES WASNFR . . � , Date � APPf�cant �- '°"'""°"" SWIM ..� .. � A�DRE55: . � Y ,/�C _..� CLOTH c�'�� �.�.�� � �� I E TO A�P�L(CbNt:��11 after mak�ng ihis Certificcte of� ' -'� � ' MWGPOOCRECEPTOR .. - ` `"_:-` '�.`�_.""���� --.. " � Fi '�e.f�-b T _ � �� .�rr"rption, �ou`shou7d`become subject"to Mhe Worl(erg' � ___ , ,„,,,,,,,. __ .. CIN � J ��<.,ompensat,ion provisions of ihe la,l�or Code,you musf.forth, „ .��qVyNSPRINKlERSYSTEM . ,._ � � ��- �� � wth comply wth s�ch.provisions�or this permit shall 6e _ - ._ W � STA?E . r� �'''��'���"� � ��IIC."��/Y,.`2�� deemed revoked WATEk HEATER . y--�� ��CENSE NO J o � G�ASS �- J � L1��CE�N3�EPC6N7R1lCT�RS�.tSEC'CARATION -. ' - .� .x�, . - . ' B =.-, w-. ._..._ tlISTRICT N25��" `"""" pROCESSED��V` - ;' ,.:x- ^ '� :` '.-�.,: GAS�YSTEM OUTlCTS '^"'� � . I(rereby affrrm ihat I am liognsed,unc�„er pro�ision;.of Chapte 9 � . L) _ . � (commenang with Section 7000J of+Drvis on 3 o�,ihe Business „ � OUT[ETS OVEF " - .. . �� -�� � -�� . i"fnd Frofess ons Code and my licens.e,is in full force and effeci. ,,. S�PERSYS'fEM PINAL �.� /,j��r/ VAL DAT��N. , . r.� ,� ( . .-,e-' . .�... ....>.. DATE , �� iy � ....:. ...0.� L cense Number ��•��� L c.Class�. � . �.- .... . . U. „ .._ ...�„„„. �„,..,,.,�*».wm .FINAL.� �,; _s.�"�.�✓��E� `�� �`�.,.. aY ,:.... m...�,.�.� ; Da�e . _._._. ., . .....<._. .. .._._.� .. ..__. .. ..__. � -`Contracro .,.w-,.z.r-. -•"eswc��„,t. ._;�.�at'+�z� �-�n� � . � I � I am exempt under Sec . � � . �� �� , � W R,w e Sa C for yh s repsor, �N � pian ch��k fee „ � �__ , � >, � ;,�J =�, ' x Date %�. � .._. ..,. _...:�.,-.....,�«: �.. . . . . ry •-.a.- . � *�.,��, PIUMBING PERMIT ISSUING FEE$ � � ,. ;` „ ,', -.,, � y �s. : . . .. � Signatu e . .. . �. . . ...:...... . ....„_.�,.,� . ...-: ..,.. .w..�w......- a...�«.�>ma�.. TOTAI:FEE . __._ w . ..�� �1 ��:.7 A Plan check ppplicani - . � � � _ . � '�. - : SINGLE FAMILY .. "r �. ...., . >•."' -�. '�. ' . . � � � e a o �� � � ,,,HOM�OWNER$�11LC3'Ek IbECLARATION �, ' Name .:. . � ... � .. :� o .b 5 . , _ ..._„ ,� w..,,_ �.M,. ,......�.,..... �.�.�„�.�.�.�p9aw� �. . , reby affirm thot i am exempt�om t6e Con r�'ctqr 5,}�,cense,,,y, � Address� � ' � . � . � � '°7��� � � �� . a for the folfow,�ng reason(Se,ction 7031 5,�Business and . .:�..". „ .,:..:..:............W,„ '. . ,s.,,�,��.. , . . . �. � -��Professions��ode)i '. . . ... City . :Tel No.�- � s e. u�](y,.;,���� � � � ' �. ,:,,. . _;_ ._ . �. . . ❑ I,as qwner of tH@ propeny,w II do the wqrk and ihe ,, �, �� , � -- � ��� siructure is not intended or.�bfFered fo snle (Sect�on � � " � � "��� � '� � � ,_ . ,. ..._ . ......_. .-„ .._ ,. __ ,.`" .,..�,.....,A. ._.., ,- . . .., r. ..,_z ,,...i_ .;. . ��,1-���7 7044,_Bus ness and Professio"ns Cotle). -� � " �'' ' � ��- . � ' - � . ,��� ONSTI{UCTI�N LE�fDING AGENCY ` �. �� " �� � '� ,� , :,.., ,.. . , ,.a .,,, .t..K ..:..,.�,M„�........�....,�<.,,».-....�,.-.m.,..�..,....,�..,.,.:, _...,..«�.,.�. ..,...,,,-.,..,.....:.,..._...�....-. ��.�.,�...,.<...�.,»......w..�.,.,....y .. _...,� ._..._,..., I hereby affi�m that there o-s a consirud o iending ogency/or . " " ,'�_��ihe performance o,f i,he. o k fon c�h th s pei d is ssued ._, ,._ .. ; ..� , �,. . ; ....w„<. ..�, ..- ., ._..___- _, :. _ .. _ . . .,,�._ .:. _..� .,. _..,_�. _r��- � �� � � :....(Sec`3097'i�iv C�}. .. _. . _ _ .. ...-,a,� ._ __._... , . .:... .. �,Lender s Name ,�,,,�� � � �� �� � -� .o . .: � ; ' , �R 4� _ : . ., ° "' � �§+��a . , -�' Lende s Address �y _� �f,�,,,,�., ' ' - �� � .. �"e+CFd ,-;�,=,P '� s ,. . .r. .,.. .,..�». . ► r:' ,. � � �l<ert�iy fhot I have�read th s app7im�ion on�sia�e,t�i'at„the ,�,,, ,� r ,,, , ���� � ,.>. .<.-�,,. . � .w,..,y . ..,_ -�...� ..., ,,,,. ;",;obo e infor�nqt on�s co,rec,iNl agree�R.4amply w��h all County � -' . . � . ' �ordin' ces a d 5tafe 1aws regu�aYng Plumbing,ond hereby-.� - � � - , .'aut6oi repre`e��prives f+his�Countytoenier �pon�rhe .. � �� � . � � aboJ - ent ert for i spect on purpo,ses SEE:REVEK5E FQR IEXPCA ATORY LANGOAGE �-g`�-� .,... .f.u..�����.���.,�.���o��.�.��. .. . �,�. � ,� .,�..., ., ,__W. . ,. ..; . _._ _a.�,.._�.�,� r..d .��,;.x.�� �,�,,P.�.., ».�,��,�.��.,�..��. ,�. . �W..�w.� ..�.,�. �y�.�.�� .��Signa�ure oi Perm+�ee._„ ...: �ate . ..` """"'"' - -.. ,,. , .,. .� . . � , . . . .. . ,...� ._�. � .. � . . _�' .. � . ., � �F - . . _ - . - 4 � ��, - � . - - - � ' . � � . . . " . ' . " .. . r d, ... k _ . . . .. . ... . �, : . . . . .�i ..:, .. ... ..e . _ .. . ...'... .... ...::. ,. ., .,:,�.:. . '.,�, . .., ... ...� �- . . . +n'.ya+u.ds;w�w.�wv.w.�«, . - qppe0'da,�s -..., iE��,' ihs?��- R'SSGniATURE �� �WSPECTOR'S NOTES - O'AJ:NE�3l,Il�ER nFC 4.RATI�N � �� � �._. . _ ,� . � ..�..,, „„�+.�, .::. , _.�.� ..:_ - _____ . . . � UNDERSIAe WORK ��� ! � . . � � �- ,, �� ;;� � " ROUGHPLUML'P1G -,�#� � ' _ I he.eb� offrm?haf I , e pt from C- ror'; GAS P PING� �� � le � +� .. � � � �� � � - � L c ns lav� for th tolloni nq d (e ti on �0 i S, � . ,�Suslnv�sw��..dndFrofe s�on C d 1 Anycnyorcounry,Nh:r.h - � � _ . ....,...m,. , GAS VE�N7�. :_ . , .,, ,.. . . ,-. . . . . .p , HO7WA�--_.�_ �,��..� ��. �.��:.. .� N �� ��- �..�...� �.�� 't � . �quve�iheapplieanfforsuch�re�md�tofileasi�nedollsh. m i7! . .. � structure, o t t ��- FLUMB�NGflX7UR�5 ' . ' � P � g . flta- � —�— ' � —'�' ' - � � �� ent)nof h ,._I consed.pursucn'to the p o r crs of fos� � GAS TEST- - �r a � ' • � Co troctors License L v jChopter 9(camn� c ng.•i;4i �U'ILRYCO�:�NCTIFIED �. � �.._.. � $ectort 70D0)of D1v�sion 3 of'the Business�ond Profes� � . .-��. � - - �� �� sions��Code)or ifiat he is axempl iberefrom ond ih=basis . FI1.A1 �'��.�� ` � . <�., c� .,� . . ��:� � �-. � .;.. �-.- .....� .. . �for�ihe�alleqed ex:rnption. Flny.�.:ola�ion of Serlion �a f� _y t �: •' _v ` � ._. , 7037 3 by any oppficant for o permp sub�ects/he o pli- e. , � • iw •. _ � . . � ._ ... ._.:.: ... . . _ t ' - i . P ... cant o a civi -penafty o not m re F'nan five hundred � q . .INDUS7RIAL... . .. . . .. �K(5500) , �WA TFA9920VAL p "' :. . .�' � �.. �`��-- ..... he��st�uct re s nof r�,tended opo4fereill do he,uoi�k,and .. . _ _ ... . , , � . , � t r ..d.fqr le..,..;,�.-,._ �;"> � ' � t ' � �-� ___��' ,,,,,,,,;;,,,y.f., (Seo.�7044,Bosiness andProfessions�Code 7he C( :- � �' i '�` � ��� � � - `�"'7� � '�� ��`�� � tor's Lltense Law�does not applyic an�ownerof proHerty �-. . � . ... ` • '� � . -.'. � , . ..... . � . ' who builds or Improves iltereon, ond who�does socb ., . . ; ,, � ,, .. �, � . ,g. ,.,.. _ . ' � � �' "' ' �� � � �A ` � "' � �� '� � work htmself provided fhof such improvemenfs are no' t . , -- � ; _�_ .. , _: _ .e .__. � .._ � � , . � . , intended aruoffe�ed for sple.If,however,ihe building or � ; . �, '.". . �" .- �-. � .:.: . . .. ���- �.... �4 � � ' . 7mprovemenffs sold witbin onE yeor of completion,fhe . .. : .. ... ._._.._ ' `. - , � � .-- - ..:.:� __ � '�� ' .,' v�,'�„�;,,,,.,,� bwner-builder will have the burden o(proving that he did �� � � � ��� ������� � � � ��� not build or improve for the purpgse�of sale.;- . . " ."� r . ... :. . -....,. ,':: .� . . :_.� .'-__. . � �` . ..� �- .. _� . . . � . . _ . _._. , ;a:,...�.a_._ ,�..,_. ., .,�.�.: .,..s.....,..,t�;._ . . : .. , , = I am;exemp!ander er ,;�� . .. . � �, - . . .:. . . .: .,_. . . .».a:duw :�.._,aus,,.,�W. 1-r�.. ' . , .. _ .. .� _. t. .. . :, . ., .. . _ . . _.__. . ._. _... ^ ._. ,.. . . � � ...-. �.:.._ . , _ ;; . __.: . . : . �.��.; � B-&RC. for this reason � . . � .. a .- ,. , ,- :. .. . .�.. . ._. .. � . . �� �. . � . . . .. ,��; ....��. . ., , ,... ..� �'...... . �....�... Date ' . . . .� � �. -.. - . � . . . . ..�.,�'��� ., . ._ ::. . Y:. . ,. ,�.:. ;� ......�:w Owner� .. . � � . . . . . ..,... ...,, ,.�.�,��k.��_., .. ,.,.�. .....< .�...._,x �_ .,.,..,.�.�...-d.�_ �,... .. . _..__ � ....., .. ..,,. _-. ,., ..,,... _ :. _ INSPECTOR'S NOTES - _ .,._ _ _ �;. ,. �_.. „ a ��,�.ti._ a.��.«:.: ; .—. � . . _..�r_..__,_._���;_:.__ .___.....,.':..,.. `._... . - . � ... : .. .. . . . . . . . . . . ...�tY oR.-av�t»,r,...�c.wsu.,,a�::� ��.....�.��e:�.�t..,_,ss�.,,..:a_..�.:-��i...s...s.�,�.. . . . . . . . .. . . 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