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HomeMy WebLinkAbout1448A (8) . .. � � ' l- . { � . �a � J 5 ._...-�� ...n..._ � .1 , } 1�..���T'. �+ �'F i. .-�m. �. m£...h+6 :' W6�2KER5 COI'N'P�NSh71'ON'DE�CARA`YION �� �' "' � ��,�. +�; �, ' f�hereby affvm that I�}i�a e o certfmte of coiise�t to self 76A667A � �����,�. ������� ��������� � �����,�.�� .. .,� � insure tlY a certif cafe oF Worke s ComPensation ln5v�anCe; CE 817 jREV 7081) � "� �� ' �� � ,. ... ... .... , .... . �. era ce�t copy rhereq� c.�'�o�);�a6.c 1 COUMTV O�CQS ANGEI;ES" "$[�1`��'f�'i"��S"�F"E`"1`�"-" ` "' `<" " , w:�., 'fj �`.,,�+ � .,/� �j ,t �^ __. .,Pol cYC�tifie��A � 'C�any-s.�! � /.�,��./ .. . . :.. . .,.. .,. .. , .:. , �"'"! -.. , f E�' Y ��. . � hereby fu rrished. � . � ..�� h' �� � � FOR APPLICAN7 TO FI�L M(PRIN70R TYPE) �� BUIL�WG� , /1 . -� %�"' �Cert�ed co yis filed with ihe�-county building inspec- � � -. � ADDRE55�� �1 . �--- `��-���,. NUMBER FI%TLJRE OR ITEM @ FEE ��n . 1 on de artm �,.������ . .. . LOCALI7Y�� 1'i...� jI _ WATER CIOSET . �Da�ea � . APPI cant I� . . t"�� NEAREST�� � . . .�, + CER7iFiCATE Of`EX�M'PTl�SN"F12Z31Vi WO�RS �� ' BATH TUe �� - CRO55 5 � � �� - �� �� T_ �` CbMPEf+1SA710N'6�"5lJRifiI�CE'' `:"„"" � �� D j�� l"/l � . . . (Thes1�ecthat'n��nperformpnae o��thehwork fo�i wh�icedlh�ls SHOWER -�� OWNER L �„f� fF�e permM is foF one hondred dollars(3100�ar less} �.� �qVATORv � noDRE55:� � �g� ��� .. , Y ,. P � � SINK,� � i""� CI7V � �'(1� O / /v �permrt�s ssued,1 shall.not employ anyperson in`any mpnrter � ��sb as to beco,me sob�ect fo ihe Wprkers Compensat o Laws� 1 -,pI5HWA5HER � . ' �� � � .: ` '` ; .. �� _�, �� CONTRACTOR � ���C�� ��flr ��/f ' Dote � Appl mnt �� � -{ CLOTHES WASHER +? ,� `�"OTYC�E 70�'�LTC,"Al�"f lf a{ter rtiiki g�t�is�Ce Ificate of � ADDRE55„ �'�� '�-� +,�� •rrfption, .yOu �s}ioald�becqme su6�ect io The Workers' SWIM,ry11NGPOOLREGEPTbR � � �tiompehsd4ion provisions of ihe Labor Code,you must fOrth�- '�� ��TY �"��_���t.�.b-� ���. �with comply wifh such,.provisions:or this permit shpll�be � �AWNSVAINKlERSYSTEM � STA7E , ' 2 LIC. ' deemed evoked � . WATER HEATER .--� �ICENSf NO. ���� ,J CLASS. �^�- , uc�Ns�'6�6�TT�n�7'O��"�E�[°AaA'n0`�7 .'._ �israrcr nro: raocFsseo ev ;a^r ^a- ..F.., a a�;� r. .. GASSYSTEM OUTLEYS. .. �,.. E- s - �...a , .�.. � ..�.� I,hare6y offirm that I am licensed under provis�ons of Chapter 9 � (commenc ng�.wdh Secnon 7000)of D�ivision 3 0�ths`Business� OUilETSDVER -� �` ' ' � � � .._. . and Profess ons Code a d my I cense is m foll force and effect�� '@ PER�SY$TE'A7r" """" ' ' � �� ' �� - - � � �� j 2 �y DA E� i� VA IDRTION _ �, i License Number �' g Lic Class C `� . . . . . . � �� . . O �^- �y �7 FINAL V, �Contracfor �1 �v��� jDate "�^.� �* �� r . gy , � ... .. ., . � � ❑ I om exempt undeo.Sec � ��� � � . � � � � O �,-�,,,hw�"�rz*'��*'�„"g.,�--e�*�*�-an+a�.u��Y�,. -� U B&P C #or ihis reason - �.. . .-�.-� �� W �. � Plan�check fee � � � p., �� Date � - � � � , PLUMBMG PERMI7�1$SUING,FEE$ � � Signature ... -� -.. �'"�• . TOTAf,,FEE � . �.� ��,.5 A � =^ * '+ �:. '��: � �' Plon check applTcpnt � � � %'o o-c a a 5 -� � SINGLE'FAMiLY � . - ��� -� Nonne o�rr�eR sCtr�o�rz�s�ciattAY�aK, � ; �� Name � t m �3&5� '�'"reby affifm thot I�am�ezempff[om ihe Cpniractor s Ucense� Address � � � ^ ,..w for 1he follow ng reoson{Section 7031.,5, Business and � ��c; s,��,�;�j+�'�,. -�Profess ons Codel� � : - Gty � Tel.No. - 0 . �4,10�-87 . I as awner of ihe-ro eri will do the ork and ihe � � � � � � � ., ;- siructur�e is no ntended or offered fo sale (Sedwrt� �' . - � �� � P p Y � 7044 B�us ness�and��o�essiohs Code) ' � �� , -: t ,� �.�- ,�, �.,ONS7iYU�TlO'N C'EN,DfN�f('GENC1':. ` � tla:_:. . _ "..,. `,'. . ' -,. . ,c.�...,<...�.a.._.. �...._..e,�.:v .,.,�...,�..�. .: ,.,,_�,_. .. ., �., „�„ ..�a: ..�__..,,. , .. _,4..: s:, ,. ,- �.s , :.:_. , ` �,ereby affvm i6ot there is a consfrucfion rendi�i�agency for , "�"� - Ih e perfprmance of�he wp k for which RF�s perm,t s�ssued � � � . � -� � � - - .(Sec 3b97 �v Z`) - - � ' '.� r � ,�� #�.:�i .- � ; �,�: �; s:k� Lende s Name � i bove�nforma SS 4 4 �� ` �. . _.._.,,�. �� . . .. - > �:, + �' �� �� {x} der s Ad� _ � �„ « . __ r , . .. �.., .�._. . . � �. �;. .... :: . . ,__ _..,.. . - __2_. _- y ho e read ih�s appl cot on and stt�te that the` _ � � � � � � � � hon is correcf I ogree�o comply wirh all Co�nfy �� _ ?ord nan<es ond 51 te laws�regulating Plumb ng,�and hereby�,� � � � � - � - � - � �`auth ize represent¢)ives of�ihis�Cocnry+o.erii�ruptln�the� . . - . � . �� � � pbov entio prope y�.for' spection purpbses � ' . ' �� ..-�� - ��� � .,,, � z� SEE BEVERSE FOR'EXPLANATORY L"ANGUAGE . ��N� " � �'�- ignature of Permitree�... .= .. . .. .. .:.. ..,.. , . . .. .. .. � .. _ . . . . . . , ...., ...._., , Oate. . ... . . � . .. . � , . _ . _ ` ' ' .: . ,x, -_-, - � :3� � �-• _ �.. � ,. ,. . , ...,�.., �.� �� �;, , 4�: . �, . . . .. . ,. . ,s . . . ,._ . . . . � � 't..:. P . . �.. , . ::. . , _ __ _ ____ __ _ _ �,:; � � � �� � �� . ' '� ° � �.,�� _ � � - �� � �� , � � .. .�..w, � � .,v���Mm.�.�.d��--.�„_��_, �,� _ , ihi5a�. R'SSiGNATUke �����NSPECTOR'SN07ES�� ""�'+r"��'l,"1tb'�r�"�,�t�1��_.,�:.'�, ..,,�.._ . APFROVALS � ,_ DATE�. ,..�: .. : � , ..__ . ..,.. �. '' ..er�aaq+.�+°�-H?tn.�.r: 20UGN�LUMEINGT �_ � � � � ., �� -�—..__:....._.....,..._.w_�._:.�...,o_...._�..�,ww.,, Lce� .. ,�.F.. JNO R qpB WORK � „ � e6y pff m fiat m exempt from t� Con �t. - �� s L . for tFE follovnng son (5 1 i oq�5, iNC�. � � ���+— . � � business a..d Professrons Code An/uty o c r 4y,w,S r}i .:.: _.,�.. . GAS VENT � '"' ` ' � � i � ` � � �� � � � � ����'��� "° �""` '-��requires a permlt fo constru<L alter,improve,demol:s'i, ' r > .'r repair.any stt��ciure, eno to�'�;.�issiionce; nlso rc-� �� HO`WRTER HEA7ER � .� . -. �:�. �--' . .. . ��.� � ,��-*---�:.*-+� •,*-..--..�„-.�,���res fh'e applicaM for such pe�md fo fiie�d signed stcfe- � vLUMBINGfIX�URES .-.:,� y � � � � � � � �� - � menf thof be Is licercsed pursuon7 fo tf;e prov'is�c�s of fha �.. .,.. . _ , _. , a-v;�' .< ,t , " - GASTFST � �f� F�� '� � �� � ' - ""�"�`"'"�""""*--'*"'""""°1xYY Cont�acfors License La�v(Ch¢�ter 9(cam n ing±�'ih UT417Y•CO.�1U'°ED � - � Section 7000J of p sion.,3�of ihe Susine s-�an�P�ofes- :�--�---- , i.>. . .:. . . ,""" . "`"."^ . :"."�.X .'"""""."*`�:'"" sioris Code)or that he is exempt fhe�efrom and tbe Sosis � � � � � � ` � �7or fMe olleged exemption�.:Any`v?olation or�Sec�ion � - 703I.S�by any apphcdn/for a peFmif su6jects the oppfi- RAt •.�.�: �t ir . c} :• x.-.. . .� ;..� . ,.. .,_._,..... . .�.,«r.�.r ��----m-` �� f 9 `> Kt, .. .,, ,.. . � ��_� ,� � � � �� Canf to o trvi!penalfy of not more Yhan'fivv hundred . '�^� �. � � � - . . .'...-'r . .. �-dolfbrs(�500}.:. . . . .. . _... . ... . ..._.. . __ .. �„ �,__. .. , :. .. ..:�.M,�.4..�. rP�.. _�..� - iv0U57R1a6 . � . .. . . �; '� "��` � -' � � � ` - - -� .. (]I,cs owner oi ihe roperij w'�!I do ih ork,nnd P .'bVASTEaPP�OVa�. •��� .e`�.e�, '..l x - � � � ^.•��..� -.- ,.-.�.,.- �_��---.�--+_� lhesiructure�isnot�nfendedornFferedfcrsale� '--�� ��' � . � ,.�-b---. . � ....u�. � � " ..; ` - x� "- , " � '"" " ' -�""-'`"" ' "^". . ��� ' -�- (Sec.7p44,Business and Professlons Code: 7he Co. - - - `" } �•�'" '� '��- ' � ``:' .' .'"' "�"'--'""`"` ;or's License Low does rtot,�epply?o an owner of property - " �-`. �:_.� . ��� . �.;��, � � �-- -� .� ' ��--�� .� � �� wha�builds ar�im�roves�tfiernon, and wbo does�such P .`"� r'. ," � r ' `.`� � . " . ".' , •""`• "„. "'^ '"`"""". '"".,.Work hfmself propldezd thof svch imp�uvements ore not ,'` _,�.< ,_._ . ....���' .,. . ...,.-. ���" � �. �,��.:. `-�� � �.` �� �.� intendad or offered for sa1e;:((,however,t6e bu�fding or � � - . � . - �� ' ' .»..'�. ' '..� =."" -�°- �'-°. �mp�ovement is�sold with'rn one year of compfeti'on,��ihe � .,.. �. . . . . ' -:�� ' ��.� . .. ,... � ;-. �.. � � owner bu lder wiH haye fhe buFden of proving ttrafhe d�d , .•_ ,-.. — '_�. -- ...�� _. ._..__w.�� _.,,,.,,.,,.._�..,_„.,.� _�:._.,... .��. ,^»of,bmfd or improve for ihe�purpose of sale.l � . . . ,- - . . :. , . . w.. . . . . . . � �, �. . �:..� . . .. ,..�._ :....., . ..... . . ...... . ..�.. ._..'. � �., l ....: 4,'., �-. . . �� ....�.: -., � ..�.�.-.«�. .-��,....«,+ww....,,���m::�.r-.. m.��r.mm,n.+,.wr.tinr,'."s. "' ,c�+..�mz ..�.. .., .�µ ' '.N.:-.w �.-',,.- ...:�a*r�n...wa.-s•mr t am e�,tmpt ande�r.,�iec" , � . _. . _ .,� .�.o..,.,> ,........_,..�.�...4.....,»,.-. B&P C forr-�� ...�..,...�.P....��.«�:.:::. ..,�...._.,:.�......e..._._..._. ,; _ ' ` his rea,s,on 4 ; ,:___ .�.�.:._w,�,.,���:....-..�.��.;,. ,. .. ,,A._,.��., r�<,W...�•,�x,...::�-, .. ' ` � Dare � �. �. . . . . � „, ''. -. '. , .,,....-.--;.�:. �-....y..�..: ....�-�..:.:�..�.G �..�-..b....:,,_,._ »:..._- ..,.�_.�,�.�.�,-,».���.,��w....��„-.�-.,..�4...:.-- .. . � . , :�: -.r . ,. ._. .. . . . . . . . . .. .. .. . -. . . . . .. - . .�Owner � . . . . 1NSPEC70R'S NO7E5 . .� :;... , ' i ...�. ,�.:,,_ . :..: _,' ," .tri _ : �, ,,,..... - __...: ,;.:.. . .. ..�..�.. , - « �.,�r,,.�,_ ,��,...Y � < ���,_ �, _ .. _ ._ r .�.� „�...�n�.m_.. _ — _ .. .�,.. _N,_.:;�»� �...s:' ,�.,�.,�.,��:� �� ...;�.,- ,, _ �� ,�� -2r.. � ..�W..� . � ,.. ....,..wHm� ,.�..N�. �,�,;x,:,� ,,..�..��,«.,.�t.. , _�-,,,..��f�„m , ,a,.,.�.,,.,,w .. „ , . .,. — � � ,,.,�-.. .. ..��, ...�,.,�,.,�,���,�,,���.w.��. � ,�,:�»„�„�,w�.���. , , . . . � , - . . . ... . . ... ... _,... . �� ...-..�..A._ ,�.�..,��,,.,...w.�H„t,����.a.e._� �;,...,r.,...,.�,�.«,�m«�. ��: _ � _. ._� �_._. r...,__e< �.a ,.y.�W. �v����� � � � ,..v��,uk�.<.�., _�.�-,� ,...,. ,-nw�»^�•�w,;�....:. ��.,�� ..� '�,.�.�.:. �_ �,s . .- _ . ,, �m.,.�:,�.��, -..�.«..�W. .�. , ..,,_ �. ,...,..__. .,_,., „w„. ,�.,�„ , � � � : � � � � a� •���� � , . , , , , . _....,_..�.���,.�aA � - . _ �- -_. _ ... _._ �,.'�, ��,,�. ,_�.�..,.�,»...;:»..r,»�.,.,,..��.,�:,,« ��,w,� «:..��.-«�».�.-,� : ,::,