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� � ; �. wORxeRs'cbN1�1`vs�,"fY�o`�l"b�C�d�fPo'�'J.�m.�..�.�.��,'�"x��.,'�.'� /S�`�. I'l � �' x: ':�.'Ea � k sk:�.r '°' �.,� k; _ I herebK aff m that i lia e o certificate of consent to se�lf � �MIT �insure o p`ce tif cate of Wo kers'Compensption Insuronce, �6A667A . ���� . CE.6L7(�FEV.10/sY)�� ' � - ' or a cert fied copy there, .lSec 38Q0 Lab.C.}-�.� � � _ � , � � - _- �. .�m � � ,w.� . . , t C�Ut3'�Y O`F`l�S A7�GELES BUILDIT�G dNCS$7t'�LTV`'w--"`""." _ ...r_._ .,. ._...,. . � 7 r� p., `..P�olity No_���Company� , _ . ..._ . . ._. .. .y-P,.'..�.. . / /-E✓T.�� .�. . . _ . . � Cerhfied<opy is hereby furnished , � 9 �P �,- � -,� � �� - � f Cert'fied�co is filed wnh the�wunf build n ns e � ���-� �� JmA.�y�mM.h...�. FOR APPLICANTT�FILL IN"(RFINY'O�7S'�'"" "�'"'"` BUILDING PY Y � r •. ADDRE55�. , �� ���...� ���� ,hon de arimenf �.' -� 'NUMBER FIXTURE OR ITEM, "-� �- �� , � �Date �" �� ��App,.lsi�mnt� � ' , WATERCLOSET . -.. � .. LOCALITY ��- � .. - CEI2TIFIC71'Y���4i'��}'�(J'�'vl���"���'e'"•" BA7H.TU8 . . .. � �V CROSS S(. . < � . � �-��n� S Rl�,:s Th�s sen on COMF�EIJS'A"fl�i�""1hf5�1TtAN�E.-..•»" ��. „ �/gI� � / ..�' ( t } .., .._- .. .:: ..... _ .. OWNER . PW�L��3C.' � �need not 6e campleted�f ihe work mvolved hy SHOWEk � � fhe perm�t i;for on�hvndred d011qrs(SIbO)or�lessJ - '�j LAVP70RY - � N`A�� � � I-ce hfy that�n the pe formdnce of the work fqr hich this � � �� -�-� - , ADD � ' ..J peYrv�d is issqed I shall not employ any person -ony manner � �SMK. - �� CTYRE ta¢$to betome sub�ecl to the Worke s Compansat Q Laws, SS";� �� � � w _ 'U i N Tl-�-� TEL. '� " PP �.. �� , �� � CLO WASH�R (j�� CONTRACTOR `S� . . ' Date A�I mni � �, .� � -�. tNES wASWER-� " . -.:. � �,;�`ifCE 1'O 'A`t�PCICA�IT ff, after making th s Gertificate of � - , ADDRESS� � '? , ��� �� C� mption,. you should�become sub�ect, to the Workers' � SWIMMING fOOCRFCEpT6R - ,�omp'erisdtion provrsions'of the Labor Code,you must forfh- � .. CrtY �. �y� -� ' , tEi.N� � . with cornPly w}h such�.prov�s�ons or this permil shall be u+WNSPRINKlERSYSTEM r�-li .... STATE. t-, :.� .. '� eemed revoked WqiER HEATER ' ' . LICENSE NO.�fw9 � u��Nsed cbtvYRacr�R�'b`�"�Td��"d`�'�`""�"""a„"�"" 3 ci sos •. w,<n=c. :,., ,, �,r_, ,..- , _ - . -._ � DISTRICT N6'."... . . CESSED�BY - . �hereby affvm thpt I am I censed Vnder provisrons of Chopter 9 GAS SYSTEM _� OVT�ETS' - � '- �(commenang�wifh Sechon 7000}of.Pioision 3 of�ihe Business � OUTLETS OVER ",:- � �� � � � 'aiid Professions Code and my I cenre.is m full force and eff�ct, � 5 PER"SY57EFh" "` ` ' " � --^- � :s 7.,..�. .. _. . . .. DA EL .. .._. ,� ` �� /^���� Z � �� VACIDATICJN,�..�. _. _ . � Licenie Num6er ✓��� Lic Class ,�`v � � � � � .� iI �'d-`m"'-b�� _G� �„ ,�., .._ . . ._. , _ -�Contractor ��� .� . � . . FINAl y/,�� O { ��� Date � '.. .. . By. �Y6'a" U. w,�❑ I am exempt under Sec_�,�, � t_ a t `r . . _ � � � U ' B&P C for t(�is reeeon � � �� � � � � : ; _,_ : '" Plan check fee �:' '. . Date . _ . . .. . ... '► °� PLUMBING'PERMIT'155UIM��E�"$„"`" :"�'.," � z' (�.Q 3 A - � Siqnature , _ c � ' - TOTAI FEE ' � �;� � aa65 ,��� � S'INU`LE�AN{�1'� "' "'"�". "� � �Plan check aPPlicant . � � �4�S&5 a� . . .C � ...., ...... . . �.�..�. ., ,u- � . . .., . HQME 61J✓N`�k-BULI5El2`�"E`��."�`�f'�7'�O�" `��""�•*�"'� Narne fl a �,�^�,.'-J`.0-�, �eby affirm ihvt I am exempt from ihe Contracior s Lmense � � ' ' -' '" � �� � � � ._.v fo Ihe follow ng�tea5on(Section 7681.5,�Bus ness ond'� Address � � � �- � � � �y� L�8 7 Profess ons�CodeJ � � ' � ""� ' � (�`� � � � _ �... Gty � Tel.No. � .�.. . . , u I as owner of fhe properry,will do the work and ihe �� � � �� � � " ' structure is no7 mtended or offared fo sale(Sechon' � . � � - � � � ' � y044 Husiness and�P ofessions<ode) - � � � - �: . . � x .�.t . . ` -.���ONST�C1CTfYfN L'�ND,"�'j"AG"�NC�""::.:.� ..,4..,. �o: �. ., .�.. � �a�� . ._ . .. _ _. . . ... ..,_ �'.I hereby affirm�ihat'ihere's a'Construc,tion lendrng.ogenty farM1 � '" - � . � =.')he perf,ormance of the work for wfiich this�per-mit s issuGd.�. , :�.;,. � � � � � � ' (Sec 3097,CiJ C.), . .. . --. ... . . .. .. � _ - . . . .. . .. .. . . . . , ;,,. . , . � .. :; . .. � . �, .. . .... ,,� �. Le�nder s Name � . .. �. e . . . .. , ,.. .._ � . .. . . � . Lenda s Address � ,�.�.�~ , ,j�.M � ��.� � ����� . . , .. , . .. ....w..s..�.�.�..a . .�•-ww.., ...�--..�.-;�,»;.u�,�.,.,. «,.-W�;��.z,wwm.«'.+:.,.»...�.. ,�a..,,...s�..u�,.�.� _ . _ . �I ce t fy that�I hpve read th s opplicat o and stote that ihe�. � . :�. � _ ► �� � � - ' � a6o e forma�wn s correct I ogree io comply wi[h oll Covnty, .� _ � � - ord nanc� and State laws regulatjqg�Pi�mbing,ond hereby' � .-. , � . . :` 'ouihorz r presentatives afJhis�Co niy o enier.upon the � . . � � .� - � ',a�l�pve m�nt o � aperty for i ec iori urposes . -� . . - . ' ' � - �- - SEE RE�FE'RSE`W�lt-�J�}�LA'f�1CY7�5�°V��i�1" �..� ..�«mw,�.�, � »�,.�«� .��„�.�,�.�,.'��,�,x,.�.n�,�.,,,. ��_. � � _ -"" ��, � � .____� ..�._�_�� _. . _w..___._ ._ . ...._� �_.. . . .,_,. �., ......_.._. .. _,.., __._,��_n _._.___�._ _. . _., ...�.. . ��n re of Germittee � Da(e � � � � ' � � " � � .. •x�G «�r;-., .:.E+.�& a'ihs�;:���y.�N.�* . ... .r�ti p � � .. -:�- -� . � .. .INSpECTt�R S"NtJ�S . .�. ,.,., p�Jrh.F�2 E3�L6t2� �C�2C 7�ON ..-' . APPROVAlS� .� D �F�.". NS�.'.�-�0'RS`'5�I�'iNAY.�RE i : � ., .� •.�. .: '� � :.. .. .�..., � . ._ , v,x.k» �-v a.., : �w�-� �#'^�fi%�• Y-a 3P F-.:,. ... .. a c. �� ' . he�e6y aff rm ihat I am em t om�ne Co �'� .. .UNDER SfA3 WORK� _��— - �` .. . : .' � � _ . :� . . �. , ..— . ,: . .,. �.�nse L + for ,ne follow ng eas o 15 0 163. 5. .20UGH NtUMdiNCE-. - �, � �y �`� ..,.. . .....__._ _.. . ...6usiness and Praless an�Cedc?.Any city o <cuniy w;i�ch .GAS?'RING�, '-- .,� . . � . .. .: . .. .. . . . . . . — - ., .�- ,,,...,_n.,.„.a�a�,-.,�.. ,�,„A;�'nu ��� + , iequtres a permit to construct.after,improvo;deMoiish;. ���,� -�.. .: r..0�-: --- ... f'�r q�ir���he app�iea�t�i re pr'ror to tt f f uq�ce, a(s.°. e- . GAS Veivi. - + . .. . ' � ' FO7 WATER HFATER - -� : es f n or si ch�pe t o i e s gned sfo�c- . PLUMBiNGEiX`UBES �-��� Y` � ,.. ment f6at he i_licens d pursuant o tf e pro s rs or hE ��rr-- y,�.,,,��„„a,, w...„.�,,,,��.;„„ ., Confroctor s Lirense 4aw(Chapfer 9(com ncing w++h �GAS 7EST -' . ��"� � � Sec�ion 7000j o1 D'vision 3 of Yhe 3usrness ond Proies� , - UTILITY;CO:-NOTIFIE� ���, � —"- "^" ^'""'^""^"` � '-�;��.;+n sions Code)or lhat he is�exempt therefram ard ihe basis — �— � . .:..,.-.• ��'�,:-' ^+•, -��.- - ..:.�- - � � .�, ,._�- .--�a .,�� . for 1he ofleged exe:npUon.,Any�violcYron o* Secfro� , , � - - .- .. � �, ..... .... � �,_:. f. < 7031 5 by any opplicont for a permit subiects tha o pli- . �:, �.;�-.� .,.n.� .. � ,� �. . P � PINAL� �•`�`- . +, �uafer nn �ronf�•,,:.. " • .- � ��� �.. .. ., . . �tant ta a civil penalf�of no'more�hon five nundred . �T. ,., . . . _.. :;.. , -.„�.;,�-.� � :� .. � � r„_.x�.__.�..�'•:...�:. : dol(ars(5500).:� � � . - . .. ... . ....:.:.�_. ' - _ . ...: ' : ^ ..". . ... . � .. .. . . . ❑I,as owner at the property wil�oo ihe wcrk,und ItiC�STR��.qC � i�,. , � '- - ���:. :.-. '- '�'. .,� ,;:.:, x �-,^r, ar the�strocture is nbi in'ended,or offerecl Par sale �"' wqSi ✓+FPao�n. -�._ ' ' .�-. . � � �� - Sec 7044 Business and Professiorts Code The Cc r � ,3; .. - _ ._>.,. �..,. _.. �_ . , e:' ,.i�'r� n ' � �'i :L . .m..aw-re-�m.w.v- o--^ r .. , _. .,, . � �. � � �� ., .�.» .�..,., aw_��:�R�; to�s�cen�se�Gav✓� roves iher o�,�vnd who d eoper�y �-::",,�'. -,. . ,.. . ..� . �. , �'` ."`y�"" , , . ' �-��� ' . ,�. �: . ._ �. . . -w o ui(s r mP es not a f o nn owner of r's such , � , � ,- ., '% . . . � �� 4' . t � . z� , . �,.......,. . ,. .. . . _ .� _.�.-. �. :, _.-., ,: w.��„��:n i wa o- .,.,uy �.. -e.:„.` work himseff provided Phof such improvements�-ore not . . - � " .. �� :_: -- • . ':.--� - "��' " ' '" ,,..:,.�,'; ., � � itttended or affered for safe.Tf,howevcr,1he 6 ;Iding or �' . � . . -� � .��. � , ': :' . , ,,. ; £.,,.,;,.,..�,..;,� y�� (mp�ovement i's�S.old witMln,one year of,compl.fion:the r�� � - -� . � . �� � �� � "�� �'= '' � owiier-buifder wilf have the burden of proving ffiat Fe[did .;:. ;.. ., . .._ . .. .. -� . ,.- . . , �.. . . .� - ...� ,. - `= hof�buYd or im" ,.�", .,. . � _._, .� ...-._ ._._„m,._„.,.�,..,„,, „�;,,� �pirove fQ�the purpose of safe.). . ...�: . . , .,�.����,.; -^�a„a�.w,-4.. ,,.,.�:.,f��,,.,�,:.=.��w�� :.�_ ��;��, �,, ..: �. . w_. �`��`�`"'�am exemp un'a�er�ec. — ,. . � . , �..:: . , , .�.:.,�.�ra � ��.���:,��:amwea��v�,��: �-.r�::^�a.w�a:����aa.�..�;�r, , � . .. . ... .. _ �. . . .�.. .. ....-. --. � B&P.0 for' is reason . . . .. � . � � . - `� .,�,-.. _.� ,.s; x..:t.,.,�M=��.as�_.wr.�..<o::, ... . ,,, .. _ .» .w,iw.,.�.r�s�x,�ua..��,.E,.,�. - «...,. � � . . . _ . : . ,... , ._ .. ' .. . . ;r, i .:.. . .. .. ..... ... . . .: . . . . . .w+,w,�x�r�.�xrs�w+.a:rwv.�.,:., . . ._ �. _, x .._ ... M . . . . .. , ,�- .1. �, � ' � .. . . .. . � ',- � : , . ,. � � . � --.. . . . . _ � , ae ._ . . . ��, , . . . _- � . .,. .__ - , �. �k „�wr.a,-r�r,� .,-,�:-:c. . ..,r_ , _ , . .. . , �. . _ � ,_ _ , . -_ ,.-r��;. :.. _ 9w�er_ ��.: . � __. _ .. _ � :_ vY..�.4rcwe+*.sc,�;�.zrwr�.�r,... : . ,....,.. ..o-. u . „.�n..__ .n�.x�-:�+°"'s�*,,.+ . . . :. :...- .:. . __,__ ,... _ . . .. .. . � . . . .. . . a..N'Y-T-'a2.. .�:*!'"'C`..�-w, F�'r,.+3'i�*;-A •a�;g,�y�.a.r .a;;r:�:..i^^Ri"'k&�..�as'�"S'if��F'i� ... .�., . .�.._ c�i�..• � ._ . 'INSPECTdR'S NOTES ' " "' " . . . ._ . . _ .., ,..�s"� . - . _ . , ^�.c3�''.: � . -. .� :�.: � .,,,�;.: �..,,, �;.,,. .;sY.,. '� .��.Sa��+»�..ca� ,.z. 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' .. ._. ._ ....-t. . .a,....arf,y,,.,,- .n�.._>.,.,..,;s^Eti�',.� . . ..N xz.. .r��"�., ����k° ��.�'_i . . � . . � . . . >�'��s�"`�.�',��, .+��-��.Y.-�5�':��'�'�`.�v�as . � . . . __. _ , _ Maaw..��d.<. . .r_�ea�.,at�^?'��+x.::1_ ��u�3��c., �� �+ _.. ...w+,.m.�w.�.......»:....-.,, . . . . �. ,, . . �: . _ -�.-- ..e Fu:,,...�, .r�, t.;.-m�s.,.,.,n-t..,,,.., *n...-+xa..:'..,,�.,�,.r,..w,w.e,�3a.. .� . .--. .a,., �.�'?F;?.$�°T r .-�,..'_.`-:#.'���t`�.�„� ,'s: ��'�ra,.�x"7��..