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, .__._. _._.__.,_ __.----- -,--______._. ---__.__..._ ._._.___.. _._.._ ._. ..__ ...____.______._ ..__..______.___._ __.. _ . . _.._ ._�._ . _� .. WpR1�R5'CQINPENSlaTION OENfRATIpN � I hereby a+t�,hm� �e a��,e���A�,o�e�f ,,,,,,,A A�P�PLI�l4TlO�rl �4.t�PLUMBIIVG PERMIT j�(.� Z� � �rta„re,ar a asmtkatencf Wzrdtsa' rnqnnxui�on hu��oem, ra en�tEu.iaiai� ' aR"iV��d"�f�ae��s5�e.9 a�t.� GOUN1'1f.flBi:OS AN�_ELES �U(LDING.AND SAFEZY + (i 57�7�5 f;�, o. �'r�9��'� �ol�v�''�17� CpiMied topy is hnrehy hunq(ted. ' .. . . ..- - . .. . .. - - � �x�wucaux ro flu iN.�rxirn a�rer�� � �, � Cenified-mRy�ir fkied wiIIs fkp.munry buikling�mpec- . - -- --- - . r�ao deRan�noro. /� �uMBFR crxru�aa tsew qp c� �7/y.�t,��y��Y��: � vra�t2ao5ET �. �4eruitr Octe�rF�pp�h9nt ii�l-r.LTl.'l tE2 � � ` � - - - GER'pFICATE ORFliChIe wGRKER3' ' 0anrrUB �S 6I. . CaM�E IX �O�t iN51/kntaCE �,� 5�� , - ` R . ' (ihts s�etion n��8 n6i•Ti�toQpf�t.�d if ihi�yvork�MoW�d by Ihrp�nnir b lbr oni fin�f�id'ilbl[ers iilDO)or bs�1.► wvara�r � �� � I cen�fy rfia�in fie p4Harmmieb of IF�wak fw which�h�s . . _ -.. . . . pErmil i�i�suEi�i��l{rtOt@tlplft�E O�YPltEon tn o+�Y monner SINK - CI7Y 7Et.N�.1 �� so m rebeernne snhjeer ra Rre Wtiekpa'CnmpeenNbn lowa. �� � - - ..� DRliNfASNFQ � (�IQ f014TitaG�C91 - Dote _�.,.y,Q.ppUCpM�� . _ CIOMR WrW+ER � _ � TI��TO APV11C11AT1: I�. 69�e mQEinp.f u f,�cBimte ot ��� '�E .�,.pxon, r�„ �tcould'taRsms �e� ro �[sa wo�keri mwutv�wa r�c�vrot+ ! ,npsmot�ao�p[Q�1.aD1Aof the W6ar p.pou eAW fonh- ,�,�. nTY _ wilt�comP�Y'N�+;u0+P�dY�it�1M ar iF�Ps Ps�it shall be Ii+N/JEPRIhIKtERbYS'1FAn Sia7E tIC.- . �� dlOel4l��rEYQk4d. WAlE1C/¢AtER U@ISEAIO: CtAtS. i� ���FI��GONiRA rS�ORS QECLARA710N - DISFRiCT Na. . VRQGSSED B�` , I 1�erobY OfFlrm 1kQN ait�1 -•4r�J�Ar�14YAA0-o}{�Pte�9 GW 3'IS1[NI OIAIEB a fc�ma�4ing.v�t6 Sss�lu�ot 4hrisic�m 3 at rtrrt 8usine�.+ > andPrafdiSie8K�C4d.Q.9�+r4'�CO �itinfail4wemandefteei. ' R'.bY IFMR i1NAL � ' �ah � �y--✓�. Y i1DAT10N 0 � Lieenas Numppr - - ' .<�oss„� oc ��l r��1� r F o�p��'�-Q'S g� '��% � � Q d I am exempt ec. y aBP.e.to��ms:eason Plan check fee ► z note: PLI1M@ING PEfLNiT ISSUING f�E f � Sfanature _ TQTAL fEE Vlon check qppfiopnt � suvGte Famttr �p 6 2.6 A HOME 01NNER$tUL�ER Df3dARATiON Nrnns � /"'���eby afi'�rrn 11ar I aro e:empl Iroro�he fantraero/s lieenae p,ddresa � � � #•.• • • •�j � ;for the f4lYcnving reosun(SeUipo 7Ql1.5,8wines and . j' �Profeuions CadO): Ciry Tef.Na. ' ❑ I,oa owner af ihe prnpeny,wilf do rhe wqrk end the i •� 6�.5� strucNro i�n¢�interded or ofiprld f0�s010(Secticn � .• � 6 Q.rJ�c=.�. 7o4e.9us;ne3s and vrotess;nns code�. 0 fi.1 2—fi 5 CON57RUCTidN lENp1NGA('iENCV . I�� I hereby offirm Mwr Ihere is o canstruclion IQndinp ppency for � . ��; ihe performonce of Iha wark far whitk�Ni3 pauFit�is iasued . � �'� ISac.709f,Cc...C.). . I�� Leoder's Nam -- .�.� �. , . '' ss 1�r_� �,����..•9. 9�a�' II Lender i�dre . I certify Hmt I ha.e revd lhia appYlcollon qnd�fqTC thot 1he � � above infmmafian is car�acl.I a9roe to camply viith Cil Gwnry . - o.dinancea and role Yaws roguio+fny�Clumbin&und�+eraby � � � I,, �horize pi rtatir.ea of�his Cwniy ro enter upon�he � . r a e-m fio pro fqr inspeC��on��RPaset. S.E�Q,EYER;E fQR EXPI,ANAIORY f,9NG11AGE �� �"?'�� , ignaw o erminee pa�s � , APPROVALS DA7E� INSaE�TOa' SIGNATURE INSPfCTOR'S NOTES OWN`tR-BUILDER DECLARATION � UNDER SU.e WpRK- ' �-!`�- •�� I hereby ofiirc that I am eacmpt from ihe ControUor's . ROUGHMUMBING �/-li'f License law for the following reaaon (SecMan 703I.5. GASPIPING � (��yt-Y � EuslnessandProlassions�Code)rAnyNfyorcounfy�y,hich � GAS VfM - mGWres a permif fo conslrucf,alter,improve,demollsh, ' or repair any sfrucfure,prior fo Hs Issuonce, also re- HOT WA7FR HEATER � � _ � . . qulres tFe appliranfJor such permR lo(ile a signed sialc� PLUMBING FIXTUFES � �� . � - menf ihv�hc is lltensod pursuanl to fhe provisions o��he GASTBST � j��� f� � . Confratfor's Llcnnse Law(Chapter 9(mmmencing wi�h � IJTILI7Y CO.NOTIFIED � - ��� � Secfion 7000)ol�1vislon 3 of 1he 6uslness and Pro/es- . , � ' slons Code)or Ihof Fo Is exempl therelrom and fho bosis nc7 " ' � � ' for Ihe ollegad exemption. Any violafion o! Scction I FINAL ���Gnfe�on J�onl . � ' � �� 703L5 by any opplicanF for a permH subjecfs Ihe appli� �, . � � � � canf fo o clvl!penally of not more lhon livo hvndred � . . dollars(SSCO).: ' INDUSTRIAL � _� �� � � " � ❑I,as ownor of ihe property will do ihe wo�k,ond � l4'ASTE ARPROVAL ' � � . . the structure I5 not inlended or offered for sale. ' �/� `��,�/JJ�� . . . ... . (Soc.7044,Buslness and Professlons Code: ihe G�x- �'', �-• v' �'.z0-'^' ����� � . lor's Ll:ense Law does nof opply ro an-ownor of pr., .r�y ' , ' , who buildi or Improves ihereon, and who does such �'I � � � � ' work hlmsel!provlded fhat suth Improvemonfs aro noi �� _ _ " Infended or offered!or sole.1/,however,�fhe 6Wlding or I � - � . improvemenf is sold wHh7n one yeor of complelian.�he �. � ownerbulfder wlll hove the 6vrden oJ proving lhat ho did �i � nof bulfd or Improve lor the purpose o/sole.J �, 1 am exempt under Sec. �' , I 6&P.C.for lhis reason � I Date Owner I INSPECTOR'S NOTES r i