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HomeMy WebLinkAbout0819A „ _.. _ ._....__ _.._. .... _. .�__ _____.._. _,._�__ .. . _ -- _ __-_.. . _._.. . .._. ,.. . .---..._ � ____,---_�__ _ . --._..__ . .__ . _ , Wo,��'��,T�oN oE�AT�� I�,PPLI�A'�I�1� fD�t RLUMBING�'ERMIT 2� � I hereby atfirm that I hov0 p certMicate aF wna0nt�o aetf �p �,. �mu.e,u vi ce.xtfimrs af Wprlesrs'ComPeniotwn 1nsumnm. fE 617 f,ihY.}N8i 1 o ��!,�r�.� 4.C.1 . �UNT�P�FLOSILNGELE$ $UILDING/��lND'SAF/ET�Y /�+,.��� l,� Qotky No.�� �'.mpa�y���i�.� . . . ._ .- ” '��l _.1S1/�+�-w�V�� � Gon'rfied eopy�shere6�/(urnithed. .. _.. _... 841ttpFlG �et awirxrir ro fw ia�vRi�r ox rrne� A�ppEs5 � Certifled eoRy is pled with tFe counry bu;ldi� r�ec. � Nu�� F�x��� � �`n - G�n . -:mem. ,,�y.r►��y�aS��Q _ - �/�, . pp . -p/�iol l—�++JJ"':"L/771�}t�I �WA7}7tCC15ET W tjFAAE51 �.1... CERAF164tE 4F fXE1fAPJIOA�fROM�WORKERS' � ;�Tkt� ���. - . - ' CQAAdENSATION lNSUWtNC£ -+' g�OokEC � om�FR ..-: . �.. • (�hi�Nptian n�f�ot�b�ee�aPtn�d H t4� rk r�wet..d br �nnu � � �B�p�ttmlt fs i`or anrr fiun8ts dolfbn(31QO�er4ais.► �nvwcqRr ,e,�x� �, I cenify tApt in�ha perfarmqnce af�he work for wMch this . pertniT ii.i�y�;I�ahplhq0f 0�1p�W C�Y M�n in o�1y manner �K CI�7 iQ.NSI. xo ca to hremrfi[t�vbXOet��o�he Wwkeei Gompe amion Laws. �;���� COMIxRI,C701t • Oale .. __4ppliWnf__,..r� : ` ��CLOIFfS WASt¢R � _ r*ic�ro neaii�t: �e, otro� max��,h c�mfr�re os .�. swwa,v►�.noi.�rw+ npTiun, you �hovtd besrome avbjecr eFe Wo�e�x arv �toPnqDmnibn�Ravitiqnt ah/tie kaHor Wda Y�mmf forth- .�+�` uwNSPW�u�c1E4�5r51DM � - - - � witb mmPty rUth aucfi pr�risivns or tbia�permit ahall be $��� -.'�, .�� ��• ,.. deemad�ecakad '� wwharffnma - . l�y$EG CQN2RACLORS GEC4ARAT1QP1 DISTRICTNO. PROiESSEP�BY I hero4y pH."vm Bqt I am lica[��uvs�qr�eor;xions oE Chop�e�9 � `��� .. (�¢ntlrs��n�,Wid+$;Olpn of plvisipn 3 af�he Buainess ��pt1T! � .. - d cnd v.o[g3s5Qr$Cot1�i qpd rrtg tkeraa' in tutt farca.Cind eRnn. �R�R flwu V t1DATi6N � /�� onh 7_a�G � '� L+i�came NamErpr •� 1ic.Cicss I'. � . � I�I Z -Trl�� �- ,+3�.� . FINAI� - � 9rt a 1 r tlate Bv V W � I oen exa�npr�mde ec. � , B.&P.C.for fh�s reozon flcn check fee Dare: RUM61NG VFR�T i55YJING FEE S . s��+.�.e �0 8 1.9 A �otu� � Plan cheek opP��eatn #��.���� �ej II HpME OWNER$ULLOER OECLARATION - Name - I • t 6 0 5 0 ! ��+eby afflrm thot Fmn ezeMptGom Ihs Conhactor's Lieense qddres+ � •• � 6�.v��i ; .,,.v 4rn��he fallowinq iepwn(Section 7IX11.5.Busineea and ' Vrofessions CadeX Ci�y Tsl.No. 0�� 9��� } I. ❑ I,m owner of rhe property,w�ll do the work ond the � ttruciurs is not inlendqd or offered ior wle(Section , 7044,Buainms and P+Ofessian�Code1. - f. CONSTRUCFIOM4ENDWC+AGENCY , r 1 hmeby off'nm thatth�re�p eomtwc�ian lerdinp agency for �he performvnce of ihe wo�k for which�hia permit is isaued . I, (Sec.�O➢T,Civ.C.). � N�, Ls�der'a Nomb A/-,rn.�y �ce/�� � �f /�/���y . � i I�nder'a f�drDss J L+f�i—/�s` • _��'�ys•�y����/�i 7i7�fy!a.i'� I cerMfy tha�I Rsrvp�dad 1F➢if applimtian and aMte thar ihe ► abwe en4osmptlon it mrren:1 agroe ro canply wMr atl Gaunty . 1�� oidlrrancaa aID� laws rAy�lt�iriq Plumbing,and MerodY . j r YR ie 7�,�)Area pf thia Caunty w en�er upan the , � bo tim , aB� ax+�a�v�,�aex S���E��t5�+�5A E.�C��lU9ATDRY lJ►t�IG{1A�rE . � s-��-�s ' nawro of ermiroee Date � Y � _ . __ � APPROVALS� DATE � INS siGruTuae INSPECTOR'SNOTES OWNER-BUILDER.DECLARATION� • R � UNDER SfAB WpRK � �' � � � � -.Z1�� I hereby offirm thot I am exemp�from the Contractc%s �. ROUGHPLUMBING Lice�se Lpw for ine followinc� reoson (Seclion 70TL5, GAS PIPING � / � Buslness and Pro(essions Codc):Any Uty or rounfy wPii:h GASVEN7 � • requires opermil lo consfruct,aller,impro�e,dema�lsh, . � or repalr any sfructvro, pAor lo lfs Issuance,�olso re- . HO7 WATER HEA7ER � � � . , � qu�res ihe oppficanl lor suth permil fo/ile a s�gned sfefe- � FLUMBING FIXTURES� ' � ' monf Ihaf he 7s licensedp�rsvan}fo fhe provisions ol fhc I GAS TEST 1� 7 f'� � ._ .. Conlrodor's Llcenso Low(Chopter 9(rommencing with ' UTILIIY CO.NOTIFIE� � � � Secflon 7000J of Dlvlslon 3 0l fha Buslness and Vroles- . , - slons CodeJ or 16a�he Is exempt there/rom and fhe 6asis �+ � � - � (or lhe alfeged exemp�lon. Any vlofafion ol Sectlon ', FINAI - � Gnfrr on �rortf� � " . ' 7031.5 by any applicpnt/or a permil subjecfs fhe oppfi- . can� fo a dWl penalfy ol nol more fhon live hvndred � - . doifors(5500).: � INDUSTRfAL . - ❑1,as owncr of the property will do tho work,and � wASTE APFROVAt ' - . - ihe structurc+is not intended or offered for sole. , � '� � � -� (Sec 70�.Buslness and Professlons Code: Jhe C�,ic- ! ' �,.'�%��� ��,U U�✓� � �� -�-� � tori Llcense Law does not opply fo an owner o1 properly G�^ who 6ullds or fmproves t7wreon, ond who does such • , . � - � , work himsoff provided fhat such Improvemenfs are noi � . Infended or offered for sale.1!,however,Iho bWld�nc�or I� - , . � improvemenf Is sold wf�bfn one yeo�o!complefion,}he � � owner-bvilderwlll have Ibe burden ol proving fhal he dfd ' � nof bvifd or Improve/or the purposo of sole.) �� � .�I am exempt under Sec. , II • B&P.C.for this reason � I Da�e I Owner INSPECTOR'S NOTES , . • .