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HomeMy WebLinkAbout0810A (4) __.. ... .._._,... �_._w______.____ -___.-- -----_ __---_- `"�."n'"°Ea�'""n�'" APPLIGATI�N F�,7R PLUMBII�I+C PERMIT � I heraby oifum thqt i l+ove o utrqiicpte ot coGyenr rn aeli ty�yq �, maure.or a corti�icme of iA+orEs�Ccmqenaaftan in�umnce. c4 eYi�[.u.iq,rea. ... . � :. � . . aocsnifbd�sopythCreof($ec.9$OD 4�b.c.} . . C�UNP[�G�I:�iS�$NGELES . � 6UILDINGIIHCSAFET�Y �� olieY��e.,-,......-.-�mpuny . . . . . . � . � Cdr�ifiad saPX ii herOhY fumhhed. . �- �- - -- - --_.__.__ . �� . G ❑ wRaveuc�M'aGi�4mitp�+tattme7 au�p�Q -z � ) Ceruf��cppy ia flieta�wi�h dp epufUybulfidih8 inapeo . . . .�RES'� � � � � � v � tf4CdlD�m6M. NV�YIBER _ F . F� .. � wa�taasFt i°w"m �y� t�!��..( ROte.r+�,.,.�+.�._,,.�•,�.AppliGnnf -� tt GERTIFICAfEOFfXEMPSfON��fROM1NORKERY . 641HTUB �ST� n `J p f30MpFNSA710MiNSIJR�WCE � � �.sr+owEx � ,�v �R � 1-K("l. - . . .. � (Tfif�sitti6h tK.►d neTb�eomp��hd1f th�work-invohad b� � l�i�,..p�tmfit1�1o1ona-f��undndalellerr{S1D0}erin�.) uvnttmv � �� P. I�ei�nRj+.6�pr�DthtrgCrfwrrqtncr of rhe wbrk for wh�ch rh�s _ . - . �. � permlr�tYfund.#rhelhnoeeMptoyarrp�penoninor+ymonne. '�K an - ��.� �p�m:rc bemrri�so6jen ro rke WakaTa'Campemarton lawa. pQ�yyq�ER � � cavmactOc. r. '� � Qa•e � � iM1pp{icant GIDtHE3 WASNER a . . , NOnCE t6 APPttUvvT:+f; atrar rr�k�nq rhie Certilicala of ����� i400� �� � EzphSpFlqn, yco tdould°6eaome suhtecf rm rhe Wnrkan' � GDlnpen94tbn ptOvlsiolWof�6ar#akfOttoda;1pu mvsf fonh- Inwri6VRwKtFaSYSiEM cm . tt-� !R. 7E1.NQ jC� � wOh eorclply v�tuB satki provgto�s or�his permH aholl be � dtlnmed.mxckeRl: - wA1E�t�FicfER � iti�r�iSeNo. : . �.�0� U�a55 -+� �N�.�'CQFYfRP•GTQRS C�QARATlpN. - DI57RICT NQ BY iht�re4v�2N71me ti-am-0texuq�under wssrSrFm � ounEn F h2 WovaiNu ot�ChPPtar 9 � � (oGmrreqe�irtg c¢1jB$etUon 70041 of�iv sion$Of th0 8usiness o��� > � and prof�lany Code.ond my tketne�s in fnlY Eweaepnd eHect. s iEn SYStFf� FINAL . �_ � �_�/ pA� �� VALIDpTION 0 licaRse�Nu _ Lic.Cfass� .. ' . � r • / FI O Cantmnor }&,A,�pcte /'� . - . � 8 _Y�CIp �"' ❑ - I L��. � 1 am exempt�nder Sa. . _ . � �I . f D�1.O A � 2 F 8.8P.C.fw rhie reqao. PICn ChBtk fee � . � . �.....'..5 � � Sro�� �� PIUNIfifNG PERMIT ISSUING fEE�S �I U ,�'U � . e 8 5 0 1 ••" � . . . ` . � TOTAIFEE � ` � � •��•CE,�OF� . �' wc��hxk app�knm 0 1,b 3�8 4 ;� SIIV�i(E FAMIIY . . . , , , . @ NOME QWNER-6U1k0Elt DECtARAItIpfV Nome i I herOby affirm lhet t pfn e:amp�hOm IAa Conhncto.i Licenas jtqw fOr the fqllowinQ reolpn(Secttan?031.5,8wineaz and- ��Ou Mofessi9na�4d6)� � City Tel.No. � ❑ I,a:uwner ot tha�pr4perM.wJl da ihe work and.rhe � . snunurp ia na�imenpM!or offered far apb(Seetion , , 70au,8usineas ond vroie�ians Codel� . . . CONSTRIJCTION tENDMG AGENCt � � . I hera6y.ofE�rm rhqr rhere b o�consmucrtan fending aqency Frn - - � � � - � iha peFlormanee o�the work la.which thy pemri�is iuued� � ,, , � �(5lc.3997,Civ.C.). � . lende✓a Name . � � Lende['s�droer -_ _ - - _ 1 cenify�kqt i hwe.tlad rhia appl;m4on and smM Iho�fhe . � � a4we infqrmatton is mrrost,kagree w mmpty wi�h alt Caunry . . . � ordimnces dnd$tdte Wws regvlorfng Ylum6ing,and herebY. . . . ontAoriztr rgprs�fa+We3 of� p Counry ro eme.uDon the � � . � � � - ab 9eMf nbd��pf p�y, r inSpeDion pur�as. 1 SE�:REVERS�;F�1R€XPl.�lNAIPAY UINGUAGE � ' 1- �-- ��/ Sigppmr f Vermines , pore . � . . � . � . APPBOVALS o e� . iN CiOa'SStGew7iutE - WSPECIOR'S NOTES OWNER-BUfLDfP DECLARAiION UNOERSIAe WORK ,j �IjC /Lf�-�-� � 1 hereby'affirm fho7 I am ezemp�from Ihe Coniractor's ROUGH PLUMBiNG� � . � License Law{or 1he follawing reoson (Secfion 7031.5, i� GAS PIPING ' � . Business ond Profossions Code):Any cfty or caunfy which GAS VEM � , roqutres p permit to co�siruct,olter,7mpro�e,demolish. " - or repelr any sfruclure,prfo�to 7Is issuonce,also re- (. HOT WA7fR HEATER � . . -� qulres Ihe oppficanf/or suth permli lo fife a�slgned sfore- � PlUM81NG fIMURES ment that ha is licensed p�rsvanf fo Iha provislons ol ffic GAS TfST . . , Confraclor's Llcense(aw{Chopler 4(commencing w7rfi � U7ILITY CO.NOTIFIED . Secfion 7000)af Dfvfclon 3 of fhe Buclnass ond Profes- _ sione Coda)or fhol he fs exempf�6arelrom and fBe 6asis i - � fo� !he vlloged exempllon. Any viofofion of Sodlon , �� FNAL �„nlrr on �ron� _ . 7031.5 by any applicanf lor a permH su6jec�s Ihe appli- ' � cont tb v civil penafty af not more tBon(ive hundred � , dalfors($500).: � � �� wousreia� - - � _ p i,as awner oi iha property will do the wark,ond � WASTE APPROVAL . tho sfrudure is nollntended or offered for salo. � . � � (SecJOM,8uslneas andProlessions Code: ThaControc '� � � � � for's Licenaa Law does nof opp7y to an ownar of properfy � . . . - - wBo butlds or fmproves fhereon,cnd who does such �, _. _ _ � . . ... .,� � . viork 6)msali provlded}hat svch Improvemen�s aro not � - � �- � fnfended or o�fered for sala.lf,hawever,ihe build'rng m• � � , .. improvement Is sold wffhln one yaar ol completfon:fhe . � � � � � . � � owner-bullder wlll have}he 6urden of proving tha�he dld � - � � , not bvfld or fmprova for the purposc of sale.) P ' j. � . � � I am exempl under Sea , . . � � B&P.C.for this reason ' I� � . .. , . .. . . , .�. . . . .. Da�e - . ._ . . . . . � � - ' Owner I, - , . . . . , .. - �, 6 INSPECTOR'S NOTES i i i • � � � � � � r �j � � . . . . _. . � k � i �� . � .� _ ' - �� i