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1860A 1861A (11)
. .. ,.,.:.�..r. ,.._�....� ,:-,......;...��.. . ,��,---..-v..,..,,,-«L.. �....;.,��-�-w� ..q�.�..+N,' �,.� � �. ..,... ' ,�. - .�.. � - .nar_n., �.� -:..� �i� t�+w-m ,�.+a.�w�w�.-.a.i. .._» ��.s. . . ...�... w.. s_ ..�.- �. � ,xv✓eeaurx�Av+,��awsae�.u.eu»s.�.. U KFRS"CbMF�'ENSA'1fbN'D'��.�2�'I'I`ON �� - � . ��� ��� � , µ . .. .. .� . . . _�. �, k , ,.. . _� . ;... y�`�'� m thot I have a cer ficate of consent to self pp A� �(`�' "' j�+�' 'nsurebor a eernf'cate of Wo ke,s,Compensdtion Insvrance, �r r���/�+��'0� �\/R �����/�1 � � � WOR or a cert'i'ed copy thereof(,Sec 9800,Lah C:1 � � 76A2�B. �, ..... .. .,, :�. . .. �- .' .' .. �.... :. .�. � CE875(11i81} � , � „,.,. �� ,a coPy s hereb furnished 1. 9 P . .... .."'. ." ."�BUILDING �..�� .,: ., �.:. . Po,'`�c�N � "Co�pany � -� COUI�TY OF LC�S�1�s�LES BUILDING AND SAFETY � �„ a���—� _._ _ _. �..� ertit�ed ..<...e�.,,:, ... _...��......_...._ L.�"` ,ij �Certi4ed co v�s filed with the count�buildin ms ec-�.,�� FOR APPUCAN`f 1`C��FTLr I�( �ppoeG55 / � ' � t on deppriment /� BUILD7t�fG �y ) yP � � „ ��./ % �� .._' f✓(; 6 ADDRESS /�/ .. /.��iy .Pi� � :.. -LOCALITV � � � . . Date `'b � Applicanl ,., ., V�i'S9�i7.G .. (T � NEA�ST '� �- �j� .... - ..Y. CERiiFI'CATE`6F°�EkE'�f'Td�'N`FRCSI�t'�ffi��S�'��� CITM . ��w � 2ia ��°�p ., CROS55i. DJ�. _ . �+-� �'- .SIZE OF � / �. ASSESSOR �� „ �.. COMPENSAiiONINSUR��YC�"�'�, TRACT��� r� LOT � �LOTNO. ���fP MAPBOOK � �� PAGF PARCEL `(This se�Riort.pead nof be c9mpleted�if The permit is Eor one,.. . . � � TEL �/ .... . USE?ORE, � MAP- • . hundred doll,aro(5100)or_less.) OWNEe ff • 6 G No .5'�vb' ( Nq. � � I�certify ihat-�in tfie perforrnance�of rhe work foi which th's � - ' � �� � - - ' � �- Y ... SPEC�RC � � ��� - �. � erm t is I55ued,I shall noi em lo an trso"n In any mtlnt�Br ADDRES$ � „ � � � C�NDITiONS _._,..._, . ..io as fo become sub'ect to ihe Warke SpCom ensption Lows.:�: ���� '� �� C����`�" DISTRICT ���STA7f5TICAl��CLAS������� TVPE - PRO 55 BY . I P o-'y�,,r` ZIP � . CONST .; . `. � �. CRY . .� Dp1e . App�icant ... .�. . ARCHITECT � -,� .�.� m' ."7EL ./�e . A% � CIASS.NO: ,. ....,,.,�� ...,.... .._. �- ENGINEER _� ,J _. CI ,� NO E�.'G'�. �'" .¢ NOTICE Tb AP�PLTCA"171'.�"7S atier makmg ih s Cari�fimie of�� . . . � - �. Exempt on;-�ya❑ should become' s�b�ect to �the Worke s' � -�c,. � �{''r -j-/' Q J. vaLUATION "�����'' Comp�rtsaf�on p ov s�ons`of rtie�obor Code,you�must fo th- /+ooRess .E'z,tnrlu.R�9 t.a � � VALIDATION �� � with comply wnh si,ch�provisi�ns or-this�permv shall be � -- ,� � ----��-7E�. �. �r _ ���a(L;�+ - ----�� --- .. deeme8.revoked. � CONTRACT'"""".' - e•'1.y ,NO.. .�� � �{ ' . � . .^:." � . LIC LICENSED�ON7RAC7012b�1)�CCA`RA7I`C)1� - qDDRESS ` � ,�J✓-�'A � NO C�-�3 � � � � I hereby aff rm hwt I�am licensec�under pro isions of Ghapter 9 � � � ��� � ..���./�� S (commenc ny with Section 70001 of Di s On 3 of..fhe Bus noss ��Ty-- �'�j �� � CIAS��y . �� ij{}Q A � �'� and Professions Code,and my license is m tall force and effect.� `� -��� �� �����`��� � d' , . �f ` 4 bEY_'R7P710F7`(7F Lh%d12.i2.-...'�. FINAL ��/ ► �m a.��� 6�J license 1V�mlier�o`�d�4 Lic Glos,s, C `*�� SWIMMItJG POOL � � . � DATE�i7�"�,�"' '� ' �� ' �Co IroCi���' .�"=d�_��Dafe�� SPA - .. -..�.v.._.W .�.. ...�,u....__..�-,=.w' FINAL ...,. � �:t •E}�v � � ���� ':<.. . . ; ... . :. ...� $Q FT,� . . �❑ I am exempi under�5ec. _ SIZE �. . . . .. .. . gr � a � ��'+�-J��T .'�a ..•� .._�...�r+r - N .... - . .,. ., � ' B$P�C fo this reasbn � ELECTRICAL . � � � L ..�c.-i3'J - � � - _,. ...,�_��Date � ... � �- n •. r . � � .. Steel 8 Conduit Bonding � � .. /�-�ryh�� ��/.�,l�,r�,� a c..I ' - Sgnoture , ,.N Conduits,Conduc?ors,�Eqwpment � 7 1� � �'� �� ; ' _. . : -� SINGIE FAM]CP .`" .`: � . p/ �r ` ' " •'� . �� HOME OWNER BUILTS�R aECCARATI�T� �� ���� PLU/vSBING .. . . . �� � ��p (p �� , � I hereby affvm that I am exeMpt from ihe Cont�actor s license � - � � � I f5•�.:;J - � Law for the ioliowing redson (Section 7031.5,B�siness and. p-Trap��� . � - � � � � � , � n n s �� � . �Profess ons Code) . . Gas System � -� �� ' � � � � � �'`'"`' - � . _::.: �.... ,..�:. � ; r'"l �I,as owner of the property,will do the plumbing and Anti-Syphon � : � � � - �� . � � s ��--� eletlrical ork.I,or my employees wirh wages as their ,_ . � - ' � f.�".�'��� sole compenso�ion,or p I censed coNractor w II do all MECHANICAL�� �� � � ���!!! - f �. . other work ond fhe structure i;not mrended,or offered . �(� � . � fo•sale(Secuoo 7044 9&P�Code). -� � Swimming Pooi Heater U . � ��CONSTRUCYlbN"CETJ1JIr.G�f���''"� �� � � . � � . -.�.. .,x . ... _ . ...„. . . ,.. . . I he eby aff rm tFu there s a m t dion�ending agenty fo� qpp�ICANT - � �� TEL �� ' � � - }he per{ormonce ot the.wo k farwhic�tf��s parmrt is ssoed ..(PRINTI� .�a� �� .yZ' 'p � �-�-�� �� � (Sec 3097 Ci C�l � y ." , . . �Lender'sName - .._.. �• ..`_"`*. �ADDRESS��"� / /Y� � �� -�d ��.. ��� . .'. . . .. Lender's Address P C Fee$�� ✓ ��� Permrt Fee.- � Ol'J v � � � I ceriify ihai'i hove read�h s npplication pnd s)ate rhai the �. . � � � - / �'p �C',�: , : obove mformaf en s mvect I agree to comply with a�l Cpun�y���, � - � Ina ce Fea � ./-� C/ ',..1... � � ord nances aKd State laws relofing ta building, electr col; �. °" �mechan col ond plumbfng mnstruction,and heraby aoYhorize ���est�gaf on Feo.._ � �� � - - , �ieprece`nrafive� of this County to�'enter upon the above- ToialFee- � . � .. /.r menti qed p�e ty t r�.spection�pbses ..... ' r`. �......� .. : . . . . . / . _,: �� �.. . . . , , Signa�re of npplicam orAge�r : Daie SEE REVERSE FOR EXPCANAY6RVli4l�`Y:YYAC�"k``4Y�"M '��'� � �� � � v;t , ':�*,�nw��:�:�:�>�.. ,.�.'�s��sa�wwr�, .���� leb�s:�a. f x x+-x ��.✓.+M:ri�; � ..d� .:swro� . ���::; " FLaNS t0�Ps�t1Cf1N�"....,::w.,,_�.. _»...,...� '�` e..,.,�� 8p5P�, .. ,» � ., � � � � ., -.. � ,.. n . � a � .. , "".,,`.. .. "`""` " �'1'4�3M4TES " ... �'�....� _� .'�. . OWNER-BUILDER.,DECLARATION � . . . .. . �....,,,.... ..:,. I.hereby � . .; ._g�, �et�`��� . �aff;rm 1h i I am exam t from�fhe Contiattor's ;: -��; �'� � �'- � ^, . �� Licens Law 'or ih :folloving ouspn:�"(Ssc�..�703t.5j � � � ��.:. . .__._ � Rpproved ` ..- .-..,,.., �„i...,m„..:,E �..�..,,,,,..,-�,-,�, gusiness ond Prof¢ssrons Code,Any c1`y or county whioh Wo.���� � Rwi¢''" � iVo, � � Da7e � � i�. ; - reqvlres a parmit fo consPruct atfer,improve,demolish, ; ., .`. ., . �..'.�..'. • .. � ..`. .".. ...�. '. , ".,:..� -'-"�-4-�^`W,--^-°�-^^^°�..�'+•:--*�:-'--A++x-a��� 'or'repoir ony strucfure,�prior to°its issuance, also���e.. ... , _ ,.. . . .. . ��� :� - � _ ��, �, . ,� .�- ,�.. � �. quires the ap�liccni 7or such permit fo file a stgried s4ate- , ....... ..:.:. . �-_..�. .. . ...,,.. r_.. ..�::: •. ;,,�._ . . ��..:, :_.,.::� ..:_._..;�1 ..,,,,-.,:. ,..,,.,;s„��.�„..h,;„..-mer.f trhqt he r>,(icensEd pursuanl to,lhe�rovls7ons of the . .!, . - � . . . . � .. ' . ..: ,... ... Coytr�dors Cicenselaw�(Chapter 9j:(comme�dng wffh __. , ....:__._... ._..�;_�... .. ..'.:..: ., . .... -- . ..- .. :.:.,. - .--.___.�._;.,._.,.,_..___..,.„,„_,,,,,,r. _�,;��,�,�. ,��_��;.:�. Seetiore�7000)�of.Divi's7on�3 of the Business.�and Profss- . -...,:..� �:. . . .:�.� - . '. � . �.... .: ;.�. . sions Code)or that he is eaempi-Pherefrom and tlie basis��.. -' �-� "-�"- �", _ 4 � • - - _. ;y�,,„y ;.#:e�e for�jhe ntleged exeirYpiion. A y�v"rolabon��of Socfion �'l�������--����----- r 7037.5 by any apphcanf 6or a p rmit bu6je[ts ihe appli- ��. . .,:�. .::,�,;:; ..--. -�: �;.__. dPJSPE�TIPJdi i -DAYE �.�. INS��Qh'i." . �. ,".' �r�nf to a civi!�penafi of�no+more ih�irt five hondre _ . -�.«` ( I) y � �L6c.ATiOH ��, . . � I . .. doll�ars $��.. p��P Y � Y A .Y �. ... �� � _-.�- -- --_�^-�*--�`�n^�-'�-� ^�b��=a '-*�[l�I,as owner of�4hs ro ert,or m em lo ees with STE�L�f� - � � wa es as their sole com ensation,will do iMe work;and �, ��.-;., - : - -, , �.� '^'h`� •P^"-.N. �� �=-+n�. the shucture is not+ntendad or offered for saie(Sec�7044) ;tlGH7 C@[3DUR � .. � - � � � �Bustness and Professions-Code:�ihe Cont ocfor s�License ....,. , ,. . .,� . '� -+�-tM'. ^*^*-••�--*�-�-�+�-����.�> �+* L�aw does nof❑ i to on awner of ro rP ho 6�uilds or.� j�OUOtNc; � . . �, _ - .-, , , .,. ...._, . .: : . .:.PPY . P Pe Yw . '- . , ... ....,,, ..,_.. . . ..,,,.. �, � , .. :..: ... ... . .rmpr6ves tFereon,and who�does such�,work himself or..... . � ...'� . ." ., . . .. ..,:_ �.�;+--.,+s -^m-�-;:'+�.�-��++-�-�f:.�Kn<. ?hrough his�own employees, provided thof sucF...im- .,._._ _ ,� _�., . . .. ... . _-, � --�-'—"�"' .4�� � - . provemant;.�qre,not iniended pr olfered for sole.�!i, . , '_� "'"'�`�-�- ^^.�`^^��^M...�- ^*^�^K,f^r�.�^u:�.. however,ihe building or rmprovement ts sofd within ons , . . . . ... . `:'. - :...... � year,�.of compleiion, }he:�owner:builder rnfl hove the eon��vtr . �. � . . .' '�"� ^���'� - � burden of provirtg thof he did nof 6uild nr)mprove for Yhe � �GAS LINF. �� , � . �'� � P�rpose of safeJ. � ... , � .. ' , . �.-� .-.. ' •�..-- -�^^�-aw^�r�.�uwrt..f^.<.a.w.y,sa:-:+:a.t'71,�as:ownerofiheprdperiy,am�exclosively-con- NfA7�R LIhdE . � .. � � � 4 rracting..with licensed conCa�tors fo cops4rUct 4he project � � .,.•`."-� ..-�--,A .� > ..�" ... .. .,^•-: --•_..-��-���,d--��?�na.�= _(Sec.7044)Busi,oess.antl Frqfessions Code:,,ihe Conffoc- � SEWER . "V � • �� - - -� ° � � ?or'S Licanse Law does'noi app(y to an owner of property ' ��f.-�, y����� �� ��jr ... ,,_. . '^�.... Teiy�� . �.^^-.-:��^�-,-����� � �.ttie ContracrorsrLicense t�x,�Por,s�li�ensed��ursacis_for - � � �.�� amexem tunderSec ..B &PCup�nf�tc � a�,-�.;..�.. �) p ....�..^-,x��,-----� . „ :.� .� � m-,�..,�-�.- .. . . . > .._ . ' . . I�� . �,��..-«.�.w..�.w«.�� .-.....,.. I p this ANTGSVPt�pAF VbiLVE ' . -,� .� .mM. � � ���.. .. :;. ,.., -.��..4„w ,.. . . ::. . , . __ . , �ELEG4RIC WfRES,•.. ; . �. k�� � _dson . _;..�. _ . -. .-. r... ....� .�e,n� ,��:a .�-v�vr.�.. . ..--,�^b..� . PRNCE(HEIG63Y) . ,� ,: .,., `.:. ��.�,"'�� . � Date.� . Owner - . . • SELP-tLOSIYG } ... `. . . ,... ..�...,..,- .. ,�... � . . ,..�. ...: , . UA'f&5 �SELF-IATCHIPIG/ � i •� .. . � Prd3P@CFORS PdOTE$ - ' � ' _' .....,e�. .. .-.;a^�.:..'�rf�,w-w=,.w.,a�,rwt�'.... �,.,. �t �.• _ •tr - . ... ' �r+ ,,.,r.-.m,�., .. . -r0.��«imhei�:b��§u'dY'""Y#'r�.'4a";� h,.,,..... , ..d.�' ._...--'-'� . ....__' ' _'_`_".m....�....-r.u�-iir^I.r..ta.+s,.�'a-.rvw..:..*.�' �u782tk�"'k� '.... - _ �u,"�3..58 25�v^1Y.,S%ii;e.. . ��-�.�—. . . . , , , .. ROL'GH WIRIWG .. � � . . .. . . . �.. . .:... , ,.- • ._._-..,......7...........+r^'nm+•mw._.,,�w:�...��w.u...,,..,,A,w ��sxwrw...u::me.mw�isMcd . , � .,. &u+.ara'i.... . . .. ._._. . ... , k�s . . . .. . . . �. " . .... iINAL�L@CICiC ' ' . .. . . _ '_ . . ...u. .c4,.�;:�sana�v�xv . .. .. . . - . . . �+�a�a:n^^..�a.�esiA.xaa��Tk�xvk�{,�b,.,�.�<:�.. . . . . , . N� . , � �: . `� .. .._ �. , ,: _� � �� .. . � . ;�a .._, s,w«t..,. - �a,'_.�: � .., �.:z ..,ywr.a. _.;+",�•s '� _.,_ _ . .... — -.,,r�,. e , "- '^�a:_, ...Y_k.... nrm°"_�nx'ri?�f'v,.w.�. . I � �.7VEATER(C�CATIOW&VEWY} . . . _..,.. .. . .. ... .. _ .. . . . »�+� . . .. �.. �n ; �GA4 LiiJE TES7 . . . . �/lf� . . .,. �.- . . .. ,."" . " .. - - '- . �.. "d . o00t ORAIN&GE � - - � � .. . .,a._�, ..w.�.� ...,�,,.r. .-�.. ....,.,..�: �-- �� ._.....�„ .a,a«...,n,.s �s�..:,:t��.m.�...,.v...�,�'PC.p..,.^^:::: ..i P-TRAP � . .. . � . � . . ....., , . ,. __ .z�t��r,wrr,^�'w..:,�z,r,.slt f.�-:Pv-nf.�.i�nra.=tx,� ._ . ... _ . .:. . . . .r e.w , . . . . . .., :.. ,_.... .',.,. ,.. , . . rh .'� . . ... �.... . ... , ", �' . . ,.. . � ' .., .. .._ . . ..,. .::. .��. . . . , .. , .__,,.,.,.. .-�..,.._�_N,�... .K..z:a ..rr.qy'a.,r�dy&%'�w�.s�, _. ' � . . . ' . . . . - , , , tl� ^`Y-�a:uw6G?v.da•9 mA✓-.-w.�".�.w�.��'�w4*.- .._-.. ' „.... . .:. ...::. ..wn.v-m,_.Ys�r»R...YM.. �.. .. .. 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