Loading...
HomeMy WebLinkAbout1098A ,-___.._.____------�---�----- -------------------- -- " WORKERs•�oM�N�T�oN oK�ARAT� APPLICATION FOR PLUMBING PERMIT � I hereby,o(firm tMr I hove o cerlificote of consent to self 7BA687A - ' .� insure,or o certifico�e of Workers'Compensalion Insuronte, CE 817(flEV.9/BB) � �- , ��� � - � --- . '- or o ce�r�}irf��ed copy�hereoi(Sec.J Lab.C.) . . . . . ` .. . I P❑olicy0ld���ompcn N COUNTY OF LOS ANGELES D�EPT:.OF P BLIC WDR S ` Certified topy it hereby fumiahed, � � � � � . � fOR APPIICAM TO FllL IN(PitINT OR TVPE) gA��� �� _ � (�2�J Cerrified copy is filed with fl�e coonty buildiog l�fpeo- ; tJ,o�dapahment. NUMBfR FIXiURE OR ITEM gi. FEE �«��T� f „ .��N� yl�l }�( ']���� �F�SC P � - - WA7ERCLOSET � � /`}�< r''��~ . . Dofe��Ll..L-_AppliGonl NfAREST �,�)� . � , . . CER71fICATE OF E7(EMGTION FROM WORKERS'� eniN 7uB . CROBS St /� _ . . a eA . COMPENSATION INSURANCE� S��R - OWNER � � �. -- - - - � � . (Thl�s�Nion n��d nof b�compl�t�d if fh�work Imob�d hy - _ . . � th�p�rmM it lor on�bvndr�d dollan(SI00)o.b.s.l LAVATORV � � Ap�Eg � � , I cer�ify thot in ihe performance of Ihe wo�k for which this � �1] , , : . parmit is iuued,I shall nol employ any pernon in any mo�ner S�NK CITY'p ��� so os to become subjecl to tha Wrnkeri Compenwtion Laws. - p�y�W��R �� - S�=�TK�— b - � OO CONTRACTOR � � Date �APPiicant CIOTHESWASHER . . - d� A�E� ��U Y� NOTICE TO APPLICANT: If, af�er making Ihis Cerlificate of SW�MMiNGPOOIRECEPTOR ' �mp�+on, yoo shoold become subjecr to �he Workars' ��T ` �, lpensation prwisions of the labor.Code,you mus�torfh- �AWNSPRINKLERSY5IEM C . i ` .�5 comply w 1h sucfi provisions�or this pe�mif sholl be � STAiE � LIC. �+- , ���deemedrevoked. � � � WATERHEATER p� ��N� CIASS � - LICENSED CONTRACTORS DECIARATION � � WSTRICi NO. YROCESSED BY � I hereby alfirm thol l om litensed under provisions of ChOpb�9 GAS SYSTEM OUTlETS . OZ� , O n � �(commencing wi+h Saclion 7000)of Division 3 of Ihe Bus�ness WFtETSOVER . _._. . . , . a ,� oroi Profeuions C�,ond my licenu is in full forc�nd eff�. � 5 PER SY51FM FINAL �Z�_gv VAU�ATION , v �. 2 DATE d license Numbe� � Lic.Closs V . - � �y FINAL q, � � Controct� '}� Dofe r�� � . BY :�^ . O W y � I om exemp�under Sec. , . �. � � e:sa.c.to�rh�s reosoo plan check fee r Dole: ti %UMBING PERMIT ISSUING FEE S p.`� �1 0 9.8 A Signarure . �': . . - iOTAI FEE � SD . . �'.o • • • `� P. -. � . Plan check applicant ��� � • ^��rJ� }; 51NGiE FAMItY _. , �� HOME OWNER$UILDER DECIARATION Name � �. - - ���B B,Ei�� 4�� I hereby offirm tha�I am eaempt fram the Com�udor's Liceroe � .. , . . , � . � . � '"`�or.�he followinp reason(SeUion 7031.3,Bwiness and � Addross� � � � � O�(i.2 7"H�I E � ��ons Code): City Tel.No. ! i � 1,ca owoer oF the piope�y,will do the work ond the ��� arructure is not imended or eHered foi wle(Sacfioa - � � �- � ' � ► - - , - �ON.Bu�iness and Professiom Gode). � � i � CONSiRUCiION IENDING AGENCY. -- � �-" � " � � � - , � - � , �. - '� : � �� C I bereby affirm Ihot fhere Is a con�hvclion lending op�ncy for � � � �j Ihe pe�}ormonce of the worlc for which thia permil Is isaued . . . . . . - �, . . . . . ... .. . . . . ... (Sea 3097,Civ.C.). a �f lender's Nome � � � � � 1 Lender's Addrass ' . . .�, . 1 . . . . . I certify rMf I hove read this oppHcotion and sroro Ihat�he . . . . . , . ;� � o6ove in mation ia corcxt.I agree b comply wi�h all Counly . .. . ..... .. . . . . . ... . . ordirto e ond Swfe lowa repulatinp Plumbin ,ond hereby _ outh im ropresenlativ oi this County to Ix u n the abo - �ia tor n ct�o pu mas. SEE REVERSE FOR EXPIANATORY tANGUAGE � �� �� � SiQnaturo of Perminee Do . � � � . . �. . . . �. i .'. ,., ,,, .. � . r .,, , .. . _ .. _, ,. , ... ,, , . , , � . ... . , .... . ..... .. ..... . . _ ._ - . r . . . . ... .. � . � . . . .... .. ... �.�.. � �_ i � � I'JSFFCTOR'SNOTES "�� �°-�� ���'� � (� N�FLUIi �E�'CL L< .�i17 ����' AFpROL'ALS O�TE I�.SF'�'TOR�SIGVATUkE - . .� • � UNDER SLAB IYORK 1.^ Q'y - i i..-, � : �.;', .. .�.::'.i(..:.�r � ._' . � .. °Y� � � ; � � —. _ � �• `�L' � . I h reb� �f.. �� t I an �m ( n ih C n �c�ar's � ROUGH tlU: JG _.1. . 7.�`.( - .... . .�. . ._._. ......��.._._„_.„_._ L c se f,,,� lo .q r a o r;5 t- 7i131 5 _(�Y .. ... .. ..._......__ . .' � GASCiP:pr, .� ' � l•. �Y � r i = `� � , :. ; � ..' .�:."_ , , 8 sne slc dP.n(� nsCodc� A yc�lyo ec ty,.viFi�:h _ ., V��— ''re c errnit lo mnsrrilcl.cllor,Im ovc.domo�%sh . �—.� . GaSVEN� �. ' . . � • , ,', ' 1^ I ` :.; .: I -:�..�. ; � - y `.�es p pr �.' I I ' HOT WAtEB HEASER _ � �. _�4�.... .-�--. -- � -- - \ Qr rep h�any' t�u�re. prio to i� -ssvc cp als e� vlUe�a��:.Gix7aFE<,. \ . .— ' -.. , l.. _ .'_ .— - � - i�rf r FPP�l�- d �A i 7 iF '� 4 .� f h ', GASiEST - - ��oV ��., � '�-' ..',. �� _ __. . _" . . .. Co'rfrocta z L co nf 5!a��Chopmr'�9(mn s ncing/irh i � _ _ I —6� � � Sec t"ron 7 0 0� �o l hiv lsion 3 0 l/he Gusiness an d Pro!es� ' U71LIiY CO.lJO IE@�._ ._ -.— . __.• . _.__.'.._ . _- _ _ . . . '. .� . . h,?t Phcrclrom o�d fhc bosis� ., .�.___� . �...�� �:_...�-� .1- ,�,I�.'1-. I . ._..�.. — _... .-'1 � � co�ntrto�o�n�f�^nclry��!n� Fl y'vo!o! ( Secfian t'_ �'�..uSTR_A�� �... �� ( �� � E � ti T / PP a per If�subj c�s 7tie��a�yL� . .��� . _. . ,� , . - ,_._ ___ - _ . .. r/o crL�s iS5G0J.- , . . ,. . ... . : � ., L .____ ... �. . ._...._ _.._ � { . _ .. � _,_ _�__ . �._ . - - - '� fiA$TEl.P.n�1,I. '�� ' `�',' C �. � . ,.. . .. �.-.�_�—' ...___ .� I � -� � pe o ma i�on un red . . . ��� ,..� .____ . . _.._- �_._._ _._..._ . ._ .. . � ve a•ocro e-e-nel ore,ndc oF do Shlc fi . �l a r � iy �II k,ond �..�:-:. . - . .. _... . --- �-��-- -' '. � '. ...�(Src.1704Jr�Gusfnrss-ondPro/ess'rn Code. 7heConlroc- t _ — _ i `:\ ,. �=� . _.__:_ ,.�c _:.. — _ . ... � -. - - - -' � ' Licensc tc�v does�nof nppl�lo 0 ov-ne of p�{^�ry� - � � - ' - r� .'fors ' ��� --- � � ���-' � ��who b�vildsbr Imp'roves lhnrvo ard-wh .dps, ch " ^� + ` ` ' ,� ` . � � � ��.� � �. . ,. i , � � -�work hlmsel/provldod fhal such Improvc c ts crc,-no� '�; ��... • ._� . .�..Y'�'���•�. .�.... •. _�. � � ... � � -_ .� infeqdedor.olleredlorfefe.11,hawever�,fhr,buJdingor . �. � � � ,.. . . .._. . _._ . „: � :l���" �, ' • �_ �� I � ______ __ .._�.._ _ � ,..,improvcr�ent is sold wi�hir one ycor ol cnmpfc(ion.Ibe . ' � _._i—_. ' `_ . ....� --'.. •-- - ' -;.. . ,. .,�oriner-6uilder wlfl have ffre�6urden of proving Ihcl.f�n did : _._� _ . .- . ..._ _ ' ._ ' � , . .. . .^ i. + ; .. ; _."__... ____�__ ...___.. � . . ,_'._� .qol.buifdoClmprovclo�.fhepurposeolsale.l .. _ . .._- - -. v _ '1 .�� � ' ' `1 - -- _ .�.:-_— ._._ , _ � _ i I • '' ` � —� i � - t am excmpt und r`5 � � __._ � _'_ _ ' I i _ '" _ � , _ __ - ,- , � , __:. " "- ' � � ' �Fi&F',C.for Ihis reason _ . ._�. �_L'_---•- —�`.._ ...._�. —---- -........ . .... � * -- ---.-- - , ,,. . , .' . . . . ----�---�--- ---- ._ :�'-' .� ' � i ... . ., ., . . ...-- .-'--.. �1 � � ��- �-- - � . _ __._ . � ,� . . : . y 1 .1�.�. .... _"_. _._�_ .�. _.__..__ _._ .___. .. .__J`._. .____ . ._ `_ _ . ....�; __ _ �1 �` __ � . • . 1' �/ .,'!.=.I +:_� i . , . ' ---�—_ �VJftEI �. . . . '� "" - � ' . . � . ' . ' ., � .i ' .-;. � . � . �.� ...i ._r �. �:_�..__....._ ..__—__".__"'_'__"_" � . _ _."__._" ."___ _ -._.{ , � . ', .. _i, . ''..�v� ... ._�.,.,, ' .� WSPECTOR'S NOTES ' ` " ` " , _ — , �: - , . , ".'. , �--- -� __...-------.,.__ _ _---___ t ,.. , _ _ ------ . , t � _. - ' , . -__------ -.�_..__ ----- .__..___. _---- ---- � _. �^' _ . ,.. ,. .. ._ '�� . �, _ _ .., „:, ' - -�---._._.--.___....._____--�_....--_...��. .� r�, � � ^ t : � t� . _ .,. . .. i ,..,�.I i . . � . �,� 'f� _ .. .t:' . , . � • �. i. , i. � i , . . � �, ...�L.i� .,...'. ,:. �,,,..., ... . •��..�. . . ..�.,-, � �� , ... . .. . . '. . . . -----=:�_LL..,.. .._.::... . ..___..4.=._'__'. �, . _ +. ;1\� ... . � � \ . . ` 7 \C �, � • �j_ l >J _ _ _ ,. . , �. _.. - --�. . '�- `- '--