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HomeMy WebLinkAbout0931A "'°"KE�•�°"^�"�,T'°"°K�"R"T'°" APPlICATION FOR PLUMBING PERMIT �j I he�aby,affirm that I hove a cer�ifi�o�e of consen�to self 78A887A � � insure,or o ceAifimie of Wwkars'Compensolion Inw�onte. CE 817(REV.B/BB) � � � � - - � � � LJ � , or o certified topy thereo Sec.3800,Lab.C.) .� � � � . � , � '� � �� - Po��c No.��Q�pq�`�� S�R�P FU� COUNTY OF LOS ANGELES �PT.qF PUBUC WORK ❑ Y 1lfftsl.Ll.L_Compony . . . . . .. . _ - - - .. Ceriified copy is heroby fumi�hed. � � `� � ^ ' FOR APPLICAN7 TO HlL M(PRINT OR TVPE� BU���' a �� �O . • I?CI Cenified copy is filed with tFe counly building inspet- A�� f'y tion depw�me�L NUMBER NMURE OR I7EM p FEE ����ry . Date_LL13��+`11-AppliGon� WATERQOSET- - ' - - ��T � a BAT/{TUB � CRC4$ST. (� - a CERTIFICATE OF E%EMMION FROM WORKERS � � COMVENSATION INSURANCE � � SH�R OwNER - -- - (Thit nN�on nud eo�b�eompl�t�d I!th�work inrolwd by � . . . . . . ' . . fM p�rmir 6 for on.hundnd deilan(f100)e.I���.) [� �avqToav a [e� M411� . . , ADDRE55 , 1 cer�iFy tha�in tfie performooce of fhe work fo�which Ihis �, permil is iuued,I sholl nol employ any person in any manner � SINK b� pTY r' . � �OS � , �so as fa become subjecf lo fhe Workeri Compensolion Laws. � � - � � � � ^.. . . . DISNWASNER CONTRACTOR �C� � '- � eppliconl � CIOTHES WASHER �- � � j ^� (� - � N0110E TO AVRICANi: If, oHer mnWnq ihis Certiflcota of a�� 1� �1�� nT0 �� , E�empiion, you shoold bemme subject to the Workers' SWIMMINGPOOLRKEPTOR � Compenwtion povis�ons of ihe Labor Code,you mvs�fortM . Ciiv(oA�e (�pQOV�'. - IAWN S�RiNKIER SYSTEM �� � inc �omply w'1h suth provisiona w this permif sholl be STA1E 313D�33 L1CIAS5 � � 'deamed reroked. ' . ' ' WA7ERHEATER � �KE��� ' LICENSED CONTRACTORS DECLARATION �� DiSTRKT PNOC755ED BY '�, I hereby affirm thor I om licensed undx provisiom of Chap�er 9 GAS SYSTEM OUTlEiS . ' (commenting wi�h Setfion 700p)of Division 3 of the Business . OUTLEt50vER - _ . . , � �� �0. a }� , ' and Professions Code,'ond my licenu Is In full force and effect. 5 aFe SrSTEM � FINAI � n��/� (� oare �-3-� VALIDATION � license N�mber ��3083 lic.Clnu� � ' '. FINAI � � , Contrattor �l���p Do�a �����R� � BY � V ❑. I am exempl under Sea . . . ' _ d i . B.BP.C.for this reason � y Pla�check fee �0 9'a 1 A z Date: pLUMBING PERMIT ISSUING FEE S � � , , � . Signoluro . �!o e �rj . . . . . .. . . � TOiAI FEE Q � �.. � • 1 p 6 5 0 ' Plan check applimat , �' siN�ie Fa�nuv � a 1 0 G 5 0� . -' HOME OWNER-BUILDER DECL4RATION Nome � � - �D R 2��H 7 ' �- I hereby aff irm that I am axempt from�he Comractor's Llt�nee ,qddrea �� - - � � ' � � � - � � �- � - '� ��� i. Law for.the followinq na�on(Section 703L5,Bvsinefs and ' Professioro Code�: Ciry Tsl.No. - . ❑ I,as owner of the propery,.will do Ihe work ond the - . . , , t, � � strucWro ie no�imarded or offered for sols�Sec�ion - � - � - � � , ► - - � �-• � � � � . � 7Wd,Busineu and Profea�lom Code). - - , �, _ � CONSTRUCTION IENDtNG AGENCY . . . .. . . . . . . . . . . . ' .. -.. . . . . . � I heroby oKirm thof there is o wnauuclion lendinq opency for , '. �hs performonca of�h�work fo�whith thit parmi�is Issoed , ' - - � � - - ' � � - � - (Sec.3097.Civ.C.L � � . . � lsnder's Name . LenderS Addrou � ... � . . . � � . . . ' I certify hor I hove read this opplication ond state tha�the . . . .. ..� . .- . . - . - , � . . � ' obove I f motion k cwrxL I oqrae to comp�y with all Counfy � - . �� . � oidino ce nd S ro bws r yulalinp Plum6inq,and hereby . � . . ,. . . . '._ ... . . . , . . . ._. .. , our6or e pre �a�irea this Counly ta enter upon fhe � � . abov m ron or' pecnon p�rposes. SEE REVERSE FOR EXPIANATORY tANGUAGE ��� � �pna ure of PermiRee Daro . . .. . � ... .. . � . . . L— I , ' � . 'I'. j _ , ± `' . _ _ . �... . �.�_.. . _ �i .. ... ._ . . . ., . . ,r.: . . . . 1 ...... .. . .. � . . . o. .n t �. . . i',.: . � .. � . ' . . ' . . � I nFfRpVFtS yDATEJ' MSFECiOR�'SSiGNATURE IiJSPECTOR"5 NOTES '= `� '� �� '�-`� .�.(l ��.R-t,UIID F DECL � I.i�d �� . UNDER SIAB V:'JFr ;.�/���//���•���li/� . . . � .. .- ��- th � ��dl�h �. 1; »��il(S �Cc p s s�. � P �� ! / b �---� _._ .._, �... �'---"L cc s. la (o th ,fcl u �. FOUGH.Fl�l1.5:8:"1.', ..:, .Ir_f�� _ _...... .. ....., ..... __.. _._-- _ .._ .. . a �Aos (S c�;o � ba�s '� '�`��o � � � �gq . � Qusmess cnd Pro(oss�ons Codel Any uty or co� 1 iucn - GAS PIP',NG - ��.I . . . . � , � �� • -�-"rey�reszp'e�m'ifo�con.. ucl.�ol�u � �d mo�sh GAS VEI.i � - _- �_i�� � � - r repo r ony sfrucfuri, prior la rs � olso�r . _ .., ... . :_" '' _' "' '' __ _- . HO7 Y/ATER H:ATER._"" � - " �.. _ �'_'_. . .. � . . � . ��� •.q�f Es fhc c��l con�(o� I rc�rni!(a f'le o s'c ..d sfofc- FlU"lB�I:G GIXTU�ES . . •'• r '.. . . � .. F ',4. �_^ , ___ �' — " f�h-f i ! -sedr o I( IF p is/ons oi lhc j l.' I _� GaSTEci ... . _. .. ��� � , . � .-- � .-- _ -. . -- ��% C �c��^s c . v jCF� i•r9(m ennnywi�h U7i:ITY CO.N�:IfI£0_�.... � �'� �_ � _. ', .,','. , � Socl'on 17C�C)0/b vl!'on 3 0l�'I}0 8us e and Profes _"_..._..__ -.�_._ _._ -_ �.--�. �_. __.-- . . 'Io. Cod 1 tf fi��I emF,ffh r !� -andfhrbasrs ___ ' . '._. ._._.__.'_______. ._. _ " S � - �' f � .. ,. lar-iFe��dP grd n emprion'�nny vola6`on��oi'seclron _ c7 _— _" .:.. .�.. ' ` �+ P'�hL „;;.. .. ...,I��ler;O�� _*rwil .. ... ., � i I - i � . .,.� r,7U31 S.by� j'appLco�f fo^o prrm!! �b�•c�s tii.cppli� - • ` . ,-• �. . _�_'_._-._._____. _-.i ... :.__.r .. . �''cant�fo�e�avl pL�riolty o!no� mo fh�on'�/ivc'hundred . .._—___ __ _._ . _.__._- .._'_ . .. .. ._ ,..___-..� __ . . 1 ' : - � r .,.. . ,� . '� � , . .. .. . 1 . .n dollars��SSGOJ� �.. . . �,. ... ,�.. �. �,, . !NDUSTfLAI____'___ '._rf..—� _; . ��.. _! : — . =�r r__'.'{'_ . _____..___ ..-_ . __'_ .. _._..'.._.'_�� ❑I,as c�.mcr ef Ihc prope�ty w II tio ihc wa_-�:�d . ��`-`i'� — �^'—`' , -._-. the struc�vre is�no�ir,�e�c�^d r�eiiered fcr s^ic .. 1VASTE i1""rf.OY'AL � � _.'""''..." -.� "'�_"�..�.._�_�... _i__, ._:.-.� .. �_ .�_ � �� � � (Sec-7041;G slncssart,lProfes3ionsC d , 7h.Conlroo � . -•.i ., � , . . r.---. . ...-'- .--- -.- . ---_ } � for s�i<ens CL c�ocs no�eppfy fa en o ��ei olp aperf ' .`� ."' ... , .�.1 __..`...,.� , .,i ., � .., . . . ` . , � � � ork 67mscl/ rovlded fhcf�rUon, nd ho„do s 'uch `J - � ;_.__I vFo bv�ds o/,impro� ��sucF l proycmenrs a c no� .. ....� �, _... ..._ _ �_... . . . ... I inhnd���o�o erwd(or sol II� o r er 16e b Id�nq or �.��� •' � =..... ��.� ��... � _. . ����_ — �_ )mproverr�cnl i sold w fh n ona yeo� !camplc,'on.`)he � S j1 ; „ _'___ '_ �i.. __ ..__. ._.- .__ -1___. .�_, .:_ . _ ._.__ ..._ -_. .1__ - .,...,, oi rc^-.�uild �vi!lhovnlh burd:;rto(p�ov�ngtnclhnaid � t i -� � � .`�.`:� ..f!',:.nof.buJdcrl prove,fo I}epurposeofscic.i .�,,. . :' , t:�',�.' 1 ` _ i— i _ _� _ � ' — -. _... __- � - - ,-., , _ . .. i � ..._""".—.�_. � ._...— .. -`--"'.. .�,. . , _. , m � :i.. . r--_.. ._..__- I � .1 _ �' , . � ' 4 `-� I�a ezempt�underSec. �' i � - � '� .6 i � ; — � � � �' i�.; , _.':� - , � , ; ..,,. _ .__. . _.._--. . -, ' � I � 4� 6 E F'.C:��for this recson ... . . � . , . __ ��. _ . . _ - ..- -- �- -- � � - r ..-- - � -----� ..,_... . , -- — --`- -----_- _--._-. - . :. �.. . _._: .. , � __. _. .__'_� --__ .__..-.-_.—' -- ".__'-; -., .. '� - � „ �— — — . . . . . � r', i �.. �; . �. . . .. . . . ___a _ _ _ ... _-_ ._ .. .- �- -- -- --- ° _ , r � . . i -,.- ' :� : �,: -� --- __�ra«; __. ---� ----- -- -- - - , » , .._ _ ._� _ -, _ _ .__—_ _ __- __— —___ _._._._ . __—_ � 1; I _,�, _ a'� — ` ,. �. . , � . I. ._ . . _ _— . . . .S Oamer _ . ; . . -.�.. . . . . . 7_.._�_..___..— -...--'--'----"- --�---. .----. .� .,� .;�,��,� . ''� INSPECTOR"S NOTES � : � - ':, - , - ,.-----_ ---�..__.._._�_-- ..__ _ ce�,-�... .. < , . . ,.. �i .. � � . � . � � . ,. •__ � � i,- . .� - '�.,.... - �p „1..,��.,,� . . . . . .. .. .. . .._ _�_.___" _'_'__...�, _"__... ............_ .' __._...___�. � . ' . . , . . t:' ._� _� . ' � .: . . .-. .. t . `; ,.. . ', . . � . _ . ... . _. ...ii.�.,.,�,,.. . , � � . .-� . .. in .. _ ,.. . , '.:',..'.-..,1 � - � �., i ,., ' ' ..'.�.. . . � � . ,,�. -..r.1. � . F; . . � . . , ,._ , i... , . . . . . . _ _ . . . ... ... .� ,.., . .... �� . . . .� .'�. '.... 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