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Home My WebLink About0777A �.....:......___._. ......_.... �..�....__._.....,.�..--.._.�-..�.._.........��. ,-».._�....._._..,..-..�' . "_.,.�..�..�._.___-.....-.._..-.�. .�. � '"°R';�'�""'�"�°t'°"°�'T�� APPL1�ATlO:1� ��R P�.UaVIBIN.+G P�RMIT � I hMe6y CffUm fltGt i M�e o c8ltNieqja Of GGRfslii 10 tOlf �Oq�y�q . .. g. � +�aure,o.a cernflmte ot Warkeq-C.cri)pensq�tan Nrsvrance, c#an(REv.�aat) .. �. - � w o csef�ftpd t ��pfN�s�.3� b.C.> COUNTY OF LOS ANGELES BUILDING AND SAFETY yPolky ` �-.: ` °� .. .__ : � . . � _ . , � � terirflsd eoRY i�►aer�hY�urnuhed: . . (VRINT OR iYPE) ! led py il flliCl w}th fh CO Ifll �in3R0[- �APRICANttQF0.l IN qpp�$ �315 • . � d -_��ry . . .. . . ' kt�nBER i�altBeoR RE+Yc ' O fEF LOCAt�Tr� . . . . �� ' ��FGilt � W6tER40SET r� � CERTI Id1tE 0F EXFMPfRlH FROM W01t " BAYH NB cROSs�si. �7CSMPENSATiC1N.INSURAN[E 6�R owr� (Thisa�ctfonn�sdi�efbitom�-pf�t�dlF�h��rprklnvolr�d4y � � fh�p�rmlC+Is 1or�+a-na+l�undr�d8opar��(1100j ot l�rs� uvaraev �R� � f cee�tfy�hne in�Be=pe�od'menae�af�Ptp wwk#a wMfch rhis .. . . - � �. permit is ipued�.1 shq1l'aoremplSry qnX��lpnoein a11y manner - �K C'�T'l iEt.No. �o qs�o bornme snbietr ia rhe iN6rkea tompaeaa!!on taws.� oortw,aw¢a EOate�� appiimnt -- qOTNES WA51�R _ : I., NOT[t�YQ APPUGIWt !1; o/M�rtrolfin�.rhli Cbpfficate oi � � �. � Exsmp�ion, Yw ahputd bxome�uk�aet ru Ili6 NVorken' sv�nM�wnx�voa�tECEnrOR �d 'C// Gcmpsn�anan pro+rlsio�rt:of�he:labvn pde,You tnusr fonh- an �� wi1M eompty vey6 iuelr prox1i10n3-ar �his-pe[mii aholF be '��SVRiN�ERSK'�EM STATE iK. J-� �� deemed rnvokad wn�HFatflt t�E1�nrD. I� UC�Y�ED GOWtRAGKPRs OE6tARAAQN. oaTa�cr no. vR e � I h4ro!]Y 4�flrtn Ihqll�ODfiiiC�qCi��Otpr4v�titm4f�{�Pter 9 GAS SYSTFA4 OU44ET5 . ; � � lsctmtrt4¢etrffi=v�1b 5aetlap�OGQ3 eE NvAiR��,oi�1.@wirrora �R � f andP.ates►iara4`ods�pffi•px esaip:u,hdrisLr qixle � �� F�7� .�/�,�� ALtDA710N v � .licerroe Mum r '.C4u,s .�� , � - � � fIHPJ. 0 Conrractor po1e �� - .. fly � . ❑ V 1 qm e:empl under Seu � d y 8.8P.C.for lbia�epwn � � 2 PIQn check fee pry � �t�� RUMBING iERMYT ISStJMG fEE E .� r Siprorore � . .. . G T07AL fEE . . . Plan check opplicCm . . � . � �' �' SINGIE fAMILY . . � � Nonn�owriea-euno�r oEc�nr�nnaN- r+a�„ :_0 i"r,7 F. I hereby of{trm tha�I om exemp��from ths CRttttoCiOr't Licprqe pddress � � � � 1:�• • • •� Law for the�cltowing reawn(Se�ntoo 7t13t.5�.9usinen and � . - � ' Wofeasiann Codet Ciry Tel.No. � . ' .:� . .��;-��, a � 1,ea owner of�he proppry,will do tl�e work and tF�e , ,L F _ .. struaure is rw�inrendetl or offerqd for�le(Senhn o �- � „ �) 7044.Bus�nesn an�J Prufessions�CodeF . . . . . _. . . . , (1 L.2 i��—t��;r�T CDNS7RUCiION 4ENQINCs AGENCv i 1 1+e.eby aff'wm�horh�ers b-c mrovunlon lendlnp ege�for � . the peAwmance of rha wurk tor whiet�thh�pennir is�ued . . � � �Sac.309�,Cw.C.). � . . . . . � lender's Name - � .. � � � � �i LOnde_r'��trea� : . . . - . . . . , , I cernfy rhqr F hwe�ead.rKis applimi�a»qnd.�tnin Hwr Me � � abave�ntn nnon is canxr.layratw mRfPty wiflsoll C,puny . . . . . . . ordinan� Siere�evn`pyuinvnp vfnanfYinq1 and lp�yy aulhMiz �r 7 IirBa of t�1i!�,ponty q anler upOn thy i akro. , e a, fpr�rrs�edkan rP�[e� S�E R�]tSE'�OR EXPLANATORY.'iAlISSUAG� ' .�_ �; �� $ _ Siqnoturs of Perminee ute � ' ; y � aopAOva[5 DATE. � INSPECTOR'S SIGNATURE INSPECTOR'S NOTES OWNER-BUILDER DECLARATION� � � � � UNDERSLAB\VORK � I hereby affirm�lhat I om exempr from rhe Conira<lor's j. ROUGHPLOMBING Lice�se Law for Ihe failowinc� reason (SeOion 70J1.5, GAS PIPING - - - -� � �� 8uslness and Profe3slon3 Code):Any d!y or county wbrch '' requires a permlf fo tonsfruc/,aheq Improve,demollsh, 4 GASVENT � � or rapoir ony s�ruclure, prlor fo(fs Issuanco, olso rc� NOT WATER HEA7ER - � � . . . quires fhe oppfi[anl for suth perm/f�o lile a slgned efafc- P�UMBtHG FutiUReS - � man�thot he is llcensed pursuonr to�he prov�s�ons a�fhe � GAS 7E5T Conlracfor's L7censo Low(Chapfer 9(commencing wilh UTILRYCO.NOTIFlED . Sedlon 7000J of Dlvlslon 3_a(fbe Suslness and Proles� i � slo�Code)or t6o�ha Is exempf tbe�efrom and�6e bcsis , '� � � - - !or fhe aileged exemptlon. Any vlolallon ol SecOon f FlnlAt �(�r on �roni . � . - 7031.5 6y any oppllcanl lor a perml!subjet}s fhe appli- - . cool fo a dvil penalty of not more�han�Ove hund�ed � � - � � . . . doflrns(5500).: INDUSTRIAL � _ � � ❑1,as owner of Iha properry wiil do�ho work,pnd �� YlASTE aPPROVAI � -� �� . Iha sfrucfure is no�Inlended ar offered for sole. - � , � , - - (Sec.TON,Bustrross and Prolesstons Coda �Jhe Contrac- � - , ' - ' �, , . � - . for'a Lkenss Law do+s no�opply fo an owner ol properry . � who bvlfda or lmproves fharean, and who does such ' . ' � , � :. . . . � �. . �. � wark hfmself provlded fbal sucb improvements am not Ij� _ � , � Mbnded or ofhred/or sole.!f,-however,ffie butlding ar , . . , .. Improvemenl Is soFd wH67n one year ol compfa�ron;�he - � � -� � ownerbullder wtll have fhe burden o1 proving thot he.did ,Y , .. � _ . , � . nol bulid or Improve for the purpose of sole.) � � . �� . . , • � 1 am exempi under Sec. . � �i . . . _ . .. . , . .. . � 6 8 P.C.for ffiis reason I.� _ . . . . � . . . . ; . � � Date� � . . . � . . R � Owner � INSPECTOR'S NOTES I' .. II r' � � 1 i i 4 , � .