Loading...
HomeMy WebLinkAbout1240A �-----. _,....._ .._.__� ....,._. ---.._._.____._w_.__.._. -----__- �-,__---, wc]RKERS GOMPENSAi1�[�6ECIA1tA11QN E .��.. � � �.��aK»�kar F hava o cenlfisnte ot cocuem m.e11 �pq�y7A �PPL#C�.7'��N�����Ll1MBING�PERMIT inaure�,or o cenlficqtC pf INyrken'�p mpema�lon 1nsuMnce, CE 8YY(REv.�OiB�) ' , � . � . or o centlted.�ti!PY�O�of(S�e.I9(h1i!cC C. � � . � . . yyy� CpuNxYDF�:QS.I#NGELES BOlLDINGrQND3A�ETY ' � Poliq Na7, _�d �'�'Tampany-_. . '_ , . ❑ CenAOed�cOPY U hareb9 fwnithed. '�,CgtUVeil'tOPY+�FRe$wtlF.rhd•�ou -bvtldiit�'rnspeo- WISAPP➢CAFatOiRtIN(PAQ`1TOR�YrPEf�� .. p� .�,F'�' �- .. . h - � �': t[DmdeWtt6�tl'nt. -' N . R - @ F!E ' Lc�Atnv � .. ._ �� N . DPM{ "�-�FR��CCot _ ��. �._:. � WAiFRCL�SET � NEARESr . . �t(A� f �Rnpi i�� - �onr'i�146yFPRKERS' ewrH n�s ; rnnss sr. a � � QR R`11T�It�CNGY� ;s�ov�rea �R .. . . � f�'hrrf�c��Ono.f��+ofbi�o�+pt•�•J9E�h.�rarlcr�woWsdbr . � � ►6.ap.rmit»>tsrart+h�+eandderaettl�doF:�rr.tr.) uvnroar :, pp 1 e0nify�fm7 irt�Uie�petfOPmCn�•af tMie-wor-ic Mr wflich ih:s ': DRFSS J��S . t' Ap�mn�a h3vetl.Whdlt+fQramFlar anY�w9h irt aA}r monner S�Fac � .. � I att �. ��,.y� TEc r+0. . f � �oas io 0emme[�biecrb��+n We�rkab�GotnP�+�aui7n iaws. .o�+w n S N e R � - mNrvaaoa OatC a"plicOnt - - - _ QO�H6 WRWER AODRE55� lC��� �� k N6TkCE iG-�� oftOh mRkinq�Als Gtli�iftttlne�ot .SWYNM�N6-VCDIRECEPtOR � .- . . o!'� -Exempt�n,-Ynu iktaVld b¢-C Qme�eu6 tM tb the�Ndorken' . - aiv rtt.No.. / CamRensWlan provbrotur6f ih4 LAbOt`�e�Kqu muft fanh- wWN SPWf�¢�t sxbTEM � winc�ompky wtth s�eh provteMna ar�bh�eTmi+sboti be . srah +K. dgelnad a4YPk�C warea�+Fwr�a rvs�n�o.. 3>.3 7� nrss L"�G t13�A5�7�RS;GE4W�trDK cnssrsia+ aun�rs oisra�cr Na ocEsseo er ihacabYaff@mrhpNam�Rc�rnsRl+uf4e� rurGslonsatGhavrerv rTp� � +u pu � (cammi�claB N'q6 Se W am�)af OMsta�,3 ae tha au:mees ov�x !� . d a�dp.ofe�orat�t�.cMtmyrttensea+mfuRt��andeften. #,S F�Nni � VALIDATION 0 r }j�A pt pATE � Liceme Number��re����.... �ie.pasL�� a�� � a . .:�. ' . . pC � �Jq,.,� [i��J�Y�/.. � F�NAL � O , eontre�tor�:'�Y Y�Onee .t.S" . -- - 8v. � , , [�f:rr� W �. Q� � �f am exempf rJndpr$qc. � � � � t�i! s.ea.c.ror,n�..«„o„ Plon cheek f�Q . �1 2 4.0 A � ` Oate: 6� vurF+��wsiv�waur issu�N��EE s a �.... .5 ��, Signatvfa . . . � - � - � � � . � ,, rornt� 9 1 ••1 d50 � v�an ctieck avancoro ���1 6 5 p� s�r�c�faNrnY Honn�awnr�:suno�o�c�nruno� Nam. � 't I he.ek�y afftrm rhar�amaxempr irom rl�a�onnqcwr'a klronse - � � �d t'�$�$� �low fw tbe followlr�:redson(Sqenan 7af�.5,8winesa o� ��4°° .. ....; � -� . . . . '�Pro1feaSiona fi?dg): Cify Fel.Na� �J I,as owner of�he properry,wifb do ihe work a�tha � q . �hucN[a ia nar intended or ofF�fbd�for�¢le(Sptiion � . . , . . .. . . . . 4 � 7044.8us�ness ond�Plpiuyfioro tade). 6 CQN51`Rk1C7lON LENQING ACxENCY � ��areyy affarm�tFwf�hpre i!a coMffuc�lon lending agenty for . � � i perlormanee ot�ha wotk fqr which�his permit b'rsfued �c.909).Gv.C.)- � asra Name ... . . . - . .. . . .. . . ��er i�SI[ess . . �rify�ho�F Koro�..eos!ihi:opvlirorion and�tate alwi ehe . � . . . � . � .. � e informpHon ii cqnM.40gIOtW�1yly w%h 00 CCUYIh . . . . .. . . :bnces and 4tatp Irnvs rogulaflnq Plumhing,and heMby . �� ��ze rapreaeMptWe�of lrn�Goomy ro en+er upan the � �, . . � nemiw,ssl ropncqr for tmpeeron q�poan. SEE R�1lEit5€#OR#7S.P4ANATOR'1l[ANf.UAGE . ����� s erma�ee Date ���� ����� , , ,_..._ _ _ . _ _... ..._._ ___ __ ._.____ , .. _. _------ R � . . _, i , �. ' . � . � � ' APPROVALS �ATE � �lNSPECTOR'SSIGNATURE I INSPECTOR'S NOiES �. OWNER-BUILDER DECLARATION � UNDFR 5[Ae WORK I � F I hereby'afiirm ihot I am�exempt from tne Coritrcdori ; ROUGHPLUMBtiJG � � licenso Low for 1he following reason (Se[fian 703I.5, � GAS PIPING � . � � � Businass and Prafesslons Codo):Any cify or couMy which n ' ' GAS VENT � , ' � reqvfres a perm��to construn,of�er,Improve,demohsh, �� HOT WATER HEA7ER or repotr ony sYructuro,prlor 10!fs fssuonte,also re- � . . . �qulreatFaoppNton}lorsuchpermittofile'osignedstole� � PLUMBING FiXTURFS mvnt lhof hv Is Ilcensedpursuant fo thep�ovisions o11hc ' GAS TEST � Confratfor i Ctcanse Low(Chapler 9(commencing wilfi . UTllltt CA,Np7�FIED � SeNton 7000J ol Oivfsfon 3 of Ihe 8usfnvss ond Profes- � � , . I slons Cod�)e�thof h�is�xempf iMrefrom ood fbe bosis FINAL P c7 . for the olleged exemp�lon. Any vtolaliw o� Sedfon C�ntrr on ..tron( � ' I . _ . . ._ . . 7031.5 by ony opplicant/or o perml�sobjeds!he appli. . canf fo a cfvfl penally af not more fhan fivv hundred INDfISTRlAC � . ' . , dollors($500).: ' WASTE AFPROVAL I ❑I,os owner of Ihe property will do iho work,pnd �t � . . 1Fe struciure is not iMended or offerad for sale, . � . . � f (Sec.70M,Buslness ondProlesafons Code: 7he Controc- � - . . . . .. � �- � . � � for i Llunse tow doez nof opp7y ro on owner o1 property i • . . , , ' who boilds or Impreves fher�on, artd wFo doos such � , � � � . - - . . . .. � � work htmseff provided t6a�euch impravemenfs are not , - � � - � (ntendsd or offered ior sele.ff,Fowevec f6e bu�fding oY�, � _ ,. , . Improvemenf fs eold wfihtn ooe yea�o/comp�eHan,ihe t � � - - - � _ ownarbulld��wHlhovefhc6urdenolprovingtha�hed�d! ', � _�. � � � � nof 6uild or Improve for tfie�purpose of sale.) � � � � , . ' I om exempt under Sec. , , � � ' � B&P.C,for}his reason ' I .. , � .. .. . . . . i � � � � Date . . . Owner INSPECTOR'S N07E5 . ' � � � � ` _ � C �' I � --''. . .