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0805A (4)
- ,r . . ..�: .� 3..a;�7,x�s.: �.�.. �:�� 4w.����*'�+�� ��`'� '��w�� �:.�'�.��s``��+� �,i� ���,*��� .��%.�.: pg '�+� w f ka a .'�t '`WOILICERS COMPETiSA,TTONb�C�LAR T16N`�'�� '�eA6"B�A � �A�PL��&�T��C�Itl �"����6�UF�I�I�JG pE:RM`�IT . � . � L hereby'affum tfiat I have a��cerhfi�e,of c��s,en,�,�Eo se f ai��x�ea �� ����,� , „�F.� .�,,.�y„ ��,�. ,y,„;,�� „x��, � msvre,�or a cerrif�cafe ofWo-']r ceis Compe"nsation Inautence o"r" "`. °',"� ' � ''',""` '"" '�� '�"°� �'�` "'"" '"�``'"�''` ��", . ""�4a'erti�ied opy th`�eof�S;ec 38�b,L�C.)� � - � ���a ��,� /c�m�_ ��� COUNTY pP LQS_ANG�LES BUII: tNG�%iN�3A��'fY� _ __ . _ ..: Po(�ay I7o '� c2FnRanS", .�. 4 _;- _. ,.;a.. , . ,_._:� ..... ..;: - -. : ,...;: . . . ..:, ...«.,:::.' ._...,.., .�,,..-_,_a,�..�.� � � . . .... .�, . , .:. . .. . . . � , � . .... � Cert fie�d copy is heiebY furmshed. � � FOR APP�ICANT j0 F4�L.,,IN(PRINT OFi TVPE) �y'� BUIL�ING ��. ��' ' _w � ADQRE&S �.�if I�: "CerSified copy is P]ed with-the county bullding inspectio � NUMBER PIXTURE OR ITENl �. , ��� �FEE -- --e �-���- �-��- ` � de ar me . . . ��-.. . . - - �� IOCALITY � . v`V, �. . 4YATER CL03ET .. ._�_. _ , ...� ... >„ �J " bafe `�P.pplicsnt , ^�', . NEAREST . _.. . �* , �-. :. � . � -,�BATH TUB , ., �,�' CR@SS 6T. � � C�1�TTFYCl�TEOF"E�E'NfT'"T'[�N"fRdIG7'W T2K Ffs �,l£u_.�.. -sHowE.R�: . QWNER ... � .. L`01C�$'�N'�S�TI'O�"f�1$iSR'�'A�� . _ ,�:. • 1` � 3 rt�- _�4Av,a7oRY l �.,,� MAit, .. �1"hi� sectaq,� nQ�,d �ot be completed if the work�mol� ✓r" a.poaESS �� E� a*•'--'� � � �b tUe perfiat �s f,or one�uudred Qo(tars ($10�or tess} �� ' "�" � " ' Y � r�i sireK �7 crrv 9�� �, rE� rvo:��9�YIa � ,,:, � , � r .�<�,� 'S T certify�that�n the per�`orinance of`tfia„}'v,ork PoRwh,�,ch t,h���✓, f°-_ ,DISHWASHEft„ � � C� .CONTfiAC70F��.����._���y � �,�d� � � � perm�t is Yssoed T sfiall not employ any person m�nv�mannet � .. � .. .._._. � O so a`s tb��.bec9me 5�16�ect to the�Worker& Compe�sation LaryS. . �CLOT¢fES;WASHER ' .I, B� �gDDRESS �,��J � Date ` ApplAcant �� - -' �� � ������ �- q��/ � -----r— - � SWIMMING POOL,fiECEPTOR - e.. � '� .. .___. ._„ - ,"-t �*a ' . . ^^. CITY � . �TEL NO/ij-�6'� z . NO'II�C"E 1�'�7 AP��?C�ARYT Tf after m�k�ng t�i�s Certiffcate of � LAWN SPRIMKLER S,VS7EM Exeinp$on pou sfioul`d become fu61ect�to t]�e�-l�„9rTcers � • STATE ' y �� y ���LIC. j� .�,/�� Compensation pro`ai�ons af th;e Labor Co,d„e you iYtust fv[Yh � � '"'" ,��� �� �ICENSE NO�. �/ .f • C/ �'CLASS t.� aka with 'eb'mply Y�th��;sych yrovistons or this permrt shal�be ✓ � N1EITER HEla7ER, ,, , - deeme¢revol�ed � - ,. �� . � DISTktIC�`�'N ---PROCESSEDBY � e ,�„� ,/� �.� GASSYSTEM„� OUTLETS � � � ^" LICEN5'�15 COP1�l"�e�.Z''YOI25 DEC'L.'�'Y2���,,, � OUTIETS"OVER' '�. ;/ _.... q �' �'' a '�'`�� �- 5 PER SVSTEM � �^ / � � hereFiy-a�irm that�am7icerise�under provt5lvns of Ghapter � �_. � - FINAL (co`ri}riepcingwith�Sactiop�76U0}of DiYiston 3 ot tfie Bus� , '.i - ' r^.�- � VALI�"AY��I� . esg and,P oTess�ons Code and my license.is in full fo�,ce and :� � DATE l`�J�.-"�J � ..�--.. .---,— -._ . -:- . ....._., ...., � . f�¢ct . y. �. ; ....... . ._ �� ' � . . `.. , ,. /� . . ..« � . ., . FINAL . l... /.�.g'��"Lic Cl 35 � C.�- `..� . . .. . BV !`'��j� . L�cense Number , ._,„ ,,,,.�,,,,,„ / � � Contractpry�i����Date�� 1/ . . . .. ... ......._.,__ ._..._�..� _.�„ . _. . ..,..... ., � . � . . ,..; � I am exe�pt from the �cGnsing requirements�s.�l am a � PIBn CheCk{80 _,, ,: _ _..., Leensed a€chiY�ct or a�re�istered profess�,gnal,_ertgmeer �p�UMBinfO PERMIT„�S5,Ui(yG PEE$�� ,�� . � � � � a�ting m my �irofessianaYxapscitv(Section"7051 Bus , . -�1 . . . . . mess and ProYfessi,�ns Code�� . . � TOTa�FEE Ur � � - r a ,: .� ��'t Lic.orl�eg No Date___s4�M���4 Plan c7�gck applicant. . , w,��u . . . � . . � e;v'��{' T`a .. . . � ', ' . . _ �- . ��AOME�OWNER BU�.Lb�Lf D�C�A�A'Cl��kw �� Name . ___ -,»,...,. �,,., . m _ � . . . . �r�.W.. a�.�• . . . r . w .... . �v..W.,,�.. , ' ; : � .. Address � . .. . . . . � �:�%,�! F(1 : . � I hereby affirm that I am �,xempt from the Contractor s '" _„_._ � . ,,,,,p„,�,,;,.�,,,,,,,,„ � L�cense,Y.aw for fhe tol1oEv�ng.ceasnn (SeStion 9031 5 Busx _� C ty Tel No.. . desssi�d�profassions'�Code) � �� � � � � '�-� . '. -sa.. ��tis ., . I,as ownar o�;trie property,am excl'ueiveiy`contrectirig -� � v3 (� ❑ ,. . ; .� .�. .� . with 1�ceheed�n�contxac4o�s to construct �h6ee��ro�eat �, . µ (Sact�on s7Oh4'S3usmess aa�,�1"P'ro e�ss�u�s Co�e} """" °' _, ;.. „ ,:� A L� ^'1�-+ A'� CONSTRUCTICi1V L�NDIN�AG�E,NL� � ,,,� ,� �, . ��� I: .� . .. ., . ,«_� M„�.. . w..�.. I hereby aff;cm Eh@t th�re is,;a,�gpna�r,v�c�ion e�"'n�ing��agene "'"'" - ��Q� � ....w. . .... for the perfoxmance ot xhe„work for w�i�c�i t�`�s permi�is . � .� � e , . �..._-..... ,-a�,.,.. �..�.,., . .. .,,.,... _.�*,., .. .. ..-� : .. -�,.-,�,�. :.; . ..........: .: . ... ..: . ..._.�;:.:_-.. ,... , �;.., -�. �. ����FP _ iseued'�Bec 30�7 �iv C.). . .. . .. �''� . � ...� - . Lender's Name - ' . `�a o^e#a,} ' ; �.: r ,,, `z"a' , v��.� '. � s�.� . . �.n:vn��,rv+�' r�»�+*�^�„�rwq��. -. ', s. � . . . . � - ''�a � e n,`]4 (F' : Leader's Address �. � �,+��.�„+�. s*s,ai,a,.���.,si�.,r,�r H"*�,�„r,. a���hs€rn'g'��,,:�,�,,, �+«� za��u;..: , >:. [cerhfq t6at I fiave r�ad thts`app��cation and st�fe�that tylte, , , , �,,, , ` ' - ��s . �'�g����� ��. aho�e'informnt�on is correct I�.agcee to coalply with all Coprity ' , �gEE REV�,RSE,FOR hXP`LANA Ok'Y"LA GUAGE -�� �� u-� "� � ,� ,,�.._..<. ottlxnaneea and Ste;xe�ayvs reguCatm� Pluinbing anH'hera6y ��� : ' < -"�•�"`"''"�'�"""""'. = """""'-' '�`^"`-"'"'�'�'w^"-""".:� -"" ,.,_ ....,.. .. .. ,. . . _ . _ . ���I,���"�� . eboherme ioned p{�perty fort n�s c�on qwposesai�u',p`Sn the � ._ ` . ` I Ltx"'.'p ���' '�_.�_ ignature of Perm�tfee _ Data ��� � " - . .. _ ...,�. �. ....... �.:..,� : � �. . . . . .. . . ,-m :'a 1 . . . ..,, � . .,;, ` .�. . ...�: z . ., ... r% ; : . ... �„..�.,..�..v,:,m.�„e,.,.,,a�.�'.�.-` " , _�. .' ._ ..: .. .- .. .. , , . _.. � ��. i� , . _��:. .. . .. �-� . _ __ _ __. . � � _F , � �-. � �o-.. _ ,���.,..., � .�,��;�.,����,� " INSPECTOR S NOTES APPftOVA'�S DAYE lM1dS�E OR'SSIGNATUREP� ,,, ,,. �,;.,,�„µ„OWNE�,$TTTLDER�ECI.A,Fu'�TTOI� � l � . .ia=, un. .:.�.z...M.,.m.,w�.- UNDER SLAB W06i ��,-��^��. . . �, . . =2�1 _�;-� . ... .. _: . ., ., . . , RouGH PtuMefNG �� ' � ` ' �„hgreby af�rm tfiat I���am eCempt fxom the'Contcactor's "GAS:p)h"dNG - u � � �` '�.:�.ice'rise L�w �or tl�i0�oFlowiMg aeason/Sectt�n 7031.5, � ....Busdness and Professions,CodeJ:_Any city�a; counay� G AS, E.hTI A�,� .. ... .... . . . . ... . " ��which requires ¢,permii ro eonstruct, alter;lmprave; HOTyJATER HEAT R� . � �,-��� - .�.e �: ,,� � � �� �.. .� : � . demolish,.of•rep¢ir any srr,�crure,:Prior rq its-issu¢i�2e, . . . � , -� .,_...: _ ..�,_:� _.�,._ . �- «.,. .�.__.- P�unpialNG F�xTU€t�'_", ��_ =:�-: " ' _ .: - . '� '::; �� 41 a,require.s the aPPticant�for such p¢rmia.to file-'a.�. s � ' " ` ;i fi -'"" - "`�" `� �. �' " ' `" -� ,.�A-,.;asigned siatement zhat-"he is leeet7sed parsuaat to�the Gas Yss7 �_ � provisEons of rhe C.antrqctor's License Law�.[ChapJer�9� UTfLfTY CO NQTi�IED ����"(co7rt7}Y�CrYCiltg Widh�$ectdOn 700bf�Of DlyiSiotd��.7�of ihe� �. .____�...... _.; .�..,-. �,. � __....-.. �..� ` . .'�.�. _ ` ';, � �._., . . �' Business�a�t�} Professions CodeJ�--or�thar he.is exernpt - p��,q�� ��`�,;���;� �� A� , ��. ' ��� _ �- ��r=�therefroevt and the trasis for the,alleged exemptron.Aup x. ¢' �,violation of�ectxore J031:5 6y att'y abptica'na f"os a�eYinf't � M ,. ,< - �� , , � . . �.:, . . " :, ,;: , .,, :;., ,.:... . '� :-: _ . :. ,' �=.su6jec2s zhe apPlicartt to a ceviP pena7ty of�noi'mare tdwn - : - <: . ... ._.,w - ir�oUSTRdA� .:� . - ` .� . . fivehundreddollars(3500J.: . AS;�e aPRfto�aL �,�,�tw�..r...p T,as awnec of t7ie pioperEy_-wiit do tfHe�wock,�aazid� .�. .. -. ._. ..-- � _ � t .`; .r .. .,..,: ' - . . �. .. . ,-_ _ . . __ - - _ .�. ;,, ��. _.., ,.. -�.:.___ �. :,. _... _ .. ..,.. ' ' 'mhe-s2roGtuse)s nqt-inY�fi@ed oc offe�'ed$'or`sa9e.�" ,,X ` ,. , ,, .;. ` ' . ' �/Sec 7644,�,Jusrnesa end Pvofessirsns Code:'".�The Co�t-�. -r. �.; -, . , �-." `.:.^, , . ;�.. ,,: '. .?" ,� ,:.. ,..-.�`. -" ' .:�� metor's License Law���does not apply{o en�'nwner.oj . � -�-�� t��: . ....t.. `. � LL ��:. _-' ` .': � � .."` " ' . 'y...� ..�'-.. , . ' -_�- '.� ..,,��.property.who builds or�lmProves thereon.arid.who d»es ,:;, . .u,-�,;:.., u.,;..,���,s. . ._.:s._ . �` . .�.•.�� ' �.:. .:..:. - �.�-: . ^ ;hirr�selj,provided thbt.such impraveiner�t . . . . .�� . .. ,.... , . , . . .. ... . '; �„�suc�Z work � ,. .�- .. .. ' ,� - :, ._.:... __ ..:.;;�.. . "---, =,w*«,�are n�t-inrended�or.affered for�sate. lf,h9wever,�th- � . - .. . � . . . � � �building or��iroiprovemene is so[d wlthin-oise kear�.a . , . . . . , . . ,.,. . `� �'�' -'..;;-. : . ' . � `:��.. . . � .-: .• � .. � .• '.� ,•=.�.m...��-_eomFtetion,�� the�.ownep�builder.wili have.the�burdc . :�. . `'' � _.�.,' ' ..."`. .....J . ..'-... . �. � � .-.,, .. � � -��af.Proving-that he�did nar build or iniprqve for t; "_, ` � ,�,..,. . '�-:, . :_.'_, . �. .,� . .. .. . . _ . .... . �_. ." _' ..�.�. . �- r...�..,�.�.�purpos2 of aale.f ' ...,�. . . � .,..;: �.s... <o,_ � � . ...;�. .�`:. ___ .. . . :, . . „ ; _ _ _ '; - . I am exemp2 a�nder Sec. . �. ... .. �. , _': B&1'.C.-f his eason ; ,�....�.._ _ ; .. .: ._ . . . , ---_..r�--�---_..�,.,_,. �. , � . � . _i.. ..::.. . ...... ......- ,..:�:,� -�� .,,4„u.a..,�..��.���.,�.n.«a��,a��,��,:.�.,� . � ...... ... . .,._. . ' -� �- �;�� . . .., , , . . .; � �.��.<''Cya�""e"-�,w..,�����,��.n.� ,,�: ,.,�,��, ,.� .. ,_: . , .. . _.. , ` ,�,���K��. . :. _ _ _ e_. .. . .'- .> . „. --. � _ "�wner .. :::. . ....., s�.�,.. �: � '�INS?ECTOR'S NOTES �� _ .�. , ; . ., ��. .. . , . � � ...� F, � a.. �; . , ;�' .., ' .. , ..;� . � - - . t,»,.�»s,�;. '�«.��+::" v _ ..,. -,�«w«u,��;.;�,.�;.«�:,.�- a,�w:�-.�, . „ - . E -,. .�,:�:. � w�rR�, � `i'�l � .. . . 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