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HomeMy WebLinkAbout0565A �, ,� � M+.�r�w. xri"� -.,.,,g � .cns.r MPr �?r j � �,� ^ .-a �. . ,,,�,k : 'y A,�...... . .. ,:. . ... . ,�e �-€��":.�� �;",r��1'v 9h ���.�'�,�e*T�N'�E��"��a���'��e�#§�����P�"��fi`��� c�'`� r;�'-'. -��..�' �""a��� �;�4 < `���.1" �,v�.""..4;� �r;. 3f u:.,a , ,..�.;�.?;e �.�:..;�,.°�-..�n -'��,r �"'� �VJl�R��01iFPE�NSA �b C�7�IRA O . .. ,. . . . .. . . �.� � � � ���; �y _� < �` s._.,:: �.�:�,. ��p�1C��'Ig1V ��`� ��l(!!1 �I�If; p�`R�11� µ _ . , .., ., I'he e y a�fi m tlia� I 4ia e a ert��cate of cansent to sel`f �yq66�n f F�`d insure�or p cert f caie of Workers'Compensatibn Insuronte, CE 817(REV 10'Blj �� � �.o� u'^y�"'dF° f� h r f Sec.�36� Lab.C. . . . . . . . .... . , . . �s�; ����� � COUNTY pP l05'AMGELES' $ltl DIIdYG AKID SAPETY �f pol cy No Company � �� C.y — ��� Certified copy is hereby furnished.� � .� �/ ' ' ' ' ' - � FpR APPLI�P,NT TO RLL IN(PRINT OR TYPE� BUILDING �/ �IXI, Ce hf ed copy is filed with�he c nty building inspec- aooaE55 %(o L- 1 v `�j L,7. • NUMBFR FIXTUREORITEM n FEE " ' �� �7" t an deparfinent. , LOCALITY 1 �i.'��S;::c �. ,,.�..x.. ..._. _ . :.,. . �'a'� wq7ER CLOSEi ,F--�� CY ���ate �ya�,�,,�, ApplC,i4�anl .�,�,.„. NEARE57 . . . . . � .. �.�'����RTIFI��rbF�E'M'���1 FKCS� S' 3' eATH TUB CROSS 57.. . . - . . . .. ����'�'�'yr"z�.��CO'PvtPEFY5XT�h7'IT7S'�I�,� CE. �OWNER ��ry�..�p�.� � � SHOWER �e i d ,� (This seclion nee�'no,}`�e completed��i�ie wo. mvolved hy _ � s the permrt is fof one hundred dollars(§100J or iess J WVA7DRV �, MA�� � , .�..,�,. ADDRE55 "��I�certiy I'not in tKe performdnte�o�the work�or which ihis � s� �'�Y''mit s ssued I shall not employ pny pe so in qny manner SINK� -.--� C�Ty 7E�.N�f� ° sa tls`to become su6�ec�to ihe Workers Compensat on Laws ) D:5HWASHFR 'J`XJ '-t `+'" �`�.r� �Y s+��'r �s�' ' � � f `"""' CONTRACTOR '4; ..��4i� ..��°'�3�.''���^s''nc�t �a.:'�<r.•"�.��;. . r'u���x;�„v:v_ � .,�4�Dote Appf canf . � CL07HES WA$HER � ADDRES$ xL,y "''"'�"�TICE TO"APpUCAN7: If affer�making �his Cerhfico'te of� � SWIMNIIVG POOL RECEPT02 � � pton"'qou s�ou(d become wbject to the Workers' y � Lo�so ion p oJisions of the Labor Code you must forth- . CiTY �'' s TEL.�N���.' �f LAWN SPRINKLER SVSTEM <-/ ,? with comp(y w th s�ch p o s ons or ih s perm t sholl be ' STA7E � � LIC� � j,�f ileemed evoked P WATER HEATER LICENSE NO� � CU�SS � '��" ��, Lf��RI3�D C`�OIJ�T��,CT�S DECLAR1�110N � � oisri cr�NO. �PRt�eSSfD aY S"+,'�v.' 'z(€`z".r'a�.. a+w'm `+� ✓"Nse'e:'"""3 ="cnc'c„ r .."`. GAS SYSTEM ` OUTLETS ,_� Iehe eby a irm that I am iicensed under provisions of C6apter 9`' t� � , . �,fi (commenc ng th bect on 7000)of�Drv s on 3 of the Business � OUTLETS OVER � , ��� � a'hd P ofess ons Code and my I cense s n full fo ce and effe2t. 5 PER SYS7EAA . - ' <.��....««a<,�». ....t. FiNA� � VALIDATION � �,?'.�.a ��,,�-"���.�g,,,.., � . +��/Y,. � DATE � �I L� �: � �: �:��Litense Nu er L c�Closs�S.��� — � _g ���'�'��� .,. �, ^� FINAL �f � �� �f��Confio . .. . .. � ate.�- ��.3 . . . BY � � I cm exempt und {' � � � �'c•h� �`"'ngn,s+���. / ve �"x �8 8P C for this reason . � �4� ��n'� 8 t„�c,, Plan check fee "' t y�y�n� 4 .. r�+�iF'w�:�P"S.� 4�b°'^��a�.e.[,,,�-�;E, n; � -���;kt�Q���•;..;,ur."�.x 5p;,+��� s rR 'S� ?.�.�:;w- „#$,r�,.'«.� .Y�. PLUMBING PERMIT ISSUING FEE$ „�".�.; �r� ignature . x��r''�'�������'��**�-PP=� �e sx. :d�� �➢>����' ���x������. . �TOTki FEE O� ";�""�i �sf g%' N'�� .gi.#� �` •E-`'.�'�i>�� ��r�'� ,z:j.��% ?lan check app!icans �s��C ,5`,,,2��`y.7.i �IN�E F��LY .. . . '_ HC�IvlE�OU✓N�'R 9UILD�bECLARATIO�N Name ,� `���reby affirm�ha�I am exempt from ihe Contracro s License�� qddress �U 5�5 p` •���� .. .�or the following reasnn (Sechon 703i.5,�Business and , .;,. w „r`.,��,w- . ,.. , .. . . 3,Pro�essions Code):� City � iel.No. H. e�� m e J '�,.� ❑ � as owner of the properry,will do the work and ihe � ` r� sfrucfoie is not ntended or offered for„sale �Sect on � � � ! ���'G�'} �����. �04a Business and'P ofess ons Code) - � '�' �* <��"� .��:"` # zus,�^^�.� "� �f -x,,+�rPe x .�;, <... :'.��[ a.s'�.�' ;.cse�-i.:-��-� X �,`^-Y $��:,� . -�.X':'4 ,:2,:., 2,. ���..�•�S aaw�- . .fl... i 1.}_2�U.=� . .... u� �r�.CO�1��TR�CTT6�! ER�D�f��6�ENC7 .;.....„ . . -,.. .. .. ,.. -.- . .,,. - � ...u.... � , ....,. . . _, ,. _ .. .:, . . „_ ,...... . , ... � 7 ��8 I�he��af(irm ihat-ihere s a construction�lending agency far �� ���Y ��� � 'I c � Fv.�alhe performance of the wo k for wh ch fh s permit�s�ssued , _ , � lS�ec 3097 C v C 1 . . �'S-k•-s ,a n ,.�; ��r. ,y� y£k4x:� y, �'^� ,ti�.fi'z .;�.� r�ss: � ��. ,�.., x f i � ' t�-�r7. A . ru t ,��;..,`�*,:�.. ..��$:fua,,�:,t�:e'r.r�'��,?�s�k.€.;�°�,..-.r�."�'�.�`�*������'�a�.�.�.�a�:".,..,����c� '� `Ya�,'-°r�,.��-,��.�`�`�,�$`�,,��,�,a'�`�:fb���..��'�t5-��'@'ai�;�,: '��Lende Nome '���' ����,�.�3��������f�"W: .. �.+�=��k�,..�a<��„'�':i� � �'�` .�..� ,�.��'�.�,,.�v��;�,�..:a�+`£�x�`��e�'�t:�:��z't��e3�"'���S�s.��'�ro�:z�°3��"s�.�?,.._ . . t�s�'c�.Lende sA., e5 . . . . . _-......... , __..... ............... . ..._......_ ..... ...... ..__ . ,. ....._........_... _ ,... ...... _ ...,.. . . � ..... . . _., .. - ......_..... .,� ,. . f ce t'iy tho�'r have redd th s applica�ion and�s�ote fhd(the ��"� �qbo e formpt on s c rect I,og ee+o compry with all Counry � - � - ' ``. ��"iil�d nan<es_and5tafe 16,ws�reqularinq Plu.rnb�ng,and here6y �'�`aLt�iorize representotives� � Coun(y to eNer upon fhe . , , . � . � �`�a�bo� - nlion pro y or� spection purposes. ' � � � -�y„�s SEE BEVERSE POR EXPLANATORY lANGUAGE , /�--!�.—$c� �� gnoru e of Pe ttee Date , a Rj,... , . .. '...�: ,s; ..::� .. .e.�:,.. ...A.R"�i R« ,.,..�:'- ...-.:,." , . .r£ ��st'e,YS'3X�?„ d -'u'<:.. .:�c..'. ..A�..rm �., ' "ek e$ Y dJs ..v+�mvwwa'�bom+a.+n�m . . _ . 4. �i .'':�5 �'�< ; K..� � ��"k 2 h� '^4 �� ..::kt r�$ .,x�'' ' , . � . � . ... � ...A-� t- ._ 0.f. E GZ ' { J¢, °f 1 ' . - . ..<' � . ' ' . .....� . ... .... .. ..� . . . .. �, :.��:... :..�� ,� .. ... . . . . . . . . �... :,.�. . .. , . '�; .. ., .. .. -.. '. . ._ . ':..:.. � � � �� � '—' � � �� �� -�� ��� �hSPECTOR'5NOTE5 ��� - ' � � �� �� - CTI�lErZ d'uILdER DECLP4ATION � - � RPPROVALS�' DATE INSPECTOR'S SIGNATURE �, UND'eR5LA8 WORK' 'i hore6y affirm ihaf I om exempt from ihe Con;racter's ROUGHPLUM6ING�" " ',.'� ' �, ' � License Lava `or ihc followirg r.-oson jSection :03i.�, GAS PIPiNG � Business and Professicns Code)�Any ciiy or county w�rrich GAS VENi -- requires a penni:to con=truci,dser,improve,derno(ish, or repair ony s7rucaure, prior to iis issuance, ai;o rs- HOT WATER HEATER� � � , qpires�he applimnf(o�sucb permiY To`ile a signed sfote- PLUMB�NG fIXTURES - mcr.t tFat he is Iicensed pursuanf tn!he provlsiors of;he GASTEST � - CarrtFocPor's ticense La�.�v(Chapter 9(commenc;r.y wifii UTILITYCO.NO7IFIED�-�� � � _ Sedion T000)o€OiYrsion J of,tne Busin=_ss and Profes � sions Codaf or ffraY ne is exempf tAerofrom cnd iha basis rc7 for fAe ollaged axemption. Any viololion of Secfion � fINAL � Ga/er on .y�rnnf � � 7031.5 by any opp;imnt for o permit subjecfs!ha oppli- cont to a civil penclty ot nof more ihan five hundrad � - doflors(S500J.: INDUSTRIAL ����- ' -- -�' �"-- � � � ' � "� . ❑1,qs owner of ihe proper?y wi;l oo ihe werk,antl v�nSTe APPRCVn� � ' � � � ' ihe structure is noJ intendeci or of�ered for sale. '-'� � •�� (Sec.7044,Buslness and Professiorts Code� 7h�Cc �- F:��. , � , ����� ior's Litense Law does no1 opp7y fo an owr.er o�property r :',;�Y � � � � . ' � ' � � � � , �� who buifds or imprOves fhereon, and w.rho�does such � � q �� � �'� '� �,.,..: ���' ...�-�. �,� - .' " , � k AimseH provided ihct such improvements are not ,....:... '-.�.. ',...,- ..,. ..� . . ,.. . .,.. Wf�. :: . � ... . �..'�. >.:._ . :'.'._- �.:; .:. . - .. . . ...,. . : . , �`� �"'�� � in ended or offared for sale.!f howeJen the 6ui!ding or .�.� .� :. ... . � � .:. �'.� ` .;��.. � � . lmprovem.ent�is sold wf,:±in one�year�of ccm�fefion,the . � i�.a ..;.,,, . '3.. .._�... .�...� - g , :.�.�.. � '. .. ,..�-.,-- . ....- ���.: .. � . ..� ,y. ' ., _.J� � owner-boilderwifl have the burden of p�ovtn that F.e did �� , .: ;�,: :"�;- -� ' . .. . ��`:." '�,-�� , :�: .. ;�.... . - . ..�� . ' � not butfd or improve for fhe purpose c(sale.; . .. ., _: �� .. ,r , . . . ,. . .,. . . .� , . .. . ',. . . " . , , . ' .-. ..� .�,- .. �. . „ ,.. 4, . .. . . ��.. .::. .:.-_:_� ...,,__ . �: , . . . . . " .. ,. � . . : . ., . , ,� -... ; , : . ..;, . ,: .,.: . .' . . . ., -_ : . . . , �� .... , , . ,.. ;�� ,..�:" .:�� .., �.��.,.�.i .� .�. .��.',r .. :. ...�.. -., � ., . . . �.o�' _, .� I am exempt undor Sec _<- .. - . ;.-:: - _. .. . ., , ;. . g_$.<, .::� . � , ...:_'> . ,.. . ... ,r ,,��.:� . .'...;..'. :.:':� P C.for this reason� •::�:...,� .`. ., . � �_,.- , .�::. :; ., ,..:.::� ...,.:�, , . - .. . . - � . .. .. - . -'''• �..V.'i k,, ..'^ , �..� .. � ..-. ., _; .� � �. . , . . . . . . ... .-_- - "� Dat2. . . : , �:,: ... ..�. �'-', � � .: � ..�7.:.� ..'�. ��'' - - - � ' . . . .. . _ , . . , . . :.. . . . .. � ... . . ,.�. .. . �. .�.....: � �:_�... .:.. . - . .; .. .' . ...._ . . : . . : . . . `', - �- -,..�.�� ��.. . . .. -�. . Q:aner�.:.. , . .. . , . .. .. .,.. ., � - � � _ . . �: �.. . �. . . �. . � � , ..,, . . ...:.�,.._ ....._:_._.,�. . .......� .:...:... ......� ,....�...,_,.. .. ... .� ,- :._ .. .. . V.s�!NSPECTOR'S NOTES � . . _ ak <. , - � :. :, ... '�..:: 1 i:.:m � , ,. _. _ s.� .•, �: . �. ,,, �„ �y y . . . � � � .. ,. . . ,�... � . . .: ..:: '._ . , � . _ . . . ,. , '�, . .� . .. . . . �j a > , , : , . ' . ;.. ; : , ; - . , _._._..._ . . :..:. �. . i :_: .,.:. . . . ., - , . :. ..,, ... .� �:i:. � - .. �. �. � �. . ., ': � , , .. . E' . , � ��� .. � . . . , .. ... ,. ,. . ,. � .. .. . . , ..- . ., . .. � .. _ . , ,,:, �r . . , :. . .. . . . .. . . . . .. . ., ..: . . . . . . ., . - ... .. .,,.,. . ,... : .. . -,....,,, . . . ,,..:. .--: .� �� . . .. , � � � � . . -... .