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HomeMy WebLinkAbout1795A (10) N'ORF:I:NS�costri;�s.1T[OtinFC1.AR.�rioti �b�d��A � qpPLICATION FOR PLUMBING PERMIT � 1 herrhy a(firm thot 1 ha�•e a certificate uf consent tn srlf �c etv Iz-eo insure,or a certificate nt N'nrkers'Cnmpensatinn�n511f811CC,O� a certified copy thereof(�c.J800,G6.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY . PolitY No. ComVan)• � Ceriifie�.l c��py ic hrreh)•furnished. FOR APPIICANT TO FILL IN(PRINT OR TYPE) BUILDING � Certified copy Ls filed with Ihe county huildin4 incpection NUMdER FIXTURE OR ITEM � FEE ADORESS � �.{'� deparlment. WqTER CLOS[T LOCALITV � Datr Applicant NEAREST' BATH TUB CROSS ST. CGR'!11'ICATL OP IiXF.ti1PTION I�RON W'ORKIiR$' - I COSiPF15AT10N 1:ti5UNAhCIi SHOWER OWNER S< LAVATORV MAIL (This xcrion nced not be crnnplefed if the work involved � � � � nooRESS by the permit is for onc hundral dollars (5100)or less.) SINK � a CITY �� TEL.NO.�jsl�> -]6 O 1 rerfify O�al in Ihe prrtnrmance of the�vurk for�vhich thie DISHWASHFR V pennit is usued,1 shall nM empin5'iny p� on in any manncr I I I CONTRACTOR � xn as tn ncj�me suhjrCt In the crs', �mpens�l'r Lsn•s. CLOTHES WASH[R I O ��/�� ADDRESS I)ate( .�pFticant� .-� � ' 'J1' F ISri1MMING POOL RECEPTOR I U ^�OT CI.TU API'LIC.\1T:If,afier makini;this Certifinte of CITY � EL.NO --5 — r.��,ru��, >•o,� shuuld becumt �uM1ject In thr 1A'ofkers' LAWNSPRINKlERSYSTEM I I ST T LI0. N Cnrnpcnsatinn prm�isinna nt[ht Lal�or CoJe,pnu must fnrth- ��ith comply u•ith vich prm�isions or �hix permit sLall hr �'�'ATGR HEATER I p� LICENSE NO. CLA35 r ifeemed reanked. GAS SYSTFM OUTLETS I DISTRICT NO. CESSED BY LiCF.1SEDCOVTRACTORSDfiCI.ARATiO4 OUTLETSOVER I \� \Q. I herel+y affi�m th;rt 1 am licentrd unJer prnvisions of Chspter 5 PER SYSTF.M � (cn�mnencinq wilh Sectiun'000)nt Uicision J ot Ihe Rusi- 1 1� �\ FINAL neac;inJ Vr�fessinns Cn�r,�nd my license is in Cull tnrcr sn� 1 �\ `C DATE ,�j /�A �'� VALIDAT{ON effect. I.icrnsr!dumh�r �J� Li[.Clscc--� F�NA BY Contnrt������)a�e_���� � 1 am evempt frnm the licrnsing reyuiremrnts:�s 1 am a Plan cheek�20 IicenuJ architect or a reF���rrcd profrcxinnsl enpinrrr :ictinq in my �nifexci�nal capacity (Sectinn 7051,B�is- FLUMBING FERMIT ISSUING FEE S � inecs and 14n(excinns C�de). TOTAL FEE I.ic.ur Rrg.tin. llsir plan chock epPlicant 110}fl;O«'YICR�RUII.DGR 1)F.C1.:1RAT101 N"�P I hercby affvm that 1 om erempt frnm thr CnntnrMr'x A`���'ess Lirrnae I.aw for Ihc fnlinw-inF rra�nn (Sectinn 70J1.5,Ausb Ciry Tei.No. � � C� 7�.5�1 � nrss and Yrnfrtisinns CoJt): � � �j;• .• • •;. , I,as navner nf Ihe prnperty,am rxclusi��ely contncting �cith licensed cuntractors to ronshucl [he project , � ' (Sectinn 7044,Buciness an:l 1'rofessions Code). ' � ° � � ��J G • • • � F.r)�{.1- COtiSTRUCTlO\LG�DIVG AGLNCY � . i hrrrhy affirm that therr is a cnnatnictiun Irnding aycncy O�C y,�II 2 tnr the performance ot the �smk fnr�chich this permil is issueA(�c.3097,Civ.CJ. Lendet'S Vamr Lendcr's Addrrss 1 certify tha[ 1 h��ce rrwd �his application end sL•�fr that fhe � ahnre informalinn is correcL[aRrec tn comply w�ith:i!I County Stdli RF.VF.RSIi FOR GSPI,ANATORY I.A1(:IJAGIi ordin;�ncrs and S�ate lau�s re^utating I9umbing, anA hrrtby aut nri�c rrprr rntatiees ot Ihis Coun�y to entrr upmt [he �h � icr.ti property fnr in. tinn pmpnrrs. � ' Sipnature of etmittre Dat 1 . ;Li�f (U1 'I�I C�� ,II � �1 ��,..VC �`%o��:'� �. %��1 ` � 1' ����1`'�%T�.I�l1";�^ . ��� � I .���� I �7;r � U s,_', '�'� G•I'�'I.-~1 p;1 C �.i< '''" I I�� }N• �:;' 1 I,t:% �'I�� 'l.Z' � �•V' '���� /�I,L� �1.�' ' n � ' '��I I i.;Ir`-,� I ��1�T 1 � � L� C'J� ,o I 1 ��Ir'. ' r . .� I ;. , s �w� � ,I�l�,�l t —"•_�I 1 C � I '� ' � 1 � � � `�,I I � 1 '� : �� �1 !� 1C � '� I � � t � . , r ' � �._.-�; _•_�,�- �. r. �h .. " '� �''1 � c� . � �i ;, "", I � ,! r'. .. Z D � r � . b � � � .' ��• i � o � � O ' �'`.I ' ' ; �. �y� .� N _ ,� I I I I � C� jV� j, �� 1 1 �� ,, ' Ll �:J � 1 O I ' ` � � ' � ���` � � � 1 ' C, � O �` � `. • 1' � ' 1 ��, , . �a ' ► . � � �.: . , I I �_ � ��� .; - . I � � c� ( � � . o �, �.. � �� � , , � ,, � , � ' � � �� ' � � , � � . � ; .,, ' ' ' i � � ' I �' � � `' � �� ' t ' `� I, � �i i i � ' � � � � � 1 1 ; �, , 1 , �� I ' � ' � � ` I ` I, ' j �', ` `' i � ' ; ; �II I , , i , � li � ! � I �i � i � `, � i � � + � � � � ' � j I i � I � �', j i ' � '; I � ! ' ` �1 , '; ' �',, !1 i . !1 ; i ' ' ;, i � I 5 ' 1 'i i � ' I � � , , ' , , � ' 1 � � ! tir � ' � �� � 1 �� � ' ' ' _ . ; : .-`: � _ - ~ ,.. � , i. , � � , , � � ., _ . _ _� ,_ � I ' I �. _. �.. •� _ � �r � . S.. ..� � •lI� . � ' , � . . , � � i _- �. t... � + , � " � ' �► ••!. . . . . � ' � - �•s ••!` ' � �Y[.'` ^r•`r y� 'I �;• ♦ , - .. _ �. = �.,•� _ •f _ � �':'4 ^ ' - ••f � �. � ' + 1�^ ' � ' � - " � . _ � ' ` � � . � I ,f' F ^ �, - '- -_ .. = _ _. �. , � _ _ _ -• I I _ _ ti` •_ •�C•'�- � `t ,r• � � , �^ v •�� f� �• • I � ' ..� ... � :�^;+'�' ' t_ ± = � �. 4 1 _ - --' .:f '`' '( _ '" = ' ' - ` - _ c _,,f - ' - - . � �.� : i'. . - � � - = _ T _ � _ - � _ - - i:: ' ' . . �. ' 1 - - _� _ V 1 _ . --_�_�✓�