HomeMy WebLinkAbout0966A (5) '"�KERs•�°""ff"�"°"°��"R""°" APPLICATION FOR PLUMBING PERMIT �;
i herecy�rnm�noi i na,e a�an�n��ot�o�se��ro esif �enee�n
� ��f� �e o�wmkm'comPe.�wno�i�w.m�ce, cc av ie��.�oiei i
���e p°' �h 3�0'�°b.�_� COUNtY OF LOS ANGElES BUIW NG AND SAFETY
bo?"aRe���r,ny���'13. - .�'
Cenlfied copy is hercby furni�h,a-�
roQ�wu[u+r io c�u iu�atnwr oa nrfl eunomio -Y�
C.qnifi��ypy ia filed with�he coun 6uildirp iropec- � a 1 � ,
Iipn d 1. �1M1�B�P FU(fURE OR IhfA � :
iocum
wnr�x c�r
Da�e 'a . AppliSUM �/ — NEAIifST � 1
CEKfIFTA7E OF E%EMPTiON FRpM WOR4 ( Bn1H TUB [��. . i
COMPENSA�ION P15URAN� J �q p f �
(ThPEKItenn�adiwrb�eompfaNdifih�swrk hMbY �i i
w
M�pmnU 1.ier an Ronand Uetlms(Stoo)er Im.l uvnipn .,�ppp� .
i�enny rt,m m m,pe�eo�m,<e ar me won+o.whtn m�a -
oe.m»u��ed.i.hen�w�do�a,y�����moN.a J SNK eirv � rK.
as to 6arome wM«�ro trie Warksrd CamP�wKon Wws. DISMWASMER �
EaNtRACtpR
pats e^^A^^n� ClOT1E5 WASHFk q��
`�il(E TO AVPUCfW7:If,aNer mekirq�his Gxnfimts of -��
i mplio�. v�+ sho�ld berome bi��ro �he Warkni sww�mmGcootlSCEvfok - .
' a^IM�fNio^PovitilMi��e�u6w Coda,yOV m�n�tenh- Cltt 1H.
iM Epmpy wiM au[h prwniona w ihia parmn ahall 6e ����psvSiFM
deG^RO T�ARAI. WAitR INiFR x4CEK5F N0. � C1RS5
L��'1.�DCiDMRAC�PRS7IEC.lARM1ryW�I MSi . 8Y
W1
�he�ebratf�nm�JaA�kmsedwdwvro.niomo�Choa�a'o j ctssvs� our�rs �C I
( iM1$ecrion 70pW of D:rbirn 9 M ihe Busnxs otmElS q'Fli �'
o�sfN�oM�OdP.a�0 mY li(enta b in fyll 4prce and aRect. !oEN SYSiFM -fiNAl Q
Ep -0A� VALIDATION u ,
l�ceme Nam �a Cims �—�! C � .
�o�� �e r—io- B""` u ,
❑�i om s,empi -sec.
a
s.sv.e.ior�hrs�o� Plan check fee 2 f
'��s: VIUMBING PERMIT I$$UING FFE S � :
6iproM
TOTAIFEE
a��,�►wvr�m•� �G 9 6 6 n �
S�wG�c faanr �.....5
NOME OWNOt-8UIl0ER DECURA710N Nome
( J�eret�y cH�rm rlq�i am mempi Fom�he Cw��.o.iw's Ucanae ��� I�1 G 2 0 0
su��n�rau�,�.ro�o��s���o�ro�i.s.e�.;n�.+a�d
a.weu�o�.cadel. n�� rei.r�. ••1 0 2 0 G�
❑ 1.A ownm af the propMy,w�11 da�Fa wak und ihe � " 0�.� 1�E`b. '
4ucNro is nal inleMpd oHered lu wle�Sectipn ' ;
7044.Bu.i.m�rnd Rofa�rcns Code). •
�pf�STIiU(TIpN�ryDING AGENCY � �
I F!ro¢y YRirM IhpV lhprp if 0 WNN�<IiOn Ipr�ing OgpnCy fp �
the perlcmwncy of�he wo.Y im whi<h ihis permir K iaued -
(Sec.3D7f.Cw.G�.
Lenda e Name
londer i AQdreK I
i cerriry�hoi i hwe 1eod tlhs wa�Ka�on o�d amie'ho��he � �
a6ore inMmnron K curecr.I q�ee ro comPly with all Cokn�y .
ord��ncn and Sro�e iows reqolo�ing Vlum6inp,and�eiebY I
au�horim reprnenm�iros o1�his founry�o upen Me '
�,p� �Y a�M������W��g� SEE REVERSE FOR EXPIANATORV LANGUAGE i
� �, l—ID-
Siy�qNro of P Do�e �
AdO� a01�3dSNl
� � H�
� � � G cJ O O �
z � � � �
fJ'I . � . � � � .
} � ,�/ � : �tJ
oa
F �i� {y I`.I • O
LL .R �� ' rni . _ Y r�s
� �/ I �^I u o
1_- c� � W, 4 I =�� '� ��
G a � u, �I� o�
� ~
�; a � ' o �,� ��
G� s I ` >I
u � � � � Q�`���`I
e_ ° � � �I
o N p > ; iR
�
G: � t`i 4
o ��,, > � o� �
a z��� � ',v�� o a
� G °c < ��� _ �' �
�
� �� � `o C �
� L o C J I I U - � -
O � � i�-� °—�- N�� _,�._ ��)�.
� � �
` � W I �� ---- N�— -- =I l�'I � r N `
U > z F —�--I---I--i— ----I{ W;- � U � :
C� ,a = z , � /�'� c/� T w I � f�' I'� _
� �, ,_ � > � , i �.i w! ° �7�� r� ��
^ Z p �> II t-Jz �� �� w J � c o �a
L'� ~ J T c � >O7 � ^ LL'I .� . Z I� Z _J �
C_ , o 0 0 � , �N��i i c� � !, Q I I � , � w i J � O � J`� -
, x �,: w : j�i o in �... � � � �
� } � ~i � � ul I i ` ' �. I c � �a' o' � IZ �. �' ._
'/'�( <~ � � �-- � u � F c �,�f- ~� Q �i ��—�] Q{� v
="1 UO � F- ZI �' i � e L � C!� � /�J ',Ji 1�/7]' "'
V c Z J ' JI �I i U � �.� V`I I rs�L Z ( ' ` ;�N} �^' C
� l9' w � C G I lJ 'J
� a � � Z � =I � � ' ,. `� � Vl °i � ^ r � (�� l�r,� �
c C� a � O c �� F G w .. �I �. i.�i n. `.1 V -� �J� v:
� f �
U� � C z e �I J G A� C , � �I < (� c 7 �y �I �
c p LL' L C � J � 1- c� 'LO 1- J .:"', Y m G L� O �JI `Mi _
I/� a z � r� a � LL .q,i F. 7�
"�y V' } c C O C > LLJ w ZI`CiJ �I _ c� `� �n IV c� tN ��yyyy Z
hW � F C I G_C U! 7 W LL S r ` LI L'I I O C W ///\{{{,,,, LL N
U —i — } ��, U W L WI � `W� �
m o � NI �' � o > z �o� r � o > �LL
� � � I 1 I ��G% a a G U O ��I U I OU < U N J
l.^- ._ ( � C C C� _ 1 V� ��C � - �� r U� L
^ c �J, �.,. FC ` � Cy_ O �I v - C :JC - --�: }=V __� __
�`_ c � C:�cc : E - _ C�_ _ _ N 1� r _ � = 'J ! � � _ _.J
�, - c� ` - - _ C�� M - �r - -=_ - ` 1=
��=�t1� _ , = � = �r _ � - � � - � ` - _ -' l�_ - ---- M-
� v�L '_ ' o%`' _ £ - f °='G - c - - - �J - __ -_ _ _ _
_ �7. F- -_ - ' - �}G g i - - _-- - �-- -_ - -
` "c�� _ :� �� _ _ � =c- _ � = _ _ __ T_ __
f - :, ���,/��� _ � - � _ /� �///�11� - 'c.' c - - - - - _�
_-�f �I �� - /vLc - �' _ -��-'J � G „� v .C' --- -'_ - - I
C` _ _ . l' C _ _ i^ � -��Ci' ` G _ _ _' _^_ � -_
- �= '- .. `�= �� __ 'J=- � �f �f��v /' __ _ _ _ � '- �- - -` V �I�
.J,V _ ��a l`^ �J_ _ i - __ _ _� .�_ f`�_ _ ` - �'J� � _Cf ^��
���... /ry�'], c.,_4. c_ '==_ _ _ JEL ..Q�L E _- � C _ �c _ _ _ ��.' - _ _ _
Ir�_ �v� E - - - - - ' E � Y
_ ,L= - I = - = -_ H = -� ' - _ - -- ' - ° __ _"Z. .f - ' _.. -
_ _ !�J :. I I ~ ` _ - ��'J- ~,� _ J _ L_ - - T l`C ' _ -_., __ _ - I.�^.
_ _ � `❑ �=� J �` - _� - y `=L �: _ � � � o`�._ _ ���v o�� _�°� _ _=�:�._ `
I!� "7._Ci S-, `� r�