HomeMy WebLinkAbout1409A (221) i ���•�o^^�N�T�oN��^�i� APPLICATION FOR PLUMBING PERMIT � ;
I hpreby affirm�har 1 have a cer�ificaro of conaent to sel4 �y,�p
insu�9,O�Vi certi4itote o}Wolkera'Compemafion Ineurone9, CE 817�REY.10/81)
I or o cM�fied copy thereof(5'et.3806,lqb.C.) COUNTY OP L+OS ANGELES BUILDING AND�SAFETY .
I �'j��711047 �m�„Y Fireman's Rund
296 7TB Lot 7 ,
� Certlfied coPY is ber4bY fumished. ,
( � fOR Aii1ICANT TO FXL IN(iRIM OR TVPE) �Eu 20616' 8. Trusa Court
GefHfied copy is filnd with�he coun�y building inspec-
�on depani*e^a rtuMeet wcrure�at ir�nn 9 � �,im !
n���R,� 3 wn.�e c�r Rnwlana
pqtQ,�.,..,�,...rAPF�iGpM • ' � TIFAREsr �
L�Rr�F1SA7E QP FXEMPf10N fNOM WF7RKERS� f. OATH TUB . � GR�3 Si I
co�vENSt�Tip�v iNsuR'vuc� y �„� � °°�''�R P eale o£ So. Celif. ;
(���r�etion nwd�rot ha�ompleted Ii fll�qrork imelr�d 6p �
f�h�pinnit 1�fer on�handnd dellars(5100�e�le�s) tavnroav �Q � /�ppRE55 �
i
I terttfy d�a�i��ha perfom�m+ca of the wa4 fw which�his . •
perMit i�iasued.I siwll rKn emplpy m�y penon in arry monnm 3 �"tl'� � c�rr Ne ort Beach T�`.''� 40-0 � ;
so a)ro�acame aubjec+ro�he wMke.s'ComvenaaMion t.aws. ow�waSNFx . . . i
K �p ODNTRACT 1
°RR.C.R. PLIIMBffiQ INC. 1
Dcte.,r„ ap�iran� ctor�swns�x 0"D aooaEss i
NaTI�E TO nvatACfiN�:if,ohe.mok�r,g th�s Cemf�<are of swun�wn�croaaEce�ort ,
y.e shrnAd betmioe avbi.ac+ ro iha wmke.� arr rft.rr6.
�'m"� �D" Riveraide 371-5000 �
,._Lq.�perpotion prorisimn of�he�abnr Wde,YW mu31 fprlh- LAWN 6PRINKlEp SVSiEM
wqb cgr4gly rrith s�h prov�sior� a th�s permit sAafl be STATF �
d�neg rc�wAeA. wnha�nrEx � uc,�r�ao. 336428 C-�36 �
��c�ltvTRACT�R5 OEclAttwT�N No. ev
i het�E!r�m Upt i am Gceneed ua�e�a�,siwa of Ct+cwa 9 cu�5 svsr� our�*s e-D
(co�^9 wlth Section 70001 et G"Mav�3 04 the B�siness ovAE�s ovtA . - - } t
andProfey�iorhLode,dnd nY�iceme ia in t�tl fprce,and elfec�. �Y Srsi�nn O'fl V
,F�� l/ VALIDATION
C-3G �DAiE Z i�Sl�7 ' K
��ce�neriumbe. 336428 uc.ciass Fiw,i O
� p R P.l�bine u,�� 8L4/83 a� ' . .':,.:", v ;
Conbadar r.� ,"�'—.. �y
� I am exemW under 6ec. � d'
• � N
� 1
9.6P.C.lw�tia.aa�o� Plqn Gheck fpe I • 1 = ., . T
:�;
oate: , ,
PWMBING CENMIT ISSUING fEE S Q� '�
6�gnoh�ro e • � •� � �"'`.�' I
TOTAi FEE a�7��' _ .. �
91dn check appikarr� � u.'.�:l�- . ,.
SiNGtE FA'M�IV �
�awivea-suim�r+oEc�nen�+ow w� R.G.R. PLOMHING IIQC.
;�affirm+hM 1 am exem0�hom the CannacKs's liceate p�ress ],Z7$3 ('I8 O1t8 AVB.
q�fer ehs foilowing r�wson ISection 7031.5.Bwine�a a�
`�� �rp}sua�s Cqde): G�y Riveraide Tel.No.3�I�SODO
❑ I,os owner oi the propeny,wiil do�he wo�lc a�+d�he �
strucWro is rmt iMended or offered for wb(Section . ► �.
70M,BuRinQp rn�d Rofetsio�s Code). �
CONSTRUCi10N IENQING AGENCY � - ,
I hprpby vffirm�hat IFiprs is o w�ntruction lending agency fpt
ihe�pertormanee of the wak for which ri+is permi�ia ias�ed
I�.3097,Civ.C.).
le�er i Nome
Le�m a l�dreet �
I cemiy rhvt 1 hove read�I�a applKa��on om!a�aro+hm�he ►
abovp�nfamation ia correc�.I ogree�o camply with all Counfy .
ordi�ronces a�SW�e lows regulaM'g Pl�mb�ng,and herebr
ayfhpize represen/u�ives of this Couoty 10 enlet upon Ihp �
i
a6ove-menfipned prope��y k���spe[lion pwposes. �
p SEE REVERSE FOR EXPIANATORY LANGUAGE ,
RCR bv:�3t�,�li.�,dc�w,� 8/4/83 ;
SignOA��s of Peimill e �
� � T J � _ � �
�
D V Z � N G � N N � C/
v'C � + < '� �
-+�n < n m `�'- m .`. x A
� 7 D � �' � T
m� �
J r •O T A � C (�p A
7_ x = m � O
, � � C � � � �
� m' � N
T N N
. b
' ��
. �
Z 1
� , _ m
7C1 � •
N Z
Z �, N
. O �y a
rn �
� �
. �, �
N
- � �
Z
- D
. - -�
i W
� m
Z
N
v
n
0
�
�
7
� O
m
�
a., � � �n3� O ;, ��—
� - � 7 O 3 �'F F O N T p O O 0 O n � �l C- -O Ca S
O � �� + j� A q � N��'1 �, fl? w N � ; � O f) �. J � O
3 � Z7 � C -nj � a 3,Q'n ti0 C ❑N � u'�O j O� �.�p N 4'" q O- .
� � � �� O�n � � n i.�-���o AC�o � 4 � o � � � Q
(� - x 2 Q „
� o �'�—n ° n °�� mo ° o�. � mQ25'^ ov� �� a� =
� � �! t� O r N H o`'< �c q � T^ N ro� � 0 3, �
� � a f q _� ; 30 _ Z
m
' �n O �O �<'b G'« O � 7�-� S O q � , ^ � u' rJ a P
' � � o o ao$-o N caJi? s ,°�—$'q�o � �: a°-�m > > o a C
' ° c7 � �.T o T� o �a�-e o n a x w�� c� = n�� �
� � 3-� � ,o° �-c o a-?' > ? 2 n T'� � c.;�° �
b a o 3 °,�cro o
-v c� �.c �v � v 'v .a v 3 m ' a �� 3 �
. , c �p n `� �`". o � o � T � 3 o D n'v_ n
• '- � 3 N�G T S 3 � � o �'�G T� i _ � � p "r'
, N7 19 � ' � u�i � � ry O " — � `G _" D
o � � 3 0 0 � r A � c � m,o s p � _. n o o x:
" " �' n.p � � r1 a- o �,� n =.N 3 � � 3 D
, ' o'no,moa� moc- o�° ornjv �-c� � i�s . -.
° �`- ° 3-3 �'a o T c^ � a '" 3 0 0 ' c`, ^ = � �
. o� 3 0 0 0 ' � v� 1 H � o o N� f^, - � o 0
_ •-`°v o-3 a°.m ° � o _ o a� � o � • a > > ,
. . '° c '^ oa o �-' ��-�� H m p � ,� a .
0. �
0 2� � o ° > > o n � � o � a o � c�',^
7-7 7 �J 'D� 2� � pO'� ` o = s--p
CJ ' _
�� � � f O n'B p M f.^. . ?. � �;, j.n �,
". ��o o s;� a c' � N . 3-n .. �.
__.�--------