HomeMy WebLinkAbout1409A 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 J�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 �
� G
� y y o �
G� �" � N N G� A
G.�- G -� -�
N y 1 Z 'n .o [�' T
q� �. .c N 7 m � c w �
Z �� � � A , �
a�N ° " S ? ° N
7 � � �, >
roT � � �
�o N �
q p
�
. , � �
m
� R
� • N
. ti � �
C �
r' -..k. O
� a�
� ` N
N
. � Z
p ' q•
G
N • '�,
Z
O -
m
N
�
Z
v
. m
�
• O
A
N
, 7-
O
.+
N
��
0 � m (+ S
�, �,�a�_ � �No .
wo �
� '�'o o n o �n o ' o c. 6
0 � w N Y N O N N f
�+� '- � °TS ' oa ° ° O
� � O 3 �D p N n N N p C� �Jp� �' �� O'4 p.� � - �
.� �?"p 7 7� Q,� O���0`G O �S u�q„�� � � O � �
� �Q C h O �T C � A G, O O C. 7 � � Q � N n N 3 � �O A
O o v �. m a.c3�3 �A �o o��' o ��- � ;y ?� o N " .^ G
S! H � f"'y� N �L �p'O O� > G !1 p O r
� � � 3 O ^ �O'4 O '£ A .�,. n �9� q q u. r�� c9 � v� p � O' _
N�' a o o Q ° .9 � - n � o �
` � � ��_o ' �-3nyo a�°^ < �v n � � � S� nc.� � �
? � ° sa��'o � � as o xc�wn,..tyo :�`n 3 C�
ui Q- W � 0 n.� 3 �Oa C ° � 3 o n� m o D�� �•�
.�. c0 £' �+ `n � 4t^ y� 'o u - 3 a � � p `� ��%
m ° T s n °. -°� �o° v D 5� .= _ '� o � y
P 'CP ? � � � tD o v, '_, n. a . �a �
N � S n+ � � A"C �^ �.'. 3 '� S � �
j � , � v o �,C w-�'"- °,Z O 3 � �o m.o p _ '^�" v+1 " �
0 0
" . �'O 4 A �3,�7 O N � L O y� O �,j O'O ���Q O n O" .Z
� �ry.[ O G fl O-'- T� 4� � � � n � � � �� n
N O -ni c�'O '� O O..p C' 7[d � p N n �n tJ � d?3 O
� 7 n v
, ' O'O �..-�. 0 rL o� O ? � N O 4'O,? �,n P'�U S �O
' �° $ �.3 Q -+ �o ` ° = � -a�a o �.� =s �^.
�� 3 ° � ° � o c ° � cr�.: �D p T� '"
. . `J ?� Q' N Dd� 7 £ �� n � � S� � ..�'/
� � N
o p C1-[� m 'o r Q O � D
3' � h C � � � ,
U �� 7 n .
.. � R-.�, O O 'S",
. CL� -•
, r i''.��
� !�.,/