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HomeMy Public PortalAbout8943-8951 EMPEROR AVE_Plumbing__ 76A667C (CE-817H) -975 .r w. 'APPLICATION FOR PLUMBING PERMIT d / BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS /L WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST. SHOWER OWNER ro ESI ujf. 4 0 LAVATORY MAIL ADDRESS 51 �(4/j V SINK -� CITY u TEL. NO DISHWASHER CONTRACTOR S - / CLOTHES WASHER ADDRESS )e L, ff E SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM CITY ��s TEL ,` 'rs o9 STATE LIC WATER HEATER 2 ,�� LICENSE NO. � L� CLASS GAS SYSTEM OUTLETS _J DISTRICT ,�jNO. GROUP ZONE 0 SED BY CD OUTLETS OVER V e� CD O 5 PER SYSTEM INDUSTRIAL • WASTE APPROVAL V W INSPECTION RECORD Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE j Q Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. NO. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY p _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER a U PLUMBING. I HEREBY CERTIFY THAT LI AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REOUI RED BY OS ANGELES COUNTY AND STATE OF GAS TEST ,GI CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DES CRI RESIDENTIAL PROPER UTILITY CO. NOTIFIED jJ /•� SIGNATURE ^ ow OF PERMITTEE FINAL N 4 PLAN CHECK VALI ATION CK. M.O. CASH PERMIT VALIDATION41�5;)MV. ASH 9 93 is JtJT 14 1 5 0 1 .5 0 �; 76A667-CE817-8-57 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS 8945 Em eror JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY Temple City, California ­rl .: .: FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM WATER CLOSET OWNER Arthur Nelson BATH TUB ADDRESS 6012 North Muscatel SHOWER CITY Temple Cyt TEL.NO. AT-66947 LAVATORY CONTRACTOR DUCE PLUMBING & HEATING SINK ADDRESS 3232 No San Gabriel Blvdo. DISHWASHER CITYSO San Gnbriel TEL.NO. LAUNDRY TUB CONTRACTOR'S STATE Li REGISTRATION NO. 104975 COUNTY ❑, CLOTHES WASHER DSTRO. GROUP eZE„ READY FOR INSPECTION WATER HEATER �/Y� GAS SYSTEM 1000 . INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS @ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE $ UNDER SLAB WORK PERMIT S 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE 2 1 00 GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION :_' HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR �TTHHAAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DE5,�1J1iLP 1V11� IG . 1' .&T+ I °o I SIGNATURE w. OF PERMITTEE FINAL O VALIDATIO ROBERT A. WOOD, SUPERVISING MECHANICAL ENG'R ' CK. M.0. CASH L ACC 4 3 6 7 A AUG 2 9 5 A 2.0 0 76A667-CE817 3-59 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUMDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS CASSATT D. GRIFFIN, Supt of Building LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. ' NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS CITYTEL NO. SHOWER LAVATORY CONTRACTOR �. SINS ADDRESS DISHWASHER CITY NO. G' ' CONTRACTOR'S /( S A TE- LAUNDRY TUB REGISTRATION NO. 6 COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP ZONE PSE Y WATER HEATER f L. GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD i O1.00 PER R FIXTURE $ I / � v' APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT LDESCRIBED COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER . Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST A OR THAT I AM THE LEGAL OWNER OF T E ABOVE RESI NTIAL PROPERTY. UTILITY CO.NOTIFIED REMITTEEv FINAL OF VALIDAT1ECASH ROBERT A. WOOD, CK. M.0. SUPERVISING MECHANICAL` ENG'R O79U2a' MAR 18 5A 3D VI a WORKERS'COMPENSATION DECLARATION 20-0026•DPW 4/67• APPLICATION FOR PLUMBING PERMIT ti. hereby, affirm that have a certificate of consent to self in 76A667A sure,or a certificate of Workers'Compensation Insurance,or a CE 817(REV:•8/86) certified copy thereof (Sec. 3800, Lab. C.) �7p 87-363650 Fremont COUNTY F LOS ANGELES DEPT. OF PUBLIC WORKS Policy No C :O ompany Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ® Certified copy is filed with the county building inspection ADDRESS �7 er0 Ave •department. NUMBER FIXTURE OR ITEM @ FEE ABPP INC. LOCALITY Temple City Date 11-8-88 Applicant ProgreSSlve-Plumbl 3 WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' a BATH TUB ( CROSS sr. ROS ead Blvd. COMPENSATION INSURANCE SHOWER OWNER 1 . C (This section need not be completed if the work involved by MAIL `�J (� the permit is for one hundred dollars ($100)or less.) LAVATORY v ADD S �L1� to I certify that in the performance of the work for which this per- p mit is issued, I shall not employ any person-in any manner so / SINK CITY TL. NO.•� _ as to become subject to the Workers' Compensation Laws. 9 DISHWASHER . ,��``/ CONTRACTOR Progressive Plumbing Date Applicant CLOTHES WASHER (l ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- 4257 Auction Ave. #F SWIMMING POOL RECEPTOR emption, you should become subject to the Workers'Compen- CITY .TEL. NO.9 sation provisions of the Labor Code, you must forthwith:comp- LAWN SPRINKLER SYSTEM Baldwin Park 62-2428 ly with such provisions or this permit shall,be deemed revok- O STATE LIC. ed. WATER HEATER 6 j� LICENSE NO. 478794 CLASS C36 LICENSED CONTRACTORS DECLARATION V DISTRICT NO P ESSED BY I hereby affirm that I am licensed under,provisions of Chapter GAS SYSTEM OUTLETS SC/ 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VA ATION DATE License Nurg�rp 478794 Lic. Class C36. — 0 FI % U Progressive 8-31=89 ContractorDate ing cLUi I am exempt under Sec. !ad CL B.BP.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE $ #;o 0 0 0 0 5 Signature TOTAL FEE SINGLE FAMILY F- 0 8 5 Q HOME OWNER-BUILDER DECLARATION Plan check.applicant I hereby affirm that I am exempt from the Contractor's License Name o°o ° 88,5 Q v Law for the following reason (Section 7031.5, Business and Professions Code): Address I, as owner of the property, will do the work and the City Tel. No. 0&3 Q-�.8 8 structure is not intended or offered for sale(Section 7044, Business and Professions Code). , ; CONSTRUCTION LENDING AGENCY, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). 'Lender's Name Lender's Address I certify that I have read this application and state that the ► above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize repres tatives of this County to enter upon the abo ntio property fo inspection purposes. _ SEE REVERSE FOR EXPLANATORY LANGUAGE Signal a of Perm'tee Date • WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 20-0026 DPW a/87 r^' 7 ( 'l I sure,or a•certificate of Workers'Compensation Insurance, ora CEE 817 817(REV. 8/86) lul certified copy.thereof (Sec. 3800, Lab. C.) Policy Nd"-87-3636Wmpony Fremont COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS , ❑ Certified copy is hereby,furnished. BUILDING FOR APPLICANT TO FILL IN (PRINT OR TYPE) �hr Emperor Ave. ® Certified copy is filed with the county uil6iing inspection ADDRESS department. ABPP Nl y NUMBER FIXTURE OR ITEM @ FEE LOCALITY Progressive Temple City 11-8-88 WATER CLOSET(TOILET) 00 Date ApplicaniPI„ NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' _ BATH TUBCROSS ST. 00 ROsem ad Blvd. COMPENSATION INSURANCE' SHOWER OWNER (This section need not be completed if the work involved by MAIL t \-� p ;•9 the permit is for one hundred dollars ($100)or less.) LAVATORY a d ADDR �� G �Lfwll- �lJ I certify that in the performance of the work for which this per- SINK �/ mit is issued, I shall not employ any person in any manner so I C✓ CITY ©Maki C& TEL. NC���� as to become subject to the Workers' Compensation Laws. DISHWASHER /, CONTRACTOR Progressive Plumbing Date Applicant r CLOTHES WASHER v ADDRESS #F NOTICE TO APPLICANT: If, after making this Certificate of Ex- 4257 Auction Ave. , SWIMMING POOL RECEPTOR emption, you should become subject to the Workers'Compen- sation provisions of the Labor Code, you must forthwith comp- CITY Baldwin Park TEL. NO.962-2428 P Y P- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed.revok- STATE LIC. ed. WATER HEATER LICENSE NO.. 478794 CLASS C36 LICENSED CONTRACTORS DECLARATION OD DISTRIC�O.� PR SSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 1 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER J andt.Professions Code, and my license is in full force and ef- 5'PER SYSTEM FINAL t VALID ION DAT `-/ License Number 478794 Lic. Class C36 ABPP FI v Progressive 8-31-89 B 0 Contractor Date O ❑ Plumbing I am exempt under Sec. UJ f3 B.&P.C. for this reason , W Plan check fee Date: PLUMBING PERMIT ISSUING FEE $ O Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant 2005,3A I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and # o o-o,o.o 5 Professions Code): Address I,'as owner of the property, will do the work and the city Tel. No. 1`o,0 8 8,5.0 structure is not intended or offered for sale(Section 7044, o`o 0 8 8,5 0 Business and Professions Code). CONSTRUCTION LENDING,AGENCY ® o'&3 O j 8 8 Ihereby affirm that there is a construction lending agency for the performance of the work for which"this permit is issued (Sec. 3097, Civ, C.). Lender's Name Lender's Address I certify that I have read this application and state that the , above information is correct. I agree to comply with all County ordinances and Sta laws regulating Plumbing, and hereby authorize repres atives of this ounty to enter upon the ab - ntio property for i pection purposes. ' SEE REVERSE FOR EXPLANATORY LANGUAGE Signatyre of Permi ee Date 'WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self in- 76A667A Pw a/87 sure,or a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) certified copy thereof (Sec. 3800, Lab. C.) . No` Pp 87-363650 Fremont COUNTY OF LOS ANGELES DEPT._ OF PUBLIC WORKS. Policy Company Qq' Certified copy is hereby furnished. FOR APPLICANT 70 FILL IN(PRINT OR TYPE) BUILDING I [l Certified copy is filed with the county building inspection ADDRESS Emperor Ave.. department. ABP1 INC. NUMBER FIXTURE OR ITEM, C@ FEE LOCALITY 11-8-88 Progressive WATER CLOSET(TOILET) Temple City Date Applicant q nn NEAREST CERTIFICATE OF EXEMPTION F WORK p{ BATH TUB r) l) CROSS ST. Rose ead lvd.,' ERS' I� v COMPENSATION INSURANCE SHOWER OWNER. (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDR S I certify that in the performance of the work for which this per- SINK �j mit is issued, I shall not employ any person in any manner so CITY TEL. N0.2k6_ as to become subject to the Workers'Compensation Laws. t DISHWASHER d0 /) CONTRACTOR progressive Plumbing Date Applicant CLOTHES WASHER v ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- 4257 Auction Ave. #F em tion should become subject to the Workers'Com en- SWIMMING POOL RECEPTOR P you I P CITY TEL. NO.962-2428 sation provisions of the Labor Code, you must forthwith comp- .LAWN SPRINKLER SYSTEMdWln Par ly with-such provisions or this permit shall be deemed revok- STATE LIC. ed. d WATER HEATER LICENSE NO. 478794 CLASS C36 LICENSED CONTRACTORS DECLARATIOND� DISTRICT NO � ROCESSED BY I hereby'affirm that I ami licensed under provisions of Chapter GAS SYSTEM OUTLETS 9'(commencing with Section'7000)of Division 3'of the Business OUTLETS OVER L and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL /� IDATION fect. CL DATE V O License Number 478794 Lic. Class C36 U Contractor Progressive Date 8-31-89 BN / O ❑ Plumbing v I am exempt under Sec. UJI tL B.BP.C. for this reason Plan check fee pop. O O 4 A g Date: PLUMBING PERMIT ISSUING FEE$ Q Signature Wo o o,o o 5 TOTAL FEE SINGLE FAMILY 1"o a 8 a 5 O HOME OWNER-BUILDER DECLARATION Plan check applicant . I hereby affirm that I am exempt from the Contractor's License Name of°•° 8 a 5.0 U Law for the following reason (Section 7031.5, Business and Professions Code): Address .1-as owner of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, Business and Professions Code). ► CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I.have read this application and state that the ► above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authoriz repres tatives of this County to enter upon the abo -m ntio property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signat a of Per ittee Date WORI(ERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT r ' I hereby, affirm that I have a certificate of consent to self in- 720-0026 DPW 4/87 6A667A ,full sure, or a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86)' certified copy thereof (Sec. 3800, Lab. C.) Pp � 87-36365 Fremont COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No: ompany Certified copy is hereby furnished. / copy y inspection- FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING / z/ Emperor Ave. Certified co is filed with the count building ADDRESS / ! FIXTURE OR ITEM FEE department: NUMBER F ABpp INC. �° �0LOCALITY Temple City Date 11-8-88 Applicant Progressive WATER CLOSET(TOILET) NEAREST. P InqC{ BATH TUB ,f� CROSS ST. Rosem ad Blvd. CERTIFICATE OF EXEMPTION FROM WOIZKERS' �rJ 0 ,n COMPENSATION INSURANCE SHOWER OWNER 1`S l `Vkc thesection need not be completed if,the work involved by © ry MAIL 2 �n Vat(' IQLoa,,j , the permit is for one hundred dollars (;100)or less.) LAVATORY � (J ADDRESS J d. l l LVCU I certify that in the performance of the work for which this per- / SINK vn& mit is issued, I shall not employ any person:in any manner so l CITY C O� . TEL. NO. 1( as to become subject to the Workers' Compensation Laws. DISHWASHER _ CONTRACTOR progressive Plumbing Date Applicant CLOTHES WASHER V NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS 4257 Auction Ave. #F emption, you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM CITY Baldwin Park TEL. NCg62-2428 ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. , WATER HEATER LICENSE NO. 478794 CLASS C36 LICENSED CONTRACTORS DECLARATION (�v DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS �Q 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINALr��'j VALIDATION fect. DATE License NuRyj� 478794 Lic. Class. C36 E� Progressive 8-31-89 FIN Contractor g ' Date G Plumbin 1 am exempt under Sec. B.BP.C. for this reason Plan check fee ► 29-0052Ag Date: PLUMBING PERMIT ISSUING FEE$ a # 9 0 0 0 0 5 Signature TOTAL FEE SINGLE FAMILY ('o o 8 a 5 O HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name 0.0 - 8a5020: Law for the following reason (Section 7031.5, Business and Professions Code): Address . . 6 7j � 0:.`'88 I, as owner of the property, will do the work and the City Tel. No. . structure is not intended or offered for sale(Section 7044, Business dnd Professions Code). , CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address a I certify that,;I have read this application and state that the above information is correct. 1 agree to comply with all County , ordinances and State laws regulating Plumbing, and hereby 4.b re pr to"ves of this County to enter upon the ntio property for spSEE REVERSE.FOR EXPLANATORY LANGUAGE of Permittee Date VJCRK IRS' 20-0026 DPW 4/87 ION"DECLARATION APPLICATION FOR PLUMBING PERMIT r here,bY, aft`irm that I have a certificate of consent to self in- 76A667A I '1'LJII sure,-or a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) certifiec(,copy thereof (Seo. 3800, Lab. C.) " Policy.No -87-3636� pany Fremont COUNTY OF LOS ANGELES .,- DEPT. OF'PUBLIC WORKS Certified copy,is hereby,furnished . FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING , ® Certified copy is filed with the county building inspection ADDRESS Emperor Ave. department. NUMBER FIXTURE OR ITEM @ FEE ABPP INC. LOCALITY Temple City WATERCLOSET(TOILET),- Date 11-8-88 ApplicantProgressive + NEAREST X;lDlnRKBATH TUB CROSS ST. ROsem ad Blvd. F. CERTIFICATE OEXEMPTIO rKVnn WOERS n 1:COMPENSATION INSURANCE S_ROWER OWNER (This section,.need not be completed if the work involved by MAIL )/ the permit is for one hundred dollars ($100)or less.) LAVATORY ADDR d-!/7C �J�(lW �V00, I certify that in the performance of the 'work for which this per- mit is issued, I shall not employ any person in any manner so ' SINK �� CITYj,,, w 4 A_ TEL. NO.720.,,�j'�, as to become subject to the Workers Compensation Laws.- DISHWASHER h L X10 CONTRACTOR Progressive Plumbing Date Applicant 1 CLOTHES WASHER NOTICE TO APPLICANT: If, after-making this Certificate of Ex- 6 60 ADDRESS 4257 Auction Ave. 4F em tion, ou•should become sub'ectto the Workers'Com en- SWIMMING POOL RECEPTOR P Y I P CITY TEL."NO. sation provisions of the Labor Code,you must forthwith comp: LAWN SPRINKLER SYSTEM _ Baldwin Par} 962-2428 ly with such provisions or this.permit shall be deemed revok- STATE 47$794 LIC C36 ed. WATER HEATER •a LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION ' DISTRICT NOO P CESSED BY I hereby affirm that I am licensed-under"provisions of Chapter GAS SYSTEM OUTLETS 4_ / 9(commencing with Section 7000)of Division of the Business OUTLETS OVER 1 t/ and Professions Code, and my, license is in full force and ef- 5 PER SYSTEM FINAL feet: _ VA ATION � DATE r O License NuS p 478794 Lic. class C36 0 FINAL Contractor Progressive Date 8-31-89 BYZZ O I am exempt under Sec. LL1 vvv � B.&P.C.,for this reason Plan check fee ► sc 0b 5,6A 1 Date: PLUMBING PERMIT ISSUING FEE $ Signature" #.o o•o o o 5 TOTAL.FEE SINGLE FAMILY o'0 8 8,50 . HOME OWNER-BUILDER DECLARATION Plan check applicant {hereby affirm that I am exempt from the Contractor's License Name 0,0 6 8 8,50-o Law for,the following reason (Section 7031.5, Business-and Professions Code): Address 063088 I,-cis owner of-the property, will do the work and the City Tel No. . structure is not intended or offered for sale(Section 7044, Business and Professions Code). ► CONSTRUCTION LENDING AGENCY I hereby affirm that there is a constructionlending agency for ; the performance of the work for which this permit is issued (Sec. 3097, Civ. C;). Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all County ► ordinances and State laws regulating Plumbing, and hereby authorize represent luesof this County to enter upon' the above- ioned operty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date