00090055 CITY OF CUPS RTINO '• - - -
HmLDINGDIVISION ' - - _ - ' CONTRACTOR INFORMATION: - -
PERMIT-
RUILUINCADDRLSSYPERMITst
' � - C` •� t
OWNER'S NAM .. AV ]ON SUR DATE'
1.-
1200
ION17 -L t i 'rl SANITARY NO. ` CONTROLNO.
„ BUILDING FERMI'IINFO
O O O -ARC HITPC9'IF.NOINHI IC 'h' " ' .N
t HLIIC I LF.CT PLUMB MH 11
Z y
LICENSED CONTRA(rTOIi S UwC ARAl10N Job DeSCClptlOn
'OZ-❑ " In Iv fr 1n 11 I' 1 IOh P1 )( b
.tryt-a 1hS 70IX1) fD 3 Ithe Bu dP r:' Cd and njl n . .t - - a J• a
inl Ilr ad R t ?L - e ,q,.
o 6 a ar cI « INT. RMDL, ' REMODEL' N,TCH: 'AND BATHS, , ADD
de 3 y,n ARCHITECT S DECLARATION
t°� 1.
o, 1 e d e ypl halloo <a pbI - lati, n ADD, llI $H/DRYFR� Y s.
� r- .
OWNER-BUILDER DI R Dt•CI ARA1'ION u
I h env'ff bar I 70 nit 1h Contractor's I ,y r th <_'•4 + t./� '/ n
f o l g 'M
1 91111 5 H P f :C e c Y 'i. I {// f `
$y9❑ h h 4 it It II p 1 :h P , .l - „ .
pj 3 prior f a at ey the applicant h Vernon l 1 signedstatement
romh= sl :dp a 1n p n rlh c 1 t I I w(C1cNi 9 S Ft. Floor Area +' elualion
ten y with S i 7000) I D' M1 f fl IT I P ( 1 ) 9 _ -
n'd th ,hd f de k theaIlyd pl Art, IYrn, 1 -
nfS t 7O3]5hY ) IPI' II I t bjetsdieappl tt iicAIp Ity . '
oro f re lhnn fiven erecta Imr(asw) ':APN Number- ':Geese
..t4 3% . ..` f
-. ❑1,' Torg..... nny eniphya wlhuuyu slNi Ie npvuswich { It x.
will d Il k d lb i tintended' fT d f al (S )Od4 .. - .. t I
It rP r Code The c t t . I - L 1 t illy t t ', Re66'red Inspections -z -
xw fp "BWl hard, 'npr th nan M d ell kl1 II 1 1�71[I
d ghh tply '.p 11111 h' p t 1 di -
tffered r 'id .ITh the h I l tg t':: Id h , f
t Ih b Isl ll base d 1 M i orpnry ny 0 t bridal not hard L „M1' -
°p zrnrptrpneenrsme>, 101 — •FOUNDATION,...
e. f(be p len, ne it oridir withlc sdc need r t 1V�i ' f',I,ERS
CAn 1 theProject(S 70U B se r . c se )'the Corona 1 �'.
LN 1 w: I Vlvl Ip p ty n I le ' p thereon.
'✓i, L 1.0� tUFER
anI T' r n oIe<t.with t mrts)1 l e ,m t 1n
Celt Pnsc 104 — REBARa
❑1 � td<rSe B&PCI this
11.05'
"? -
s 105 - ANCHOR -BOLTS
owl woRK:Rs oMPRNSATIONDFCIAR oN ` 306 -d SEWER R. WATER
Ih ny fl I p 11Y fp l"; afth rll s 1 I' t c02 UNDFRFL'dUR` PLIJMBINC�
rl a"'
r ad n t "I ale rr 11f u r Worker,, - x'.03 UNDERFLOOR' MECHAN I CAI-.
cot p t I,,.,idcd r by s 1700 Tih E n c T f T he d04 —.'lIND,E RFLOOR, FRAME '
pert of the k which this Perini[ d. - t. -
c05 UNDERFI OC]R .I�ISLILATIOM ;
❑II d All non in Worker's C t 1[d. , IbyS corn; - -
-1700 r1neE n Col r t r - l'A kr l In p nrt 301' — ROUGH PLUMBING-
issued.My Worker.0 t 'I .ser tui Policy nanbet a h. t,.
?�02 — TTL1B R :OR SHOWER _ +
Carrier. - e, Pel aY sh" I � - '
CERTIFICATION OF EXEMPTION FROM WORKERS' x 1703 ROUGH MECHANICAL
,.COMPHNSAI'EONINSURANCE - t
1.
.30A .— ROUGH ELECTRICFIL '
. I . (I his section neo ofh<iompl ed'fh perntsli it l;undrnlJrll _ - N v r
is uuu Oncssd o- '-;FRAME .
•305"'�—
fdew.rkB4 hichln. =ror . ..aee I — I_DOWNS`
I.
P
306 -HD
shall e.cin In any.. min any m as m bmonm subject m mo Wrnrkers'� r ,
` . cop :I p Ey syrnccrr oan 1inTsnt 307 ' —: INSULATION,,
,
n npplieam ff,�p .
3
• NOTICE TO APPLICANT It ❑ eking Ce YI t1 fL It y 111.11111 � ,it -1
- 3KiV SHEETROCK. ,
bee a nh, se d W k .C P ' t l f the lah C s y .t
O roan g nplyvihh such Provisions.. to P•notQcIllbed t l....ked - � - 309 = ;E•XTERIOR' LATH t` '
CONSTRUCTION LENDING AGENCY `':'"/ X1.0 -' INTER IDR- L^ATH J
I hcaby drrm that there .t t lendingagencyr to permnnnee 311SCRATCH COAT
rnla kr I Id 1 i thaw(s .1ns7.cly.cy, - .. -,
�'Z ierai :nli ss ?13 -' ROOF NRI!_' W. asI
v O 501 _ FINAL ELECTRICAL ENERGY c
I n fy that 11 d o a,plication t 1 d aol that n f t
W wrt 1 1 to c with oll 'I d t Td 1't and.,are 1' other,
— - .I.
O u Tlon m .. , r ph a nr rt py t T w Lal— tr1 ap n' 502 FINIAL FLUNB'IN6' ENERGY '.
n,= n 503 FINAL MECHANICAL, ENERGY
fW t♦ I rY dk nheartless 11 sty fCp t y ' .t
.F". llanit f < I aY aaly r again,,.,w. 504, - F4NAL BUILDING' ENERGY
V z City n eon 4a f th g' b r . "'and _ �+
r- SAPPLIC OURC REL E STANDS ILCOMPLYWRH LNON.lroirrr Issued by: 505 — FINAL' ELECTRIC%re ' "�Sr
/r
- Sis t App sec t t - . ., i Dat Re-roofs
HAZARDOUS MATERIALS DISCLOSURE -507 — 'F I NAL PLUMBING
_
Will the ppI t n bile g p t,hereorh 11h -1 .teim Type ofRoof _ y •'
a.dnd by he Cy(er Mu lclpil and Chptm9lzaid he Oe'bnnnd'safety '. .506'- FINAL MECHANICAL -
.(]Od S�=(I lzsslzn N a��� 'FEiXN% yQPaP U R
- - _ All roofs shalLbefk� cte"a �r'I �p� n (� �p mate ial bei Fig installed.
W II th ppl' ft Rt n I log p of aryl near 1 c,of GI 'Ifra roof IS InstalleV hit Tll• t0411'ainl❑�'Atl 4b� on, 14ree to I'emove f
not h 1 u nt t: : defined by theBay Are.t A Quality M age tent
nit , t allnew materials t5rc1i(ts teti6nj- li ���hd �sta�5 ��x�vi➢ co5n I witk `''
r. ❑Yn, O No .T' - . _ P Y ,,k
-- ,,.:y 'a1P,non-point source regulations. ,- - -'I base 'nod theb I '.t .I -y natio Cnptr695rnle .y w..
Coll ornia 11alth&S r ;C 1 S c .25505 25533 d x5534nd Ya d o�a. "0 -
Cth I IJ dirt tly b - t t tl set' ry P h I'IYt n 11Y the'
t 9 LL h'9 nmol h I p r C nine t l -
° / Signature of Applicant` Dae
g t All roof coverin s to be Class B or better
ohemcd =n ' t,c,,.� nate g .
OFFICE *`