00060133 cITY'oF corFeTnvo '
nuCONTRACTOR INFORMATION:
BUILDING nrvlstry o , PERMIT •
BUILDING ADDRESS y _ . q r PERMIT NO.
1.0640 CARVER DRIVE X0060133
OWNER'S NAME'. ...y APPLICATION SUR DAIF - - -
PEYYAN MAX 06/.::0/ 000
SANITARY NO.,.;: n.CONI ROI.NO,
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�K Z ARCHITECTIENGINIER: _ - BUILDING PERMIT INFO- _
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LICENSED CONTRACTORS DECLARATION b
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i - II by fl nth II licensed d p fCl pt 9f g. , T 106 Description
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whhS rn71M1aJ,rD' t. 3 rlhc Ru nJP Rsx, -:Code aid Hyl - I .. I ' t
o i.lo rs°'ln x nae x NEW.'2—STRY SFDWL,,' 2300 L,I V•ING SP,,: 400
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Iunderstand my plans hall llbe edd asphl' d,
y 0a, LicensedP f I
S o N OWNER PUII pt oCamoreDECLARATION
u-3 I h 6y fr thatI pl theC I- e L for the
Fo[lov _ 'r
',t-•ZQ which g�mfe(Section Balfc , and mprveres:ions mlid or.Aryettyore any - ' '
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_O which . permit Iconstruct, , p 1 h p,' Ystructure ..
N pn, I I : c '1 4 epr pp Ir nne II iv b d I I 9
555-
that I 1 n Ih flleC Connector I 1 on,
9
of p ' p S Ft Floor Area � � Valuation
„r that he ,exempt du toion m aid thEnvision
e basis fomhnlne Bbed add End.. :Cd) y" .9'
ofSkton 70315h It Aiyvolaton cy -
Ya Y'PPI If rnlie 1, meets itis npph II -a-vii pe,alp
'Of,dt Here men I ee I gdma dmwra l&sw)- .. r APN Number ".Occupancy Type
Ol,et owner of the properly,or my crieloyecs will,wit's,m their.did comp.nsafiun.' " ' 'D
`will d the k and tstructure is.n t e I Or offered r nw(Sec.law, Required.Inspections -
Bias d P f ssi C d The Cul ounce,',Live...I i 1 e -t apply far,, .,,
m0u Tproperty Wl builds p v:Thr J h s h k himself fA T
EI h. employers.p Jdth't.uh improvements not intended 101'!.—. FGUNDATION '
erl'ene Wrote,It,bt owe,the milifing prevcme,t's sold within one year of -
cn,mp�eBen:me Owner-nnimeFwill mwe me bunlen Of,owim,amt redid net bund or 102 P I ERS'.
Improve hupur,"o.reale.). - - n'
103 — UFER
mine,of the property,D;Imidiivaly d Prof Professions
with le:)u,crThe Contractor's
License -
t m v i t rs e(ru E . e J re etwe erne Ce th t 104 — REBRR
andL d act p ei t - I'dome, h builds se mprme,th " -
Contractorsh t. r with nlacn;rf,llceseapursun,tt m 105 .—• ANCHOR BOLTS'
l , imnalaad,icense Be =B&Pcfim,his rce,mi '' 106 -•,SEWER 'R' WATER' .
Owner Date .202 — UNDERFLOOR PLUMBING
WORKERS COMPENSATION DECLARATION, `t' " 203 - UNDERFLOOR MECHANICAL "
Imuebyardrmm,derpehall,oip,in ycase of,line mlmwa,iccldraruno: 204 UNDERFLOOR. FRAME
❑ I have and w,B nat t Cmrtca re mom to selcu,m for Wek 205' — 'UNDERFLOOR INSULATION
G,,p i u, Pr I 1 for by Ser 37N) of me Leher Code, To m - -
earmrmnneeehtnev,orkforwhichthis daritisi-,sued 301 —. 'ROUGH' PLUMBING•
❑I have and will maintain workers Conp :ion Insurancea mNired by Secton ' x302 — ' TUB' $ OR SHOWER '
.3700 r theLabor Cede,fear the perrur, t thework f which th':.per f,r a- G
;,mit My o men, on lxur. POI y her l 303 ROUGH MECHANICAL
a, eOTyNe 1S IO _ 304 — ROUGH ELECTRICAL. : "
t II ICATI OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE., 305 -'-, FRAME
(Lis sectionneed to cmnpleted nn p uisf� el,thdreedod . - 30E, —. HOLDOWNS .
tsBkllerlor,) : . . f _307'��`INSULATION '
n"it
codify flit in the performance ohne wore ha winch this permit it Issued.I
,halt net employ any porson in any manners)as in become subject to the Worker: 308 .— SHEET ROCK
Compensation Laws Olc rf Date - .m - 309 — EXTERIOR.'L-ATH._ .' .
Com vat _ '
NOTICE TO APPLICANTS after kgmcrT t fl -pr ,y head 710 —. INTERIOR LATH t
bee hl n the Workers C p fa p .of th Labor Cod,y i t
O
fniffivs,ducomplywim suchp , citruspcurry, fall bcd tdrevekcd. - 31.1. SCRATCH COAT .
.� W CONSTRUCTION LENDINGAGENCY ,313 ROOF NA.I'L. T n
I h by fL m that therea onslrt i leaving age y f lh p .forthnce R 1YI-I1
ofam fk forvihichth permit is istudd(S 1097,Cie C) d - 4 '
aW p Lender:N,me 501 — FINAL .ELECTRICAL ENERGY
U z0 Lend Address 502 FINAL 'PI_UMBTNG ENERGY
loorlityllballl d this applicationd aste that the nove fulmination is 503 FINAL MECHANICAL •ENERGY'=
Fr. Fy carr t.1 g' t comply th II ly add ty Jounce aid state I,w, relating
O U ,eh ld g t ,cue a ry+mote p .< tfiver ofdb,cty local,.,on, - 504 FINAL BUILDING ENERGY -
,,j W. .
the above-mertionedpmilertyf P I purposes. '
L agree
II' face I� dkeI , y .tteyctyyrGrtPeg.rti' �a 505,' — ',FINAL' ELECTRICAL_ y
y z Rlym conic arae m n t i,p t 906 GAS TEST j/
APPLICA N DS D is C MP Y WITH O PO 5'
'SOURCE E •.Lied by 9�7 -- 'CT'RIAI J_ IPi PMR TI,yG Date "
oc m r " -"b!t= -. Re-roofs 508. — .FINAL_ MECHANICAL_
kIJ US M IS DISCL SURE ,
W,lfn ppl a I maiming p t.tereorr dl h ;dem.mal.wl Type of Roof. 509 ,— FINAL._ GRADE
deducedbyth Cpen' islCd Charter 912 and lh Helm IS[ty '
CodSection 25532d) 51.0 FINAL PLANNING
Dyes ,All roots shall bajfsyectedFp4 fAL'atlg�fi1tCmg0ry� mg.installed.
Will the a 1 t T ai c t I Jwhich' ffA1�S�
pp g e Area
p ]f a roof IS ms[nl��wit1{Ou `r���fgb t.�� sp it�4_I agree to'remove
;ihl I rwmamrc t,rY Jern.l by h Bal Are:,A Quality Mmog. t � "
�. s oras' /ANO all new materials ffp�J�'ansppecc,y�pp��., 1 p�G rstands and will con l kith
/� al]'non-point so l4tIL`�gulatiFM§� p� P Y
I base read the nas :m to of l m tis nide Cl pt 695 of the, . ,604, — 'ROOF IN-PROGRESS
-
California health&Saf ty Code, t o 125 OS 25537 and_ q I t,derr aaad,but
ifinehuildin c,n rurally or a no ,thaiit is my to o ility to actify the ,
ur pans c e c so for ,as noto prior luLs 'a fu Cxtfiate of ias • - '
Occupant �S, -
� Signature ofApplicant. Date,
0 v, a agent - a,e.,,; •- All^roof coverings to be Class "B"'or better'