01020111 CITY
OFtrExONo
IN DN
_ PERMIT CONTRACTOR INFORMATION: .
BUILDING ADDRESS PERMIT NO.
10825 W ESTATES DR 010201. 11
(OWNER'S NAME. APPLICATION SUB DATIi
ROBINSON RUSSELL H AND NORMA C 02/21 /22001
PHONE: SANITARY NO., CONTROL NO.
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aG-O O ARCHII'EC'PHNGINEER: BUILDING PERMIT INFO
Fu _ - BLDG ELECT PLUMB* MECH
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FNF d CI
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IherebyafhnoLICEilaPmlicenseduncRFrl'.i:um,ofChaper9¢ommeneinx Job Description
wish Section TlXXpnl Divi,wa3,d0ufw,ine„aml Pmfe,simsCde.mmmy license
is -� le In full line on:l efrea.
Acta l'emm'a class Lie.« ADDITION TO GARAGE;
a o Date Con"i'l
�a ARCHrnacrSDECLARATION CONVERSION OF GARAGE SPACE TO LAUNDRY
to'== Iawsm,wudmy pmssnan rbe uerdm public outwit, ®� KITCHEN REMODEL.
xwr;
wi p O License)Profc,sinnala.
o OWNER-ItU11.DL'R DECLARATION -
I Hereby affirm Inas 1 1. cHo.... Innn the Cession Co e:Any r Law non The
C Z M ,h g seat mils Ha.' J P f Code:feral
y any
n nary p
FO sub M1tt4 I "unit ITh p J l rh li y.I cure
i3. Path q p 'll,l' ft �hP II II y d:rtmcnt
morn l .with
Section m n . Int t I I < eLe ICCuba) �� S IoorArea Valuation
(commenv og w ai tthe7aou)of Division t, 3 of the Business and ion,An nae Calc) � q'
nr
Ilia,M is encmPt thcrelmm and me hash for the alleged cxemplinn.Any violation
of Section 7031.5 by any applicant for a geoid subjects The applicant In a civil penally
of not more man five hundred damn.(Slap. QN Number Occupancy Type
❑1,as owm,,,f me propmw, ,,my en,pday«n suint was=s:L Tbeo-Bole compensation. $40000
will do The work.amt The grclurc is nm intended or offered for one(Sec.pIWJ.
nasines,and Prole Care. I'he Contractor's Liccmr Law does theapply It fir Required Inspections
orr of rmpe t,who baildv or improe,vthereon,and woo Jaen such ork hinncll' .
through his own employees.provided that such impm chants are not intended or 36923036. 00
offend for ole.If,however,the building or improvement;s sold within one year of
completion,The owner.builder will have the burden of fail that he did not build or
improve for p rrie a of salol.
�awn cr of Ilia propeny,am cachOwely contracting with licensed contractor,to 1.01. — FOUNDATION
" 1.02 — PIERS
mstrn ,v o,m ISoc.7114G,oweBuOum,,and ed,who
kik o:)The..e,'h oro n. - ,
License laces Joe,nm ropey man owner of progeny w..(Hulick sed IF parse s thereon. _
and who cnnrmola red,a<n nmiceu with a cnmraar(Cl he.n,m pnrauunl w me 103 — UFER
Cantmcmrs 1 n a law.
of am ,
. der. n&PC for thi,reason 1.04 — REBAR
o d�rIe ��/q�o/ . . 105 — ANCHOR BOLTS
ER's COMI'IiNSA'1'I(NDE Lnenrl°N 106 — SEWER & WATER '
I a Iwrcbya0ir....himpenalpofpcriaryoneormerouowingJealararm,. r'02 —. UNDERFLOOR PLUMBING
eo 1 have and Ill I,naimam a Cenircae of Consent Io,elf-insure mr wmku,. 203 —.,1 UNDERFLOOR MECHANICAL
compensation, a, provided nor by Sunlon 3700 of me Labor Code, for the
Performance of,hc work for which his pe mail is issued. 204 - UNDERFLOOR FRAME
❑I have and will rndand.worker,Compersdion lmumn<e,a,menired by Section 20S — UNDERFLOOR INSULATION
3910 of the Labor Ede,for the performance N the work lir which this Option,is ,
;,sued.My Workers Compaosdam,m,orancerawirrand Ponoy;mmheram 301. — ROUGH PLUMBING
Cartier: Poll,No.: 302 — TUB & OR SHOWER
CEKI IFICATION OF EKnM19'ION FROM WORKERS'
COMPENSAI ION INSURANCE 303 — ROUGH MECHANICAL
(This section need not ne cnmpeeil if the Permit i,for one hundred dollars 304 — ROUGH ELECTRICAL
131 W)or leac.l
305 — FRAME ,
1 cenify m,nin Ina p:In any O.of Ibewart forwhichba,m I,,to issued
Cann red amplay my pc.ld m any m,mnt,,o as Io na<tnnc,nmial ro me waxer: 306 — HOI_DOWPIS r .
comnLa ',ofcal ar:a.u:nc 307 — INSULATION
NOTICE
Applicant
NOfIGEuj APPLICANT.-If,Commaking Ih;,Cen;ll of of Examphodvan u us'
7 nemrrrezuhjenmTMWorker',Compensatinnpnwiniansofthe lrMuCale.youmust 308 — SHEETROCf'. '
OC forthwith comply w imsuch pmvi,iom or this permit shall b:remand revoked.
Z _ 309 - EXTERIOR LATH
afA CONSew I,OONal "I LENDINGAGENCYgCY
5 1 ncr<ny amrr„n,rl mere Is;I<or»Trtaon ending asunay nor Ina penrnnnfince 31.0 — INTERIOR LATH
It nark fa m,
which thin pait is ,,red(Sat.3097.cin.C.) 311 — SCRATCH COAT—
;z
OAT—
G Isadc,,Name ,-r
p z LendelAddress 313 — ROOF NAIL
U IaAeeit)clhae' wmnityandaountyOrdTeancesands.emrorahoa;, 501 — FINAL ELECTRICAL ENERGY
R r�—. cornea.I agree n,comply suint all city and county oNiwncee and store laws relining
Ov m .1ant-building contraction, di by ec pre Tr rthis cryt I a,a,n 502 — FINAL P'LUMBI'NG ENERGY
W Inc aM i deoPtnyrinspectionguar .
A. w) s lyIk pm l a cry 1C pen k all 503 — 'FINAL MECHANICAL ENERGY
VJ Cityincpdy,vrs.the rand ninnpv sysinch onym.ryw,y;ccnu age In.riA
U z
CityinRSTAN SAND WILL O 504 — FINAL BUILDING ENERGY3`C`t'^��
SOURCE REGULATIONSNDSAND WILL COMPLY WITH ALL NON-POINT Issued by: I
SOS r-THAL ICCe
Sngwwre of APpncanVContmaor Date Re-roofs 506 — GAS TEST
lK 11A%ARDOUS MAIIiRL\LS DISCLOSURE
Will the appliem,Imtwombuilding acugamcmmorhe11,ha.,tmusmaterial Type of Roof ' 507 — FINAL PLUMBING
lin)mined by Ida Ctp n on Municipal Cole,Chapter 9.12,find the Heuhh and Surely
Code,Semim,2s53200Y 508 — FINAL MECHANICAL
Dm, XNu All roofs shall be cted i an material being installed.
win me applicant or future budding occupant use equipment or des ices which �iJAL yt� �
i If a roof is install` hour r [[[ r���{{{sss1m ton, I agree to remove
Doa hazallous air conuminant,a.JcOncJ by the nay Arca Air Quality Managemcm ,1 �plp'r
Di'°ne'o\.es del all new materials dor 1 s ect�lry'LV'h,MN„/F 110 lmde�stt�t$sF&eLwi11 comply with
�. r, all In sou-OK9u-ati5n4. p UC!_I S
I n;Ivc refill the my Codes morel irin 505.2 533 under, 4,I a 5.95 d me
i
f
sZimeahl 'ufety Calc.Scaionn 255115,25593 nnJZ55341unJcmmnJ thin
JJin ''°/'yilOt mat havcn¢nnnl,:hw it is niy rmpnnsihiliry to nobly the
orart fh masa h<•m-I Prior to i,wanw of a Cenifcme of`- 3Signature of Applicant Date
a no gent Ie All roof coverings to be Class •Bss or better
OFFICE