01040105 ciTv oH•curek•r�No
uuu.ui.c urvis�ou pERMIT CONTRACTOR INFORMATION:
IlUI1.i>ING ADUNF:55. ' PIiNMI'f NO.
OWNF,N'SNAMG: APVI.ICN'IONSUNDAItt '
ONI� - SANIT�HY NO. CONTROL NO,
UUII.UING PF:NMIT INPU
�W O ANCHI'IF.CI'/PNGINEIiN: BLIIG GLF. PI,UM MfC
��� r�i_� u� r� i�
y'a�
�y� eir,e:Nsimcorvrancros�s nr:ci.nxnnarv • 1ob DCScr�ption
n nr n�,�„o ��� u �a��a i :��r u�m �i( �� ���,y
��t w 'i�h l i ]IXXq nf l}I Um J � f si m C rJc J n i.
�y � -s in f 11 I d -'1.� � /
xoa� ���'_^ c�:: / �'° "— � KITCHEN REMODEL�
F Da�e . Comracior
w 3�.� �p iir:crs rn:ci.nk - RE,P I PE F'RRT OF HOlISE.
���,; Z�d�,.���i�,�y�r:l��.�e:�n n��.�n�..��nr..���.�ti.. .
�oo ,,��,,..�,..�,«..,�.��, ,l `�
o r.'e OWNBR.HUILOF:R I][CI.ARATION .
�+Y7^_' I ImrtM1y ulTrm iha I am cxcmp from�M1c Comreaor'.I.iccnx Irw for ihc �
t_a following rcumn.ltimion 90J I.S.Huzinea und I'rnfcs.ions C�Nc:AnY<iy or cwmy
'F 7 wM1icM1 I IM i�� t t I�r, p J �uh p. . y'imnurc
�C� Vn m 1 ' 6u � :il 'p�l cu�I 'I �. It i t I ''p I 1 Icmu �
d3_ o,o�n i � i� :��, �� n � � �,� i�i c �� �r.i : i �cn:�w�,n Sq. Ft. FloorArca Valuation
Icninmcnnnb wnM1 S�uon 91NXp af Urvininn 3 nl iM1c liun�nos und Prolcs.iam GNc7
or IFaI M i..enenry��herRrom unJ Ihc ba..i..far iFe alledeJ encnip�inn.Any violminn
af Seaion 4(pL5 bY an>'upplicam fnr u pennii.uhjecu ihe applicam lo a<ivil penol�y
��r�������n•�n��r.�n��a.�aa�ai.,,,�ssu��. APN Number Occupan�y�,T��O
❑I,ua owncr nfiM1c pmpeny.or mY�mpinyum whh wugcs nv�hcir n��lc campenswinn.
wlll An Ihu wnh.und Om ninicmm i�oal imm�AW or ollcreA fni rdu ISca]M4.
it�.s .���a rn�r�..� ,n�n�:'rn�c�,�,i������ra i.�.���k i.�w d�w�.����n�rNy i„��� ��E 1 1.04��+:�f[.�d Inspections
�����r o.���nr wno�n�ue.�����„n�o.�.moa„��.��e wno n�M.���n w��.�:n���,rtir ,�..
or tlwugh hiw iw�n emplupecs provided�ho�+ueM1 improvcmen�.v am nm in¢ndN nr '
nReml lnr>ulc.If,h�TMever,ihe M1uildin6 0�����Omrcmem ir.�oIJ wiihin one year of
Lomple�i�m.ihcuwncr-huildcrwillhavc�hchuNcnofprovinS�h:nM1cJidno�buiWnr 101 - FOUNDATION
non��<ro,p�mo..c or.�acb �
❑i.:��„w��.���rm�v«�ix,�y.:�����.�w.���ir.������.:��,��,e.,���mr.�<��..�a.�,�,i,�u��n�„ 1.02 - GIERS ' .
u
��.�N��m���,���i is��.i�ua.u�.��,«�.��w r���r..n���c���:�w�c„m�n��r� 103 - UFER
ua�.��.�w ao��o�arNr i��a��w��.or n.,�ixnr wn��n�aa.o�����r.o.��:m�rt��.
��a„�n���������.�„n,�,���e�N�����w��n y�������a„a,�u�=��a r���.,�����m� ]04 - RESA R
co�������r,i,m��«�.�.,�.
❑i����.�������w.,s��. ii�rcn„�m.,,��>��� 105 - RNCHOR ROLTS
��w�,�� �>:��� ] �6 - SEWER R, WATER
\VORKI?N'ti COM1IIRNSATION qIiCLANATION
IM1cmbyulT�mundarpcnul�yof�rjury�,��<,�rm�r„m�w��Ben�i,�r���..: 202 - UNDERFLOOR PLUMRING
�Q�3 - I.I�IDERFI_OOR hIECHFhiICAI_
1 M1uve und will mainwin n Canilicac ol Cnn.em m selGinwm for Wuder'a
�n��x:�i�����. �. P�„���am n,� nr s�a��� non �+r me i.:�n�„n�a�, r�� ie,; cm4 — UNDERFLOOR FRRME
perlbrmm�tt nf ihc wurk li�r whicL�hi.perudi ie inaucJ.
205 - IINDERFI_OOR ThISULRTIUN
❑1 hm�c:mJ will n�ainlain N'nder'n Com�wnc�lion Inwrvnee.us rv4uirtd by Seainn
�mo,a m�i�n,,c�.��.r���m,�Mn�.�W�«<,r m�w,�n u��wm.�n m�,a��e�, .�,01 - R�UGH PLUMR I NG
irwcJ.�lyWnrAcr'�ComK!�2������i�������=��m«���v�u<��yy,�i�. 3a� - TUB 8� OR 5HOWER
Cnrri.r: ��A • „ P��IiryNn,: lw � � I �� .
r.�3a'rmir,n'rionurisx�mrriuNixomwouKeHs 30� - ROUGH MECHRNICRL
COMPI�SATIDN INtiUIIANC� �
304 - ROUGH EI_ECTRICRL.
1'ITis meiion nmi nm M<nmplcicJ if ihc permii iz fnronc hunJrcJ Jollan 305 - FRFIME �
($IIXq ur IcoJ
i a�n�iy m:u���mr m�����:��•�=or�e�wo�k a��w�n��n in�.�����e�.�..��a,i ,.�.OE, - HOLDOWNS
�nou�,�n�����i��y���y���������:���y��:�������..���,���n�����„���m,f«���„m�w�„G�n
c��,���,.�i�����i,�w.��rc�ria,����.w�< ;d@7 - LNSULRTION •
"��"`""' 308 - SHEETROCK
M1OTICIi tY)APYLICAN'I:II:afmr nuAinF�hi.Ccnificam uf linanp�ion,yw s�onld
Q OMcomesuhjcalniheWnrkd�Cnmpemaiiunpmvi.�ionsofihclaMrzCWc.)oumuu 3�D9 - EXTERIOR LF1TH'
fnnhwi�h cnnipty x'nh mc�proviaiom or�his pnm�ii ehali M J«mcd rcvnl:cJ.
F � covsreucrioni.rNuiNanaitNcr 310 - INTERIOR I_faTEl
ii���my�n'n,���m���i��,��.��„a.i�,�,�����i.,�e���8ns����ye��ii��iw.m��,����,a j1, 1 - SCRRTCH COfaT
W � �dmewoie�a.w�ucn�m.�xinilikl,�wed�s�c.Jon.cler„)
y p �<��<<No���= 313 - ROOF NRIL
� 7 Lcn�4r'vAJdm.z
v O �ccnifyihml�:rvcnvAihisapplicmionandvmcih:nihcuMrvcinfnrmminni. 501 - FINAL ELECTRICAL ENER6Y
w F, ,,,,,�.� i�k,.����<���,�nir with ull ci�y xml coumY orJinancee xnA ncec i,w.«i:,���F 50� - F I NRL F'LUMR I MG ENE RGY
� (� inb II' 6 vi uni II hy ilinr �n � rtivc� fil ; 'tYt im�pnn -
m� n r �i, n ro� :v �� r� . 503 - FINAL MECHfaNICfaL ENERGY
'� a �w 7 ! � e� d ry � � mec'ry rc rcR �+�yun.i �
F' �n ranir. , i �.� .�. a . i �r r s�������� 5�4 - FINAL BUILDIhl6 ENERry D � a
U Z ���y���„ ���orm.�s�� � ��..rc, -. ,�..{ (7'J/`
,VPUC . ' INI)F,RSTAN DW YI.YWITHq � ,pN�%'`� Issuedb 505- - FINRL ELECTRIC��e l '�
5 1� .L'N� 1T0 S ��� / / y' _ . � .
Siywmm nl Apl'' ai mvn.anr /�( �I r
Re-roofs
Ar�xuousM�rck���so�,c�osux�: 507 - FINAL F'LUMPING
wsn�n��ro������„r�wm�,�,aa��B�x.��.,m.n,remn�wi�ny.,m��.���•�m TYpeo(Roof
asJefncJbyiheCupvninnhlunicipalGde,Chupme9.12.anJilwHcahhanJSafery , �08 - FIh1NL MECHF1NICfaL
CWc,Section 2553^_�nl'1
❑r�•• ❑"^ 'AII roofs shall bu in3�e`�ted p�o��4ny��naterial being installed.
w�u�i��oi,nr������„i�������n��i����e�„,��i,���������v,��r�,�=�,��,�n���<..wo��n Ifaroofisinstalle��LiZhoatifrs�FMihinih�•d�1PQAk�£J[°von, lugrceroremove
emi�hmartloue air cnnmminunu n.deGneJ M1y ihe IIUYArcani�4��:�liry Mawbemenl
,;,,��n all new materiuls f6ildspec:ti�nI Il�IicStWfiHcldiQadd98fA�ill comply with
❑v�. ❑n� all non-point sourcc regulaiions.
1 Lavc re hc AvarAou<mu¢ri:Je rtqui �ncm.mAcr Chupmr h95 nf ihr � .
Califomiall� ii S:J'nyCielu,Scain .II.S ,.y51}nnJZ55)J.InnAcryandihat ' '
' chuilA' • noicurraNYhav� I� m niiil.mynw�pomili irvmnoiilyihc
�carmn ni n�utrcn,.inn wLl� i ,�n m��pda.m ham cc m:nc or
° "�" Signature of Applir.mt Date
-w�« , -��- � �� All roof coverings to be Class"6" or beuer
OFFICE