00090114 c�Tv oF curreT�No
nuu.nrvc mvis�on pERMIT CONTRACTOR INFORMATION:
III111.DING ADDHCSS PIJtMi'1'KIL
ON'YEN'S NAM1IIi: AI'PLICAI'41N SUI3 UAl 11
i�D893 SWEET ORF�. ST 50090] 1.4
YHO.�'C: SANI"D\HYNO. CO�fH01,\O.
NELSON ROBERT G AND DOR THY M 09/].8/2�D�0
O�7 Al<CHI'I'LCT/IiNGINIiIiN: 11UILDING NIdk�11'1'INPU
��O III.U<l GI.IiCI' YLUMH NliCll
u��j � I--1 L_J LJ LJ
�,`��� i.ia:Nsr:umKrencrna�srntci.nunriau . JobDcscription
O�� I hcmM1y allirm ihm 1 om IimmeJ mJar pmvicimm�f Chapmr 9�aomincnciny
F,�CB wI�LSiv(wn]OqpnfDivininnJafihellneinesrunJl4ufesinn�CaiennJmYlittnac
2 y - rc In lull foac unJrrrJJJ���'CI.��' . /'/� .
�z z¢ I.i<enm C nv. —� l.ic.p_� 1
°'0 a� pom��� Convaainr_���
�3 u y ARCHI f[CT'S DP:CI.AR.YNl7�
F'�O3 i���e�..a,�d�ny�ie�....h:din��,�d„n�nr��rc����d. 20893/1 0895 SWEET ORK S7REET/
��}
aa�° �.�«„u��•.,���,.�„��� REROOF, FRQM CENIWOOD TO TIL.E
ON'YF.R-AUILD[R UIiCI.ARATIOY
�=m I hcrcM1y nl'Grm ihul I mn uxumpi hnin tlw Cnnmmiur'a Lfcrnnro law lirt iho
t'z+' fnl4nvine rtnwn l5caion 11qL5.Ilwinc�z anJ Pmfc..inn.C�Nc:AnY ciiY��r cnunry.
S S p wLiah requlrcv u pmmil iu cnuaruci,ulicr,inp�rnvu,dvmdnL,nr repair unY nirvcmrc
63_ prionniiainwancc.alwaquim>�hcupplicamfor.mdipcnninofilca.cigncdsummvm
�i,:��i����.i��������am�,.���m���o��n�����a����.,,im,�.c�,��,���,�,,.i.�a���i.��w�cn:�w��o Sq. Ft. FloorArea Valuation
knimmrncins wi�h Smiao]IXp]ol'Divi.ion J o�ibc Bu.inc�s mA Prolcuio�C��Jc7 '
��,in:e n���..���,r�m�2r,�������n�e�tr,�.�>r„��n��u�eca..�mrr„�.n�y�lomin��
ar senh��mn.s ny��y orN�aa��m��ix�„n.�n��a.m����i������������„i r�n�i�y
„r�����„�,«�i,��r��m���a2na��u:,«issan. � APNNumber OccupancyType
. . ni.,.��»��.����rm�r�,���y,�����y��,rwr��.,,��ro�:,e�..,..m���toi�.���mrc�.�a���. . .
w II J i� A ' I Ih i t '. I I W J 0 d� :'I [S ]IU1 ,
ie, a��v r.. c� Tn c � n � it<e�. W a � i nv�r� � Rcquired�Inspcctions S1 000
,,,.� rr r�nywn n ii� � p � �i a �n a i nn� . u
„m snn�: r� .p �aemi. n r e � i �eded
dIu I I . I If H II 1 I I' 6 I- 1': I I ' I' y' u( � C
���mri� �n n�ie un �n m�N� r� s�o-�i a�a �w�e�, . 3�6..r7.@4�0. 0Q� /
�p I � I ' I I 1. / � w
❑i..,�„w,���rm,.�,�,P�.�y.����.d�.��y.�������.���sw�ni��an���„�.�o,��,� 305 — FRAME 3/ ��
eanwime��he prnjeei(ti.�e.]LLLf.Hmine.s an�Profqxiniu C�x1eJ The Comr�cior'v - �
i:��.�.�ww m,�.�,�����nnry��,��,w��,��r�����..�y wu��n��im��������.,,.�>m�,G��. �3�D7 — I NSI ILRT I Ohl �
ond who mmmcin 6r wch projcci.wiih o cnmrc�orl�)liccmcd purmnm io ihc / .
�:�,���:��+���<�.�«��,=�.:�w. 601 — ROOF TEAR OFF
❑I am exemp�unJer tive .it K P C tirr ihi.c rcunon �
602 — ROl7F F'LYWOOD IVAII_
u.,�., u:�i� .
K'ONKIiH'SCONPGYSATIONDECLANATION 603 — ROOF BRTTENS
• �n�,�nr�R��aw�,a����r„r,�,;�ry�,��ann��„���,,,�sa«m,�r„�,: 504 — ROOF IN—PROGRESS
❑ I harc nnA e'ill m miain a Ccnilivac of Conscm m .cdGinsurt for N'odcr'.
co�„i<��or„ � r�,��d�d e,� nr s�n�o�, �mo „r a�� i.��n�� c��e�. ro. �n�
performantt olihc xnrA fur which��is penni�i.iswM. . . . .
❑1 h»a unJ will meimain Wodcr'z Cnm�n.vaion Innurunce.a.a rtquired hy Seciinn ' .
�pIN nf iM1e Lebor Cndc,for�hu pnfonnuncc nl ihc wod(nr wM1ich ihi.pertnii ic
iuuN.A1y Wodcr'..Compensminn In.uance cxmicr onA Pnlicy numhcr nm:
Cnrtivr: i'oliry Yn.: ,
CIiNTIPICATIONOFfXC\1i'fIOYFNOh1WOHKF.RS' � '
COpf PI'NSRCI09 I N tiUHANCi? �
(9his xiIInI111efU nm hc<onqtlClcJ f�Ibu P�nuil u lim alm M1und¢d AaILnN ,
�b I fXp or Icn..) .
1 cenif)iM1m in�he pedaemance ol�hc work fnr �hicM1 iM11iy>ypermi�i..ivmed,l '
ehull nnl mnpiny mry Iwnou in�,inY Inanncr u��.in '^�i�'Vci m iM WmAcrt � .
COIIIrfllcYli0111 MFn(CJ� III .U:IIC_ •
n��r.��,��,� .
N(YfICLTUA' .ICAN'1':If.0 crmokin iM1i. ifenmufHncmpdun.ynu>hnuld
hannm enhjcn ia ihe Wod.m.Cuin�wnauiun Prnvi.inn.nf ihe I.oM�e C��Jo.Yan muw
Q O fonhwilM1minplywilhwcLpmri.inncariLicpermit.hullMdeemNrevukeJ. '
F � CONtiTHlIC190NLY:NUIFGAG1iNCY -
� � I hcrc�y:Rfrm�ke�M1crc in x aon.w<unn Irndin6 a6�ncY fonhc perfmmancc � .
� o(Ihc work for x�hich IM1i��xrmii i.in.acA�ticc.31N)],Clv.CJ
� C I.cnAcr'nNumc
� 7 1<nJcr'.AJJrt.cs . .
U O i��n�iy n,m i h�����.,�a�e��5 o�„r���n„����,a.w�,�.�i����n�a:�n������a„�,�a„��,.
� F u ncc�.I agrtc m cninply x'i�h ull ciiy anJ cauny aNinunccs and sia�e I�x's rtln�iny - -
� [) inhuilAingcnnxwaiun,unJhesbyuwharlecnpm.cnm�ivcrcofihi.eLyiaen¢rupnn
F yihc uMve.mcmioncd pmp.ny liir impcnion purposss.
�Wc)uyrccinFwe.inJcinnifyxnJAccpLurmlu..�heCi�yolCupeninoayuinnt
V] liahili�ics,juJsmenn.<nu.anJ capcnws xM1sb may in airy wvy accrvc upaine�said
U Z aiv�������������u�<�c��n m�E��,���r��s orn��..n.����1�. . p �
�' APPLICANTUNDENSTANDSANUWILLCOMI'LYWITHALLNON�POINT �titiUE(IhY: �`� �����
$OURCI?NGGIII.ATIONS.
s�s���i���„innnr.����c�,��i�:�i�„ o��� Ro-roofs .
❑AZAHUOUS MA'�1'.kIN.S DItiCLOSUkIi
w�n�n�,rrr�,���„r�w2n��ne��y«����,�„m�„n�aien:�ww.mou�m . Type of Roof �
a.JeGneJ Fy�hc Cu�nnlno Munidpul CuJa Chupicr 9.12,unJ ihe il�vlih unJ fin[ciy
C�ulc. O�Ym 255J3(u)'! ❑No ' •
All roofs shall be inspected prior to any roo(ing m�terial being instulled.
wuo���v�r��.,�,��„r,��„«mrun���s����.���r:������•==�rv�w������,�a������.wn�rn If a roof is inslalled without first obtaining an inspection, I agree to rentove
� eniiiM1amrJonzaireonmminamxaJcfineJbYihcltuYMvaAirQunliiyManebemem
i,;,,,��,�, a aterials I�or inspection. Applicant understands and will comply with
❑v�. ❑rv�, a no oint sour regulations.
I I hava�rnJ ihc huaNnus mv¢nNs rcyulrcnmms unJcr Chup�m 095 of ihc '
CulimrniaH.;JiM1kSuiayCoJe.ticctinn+P5511.5,2353JunJ35S)i.lundcr.iandiho� �+ •� ��'�
� diM1 IJinyJ«.ro�aurrcnll)'haveamnun�.iM1atiiinmYrc>pnnsihilirywnnlilyilic /
'K`o�ar authe rti�nircmm�is which mu.a�c me prinr in u.uwm of a Ccnifca¢o(
� °"' `Y. Si nature of Applicant Dule
�n . � e,�� �—'1� �� All ruof coverings ro be Class"B" or belter