00120092 (2)CITY 0y4GAPC'J-RTINQEANEY P.E...
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CONTR.�i�YMNI MATION:
nDILDING.DIVISION PERMIT , -"
Ii1111.DINOAi�RS,S. ni i:_TJyIO 1...AF�RTmrriJT,s'
I, CC
� ;%y '
IiERiiEI�T 'I,AIVE
PHIRMTN0. 1 5 �
.'. 1�/1�/�VEC�fb"
OWAFIt'S NAME: r
(408)377-H1AE.
APPLICATION SUR DAI'h.a'
GONE:
SANHARYNO. CONTROL NO -
e;4u:
ARCHITECT/ENGINEER .�
"
BUILDING PERMIT INFO ,
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BLDG ELECT' PXL m MUCH •
IJCLNSf U CONTRACTOR S D[ CI ARAI'ION
+ b {De�'er� t7 ❑
WASHER:/PP,Y p p, NEW`FLOORING
- Ihudhynlbrmdelan licensed Ides p„ "ns,fCle ParY(conmmncing
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with Seen )9(10n) IDiemen'J aflhc B)' Ilhnfcvinm Gale anJ toy licral,,-
_
-
"in lull hall rad thell.
Dei Eor
F "'
• AkCIIIIrCI SS DFCICLARATION
1 I t I y pl . 'k III t sed P hl' umly
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e.
Liv IP.r:'ioncl,e ,
OWNER RUII DER DECLARATION
by-ath Itf theC al 1 :nlwf tb
Ih fr O
1
tI. , f ,
roll , re (SlItitin 7031.5 Business ad Prefirlional Call,: A y ell, are,unity.
.
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which 1 perard lu ritishart.'II diannish. or noUrany: ucou
,psi ,, issuance, i"'deaut f hpi ufl brd mancracou
Floor Area
Valuation
that he licensed P In. 1-oemo: he C t t 1-11coll Law (Chapter9t.
(convene n, w air Sul ]ono) tO 3 ifln Businessd P10fic"llailCode)
.that he is enp, fortiftnot and'he ba '!I )fit arIttesmnptt n. Any 'fl)hrn
nrS 't A1.115 by nny aPPllcau rnrap l:'Lie,)s )he npjdemnn. e'v lPenalry
nr t n flurn flee ha cored donors ($vmi
APN Number
.. d
LffisD&'�ctibris Occupancy TypeM,❑1a
rally', ape.y: nr. nyo ploy withw,ttl le ccnpriens nwill
no "
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d d k' d II t tt 1 fl I f (S 96,14Br d'Pf :
C I In C I 't -' I 1 d t ,,
: p'l,
Ip Wlobildx.r m I '1 d h '•If
P �{p�_equlred
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uA tier p ty mpry e weekl
o ;ration, xr
y1that 'h' P t'nre I
.PrIE-6,w.1
° 103 :UFER,f
�« :-I n n g or larlaroventrata within 6ney'-
omplt mn, owroa-hanklerwlll hatieflo, harder f prw')g )Lathe did not ht'Idm
_
104
mp eelor�)mt.enr.le>
,,REBAR
- .Ine'property.
1.05 (ANCHOR: BOLTS
an exclusivelycontracting mr : d t-, In
ttn r t(5 91Maa.- dP fes sCode)Th�C„tut'
Lic hof
_—.
- x' 7.0E — SEWER k; lii6,a'rEl3
Law d(;es not apply to a n ow c propeny who hl Id. or'..bnrve. moven;
lo, 1."w 1 l et, win t all d , .rLl nun
. aI ': '.
, M , VJa_:7. UNDERFLOOR PLUMBING,
t alt
❑I it ) No, E i CT'this ora,an
;+20 -AINDERFLOQR), NECHANICAI + ' -
_ow
DFC
UNDERFLOOR FRAME
NyII
20r -UNDERFLOOR -INSULATION
d fl f I 61 'I
<
301 — 'ROUGH PLUM IhIG
I I' ;ad will I j' a C (I a f Consent In If' : f W &un
Co p I p ided T by Seer t TIDR at he Labor Code for Ili,
,
' tilai, — TUB CF' -OR SHOWER
pert coif the wok fin which flus retain 14 'vsred
-
' 30n'— ROUGH MECHANICAL
❑Ih' 'e II nu or kcrsConp ) 'Four- r y- IbyS t
3nn1 1 con code for the pe,mm e of m,. -work Ibr which this 'cannot .
- 3u7,z{ — 'R01'11aH EI:.ECT 6,,I CAIr
e e. My wokknrec �.: rna lnxnr)we,a. eramrt l'yl mar nrn:
orkut
P • . - n
_., 305 . FRRh1E ,.s.
Ca.. ._
- policyNR.:
CFRTIFICAIFEXEMPTION MWOtK?k5'
.. I
.. 346 „'IGLDOWdS _
COMPENSATION INSURANCE
317 �'-INSULATION
(Thisronnewm,baemnpin)d'Itn p itis"r h Inaldollr,
.. B —
($la) I::) ^.
;3� .S!'IEETRO(�N. v
cchfy mm II the Pc f,mmncc of r. work for which this P,rnt e issued.
309 -- EXTERIOR LATH
call nrn employ,uny person in nay mann�r.n a, ton oma snM1lwt to me worker.
3'1.0 — I NTERI OR, LATH
"Inapennation Laws of California, Dat
.
31.1' — SCRATCH COAT'
NOTICE TO APILICAN P If. ferno,kin,l C,fifleale ofE.Orinnab.-> 'n old
•hccnneo tnIleW k : C(onjoaKdron provisions oftLudea-Code. you nuir
*s1 ROOF`NAGII,
, '—
mm)w'd) con d, with' I P Jemnx n,,hi p rn t hmnl be h, J keds
nI
5 1. FINAL ELECTRICAL'ENERGY '
_
CONSTRUCTION LEcArr:Ncr
�' ILereh Einou'l ere is a cmmlueyion lendr,sione forme rrormnnm
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5�i� — t
FINAL F'LUh1BTt+IG ENERGY, ,
onhew6rkforwhi,hddspe,,nalsivswd(Scc.3097.Civ. C,)y
-
I-endu•s Netne
503 —_FINAL VECI---IAN T�(�1_ .ENERGY '
Lendeds'Admcss
amid
`
514 FTNAL BUi1I)1hIC^EhIE,RGf
1 readythinIn' 1dI t, t 1 1 b t rotng
t16 )c ply fl II County dstate laws ilt.
'r05'. —' F,TNAI— ELECTP.IC,AL
authorize tr
tobuilding .I Ih bys Ib tl' )fl 'D) t p
the 1 r Ie l
_ _
GI TEST'
PaPr.
.`t0E -15 --
red k I fanatics, tiCly f C,caliso li
(W) 6 l ndlyt
lino)) 1 IL- t: t I r,row, e )r nary rw,is agu'al end
ii
S 7- — FINAL r�LUMBINCZ&•
City 1 fth 6 Inkofthi tern).
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON POINT
�.J_ p 4 'c
✓-am.l/ 1 h- (AI /Z 11:7
IssDed by. ' v�� " Date
SOURCE. REGULATIONS..
Signature of Applcanucnao-aelor D)
HAZARDOUS MATFRIALSIISCLOSURL'
i'Re-roofs - R .
510 FIMAI— PI ANNING '� i , -
-
W ll m ppli ; t f t bu lams me t aov or h' 11 hmyN Pv nmmdal
-asdl dnyn Cup. Mln' ,C, h'p)cr912,andm,Halil,dlately'
Type of Roof. '
514 FINAL PUBL'I'C ,WORKS
Code, Section 25532(a) _
- • '.
All) shall be inspected, prior to any roofing'materlal being Installed -
W'ud pll t r t n Id P : 9 Pt t d - vwhiell'
t
if a roof is installed without fiirst obtaining an -inspection, I agree'to remove'
- lath. s.n nnu'uvd Iby the Bay Area AirQality M)n,gcnenl
Ashen. -
-'
'. all new materials for inspection. 'Applicant undecslands'andwill c,oinply with -'
Fl Yet, °N r
all non point"sourceregul'ations„
- I ave cad me LOard n is mover ds reyu'rvnwns u t 1 r,Chepter 6.95 of me
` st
CanotionHceln&Snfdy Coda Seeti,lis255R5,25533nnd25531. 1 anderemtidthai,
itmla. } eswt Idyl ate t0 )t smyrtp hl'tymnotfyme
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.d -
pt l reynio nal' h Annan b t prior to is ra C rtibrao, f
-_
°ec
Signature ofApplican[-''-'„ -, ,. - x Date •. '
All'roof coverings to be Class B'�or better
Gone
r OFFICE