00050098 Permit clTv of curuSION CONTRACTOWINFORMATION:
BUILDING DIVISION „•PERMIT
BUILDING A DDRHS$ -� •� ” ' PERMITNO.
OWNER'S NANIE" ry n •"- '- '. APPLICAI 10&6l"CT/3/LT010475 MADRONE
rN
PHONE: - - SANI'fARV NO CONTROL NO •)'
THE"OBRIEN GROUFt ° k '05/46/000
BOO AIICHITP.0 ;v BUILDING PCRMI'I'INFO
- "BLDG '- ELECT I I U!sfli MECH''
�r7 A 7D ' U �fo�fI
2 Z 1 H9 NSI D CONFRACrOR S IICCLARATION - me lob Description = IY
II hl'B 1 11 I" J J p f Chapter 91 g _
OZF� with cl 7000) f i tth p and Lt dnY license.
st "in
Dusef II d CCN
[— HITCCT S DEC Is
'C 0, eland toy kink, ball be used .p.nne <nrdv 3016 SIF. FT. L I V I NIGH 694 ,GARAGE+SPACE
5ywr
I+ILOO .Lie JI f.sinnah -
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OWNER-BUILDER e,CCarraON
IW"ZQ ' lannby ❑ d sl' ptf theL I [ I'' Y I r the ,
Poll I ry fe 1 ' ]flJlse dP r. :6 A t t y,
9a9a a wn6 Sim. 0 n .t h p it I'.h Pi Y.t I ° '
a3� Erin t t '. 'I. I ' .tM1applicantf I I 'u flsigned.rt t :". .� .. . t ' ' .
ibonmh f Ip it a P 't of C to t 1 L '(chaps J Sq. Ft. FloorATea 2001' Valuation
ty 'll S t 70001fD i fD H df f Cudel i
nodal he c torture lG r n and the bafor r the alleged exerepfon�Anr v' .�
violation -
n(Set ]rHLS hYnY PPI tfp. 11 bl I.IM1 I11 a ''I pL �lry - --
'torr t n'nr 1 d dd u .rssom ` AFN-Number cu anc
OcT e
BU1DIftICa 08X7QI�Pi
❑ I n'P' p tY ) pl ) to 6.' :sh I ti , . -
n vvli on the work, I m Imanrre is ins implied at offered for sal rs 7H44, - Re uiI'd'_Inspections
Bns P r c d . Bec t L L d prll I 1'Tl!11YY �t ..
orvrnlpopmy Whob IJ oral pines thereon,and who does xeh work h' self ..,4250ya26• t/7t]J
through h wn euplpitaes provided Ind'such-reprovenrients rin,not intended or - -
offiarall1 I .If,howeven,the building_or inaprovinuent is sold within(are Yvur of •,. l '
on pl i to ncr-n Id 'II baso 0 b d f,proving that h lid not build or
``ap 1 rp P "ol"11, X101 ,� -FOUNDATION -
❑I nh n prr :. ry t cr g''ih ren d i'�nnu 1,02 PIERS
Lor,hriNd Its , i(s 7044 [Lioness and'Pr r<,voil,,Cl.I TI c ,reaeto,a
mnc Laxdea lot apply,,,an rrprmeny who hold ,Darson 103„= UFER: .. +
it I I' Y. ( h p ti Y'with IrJGn,r(s1 f d pursuant n,Ire
04 REBAR.,. `- .'
°Ia. ,.7I uderSec 'N C
'NB a: -
105 ANCHOR. BOLTS
Ow 'r - - Dole ' - ,
106; - SEWE
R R WATER
Nt RKLR SCOMPLNSAI'IONI t,ChAkA110N `
Ihnerav•prrrn under penalty of perjury nye of to]tw ng eellarnrnn �.. .202 — UNDERFLOOR PLUMBING . :'.. .
Cl l r-, and n It , t a,cellbetre I Crn inn In. Ifias re for Werke„ 2"01,— 'UNDERFLOOR MECHAN TCAL'�
rn n 'c : p -a d I by s f 37X1 r 0.1L.bor Codn for.tha 204- —_'UNDERFLOOR FRAME 'r .
Pere cod the wok for ouch thispe »tis sslad. - )
ySe 205 _UNDERFLOOR INSULATION
❑In e u ilr w k c p at 1 : a ' der se toll - — -
3700 nn Label Cnl r n per t thek r n this p r it is - r ' ','301. ROUGH PLUMBING _I;•
issued My kvsC npen ton n rtadPo hrwv. - xr u
cntanr 302 TUB R 'OR SHOWER
:CER' ICATI OEEXEMPT NAOM WORKERS' .,v 3O^J,Q ROUGFI MECHANICAL,11.,
304 - ROUGH,;EI ECTRTCAI ,.
Gn I ed th I If 1 Ilan T.. _,y 1p '
t, sinnl I 1 �1 Il 30rt --.', FRAME.t'
LnHnY mfi(IIe ae pen rnlaN ha wa re fo r III pet a I a, a a,I. 306 ='HOLDOWNS
,hall t o pl y any Person in any learner so as to become subject to the Workers
C.., union Laws ofCtiIfielDate 1, 1 1 . 307. 'INSULATION,
Airplane(
NOTICE TOAPILICAN U If,rlt k ,this C I'I s fr a nY should 308.. SHEETROCK
e bee bl a k doW C P t p Ithe l Conda. ma }
O 'rpgn In-.nulr,�m rel,I '.-nnv.-th p 1:1 ube.ie drvvnkw a 309 — 'E'XTERIOR, LATH ."
.5 4a CONS IRUCTIONLEN DINGACINCY 310INTERIOR' LATH "
I knogy.ani l that there is a constructionlending g y f Ih pet e
W 'one k for whicht his pmt is n ed(See,300 C CI 311 SCRATCH COAT"
Q Lead Niiiii,
Ltaid,,',Add r13 RhDF'"NAIL_ .r
v0 I m
Certify thisapplicationmthe n rt - 901 = SFINAL ELECTRICAL , ENERGY -
c FnalWd I s I ply mint,all an,and euggly 1 d'uh,Its 502 FINAL PLUMBING :ENERGY
rabuilding a n n n dh by r prc PI' it this ally in h m" _
the h m J p pe ry for'a Pe e P P - ?
F a
(We)ald ire nikeep hairless th LIy heP - g 90 — FINAL MECHANICAL -ENE'ENERGY
m r,b I t ) eg I p r nv r e agd m ,'tl
Icn)Ia . H nhgt �m 04 — FINIAL BUILDING ENERGY° ,
APPLICA STAND, COMPLY WITHAL N• Iss' edb '505 FINAL, ELECTR-I'CALDate''a''
' .'j ' SOURCE as - Y'
signawre npr Date Re-roofs, ' 507 'FINAL PLUMBING
, ,.-
HAZARDOUS MAfLRIAI e DISCI OSURf -Y
Wnthe y(heC, t f nalCo len tut oh el I-vdtsm.md.l ,.Type.ofRoof -
cdernea25S3ePrrr M palcplecnapler9.lz.and n H nnanaslrelY 508 — F.T.NIAI_ MECHAN�ICAI_
code Seaton 25532(0) 'a - t
°Ve cj All roofs shall bfeQgpeite6�h*lto fn?[f��j�ffng m tenalibeing installed.
Will a ppl t f I ren l ny a pan r.' eq Area
Aim 1 desire, den If a roof 14 Inst Iit{loEtl111ttlt6btFllli I�tlI1 AC�iCtlon,l;agree t0 remove
Incl d eon t rnld by the Bynr�e'A Q rty Malnse t - .
Dina et all new materialif-4.i6sp$Ott(NAIApP1dW tfdethtURk5ld,will comply with ..
°VNoall_non points reguFl
Q"f�t� 11 PI_YWOOD;'NATL
1 have ,ad he hayando., neirtrink1 1 ch'a 695 f tl k°" 1 _
Carr faH n&tarIre I s t zssosx3317 dzs.5 I d :t dant :60,3 ROOF BATTENS
Iftheh'Id t alh 1 II'. Iy ep 'b'III ffIh
ccp ,�I r, ,in I Ip ,-Ie-a, en"fnenf • €04, RADE LN=PknrRi=SS
��eC pa l e Signature 6f Applicant Date , 1
owger nr a[Imnd�oa oggnt In..,- ,:,„.•' ,e., •; ' - I. " 'Alla roof coverings to be Class B 'dr better
'OFFICE .