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02549 APPLICANT: BEAR- DOWN. CARBON C4PY MUST BE L�G�BLL. �~�� ASSE5SOR'8 MAl�:NO. P.C. NO. DO NO� WRITE IN SHADED AREAS. CHECK HERE IF YOU NEED A COPY p'C:FES (9) OF TH1S APPLICATION IN AQaITION � � $EP.TK. F'EE.t211 .. . . . . . ., ::...: .� ...: �:�� .�;,� -�..; � . TO YOUR PERMIT AND RECEIPT ' FERMIT REQ'p UNDER FLDOD CON- $ T�O�. DIST. ORD. 59-3 pgpMlT��E) ' '1'NfSSPAC�F01� MACHIIVEYA[-IOATI�N�� YE$ �tJ0 $ i� _ { . � � T"� � � r.w� Im m�#armity wilh the provisions of Sedion 703i.5 of ti�e Business ond Professians — EXCEPTfONS A5:NOTED — Code and Sed;on 3800 o# the Lobor Code of the Srote vf Calflornip, ppplitant shal! g�a�,.iNSP, sY file with tf�e B�ilding fnspector rhe certifi�otes, designated in (1� pnd f2� 6elow a�d�or . sholl indita7e item �3}, �4], �5� or (6� whichever is applicab{e. � � - � (]} Certifirote of Consent of Self-lnsured issued by !he �irectar af Indvsiriol Relpfions. op�E ��f Certifitpte �ar eapct dupli�ate copyy of Workmen's Compensotion ins�rance issuad 6y an admitted Insurer. � (3] The rost af the work tp be performed is $100 or less. �ry�p,;tr{�➢EP7. � _ � SY (4} I certify thaf in the performance of the work for which fhis permit ts issued thot I shall not employ any person in any manner so ❑s to 6emme subjett to ihe Workmen's Campensotian Lows of Colifornfv. � � � � � � DA7E � � � �51 I rerfify that the applicant is Iicensed under the provisions of Chopter 9 � � . � .� (tommencing pt Section 7p00} of dlvisian 3 of She Business ond . Prolessions Code, and soid apglimnf's Colifomfa 5fote CaniracYor's Lirense �� . , , ENG:�SERVICES - � SY No. Cl4ssificarion is in full force ond effect. � � �G) Applicont is exempt from �5� above under the applicobfe provisions of � � � Secrion ip40 rhrough 7653 of the Coniractors' Eicense Low. IStote besis for exempti0n.) � � - . �� " APPLICANT'S FLANMkNG.OEP7'. �- . - ' � SIGNATUR � � � - � � . - _. 0.�DRESS ��L�,.:.(_ .. ' : � . . . ➢AT� - [� . f . . . . �- .. � � � . . T�.�.�;-: COMPENSATkON CER7IFICATH YERIFIE4 F'ER5-MARSYiA1. - .. . . . . - SY � � THIS APPEICA�ION IS A 8L11LDING PERMlT WHEN PROPERLY FILiED OUT, SIGNEp, Ahlp MACHINE VA�IDATED IN THE 5PACE PR�VIDEd. - nare PERMISSION 15 THEREFORE GRANTE� TO d0 THE WORK INDICATE� 8EL4W !N ACCpRDANGE W1TH AlL APPLICABLE QRDINANCES, LAWS o�xeg sv AND REGULATI�NS. � • � � . DATE . : .. . . �..�..:. .� . � .- . �:. ,�.: .'..; .. . .. ... . .,, �_�..-�. - . . :# 3 Nu�E� � � �� nvPlttaNr: �REa�r EaiR bowrvADE�� INSPECT[ON RECORD PR(NT OR TYP�-TNE 7n[I COPY IS YO43R$ �ATE INSPECTOR REMARKS I. FOUN�A7lON FORMS APPLICAT�ON FOR BlJILDfNG PERMIT COUNTY OF SANTA CLARA Z. FORM5 POLFR ND CONCRE7E UNTIL TFiE ABOVE HAS 6EEN SIGNED ' BVIL�ING WSPECTION pIVI510N 40 WEST HEODiNG SY. • SAN 10SE, CALIP. 95190 • TELEPHONE 244-2351 � H�^riNc -oucTs LOCATION 4.COMFORT COOLING � LOT 9LOCK TRACT S. GIR��S 57REET&AR4RE55 , QD NOT COVER FLOQRS UNTIL THE A80VE HAS BEEN 51G(V�D v L � � 6- BOMD BEAMS (CONC. BLIC) N`�cAAEST CRO55 STf2EET RpVGH pL6G. - 7. PAR71 AL - ROUGH PLBG. � P TOFFICE (CITV� COMpL,ETE � C� ILL{J ��/��4/ �� 8.SEWER INSPECT. OWN£A � PHOI�tE � 9. GAS PRESSURE � r �- � � ROUGH INCLU�ING ROOF, ADORESS C17Y I�. FRAME FLUESA�JE7SID[NG DD NO7 WIRE UNTlI.'S'HE A$OVE FiAS BEEN SfGNED ARCHITECT PHON£ �R � 1 I. ROL7GH ELECTRIC WfRING ENGINEER cqKrRqcTOR �ic. Na. COVER NO WALLS EINTILTNE AHOVE HAS BE�N S[GNED 12.5T13CC0 W IRE&LATH 115E OF 5TRUCTURE 13.PLllMBINGFINALS[F]x7VRE5} �';:SET,;' . FRD � StD� � -51DE. RR yplyE-� �'BACKS:.�::� ... . : . . ...'.... . .. . - . . . [4. GA5 APPl-.IANCES :'�::FE£T. ' . .. . . � ' � . . .. .. � S5. ELECTRICALFIN0.L�FixruaES� ❑EICCAYATE TYPE OF IM O'/EMENT GRAaE WELL ❑8111L➢ ❑RffMUOEL ❑hDD TO PAIR Q MOYE BCDNYERT e�EMOLISH 16. pLAN. Q�PT. A.5.A. �NSPECTION - SQ. FT. ��.///rrr NQ, OF IVO. OF 17. ENCROACFfMENT•L.O. SIZE � STORIES FAMILIES - FIRE MARSHAL `--OTEiER S UCTURE � � � 18.CLEARANCE REQUfRE� " � . 59. B111L�1}VG COMPLETE SANIT�.6f5T. NO. �� SEPTIt TANK-PERM17 � VA [3AT10 �� NO UTIL171ES WSLL 9E CLEAREO llNTIL"BUIL�ING COMPLETE"HAS BEEN S1GNE0 _ � . . � � �,�r.�. _ ... �� . .:.�. �.. .:.�. ;� ' . . .. . �~'.." . '- ... . . ... . ... . . . ::' ❑ISTRICT .�'ISSUE�-BY � , {)pT 20.S�WER NO. ..J _ ,.�„ . " . . _ .yeyT7�'...�»4-ava��•:.^'�-,��!'r��^�ne.,,�-t .._..r=.a�s� "%':.,�.�. .�.,::.,. ,.�"._.-,. ....., <t(.�'rk�$'�.:z .sa��: 21. SEP7EC�TANPIS N0. - »�v e . a � . ...