3328E:rrr or MR,
113Si'I1;T01'-RECORV
(Off ice 0011y)_
MART PSE}, _� "ovirf�lt�'f i�tai". ttEl.-..
LOT w)
txS F11UI4E NO
SOB
RERHxS ISS?LtED
Date
LECTR.�CAL
Insp._
!Date
1 ec.
Pawer-
,.. Pales. ., �. �.....--•»
--»......_._ .„
Mi�intrir.a
3'ls,r
'ts^ctaintc.1.�,M....�_-.�..
Rnu�+t�
..._...._..,...,,,..-.---�
501 � t r`w....,..._.
_
i x t ur �s
Fire Sprinkles:
....,«w..,,»._,.�..�.
Ground
Other
PIMAf. IIIS,PEC'1IONS
Date
Is\gts.
Date
I'lsin�tsinin.
So1nx,,_.._----.
Pon I - ..-.-..-. -.-
........� _
Part . a 1 t.o ► ,t+ ..,........
- -
...._
i n., 7, _ ,. ,
�:.. y _.. s
I ttau t t
_r,r<•tr�
t'�1T111in
sola
.r,
rirp Pg2t. _...
i-1-1t
li��tLCIII?GDC.
'fain
R/o SS Drain •. __
O i is r - _
Gas
BBI
N�C rrsvE�d
-»
Date
� Insp.
Pad Ce.rL1ficatian
r
t1kCJ!ltt�liCAf.
..... ,�-..a. - .-
Da Ce Imp.
Pre-Cuni t:a
,.,
Underf luor
Slab--I:entl,vane ,..
_ . _......�...
I3ucCs .5, In qui ►l
Bond Ream
fire i'fmc
Ltt )UC i`r�rjj-�S1EtCG
Floor Sc. el
i;reitse Duuc, r ,& It°°r3.«.-
TtedownsOne
liour Sha'tt
aisrams
iliP
��...�,,.
Con�lc ate Drain;
��.• -_.
,..�-
Se i` �miC 1 r.��cinJ�
i.git��amQn#• iir,riYc�r;���
tt��ils*J'n�is__, _
�..-
Flct�srF2 S.cimty.-Ai_.�.....y.
�---
_-.-.--
Not
f, —a,-, vo, irds re �-
rirewall
Othet
Not AE2roved
f ��a T)7Vw1�iFl1G�7 `i�tFVP�r #M "
ISZ'""'" BUILDING—EL.EC'MiCAL-- PLUMBING MECHANr4AL
Su
t : r
fiQi1,00
"T �74ETS .SvVITC}+ES _R 5•
c s+rR"tea ii i" $,001/ .00 x
pxsa p r Et�F4"SIFDGFt'KTUf1E .. -COO
1308L a 1�# .._ "._ossic _ -." aFt4IaNCEB tiE� $« [riT!AL.
Itaiarw ~San F`YBI.GSL"�E� tr � 5.00 �
®a9wtqX14 S.00
A41�iT.$ ..�, �. ,,_." ,... —.
Yom- ^t4�r -
3.00
-"`zz ddG:Hdit4 t t
TRANS. ,. 5.00 : �}
t�iaaiuntn l,Ic. tva �.,........--•---•--�
_ .tifl,P,"EC17�LCtitICUIT ^-•-"" 145.00'
"Qo+t�i i ENi .INS pO E INB.
--$CtE FEE $CH.
10.00
..twetaSPyItICE Nq-
.: \ � L,iCi'NSEp;;`�ttTRACT ttt.i30. b►
a +« 1 h AAM that s am hoer ied under proviwsr of Chapter p
a with stow" I x101 of Division 3 of th�fl: `ssnessasxt �}
a a i oxmilt in►
7 Proieselwst tsde end fay h, eme is in full fi rcc tmd
t Lsc. vumhetLi+7 of Ct1QQd i10 th,ts....)*FERTa ORD v t r.
s x i OW1ii:RdbNILi)cFt dL( ARA Fso!c W
misc. -
w u t ham the Contractor "s Lionrt- ...•- -'
a a „ t perch}' ^Nirm that t am tx FnsV
x + Ltwfor the, fo00wlaQ rntmt ffkC 7051 S, Suahseaae.t Qrofess,ons' PEf1�N1T �$CIANCIi rTiY'�C
which rcgwrna psnnll10,vastruMmitt►. LEC,CtaTe ` � hC
rt Of cora
sly TS>T AL . t•< '
w i + CodeAny 777
motish. sw sepsis mY stnkU7 a rt,a w its
irnuance atm »--
ff . < �� Iir9rit
for sucH Passnit to I lc a sgme3 stalenxul that n R
a requires tttr, app ons of t}te rontrncttsr s U veer 77 '
r $ " he it iicWirsed pursas►ut to lho Pr-nvtn - d - r:
tram 1Acl
i Law iChaplet9{roesysrusnc systi`Sacuor7f)t1Q7ofi>s3'ision.4cnt)�
e Business and PrOfasewxst f ode's or n7at hr: si cttmpt than
exemption.An'vfotatwauf5rction7031.} At.SER•[3R:PIN&ttiENT-WACERIEA y 4.00 "- 4 it u
r the tmtis Cos Of All"lle )
a br any ptfPllc1111s is n s pltmll su5>jecn the arppltcros to r civil pt^dty M '_' _ _-
of not n►or. Nit fi%% bsmdeed osNla ifiSffOitj)�`ms wrtl, wipes .s 13ACK wig OW °Rte f ECT�REV iCE
(I S. ea owner of OurF ysgrtY. '""""" F'L.UUR,fiCiCF,AFtELt,CONt3. 4,00 LcptaKGe ..
thea ole eomper;s�ateoir. will ( he work. 8 ,sinnki And I'Tot ak)as itf�AlNb __ _ d.00
tote^ded or otferek4 fa' xk n" ow^tt oi' F iX g . P }q TRAP
Y.-
Cak:The t'ontractor•siKio Law
therdeon,mads dudx 1u11w>ry,
property who b1,0ds 5 wrP GAS -EA 1SY8iEIvt 1 INC -4 OUTS F'T'y` 4.00
nlmsrtf of through hnnwrretysptayees,or+>I,, joihrt r, the tpto+n"• 1.tl0 @ti L
Imnta are not Inten+ird s�rN r�dtcf Yeafyo c ktAc n�liheowswi GAS G S STEF1Rf OVE� (EA)
of Improvement is d tti*1 tui w not bjiw w if, INCUSSjMA� LWASTE INTER. 20.00
bw(de r w 01 her a efts !nudge i.f or'orinY _ _ •.- I,L
prove Irol purpoee of adv 7• rt am ex4lusnely corstraeung w'itir IN ERS INC 5 v,8, 8.00
R e, as owner vt the ptotk y
Iicenmai ronuaAo s to ouristruO the Pttt)o�i 1 7EM;• Bushiess LAWN SPRINK V ER S (EA.i 1.00
mJ Pror'oasbns Cade f bushLsfar in eyfnvn herepn^rnd wlsi _ _tea ftl8.00
loan o+rr»r of pn*ptrY SEYYER S.ANITARYS70Rh1! ERS _
C141trACll f4N ill4lt-jetQft�ta w1Eh ^ contrACt '�iy�q.y24t pUlktant td x.00
oc corliractor's tstensr I.Aw, y ap t tot fhis WATER HEAD T W ENT
0 i am nxerttpi-uadel ATFflt 4.00
tactors. _ - -- " ar _ _...: .. . . W- --- " " ' 4,00
WATEFtI TREATING EOU1P,
'1VOftY.7FtiS`Ctf1lR�PwSATIO*}aJG(LAft�'(lOh ^,,,,�„�....,.-. -
i herehy attrr►rr thfl l have a cerhtic�ttc a%f:uosrtst to elf rnsusr,
so
07 r rettifsa^e of *''artari E'ampalsaties*t U yurmca. or r crrtitrod � . - 19K
copy ilyefepl({t113h t rT? .. L_J
L'f CcN.fled eopVsshtteb) with
tih v, aa,thm divi�iosi. REFfR TO08t3• : � Ate" 1.N.�C.,.�-•
- ". .. ,
0 h iiiaM wth the xy v MISC�-- 8.04
r Cemfied
ft€RMRT i$$UAR+IC1d r C3 <3 v NL3
Wt:. NCI. POJ -
CBR1lP:�AfEOi ¢ Xg.tpflOt+i }Rt)M WK)(IKkRS' P1.G.+CONI� TQiAL
W
CON kNS 3i,11!sCE _.
r t Ctt's salson rush not be ,umple Id If tet patnlV h for an. Ftil1 t.,
t undfsd dgllrrsA5f3)Of or Icsi 1 telt hidl tits5 1+et k1IiIA�+ #rI�R1IT
(r1 t certify feat cn the performance of the w anye two 6k Inannir ru as"Uli.3d10
mit is unud : tluti nut ecaploy ant essstwa taws of Cahfornla 4•�
LA_ becamewhol't to(�worliars Comple ALT�A Ofl_AQCITCMEC} 4.t�4 Pt.A' i CHOCK
Alpf crsnt «_ - FEE
NCYi10E T4 A71`l'kKAp� h if af(rr mayllug shfs Ce,Uf seta trf f:a' APPLI AtNCE
„.0
r sublen to the Cumpettiwuon _ C F_Rvl) ?� .�
ttription yots Ifk11100 ib `;Ps +s fit. ,Wb . t0T(T0 10,(x00 'gF3 FEE
prssvistwls ail ;rev fa4 t (ode you mets) tartitwith.romt?I)' wsW p s{AtNOi.N�ta f th61t1i5VEf 10�100QRIIA).,.5. -C1{I ».y
�. tuck prorkdatt+ <+r dlu hrr rite shell the deel^ed2.41? -. f
E gT'rtvc3wN 4rNt�INGri(-.EWY MIC`, GFOUA
I hereby afCir11s flat Its to is a ci>ttstriction ten�i�tmue lac NE/►T�iJG i 11T0:j00.000 B TSU.) d.ORi
.. _.;..
the ttQrrn arse of tin, .wk for vthivh this Pm — i
HEi�TINGUNVTIOVEf 100.9ft0E7.T J•}. .
(rcnEkrshtaur � . -- 3_01D Pk tf#AiXING
I,trnder'sAd1R „r P - V TiLATION CAN �S1t�ii3lE1 g i.U1 4.€!fU
E urrt7f; ttsstt) Punt rsasd slsfsapolt sera aAd xtnse that the abc*Ountrt 1 (+R {�}p0 _ _ #fitii Aii1Gl41
information br r,ur tt t eg ce to comph with all dly ansi counts
lry tx,Wfntt ftmsuoetiK* upon
— t IQO.000wfull SEE FFEscit.
.�rcitnareer rttsKt s47ir taws 101111118 —
"� ,,.,- AEF EFRq To ORR CEfQM$T. TALC
hcrihy euth><retas aPntsvnfw ^was Hmy+upnto � c^tcc tt4*£s �E�lI..FA�Ct}iaRRs .t77wr
'� reba+ncmtnt�1 fanps`S.. t.'st' {�.--Il'"-`...'"-'...,�.�-."-.-..�.^"'"'"."'�....".w 3
ri fie rare, ir�)c i� ar+d kart 4iannlar, th) y
{we) - whisks ; c
E'at tws shires hauls 11 said snits and etu�s P!:'IsVIlT I$SIJANGE" MLS•,•••
PF' Mgt Eattt (.fey Ut,!C!' of t17a �I tl4 ". yaTAL
miFl fin�j{ v «sy «• y+ r.+rsc>t.4w+''r "�".'....,..
{ :tirlinctor Bate�fw optY W
ifluI LlD Me PIk0,38CT YDRIIt1<� f llC TII(CEIN
A�'PI�ICaA ILMI PERMIT 1i"C _ �.m �
ADDRESS � BUILDING-
E LECTR:CA..-PLUMBINC — MECIIoa MCAL,
e*
" •�
".pp
t ON K VjAt.tDA
". u �Cr dllr•r+j
~
,RACT 4
11J1LETS -SWITCHES -REf;#F S.OGI1.QCi
. ►, tee reo ,L S
IGHTING FIXTURES 15 00011.00
FPkIA1Vt+ki3• REBRIDENTIL 4.00
RN6L$ 6.00 T t All
UVOTACT
rata �►y
r
SIGNS- 801E01
SIGNS TRANS. 3.00 m�
a sa aro
_.,. «._ . , _ _
., 1" A6i a to
5.00
� s n
SPECIAL CIRCUIT
r11
Q
EMP. METER OR POLE INS. 13.00
MOTORS > SEE PEE SCP.:
� ��
.Lie o+►tT�
AC�RBfta
SERVICE CHANOV 10.00
��,........,.-.-.,.-.-.
_
LICENSEI)CONTRACTORS OLCLARATSON
a
I here'yy affirm tsaf l am licensed under pro iiioru of Otapter )
tcamme.•ncinil with Section 7(1Q01 of Dlvaston Sot itsrt Nuslntss and
A +
""' EtEr , Uf Lb.N
v
y
Professlont ('ode. r my loaner it in full !o 41*
Uce"M Upas,. .fit A------ Liv. Nom r 4 _
_
MA�I x ! u
IiI
owli-R-WILUF:RDECL"A-ai!i
misc. REFLR TOOR0
# E
#
I hereby aAirera shut lam exempl froth theContsact»ti Li4ense
Law for thetokowaing reason. (Sec: iO3h.S, gussrku aeadProfes�ityna
_ _ _ ,,. ,,,, ,.,� _...A N
PERMIT ISM ANC$
`
v� r
Y
Code'A»ycilytyrwuntywhich RqujfesratkttmrttocOlaatrucl,alter,
improve, dtmoiiNS, oa'repair any alro turn. prior 10 us ss;uanix, (alae
IEG. CC N"T11 �� oc �Or
TOTAL MINIM
a`
requires tlx• 1pp31 Ant for such permit to file a timed statement thst
d to the of the Contractors License
rY
hr ss hcens puassavnt provis<ora
Law(Chapter9(cummenmatwiIIIstrtfun700DiofDivitwn3oftha
IiLMM11Ri1 } /rAlI1S'
Business and ProfesalonsC040 Orittat he iseatmpt theteftntn and
the basis for the atillmd exemption. Aoy violation
8 OR YPE
b an applipant for a permit suhiects thea plksst tgacivd penalty"
y Y
or fkve hundred dotlan34100)"t
a
ALTER-DRAIN 6i VE.IT�YATER lEA.) 4,00'
-- —.y-- -----'
"y`�'8`U
not morelhan
t7 1, as otirner of the property or my ompleyeesc with waxes es
BACK F LOW PROTECT. DEVICE 2.00 RE U;+tr
tbetr sole compensation, vnti do iFe work, and the strneture is not
attended or o1Yes+Cd for We (Sev, 7044, Business Rind Professions
- ,
DRAINS-PLOOk. "W, AREA40ND- 400
__�
Code: The Contractor's Lia:»sic law does not tpisly ro an Donor of
esoperty, who bullda or tmpravet rhereon. and who does a.h work
F{%TCJF2ES PER TRAP A. sa T 6 A AREA TAS + rtfAGE
IXTU ES - P IF1 TR—
atetseiforilirou`fahis own ennpinycea prusiidadIll. .11,fmprare
meats ate nal intended or offered for seta+ if, however, the building
GAS•EA SYSTEM •IINC,4OUTLETS 4,00
_
Of tmprevement is shard within not Year of cOmpktassn:ilia <swnaruIL
builder will have the burden of ptovins that he did aartrot build or i
GAS . EA, SYSTEM -OVER 41EA.) 100
_ _ RES : IND$ Ps tJihir
prose for purpose t,f sale,).
INDUSTRIAL WASTE INTER, 20.00 0
a 1, 8a owner ut The property, am exalustrdy cartt(u.tinj with
Licensed contta.tois to construcllile pto)ect f8ec 1044, businext
LAWN SPFttNKLERS • 1 INC 5 V.B. 6.00 - E PARC 4 N
and Profeuiantt osier The Contractor i License Law Jfw viol apply
to an owner of prnpeity who bululs os 'iroprovrs Shirfro",and who
LAWN SPRINKLERS • OV ER 5 IEAJ 1.00
wn!racts fatwch projects with frontracrar(tlhcennaadpursuant ts+$EyJEfi
EANI7ARYSTQfiM EA, ZO0f118.00 TRA T N EAR f.
04 Contrulot's Lama Law.
l am pxrmpt unakrSea.. _ B APL for stili
_ _.–
MJATER HEATER VYtVENT 4.00
WATER SYSTEM 4,00 ACG, t'aatE AC _ ak>B Np
session --
Date �. -� _ .. .._ . t).vncr _._. _ :e.
Date
WORXFRS,comFENSA11ON DICLARATION
WATER TBEATINGEC2UIP. 4.00
I hereby affirm that I have a mlifsrate of corn Rt to self-insure
ENO 87TE 000,
.
ora certificate o[ Worktrs' C'rlr5pentaGvainsaranceor
Copy thea
Policy No a� IL-Rti..
PIR@.SRRINI( - kNEftGY T.N
r1 Cenit"wd copy is errs.y umiafied
Cerci xd h filed with the y i n divssion
�.�.......,...._....-..--..
MISC. - nEFER'TO ORD. v p N v NO
APip cant
PERMIT CSSUAIVCE. 6.00t PLoaazoNt .►1M."40(�
..
"J�a
CERTi CAIE OF EX✓rMPTtatRUST WOJRKFR5'
1
CCJMPENSA-TION IANCE
Pith. ZONTR LIC N4. POIAL
LU
(This sediOo need not by completed if the pvrmft is for ane
hundred dolla it (S 1001 or less.)
I c:ertifi thst sn tiro porformaricLha work 7w whch ilio. per-
,of#e�jji"
FIs}` a s
alit is issued. 6 shall nor employ any persngm spy manner � as ti,
)+"come subject to Or Workers' Compensation LOW& of California.
f
BUILDING f
4.00
}.
NOTICE TO APPI..ICANT if, aftermaking; this Certificate of Ex-
suliject to the WoAerri Compensation
I ALTLR OR ADD TO MC-CH.
APPLIANCE 4.00PLAN CHECK
e i
emption, you shouldb8come
provlstons of the Labor Code, Pu must forthwith comply wiib
this shall to dacrriM remaikzd.
FEE
.
AIR HANOI-NO UNIT 1Tfl 1tI1E170GF.M I 3.00such
provisions ter ptrnsit
) 5,0-
AIR PAN[XtNGtJI+IITIbVf i pE30G M-.1 6.(Sb SEISMIC FEE ` j
AI1Q
CONSTRUCTION LEND1NG AGENCY
1 httro-by offline this there is i construction kriiduis agency far
-
EXHAUST HOOD (WITH DUCT) 2.00 MICROFILM
the �erfo•iv.CJ.ratante of the work for which the peaar4t Cs iseuod tic.
e
HEATING UNIT (TO 100.Ia00 B.T.IJ.) 4.00 s-------- _ _
i C
Lender'sNimv _ �►...v.� ---- -� -RESNT'
r _.
TING UNIT(OVER100,0009.T.iJP,50 ELECTRIC
Under'sAddress
.._. _.
FAN (SIi1 GLEi 3,00
I certify lhst I have mead this ippin:ationardstate hit the shoveVENTS
PLUMBING
tnforenatfos n cornet. I agree to.ocsaply pith sA city end county
ER-OOMP13 RR or 100,000iLT.U1 4.00ordinances
arsd sate laws resting to ousldlq i;O slruction, andtsent8y aulhorist tepiewritrtivet of this div to cafe, "POlt theER-COME}
above-memnmec# Property for impteuon puNoomREFER
(Ovr+fODA STui SEE FEE SCI M€CHANICA V
TOOff(Wei
Wet to save, indrmnif' and ko limnilew flit City ofC.
- '' ��� CONST, TAX
`=
cape"ileutunat liabilities, ;-dements costs and expenses wbjch
PERMIT ISSUANCE 3.C:iU _gam•
may a.1y wisY actNe atzaine: City in colinu s4otnce a this
Eta fofrhis permit.t0'aT
UC.No MICK � _ J
7ty7AL'r� z? lj.wl
# r x
� .. � `�.. • �
>sttarE o A Noant aaiM Art
�•,,••.—,