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S 2504 (2) APPLICANTTO FILL IN INFORMATION WITHIN RED LINES•USE BALL POINT PEN ONLY FTYCUPIsRTI NO BUILDING.-ELECI'RICAI, PERMITNO. G DIVISION APPLICKPIONWERMIT NIAM1NG CI IDEANMAI. S 2504 RUII,DIN'G ;::N E M CHANICAI, 'IONSANITARYNO. APPLICAHONSI1RhfITIM.DATI DDRESS:7 ScLnT0. � 14c-ice Roe 1'llflNH: CONTRACTOR'S NAME: LIC l� �� I �Ql/mayy C 0,)I/r NIC CONT'R(7ll.p� IARCCl,I`I'1'I:CT/ENGINEER I.IC NO: AUDRv1 �I� / V' ❑ /�` C/ C 4•S. / �^'Q / / ©PHY.0 y/ BUILDING PERMIT INFO nn Syxo R� 1115"55797 a� 37 ❑ ConsulTanl Fee Pail by APPlicanl(Initial) BLDG ELECT I'LUnI lI MECII LICENSED CON IRAMOR;S DEC1,ARATION QTY ELECTRIC PERMIT 17EE YrPy JOBLI)ESCRI LPT710N I hereby alir n that I um licensed under pruvisianx rl Chapter 9(atmmomcing QpZ with Sectiald Am Division 3oflhe Busimcs.aed Pmtcsz'iur,C ndmyll,vii,e x RESIDENTIAL' o '" PERMIT ISSUANCE &Sol O KITCI EN REMODEI. CWF Q,UU hiccnx Chtsx I'll.If APPLIANCES-RESIDENTIAL ❑AUDITION [I PLUMBING RliP11'F, F-ZW Dam Crn( ❑MULTI-11NI'I' ❑STRUCPURN. 'nGa ARCIIITIiCI'S UECI A F h Z I undernanA my plans shall M used a.public co PANEIS MODIFICATION OZz-� UP TO 21X1 AMPS ❑INTI!RIOR OCHIMNEY REPAIR I-:?FW I.icenocd l'mfco:unul 201.1000AMPS IMPROVEMENT E]SWIMMING POOLS Cx�; OWNI:R-BUl1,D13R DECIARA'1'ION OVER IgN)AMPS [I BATH REMODFI/REPAIR ODEhfOLITON C C Q I beach,uflimt tum I am xengn from the Commah License Law for the Q OTHIik dOLV lo,Ihwr,c.son.(Sectin.9(31.5CHwin..sand l•mtcr_vians Coda:AFycityrr comm, SIGNS Ii,FC'I'RICA[, LL 3 U.,a xhich require%a penia to crusader,eller,imprmx,denu0i.h,or repair any swmure n F�Q� parr i d. 4tiurce,the a,,Ii,-ti h pearnith,fild a si,sed,drimend SPECIAL.CIRCUIT/MISC. �Y�J p d nhc - II It In ( - III C t' a L 1' (CaTuary 7 CL¢� (commencing with Station 7BXp ofDvision J of rhe Buiuc%s and lrlsiI C,se)or 'I'hMPMEI'IiROR I'OhH INS'I' COMMERCIAL: a a o z Ill.,he is exenpl bedamm and the basis for IM alle,ua csemp,irn.Any violation'If O N,W BhDG/ADDITION ❑DEMOLITION Section 01131.5 by anyappllexnr tin a lmmtia subjects the npplicam m it civil pen:dty of POWER DEVICES 01'17NAN'I* ❑FOOD SERVICE not nmre In..love hundred dollars(8500). IMPROVI!MFNT -Z C] of Mc pmPcnY,nr mycmPlnYccswithx'ag..us lheinrlcannpcncali.., SWIMMING 11001.ELECTRI ' ❑D'I'NER l.. will dnlncwork.andtbeamaurennoa intended nroReted fnrmle(Sm.70l .Business lit�'m IanJ I'rufcssirnr Cudc'.'law Gmaadnrs Liccn,w I,aw doors not apply turn nwncr rf OUTLETS-SWTTCHEES-FIXTURE' L pmpenY who builds or improves rhemun,and who d:ws such wer4 hionw1f ar through his own employees,prnvith d that such inprnvemcmx am not intended rr oBered for NEW RISIIIIiNTIAI.ELECT SU IT dle.11:nowcver.the nuikingnm r improveenl is%old within rtim,ar ofcrmpletirn.the ,,\\ y� SQ.PC FI-OaR AREA S/SQ.IT. owner will have the burden of paving If F(he did sol bwld nr Intpro,,fur par- V (V a pre rf sale). I' 9 F-1 L no nwncr of the pmpeuy,am exclusively contractingwith licenced enrm rcmn In `/•> tutus lie pn,ieet(Seo 9194.Iluxln..s and Pdremio I,Colde,)'nte Curall"ll 11,1- cmmml.aw dues nm apply m un owner(it property who hrild.a or intprnve.s thereon.and QTY. PI,UMBING PERMIT FEE who contracts for such pt+)ee.s with a cnnldaorls)licensed pursuant to the Cantrai �07 O l Y/ licence I,aw. 111iRMII'ISSUANCE fLf� .,it escal"under Sev. ,B&P C nor thisreusrm ALTER-DRAIN&VENT-WATER(IEA) VAI.UA TION Owner Dale WORKER'S CONIPHNSA'TION DCCI.AIXATION BACK IT-OW PROTECT'DEVICE (\ Q 1 hereby affirm under Penally til pc jury tine of the Iollnwing declarations (D I have and will nmitum a Certificate of Conwneowlf-imum for Worker's Conten- DRAINS-FLOOR,ROOF.AREA.CONO STORIES TYPIi CONST RUCITOP .Illian,or,Pmv1Aed for by Stalin 371X1 d the I.ahnr C le,IT,the perfnmutime of he work far which(his perinit is issued. IH X'FURES-PER'I'RAP O 1 have and will maintain WorkeGc Compensation Insurance,as required by Section 9900 u11nc l.ubnrCede,na(h,perinlnwncenf lire surd fur,which this pennies is issued. GAS-IiA.SYSTWI-I INCA OUTLITIS OCC.GROUP APN My Wnder'xCoal lsensation l Fsudnce currier and Policy 11 aa.lnshd: GAS-EA.SYS'I'1!M.OVIIR d ICA) Comer: Policy Nn.: CERr1FICA'1'17 OF EXEMPTION FROM WOR KERS' GREASIVINDUS'1'RI.WAS 11;I NERCETOR COMPHNSSHON INSUNANCfi 1 IILIIING IJIVISIIIN D'Ii5 (This wdrinmteed not be completed if[lie is tar one hundred Joll;-ISIINp GREASE TRAP -3 „ or lea.) PLANCHCC V I cvujIYffudinthcp,durni ncerdlhe work fill which this permit i,.,,ucd.l shall SHWER-SA N ITA BY-STORM EA.2W PI'. nor employ unY Pvrsun in ratty anannca'sn m b a arou ..... b)a. ,,thm e Work—Cote.. ENI! Z sabot Law,of Culifnmio,Dal. WATI7R IHATER W/VEN'1'/IiLECI'R GRAIN 'Illi zo Applicant r fn N(YI'ICH 10 AIll'UCA NI':IL atter making Ihi,Clot fl'u"M Mentphtim,yon should WATER SYSTEMGT EAI'IN(; 5 IF a ; beware a..ble t to,the Worker's Compensation providons.f Inc Luber Cud,.you must � ,..: forthwith canard,with...h N-O,wr this pe.air shall lc deemed invoked. WATER SERVICE QPAI CONS'I'RUC'IIONI.f3 [)INGAGIiNCY NEW ItESIDIWIHAI,PLMII. SQ 14. Dan, RccciplN UOI hereby alfirn that there isac.nswainn lending agency furalis Perlitmmntt til '^ LC '` sur IN,w look rnr which thus poria fa i...ul(See J1N9,Civ.C.) V V TA1 Q ULcndcrc Nane I.emfer's Across. I I county that l have read this applualum unit aloe that abe adho mfonnarinn is I;UIhUI. I'lil ' o aF.I h corral,1 ugh'"Ir costly with all city and c,,I y.nlin:mces and.Cam laws relating esti QTY. MECIIANICAI,PERMIT FEE SFII IC .Ii 3 O U z building emnlmnlon.and hereby uuthrrinc reprcucntutives of this city memcr upon the ... aalve mentioned property lin inspection Purposes. PERMIT ISSUANCE E C tail' 23 v (Wel tib re m once,indemnify and keep formal...the Cary of Cupcninn d,mn,1 halsi(ice,h.Igmu ru,sandcxpcnses whi,l, u,lnuny waya,cnmagai.asuid Cry AMER OR ADD10 MECH I'LL ❑INE FTI7 (.j8 onncy.enc tfthegrailingoffspennil. AI'PI.ICAN- +N IiR'"I'AN11 ) 'IT LL NDN-POM' AIR HANDhING UNIT I'1(1IO.IXXICFM) h .ClIANICALfili �� COECli AIR HANDLING UNIT(OVER 10.(XIIt CI:MI Cl STI '1 % Slgnu r of nntruaor Ourr EXHAUST FOOD(W/WCf) II(IIISINC.MI'1lGAT10N FTili IIAZARDOUS MA'I'ERIAI.S IIISGLOSURI! x'ill rhe vpplicum ar laud Mrildmg rx'cnpam unre nr hanAlc hamNonc mamriA HEATINGUNII'(TO l IX1,000131U) a,defined by the Cupiummo Municipal Olde,Chapter'),12,and the Health..it Safety Cude,Sort 125532001 IIEATING UNIT(OVER IINI,IXN)Ii'1'U1 r ❑Yes ❑Nu VL'NTHkTIONI'AN(SINGI.ERFSID) I'AIU Dine Reedp(a Will the applicant...future huilding 4,co, nt mcc c,aipmmrn,,devim which pOILHR-COMP(3HP OR 11Xk(1X111TU) mil haiardaus sir contaminants u.dclined by the pay Arca An Quality Mamgemenl Diaries! 1{OILER-COMP(OVER HR.000 BTU) ❑Yes EJ No) hwmJnus nranMals d4uimnxnu under ChaPtcr h9$of the Cxli- AIRCONIHIONEIR 1 have.:al alts ISSU C.IJRI'E fnmia Ilcalt Sa Cr Scnions 25505.25533 and 25534.1.ndervand that if Ill, NEW RESIDENTIAL MECH, SQ,EF. ,Id 1, ( . try ht Frilly the lscup:un a(Wcre Occupancy. /' Own Date 2 T ISSUED BY: OFFICE