Loading...
02090082r� O 6 u `2a sN pZ`!' Yf Gn w30 Cgo �Y wSp �o z c r i3 I CITY BUILDING C DIVISIONNO CONTRACTOR INFORMATION: PERMIT BUILDING ADDRESS: PERMIT NO. 10201 ALHAMBRA AV DON WADE ELECTRIC CO 02090082 OWNER'S NAME : APPLICATION SUB DATE TERI ROY 16320 HARWOOD RD 09/13/2002 PHONE: SANITARY NO. CONTROL NO, (408)377 -2323 ZO ARCHITECT/ENGINEEJU F BUILDNG PERMIT INTO ❑ BLDG ELECT PLUMB MECH i O CI CJ L= LICENSED CONTRACTOR'S DECLARATION Job Descri tlOn 1 hereby affirm that l am licensed under provisions of Chapter 9 (commencing 4 Simsecii 7 )erDivisien3ofineBusmes Pmlcs.,i.mCcde,andmyrcenae � UPGRADE TO 200 AMP PANEL m^ II ua Y u O j Dam D <mr g+ri ARCHITECT'S so, r un mend m plans shall be uxd asp is cards ' sLicensed Professional OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law far the < following reason IScedon 703IS. Business and Professions Code: Any city recently $2000 which requires a Permit to construct, alter, improve, demolish, or repair any structure -prix to s'ss «a alto req vudo applicanrtor wch pemmt fl ig«A Uaxmem - - - thit fd f I b2d pursuint tQ the pro Ions of the Contractor L law ( Chaper 9 Valuation or congWth Scci ,7,OPB) fDrvlrtion3o[the BUSlre. end Pr f5¢ions COde) {,�i1115 ?AY":�'�aJuO,_•9`: "' a�.il J_i t.9 .4'A.�..ti or thin he i5 exempt tnecfrom and the basis for the allege) exemption. A y violation t -ef Scmm� ]OJ I6 by arty opplioin fora pmniusubjttn Ne npplicant to o civil pmalry- : efnm.mOremanfivenemreddogrms($'B), 304A2N�q�tI ELECTRI AL "" "`r'':r• Occupancy Type ❑ I, m owner of the property. or my employees with wages as their sole compensation, -B me work: aW the sw: The Cormi uo's Lie offered for Baler &ef to an SOS - FINAL EL�fIII'�ID 4hFS�eC[lOPIs ^' S'- a r;:\r f: - - ' Business arro,an Who Cade: The Centmcroro License law s such not apply m an owner of property em builds or improves thereon, and who does such work himself m through his own employees. provided that such vemcnt mrnw art nm imenJW m - _ -_ -_ -. _, ';oRciW for sale -If. lmwevcq the buildin tis aald withinoa ear of- ' "-- '- `�---- "��-- ' - - -�— "---- -. - - -- '-' --- gorimenofpro n y completion, Pu,me of will have the burden of proving that he did not build or t - improve for putrax of tole.). - ❑1;as -owner of the p(See.7.xm Business acomrcungwi CWr:)The Contractor License construct the project n face. 7041, Business prat Professions CWeq The Conuazmr's Licenx law does not apply to an owner lh property who builds or improves Merton, = -- .and..who.conlruameL such.ptoja¢with.a comrenogsj.licenxd. pursuant. m.the. Contranors Licenx law. _ Dianne xempt utider'seal.: ,:•,;,'''; % .B &ecrn�tnLcmmon o eta ER' :. ,PENS . ,.. ECL BUILDING - "WORKER'S COMPENSATION DECLARATION cl hereby affirm under penalty of penury ore ,of the following declarations: -- ❑ 1 have'and vill'amintian o'Cemfictoc of Content "to self -insure for Workers Compensation, ss provided-for by Section 3700 of the-Labor Care, for the 'perfoomance of me'-mr, for wnicn this armit is isxtood- . . ❑Ih 'd will m5i w W ker'v Compc u I mdmbie ocq'Q by S-tioit 37W or the Lebo Code f the perto f ibc ik for which this -pore i siu d My k C ypnnsat I um c ❑ Pdl y robe arc - ... - er!' ISj }1 :Pal cY Noi WliiB � !! 3 4JUf tr.2 y __ ..._ � <_ -_ __ "n.\•I I'. Cam.- ....�•._Y..- _.....- f '.CERTIPICATION OF EXEMPTION FROM WORKERS'; !ry ....� _, COMPENSATION INSURANCE frbss«uon deed nn be cum Icmd fthe ..' +\tz �' ` ftls '.. ,r .a t,,; �_,i,_ .••- .�.�••�� ISIIK)l or les.) P .it is for one hundred dollars (e.• I emfk th t'tnr pert wince of the ones for M1chN -parer shall m employ ahY.perwu in any manner so as to become subject to the Workers i I', -, sl f _ - Co pc f on C s of C f :. ApplC i.' ,.o i.s ... ...... NOTICE TO APPLICANT If fmr ' ak g this Certificate of Exemption: y xho Id . - , bee with t lea m the Work r s vi mm, or ' per . of the labor revoked. You otiuv " forthwith with such provicinaY or --- permit shall be deemed revoke). .CONS._._._ _ .-.__._._._.__. I ' -�I -- e'I CONSTRUCTION LENDING AGENCY I7:•,' - I h by R m t th nswn c d g'bgencY fo the perfonn' I. q' 4a Jtr r Cene kf ''nmhm perm t' issued (Sec 3097 Cis : "Geode s Name' u. ' e....r % .. ._._ _.: _ ,u. , .., _ IcnfYthtlh a dth. ppl' t militate thtth Ia frmafo's correct I gore t comply dl all city and my N d state laws reading to Wilding c t [o dh by th z p ,rues Rios say m enter upon the 1 c ti nedp pc try f pet, putpo . 1 nablt(W) agree to s Wa. tfv dkeeph I. meCryofC pen og "nst I dg coats. L d pc es which may any y azc against xid Cry in consequence - of thegm'g mes pc in / APPLIC ° a1A ND WI LL( v LY NITH ALL NON Y' LA l s Issued by Date .. ¢ anUConvaetnr;.,;.'.,.�.,;:.;'•,' Re-roofs !as dcf Wlbthca Ci� tm,f'NmrecW Id W«cpom smre2 hurdle hizard°ana "nal. _Type of Roof , w • HAZARDOUS MATERIALS DISCLOSURE Safety Coat S t '2557 ) , , `r'Nl } - Y :`!,' a.`� .,,.o- :`Ill t't.t "•• CI yaw -f „1 N , t' .: iz s . , w�'ra ---All roofs shall.be inspected prior to any roofing.matena _being .installed..__ emit Will h it corporations; l , t n - g p t qu p t ate .ton h. _ If a roof is Insialled without first obtaining an inspection >I'agree to remove It I mit h N toed by the Bay se a i Quoddy Management District? all new materials for inspection,, A Meant understands and comply with El Y. _., No - . 1... P.- PP.. P Y fq . r • : - �,, all non -point source regulauong I hate read the dous mmenal mgmmmcnts aide ChaNutria .95 of de ' Cabfumm Health & Safety Code. Senions 25505: 25533 and 25536. 1 undcrswnd the ifthe.bit l0 ngd snntcun Oyh fen th ins mY rc.po- 'bBtytoa t fY the. .-._._ -, ".._.... .__ - .._... .. .._.. .. -- _._... Wc,pam of m2 re ¢mein wh ch mats t prior m us c of a Cemficae of x Si nature of Applicant _ '.___" _.... g. - -.._. _.PP..........._. - "...Date . _. g h.:.. r Owner --OFFICE'­- - ..._..__._ All roof coverings to be Class "B" oi�lietter " ' e�amm�rizgaa CITY BUILDING C DIVISIONNO CONTRACTOR INFORMATION: PERMIT BUILDING ADDRESS: PERMIT NO. 10201 ALHAMBRA AV DON WADE ELECTRIC CO 02090082 OWNER'S NAME : APPLICATION SUB DATE TERI ROY 16320 HARWOOD RD 09/13/2002 PHONE: SANITARY NO. CONTROL NO, (408)377 -2323 ZO ARCHITECT/ENGINEEJU F BUILDNG PERMIT INTO ❑ BLDG ELECT PLUMB MECH i O CI CJ L= LICENSED CONTRACTOR'S DECLARATION Job Descri tlOn 1 hereby affirm that l am licensed under provisions of Chapter 9 (commencing 4 Simsecii 7 )erDivisien3ofineBusmes Pmlcs.,i.mCcde,andmyrcenae � UPGRADE TO 200 AMP PANEL m^ II ua Y u O j Dam D <mr g+ri ARCHITECT'S so, r un mend m plans shall be uxd asp is cards ' sLicensed Professional OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law far the < following reason IScedon 703IS. Business and Professions Code: Any city recently $2000 which requires a Permit to construct, alter, improve, demolish, or repair any structure -prix to s'ss «a alto req vudo applicanrtor wch pemmt fl ig«A Uaxmem - - - thit fd f I b2d pursuint tQ the pro Ions of the Contractor L law ( Chaper 9 Valuation or congWth Scci ,7,OPB) fDrvlrtion3o[the BUSlre. end Pr f5¢ions COde) {,�i1115 ?AY":�'�aJuO,_•9`: "' a�.il J_i t.9 .4'A.�..ti or thin he i5 exempt tnecfrom and the basis for the allege) exemption. A y violation t -ef Scmm� ]OJ I6 by arty opplioin fora pmniusubjttn Ne npplicant to o civil pmalry- : efnm.mOremanfivenemreddogrms($'B), 304A2N�q�tI ELECTRI AL "" "`r'':r• Occupancy Type ❑ I, m owner of the property. or my employees with wages as their sole compensation, -B me work: aW the sw: The Cormi uo's Lie offered for Baler &ef to an SOS - FINAL EL�fIII'�ID 4hFS�eC[lOPIs ^' S'- a r;:\r f: - - ' Business arro,an Who Cade: The Centmcroro License law s such not apply m an owner of property em builds or improves thereon, and who does such work himself m through his own employees. provided that such vemcnt mrnw art nm imenJW m - _ -_ -_ -. _, ';oRciW for sale -If. lmwevcq the buildin tis aald withinoa ear of- ' "-- '- `�---- "��-- ' - - -�— "---- -. - - -- '-' --- gorimenofpro n y completion, Pu,me of will have the burden of proving that he did not build or t - improve for putrax of tole.). - ❑1;as -owner of the p(See.7.xm Business acomrcungwi CWr:)The Contractor License construct the project n face. 7041, Business prat Professions CWeq The Conuazmr's Licenx law does not apply to an owner lh property who builds or improves Merton, = -- .and..who.conlruameL such.ptoja¢with.a comrenogsj.licenxd. pursuant. m.the. Contranors Licenx law. _ Dianne xempt utider'seal.: ,:•,;,'''; % .B &ecrn�tnLcmmon o eta ER' :. ,PENS . ,.. ECL BUILDING - "WORKER'S COMPENSATION DECLARATION cl hereby affirm under penalty of penury ore ,of the following declarations: -- ❑ 1 have'and vill'amintian o'Cemfictoc of Content "to self -insure for Workers Compensation, ss provided-for by Section 3700 of the-Labor Care, for the 'perfoomance of me'-mr, for wnicn this armit is isxtood- . . ❑Ih 'd will m5i w W ker'v Compc u I mdmbie ocq'Q by S-tioit 37W or the Lebo Code f the perto f ibc ik for which this -pore i siu d My k C ypnnsat I um c ❑ Pdl y robe arc - ... - er!' ISj }1 :Pal cY Noi WliiB � !! 3 4JUf tr.2 y __ ..._ � <_ -_ __ "n.\•I I'. Cam.- ....�•._Y..- _.....- f '.CERTIPICATION OF EXEMPTION FROM WORKERS'; !ry ....� _, COMPENSATION INSURANCE frbss«uon deed nn be cum Icmd fthe ..' +\tz �' ` ftls '.. ,r .a t,,; �_,i,_ .••- .�.�••�� ISIIK)l or les.) P .it is for one hundred dollars (e.• I emfk th t'tnr pert wince of the ones for M1chN -parer shall m employ ahY.perwu in any manner so as to become subject to the Workers i I', -, sl f _ - Co pc f on C s of C f :. ApplC i.' ,.o i.s ... ...... NOTICE TO APPLICANT If fmr ' ak g this Certificate of Exemption: y xho Id . - , bee with t lea m the Work r s vi mm, or ' per . of the labor revoked. You otiuv " forthwith with such provicinaY or --- permit shall be deemed revoke). .CONS._._._ _ .-.__._._._.__. I ' -�I -- e'I CONSTRUCTION LENDING AGENCY I7:•,' - I h by R m t th nswn c d g'bgencY fo the perfonn' I. q' 4a Jtr r Cene kf ''nmhm perm t' issued (Sec 3097 Cis : "Geode s Name' u. ' e....r % .. ._._ _.: _ ,u. , .., _ IcnfYthtlh a dth. ppl' t militate thtth Ia frmafo's correct I gore t comply dl all city and my N d state laws reading to Wilding c t [o dh by th z p ,rues Rios say m enter upon the 1 c ti nedp pc try f pet, putpo . 1 nablt(W) agree to s Wa. tfv dkeeph I. meCryofC pen og "nst I dg coats. L d pc es which may any y azc against xid Cry in consequence - of thegm'g mes pc in / APPLIC ° a1A ND WI LL( v LY NITH ALL NON Y' LA l s Issued by Date .. ¢ anUConvaetnr;.,;.'.,.�.,;:.;'•,' Re-roofs !as dcf Wlbthca Ci� tm,f'NmrecW Id W«cpom smre2 hurdle hizard°ana "nal. _Type of Roof , w • HAZARDOUS MATERIALS DISCLOSURE Safety Coat S t '2557 ) , , `r'Nl } - Y :`!,' a.`� .,,.o- :`Ill t't.t "•• CI yaw -f „1 N , t' .: iz s . , w�'ra ---All roofs shall.be inspected prior to any roofing.matena _being .installed..__ emit Will h it corporations; l , t n - g p t qu p t ate .ton h. _ If a roof is Insialled without first obtaining an inspection >I'agree to remove It I mit h N toed by the Bay se a i Quoddy Management District? all new materials for inspection,, A Meant understands and comply with El Y. _., No - . 1... P.- PP.. P Y fq . r • : - �,, all non -point source regulauong I hate read the dous mmenal mgmmmcnts aide ChaNutria .95 of de ' Cabfumm Health & Safety Code. Senions 25505: 25533 and 25536. 1 undcrswnd the ifthe.bit l0 ngd snntcun Oyh fen th ins mY rc.po- 'bBtytoa t fY the. .-._._ -, ".._.... .__ - .._... .. .._.. .. -- _._... Wc,pam of m2 re ¢mein wh ch mats t prior m us c of a Cemficae of x Si nature of Applicant _ '.___" _.... g. - -.._. _.PP..........._. - "...Date . _. g h.:.. r Owner --OFFICE'­- - ..._..__._