08070066BUILDING DIVISION PERMIT
)ING ADDRESS:
..0707 AMULET PL
V,'NAME:
—,INNI.S & ALLISON JAMES
X00 LICENSED CONIRACIDWS DECLARATION
yd u t humby affirm this, 1 am issued under provisions of Chapter 9 (commencing
wit Section 7") efDivWon 3 of the Business and Profcssium Code. and my license is
o. in full forte and effect.
j License Class Lie. A
p Dat Common
7W ARCHITECTS DECLARATION
U I understand my plans shall W used as public records
Licensed Professiansi
3 OWNER -BUILDER DECLARATION
W 1 hereby aff m Nu 1 am exempt from des Contractors License Law for the
i Oo O following mason. (Seaton 7031.5. Business and Role ssianv Codc: Any city m county
which McInnes A pcteril to emesruck alter, impmve, demolish, erwpoir Any Amoco.
Zi
_ ft W its issuance. Alan requires appliexmforsmfi permit to file a signed summers
ss < that he u licensed pursuant W umpervisiou of the l Co.... U.. Law (Chapter 9
x5g(commencing wit Section]o0o)nf Division 3af Ne Busi.and Professions Codc)or
—
that he is exempt therefrom And tbe basis for the alleged exemption. My vmudon of
Sectors 7031.5 by arty applicant for A permit subjects to applicant W a civil penalty of
not mart Nan Ove hundred dollars ($5130).
❑ 1,uowneroftepmpwy,mmycmploy ffiwgesutbeirmkcompeuaadon,
will do tcwark. and Ibe awmum is notinteaded motioned forsale (Sec. 7066, Busie•..
and Profession Code: The Odometers License Law does an, apply As an owner of
property who builds m improm thereon, and who does such work himself m through his
own employms, provided that such improvements tae not inteMed moRered forsaW If,
howmr, tm building or improvement is held within ons, year of comphume. Ne owner -
builder will hive the burden of proving that M did net WW or improve for puT^se of
1. as owner of the prepeny, am exclusively conmacAng wit licensed anuacWrs in
stmcs Ne project (See. 7044, Business and Professions Code:) The Cmuumr's U.
As Law does rat apply W an no, of property who builds or improves Lemon. And
) contmcu for such projema wit a contramods) licensed pursuant W Ne Contractors
arse Law.
Iameaemptunder See ,B&PCf Nis o
sT� D.te 7 !0 0
W ORKER'S COMPENSATION DECLARATION
1 herby of rch under peualry, of perjury, one of to following declarations:
I haw and will maintain a Candiicau, oconsent to self-insum fmwohcescompen-
on. as provided fm by Section 3700 of Ne Labor Code. for the perfarmuce of Ne
t for which this permit is issued.
I hm and will maintain Weather's Comp renumn Ituurmust As requited by section
0 of the Labor Cade, for Ne performance of to work fm -which this permit is tarsal
Workers Compensation Insurance card. and Policy number am:
mus auction used not be completed if the permit is form= hundred dollars ($100)
or leu.)
1 certify that in the performanet,of which Nis permit u issued. l ahall not
u
employ anyyZon in any mpoppro(.{he c subject Wthe Workers' Compensation
NUI tee r U APPucnN It 11, aper making Nu Certificate of EAmainon, you should
Weems subject m the Worker) Compemauon provinom of Ne labor Code, you must
.J O forthwith comply wit such provisions or Nu permit shall W darned tortured.
y CONSTRUCTION LENDING AGENCY
[-+ 1 Mmby aRfmn Nat Vert is a construction lending agency for to performance of
Ci tomdm work for which Nu permit u issued (Sec. 3197, Civ. C.)
W� A Isndcrs Name
.`7 ,Z fenders Add.
U Q 1 verify, that 1 ban mad Nis application and sum Nu to Alton inrhuenu n is
17. E cormcL I Agra to comply wit all city and county oNinancea and sum laws relaing W
O building convection, and hereby authorise aprcm utim of this city in enter upon to
W above -menton l property for inspection purposes
g), (Wes) agme W San, Indemnify And keep harmless the City of ry}rpertino aguast
rA liabiliis,judgmenu, costs and expeuu which may in any way ac g'astssid City
t.) ,'� In consequence of to granting of this permit. 41=N -Ko ti APPLICANT UNDERSTANDS AND WILL COMPLY vl
Will Ne applicant or futum building occupul or handle hxusdous materiel
and by dte Cupenino Municipal Cade. Chap r 9.13. antl the'NcaIN and Safely
'anion 25532(a)?
❑Yea o
Will the applicant or f mm building occupant tau equipment or devices which
audous air comma nada as defined by the Bay Arta Air ouslily Management
❑Yca ma�VN.m
N.o --��
on d to buarMx,c m.,iat.
I h
Atenant. that it
p be at mior u
TBD — TO BE DETERMINED 108070066
PERMITL DATE
Job Description
KTCHN RMDL; NON-STRUCTURL CHNGS
Sq.
32643064:
Issued
Type of Roof
$11800
Required Inspections
Date
All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtaining an inspection, I agree to remove
all new materials for inspection.
Signature of Applicant Date -
All roof coverings to be Class'%¢" or better
NO.