00060153 CITY of CUPESION' ' CONTRACTINF
OR ORMATION:»
INO
sutuuwc DIVISION' 7':
BUILDING ADDRESS: +
;10065. ANTHONY RL FLUN
�SCHAUMANN KING''` INDITHEATING00060; 153
OWNERS NAME: - s - u -,b f. 1 - - ^ APPLICATION SUB DATE
FRESE KARL W AND NORMA J T,455„ LAURELWOOD RD „' 06/23/2000 -
onE.
y •' `« SANITARY NO.• CONTROL NO.—
-1 (408)986 '9044.-
C
(408)986 '9144.-
C rc Y ARCHITFCVENGINEFR:
le 0,0❑ ^� - BIID.DINO PGRMITINFO i
' BLDG F.LhCT„ PLUMB MEFFI
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Z h Z LICENSED CONI
'RAC FORS DECLARATION - *
Z ,',IUb Description
O �� 1I ny pnthat Fed d 1 sofChr 9( g a . — � .
HSC wlh5 f Ilk fD s' 3 fit,,Basin... dProfc .Code and any se .I
¢y I. wul re aeh t. ADD 2 orTON,'A/C: UNITS
a ¢ ,Lieenm Class
0 L U Dale - Contractor A -
edLL o y ARCHITECT 5 DEOLARAtbN "
I d .tan 1 y pl shall be drs,d.ol p bl c record -
N
de m d P f .: al
°'
Licensed
w a S I OWNER-BUILDER DLR DECI ARAI ION a -
1 heorby mfimi it,.[lan,escraId f r the Courrionar,Lwoo,Law I tl r i" (
Cz� following (Section 70315 B .' e and P InCd Ay" r
ly r nary ' '
:CS yul I II construct,alter, mpoIc.dcami iciPannorystrecame
3 pri t t al y Ib ppl tl v p ll Ile 6 1 I t t
bar n I dp t 'hp nn c t t L I (Ch N 9 S Ft. Floor Area .' -' Valuattt��� ^
i' (3 b. nh5 L "70(X)) fD" hf fettle Banc n'P f..' Cd), q'
rthat lie is exempt thl f n and dun ss Por the ullegcl xemptmf Any vmPaon 1
- o!S h 909 L5 by uny ppl mfnrnl t.ubjeasihc uppl' n Ivil pclalry _
nr t mnnr 1 I Idnflc(S5o0) •APNNumber Occupancy Type
34cA.207 7 . 00
°I fth p P ry y Ply h p .e. •: . t '• I
Ili
will d m k I B m l I t nded S offered,ficir fail(See to a —
" ow e IF I P_I ul ,d D Contractor Licensee anet- ork hit n Required Inspections
owner rp p tywh n w p meren I mad - n'work If. e :..303 ROUGH MECHANICAL
orthroughhs n ply Provided lht such' p a msbe t intended �. y r _ t`
offered I., If,n the building p vent I mwithin •, or 304 — .ROUGH"ELECTRICAL '
Iplt m m _bld llhotl Mrd fp , bar hdid rbld +
ai r pur l ). 505 — FI'NAL ELECTRICAL'
00 1,- nn p p tv I v lye f ting h li def t t 508 —` FINAL• MECHANICAL.
construct ct me pm)eef,(9 7044 B d Professions Code:)TheC t I - .-
License Law dow,netapp1Yt f,,r,),crly who b Il. p hereon. '7• ,• E
and no t t. r h p )ct_s with a c mrowfor(s)licensed pursuant m to 1•
Cut 1' n,'Lw
❑I um enema under See B&P C for this r u 4 '
Dare
S
WORKERS COMPENSATION DECLARATION -
Iherchyulhmtunderpevltyofp l ly noneof the fid
Howl,d lamfbn r.s ��,, r f
Ih� d II tun Certificate fC setto, Ir - f Worker's fS - c' // _ - 1
pe . t as provided l by Section 3700 f theLabor Codd. forIh n
erf of(lie work fwhich this p f is issued. - `ISI •� -
El I have and vi'll acciatain Worker's W 4id by Sectint
39011 t the Labor Code 1' (If,factiolocame of tire work for which thin Ecrof is
s,uarfd WorkersC nil lint and Policy number erre
L1 / °
fRTIPICATION OF HXIiMPT10N FROM W' RK[R.'
.COMPENSATION INSURANCE
p
(I his sectionneeA not be compl xed'f the puntrsibr nnc hundred dollars - �.h
($100)or lass) - � s
n
- I m certify t In thepeT Int PI fk/Jrp��•yhy'd this tis les d l A -
Cuse � t Y pP the wk .. +.
1 Appl t -
NOTICETOAPPLICWTI[,aluir makingth Certificate fExemption,y should -
Zbecause subset In the Worker Couipereation pnorsents of the Unifir Code,you must is+
Q O forthwith courtly with such Pn v s ons of has prook shall be deenced revowd
"Z
H ti CONSTRIICIION LENDING AGENCY- 1 I •I '
achief,drimn hour t fF l i n leading agency fin he'edam once y�� •.
of the work for which h-. t is ismed See.309)
9 ,Civ,C.)
' p
W.Q Lender's Name Jr - .•, 1 -
U bend Add f
. - _ .I
I Certifythat ll edin. aapplicationd rt menh h t rf f
W [� carr I g f ply with It ry' d county d i e f d late . refining
V nob IJ' g f i do may Ili I ht ttM1 'IY In enter p n _
IY W mend r In pe tri ' :pet p p r
Fy Or
(We)marie in ei indran 'fyhit k ,I harmless[lie city fCprt glt f r '
h lieb l f . j dg f. t it es 'h h Y a ry Y c spa r,I d . - -
f..) z C t equetce sr II gra ng of 'I t t P ) -
;A NT UNDERSTAND Afl LCOMPLY WITHA WN-POI r /+r
�°�� Issitecl-by`,' ! �"'— — Date b r �. `��
'r•"-+ slgmamrecllA.mreanvGanfr�etnr i Dote
':Re-roofs. ., ,( , ; ; �`
"HAZARDOUS MATEItIAI.g DISCLOSURE ..
Will the audience or-bounce n 'Irgouvpam sone or Ismadle bireardim,dramuml +Type of Roof. " r
as defined by the Cupearrom Municipal Cod Chapter 9.12,unit he H atli and Safety f ty •, , - -
A Cnde Section 25532(a) + : 's ±.. .. : , e,
°Y' '+, C "° All•roofs shall be inspected prior to any roofing mateiial being installed:Will de ppl t t h dd -p. t coTila aardes'ceswfch 'IPa coot Is installed without first obtaining an inspection, 1 agree,to remove.
four
hazardous er.con ale as delved by Bay AreoA-Qsalty Manfge eat• - - a
found? -�all'new materials for inspection: Applicant understands and will comply with -
°v ` " I all non point"'source regulations
Ili read d o 1 t q c o mo Carrier 695 I me r."�'
Gulf Halth&9'ffyC 1 S o x2550525533and255341 mid,romadthin
File building d "'t bacculla,catencent,h tl'. y re,do,dhinylmany the , "T'
+ "i,sm,of The oc"arenems hid sib rp fora 's da CeM1'11uf of
".Signature•of Appfican I - Dute
ur
aamnd,ed age Dine All roof coverings,to be Class"B"or better r'-
.OFFICE