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02020119
��sun.°ni c uPvEisRioNN� CONTRACTOR INFORMAI'ION: PERMIT BUILDIRG ADDRE$$: PERMIT N0. 20173 APPLE TREE LA LEON MASONRY INC 02020119 OWttER'S NANE: � APPLICATION SUB DATE SHEPHERD CHRISTOPHER J AND J 240 MOSELLE CT 02/28/2002 F PNONF: SANITARY NO. COMROL N0. � ' (408) 365-1660 �O O ARCHITECT/ENGINBER: BURDING PERMIT INFO �w� ULDG ELECT PLUMB MECH y<� I.� I_J [=7 L. ] S N i LICENSED CONTRACIOR'S UECLARATION Job Descri IIOII �i_ 1 hercby al'fem iha 1 am liarnscd under provisions o(Chapmr 9lmmmcncing P „F� wans«��o�xiwnoro����� �orm.e�,;�l,�ar.or�.<�a�,cm�.a�amYr«�x REPAIR CHI8MNEY TO SHOULDER. f y f� i n fu I I(o c o J -7 . . = ,6 � LA p 7 i3o isiuie: a2 �L+�- C'Z [� < < ?� ; �D�.t���� ARCHITGCf'S UE NATION j��, :� 1 mMm�and m��plans sholl be uscd as public rtcmds Y MAR 1 1 2002 i 6 p O Liarnud PmPossional UItlNER-BUILDEft D[CLARATION �f 1 hcrcby afGmi iha I um ncmp�from ihc Conuacmr's I,icrnse Inw for Ne C�Q follox�ingmawn(Smion903L5.DusincssanJPmfasioncCodc:qnyci�yorcaunry BUILDIIVG $ s€c wn��on,�a��a.a a.m���o�o��w��.�e�,,�mP�.��,a�mou:n,o�rtw„��r��N�wn 2 8 0 0 a 3 m ,.��„ � �i � � i y m P�r.,��r�.w�na�imn��ve�w,v��m . . ._ ._ __.. _.. . ...._...-- �- m�i e� .i� a�._o��v m o: :onn�c�������,.i a�ti��w ccn�� 9�. g��pp�q�.p� Valuation (m g 'ihs�n )OWl fD� onJof�M1eevFiMssandRpfevsionsCode)� �f�+;'�'a23-•���i�U�9S'�.f.U.UAC�I,I `C��l.}.1: or�M1m he r<ncmpi�hcrcfrom�nd ihc M1asis for�hc alligedcx�npirod Any violauon� - �of Smiion]031.5 by any apP���am for e pcmin subjm�s i�e a�licen�io u civil penalip� ot�o�morc m��r.r n��drcd dona�s�ssou�. PN Occupancy Type 10 - �DATION ' ' ❑1.ns mvner ofNe propee�y.or my employus wiih xagcs ar Neir sole compensaion,', will"Ja iM1e'wodlund iFe awcwm i>nui imm�dcdbr offercd for wle(Sec:]011:' - u�a���..a�e rror�.,�o�:cw�:rn�co�„�<�o.:u«�:<<ow a«s�o��Pp�y m o�' 10 3 - UFER Required Inspections"' � � � nwnc r o(pmpeny Who Wilds or impmvcs�herton.and who docs such work himsdf� �,m�o��n m.t ow��mni�r«,.�,oy�a�a�m�.��m_��P,o.�mem�a.��w�m��q�a a, _ . 10 4 -� REBAR -arc«<ao,�i�.v.n� � �n.w�e�so-mr.o ���� ie- �m�o��r� �r�� '...._..... . . ... .. _..._...__... . . ...-- --- -._ . .. --- -. . . comple�on.�hcowncrbuilJerwilihmeih<M1UNenofpmvingihe��edidno�Wildor' ].OS — ANCHOR B�LT.S ' � ' ""� �m�,�.�ro,���,�or.�m.i, 106 - SEWER & WATER - - _. _ - - - - ---_ _. _._.. - - . _ _,._ oi.a�o»��:onn�P«any.am�.�i�,�iy � r8 �nr� d ��„«ors�o 202 - UNDERFLOOR PLUMBING � onswn me prolen esee]6i4 Bus nes e Pmress ms eode 7 The convecmr'a . . -' '. ' . - i�«�u�wd«��o�o�iy�oa�o,.��.otP�a�y,.nowue�o.�mPro��,m�.�o�, 203 - UNDERFLOOR MECHANICAli ' '. � .• ._a�a whu commns.foosucM1 prnj¢¢wiN o convncmrls7licensed.Pursoam m.Ne .___ "_" "._ .. . ... .._._.. � • co��ior:�����u�w. 2'04 _- _LTNDERFLOOR-;FRAME' "_ __. ."_ _'_ _""_' ❑Inmexemp�unJcrSec. - � ' - ,B&PCfor�hisrtason ZOS - UNDERFLOOR� `INSULATION ow�<. ' ua�= " " 301 - ROUGH PLUMBING " 'WORKER'S COMPENSATION DECLARATION ' � ' in�Rcy.R���e«a�ai�yor���,�o��or�n�ron���gaai�co�:: 302 - TUB & OR SHOWER � 303 _ ROUGH MECHANICAL ❑ �n..� ��a .oi m�����;� �c���r�,�� or co���� �o,��r.m��«ra�wo.k�,•, 3 04 ROUGH ELECTRI CAL coma����o�. � p�.;aw ro� ey s�n�on 3�00 or �n� weo, cm�, ro� m� . a�r����«�rm�wo�k ro,wm�n ro�.,a������::��a. 3 0 5 - FRAME ' _ ❑I heve nnd will mvin�ain worker's Compenutibn Insueance,u requimd by Saiion 3 0 6 - HOLDOWNS 3)00 f�M1 Labnr Cod f �h perf nn (Ne� rk f h ch�h 'perm�'s ��.amyw k„coma::� i : � avorr n� „ 307 INSULATION ��L/6 bZ 308 .; `..SHBETROCK. ; _`, _,.. cv;, �S�Nyr ��r,✓,�:�ror<rn � .. � �— --- . . : .. . ..... �. �' i' i 'CEkTIFICCIoOpENSTEONiN�$URAHCF.'�RKE���— f� ���`� r3-09' �' �'`'EXTER'IOR�'L�ATH � .. ., � .. ... . . ' . ' _.._ ...._ _ , . __. _ ' _ ' 310"'-��INTERIOR� liATH.� ;' . , ";:_, -- 'crm�ua o��«a oo�n��omPi�ma a m�a����.ro,o��n��a2e a�nv, 311 - S CRATCH COAT �s�aa�o,i��.i ` ' . _ ._. .. ... ... ..... . -. ,. .,, .. �. ,i«nrym���mart��eronn��..o,er - n�nm>x� ��`� .,,,�a � - - 313` - ROOF' NAIL"�'�� - .�. . .. .- . . , .. . ... . "Fh=�� �= v�r rx =�rm� �o���o��om. e,«�� NeWodcrs 501 - FINAL ELECTRICAL ENERGY ���� Compc'. i on I�w�s of Cal'f m a Dem- �� - � "P°'"'"' ` . ' __ - - 502 - FINAL PLUMBING ENERGY - _ ._ NOi10E TO APPLICAM:If,ahcr mnk�n6�h�s Ccnificam of Emmpiion,you shoul� � baomexubjcnioihcNbrker'sCompcnss�ionpmviiionsafNcWbarCode.you'mus� 503 - FINAL MECHANICAL �ENERGY � z 0 m�na�m�omPiyw;m���nP,o.���o�.o.�m:a����nenxdammR.o�a. _._. 504- - FINAL-BUI-LDING �ENERGY -- . . _ _ _.. F,� ' '" �� ' �'CONSTRUCTION LENDMG AGENCY ' ' � ,. ,� ,�, - �- a ,. ' '�he by n'mi�h�m ' con'swnon�ed B ge��Yro m<aKo�,�« � 505 - FINAL �'.LF.'�."].']ZI�,'j�L ., ,�, , , . brm� kr n�nm a,-� �.��a�s��ov� c�.c.> - �- 506 -.. GAS_TEST . _ . . 1 � � Q I;endersName. � .�. ... _.. . ._..� ___. ...� . . ...._. . ._ . __. _. .._.._ ._. . _ p z u�ep aaa.�u ; . 507 - FINAL PLLJMBING. • U O � ��y n��n. ulih pplica ds�zm�haUcabo ' fmmaiionix 508 - FINAL MECHANICAL ��'�F =�� � a �o�amrir ��n on di>�a�a� ry m�po�as,o E �ami -s rcla�ing 5 0 9 - F INAL GRADE ._�:(J �obuiltlingcomwaion.aMhertbyamhonumpmxmetivcso(Nisci�ymmmrupon. �„ W m�en���-m����„��e�roamm.��,a�ro�P�,�..,.,, 510 - FINAL PLANNING y:0.� (W'qzgrtem�am:indemnilyendkeep�amtless�M1eCiiyolCupmino�ogninn � rn u�mr���:,i�dsm����.�o:�o�e�.o�u.,.�n��nm,y,���,r,.-,y,��N�,B,;,,.��,�e 514 - FINA P C WORKS - U.Z c��y���o�.w���«onn<sa��m8 nm<�m,e. . . .. .. .,,, . . n PPLIC.��TUIJDEkST �SA' WII.LCOMPLYWffHALLnON-POINT�" I � � rse uuno . Issued by: Da[e � �-;.�.,.?���=. 2��=o'J: _ ��"TAcr���a��a� � . ,. ,,,, . ... ,o���� . Re-roofs � ' � NA]ARDOUSMATERIAISDISCLOSURE' -- �I'"'�� �' Wiil Ne nppl aa t fuwrc W'Id ng occ pan�s�ort or handle huia�E' mei ID T e of Roof defned b ihe C YP � � .: �.� �� -, : -- .. . .. Y pcnl o Mun 'pal Cadc Ch pmr 9 12 d�h Hwl�h aM Saf ry . . . . � _ _. . - . .- . Cude 5 n -35513( )e �. .. . .,. . ...' � '�' � � �p Yi�� ,O N �� l! , ,�. ' "�; Y Y 6 u .T� �1. , ,,f ? i� � �-f�: � � ' . - .:- . � : � . All roofs shap,be�nspected pno;(o any roofing.matenal being mstalled. .-, ,W II�he appLcam fuwrc build'ng�ucupam uu equ pmem or denca wh¢h � ��� - ' "" " " �m��n„�.ao��.o-�o�� � �a�e�r�wn>�m�s�Yn2TarQ�,i,ym,�,g�m��,. If a roof is ins[alled wi[hout firs[ob[aining an�inspection,�l agree to remove � "' , . _ _ all new materials for inspectioa Applican[understands and will comply with rn:m � ❑Y�� ead @e hayzardou❑s memnals quimmenis unde Chapm 695 0(' aII [IOII-pO111I$OULCO 7CgUIdI]OIIS � � ���� � ' "' � . . 1�a �e �.. . . . .. . . . Calilomia HeaiN&Safn Cadc Sen ons 25505.255J3 and 35534 1 unders�end Mai 'if�Nebuildin8dasno�euertmlyhaveemnanL�haiiiismYrtsponsibilirymno�ify�he -...- ... __ _ _. .. . _....__.. . _ . . . . _. occupam of,ihc rcquircmrnis uM1ich m i be�mci pnor m issuancd of a C<nif'nm'of ' . .i Oc' ' . , ,; . _ .. . . . ,, . . . .' . � . , .'� �� . . . ' ' '..': _..'.-.. � Z�Q . ._Signamre of Applicant Date ': ��.a.,��no�.w,g< ; � : o��q.,. , All roof coverings to be Class "B"or better �,. ... .. .., , ., , . . ... . . , ^r:...:.. ...... .. .. .. ... . �' :-_.. ,' ,- ' •�. -- 0 E- - � .. .... .. .... . . -. ...., .,,�.., . � . FFIC -. . . . _ ._ .. . .„ � . , ,. � ,, � . - .. . _. _ . . ,. . . . . .,�. " . . � . . . . . . . .