02070188 CITYILDING DIIVIISIONVOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10849 BARRANCA DR H T CONSTRUCTION 02070188
OWNER'S NAME: APPLICATION SUB DATE
MARGIE HATTERY 1554 47TH AVE 07/29/2002
(•HONE: (415) 566-5502 SANITARY NO. CONTROL NO.
O O ARCHITECT/ENGINEER: BUILDING PERMIT INFO
w C BLDG ELECT PLUMB MECH
fFn L=
Z O y 2 LICENSED CONTRACTOR'S DECLARATION Job Descrition
O z_; 1 hereby affirm,has 1 am licensed under provisions of Chapter 9 mommancing P
with Section 7000)of Division 3 of the Business and Professions Code.aM my license ADD 98 SQ. FT.
mI is in full for and effect.
dmwa LicenseCr Lica (ORIGINAL #02030071 , ADD 540 SQ, FT. )
DatesetContractor ARCHITECT'S DECLARATION FO �'..
a O g I understand my plans shall be used as public ic=ons
APR 2 3 2003
w a 0 O Licensed Professional
OWNER-BUILDER DECLARATION
I hereby affirm that 11. exempt from the Cosions C s eAnLicense Law for she
following requires
reason,(Section]031.5,Business end Professions Cade:Any city a count'
F❑ which requires n permit re comwn,ohco impmvq demolish,or repair any swttun:
� ..pan,bor ola
requires the applicant for such Contractor mimerele am ned aa,jmNer,9
tement
fl mail ittnsMpursuantmdxpmWsionsofthcContmcmrsLicci:selawlChaptm9 � ,5 FLFIourArea
(cdm,venci,igwiih Sect4.7 of Division 3 of the Business and Professions Code? k;+-^; ) f;.�,9',,7 .n�:t'v19•.'1'-i:R�'f{)4'
or that Xe li eiempt Nertfio`m and Nc basis for the allegd ceemµio6.My violation +
-at Se=sino 9031.5 by any applican ,m.,crmiuubjau the applicemroacivil peiWry- �PEn,::r -:o Occupancy Type
of. inedum""humral onarskil. APN umber
O 1,as owner of the property,or my employees with wages as their sole compensation. 101 FnTTmT
-U ad the' ick'and the'suuaurc s not mended or offered for sale'(Sec"]Baa; -- --- -
(Business and Pontes:ons Cade.The Contm=rors License Law does nor apply to an 102 - PIERS Required Inspections ,i D 1i-
owner of progeny Who builds or improves,hereon,and who docs such work himself
or through his own employees.provided that such improvcmcnu art lice intended or 10 3 - UFER
oaIin.1 sale'ICtubi%piebhvethehmp,ovcmrovnsalehi,didnoryearof 104 - REBAR .. ,nqr'- I'INr';':�,D '--
domp tion.Nc owner builder tell have the burden of proving that he did lice build a
o"Zonrparposeafaale) 105 - ANCHOR BOLTS
r. asownerofthe p(Sec,7am cx�luBusiness
ly ,roc, gwdh Oce:)The nuaaorsm 106 = SEWER & WATER-----
construct
naw done not(Sec,
owner of d Profen. ns Cade 1 The Contractor s 2 0 2 - UNDERFLOOR PLUMBING -• c I .I `'!"
apply property who Wilds or proves thereon,
z _and.who esl.manx,L.such.proiccu.with_a.connacmrts).uaensw_pursuanLm.the.._..__—_.._203____-UNDERFLOOR""'MECHANICAli__.___.__._._..__�.....
• :: d I b!s License Lew.
Conex pt aider Sect'.:,•.}.e ": :1',;';i;;.;;.:" _. .-.
- 8` g?�r� ,.,^ 204 - UNDER FLOOR01'FRAME::nn
--= = 205 - UNDERFLOOR INSULATION
W tKER'S COMB 1 DECLARATION
301 - ROUGH PLUMBING
-I hereby elBrm under pen.1ty ofpenury one c"he following deelandionsr- 302 - TUB & OR SHOWER
-`n!. ❑ I hlJ2and will
r'inaintiinarCaHi"com or'ConsenC'to self-insum far Waker'r 303 - ROUGH MECHANICAL
?'.
Compsoaion:a,,provided-for by Section 37W of the Labor Cade,for the; a oat M brh'wakro wni=n,msp f 3µs3 m. 1, . 304 - ROUGH ELECTRICAL
❑
I have and will maintain Wislxcr:iConia to n I s ce s mq rem by Section 305 - FRAME
37W°ten 'Lebo Caa r thepefforna r th k fi n n m 'amih is 3 06 - HOEDOWNS
'as a My W k Y:Comp' t 6 1 al y robe e-
307----INSULATION-f_ i`a ,. -
Cam l i 1 b ss S7..ti Pol cyN -" ..
Y 10ERTIFICATION.OF EXEMPTION MOM,WORKGRS }Y• E30$4;=YSHEETROCK%A ! +'
COMPENSATION INSURANCE'♦"i- } i -- - 309 � R3 -
0R -LATH I---- .:
.il'c a�•:...�}v--r-_rx..-..:.__.t;c-:rte.- __. ..... -aTE _ ..._.— .._._
.
ar r(This iccaon ncM n$itie'compined if the permit is for one hundred dolhrs --� '•"' rCn
(SI00)orless.) 310 - INTERIOR LATH i
,.
Fr. 11 n,ry that in Hit,peffo set the ok td -hihNsperint s,s:
thailnote 1° nman amtan - ,y J 313 - ROOF ..--
a .� pro.. cat 'WoFkn
om T APP ICAC I If ¢ mak th C n f ---
P Y Y,Pe Y y
-APP 1 :- _..__-.._S.O L_-_.FINALELECTRICAL.,-ENERGY--
N
lice tuba( Neth a pmviom to
too:f cueo°c°od yu"r°na' 502 - FINAL PLUMBING ENERGY'
OO fanhwiNcomp lywiN hprons,onsarshrspermitxhal d«mearesmkee _ 503_.--- FINAL__MECHANICAL,_ENERG_
"CONSTRUCr10NLENDINGAGENCY 504 - FINAL BUILDING ENERGY •'!' `f"
0.a,' 1 he Y. mai shat N saxt".,
on 1 lid g agency f she perfunna o - , 1
mil orkm„whichN x its ssued(sac 3097 Civ C) ""' 505 - FINAL ELECTRICAL
y , Lmde b me _
p.z lino Add - - 506 - GAS TEST ,
UO le rynati"lie mail this eaten
the atom on is 507 - FINAL PLUMBING
i-t a rxxenaL l agree to comply with all city mm coaity:ordinances and sum laws relating 508 - FINAL MECHANICAL
O:fJ Wildingconstruction. d h . Non p ,as f N city t t poli
W Nabove mentioned PrtYtori .pat vmde
509 - FINAL GRADE
0.'
(We) g iindem'affand
enser phamd s an anyway
ac pen ag list
rn Cab I t rvpg , est n oncoses n n y y y g inn,s„a 510 - FINAL L ING
Gry lie sequence of the grz i g rN a t /�
APPLICANT U.�'UERSTAVD AND WILL COMPLY WITH ALL\OIPairatsi 514 1 F A WORKS
so -e'IiEouLA 1 ,;'.i' :. ni-..:o" _ Issued by: :Date
Pelican o uaaor+']1•' 't" m 'j. Re roofs
Will he ap,li a�RamTe bu l ' 111 DISom 6 handle b.SURE uvardw 'cupant,ltared
as der ed by theCupen Municipal Cod Chapter 9 12 and the He INand Safety Type of Roof, ._... . ._ ..: .,z:
cod"Section25532( '4 ` ' , t RLJeb j 'e] 1.IOil
: ❑Ye t ill {�JN , s 'r,�alriRt�{ {`ht' i. Y ! l `4 s Le fat..Lit i
L _ All roofs shall be in pnor.to.any roo5ng.matenal_bemg installed. __ __
Will theapplicants fm,:re Wilding cupan use equipment u :which If a roof Is Installed without first obtaining an inspection I gree to remove
<mn hazvdo coma tasd7 MbythBiA ArQalsy Manage nt
Dist"t 'I all new materials for inspection Applicant understands and will comply with -
❑Y , .
e , R i T(,1 all non-pons[source regulations ,,,11 ,..,' ,l, <.I l,n,. -
1 h e read.the ha d us'mmmrim eq iHctmms umm Chapter 695`bf,ihe
Cahfom o Health&Safety Cod;Sections 25505.25533 and 25534j understand Nes
-;if the building docs not currently have o mmmvibst it is my responsibility to notify to ""-"-'--""""""- "'----' -"-'- -------- -- .
Y Qc pate of•IIIc requirements which mini 'met PH.,to issuance of a Ccnificne -
_ _Signa_ture o_f Applicant Date _
` -,,amer a, m t ; ! , - . D All roof coverings to be Class B orbetter
.� .. . .......OFFICE_...