02070067 CITY copERoNNO
BUILDING CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT N0.
10955 BARRANCA DR TINA & SCOTT BREHMER 02070067
WNER'S NAME: APPLICATION SUB DATE
TINA & SCOTT BREHMER 07/11/2002
PHONE: SANITARY NO. CONTROLNO,
O O ARCHITECT/ENGINEER: BUILDING PERMIT INFO
m BLDG ELECT PLUMB MECH
Q i ee
LICENSED CONTRACTOR'S DECLARATION
5 N E 1 heron ffirm mat 1 am licensed..do, p g Job Description
OZNO Ya provisionsof Chapter
p=F., wltn secaor e and effect. nn 3 ohne B.xinexx and Prorexxirma emcee.and my license ADD GARAGE 500 SQ. FT.
m c. is Tull force and efrect.
a Licence Class Lic.p
3WU
a P, Data Coneactor
ARCHITECT'S DECLARATION
1.nderseend r,plans mall be used az public recmds
?i po z }F
ca Licensed Profcssinnal
Gat I am
DECLARATION
'Ya7 u 1 hereby affirm that 1 am exempt from me Connector Profession,
ha Any c Law for me /
F z a which re reaxoo.(s«�tt 7031.5.Baines,ana %m,de o ii Crde:Any cdr "eouuty $1 8 5
at [] which its issuance,
s a p=mso re conam=6 alter,i applicant forsu demolish,ore part any ecttement
�3�...Dnh lc s e 1 9 daionsof me Contractor
Tk Law
,,Prior
he ,licensed p is ant t7 00 pof ti ns of me he ra,m u«sc L. (Chapter 9 E( F R ValUatlO❑
or ,g tips b ]WDIofD basis
a the alleged
pli r xeoaey t;{a"1; h'i32 0.10. :v� i=.?ii'1:11 TpiStil' I
or mal he rt dee apt d frri i and he bac,far the alleged slicumto Any violation
-of Section LS by any applicane fm a perm.sublccu the appbcam a a civil penalp �y❑��
;of not more mfive e lomilmd douar.Is5nnr. 101 AIN P'UONDATION l :n ' . O panty Type
O 1,as owner of the property,or my employees wim wages.,,her.sole emmpencation,
"will'do the work.and the structure is not intended'or offered for sale(See.7(4,%, - - — ---- -- — - -------
Business ehit Prufe.salon,Code:The Caetm,.,s license law does not apply to an 103 - UFER Required Inspections
.w
r of proprny Who build,or improve,daemon,and who does such work himself
or throughh' ply provided tat snimprovements am noe intendedor _. 104 _REBAR
`mfi df - I If. 'M1 b ld-gu pro - el Id 'dnbne ycaror --' - -—..__._. ._.- .... _..
' ompletot the owner-builder will roseate burden efpro,ng that hedidnmt build or 105 - ANCHOR BOLTS
mprovemrpurpnseofside.) 106 - SEWER & WATER
'❑1.as owner ohM o rt.am eadust e i - - - _ _. - NDE -
pryer y gwhnfcen,cd t mono 202 - UNDERFLOOR.-
construct the oo,,project
he(Sec.7UW B.s rteo e P re. ,Coder.)Th Contractor,
aidwh ,commisfor.suy manowneror acomywhobmcenzldv mpmvexmlo.the 203 - UNDERFLOOR MECHANICAL'` "
'
and refer. Ucau,fLawCh proienx.with a comrucmr(s)Jiccnsce pursuanLtn.mc -.........._. ._...__. ,_..
C�G�aeto,�r. LeenxeLaw 204 - UNDERFLOOR FRAME: __. _...- .._. . . ._...._._........ _ _
'under Sim,
B€ refar his rgaan 205 - UNDER FLOORI''INSUL`ATION
on c1 7 /I�aZ 301 - ROUGH PLUMBING
WORK R'SCOMPEN ONDECLARA ION 302 - TUB & OR SHOWER
" -(hereby affirm under penalty ofpml
crim,one ofthe following eeclarens:
303 - ROUGH MECHANICAL
0 1 haJa and will maintain'a Cd.ilii of Conseil, us te6-mama ter Weaker
304 - ROUGH ELECTRICAL
Compenxatian. as presidia for by section 3]00 of he Labor code, for the
performance of ilia work for which this perI is mxuea. , 305 - FRAME
01 Mve ane will niamnain Workers Cma,cm+eon msm6rce.a reyuired by section 306 - HOLDOWNS
3700 of he labor Crile:for the performance of the wodt for which Of,permit;,
sera.MyWarimescompen,ationInsurance carrier and PmIcy nooberare: 307 - INSULATION
INSULATION
c, ,r e t Pf c:+'o .I 308 ..SHEETROCK'..._ ___._...,>,..,.,
Policy y M1 J I f , . , , f f_ . ,
, .t lCEkl'IFIGAfOMPENATIONION OF INSURANM.'r IeISx 4_.1�, y,309 EXT`ER.IOR LATI-1-
COM1IPENSATION INSURANCE.
310 .--INTERIOR -LATH `.._....
'1.
jTnts'sen on need not w completed if me permit i,for one hundred dollars 311 - SCRATCH COAT \
Islool or less.)
x d l' 313 -" ROOF'NAIL' " _
I caddy m t n m perro i me -r n a m ro - t .,,. . . rr.
mall t 1 uaofCl D. ! " ` 'PrnQ� n, t. .nW, kx' 501 FINAL ELECTRICAL ENERGY
co -
Ap '502 - ---FINAL- PLUMBINGENERGY - ---
N cit the Worker
ft k ionthis
pro «fct IEadapt ,youshuld -.
Z bac subject to W k .Cmpestonp fmdeem Code,you must 503 - FINAL MECHANICAL ENERGY
O C f .n cont ply w'm Inchprovisions o m pre;e<nmlMa d eked.
Z2 - - ---504.---..FINAL -BUILDING-.ENERGY-
': CONSTRUCTION LENDING AGENCY' ...I '
F " Ihorebyznimnthat there isaconstruction leading'agency for the performance
505 - FINAL ELECTRICAL .
yl0 •uf me wort:for whichhis remain i,issued(Scc.3097.Civ.C,)
LanderxNone-.... 506..-_.GAS. TEST - -- - - --
z a Aadre 507 - FINAL PLUMBING v —
'VI canrymtlhave .a this'city
a re mese winformationi, 508 - FINAL MECHANICAL
t=ruce 1 & t l ply with n<y rieD .re a' a. r lupon 509 - FINAL GRADE
O V ,dab Id e t dl by authorize representatives of eh'i eieymrmer.pon
y P. mew ear , ,chat and p m .. 510 - FINAL PLANNING
'E., L a ,it eros Jm Danek is 1.5 thnCity flmagai agann
N liars lie it co,t. amlcapon's'
a xc which may in any y gain,.said 514 - FINAL UB C WORKS // a
V z City y «ofih tyfy fh pe O)v/
'A PL AV UNDEI q1S[ IVILL COMPLY\PITH ALL ISOV P IL'T �i t
St R E R ULATIU 1 Issued by: L Date
e App! enc t r1C
' I� Re-roofs
r HAZARDOUS MATERIALS DISCLOSURE
Wfit the p Vicam fm m Wading iscati,pirst.e mor handle himadou,m to I .Type Of.{ZOOf-- _ ...V,.,�....'±..., ......... ,., .,,y:•...... _. .
as d fits by th Capetian M pal CodChapter 9.11,ands He lth d Safety
.Col S t n1553_(al v, f '
All roofsshall be inspected prior to any.roofing,matenal-being.installed.
:WWithe ep hicammfutmaborilding«=u pane mas,uiphmmmd,,har,vhi,h If a roof is installed without first obtainingan ins ectionj agree to remove
emit hazardous air contaminants as defined by the Bay.Arra Air Quality Management P
D'
O\ all new materials for inspectio Applicant understands and will comply with
- - - �N - ... .-.. .. ._ .
a non point source reg o s.
1 have read the hazardous..led.[,me,ionfrome,underChapter 695 ofthe
l% I
Calf,_v h Health f tyC - t n 55051553] m,pano iunderstandebt / _ JVD l�
d en lbL ld' gl nt dyh, arc tmel' yr po bl'tye - ifym ... _._
oce p t f the regm which not M e,prior to issuance of a ced fico¢of
o= wn= Dat
Ir Sig reof Applicante _
. . .. ._. _.. .. . . __- _.. . ... _
or authorized.agem as. All roof coverings to be Class"B"or better
r.:.. _..
. -., .... . _ .. .. -OFFICE -