02050189 OF
CITY BUILDING DIVISIONNOPERMI CONTRACTOR INFORMAT
aILDING ADDRESS: PERMIT NO.
0980 BARRANCA DR 02050189
APPLICATION SUB DATE
1 RAN & MINMIN QIN 05/30/2002
PHONE: SANITARY NO. CONTROL NO.
s
BUILDING PERMIT INFO
q Q pppZOpp ARCHITECf/ENGINEER: BLDG ELECT PLUMB MECH
kC6i LI I:J
Z Hi LICENSED CONTRACTOR'S DECLARATION lob DeSCOptlpn
O Z y— 1 hereby affirm ivitihat am.f the
under p Profs of ns Code. (commencing ADD 1450 S Q. FT.
F9C
will,Section] 7of Drvisionlof the OusinusBProfusions Code.and my,teens
is in fullJ ext. 7
s Nie Licenu s an Linc,#
. 0
O Da C Irraaqrs�
3 a G ARCHITECT'S DECLSN ION Y
m g ' 1 undernvn lens zhell be a ns public records
re00 cc
need Pmf tonal
th R-BUILDER DECLARATION
I hereby affirm on 1 um exempt from the Convenor's License Low for the
following crime
(Section 703 1.5.Business and Professions Code:Any city or county $200000
F rtquixs a permit sec constmcq olmq improve,th amaxh,w repair: sWemre
C Peru usumce.al so nouihis Bc applicant'
pplicant for such permit to Rleesigmd _-
sion
°u6l 3$ poor
o w
ar Nai "fie a puls�sjmt io the
provisions of Ne dre"h o(s License Law(Chupler9; �.r „ 3..4`.z..ArOr"•l 'OYl:a v,' T x- 3+�, Valuation
(comme in with S tion 70001 of Division l of Ne BgsimtteM
he
Is or In
Nertftdm slid the basis fm the ollcged exompti�lAny violation'
or Section 71 L5 by any vpplimemicris permit subjecu the applicem Occupancy Type
of not more than nVe hundred dollars a5lyol. 101APN DATION
❑I.as owner of the property,ur my employees with wages we their sole comminution. 102 — PIERS ..
-'will'do'Ill.weak.and rhe'nructure'la not intended or offered for sale(Sec:711oul 103 — UFER Required Inspections
"`.t 1i r.j
iBusinai'and Professions Code:The Conuaclor's License Law does me apply tom; q p
owner of progeny Wha Wilds or improvu lhercan,and who does such work himxv 10 4 — REBAR
m the Lhhis own employees.provided that such improvements eR nm intended a: ____„__-
„.Rated fo-rule:IChuweveethe W,ld,ngoii'mp.o,,i6ntiiioldwilhin'oneyeaioC 105 — ANCHOR BOLTS ^' •^' �'' •"�''L'��t'
completion,the owner-builder will have the burden of proving that he did not Wild or
106 — SEWER & WATER
impro f p rpou.....
_._._. _ - _e ---.-._202 = UNDERFLOOR'-PLUMBING -
,OI a ow ref Ne progeny,am exclusively contracting with licensed nwcl r t _
_ xo wxune Protan(sin ]ave suet . d Pmfeasla a ends l h enmra rata 2 03 - UNDERFLOOR MECHANICAL f L 1 11
Lt..Lew does not opp1Y 10 an owner of progeny who Wiles or improves Ncreon.
'. _me who.comrans fors h prryecra will ctwnnar(sl licerlsm.parsannt.lo.we. .. __.____2.04_...__UNDERFLOOR'—FRAME--__
x License s ' '',i ,I `R&PCfmm,sreamn 205 - UNDERFLOOR-�IINSUL'IATION usec 's
lime 301 - ROUGH PLUMBING
"W� ORKER SCOMPENSATION DECLARATION 302 — TUB & OR SHOWER
• ' Iherebr trillion undkr,,naatiy.odpCiuty nni of dru,fniberaingdculerations 303 — ROUGH MECHANICAL
F. Tuve ane wJl'ma,num o Cxnificme of Consent to selfinsurt for Worker's 304 — ROUGH ELECTRICAL
Compenxtner, provided for-by-Section 37W or Na labor Code, for me 305 — FRAME
padmmunde oflhe w rk li h ph Nis perm t s d,
❑I haa d will,m6,mv,n Werker'iCompen mi n Insumnte' s required by Section 306 — HOLDOWNS
neo
- ' r me LaWr'code r .he Performance of Ne work for which this petioli is 307 — INSULATION
issued.My Workers Co.peaxt on Imuran cion i mail P I y n mbar arc'
pt; 'n :>_,-'-308, -„ ',SHEETROCK.
icy Nn. t_C;�:'Ci3 O9"i''.�fEXTER20Rl'•liATd-I�h
IrYIFCERTIFICATIONOFEXEMPTION FROM WORKERS i
^' COMPENSATION INSURANCE --------- ----------
_.,..._ ----3-1-0--. INTER10R--LATH
° (7h isciunli M1eed vol hecnmpk,ed (the perms slot one hundred doll lrs 311 t— SCRATCH COAT f r 1 P^
Y
1 enify thio N ped -once of the o k for'ph h N pant t s u sed 1
inns to pljbnyperso ymanmrxa,ipge�me 1IJ theWnrkua,' 501 - FINAL EL'ECTRICALL' ENERGY
'C pc duo ws of Cir a(Dm5
9Ag ,rn , 502 -._FINAL P,LUMBING__ENERGY,. -
'IkiOUlmeseeOjclVolAC kelt' o Pluralgrs.C� ols the ofExeo1Co,oushould 503 - FINAL MECHANICAL' ENERGY
O O 'PnnhwNcomply&iNsuchpro ., 6r p lebollbedeemedxvoked 504 - FINAL_ BUILDING_ENERGY_- -_ _. . .
'R + i ' ° " [CONSTRUCfIbN LENDING AGENCY `"d 505 - FINAL ELECTRICAL
1 h rcby oR1rm Naz Nere 1.e' n w uon lending vgemy fo the pedonnantt
oG > 'ofN kNwmmmapeWultsxedfsec.309],cive) 506 — GAS TEST
Lendus Name -..I.v.n. W _
---'507 FINAli PLUMBING
'.V O .Lender!Add s` ..... . .
r,,, , len fy Nm I hove read N1s appl,cut on vnd time Nubshe above infora.1 t is
SO FINAL MECHANICAL
- r W 'mrrtct:.l agree tprcompY!a'.ilh ell city,onJ county ordinances end stare Ivws relining 5 — INAL G E
_-i0 _10 Wilding connmcfun,and hereby mthori¢rcpreumalivn d(this city la enmr upon 5 0 - INA P NG
_ W •Ne aW e m uoncJ p pcny for impemlon puryo_ s., _.. _
g,,,, pr fwe)agrc<m mdcmnify ane kuV harmless NecryotC penmog against 51 - INAL RKS
F1 Vl n b 11 )dgmenls co u and expemn h ch may in any ay egnnn aid
U C ty m eq ce of Ne granting o(1h perm 1 {
APPf.,I<.ANT IINOLR$TAND5�AN6 W9LL COl1PLYtihf1AL N6N-OINT" ISSUCd by' Date
".1.. Z.
ionto AP cant/ a amxr ,: -: Duff,'.' Re-COOTS
HA DOUS ATERIALS DISCLOS
the 11can ,fuure building occupnt ta,o handle hzmdmis mnmd )...IJT7+ ,a so:f .aR,r\o'l.oaKaf
' 1 a-
ia deanWbyth Cusen Municipal Code Chapter 9.12,and the Health adSafety
Codi.Section 25572(a)f
❑Ye. r
Ir
. --,�,•^• _„
All roofs.shall be inspected.prior-to,any.roofing_material being installed._ .___....
• lbthly
e - -'
pPphca t rfuw h Id g p lust equipment or device which If a roof is installed without first obtammg an'inspecnon I agree to:reinove
eDlat dtwtict' r uS mrc t is es fired by the Buy'Area Au Quality Management
+ , all new materials for inspection. Applicant understands and will comply with
°Y' T y"°r r ” all non-point source regulations;
ySections
, e ..,.
ter
D m Ylle h i muter 4.1 un g,95 ofthe1 balm re�the harardou:mamruls rc mremrntvnd 25534 I understood that -
! s sno[cunentl have ems nt that it sin responsibility to nanf the -
!�ifs�eWlld,ngQoe&Safer Code Senims25505 2353)y � Y y
Cahfom a He IN q
p qulremenh wh¢A'mu6 he met prior to mace of a Cenitume of
jailDae - -
Si nature of A licant t
Owneror.amnri a�rnl; `date All roof coverings to be Class"B"of better. „
,,_ .. . . OFFICE .