00100182CITY DISONO
VIN
CONTRACTOR INFORMATION:
PERMIT
RUILDINGADDRE,y/,497 BOLLINGER RD
PERMIINO. 00100182 '
OWNER'S NAME:
PALMA THOMAS V AND JF_A
NIE M
APPLICATION SUB LATE
10/27/2000
10,IONE:
SANITARY NO. CONTROL NO.
O ARCHITE-CgENGINF.ER:
BUILDING PERMIT INFO
NLUCy/ EL[Clj PI.Un MECII/
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Job Description
I hereby offinnLIC�arll amt licensed undeRACT
Provisionsln Chapter 9 (commencing
-
Jwish Seclitn]BetB of DivisinnJof the Businesx anJ Prufex,inncCMe. anJ my limine
'
in lull ease aw enact.
NEW
�ESIDENCE 480 SG!. FT GARAGE/e^240 L
a nre
Ulcer, Aa
alecommmar
ARCIUIECI" S DI!CLARATION
1 understand my plans shall be used as public records
5 2002
0 LicensedPriery red
a. UWNIIit-BUILDER DECLARATION
I bcrchy .form than l on cxmupl from Ibc Contractors 4ean.e 1, fo me
following reason. section ]f1.115, Business and Professions. Gds Any city or county
C which IGIYIrt.i a peril m cna,mixt, ahef. improve. demolleb, m repair nyy��t���1��
nING
prim to its iamosoc, also requires the applicant for such peril m Glc a signedi�.M I
— mat he is licensed pt to the provisions ofuc tractors License Law (Chapter9
Sy. FC Floor Area
Valuation
(warn y 1hS t' 71XNp the n Ira R.-' �seadProfession, G,da1
Ali, violnann
or that he 7'31.5
ih,y ,li,dInc basis In theullcgcal cxlu.0
-
_
$216406
bI I.
of not mo ]011.5 by ally applicant for a 5001111 suis}CCu Inc appllCanl to a CIViI pG,all'
of not five hundred dollars (S51M)1. y
APN Number
Occupancy Type
° I f the property, ply its wages us Bier solepcomfln,
35923027.
00
'II do the k d the 1 ' I intended or offered for I (See 7034,
Business II f_.' I, C I:Th ci " : License Low does l upply1 an
ReqUlred Inspections
ii,ocrol p b II ' p , l oil 1 does n rklimelf
141
— FOUNDATION
his own
or through nown emNa)ees. prohled [list such improsmm a are not intended or
offered for sale. If, howerva the building or improvement is .sold within one year of
.10
1 y t2
— PIERS
completion, the owner+wilder x'ill have the burden of forcing that he did sol (wild or
.
;m fhopurpeacte'dc.).
103
— UFER
or 'Its pnapeny.ama=elasisay enntrnelmg wild necnxed cn.nmatnn In
104.
— REBAR
the process (See. 7044. Business :rad Professions Code:) ITe Commcmr's
iinstruct
ncense Lax' does not apply m an owner of property who builds or improves thereon.
105
— ANCHOR BOLTS
and who contracts for such pojeels wild a cuntmaoil licensed pursuant to the
Cmtruetnrs License Law.
106
— SEWER R WATER '
° 1 on caen,pl under See. . B & P C for this mesa,
K.
202
— UNDERFLOOR PLUMBING
ow'nar sale
WORKERS COMPENSATION DECLARATION
203
— UNDERFLOOR MECHANICAL '
Ihereby official under waahyofperjury (me ofthe following declamdon,%
204
— UNDERFLOOR FRAME
l nave and win olaintnm a CCn,rmte of Consent Io wlkinsura for Worker.
205
— UNDERFLOOR INSULATION
Cm'ywnkmnnI, a, pm,vhfm fm by Seeam. ala) ofone Labor code, for me
perfnranceofRle .,kfnrwhich hispennile,i...ed.
-
301
— ROUGH PLUMBING
° I have and x ill maintain Worker i Cooperation Insurance. as required by Salton
302
— TUB & OR SHOWER
3]0) of the Ianor Crde, itis the performance M the wail, or which mi, permit is
i.cruc&My Worker's Compensation Insurance carrier and Policy number are
303
— ROUGH MECHANICAL
carrier: poreyNo.:
304
— ROUGH 'ELECTRICAL
CERTIFICATION OF EX&PI'[ON FROM WORKERS
COMPENSATION INSURANCE
�0S-
- v
— FRAME
Mixkaionneednothecompletedinl,epemitisforonehundrddollars
306
— HOLDOWNS
(slaporlesa.) ' 1
307.'—
INSULATION
1 sanity mal m the pttmnnance of he work her which this pernto Is issued. I
,hall not employ any person in any manner so a, to hmome object to the worker;
308
— SHEET ROCK
Compensation
Compensation Laws of California. DaneAppli
309
-- EXTERIOR LATH
NOTICE TO APPLICANT If, arta!moking his Camficme°fEscnlpdon.vooshould
hceome,unco u, the worker+ Co,npansmollion p,aim. of ate Loss, code, yo.. mtm
310
'—. INTERIOR LATH
jfonnwitheonlplywith-suchProvi,mnsmmisparmitshannedeemedcreaked
311
— SCRATCH COAT
CONSTRUCTION LENDING AGENCY
313
— ROOF NAIL
1 hereby affirm thatthem is a construction lending agency for the performance
orthe work for which this permit is tsar. nn]. Gs•. c.'
I leader's Name
501
— FINAL ELECTRICAL ENERGY
"'d`''``^''dfeN
502
FINAL PLUMBING ENERGY
I certify that l have read this application and stale mal the above information is
correct. 1 agree to comply with all city and county ordinances and slate laws relating
_ 503
— FINAL MECHANICAL ENERGY
I tobtildingconstruction, andherehyamnnri erperwmalive,ofmiscitylocour, m
504
— FINAL BUILDING ENERGY
In bo, ler apo tet p rn1,
1 p Ig'naI
lyuWA I1 the City al
rhras , Ig ' s's d pe anyx'ny da
505
5506
= FINAL ELECTRICAL
Clyi c fin 1 flow i
APP1 ANTU R.-AND NDWIILCOMPLYNITHALL ONPf
SOU i i/ 6
Issued b y; Sm7
— GAS TEST _
— FIhIIaL OI 11ntaTNGDate b
e I
S'sna as 1np' nnuaen,r f5—
Rc-roofs 508
— FINAL MECHANICAL_ '
_ HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or fufura building occupant %one or handle losomoa, material
Type of Roof 509
— FINAL GRADE
as deemdeby the Cu,namno Momapal Code. Chapter 9.12, and the Hemet and safely
Cod
Code. Neaten 25532(a):'
510
— FINAL PLANNING
❑Yes ONo
All roofs shall be ®ypgctad
0Ti NApnypIrp t jl pg installed.
ucxwhlch
Will he air coulmnrlimae ldilding sa:by the mu Arco
moil nvurdnux sir eonwininuna m defined by the Buy Arw Air QuaEly Managcn¢m
Air Quality
It'a root' is installed0athaul
kW#ltajnLnYW0�jpc" ryll agree to remove
Di,,He' -
°Yc` °No
all new materials t p if-ttj*rtands and will comply with
all non-point sour ulan
gfupec.1
1 have mid the haarden, uncoils settlements under Chapter fi 95 of ma
6
R OF IN—PROGRESS
Calil'orniallc:lm S , ,Sections 2551)5, 25533 and 25534. I unds,u dthat
trine ntaning doe at.1rell mwatcnonl. that it my responsibility u, lily he
. _
occupant which mux' be mel odor to non, Cali ofOc'
n`y
Dwner mo f!��Cy �
Signature of Applicant
All
- Date
"B"
nr. Dae
roof
coverings to be Class or better
OFFICE