00110011 CITY tO^CDIVISIOUP ERTINO CONTRACTOR INFORMATION:
PERMIT --Y'-�
BUILDING ADDRESS. NIS/ PF.RMI'1'NO.
10307 PRET AVENUE 00110011
OWNER's NAME. APPLICATION SUB DATE
HUCH 11./02/2000
7ARCHITECUIENGINIiIiRr
SANITARY NO. CONTROLNOr BUILDING PERMIT INFO
m II BLDG ELE PLUMBS h11
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ige
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• O0`^ 1.1CPNSEU CONT'RACTOR'S DECLARATION lob DeSCOPIIon
0 '� I hereby idlinn that 1;on icdrvwJ;;oder pmvi,ions of Chapter 9(comn..orm,
F,m_w whh Seelion 7000)of Dlvnlnn 3 of the Bminesnand Prorecionc Cale.and my license
ax = imm�rnm<anderre<Ig a_�4Q �p�� SINGLE FAMILY DWELLING 3491 CONDITION
Limmnam Ch1m 6
)aIC ' 1 C•OmmLlto
ARC HT1!_Cm DECublkneu)N 696 GARAGE
—} 1 make and my plam.hall M uscJ as public,mcnNn
w a O O Licensed Proliesi,mid '
OWNER-BUILDER DECLARATION
a o� I hereby:titian ilma Iran exempt Iron+the Contractor's Licenw law for he
h Y< 1'o11mwing naw..(Section 7031.5.Basic,and Prorex,ions Cwle:Any city or county
Z G wh cl requires a Permit f t t II 1 1 l al p y structure
wa x prior in its - n c,do texturesthe applicant for such Wornit torile sigroad statement A .
mn Enclosed an it, ow ' n lifu,Convac ,Limoo,L -IChvpce,q
,ol ntwi,hSection )oI'Dtftire[homes, JP, 1no ,c) Ft. crop Area Valuation
cJd
orthat h is exempt therefrom and the brois for the Ilgdexempt mr.Any violation a y�5 Q,U
of Se.ion 7031.5 by any apphca.I fora l ood subjeeu he upplfaum to a civil penalty
of not mom than live hundred dollms(55W} APN Number OceulianE}4pfs _'t
El 1.a,owner ofkI property. r mpl d the kintendedde g the I Inn+inion —'
Ioviiih' i the remain, not ,I to l r (Sm 7W4, _
Bus+ 11 1 Cost, Ihm C f I :Lictmw,o d , pplytoan .5720403d2dQlt�red Inspections
caner of pmpr.ow V.Tn la Ids or nn tried I thereon,andm,,who day ouch torte Mayor
of toed lot his own rm,however,The
building
1hit our vementammnm ore not(mended or
mn2ud Ibr ale.B.hateven me building or impmveprol 4,o ala timid One year or 101 — FOUNDATION
iof„pmhoo,me owner-noildm rift have the maser approving that hnaia mol balls m
mprove ra pappose of,ale.). 102 — F'IERS .
01,mowncro der pmpeny.amexclu.i.ely contracting rim licensed contractors to 103 — UFER
lmoan r, the project(sec.7144,Busine,s and PmR�edona Com,:)nor Cnmramor'x
jeou Latar,not apply it am..”"cofpr opmny'he haildsorimprove,lhenon' l04 — REBAR
and who contracts for ouch projects with o conlracmgs)licensed purxuam to the
1 tractate limen"`Let
0 ' 105 — ANCHOR BOLTS
1 nm exempt under Svc. ,ft&P C(,,,,his rectum
net [)am 106 — SEWER R WATER
WORKER'S COMPENSNI[ON DECLARATION 202 — UNDERFLOOR PLUMBING
I hereby nfGrm under penalty nrperpry one ofine follnx'ing dcclamums 203 — UNDERFLOOR MECHANICAL
I 1 have and will maintain a Cenitmam al consent to ecu-insure for Worker's 204 .— UNDERFLOOR FRAME
Compensmion, as provided for by Section 3701 of the Labor Code, lira he
1,;n4,+nameolbeworkknwhichhispem;eiskucd 205 — UNDERFLOOR INSULATION
❑1 novo and will ominmio Waken cofmpcosahon In....m ,a,petalled by section 301 — ROUGH PLUMBING .
371x1 of the labor code.for the pe,irtmance of me work for which his perrom is '
issued.Ed,W kc,,Compen.ahao m,araoce carrier and Paucy in berate, 302 - TUB & OR SHOWER
Cimim: policy N.,: 303 — ROUGH MECHANICAL
cBRr1FCA H PENATIORLONFANCW('RKERS' 304 — ROUGH ELECTRICAL
COhf l'EVSATION INSUkANCE '
('Ibis section need not be mmplmcd if me permit i,for one hundred dollars 305 — FRAME _
(M(Xp++r less.) 306 — HOLDOWNS
all 1 nryml aper < fm tef h 'b fl 'p 'Ill
n l Ill o.t become n�lt n w ke,s 307 — INSULATION'
PPI 1
308 — SHEETROCK
NOI ICI TO IL I I K 6th ( of I (I apt y .hmlJ
eco q t ' k li n sal p ormcl n c l y 309 — EXTERIOR LATH
0 l4,r0w'Ih ere"plywths hpre 4,0:orm pe l hull be d,unW re pled.
z o 310 - INTERIBR LATH
FVI CON S'TRUCTION LIiNUINf.AGENCY 311 — SCRATCH COAT
' I herby a hi,m hat hem is a comrrvaion lending agency par the performance '
of work me taco I fecol i_,i.,utd(see.3097.C.,C.) 313 ROOF NAIL
y ❑ LcnJer's Name —
U Oz 1<na"'Add,th 501 —`FINAL ELECTRICAL ENERGY
I agree mm i have dv nae his application z dhon my arae maune d pal In.,a hon is O
0 E
correct.I alum ur camlply wit m cop and caanlr aNmiw,,i;one xcity law,natal 50� — FINAL PLUMBING ENERGY
O r, thenNoe-menNmedpropedhenbyammaatpupnsemahve,ormixeortomnl mpm 503 — FINAL MECHANICAL ENERGY
;y M. the aM I to omc.cnde ' Tx d k I p
F.. d b t o indemnity Jk pharmless mo City Ic pen nngand 504 FINAL BUI4 I I ENERGY
lin liabilities ) Jk 1: e d p s xn n � -,a,y t y � amm s:in
U cryy lm , k tlhisL 't 505 — FINAL ELfb AL
APPLICANT UN A DS AND WILL COMPLY WITH ALL NON POINT y. �,p - �(] yam. f ate
oURCi keel ro — / Issued b / - •' IIF2•—Y�3M —$1 ,
• .lgnawranlAppl Col neo c7 w1m
fIARe-roofs 507 — FINAL PLUMBING
ZARDOUS NINE DISCLOSURE '
Will meapplicant orhome,wildinsocctime,stouorhandle na.ardaymmedal Type of Roof 508 — FINAL MECHANICAL
mdcrnedio mmcapsniooMameipmcyJ,+.Chapter 9.IxanemoraHeaenand Safety 509 FINAL GRADE
Cala Section are upvni, /
❑Yes 'LIN All roofs shall be inspppyr(gd prigs tpl'Mp rop�rWPRgtter b
beim a installed.
ai� wiB me apphoaole,lamre nnihrog oeenpanl mac atlaipntmm or eevf...which If roof is installed wjtp utLrs in splef'ti to remove
a hamrdnus airconmminans as der ytbe Buy Ama Air Qualify At.nagemv, r�j'y g dw] I
all new malcrials for ctiunR� c �u � d>� �- L ill comply with
❑Yc< ❑
all non-point source talions.
1 have mail ma",'Coan,mama,nq.25533a neer Chapter.1 6.95 of me E 3 — ROOF BATTENS
California Ilmllh k Su&e'Cafe.$.Etiono 255115,25533 and 25534.I undcmmnJ Item
fine bailding docs nor emmully have a levet.mm it"my resp000klity,to undly the - - 604 — ROOF IN—PROGRESS
Occupm,l of mems which nmw be mel prior u+issuance of a pert of
ceupan
O$w Signatureo4'Applicant Date
r aamom,e 'Is",1 — oma All roof coverings to be Class "B" or better