02030018 CIBUDIGnSONO
INVIiiNPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10261 BUBB RD 02030018
OWNER'S NAME: APPLICATION SUB DATE
SOBRATO SUSAN R AND JOHN A TRU 03/05/2002
CRONE: - SANITARY NO, CONTROL NO.
�00 ARCHITECTIENGINEER: BUILDING PERMIT INFO
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ELECT PLUMB MECH
<6 L1 r_3 E_ L__1
-5 2 LICENSED CONTRACTOR'S DECLARATION Job Description
5,!S0 1 hereby alarm that 1 am licensed under provisions of Chapter 9(commencing P
In 1-w with Section 70(1 of Division 3 of the Business and Professions Cole.and my license SHELVING & WIRE CAGE.
C,5 5 is in full force and ellen.
:zoo Dole Class Lic.n
O�U Dae CounseLie.# to
5 Ot; ARCHITECT'S DECLARATION
a1 undersand my plans shall be used as public rccend,
a p p I.i«nsed Neficssinnal 2 9 2002
-rOWNER BUILDER DECLARATION
u� 1 hereby efirm that I em c.nnpt from Che Ctim acror's License Law for the
N _
C?< following moon.(Section 1031.5.Business and Professions Cade:Any city or county
Y O which mquircs a permit m comtrua,ober,improve,demolish,or rtpair prey acne®® $11500
n 3 •prior to i¢issuance.else reyuimsthe applicant for such permivo hleasig«4 stateCdi
IJILDING
ihelh1.r licensed Allison to the provisions of the Commences License Law(Chapter 9 �`p �sf A . [[ +� Valuation
(commencing with Section 7")of Division 3 ofthe Businessana Qrafasnons Code) (;Ot-;'E'63.7_rT,2•U� r;7Tl7aP.L13. 'y1<,4ti • Uallon
or that be is eeempi therefrom and the basis for the alleged ci napibd.Any violation
of Section 1031.5 by any applicant o Permit subjects the applicant to a civil Penalty
nrnor more than five hundred dollars(g50)). 101APN IATION "' I '" Occupancy Type
°1,as owner of the propeny,or my employees with wages as their sole compensation,
will do the work;and the atroCran'is not-intended-or'oRered-for-salt(See 7044 ,
'�Busiriv,nrd Professions Code',The Curt nu is License Law d«s not apply to an 103 - UFER Required Ins p'eetions it '�-
owner of property%a builds or improves thereon,and who does such work himself 10 4 - REBAR
-.1 through h' employees.provided Ch C h improvements e t tended r
offtredf ule If.Int th bildng tmProeme tis-old-within one yev of '-'--
'completion the owner builder will have the burden of proving that he aid not Wild or 10 5 — ANCHOR BOLTS i;"•,' .• I_::, .. ...
improwmrputposeofnde.). 106 - SEWER & WATER
sv I:as owner ofthe propeny.am c.,I land lung licensed --- -- 2-02 -=--UNDERFLOOR PILUMBING- ---�'.t.i ...+.t�r� r•.� —� `—_
server the pr,nwo(Su.1 .s and Professions Cade:)The Contmaor's ;:CP
License Law a« nota lyt ' rof th.aco property who Wilitscharter, 203 - UNDERFLOOR MECHANICAL""
' ow
t. ...Comranor.L' meta w. 204 oje .wim.e commnor(a)Ikenace.parsnam to me. -2 04-___-UNDERFLOOR--FRAME-
°1 .e una B�&P C flo,thymason 205 - UNDERFLOOR''BNSULATION
7pr° riam 301 - ROUGH PLUMBING
his
R R'S ENSA NDECLARATIDN 302 - TUB & OR SHOWER
- hercbyafi under pc tynfprrjuiyode.fthe following deelarndonr 303 - ROUGH MECHANICAL
1 haze ana'wili maintain'a cemEcald or consent to self-insure for Worke/s 304 - ROUGH ELECTRICAL
Compensmipn, as provided far by Section 1100 of the Labor Code, for the 305 - FRAME
performance of the work for which this Permit is ounce. ..
- °Inaveendwill maintai6WorkeriComhenmiioninsnrenee,asie4uircLbyScrdun 306 - HOLDOWNS
37W of the Labor Code,for the perform ince'of the work-for which this permit is 3 0 7 - INSULATION
a Co a t Insurance came d Pol cy ke arc
3 0'8 = SHEETROCK
Camr -CERTIFICATION. .C7S. Policy N . '. cs-a" I
'ssu d My W rk2r
IFICATION OF EXEMPTION FROMWORKERSa - .•..v1 n1309 7-/''EXTE'R•IOR !L'ATH"
- y1. '_' COMPENSATION INSURANCE ';
_ 3.1.Qr-,_ INTERIOR-.LATH, -----
V, ' —
<tcdithpermuisf rcddollvm - '
($100)or less) reed Cbe oinpl rens none 311 - SCRATCH COAT I ;
shall 'ltgm to dial to the performance - _3�.3""'—""ROOF'NAIL
ri f Y P got Ch w rk for which tit s peas t is issued 1
:.
p y yf y 'anner sae t 'br<ome subject to the Workers 501 - FINAL ELECTRICAL''ENERGY
CompensationLaws of California'Data
Applicant
--_ . -- 502-.._-...FINAL- PLUMBING_ENERGY. ----- .......
NOTICE TO APneem IscesC mmakingion Certificate orE a pt n youshouldmust 503 - FINAL MECHANICAL ENERGY
Z bent subject to'the W chefs Comps sed p - you n
Z Q
forthwith<o ply 'tit 'h provisionsath a.it shot]be returned - .,-_5.04.._... .FINAL_BUILDING. .ENERGY-_.
n of the lvM Cal amu
F'� ;CONSTRUCTION LENDING AGENCY C -I"
505 FINAL ELECTRICAL., - --
1hereby ff mat there Csv t a o'le d' g age c f tit t7
rel me rkt ti;hms eat ane` 506 — GAS TEST
i gy�Gpw.eC_UfRZ/i` thLooeebbnudlislttl(mWNg c)o6 na-Cv'aioios n.enpd dM1ee rcebyifyauvthe-od
rs(ssprcitp3rc0u91n_mCu thdGCofry NifiCcirypepino rmcnnt
'
.-... 507
07 __.....
FINAL PLUMBING
U-0
MBING
U 508 FINAL MECIANIC
Ali
Walion is
Qrc509 FINAL GRADE
Let upon
., w oe10 FINAL PLANNING
jmnn '
f A6 pu. t am cape nen t� pony y em ga��at data 514 - FINAL PUB IC WORKS
APPLICA .I.DERSTA SAS yWB,L` Uh LY WRH ALL NON iNT''"
Issued by: Date 6 -2,1
[or Appll foil obi ,." Ome' - Re-roofs
HA RDOUS MATFRIAI S DI OSURE ' '
"' 11 the ppl cat r fm re h W'ng cup t tore ha die hazed us m t ul ,'Type Of Roof... -
os ed by lh C p n o M n tP Code,Chapin 9 d the Health ad Sof ty q
C Sm 25A2(1 _ 1.Seii- A... i} �i:
All roofs shall.be aspected poor-to any roofingmaterialbeing.astalled.
,wu the applia t orr ture building oecripwrl use equipment ordeviceswnch If a roof Is astalled without first obtaining an inspection I'agree to remove
ran hazardous a conumman,as defined by me Bay Area Air Q.Mi,y Manage m
D7. all new materials for inspection Applicant understands and will comply witha
N0 '•` all non-poinf source Regula ions i
.<: .
I'hsve real the bazardou mamd6k regarem nEe Chapter 6.95 of the
Cuh(om aHeal (safety Cod 'in a�5505 2 and 25534 1 understand that
"i[me build in scon tcatenI haven nor[,t it mY¢ponlb lily to notify lite' """'" _........... . ........ ....._. _..
one t f e4.11 hah sib n 0 to iss ce pf a Ce Bcv a bf `
Si
to-
wn a r untutored p y nature of Applicant Date
p t pate A]] roof coverings be Class `B"or better `
-OFFICE'._. _ _ ._ ._..__.... .... .__. .
t: