01030146 f.
7ADDRESS�
PERTINO - =a> r .• ,:.', e» ,.y, ; ;. . ,:
" IVISION' PERMIT CONTRACTOR INFORMATION:'.)
BU - ' PERMIT NO.
' 51, BIJBR: RD SOUTHBAY 'CONSTRIICTI N 010301:4Et
O - �, APPLICATION SUB DATE
° RATO SOBRATO .INVESTME TS. 511 �D'1VIS ON. 'Sl'REE' ,-' . 03%G7,f2001
. .i • }" �� SANITARY No. CONTROL NO.
(408J'379
❑C Z ARCIIIIEC PENGINLER, a BUILDING PERMIT INFO
IBLDC ELECT PLUMB INCH
"fJ
y Z LICENSED CONTRACTOR'S DECLARATION ' f Job'Des tion
zz _ p
1 hereb affi n d�t 1 am licensed under m mm is of Chapter 9(commenem 1 -
o z 3 P g TCmO(lrar lerllllt
W @i I ,aain)of l IJICBu' .. JP t aCo ,an ny, cause
�� ii r.. alma t # MP AR �0—DA PERMIT -EXPIRES 4/27/0
3 a Da, r , Issued pry 2u �n cXecf( complletion ,
"R`"'T`O 'E° ""e'D" Contractor and/or Owner-accept complete
1understand Illy pl -.1 II n Lived p I 'cords -
'dOO Lie edP I ......al •responsibility forcorrertingadditions,
`= OWNER clear,(..CCI DECLARATION r
herehy ,n'rn that I n f to C i , e f ror the omissions and.revisions on
f z,a toll s (S f ]nils N J P f : "I d a r Iy all, - .. r.
f Y o .which y p t so , It p 1 I'.I p Y:I ncmrc com leted-Blue Prints.
a�jt- prt , , I 1 :M PPI It : chile.,it In rl B 1:riemem. .�,:y �i}� p/�
3
hot he I - II ((,,hep filC t l L (Chapter 9 Perft 9066�oill, thirty day udluation
(cn y will,S,, 7000) Ili' J flu B I P f Called ,
at Its,o e. opt m r 1 In th l the e A y 1 ra. r $200
nfS 70n 9bY y pPl rnforape Denis the alp) 1m,,evlp ❑y .
atman five h )red d liars(s5Bnl FrDm APN Number 7^ ' Occupancy Type
D1.us the
orkhepd ill, onny,elnph,yoeawded I,, .peocd fill
aen(Sea
^ tA'• 1•
will J ,h k J,h I I -. 11,intended lie`J f ane IS .]044
Bn'n and Piefissions Code Me Central License Law does not apply 1 , Signature nspections s"
aw r ofp rally Who hi indponoc,Ih and who does k hadusalif O
,it Eroa,h di,avn coployclo,Y 1 d lan ,,all ind,wararre . t intended or - v
offered talp If h the butildini ar,o,annot': .to iden ,a,year of
'a plr n n 1d ll[love h d fl vd,In„heed and btld r Dote: O2 '. PIERS, . . . ,
nil for paremolaniol ' ,= LIFER-1
'3�3” -
`.
OI,its reacrof the phopety,' dexclusively cra f B with Recoiled a rachu,no , .1.04' REBAR
constructth project(5 7044 BusinesslandProfessions Ct ) Ih Contractor c „
License Le.does ,npplY t p perry h builds i nil v:theram. 1 ,
and Ila contracts t al, project.will ,arncaar(s)l eased pars to the 105`;,'.ANCHOR BOLTS
Contractor I l.iceane I.A. . . - 106 — SEWER & NATER '
,°1 an,exempt under Sea B&P C far this,comm
owner'`. nate .202 ^•UNDERFLOOR.. PLUMBING,. . ' . .
woRRER•s conlreissanoN DBCLARArtoN. ,1 .203 —. UNDERFLOOR MECHANICAL
I herell;"thfion anderpenally of,crary one ofullefallevvingdeclarations:
V �•
11 have and w'II IT'de n t Cby Scatter
of 3700 of to Labor
f r f kthe
=Campensmion, as provided for by Scwion 3]11(1 of tire Luhnr Cadc, fnrthu '
performnnee of,he work far which ells permit i..iv:vuud. _ .. — U _
01 f, d IInations' W k -'Ounp 't 1 . q ' dbySa Saturn _ — B R
1370 of etc Lubar Co, f the F 60or o r Il work f r huh Ih'v peri I is'
( imuul My orke C t lnslm ' rand Pal y b M
/r re:
Cartier: No
CER CATION OP EXEMPolicI'TIO O I
COMPENSATION INSURANCE• • f, 3105:. vF•RAMEh.., 1
II his sarfr.0 a ad not he conipleard if t he peni:,
ISINu less ll:mraeaall '30B HOEDOWNS - -
r) ,
307 INSULATION .i:
1 rflvm't m p r .1 he workt n ro pe ra i 308 — SHEETROCK - .
shall t o PI 1 y p y ncr .Iyrg1 baeQxQt�}j th W k r-
pApplicant'ion`n �l Qr/7/ - _ - .309. EXTERIOR .LATH
NOTICETO II 'k gll Cn'1 t IL pt y should
bee Utlam�W k p- nnneLabarCadevratio I 310 — INTERIOR LFtTII
O y ral,nwmtanplywln 1p vs,nvaal prmfsh,11hedeemedrevakea ." 311-,— SCRRTCH.,COAT.
7 - ' •CONST RUCTION TIN DING AGENCY
F .. 1 nereb «rm that to construction lead n rnr the `rornaacc 31.3, — .ROOF NAIL
y By C.)I per
'
of the work fo wli ch d u. 'sauuJ(Sec.3197Civ Ca
0. o Lendef,Nne r' 501. FINAL ELECTRICAL ENERGY
o z `end Add502 — FINAL PLUMBING ENERGY '
, U O
w la~ com i acidify d''II I h:d,ni,,tion and
late
' thraffic revivef 'tan i. 1FECHAN ICRL' ENERGG%Y�.:I g I c nily dh II city d yordinancesId nt le Pt g 03,
INAL
O tobuilding. ane nY e representativesf this cityt pan 504 FINAL BUILDING, ENERGYhe above-nuentioned property for inspection purposes,Iwlagrefy keeplI the City
t Capplant against 505 —.'FINAL ELECTRICAL• '
4 liab I t :jud,ri com,and f.prove,worn1any in ad,why aac,.e radial said .
V z AP UNDERm g m:,gonm a ' 506' - GAS TEST
.APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT ro ^�
j SOURCEREGULATIONS ISsned by: cd l�Y .—._CTwI/ll I INTO run .Onto N7 '� t �'
siBt ala r,nppr aIle t- I
Dole Re-roofs 508. - -FINAL MECHANICAL
• HAZARDOUS MATERIALS DISCLOSURE
Will thppf.nt n immB p' ,� m ao u n a tO nlarrial Type of Roof 509 — FINAL GRADE, -^ "•
asdf dhy theC pe le h P'',of Chpt 9.12 and ho H IlladSfety
Code,set nz553z(I _ l 510 -- FINAL PLANNING f.
°Y All roofs shall l ir�sp�te���((�yy�to�t7� o�r r l�being installed.
W ill the,pili a ILiI n l r B p I .a r4n p I desire,whim If a roof is in•stalled without its obtamjng an mspecnon,'I agree to remove
mi,h va d s t nt t t s der ncJ ny Lha Bay Area A Qaol ty fratua tent
int t all hew materials'for inspection. Applicant understands,and will comply with, '
O Yes No
all non-poinisource regulations.
I h e d Ih h d l der is regl'renets under Chdpier 6,05 of the
Calilarn alicahh&Safety Clic.Sections 25505 25533 and 25534 1 unde,da ul llwr -
ifthebuildingif , ndt ivr ey'havca IengnI tow it is my raspansihillrymnolify the,
roupanaortit h List he tpbrmia , Crticm f •.- ' ' .' _j-. f .
°e ° Signature of Applicant 'Date l
" n awnnU part ... - Allroof coverings to be Class B`
'at Date ..or better, , ,t '
.
OFFICE
Y