00100047 CITY OF CUPF.RTINO -
nuicowc DIVISION PERMIT CONTRACTOR INFORMATION., "
BUILDING ADDRESS: ' ' PERMIT NO ."
1136E BUBB ROAD _ 00100047 ' .
OWNER'S NAME'. APPLICATION SUR DATE `
CHOU , 10/05/,2000
ONE: SANITARY NO.• - CONTROI.NO. -
,. r y
GKZ ARCHITEC'('IF.NGIN ER:, •. BUILDING PERMIT INFO
{iLECT ',,PLUMB, MECI '
LICENSED at DPOLAR6id ratio,Pfoukiorsof Chpt ter 1(unnencin _ Job Description _
0Z�® at Section 70d(0)IhcreM1yaft rmhfD oa3 of the Business dP . wm
IlCar y levan, , .~ -
qq ki yelf d�rrtnt ADDITION. 294'SGI. FT.
S z w-� Lic u CPass 1. r. - -
Be m,� Dale ' - Comma., t '
�.0 ARCHITECT'S DECLARATION , ,
I taide'aind )if .,shopb d a p blit rd + ?
p0 Le
cn Licensed f:.' nal - WALE
- _
°'°J= OWNER BUIL DLR DECLARATION • _ OO`v
ia3 1 1 arby'ff Ih t I p,fi.,.,,hc Contractor s l Law for fire 7
following bodson.(Section] SB . IP f. Code Any city m, )rP O• -
�j Ir:' pal 1, construct, p all p" y , , 2d0l
ly -Pr. ,o t ane I. y ,happlicant1 such pc bill rI a''K dstatement ,� � '
a 5 mitts i ...tip : tl the Loceusnoris oft Coinfecam's me el (Chapter 9 - Sq. Ft. Floor Area Valuation-
(e. ng with Seven 70M)(if Omura 3.1,he Business d Poo,nos Code) `
or that ne i7 contain 0erefroin and the basis for the alleged ecounion.Any violation• BU . . ' $10098
or Section 7031.5 by an applicant fora 'erini(subjects thea applicant to n civil Penalty _
of more man live hundred noimn3($501). pP ' r APN Number^ -' ,: Occupancy Type
❑1nap par r ply n ago':the l p ambo 36.^–_1'105 . Q10'
will doo flar work,and the 't , t intended or offered r (See 7044. -
Bit. d P r,.' :Core: fn-c t t 1,irrtl Law does refard,to an Required Inspections`
owner fpno,,ly Who builds p th en 1 who does such work h'nelf -
or throughh ,ply lr.,odriltnt. n norproveirents are not intended or t 101; FOUNDATION:,
offered for ode If,however,the n ld'ng or intarrivincent'. e.ld w thin are yeai of • -
iomplelion the ow ern 'Ide will have he burden.rpnc,ib,thatnp<ntnotla ldor _ .102 — PIERS' - • - .
mps Trp p 141 ). 10.a.` '•UFER" .. .
ay{ owarrof lhr'paopertr our c,clatively contracting with I reciesed lmemn m
n:true, he propen,(sec 'm
7T44.Ensure,fail Pr,.'mann C,d.)The Contractors � A.04 �—' REBA R -
Li.cenel does not pply to an ownerafp penywhotria rip slIureothe n' 105 — ANCHOR BOLTS
maJ h contracts for such p J tstwib' urclor(a)licensed p 'nit na
con„a1 ootoo.e ser 106 SEWER & WATER:: a
❑lanitora binderSea. - H&PC for rc:annn - - - - -
ov , Da,. v ' 202 - UNDERFLOOR ,PLUMBING -
6 0 ER'SCOMPENSATION DECLARATION - 'f 20,ti. ,-: UNDERFLOOR MECHANICAL .a
Ihurtan a d launch, f purEtryon,ofl r q ij.declarer 204 UNDERFLOOR FRAME haveI will ' a cbtl al of con-.I at lrn: r,w.ir. 20�..t—' — UNDERFLOOR'.JNSULATION
comp 'r n7 pm sect 3nM .cane 1 n , ewe, Inc he 301 - ROUGH PLUMBING
pert ane work( Mchlhin pe ', s0 i ,.^.
z
°I have and will anaconda Worker's Con,fe,rot halLource.its q nyStation 302 — TUB & OR 'SHOWER . ' ..
3900 issued. Lanor o de r ,h h m ra p nn.n o,work r h d .pe ;tin — ROUGH MECHANICAL
M)My C Wn,nor a p : In n and Pnl y b O 303
Carrier: - PorcyNot 304 — ROUGH' ELECTRICAL
-
CEWTIRCA'TION OF EXEMPTION FROM WORKERS' a r05 FRAME
r COMVENSATION INSURANCE
oh,sect ou need a.,be e an doled fllflfisv pemft is to or Initiated ill 306 — HOLDOWNS
Co - 307 INSULATION '
Icenifythot inllot isalforroareb of tire work f which I.. pe to issued,I _ _
shall not employ any y any aw a3 to Internet,: bjea in the Worker,' 308 '— SHEET ROCK .
C.npensa,. a Laws of Calif .r a.Dan
Applicant ` 309 — EXTERIOR LATH
NOTICE T0AIPIICANrIf,after nialkingI Corificale ofI ptiy should 31Q� — INTERIOR LATH '
7. ben th n ll W ke C p :'t p rtb Life.,
Code,y lust
0 Q
ll th amply with u n p ia".r rdis 't hall he 1 aed mnoked ” -
t�, „ 311 • —! SCRATCH COAT. _
^'r� CONSTRUCTION LENDING AGENCY
Inreby nam tat titre :a e 7acton leading ageny frd lyda�nn_nee - 313• — ROOF NAIL
W .11 the k[ which[fill p mu s'ssuw(See 3097 Civ,C.)
.q LenJ,7Nane 501 — FINAL ELECTRICAC ENERGY'
5 z .LC1a Aa' 502 — 'F'INAL PLUMBING ENERGY
u o-,ln' as 11r t m n 503 — FINAL MECHANICAL ENERGY -
W H warn t 1 g t plY llall city and county I d t, I relating '
O , mbuilding :,nelproperty dherebya @o,t p t, r3 nn ,yt �4aanon 504 '— FINAL BUILDING.•ENERGY'-
t7t (,). the h i ti .pct purposes - - .
tr 15; r (w>3gro in e ry keeparn I .,m city Icpnt .aen3t SQ15- — FINAL ELECTRICAL'
r liabll uv jurn6 ,' t a d e[n ::which vy'n any y ac gar n7t.aW �
U 7 Clly C IUNDErda UNDERSTANDS
o this WILL
t 506 `— GAS TEST �^
APPLICANT UNDERSTANDS AND W ILL COMPLY WITH ALL NON POINT^
'Solfi Issued by. DSte
G .
si " °' ppla=nttttyy�� .r Date - Re-roofs 508 —. FINAL MECHANICAL
R,CLA •(IUS MATERIALS DISCLOSURE -
Wiutheappfiaomormmrenud:tine.eeapam dercor handle naamtmns mate of Type ofRoof 509 FINAL GRADE .
coder�yhyn CapertonMunicipal°Nte Chapter 91z lin Health and •,510 FINRL PLANNING,,:
Code Sect 255320 '
r
All roofs shall be'�P¢ppcted,,0WiPNtALinj Va >> ng installed.
Will Nc pdic t r t b dd g p t ccga it , ti 1 , if a roof IS installed without first obtainingan inspection, 1 a LeC t0 remove `
an(b len, enai nantn as delved by theByArcaArQ:a,y Manayemen, P �'
7neL all new materials for inspection. Applicant understands,and will comply with,
°Y"I El No all non-point source regulations.
I hanr read to hmudons mmerials rcyuirenacnts ower Chapter G.95 or the '
California Hcalln g Safety Gule,Secdot,25505,25533-and 2.1534.1 cornerstone taw -
ifthcb:dl,ingdoes not croundy have a,cnam,that it istny renponeibili,y to notify the
occupant of the requires is which tnaa be met prior m ns.ance ora Certificate of -
rey
Signature of Applicant Date
�cutua - t
ow„u.,;,.ea nAll roof coverings to be Class `rB:'or better '
i '. . OFFICE