00100145 INO
CITY oNcmESOt DIVISION PERMIT CONTRACTOR INFORMATION-
BUILDINGADDRESSi PERMIT NO.
10388 BYRNE AVENUE 00100145
OWNER'SNAME:
APPLICATION SUB DATE
•WILLIAM & HELEN CHOE 10/20/2000
f HONE: SANITARY NO. CONTROL NO.
'OCu O O ARCHITECT/ENGINEER: - BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
n Z w I.-_ C= Imo-. .I
5 ti i LICENSED CON RAC OR'S DECLARATION Job Description
I hereby affirm that I am licensed under provisions of Chapter 9(commencing P
�-� NEW SINGLE FAMILY 2464 LIVING AREA 697 G
F with all
for,,and effect. on lof the Businen ane Profusions Code,and my
my iscenull force and effect.
s a 6 License Class Lid.tr �O e
O
is.U Date Contractor F a�
r3 w v ARCHITECTS DECLARATION �J
a C; 1 understand my plans shall be used m public records
t O Licensed Professional ti
OWNER-BUILDER DECLARATION
MAY 2 4 2002
v. I hertby affirm Nat 1 am exempt from the Contractor's License Law for the
Z
r
t follow n. Section]031.5 Business and Professions
_O ing Tram ( CWc:Any cityor coumy
which its issuance,
n permit re amnwet;applicant
Improve,demolish,file
repair nor structure L $251305
sou prinnoits issuance,also requires applicam far such permit to signed sa¢mcm
a. ve mat he i3licensed pursuant to the previsions of the Contracmis License law(Chapter 9 _ -
(commencing with Smtion 7000)or Division 3 or the Business and Prafrssions Code) ��{jr`iI #.3�$ ':� �rI ��(_,� j, ii-^�!`n® Valuation
or that he a exempt dein from'and the basis for the alleged ciemptian.Any vmlmimn - �r' - -' f.
of Section 7031:5 by any applicant for a panni,al sc,the applicant m a civil penalty
if not are Loan five hundred dollars(s5o0). 10 jAPN DAT ION • • Occupancy Type
01,os owner of me properly,Or my employees with wages ns data role con,aran ion.
-will-do-the work,and the strac ure is not intended or'oRemd'for sale(Sec.70a6.- - -
fBusinees and Professions Code:The Commnor's Liccuse law does not apply m an 103 - UFER Required Inspections'
r of properly Who builds or improves thereon,and who does such work himself
awn 104 - REBAR
or athrough his own employees.provided that such improvements t is sols art not intendedyear or
-bRned for hale the Wilding e l aden of pray is mad he
one year of -- '�--�-'--" '- ' -"-"" - "- BOLTS ---------� .,--- ---- -- - -- ---- - - -
`ompinifonr me owner-WilderowillM1avemeburdenofprovingthathedidnotbuildm 105 - ANCHOR BOLTS - '"�T'= f • '• •-
mprov` pnrpra 106 - SEWER & WATER
--
. ..r ❑Los owner of the ro n rannanG _..__._..-_ "-..... _____ ._._... ... ._ -- ---..." ._
_ p R Yvm exclusively g wire licen.wd contractorsm
113' —SLAB
<onstrua the project(Su.7614,Business and Professions CWep The Contractor's '' •' ' ''
i License law does not apply to an Owner ofproperty%noWilds orimproves Merton. 114 - PLUMBING UNDERGROUND c f-
_ .
ad who contracts for-such.Ptojects.wi0 a Contactors).liren.ed,conant to the. .-_._..._._- .2 02 "- UNDERFli00R PLUMBING Cammctm,License Law.'. _..... .-__"_. ._._._
❑lam exempt anger sec. •,B&Pafor tma rtasd" 203 - UNDERFLOOR' MECHANICAL
Owner Date 204 - UNDERFLOOR FRAME
WORKER'S COMPENSATION DECLARATION
I herebyrfimi a�aer alt r 205 - UNDERFLOOR INSULATION
{{ rs Penalty perjprYoneonhermlowingdeclar,tions: 301 - ROUGH PLUMBING
p 00 1 have and will maintain a Ccoificale of Consent to self-insure for Worker's 3 02 - TUB & OR SHOWER
VVl Copens
mation, ii ,p raided for by Section 37W of the Labor CWc,for the
perrarmanpe ar me work Tar wniCh rets hcnnit is is�aed" 303 - ROUGH MECHANICAL
O 1 have and win-mainuin Worker's Cumpenmiion In....ma.as r,.iiid by S«9on 304 - ROUGH ELECTRICAL
37W of the labor Code,for the pe'rfommnee of the work'ar which this permit is
asned.My workers Compensation Insurance carver and Policy aimber are: 305 - FRAME
_..
PalirN t 306Y-_ -HOLDOWNS. _..
C. CEWDPICATION OF EXEMPTIONFROM WORKERS 'l.t/.'•. t n;307cI71°INSUI TION'S'�
COMPENSATION INSURANCE'S r
- .. _-. _ _. _...
- 308_>=, 'SHEETROCK..._. -
an -t ,n need t ti'completed f me permit .rn one nnnarW dollars
3
sled) Is,,.)
309 - EXTERIOR LATH
I crnfyflat tame ff..'nor e orN -k far whichm perma,s i...ed,,I :" . . - 3.10`- ' INTERIOR—LATH .-. - - __ -.
shall not employ any peoo,n in any manner so vs to hecome mbtem io the Workers v,.;!
cainpe . .i .Laws ofc if "' " 311 SCRATCH' COAT
Dam'
" '
;NOTICETOAPPLICAo31-3 - ROOF NAIL-
;.
Z p . pnooyaamant 315 - EXT SHEAR
C p f I mahasilh plywitn suchp " onhsp t Ihall bed ed .ked, .- 501...- - FINAL..ELECTRICAL.. ENERGY.
CONSTRUCf10N LENDING AGENCY -
F m -
a. 1herebyrcnnmaterreissconswet lending 7: agencyr the pertrmane - 502 - FINAL PLUMBING ENERGY'
Lens okr nienmispem,Bi,isaaWlser3o97'civ.c.)Lender's Name:1 -___503 - FINAL MECHANICAL ENERGY
U,o Leader,Address504 - FINAL BUILDING -ENERGY
lc ri fy marl have read this application and smte that me above information is 505 - FINAL ELBCTRICAL
W-F. coiicd.1 agree to comply wire ell city and county ordinances and state laws relating 506 - GAS TEST
� („) to Wilding conzwction,and hereby dumon remossemadves ofmis city to enter upon
>, red, the abs. mentioned pro,anyfor inspection purposes. 507 - FINAL PLUMBING
a. (We)agree m sulk:indemnify and keep harmless the Cay of Cupenind'against
.m liabilities,judgments,cava and expanses wrens may in any war 8ecae against Sara 508 - F I NAL ME I CAL
U Z City in consequence of the gaming of this Permit, n
APPLICAN UNDERSTANDS AND WILL COMPLY W H ALL NON-PC;M" Issued S O 9 1 - N
SOURCE REGULATIONS. Date
'
Signature arApphranUcan actor . Date Re-roofF)1% - FINAL PUBLIC WORKS
HAZARDOUS MATERIALS DISCLOSURE
wllthcapplia�nt ft buildingoccpotn orhanmhaamatimamal T e.of&Zaf...- . ROOF PLYWOOD-.,NAIL._
as def, d b5rme Cupen Municipal Care.Chapter 912 and to Health and Safety yp
Code ors z,5., a) oNO.� v. _ : e.� t 603 ROOE,BATTENS
.� . 'S � .
All roof(9t�11 be 6dffedlpEderRRB�� material being installed,
N 11 th it contaminants
future Wilding Occup t u ro 'it t devices which If a roof is ms[alled without first ob[aimng an mspechon I agree to remove
mit h b s comate t def W b) h B y A Air Quality Mon.,emem
�3`tr°] all new materials for inspection m
Applicant understands and will Comply with
,. oY 0 N al] non-point source regulations-
1 ha a ad-tae h ardoas rmrummls rtgmriamms under Chapter 6.95 of the ' ' t. r • tit^)
California Healtti&Safety CWc Scci ons 25505 25533 and 25534,1 understand that
free bu ld'ngd of curzemlyh stew that it is my ma,mosmin,to notify the
occupant ofmrequirements_ which mun be
met pn to ihba _,f a C rt ficate of
:. t3ccupancy. ..rh .- -
- Signature of Applicant Date
V,yRcr or atimmim9a,inn - gate., All roof coverings to be Class "B" of better
- - -O .. . — .
ct•BU �N DIVISION IL PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10388 BYRNE AVENUE_ 00100145
OWNER'S NAME: - APPLICATION SUIT DAFE
WILLIAM & HELEN CHIDE . 10/20/2000
ONE: SANITARY NO. CONTROL NO.
O se O ARCHI"FEC'OENGINHER: - BUILDING PERMIT INFO
to LUG .ELT .UMtl 'CH
aces —
LICENSED CONTRACfOR'S DECLARATION
ll
z = I bench uirm that 1 am licensed under f Chat v(commencing lob Description -
p2,—� ya provisions per g
FyF,� I,in fSeeull li a,orm)of Divivinn L,f the tlu.vino.0 unJ Pmfcuiunn Cnde,nnJ nhy license
in full(lase unJ elTwt.
��6Q i`;ffn,ecm,. Coma NEW SINGLE FAMILY 2464 LIVING AREA 69
ARC hall iCrs DECLARATION
0, 1 understand my plans shall he used as public r«aMe
y}
w n O C Licensed Proles.iorul
is,g OWNER-BUILDER DECLARATION . .
1 ='too 1 hemb)mfinm th t 1 o from the Contractor',Limanne Law for the
C>y
following (Smown 7031.5.Ralmell mill I fission,Cad A y ly xcaunty _
F Dwhich requires permit t t t ftc p demolish, py uraure
i}m Pion I J Itr' Writtenp 1t II E 1'mt mcid IFINALMO
that he licensedps: 11 meg fthec 1 t Lice. Law(Cnpter9 Sq. Ft. Floor Area Valuation
to hg with Section 700(4 of il'v'onn 1 of the ELa nsss and Profess ons Cade)'
lir that he is exempt themfmm and the basis for me alleged cormPfion.Any viol,vienMAY $251.305
of Section Inn 5 by an,a,d carat for a prmdt mnjer the ii,luoun m a road penalty -
Ofnotmarchad rec hondred solum,Wool) 5 4 APN umber Occupancy Type
❑Lllomener of pmpnny,or any empoym,with wages as meirmlc on,on,almn, a 32 0 -
will do the work,and the structure is not intended or offered for sale(Sm.7(),[4,
Puniness and Pmfecsinne Cod«'Me Cammem;,Lima,Law doe.m,t apply In too Required Inspections
owner of progeny Who builds or improves thereon,and who does such work himself
or mrahis.own employee I.gra.ided teal impmemnenm are ooh uncal of 101 — FOUNDATION .
offered for sale.IL however,the building lir improvement is sold within one year of
niomdetion,me ownenbuilder will huvc the humin of pm,m,,hrI he did not build or 102 — F'I ERS
opium fr"to"wWorle.). 103 — UFER
IW p pent I ly t t y with J t t nn, - -
't W p t rs 7044business land P I n:Cul r-nh,Conowa.,s 104 — REBA R
Cron. l of t ppy t f property h build, p mere n
d n t'r - I,pn,lerts'fit t oar rah licensed g <oant v rose 105 - ANCHOR BOLTS
coni ' License,1' - - ]. 6 — SEWER & WATER
❑l: pl uufsrS.._ .tliel Cfor this reason
owner y� ,tf . �1R10 02 — UNDERFLOOR PLUMBING
woRKER's coMrENsnnoN DECLARAf1O -03 — UNDERFLOOR MECHANICAL
I Irish,afrmh nndm pea:dtY ofperimy nocofmf fol—ing drdamdon,: 204 — UNDERFLOOR FRAME
j 1 have ant] will maintain a cel;rcalc Of Consent m wIf-insure lot Worker's 205 — UNDERFLOOR INSULATION
CnmpLamaren.ation, as provided for by Section 37W of the Lamar Cale, for the
perfeuranuc ofmc work for which this germ.,is issued' 301 — ROUGH PLUMBING
01baceand will nhammiaWorke„Com,asaboomwmocf.asrequbrJbyScotian 302 — TUB & OR SHOWER
1700 Of the LUM,r Com.lin the performurom of life work for which this peamit i. -issued My Worker,Ca..f,u,nionlmomoccfarrin,andPorrynumber Ease: 303 — .ROUGH MECHANICAL
Or Carrier: P"days.: 304 — ROUGH ELECTRICAL
•Y CPR I'IFICATION OF E%Eh1Ff10N FROM WORKERS* '
COMPENS AI'ION INSUR ANCE - 305 — FRAME
(1 hi„11111,11nred not lie mmplelw if thep fact is for one bundred Wblms 306 — HOLDOWNS
'(SIIX))or lus.l
307 — INSULATION
1 sandy mat in the performance of The work for which his permit is issued,1
,Ihall oat employ„ny Fiasco at any manner m a,to became subject to he Worker: 308 — SHEETROCK,
Compensation Law,of Cultromia,Dam - '
A,dieun, 309 — EXTERIOR LATH
NOTICE TO AI'PLICANl.`If,after making this Ceraieam Of E,n,lion,yon should -
z become,LbAetmnhcWorler'9Compn.ammpm noftheLAW,cade>oto o,t 310 — INTERIOR LATH
0 C fanhwiW comply with inch provision,lir this M'nvll shin lie dermad m—ked.
m, 311 —
SCRATCH COAT
E, 4 CONSTRUCTION LENDING AGENCY 3]3 — ROOF NAIL_
I hereby ofrmf Ihm Were is a con.waion lending aFemfy forme performance
ollhcwNamek forwmcn lois parand i,i—cd fsf, YW7.Cio.C.) 501 — FINAL ELECTRICAL ENERGY
p z Lmdcr'sAdd.... 502 — FINAL PLUMBTNG ENERGY
V I certify that I have rend this apprfntion mW,tutu ma,the abovn inlormation is
s cornet.I agree to comply with all city and county oNinancctand surf l:,w,relalmg 503 — AL MECH N I CAL ENERGY
O U mbnddmgcoa.hmanan,aodhomes,nhori, reprcmo,anoesofthis city l0comr.,in 50 — FI AL BUIL INE ENERGY
W the aF ulc-ncrati ed pmpenY for m"chou For n ues. -
p, a. (wc)ngrcemsave,imlemndyand keep hamlc,theCllyofContomoagaio" 05. — F .NAL ELE RICRL
V] liabilities.judgment,,cos..and espenws which buy in any way acme xgmoro said
U z C."inconac.ucnccOf'lh,"nn1m,"Ilhis perah, 506 — A TES
APPI rCANT 'NDERSTANUSAND WII LCOMPLY WITH ALLNf�N.POINT
s cF E �uI boss. Issued by G Date
SiFnatmt.a "bac ,m.f ` Irate Re-roofs 50 — FIi L 1E -IANICAI_ .
HAZARDOUS MATERIALS DISCLOSURE
WIIl the appheam"I future Wilding Occupant store or hatxde hamadous mdcond Type of Roof 5 9 — FINAL GRADE
as dcrned by the Cupola,,Municipal Code,Chapter 0,12.and We Ilcadb and Safety
Code.Section 2553z(a)'f 10 — FINAL PLANNING '
°"' °N"
All roofs shall ,j4,W&Ltec�p reMa1 fir�lnyt l.hy
to installed.
winthe applicantarods.ture building by the orae Air cu ofdeviceswhich If a roof is Instal'
.yithonj., b n �� ��_{yi�S❑�Ut 1 p I agree[O remove
hazardous air<ontamiwntsadernLill by WC Pay Area Air Quality M:magcmem K 'Y7�I IM S11VHPL
^'^°" all new material ynspecggq, rstantlde and will comply with
°Ye. °"° .• all non-point so -fegulaRRi SdYY
I have mad the haehNous materials requirements under Chapter 0.95 of the 604 — ROOF IN—PROGRESS
California Iicultlf k Safe',code.Sections 25545,25533 and 35514,1 meiramnJ that '
if the building does not currently huvc a tenant.that it is no,m%,msihiliiy to notify the h
Al of Inc rcquirt`n,c'It'xIfirlh must be,net prior til i...at al a— ` Signature of Applicant DateraL�borl'd'Jasem / lime - - 'All roof coverings to be Class "B" or better'
OFFICE