02060020CIBUILDING DIVOF ISION o
CONTRACTOR INFORMATION:
PERMIT
BUILDING ADDRESS:
PERMIT NO.
803 CANDLEWOOD DR
02060020
OWNER'S NAME:
..
APPLICATION SOB DATE
�NIEMANN EDWIN L AND LINDA J
06/04/2002
PHONE:
SANITARY NO. CONTROL NO.
zo ARCHITECTIENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
or
G7 LJ L.J L: -I
LICENSEDCLARATION
underr
Job Description
lliicensed
I hereby flims that prove ons of Chapter 9leommencing
ou with Section 700F of Division 3 of the Business add Pro(.. inns Code. and my license
FINAL INSPECTION ON REMODEL
in full force and effect.
L
ClassLic.0
L
Contractor
ZARCHITECTS DECLARATION
shall be used os c rccoNs -
_ ..
- � f 1 '
plans publ
1111
81i9,ALE®
essi
Licensed Professional
ad
a. OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
y city or county"
< following mavon. (Section ]031.5. Business and Professions Code Any
❑ which requires a permit to construct alter, im rove, demolish, or repair an structure
JUN O ZOOZ 0
_ prior to its issuance, also requires the applicant for such permit t. file a signed statement.
- that he is licensed pursuant to the provisions ofdoContractor's License Ww(Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Cartel
; 'r' •t)\ "'
- - pa'^5+or ea,., 4.] « i /" "1
. Valuation
or that he is exact t thBieGom and the basis for the alleged ekem don An
P g p y violation
\
1 -'
L 1f J V V u' Cu"'..' 1 ' L °-f'
1
-of Smtionethan aundred can rnrapermh "an�eets me appreant toa=mil penmro'
iv
,arnarmor<man five hnmrea enliaa ("soot
�r,,� TD���
APNF'OUNDATION
Occupancy Type
�`���� "
101
❑ Lascramerofthe property entry employees ith wal as their sole compensation.:
will do'the ' k d the swcmre s net ...deador offered' for sale ISob770 a,'
--- - -
- PIERS,
Bmiross and Pmfces,oes CodeThc Cot t . License Law does not apply IF m
103
- UFER Required Inspections - " - • "
ow r of property Who bu hL or tmpmv s thereon, and who does such work himself
or through
" h es provdFord ch improvements intended or
104__--._REBAR.
offered fdr sale: If, howeve theh ldin&orimpridvrnnscntis sold-"thnoncYmi of
c
c.
n repletion, Ne owner buedr w II have 0e buNen of proving "nm he de not Wild or
1 0 5
. .._-_ .
—.-.._. _ _. ----- -------
- ANCHOR BOLTS `
imp for purpose f.1L
106
- SEWER & WATER
_
13 1 e r i me mcda nnaa -
a w: lads
4411 _--
202
_- 4114 _ __ _ 1111_— . ... _ _
— UNDERFLOOR PLUMBING
eobe eetY Pr�r,
consumer the prole. (See ]0M, Business rid Profess ons Crocco The Cammcmr s
icen:eLawdoesnotapplytoanownerofprobe,whobuile.nrimprove.mereon.
203
— UNDERFLOOR MECHANI'CALi '
and who-oddracts.fier-such. pmlectswith a mmm"on(s)licensed purmont,to the.
_ �...
144,1_
Continue L epee lv w.
'' "
2'04
— UNDERFLOOR ':FRAME —
7q1 pt ndcrs r "" B&PCfm,histcamn
205
tt(
— UNDERFLOOR'INSUliATION
e-'WORKER'SCOMPE`e'TION DECLARATION
301
- ROUGH PLUMBING
t"QJr hlrcrclyfrw ace pe ahy orperj ry Fifths, followingdeclaratmm: -
302
— TUB & .OR SHOWER
t'' '' �' - 1.`
303
— ROUGH MECHANICAL :
so P;haye"•and'"wall"maintain o CeniGcaic of. Consent to self -insure for worker's
Compo"aim. as -provided far by Seetmn 37W nr-me Mbar Code. foe me
304
- ROUGH ELECTRICAL
- p2aondismo a of he work in' wnwit this Rem, I is Is. it
305
- FRAME
. of haveandwilimalnmfa MnFkenCumpenxalnAmsurance.asreq�iredbyS.i.n
306
- HOEDOWNS
37W of the Labor Code, for the performance ofthe work for which this permit is
_ isiss, My Worker's Comps ncatiessidsumnce camber and Policy number are: -'
„'..
307
- INSULATION_
_
3 0,8
_ _..—,. .,.....�..,,. m .• 1111 ..,, 1111 �,,, : -.
EETIWCKr
• (t'CIRTIFICATIONOFEXEMPITONFROMWORKERS
COMPENSATION NSURANCE 1 .' s a
i '-�' 309
i...- rNr
="EXTERIOR'LATH"
-...-- - .. �..
not bd"nnpmee Tine Permit i" rnr one nnndrce collars
..-1114... _.�.
310
_
.. 1111 ,_. 1111.
...
`.`INTERIOR LATH "� I
• t r".„t
.,. ,
311
— SCRATCH COAT
-
r
`hppl(`Cyn`y' �
AF
502
— FINAL PLUMBING ENERGYRi
--
- onhwthbecttowhthCv<h�o �thisPem�nu�bd«me,Ca`I,eaums`
503
— FIONALNMECHANICAL ENERGY
-504----
FINAL --BUS-LDING--ENERGY-.,.. -
n ti M'' CONSTRUCTION LENDING AGENCY
'I onlebY from th t'herconstruction lending agncy for m, prforinancc
505
I--'
...
- FINAL ELECTRICAL, :. ,.
of the work for which this pens t ” issued (See. 3097, Civ. C I '' "
n
lkmdeNarni :-'- : _.:-;:' :. - _.c..._'-- 1.144...' -441 -._,.:
._,..-,...._...506-.
�, ,
-_.GAS - TEST
I-che Ade
507
— FINAL PLUMBING
lenfy Natlh ere dBit pylict cistt thuhe b formtion1
508
— FINAL MECHANICAL'
1 cameo I agree , ply he all 9y ri aunty e n nc d tate 1 laung
prednmtivevofih"ctytocmer upu.
the
509
— FINAL GRADE
WrIngconnonsed randhercbyamho
op w ap Prtyr p=t pry
sIN'1 gest c d 'ty dt ph nl.iir 'City ofCU,
p.n odgaina
510
- FINAL PLANNING.
0ly,] )nag n t d'xpni s hchmp y y again.t.md
City f h -
514
- FINAL U C WORKS /
IC yuenmur The ANDpainting
d\TU\DER9TA\DS AND\l' L<CO , \tC NOS p NT'
/��
r,
yC C/
OURC 'r\\9TH
DUR(t�r�,�t+LAAItl.�
Issued by
Date
f d �1 ���
MFinawre,ut A�poicamiCombecor D:tae ,,, i,
HAL\RDOUS MATERIALS DISCLOSURE
Re -roofs /
as deficiedlbt the C;Ya t f t n log p t . n a1 ria ora t v
y pert o Mun p l Cod Ch pt 9 1 d the H lth d S f Safety
..Type of Roof-.,,,-
-- - - - -
Cod S ct 25532(a).""r "
❑Vali iitfiN
t !' : �( h. 'i
" .:; 4• i p,'1 T I`�.. i !u
'. -
Will dhire nt t or future building ed o c p t use qac irQ to a aha which
' em a defined by theBay A A Quality ty M t
All roofs shall be inspected poor to roofing -material being installed
If a roof is installe'd4ithout first obtaining an inspection I'a ree.to'-remove
g
ria%
District?
trio?
- - No_
_ all new materials
for inspection. Applicant understands and. will comply with
o
all non -point
.
source Pegulat3ons "— —
me men rdo natermi
Cal'fomtaHwlth&Safes Code.Sections25505:25533und255ih Pundcmamlthat
if thebnedimg does not cvnemlyhove a tenant. that it is my responsibility to notify Five
-- -- -- "'
........ _- _.. 1411. . .
- - - .__
•becup5rit of the requirements which mus he met prior to issuancemf a Certificate of
Oke nc '.' ,� � i. c
_
Signature of ._.
Applicant Date
PP
All roof coverings to be Class "B” orbetter:: -
° aum.dzcd'agea = ..„• .. - oat
OFFICE
-
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