01120029 CITY DVSONO
IiiNPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS'. PERMIT N0.
810 CANDLEWOOD DR VOLHEIM & SONS CONSTRUCT ON 01120029
S 1E' APPLICATIONSyB DATE
O
EYff 'THOMAS L AND JEAN A 2096 WINCHESTER BLVD 12/05/ 2001
PHONE: SANITARY NO. CONTROL NO.
(408) 871-9427
o-Z ARCHITECT/ENGINEER: BUILDING PERMIT INFO
,wog
BLDG ELECT PLUMB MUCH
n« LJ —t UJ I_J
LICENSED CONTRACTOR'S DECLARATION
5 ? Job Description
5z=e o matlamnc<naauneerpro,h,mn,orehaptervtcommrmm�g REPLACE WINDOWS AND SLIDING PATIO DOOR
Znt. .,'7th Sen lone and effect. an3of the Businc.a and Pruressions Cole.cera mylicense
¢-E, Licensin il force and effect.
z O c U Date Claa Lic,b
n F Date S ontractor
DELLA
O Q ARCHIT'ECT'S DECLARATION
1 under,mnd m)'plans shall be caved as public recalls
llr
az Licensed LiceeJ Prolcssional JAN 1 0 2002
OWNERBUILDERDECLARATION
ao-,o I hereby affirm Ihm 1 am conmN from,he Comm,mr's License Law for the
F z< following reason.(section 7031,5.Business and Profession,Come:Any city or county $3000
F O wti h q permit t omet,alter,improve,demolish, repa"'
any swewre
to ho t t -. I ,m 'd '�pli tr hpermn fl 'g d,or m.
'bathe ixiininsedp's tothe pientsions ofm C t for License W fChp¢r9 Valuation
(comm gwnnse to momorDib: 3 nh l sine ngion Any vii aq 1_F.I'"b.f o3: .1 a. •t ga.:r! t ,'
or that io i7 31:5 hi mer.ppl;and me basis for the mmg2e ecphrom has
s ri violation _ ._
-of Section thnfiv anydred dollars
far.permit,ubjmts the applicam,oacivil pcnalry-
Occupancy Type
or not mare man five nnnarm amlars(,5,5007. 10 lApN 'lJ[tDAT I ON P Y YP
_❑Los Owner.fflm,mpcd,mnhyemplaycc,whhwagesavhefrsofecommitment. , 102 PIERS
will do the work,and the structurn'is manicured m offered for,ale-(Sec:7o ;
Business and ProfesInch,Cade:The Comments Licence Law does not apply to an 103 - UFER Required Inspections -
w
ref,it,enywhrmild,orimprove,doccer.and whodoe„ met work himself 104 - REBAR
onh gh h ply provided thet h _ t. tintended
_._... .- _.
'-ofL-d'f 1.I(h th the h ld n6 improvement P t isold within year 105. ANCHOR BOliTS
n one y '
mi plef the owner—build will have the burden fp gthat hdA tb Id or
rmP pm f. 17 106 - SEWER & WATER
_ 7rf5or<6e�bnnep Pnyan;exelu.i Tyco,tmcingw;mrenw<acontracto,,o 202 ...___ UNDERFLOOR PLUMBING
m
nmet teeproem(Site.7Baa.Business and Pme,var,Caae:7 The Chromium,
203 - UNDERFLOOR MECHANICAL;
Lic<nx Law does not apply m an owner of Progeny who builds or improves thereon, '
and,vho contracts for such projects with a commmaa,7 Bcemad pursuant to mit _ _...-... .-. 204- - -UNDERFLOOR -FRAME._.. . -.. ...---_ ..._.. .._- ._."... _..
Con t SB&
License Law.
Dlom205 - UNDERFLOOR>INSULATION
exempner ee. PcTor this mason
owner, / - S' " o 't- 301 - ROUGH PLUMBING
- � WORKER'S COh1PENSATION DE LARATION 302 - TUB & OR SHOWER
ne nyar rill oneaetnefanawirgaeciameans. 303 - ROUGH MECHANICAL
D 1 have and win rndmtam a ceniacom of Consent m self-m=ute far Worker's 304 - ROUGH ELECTRICAL
Compensation, as provided for by Section 37M of the Labor Code, for the
pedocumnae of work far which this pem,h;,issued. 305 — FRAME
D I mention]wili'mammin worker,Compensation m:urance,a,required by Section 306 - HOLDOWNS
3700 of the Either Cade,for the performance of the work for which this Permit is 307 - INSULATION
C r s(Campion i I ur and Policy -be e
. 308 - SHEETROCK -°' _
issued,My kJ
vn -CERTTMCATIONOFEXEMPTIONFROM.WORKERS ',pf4' L -309 =-gEXTERIOR !L'ATI-I
..
COMP
ENsnnoNlNsuRArycE - 310.;--INTERIOR._.LATH....'
nn ,ucoan need not be completed if the permit i,for one hundred sorer. 311 - SCRATCH COAT t
air
(E10011 ccmfy marl
31.3.. __-ROOF--NAIL-._..
n titc pert c f thek f' which u ct tr ss M 1 -
Cour not a on L any Pe y man as to necam subject m the Workers 501 - FINAL ELECTRICAL'"'ENERGY
Cu x t arCalifornia.Date 502.- - . FINAL . PLUMBING_. ENERGY .
NOTICE TO APPLICANT.if, ❑ makingthsCnY are ptyh snm°
became 503 - FINAL MECHANICAL ENERGY
forthwith x m(me Wks C mpen m P sY ,vn
O nn m pmwitn cnp aon,artn permit hall
nb the Lab Cod u
a mrevakee. 504 ._-
FINAL
, , .
_ FINAL_ BU
ILDING ENERGY
'CONSTRUCTION LENDING AGENCY _ NAL ELECTRICAL n by ffrm that m construction lending agency rrme peRamanceWd 506 GAS TEST
a LeauNN507" FINAL PLUMBNGe ae ,
UO icenrYmatl ave ,atm,apdhcattonanasta<mmm<abo,emromat,oris 508 - FINAL MECHANICAL'
wE, come[ I s t comply with all city d o ,>ordinances e t I relating 509 — FINAL GRADE
O C) robuilding c t as do rebs m p ri of city t upon
p W he ba qproperty r, pts purposes. 510 - FINAL PLANNING
� 0.` (w) gre to, indemnify andkeep ha l the cry ofc pn' 'gamn
.” m liabilities.judgment, t'and expenses which may,n any y,aceme aga ms,sand 514 — FINAL PUB C WORKS
V City nconsequenh
offte,rantir,cifft"permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT"
SOURCE REGULATIONS ., Issued by: Dale
sig at rA i mC t t pate' Re-roofs
y pen M c p I C
P° HAZARDOUS MATERIALS DISCLOSURE t t or n ei<l,a:mb','m t .� Type of Roof:_ ' -y�
Wll the DDI at rfm reb Id YP
a d f e b to C od Ch pt 9 12 a d the H Ifo and 5 may
Cod S t 255320 p ted nor to an roofing
❑Yes ❑No I P s
p a t b
omnm a, a Enedb m a, A all new ms insta l ms ec p ygan:i material_being installed.
Will the aPPl t firm,,b Idwhich -
g u t eq p t de
for n,am A Quality tr M a? t all no omf_s (led Without firs[obtaining an Ynspectton;I'agree`[o remove
All Too s s all
If a roof is ms
O1S1nc cels for inspection. Applicant understands and will comply with
. I - p oui'ce regulations.. ,. _. ... ,. -
I h ve read the hamendium,material,req m33 an 2 Chapter 695 of the
Calf in,lth&due,
., ur e tl Sections 25505 t itis and sponse I understand that'
iftnapsom of
he hsnotcurrui ly whiaveatenbe met prior my responsibility siofa mmficfy the -
ac p t of th rcquirc t which must b i prior m iss nee f a Cenifc tc of
()Iicufoimy Signature of Applicant Dale
Owners a dounat agcon Date All roof coverings to be Class,"B or better
.. . . .:.._ ..,. a . ... .. .OFFICE.. _