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02050018 OF TINO CI BUILDI c DPEa siONPERMIT CONTRACTOR INFORMATION: li ff lgllg IgDRF,$$:,- IG CT PERMIT NO. 02050018 L11b l..2u1AND YAO TING-Y '8fgc/TJJn D2 �rff.'PlftG-CHIH PHONE: SANITARY NO. CONTROL NO. M-O ARCHITECDENGINEER: BUILDING PERMIT INFO F to BLDG ELECT PLUMB MECH P,z u LICENSED CONTRACTOR'S DECLARATION Ihereb-affirmmatIamlicensedander of Job Description s=-o prowPmfiea p € ADD 417 SQ. FT. is in fall force ore0nd effect. 3of the Business dna Profession.Cwc.and my license :ex ce< in ran l.,,and errect. ;Oyu Date Clasz Lic.a Dom Comma:or 1=O G ARCHITECT'S DECLARATION 5 1 understood my plans shall be used as public retards Ac p O Licensed Professional OWNER BUILDER DECLARATION mm� W 2 y 1 hereby affirm that 1 am exempt from the Cutthroats License Law,for the SEP Id L q LOO gL y $45000 L i a following mason.(Section]031.5.Businessand Professions Cade:Any city or county S E".� which rtquiree a permits m mnstrvet,al¢rJCI-impvwe,demolish,or repair any suucm e y3� priorto its issuance,alsorequirestheapplicant for such Permit File ignedstatement .._._ .._.-._- _ ........ _ slash glttudp nthop_ is:onsoftheContmnorsLtt La (Chapter A� r �]p��p/, /�a+�Y Valuation (.lith g the t ]8881 fD "ontnf the Bus nes- dP fs sC Je) 1 wt 2 f"..- s i 1.:L I.1°1f x, 1.JILDI it A or mai he Is exempt therefrom and the bass for the alleged exemption.Any violation 1 -of Section 1031.5 by any applicant Tor a permit subjects the applicant to a civil penalty of..,mune than me hundred dollars($S00). APN I Occupancy Type ❑1,as ouncrofthc norm employees with ua 102 - PIERS proper y ye p 5 of offered their sol.to to sec.lion. will Business the work,and anion=nraure is no, moticCommerce's License (Law does snot(Secy 0044: - owme,of and eroreasi.b cad<:The Contrcmra,Md w Law a«.net apply to an Required Inspections owner of h his o y em builds or imprmes thereon,dad who does such work himself or 10 4 - REBAR or through his own employes,provided that such improvements are not intended or afreaa Toro,alerlr,-However.the building driltprovemwt is Cold avenin one>'ea:aro . . _.--_ 105----ANCHOR -BOLTS `---. -----..- � - - ---- -_ .. completion,the ownerbuimer will nage the burden of proving that he did not build or 106 - SEWER & WATER ` V. improve fm purpose or sale.). y.a.°whe,arneprefootame;flux i,elycoidwBrswiihii&io,-dc�t;Itoo,to 202_.-._-UNDERFLOOR.. PLUMBING. .._.... °nahaet the project(Sec.7044.Business and Professions cmc:)The Contractors 203 - UNDERFLOOR MECHANICAL ', - - license Law does not apply to an owner of propcny who builds or improves thereon, - `. and who contracts for such projects wi h a commmngs)licensed parauant tame. __. _._ ..2 04._-. UNDERFLOOR FRAME Contractors License Low. 205 - UNDERFLOOR'.INSULATION- 0 I am exempt under S ,B&PCT tM1s Aiar. ��/y�a i 301 - ROUGH PLUMBING O ERS. DNSATIONDEC RA N 302 - TUB & OR SHOWER n«In=reby unmet penmty orp<yaiy one onnq snow ng a«laruona. 303 - ROUGH MECHANICAL F ❑ 1 have and will maint5in Cerurcme of 6mort to,elf-insure Tor Worker. 304 - ROUGH ELECTRICAL Compensation, as provided for by Section 3700 of he labor Cade, far he 305 - FRAME performance of the work for which this permit is issued. 306 - HOLDOWNS 01 have and will maintain Worker's Coinparroodov Insurance,as requited by Section 307 - INSULATION 3108 of the Labor Care,for the performance of the work for which this permit is issued My Worker's Compensan°n lnsumnced carrier and Policy ..ad are: _30.8SHEETROCK..-_. m. ._.. ... _ ...av' .- ._ c�.,t t +" , "t : I EM No ' '� .' ;'x309 .:,EXTERIOR' LATH'. CERTIFICACOMPENTION OF E TION INSURANCN MOME WORKERS s- i s1 — I ' . 'r - _. 3.10__..- ..INTERI,QR.-LATH__... • r(rbf.3eFroh'Jeea'rmMedmpi<;eaifthepe.i,iaroronehundreddnnars 311• SCRATCH COAT 313 - ROOF NAIL_ _. . _. . I rfry'tnt m ,perr of the work nenm perms . nem 1 501 - FINAL ELECTRICAL''.:ENERGY niCompensation p1L y�x{ ` nj7, 7'�-`n Worker,' °`k ra 502 - FINAL PLUMBING ENERGY APPI s1-E `I^� ! .. s pt Id 503 FINAL MECHANICAL ENERGY NOTI DAPPLI ANT t, B k th C rcmc of ynus m - t, Z becamej n thew k C pe Betio p x Fisher Labo Cm<.you mds ,Oz forthdthcomplywitAsuchprovisionsooh Permit shall he deemed revoked. 504 - FINAL BUILDING ENERGY 505 FINAL- ELECTRICAL - F,: .�.: ' .(� '. CONSTRUCTION LENDING AGENCY CC<i y I Is by (firm that the- a coarct rs lending agency for the performance 506 - GAS TEST 's of the k r° h'h th pc 't sued(Sec 309] Civ C) - LendrINm< _ . --507 - - -FINAL-PLUMBING .. ._ D%z Lend q'naere 508 - FINAL MECHANICALL, .. -.-_-- U O •I esoify that 1 have rend this application and state that the above inforznetion is 509 - FINAL GRADE �+ F correaa agree m comply with ell city dna county ordinances mtl state laws enter upon / .O�U the above-mering oumion:pertyand fri inspection -uposes.ItivesofNiscitym<merupon 510 - FINAL PLANNING t,,:,fa] the aba(We)agree 16oned property for inspection p karmic. ^A (WejigmemsaoUmdcmrtlfyand keep hihamayinthe MYwa6Aefxemnoa9dint 514 - FINAL PUBLIC WORKS h liabilities,judgments,costs and ing of thi which mayin any way carve against said V.y City in consequence of the granting of this permit.' Y APPLICANT ONDERSTAN SAND WILL OhIPLY,WITH gLL'NON-PDINT' 1 OURCERF I.ATIO �r:. t o Issued by: Dale _ - .ig:aureof APPlic Cnnrador '• "" "'. '^ Dae" j' y pe p Code Chapter 9 I2 and the Health d RC-COOTS A DOUS MATERIAIS DNCLOSUR defined e Will the pp t future bidding e, pa list -ha die Heallou naafety Type Of Roof sdef tli the C n M P Safety yP - - Code Section 25532(e)? � - - DY<sr' .r ❑N ..' t _All roofs shall.be inspected poor to.any roofing.ma[enal being installed., W B the ppl canto f t lit fi sec e B t e. P as ae nim If a roof is installed without first obtaining am inspection', I agree to remove mh'hn d contaminantssdef a by th Bay p a AirQuality M gemem -'"i1 all new materials for inspection Applicant understands and will comply with ❑Y - - U.Fa ... P Y.... _. all non-point source regulations:. 1 Ilha e.read.thf K..udMx mate mals regmremrnts under Chaim r 6.95 of rhe Glifom a Hwith&Safety Cade.Sections 25M5:25533 And 8534.1 understand them if the budding does not currently have a tenam,that it is myrespo iNt ility to notify}he occupant of the requircmems which must be'met prior to issuance of a Certircate of Occupanc3'.r• .. .. " • ' " Signature of Applicant o .- - Date _ Tamm od=was Date All roof coverings to be Class "B"or'better" OFFICE .._. . . .. - ' .. ._ . . . . .,. '