01090065 CITYBUILDING DIIVIISSIIONNOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
20687 CRAIG CT 01090065
OWNER'S NAME: APPLICATION SUB DATE
BRESANI ALBERT AND MARIE E 09/17/2001
1/M PHONE: SANITARY NO. CONTROL NO.
aselc O ARCHITECr/ENGINEER: BUILDING PERMIT INFO
z�� BLDG ELECT PLUMB MECH
y<< CJ L_J IJ LJ
LICENSED COK, RACTOR'S DECLARATION
.i i H 1 herchy affirm tha 1 am licensed under provisions of Chapter 9(commencing Job Description
withSenion]WO)ofDivision 3ofthe Business and Profession.Code.and mylicense
REMOVE 2 WALLS &
is inmu,n Land IT I. [ ADD 2 WINDOWS .
O'�-�,U License ClensL Licaa
Dam y_�-a n/ cnmraclor ✓ .
3 y v AI LH�Cr'S DECLARAT ON p^�sy
1 understand my plans shall he used as public records a ,�;7Y
1 m¢O Licensed Professional 2��2
e u- OWNER-BUILDER DECLARATION
I hereby ulfnn that I art,exempt from,he Con,mcmr's License Law for the t\IFI
f z< follnwiny reason.(Section 01131.5,Business and Professions Code:Any city or county
f D which requires permit , c, alter,improve,demolish.or repair any structure
phot t, N.o y di ppl'mn fa—uch Penmtt file 'p«d.a¢nem. _.. - ___ -__....__.._.
,net he el nsedp Iiq,h 'pmvs sof,ne ConnauorsL La [Chamcr9
(comm c 6. th S ,4 ]1NM11 f D on 3 of,hc Buvness d P re 4 coaro r' f ;€` ,so r . aluatlon
or that he s bompt therefrom and the basis for the alleged exemption.Any violation
k' 't 'k'` f''" �''gZ'-�> -� 2 t'.s F
--ofSwim 7031;5 by any applicant for a permit subjects the applicant to a civil penalty I gzQ1 S q na '
instant mom than.five hundred dollars ls5au. AFN Number 17 w, Occupancy Type
❑1.a owner o(me pro«ny.or my employees with uanu as Meir sok compensation, i
will do the work.-and the structure is not intended or offered for sale'(S«.-]BA,- - —
'Bminesi obd Professions Cods:The Commcmr's License Law does not apply to an 102 - PIERS Required Inspections''�'' •'
ow.of properly Who builds or impmres 0mmon.and xho dov,such work himself j
or through tux own employees.Provided that such improvet«ms are not intended in 103 - UFER
offered for sate.If,bravest,the building or improvement is sold within one year of - -"- "_ -
104 — REBAR yu :ii:o
completion.me owner-Wilaer will ha.e the Wrdcn of proving mat W dict nm Wild or �
improve for purrom of sale.k _
ANCHOR BOLTS
commicthe athe pmpenyam BusinesslydRecssion,Cosensedcommcmrsm 506 ----SEWER & WATER u...' - --
- _ Liver.m the project(sec.]Out owner o and enty who
C4dep nprrls,ves th mors
_ urtnsel_,wd«xmtaNl ,o an owner or 202 — UNDERFLOOR PLUMBING
Y PmpcnY who Wilds w:mpmvu mcrcon.
eM.who contracts foLsuch intoes"with a contractual Ii«nttd postictal to[be.
Commi license law._, . — 203 _ -UNDERFLOOR MECHANICAL --
?j[ ❑lamexempt order Sec. °;9&PCformisnuon 204 — UNDERFLOOR' FRAME`1n
Date205 — UNDERFLOOR INSULATION
-" - 'WORKER'S COMPENSATION DECLARATION ,301 - ROUGH PLUMBING
1hereby alrnnunder,Pnayyofp,rjmy,one oriherrurwingaetmmtions: 302 - TUB & OR SHOWER
o I base and will maimain'd Certificate of consent to self-insure for workers 3 03 — ROUGH MECHANICAL
Compersmion,-or pr..ned for by Section 3700 of the Labor Code1. , for the
pe mmnaor,newrrkra wmrnmis nni11sjsneq. 304 — ROUGH ELECTRICAL
❑I h d 'll brinionam Worker c' .pie ,ulbm
I lice y ti by Section 3 05 - FRAME
37W of the LabLabi Code r thef ren f theis
blind Mrw k co, tIns,Po mi�1Cr/58 Po�p}'n� `:�t - 307 = 'SNSULATION,.'
- _..__,
a
i 1 +CERTIFICATION OF EXEMPTION FROM,WORKERSt•310,$K,_ 11S'HE;+ETROC,+KkCO ,• , d .111h t
(Th iodn«anwMtampldeeNrmepemtINSURANCE _-30.9 j'-':EXTERIOR_.LATH ,-. ',.- - —'---- '------- —
(slro,rrkp, am 310 — INTERIOR LATH 1 - (1•`r4.rrt_2 'I�p_
nf - '
is i — —SCRATCH COAT I tk 311""
soon plot any a m lir lie,
,{„ K--
Compensation Lawn 4fCa1Trento Dai3 ROOF
Applicant a vi
..
501- -- FINAL ELECTRICAL--ENERGY -
-NOTICE camesuOAPPLICANT. heWaoes' kmghis C of m<ofEyou -- -- -
W shoula - I 1 -n ,.•r
O z forthwith poem, ,neu4rkd c vensauo p :omoflh Lab«emyr,�nuw 502 FINAL PLUMBING ,ENERGY
ply 'ith such Provisions ooh pe ,shall be dee ed inked.
42 ,- . _503 . -. .FINAL. MECHANIC AL.-ENERGY.. _ ..� CONSTRUCTION
._. .<,
_ "' " "` r i ON LENDING AGENCY_' -' `.' '
Ex IWrcny�rh4ama�d,e2is�cdnxductiNkhaingaem rth - 504 - FINAL BUILDING ENERGY.'t'i;
,
. .a.
3097,e " . ^
s r Pttrom,a,tt .� oflnewbrkro�amcnm_iapetmuiaissrm.lser. m.el ; . _ 505 -_ FINAL__ ELECTRICAL '
y-Q lrnd N me J ad m s application end stain mm,he above fomavon
z Lender'sAaa
506 — GAS TEST —
7":h
v.O 1«nrrlhalIhave507 — FINAL PLUMBING
LL [.w embairt.I annex to mmp1,,wilh all city and county admance,and stem hw,relating. 508 - FINAL MECHANICAL
A. mWl(We) , t n do rchit lathrep elf sof,h <tyt , poo
y w me do a property fiinspectionpuri 509 — FINAL GRADE
L eW) grc t de n fy and tee p hmml th Gty f c pertagainstid
m City
Inn t. pin .so which may nywy against 510 - FINAL PLANNING
U-z Cny ¢q ce of thegranting ofm 'pc t ' ^
APPLICANT UNDERSTAND¢ NILLCOMPLY WITH A NONPOINT 51 - NA P C WORKS
SOPCE GULATI s , Issued by: Dale 77
a(a(�erRrplcffn}No c Icoax.ch pint 9l z.arta me Hcg,n and Safety
Re-roofs
foul fA pl ck'anUc n�
,rsed by the
W 11th HAZARDOUSMATERIALS
Id ng ale panDsmreLor handle hmrive ou tonal. _.
OSURE
Type of Roof
Cods Section25532(m, - Y' r I ' '� .. ,
f-OY 1 .i o \4 til TTS. , rF' t I 7 \f ,r -,f : .i'e ... - - .L,P �'._•. ._ _ .. _
' ' " - All.roofs.shall-be-inspected prior to,any roofing material being installed.
wont appuant rfmo0buildingoctpantuseequpmentordeviceswhich If a roof isinsialled'Without first obtaininanihspecti6ri;'I'agree.toremove
n h d - Co num d rated by theBay A co AirQ al,y Ma gement
° t - all materials for inspection. Applicant understands and will comply with
, oY . - P. _
,,., ,• �' r .. i- - all lion-poinisource regulations,.. ,., ,. t ,r,L.;,:. :
1 h d me Safety
Co renals rcqu mems do Chap, 695 49,11n,
Cali(om a Hcalm&Sah,y,Code.Se tions 25505.25533 and 25534.,1 undersand that
if me Wilding I",no,cunemly have a tcoavp that is my rupovei,d,y m mafy!he, - - -
acup?n4flhc,rtquiremcmiu' ih'musf a'm<t prior to issuance ofa Celli&ate of • -
�.� r:, Oma - cY., • .. , .. ,.... .. ,
Signature of Applicant Date
r 4,mmw ace agent,"T "' Dene 11 roof coverings to be Class "B"or better
4 - OFFICE