00060057 cluo,LDDI curnRONNO CONTRACTOR;INFORM°ANON°£
PERMIT
BUILDINGADDRESS + PERMPI NO. "!
OWNER'S 1A 7 CREEKLINE LOT 1 - �' ' APPLICAr 1 'r
PHONE: . R.LDI,NG/DAV.ISON - , SAN,TARMArj/ NO. .
O O ARCHITECT/ENGINEER: - r BUILDING PERMIT INFO +
BLDG ELECT. -,PLUMB MECH
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LICENSED CON'T'RACTORS DECLARATIONDescription
4
L Z EI& 1 h b B rib t 1 I' : I d Job Descri tion -
o z_❑ > p f Chapter c momrma a s P I .
with S , emal fD 3 f,h B JP f 'Code Lind nyl e
is in fill
License Class L # - -
3 Date
Culablead
ARCHId CCTS DECLARATION - SFDWL -
pppµpp u.O understand y ime,daill be u,e p Mx o,.nnlx
c, OWNER BUILDER DECLARATION NOVO el
ed M ell I li by B tot 1 p,t lh C l l 1 1 f ,he C 200 1
d g (SectionAlt 1 5 B and Pf Code Ally -
nc�hcartoon
pd, to l ' q Ipl' „f clip ra II statement
that he license,] 1, provision, T ra c l r L I rClec, c , Sq'
t.l oorreILDINd Valuationma mg ll S l m0ll ,D 3 1 J Businessland Profession,Code)
or that hes exs,ap,th rafr m and the bass for the alleged excuption.Any violation
-
- LL
of Section 7031.5 by any applicant for if permit subjects the applicant Id a civil penalty e
of nal n,am than live nundfm as htl',ruom_ - -APNNoInher
+ ❑las w rrflhe propcny nr mycnphy - 'Ili w.,gee us the'r sale compcnxotlnn, �`
will do lh k 1 the directors, ,ot intended or offered for at,(See 7044, � ys
.
Business J Professions C d Thu Contractor's License Law does not apply to Eat - 362] 7002.,tai equired-Inspections
owner of properly Who h.11',' r m olor"moreon.and who J ,wJ,work h'nxelf - - •,
rf(hough h'. ply p WeJ ll t such improvement,,ince., aturderior - -
alre 1 fin,sale.If,however,the 6odding -or inproverent':sold within c year f -
- ,nnlp,m.me'wnorb lapwphave(h nme,orpnon"In.,h did ambsldaf _ 101. FOUNDATION
c,p rhP p: 1 1. , 1.02 PIERS -
r
construct the
u efi P Pe t7
con cl
project rs A144 Bromoss and Pr resi :Costs)TI Conarmter, 1.03 .— UFER
+ an d l "ply l an I p P tr
Co n Contractor
r tics p�u*x wile eommcmrcx)licensed paraam m me 1214 — REBAR
oll l�a ^dnersei� � B,@Pcforlhl r � ' 105 'ANCHOR_ BOLTSOwn"
w L x �p _ oa .. 106 _ 'SEWER & WATER
• wOR rRscon rvsnTlnN..ubcI ARATION •��-0,' — UNDERFLOOR
PLUMBING'- ;
,hereby afel�m andurponafty,arpeQaryamvahhc following d,]..dons: 203 — QNDERFLOOR MECHANICAL',
1 b m
a 1 "11 a al,a Cu(fu, f C t l : Irn.-are r Workers 204, UNDERFLOOR FRAME ., .
mpulwl'nn
as Provided far by Su.tl„ 370() of tire Labor Cntle, far ,he `
padaununre of the work for which III,"'resit ix cawed,
" — fl
205 JNDEP.FLOQR
INSULATION,
'
I
EJ I have and will narimmor W kids Ciampi fsumber,as-received by Suffic, 301 ROUGH PLUMBING.
3700 of,he Labor Cade,for the p,donmmce of one work for which thisp,rdl is '
urd.MyWorker',Compereran,I nlnmedcardermldPahcymnam,,me: 302'u— 'TUB &- OR SHOWER
Carrier: Policy ' S -f
.CERTIFICATION 01;EXEMPTION FROM WORKERS' .3G`'3 — ROUGH "MECHANICAL '
COMPENSATION INSURANCE 304 — 'RO1.JGH EL_ECTRICALk t,
V .
('fi L:e'r eeA mm ne'o,mpm„d'r o re Inh i,n hundred dollars 305 FRAME. , ,
'r5100l 1 l1 306 - IIOLDOW.I%IS
I ccm toy any,person
pet f k r me subject
p d . issued,l
C nd t ply y p .atl)framer ,to become an,l�t o-.the Workers '. . 307 T NSULATION
Comb ,u,mn L.can of Calif at..Dale '.
Applicant308 —
f ' - '
30'8SHEETROCK'
NUHCETOIf l kg,h reply hoald
RTHO' beeordR„daWmk c P :l ld nhe cJ you and '309 -- EXTERIOR LATH
0'
fonhwithemmply with hp kmsnnh pe, hall he eerrad accused
310 INTERIOR LATH
CONSIRUC`PONLLNDINGAGENCY . ,
Ihemny,rrmthatra ., r lending agency for,h'pctlbmmnoe 311 SCRATCH'_COAT
i 'AROOF NAIL
-
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- -
,
.1
-
be
-
Leader',Adams. - - W G
501 — FINAL ELECTRICAL ENERGY -
1 ,meta a ids . ryL la n ,, ,nla M r totalingr 502 — FINAL PLUMBING ENERGY . '
Fc F Daft 1.1 g 1 plr n n try d tr r a wild,r . '
O � Ian ldn, In ly tb 'rep l l „h flys onto, p 803 — FINAL' MECHANICAL`ENERGY. '
,b' n r Iproperty l .p r p p , Y
E+ 1 es pal te pe cake Pn a cty fcn�f 504 — .FINAL BUILDING 'ENERGY,
rw % liabilities i 16 t l all p :: may in any way against slid .v
V z city q •nce m n, granting of this p rn't. _ tt -
”, r OPLIC TUNDERQNN SANDWILLC PLY WITH ALL ON- INT ,Issued by: 505" FINAL ELF_CTRICALDate. l 6 � ?D ��
1O 200179MA AMR
sgna ofA,licanoa,nlm'lof, Re-roofs 507 :— .FI NAL-.,PLUMBING
HAZARDOUS MAT J IALS DISCLOSURE -
WlllmeappleardarhamebudlhngollopintxlemarhandlehaveNorum,aend Type of Roof 508" FINAL IllECHANICAL•
v defined by the C P l Municipal C I CI p,c 9.12.aI theHealth d Safety
,CoeSection 2553zr) 09' — F NAL GRAD
°Y °N All roofs shat
��1s ec(�µ}r t1� tQ.�1 �p ynp,matenal'bein installed. a
Will th a ppl' t future ebuilding p i plu p , rJ x which' KA 1'J iH I-'1.��14 11810 g
mien a communicate, JermaJbyu,aBay�maA Quality M rase p„ ' If a roof-ro ms��aa�1ed wuh ,t,,,7,II�s ob 1{(��j�'�g pJ1,,1gqs t I agree ro remove
4151 all new materials{$r inse184. A tlCdntiMd&i �and•will cora l with
°Y` °Na -
allnon-point AZI ereg�R(tRE P YWOOD. NAIL PY I
1 have read the InfLoda,male 1:requirements order Chapter acs ar the `603. —- ROOF--BATTENS '
Cxllfonuu Health Rr9dpyC 16 l 25511525A3 d25534.1 uncle t Jrhm - " - -
Fire building does not currentlyh atena ,that ii . y .p ,bill l notify the �" - '
xru lora„rc v y 60d'-- ROUT ' 1.11_^-'1'NUUI,4Ei;s
l Afcu an yu'rc lx which mmI lw or mof a Can h'am of
ZD 'Signature of Applicant` y l - Date '
O1I..6r both a f,,d ugcal ale -"AI I roof'coverings,to be Class "B”or better
OFFICE