02010128 TY OF
CJ
BUILDING DIIV�'ISIONNOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS'. PERMIT NO.
1190 CRESTLINE DR ALL VALLEY PLUMBING 02010128
OWNER'S NAME' APPLI ARON UB DATE
KENNETH RILLING 170 BRANNON DR O1f30?2002
. PHONE: SANITARY NO. CONTROL NO.
(510) 376-4816
Q ZO ARCHITECTIENGINEER: BUILDING PERMIT INFO
u- BLDG ELECT PLUMB MECH
y i LICENSED CONTRACTOR'S DECLARATION
z z v I herrn farm mat I am licensed under Job Descri tion
O Z=p Y u provisions of Chapmr 9(cammccense
P_tw who semm�]WB)aromismn3nnne Baame�na Praressiona case �nd my license WATERN HEATER REPLACE ENT. -
a
'e47..l� is in full loar�ee ffe Q
z ce< License CIe42"" - 7/ b
Sa y f die Con a or
F O-5 A HITECas ARATION
I er p s shal Ideas blic re
ru p ca Profe sro a
OWN -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the
,ciz< following reason(Section 7031.5,Business and Professions Code:Any city or county $1500
2F C which requires a permit to coushma,alter,improve,demolish,or repair any structure
ca
63.p -,pnor to isissuance,also q the ( hpemul to fl signed statement
m odde Ice sedpulsu«nuom p c fth C o-act eas LawCbcr9 it �•.; Valuation
( w g tn5ai PWB) 'rD 3 of he yak add Professionscnae) 1 ''�h': ft&§246flPospgca,$,,1 �.°� i
o that h is exempt lh Yf and the b for the alleged a prion.Any violation ''
-ofSection]031:5 by ypplicant for pentrt subjects theapplicant to a civil penalty
mf inretmadfv hundred donars(S5W). 502 APKFiui44 FJ PLUMBING ENERGY Occupancy Type
❑1as oa,net ofdiProPery,or my employeeswth wages as their sole compensation, 6 - GA TEST ;
-will doth -work;and tht t is not intended or offered for sale sce.7064,-
�Bmrlirlcvs and Pl6ficilmal Cod.The Commcmr s License Law does not apply to an 507 - FINAL PL ITWOnspections ' -
owner of property Who builds or improves thereon,and who does such work himself
or through his own employees provided th i such improvements am not intended or
'_dffcr-ied for sole-If.movoto,_'he bCle - - .._ -._..___._.__. __-_.___..- -_._..._..- _._..._-y__ _.._._._
g p t Id-within'one build or t r
prove for the owner bC(der will have the burden of prov ng mm he d d not build or j ^'
improve for purpose of sale.).
c I ct f je p pert 7 Buda ly r i g I f d o - _ t...no
-----
construct project ora ]ton Business adProfessions Cadrimp C r r s FIN /� LE®
eu 9'OR.fl-9.
--
License Law docs not apply m an owner of property who builds or improves thereon
a
...and who comracts fmsuch Prolens with a.comrnnor(s).licensed pursuant m Ne __.__. .__.....__.. _.....__.... .......-___ .._....._ ,. _'___...-... -:.
T C to n e P nse la -�,1' .. -
rid S _-._-......
_. <• ...i'. reason n
❑1 to
&PGfnr,n MAR 0 6 'r2002
0'
amer Dam' .. .
" WORKER'S COMPENSATION DECLARATION p p�/'�
• ' Ih by affirm a1. penalty �P 1ry fNe_11f 11 gdeclarations:
BUILDING
❑ 1 have and wili'mairesin a Cerff t of Coarestat in elf firsmard for Worker's
c _
Compensation, as,provided'for by-Season 3]00 of-the Labor Code,for the
for
a mance of the work for which his permit is issued.
❑1 have and will maintain W Fk hr's Compe u insurance, quina by section
37W of the'Labor'C d forthepirf rm f the
'work'for which this min is
,f i J:MyW WIr ork p sfan ids 'er and Policy be re:
- .i I I .. _.. _,...... ..
1 ERTIFIa fl N OP,EX MPTIONFR M WORKERS •`v 't 1 Jl lr {° t y i s °i 1, tT (. n ,'d,: \ I' "''
9 COMPENSATION INSURANCE I
' rr lIbn need oat M cbmpined f the permit i. for one Hundred collars ,�. "�\ \ 1 J..
(SIW)oew.),
1 rtfy thhI C P of'he owhich 1.m ce 't s a
:mmanner
11 [ pl Y'n-Y Pr in
mmars r ac m'beco uhlea rd the W kers
C n Laws f California.Date
Applicant.
•NOTICE TOAPPLICANT If ft A gth C rtf t tE pt yo ho Id - - _ - - - - -"- -- -" "--"-
Z become sobjecti'th \� ke 'Compensation n.e of theLab C Jay a
0 O forth d o ply tb s n p s ons histpas n shall he deConed reked
CONSTRUCTION LENDING AGENCY _
mhrby afr mm h o t n InJ-'n,4'a yf M1e prfofth Ik fo which thist s rss ed IS 307 CvC)
Lend s-Name
z _
-
Leader%Aad . . ,.
.)Gtr 1 Iii
move that I have rcaJ this application and stale that
mn,a above information is
° rrtcf 1 free lo cli ply hereby
city d county rdirun d.tare laws relining
ro bald g spurt n edM1 arimph r' :p :enmtiv bf ih'. _iry menmr upon
tine t ed p pc ry f spa t p p se
n
lodgment'.
eerosa dem fy andk ph mil s`meCty fCuperCo ginst
" 1l nes I dg nem sl xpe Is h h ay ince y y c agm raid
C.7 NY
c gDlaf f )SAND WILL COMPLY WITH ALL NO POIN
-,Liar UL: roN ,;,. Issued by: ate
Signal y
y PP HAZARDOUS'MATERIAL S DISCLOSURE n .z Re-COOPS
Will m 'Pphp t Int end; req istore nr naval n a:ae: incl, ._ .-Type of-Roof _. _
3df a1, the Cucenn Municipal C Chpr 912 dth H Ith dSfry "" "'• - - -
Cod ,Will h25532(al
❑Ys ,,t rt d.. I irt91Y ♦', :• r1 3 'iSfd �" 5.4,. 17a9 I _ _
Al] roofs shall be inspected pnor tq.any roofing being installed _
Te t, t r t b'la g p t .ecq p id J M1 I If a roof is installed 'without first obtaining an inspection Pagree to
-remove
r t h d Co alumina.,,as'a.r dys to Bay A e A Q I ty M nag t'
' ° - _ all new materials for inspection -Applicant understands and will comply with
D ❑Y
i. ,r '�. all non-point source regulations,:'.' ( rr ^1't; t l '
,1 h J'tn h r d s to als ex rements d CA pt r 6.95 f toe. �•'
California Health&S f ty Code,'Sections 25505,_5533 and 25534 1 understand hot! r
�ithc byilding ertr re f ZSi ptur_e_o_fA lscant..-... _ .. ._..._... ___
tc currently at tenantresponsibilityt notify the
occupantan
t which.mu t b t p r to r c f C
g PP Dater�e ir, All roof coverings to be Class `B" or better'
OFFICE... ............
TY OF
CJ
BUILDING DIIV�'ISIONNOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS'. PERMIT NO.
1190 CRESTLINE DR ALL VALLEY PLUMBING 02010128
OWNER'S NAME' APPLI ARON UB DATE
KENNETH RILLING 170 BRANNON DR O1f30?2002
. PHONE: SANITARY NO. CONTROL NO.
(510) 376-4816
Q ZO ARCHITECTIENGINEER: BUILDING PERMIT INFO
u- BLDG ELECT PLUMB MECH
y i LICENSED CONTRACTOR'S DECLARATION
z z v I herrn farm mat I am licensed under Job Descri tion
O Z=p Y u provisions of Chapmr 9(cammccense
P_tw who semm�]WB)aromismn3nnne Baame�na Praressiona case �nd my license WATERN HEATER REPLACE ENT. -
a
'e47..l� is in full loar�ee ffe Q
z ce< License CIe42"" - 7/ b
Sa y f die Con a or
F O-5 A HITECas ARATION
I er p s shal Ideas blic re
ru p ca Profe sro a
OWN -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the
,ciz< following reason(Section 7031.5,Business and Professions Code:Any city or county $1500
2F C which requires a permit to coushma,alter,improve,demolish,or repair any structure
ca
63.p -,pnor to isissuance,also q the ( hpemul to fl signed statement
m odde Ice sedpulsu«nuom p c fth C o-act eas LawCbcr9 it �•.; Valuation
( w g tn5ai PWB) 'rD 3 of he yak add Professionscnae) 1 ''�h': ft&§246flPospgca,$,,1 �.°� i
o that h is exempt lh Yf and the b for the alleged a prion.Any violation ''
-ofSection]031:5 by ypplicant for pentrt subjects theapplicant to a civil penalty
mf inretmadfv hundred donars(S5W). 502 APKFiui44 FJ PLUMBING ENERGY Occupancy Type
❑1as oa,net ofdiProPery,or my employeeswth wages as their sole compensation, 6 - GA TEST ;
-will doth -work;and tht t is not intended or offered for sale sce.7064,-
�Bmrlirlcvs and Pl6ficilmal Cod.The Commcmr s License Law does not apply to an 507 - FINAL PL ITWOnspections ' -
owner of property Who builds or improves thereon,and who does such work himself
or through his own employees provided th i such improvements am not intended or
'_dffcr-ied for sole-If.movoto,_'he bCle - - .._ -._..___._.__. __-_.___..- -_._..._..- _._..._-y__ _.._._._
g p t Id-within'one build or t r
prove for the owner bC(der will have the burden of prov ng mm he d d not build or j ^'
improve for purpose of sale.).
c I ct f je p pert 7 Buda ly r i g I f d o - _ t...no
-----
construct project ora ]ton Business adProfessions Cadrimp C r r s FIN /� LE®
eu 9'OR.fl-9.
--
License Law docs not apply m an owner of property who builds or improves thereon
a
...and who comracts fmsuch Prolens with a.comrnnor(s).licensed pursuant m Ne __.__. .__.....__.. _.....__.... .......-___ .._....._ ,. _'___...-... -:.
T C to n e P nse la -�,1' .. -
rid S _-._-......
_. <• ...i'. reason n
❑1 to
&PGfnr,n MAR 0 6 'r2002
0'
amer Dam' .. .
" WORKER'S COMPENSATION DECLARATION p p�/'�
• ' Ih by affirm a1. penalty �P 1ry fNe_11f 11 gdeclarations:
BUILDING
❑ 1 have and wili'mairesin a Cerff t of Coarestat in elf firsmard for Worker's
c _
Compensation, as,provided'for by-Season 3]00 of-the Labor Code,for the
for
a mance of the work for which his permit is issued.
❑1 have and will maintain W Fk hr's Compe u insurance, quina by section
37W of the'Labor'C d forthepirf rm f the
'work'for which this min is
,f i J:MyW WIr ork p sfan ids 'er and Policy be re:
- .i I I .. _.. _,...... ..
1 ERTIFIa fl N OP,EX MPTIONFR M WORKERS •`v 't 1 Jl lr {° t y i s °i 1, tT (. n ,'d,: \ I' "''
9 COMPENSATION INSURANCE I
' rr lIbn need oat M cbmpined f the permit i. for one Hundred collars ,�. "�\ \ 1 J..
(SIW)oew.),
1 rtfy thhI C P of'he owhich 1.m ce 't s a
:mmanner
11 [ pl Y'n-Y Pr in
mmars r ac m'beco uhlea rd the W kers
C n Laws f California.Date
Applicant.
•NOTICE TOAPPLICANT If ft A gth C rtf t tE pt yo ho Id - - _ - - - - -"- -- -" "--"-
Z become sobjecti'th \� ke 'Compensation n.e of theLab C Jay a
0 O forth d o ply tb s n p s ons histpas n shall he deConed reked
CONSTRUCTION LENDING AGENCY _
mhrby afr mm h o t n InJ-'n,4'a yf M1e prfofth Ik fo which thist s rss ed IS 307 CvC)
Lend s-Name
z _
-
Leader%Aad . . ,.
.)Gtr 1 Iii
move that I have rcaJ this application and stale that
mn,a above information is
° rrtcf 1 free lo cli ply hereby
city d county rdirun d.tare laws relining
ro bald g spurt n edM1 arimph r' :p :enmtiv bf ih'. _iry menmr upon
tine t ed p pc ry f spa t p p se
n
lodgment'.
eerosa dem fy andk ph mil s`meCty fCuperCo ginst
" 1l nes I dg nem sl xpe Is h h ay ince y y c agm raid
C.7 NY
c gDlaf f )SAND WILL COMPLY WITH ALL NO POIN
-,Liar UL: roN ,;,. Issued by: ate
Signal y
y PP HAZARDOUS'MATERIAL S DISCLOSURE n .z Re-COOPS
Will m 'Pphp t Int end; req istore nr naval n a:ae: incl, ._ .-Type of-Roof _. _
3df a1, the Cucenn Municipal C Chpr 912 dth H Ith dSfry "" "'• - - -
Cod ,Will h25532(al
❑Ys ,,t rt d.. I irt91Y ♦', :• r1 3 'iSfd �" 5.4,. 17a9 I _ _
Al] roofs shall be inspected pnor tq.any roofing being installed _
Te t, t r t b'la g p t .ecq p id J M1 I If a roof is installed 'without first obtaining an inspection Pagree to
-remove
r t h d Co alumina.,,as'a.r dys to Bay A e A Q I ty M nag t'
' ° - _ all new materials for inspection -Applicant understands and will comply with
D ❑Y
i. ,r '�. all non-point source regulations,:'.' ( rr ^1't; t l '
,1 h J'tn h r d s to als ex rements d CA pt r 6.95 f toe. �•'
California Health&S f ty Code,'Sections 25505,_5533 and 25534 1 understand hot! r
�ithc byilding ertr re f ZSi ptur_e_o_fA lscant..-... _ .. ._..._... ___
tc currently at tenantresponsibilityt notify the
occupantan
t which.mu t b t p r to r c f C
g PP Dater�e ir, All roof coverings to be Class `B" or better'
OFFICE... ............