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02020048 OF CI BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO, 1192 CRESTLINE DR VOROS CONSTRUCTION 02020048 OWNER'S NAME: APPLICATION SUB DATE VOROS DAVID M AND KAMILLA C 1192 CRESTLINE DR 02/13/2002 F` 'HONE: SANITARY NO. CONTROL NO. (408) 253-9332 m ARCHITECT/ENGINEER: BUILDING PERMIT INTO z _ ELECT PLUMB MECH III mo u L_I u y« u z LICENSED CONTRACTOR'S DECLARATION z_ Iheretya)of Do notn3 olthe dander provisionsof Chaper9(commencing $CrIpllOn Oq t-c whScci on]000)of Dirisinn3ol h<Busincas end Professions Code,.and myliccnu L x a�j is h e aq 9 3 REMODEL BATHR OMDSve EC _ z< Lic ienx Q� 0 6 O E Comrac 0 t- AR all be u e as RATION t-`O inat_S 1 understand my plans shall be used as public records �%�®, x aE i n C 0 Licemaed Pra(esai°ml x o OWNM-BUILDER DECLARATION m-w 1 hereby affirm that I at exempt from the Commcce's License Law for,he, lollowing reason.(Section 7031.5.Business and Professions Code.Any city or county x o which requires a permit to construct.alter,improve,demolish,or repair any structure $2500 0 nam _poor u aloo rcgmrcathe appbcamfor such pcnnPermittoBkaztgncd smmnt acc . _ _ . - _-- ---' ata itlicemardp uan5 to h<pf Divisionas the the Boxors License Low(ChapterCoe) ,S Ft., Area-, L (commencing, thScuon]W0)ufDinsonJofthcBusinessand Prpf s nsCodp '!' a Q. Valuation B F q Y stolaion ; Zt 4't 1 + ji4 v1.Lai.t. tL.._S or twihna<xempi hcidrom'aad the beim tar me nnb'ea cdem tb`.`�n '`36' 2'4'036 . 0'''0 _of Smiom]031.5 by any applieam Inr a permit wbjecu roti applicmm m a civil pennlay- ' mrnot mote man racnam,ea aodan tssoo). APN Number ; or.;"r:n Occupancy Type ❑I.as owner of th< n.or my employees with woes as their sale core tion, 101 — FOUNDATION will d the k a d h set ct 5 omended or offered for sale(Sri 7044,' - - - --._ _-T02- — PIERS --- - ..- lBasorss and P or:.i C al< The Contractor's License Lax docs not apply to an Required Inspections ' 't owner of property Who builds or'mprovea thereon and who does such work F mself 10 3 - UFER or gh his an employee,.powided that sh' pcount,me not r aloe idr -.. ._._104..•— —REBAR-..._ ' o(fy d'f .l H'li ever lbs bu'IJn � are Year of � _-" _�- - 8 pmcPr.,is. W Ih "' t - - 'c°mplt h n name,xnlnavrmrnamrnorp,ovaBmmneannotbaim°r 105 - ANCHOR BOLTS improve for parpnse 1.06_.-....SEWER..&.. WATER _. u< wms,r( p`l]i"nwner,r aP"r..g,nsco iT c 202 UNDERFLOOR PLUMBING ❑� : nn t o I I t t .._ . npr pr°peywho ba msoedpuruaroves,ttto,t , 2.03 — UNDERFLOOR MECHANICAL .. 5. and wM1gconwcts.for-such projem> a coronations)licensed pursuant to.he. .- _.._.......... ... .. . ..... .. toil _... .__ .. c°nate"'ors Li"n w. 204 — UNDERFLOOR, FRAME, = o1 am.riir mptnnee,Sec." B'&Pcrormis son 205 — UNDERFLOOR INSULATION Owner ENS " _ - 'WORKEN'SCOMPENSATIONDECLARATION 301 - ROUGH PLUMBING Ihereby arrn,nunder pahyofperjuyime°r,the following declattions: 302 - TUB & OR SHOWER � I I narn'ana will maintain a'Certificate of Consent to seleimnr<for Weaker, 3 03 _ ROUGH MECHANICAL u orientations -provided Bar by Section 37M of he later, Code, for he 304 ROUGH ELECTRICAL - _= Performance of work ter which his pennies issactI 305 - FRAME ❑1 have and will maintain Worker's Compensation Imanda<t as required by Section 306 — HOEDOWNS 3]00 of de iLabor Cual for the performance of the work for which,his permit is issued'My Workers Compensation Insurance .Me,end Policy number m:" '" _... ,.._ 30.7 ,_-.,.,INSULATION . .... )) - CERTIFICATIONOFEXEMPTIONFROMWORKERS" a k :'. y ," I`SHEETROCK�i--,,v, _ -_ _ COMPEN3AnON,INSURANCE.i I .... '(rntsaecthmneed 6mb:corephtatifthep<,miesformehundredd.11. 310:;' 'INTERIOR LATH •, t,.r,l'! v. t.• =,i,t. . rsiBo)o,l"" _ _ 3.11 — SCRATCH COAT _ in.,n' 1 rt but-The p, ",ncc onn<work for which his pemf r. ssued i - 313. . , ROOF NAIL , - °P m� aPa3ao�e�tot h wn,kers 501 - FINAL ELECTRICAL tENERGY Compo ytt woo APPI c�/if 'NOTIC@3 PUCA Ir ,makingth sC Certificate fE Exemption y shame- - -502-= FINAL ' PLUMBING 'ENERGY - - _ --" -- --- z beco compbject ly heWorker',C rep a Provisions onn late era you 503 — FINAL MECHANICAL ENERGY p p forth th< ply s,such provi�jmts or ----- -504-- FINAL"BUILDING ENERGY -- t _ .. u as a reacted ked. r,� -. t y' CONSTRUCTION LENDING AGENCY ' "'• ' ' the by fftrmthtthae_-aconstruction lending agency(- th performance 505 — FINAL ELECTRICAL,. W;. of th rk f h ch th perm a -i,xi ed(Sec'3097 Civ C) " y:C - L<pa, N ' :: .... e ... . '.—.._. 506...._. GAS- T-EST. . . .-.... ...._.... _ ._..'. _ .... p_Z L<n,, , ;-It. - 507 - FINAL PLUMBING- ";--V-p ,retina..lI anify mm l have reran hid appliraJon and sau reacte that above information is 508 — FINAL ' 1 F age to comply with all city id counry,ordin...es ma same lama relating MECHANICAL O U aobailafngennstmRinn,andherenyaatno,aercprtantaevt.nfhixcity to enter upon 509 - FINAL GRADE W he above-mentioned property for inspection purposes. o, (W) $reemsa ' d' nifyaadkeep trml 'shbCity fepenirmimioo 510 — FINAL PLANNING Vi liabilities.3 tlgmcros,con a a expenzcs h ch y n any y ryuc against sale 514 — NA Pd3 WORKS C,7 7Fy city era rte gra rani..pcnna 14 O , S P Rll CE R.U LAtll W L COMPLY WITH ALL NO PO NT'' ISSUed b C/ r�d. Y Dat ApplicanUC°ntmcmr j;`. g,tHAZARDOUS MATERIALS DISCLOSURE ° Re-roofs '- Will the ppl c is"Cif.amebuilding accupartmrambadjoazard6maraderiai T e of Roof az def ed by he C pen n Municipal Code Ch is 9.12.and theH alh d Safety yp - Code Seton 255i>la7 fr 1 El Yes - +t yr.i 1t sJ c , I k � P iRnT rS f7h All_roofs shall be inspected poor to any roofing material being install-ed. _ ,s,11 th applicant fm building P t equipment devices -� - emen If a roof is Installed'without first obtaining an inspection I'agree'to remove emnh zaido nem nam udefnetl by heBay ArtnA Qilly Management m all new materials for inspection Applicant understands and wY _ill Comply with _ °Y , all non-point source regulations. ..­. P , 1 h e rc°a he'linali a mat rials,cgmremcnts undc 1 Ch filer 6.95 of the California Health&Si(ety Code Sect ons 8505 25533 and 8534 I andersaind that 7 die held E-is,:ic cu,rentl l ve���qqquuuaa4sss!!!��'nC=hillt y tespoai b'I'ty a notify to - occu f m t y so iCu e f a C nificae of Signature_of Applicant Date � hpraee agent All roof coverings to be Class "B" or better• FFICE