02040088BUILDUSIG DMSION PERMI LUIV littl( 1uN 1NpUKMA1'1UN ',
BUILDING ADDRESS: PERMIT NO.
10595 C-'JLRRRTqC)N DR. MILDRED J DAVIS 02040088
OWNER'S NAME: APPLICATION SUB DATE
MILDRED J DAVIS 04/17/2002•
'PHONE:
SM'ITARY N0. CONTROL N0.
FU
�a
u
LICENSED . COhTed ad,, S DECLARATION
z v. 1 hereby a1Rrm that 1 nm licensed under provisions of ns Code. lmmmecense
xFS with Section force 00)efetDivision3of the Business and Professions Code. and my license
is in full force end -effect.
m to
O < likedClassLic. x
Date Contracts,
uu. ARCHITECTS DECLARATION
oi�C ,5 I understand MY Plans shall be road as public Oceania
cao O Lmnxd Profcsxrotul
a'S OWNER -BUILDER DECLARATION
1 hereby M. that 1 Maexempt from the Conaactor s Liceme law for 1h.
li i < following reason. (Section 70313, Business and Professions Cade: Any city or county
zO which requires o permit to ronmmct, offer, improve, demolish. or repair any awnurt
i 3 ^.; •�priato its ixuarce, elsomiumn sbe epplicant fm such permit to rile a signed Moment
improv. for puryos,
b Fa; owtxr of the
consumer one Project
License Law docs no
_and. W .mrma.f
L"anV Me. Licenx
❑ 1 at.P ai
rz
-1 batch, afli
1 h,e ziM'will'
to
BLDG ELECT PLUMB MECH
L_ CI
Job Description
ELECT WORK / ASBESTOS FLU REPLACED
WITH METAL FLU OVER WATER HEATER.
s!ana000ia iaisian30 ducB�hs.;mPrrefa imesCodei
reOcfmm acid the bazis for the all ed'eaem too. An
an a Ilea, fora P ,violation
Penalty -
hundred doileds (5500) is subjcros the applicvnatas civil penolry-
ORI
l"f:" ' �q: ft MOOT Ar
1 ..:, 1'e ` 1: Y.: ,'.,.• l .. l _
'Valuation
umber
Pr:.,,cso Occupancy Type
mpenY• or my employeas with wages as dheir sole mmpensmim.
id the atrv6md is not iincnded 0, ni fo,-mle'(Sfc. 7,di
_
Tnd_
%roosa.e
4
501 - FINAL E .iM 14�ti(ZNERGY^ :.
,ions Code: The Consracmr's Licenx Lew docs nm apply to an
his Wilda m improves and who does such wort
m such i
mvldce tom such jsc salimcmx orearn intended or..
need or
505. - FINAL ELECTRICAL
"Wildawc,ri-the
i,'wlhave to imPmvemeni aSdiide within orae year of
_
r -Wilder will have the Wrtlen of Proving that Ae did tmt Wildm
.+.-�•':1''�J, fti`.'Tcr,;. FJ
I t Itiel'
15: 25533 and 25534: 1 ande=ad drat
Pufam -it-
(SiCoxtors
p(Si7 am Bummers
ISa, 710 a, Business and Pmfessions The Contrutor'x
- 1[71.71•''`- ...
Wild,
I apply m an Owner of proper, who biles m impmva mermn,
or
.such.pojems with <ootnmot(s).lirenxd pursuam.w.the
/: P!'a 't p • ,. i ?l.l'il0 'ECrI .
fnt
li fr(t 1 J
i
SW'j '^\��r�q/4,-.h.v'B & P!C/fa llus!casa
"1`'
— .
_ ___._.
BUILDING,
R COMPEN6ATION E �ON
Cn, .:
-..,_
nn undapepahY of pe jury oix N th follawinY drelarvdiom:-__
�mairiuin Ceniricaiev of Conmain Bio eel6insum fa Wmkei.
'Policy No:
:%EMT ROM.WORKERS'T
JNSU; _..
ATION WSIIRANC�u,,,,. r a,' ' o�'•
glared if the Permit is fm orm hundred dollars
cc of the : ik for which tnu pemrit is issued. l
ar.sO of lU afubje l,ln lhC�wodxR
Uis,Oamul9e Of enallicn, you should
ensmlon'yio0sionsof tha Libor Code, Youmum
s or this permit shall be domed mokad,
ON LENDIN'0 AGENCY:""s`i".';
onswetibn lending'ent" for, die peAopti',ice.'
yipafd iroonunerynd Ordinances
tartisan,
nedbnovacx, lew& relating hatingMbrizereresenuivai ofWdairydo enter upon
LSisdosime%ijl '' -• �.S'
Issued by: p7/
Date
Re -roofs
pant mom mharMle hvardmu matmal
Type of Roofhep¢912j
rtl'r�H1reealN and Sa.f, e'ty.
.e
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i1tF .y x.'.Lf i-lt
(A.f{.�F[i. adt hr '�a --------
Tnd_
%roosa.e
4
lit, .4,
mspected.pnor.toany_roofing
matedal.being installed..,.
vpam uu cgmpmrns o,dences which
the B y Are Air Qual ty Men jeme t
If a roof is installed without first obtaining an3inspecdon,1hagiee toyremove
_-all.new.materials.fo;,inspection, Applicant understands and will,eomply_wlth.
:.,'.;
all non -point source regulations
pmrtmenmutWer Cnspur, 695 of:thd
I t Itiel'
15: 25533 and 25534: 1 ande=ad drat
thetas my rttponsbtltryts a fie
.._..__... _.. _.__ _ .... _
-
ct prim to ue�°�e C deme df
< [ -
`T�
_$ignatureofApplicant,
------ Date
Cn, .:
-..,_
All roof coverings to be Class "B" or better '..
,.. ............OFFICE-...— .. ..........