01050132CI PERTNO
BUILDING
BuDING
t PERMIT
CONTRACTOR INFORMATION:
BUILDING ADDRESS:
PERMIT NO.
22306 S DE ANZA CL
01050132
OWNER'S NAME
SUN JOEY AND ANNIE
1
APPLIC TION SUB DATE
05/15/2001
PHONE:
SANITARY NO. CONTROL NO.
Z ARCHITECI'IENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LJ L-J I—A CI
a.
io
LICENSED CONTRACTOR'S p DECLs of Chapter
j1hereby a)oftht1amlicensorunderprovisionsofChapmr9(commencing
Job Description
with Section Division J of the Business and Profnnions Codc, and my linnse
ROOM
ADDITION 554 SQ. FT
a and of
is inpp full Tawe and effect.
pans
ULicense Claw Contractor Dale used
ARCHITECT'S DECLARATION
1 understand my plans shall b<umJ ar public records
Licensed Professional
OWNER-BUILDER DECLARATION
I hereby affirm that 1 am aonpt from the Crnaan'mr', License Law for the
< hilowing rcarmt. LS,ertnn 7031 A, Ba,lo,v and Pmfadaa, Gxle: Any dry 'it annmy
$53521
0 'hi'b retlni" a pentel h, e0nrttnel. "I"i.improve, de:nnurh. m repel an, Llmtme
._prior m nusissuance, also requires des.pi licilm fur such pmsir to file a signed swmmenl.
Ihar.he is licensed pursuant to the provisions of the Conuactor's License Law (Chapmr9
(commencing wun Senion70)o)of Division J of the Business Professions Coles)
S�SI0 0 �5"6(�?'r .-,`.� it,
Valuation
and
or rot he is exempt thlrefmm and the basis for the alleged aemption. A, violation
,
t
of Section 7031.5 by any opphcant for a permit subjecl, the applicant to a civil penalty
of not more than five hundred dmmn (e500).
10 JAPN VOU41)ATI ON
j - Occupancy Type
❑h.....c,orthe propeny, or my employee, with wages s"hice sale eampen,ation.
102
PIERS
will'do'the work. and the suumure is nor irmmlm'or nlf and for rale Bee 7044,
Basin¢, and Pme,,iode: n, CoThe Commeor's License Law docs not apply m an
103
— UFER Required Inspections
owner of property Who builds or improves menton, and who does such work himself
1 O4
— REBAR
or through his own employees, prnvided that such imprommisms arc not i.,.Mad or
offered far side. If. howe,e, he Wilding ommenti:roldwithinnM
g of imps year of
-- 105
_
- ANCHOR BOLTS
completion, the owner-builder will have me burden of proving than he did not build or
mpnoo forpmparseofsal,c).
106
- SEWER & WATER
Gtr, a. dw�:,Jim*-pro--Knr.aln-Eecw,i.els<nnnactmg with rein;ee contractors to
... _"....202
=, UNDERFLOOR-' PLUMBING..__.._. -----;.---_-_.....
consumer the pmi (Sec. 7(94. Business and Professions Code:) The comm<Inr:,
License Law does not apply to an owner of property who builds or improves thereon,`
2 03
- UNDERFLOOR MECHANICAL
' outracts.for such projects with a connamor(s) licensed pursuant to the
204 --
'UNDERFLOOR FRAME
Cootrnetor'r License law._—'-'
olarn mph see. B&Pe feemirrtarnn
205
- UNDERFLOOR' INSULATION
ownt'�Da
301
- ROUGH PLUMBING
RKER' OMPENSATIONDECLARATION
302
— TUB & OR SHOWER
thereby arfiml node,, penally arieriaFr one nrtne rouawmg declarations:
303
- ROUGH MECHANICAL
❑ 1 have and will maintain a Cenificam of Convent to telt-insure for worker,
3 04
- ROUGH ELECTRICAL
Compensation, u providW for by Section 3700 or the Labor Cade, fa he
performance of the work for which this permit is is... d.
3 05
- FRAME
O 1 have and will maintain Worker's Compensation Insurance, as «quire) by Section
306
- HOEDOWNS
3700 of he I.aba Cade, fns the peanmmnce of he work for which this permit is
3 0 7
- INSULATION
issued. My Workers Co raviloplumi In,u c rand policy n mbe arc:
�.
308-,,
' CERTIFICATIONOFEXF.MMONFROMWpRRERS
5 .309
,SHEETROCK
•'EXTER'IOR� LATH'• II l
s' _• . , COMPENSATION INSURANCE', '" _
-
-----"" -3-10-
.
INTERIOR—LATH-'--... - .._.....-- -----
' (This genion nem not be completed if the permit is for one hundred dollar,
�ISIBO)
311
- SCRATCH COAT
I 11
l
�l 1 «fY tht the µ.i me if betworkfnr wl hth pe -i is -'.: JI
'rhll
313 --
-
ROOF NAI'L'. :.
t plaranype Ymannerinastoh<ca eum)nttothewmkcis
501
- FINAL ELECTRICAI' ENERGY
ApplComicant nn Law, rf Cal tom a. Date -
' "
502
.
- FINAL .PLUMBING ENERGY
NOTICE
NOTICE TO APPLICANT. IL afros making this Cerdficam of Exemption. you should
become subject to the Worker's Compensation prov slam of the labor Code, you most
503
- FINAL MECHANICAL ENERGY
jfoam.itncomply witnsuch provionnsorthis permitshall Wdeposited revoked.
_ 504
- FINAL BUILDING ENERGY
CONSTRUCTION LENDING AGENCY
1hereby :dBs tlr t therem ency for rhe
is a can'tcr m, lend ng agperformance,,
505
- FINAL ELECTRICAL
r
a,, v,ork mr which miv perna it issued (sec. 3097. Civ. C.)
506
- GAS TEST
IL`enerrr:,AAdd,p,
507
- FINAL PLUMBING
• 1 emit, than 1 have mad this application antl stale that he above information is
508
- F I NAL MECHANICAL
nm. 1 agree to mm,p' with pu city gad pasty mdinameev gad alae laws mining
509
— FINAL GRADE
to Wilding construction. and hereby authorize repreeedmrives of this city to enmr upon
the above-mentioned peugeny mm
rm,c,,n lurioos,
510
- FINAL PLANNING
fwq agreem aas,mdemmryatld keep narmle.., me City,,, C.,v,m,, pro
liabili re,.lud'nupps. p 1, and <xpemp, which may. in any way accrue z,ain,t snit'
514
— FINAL PUBLIC WORKS
City tri nmaquence of the victor, of this permit.
A (CANT U RSTANDS AND WILL COMPLY WITH ALL NON-POINT
YpIO *-'..
Issued by:
Date
.cc .
SrgymAt offrism/Clorprapmr - Dam
HAZARDOUS MATERI ALS DISCLOSURE
Will the pplano, or f ttire Wilmolloclanum wimpour handle hazaraaa, material
Re roofs
Type Roof..
o
deflated by Cup M i
of
.} .: - ../.. .
as then cip1 al C Chapter 9.12 send the Health and Safety
Come Section 25532(6)
;....
, 11
s - •
e.
❑Y on
-All roots shall
be inspected prto[.to,any. roofing, material-being installed..
Will thcepphoamo room building p tuse equipment ordevives vshtvh'
earn b... dou, air contaminants as defined b) the Bay Area Air Quality Management
If a roof is installed
without first obtaining an'ins ection, I agree to remove
a P o
District'
:.0
all new materials for inspection. Applicant understands and will comply with
P PP PY
area .. Na -
all non-point source
regulations. .,
" I have read the Irazurdous mamriul, c,oin,mna6 under Chapter 6,95 or the
California Health A, Safety Code. Sections 23505.25533 and 23531 1 understand that
ifthe building does not currently have atenant.that h is my responsibility to notify the
- -
- - '-
pad of the rtquiman which mostW met prior 10 isrmace of a Certificate of
./perPer
Signature of Applicant
Date
_
_-
All roof coverings to be Class `B" or better
I ow,leta as arum gcny Dare
OFFICE