02080008 OF
CI But
BUILDING DIIVIISIONVOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10143 E ESTATES DR BECKS HEATING AND AIR CONDI IO02080008
OWNER'S NAME: APPLICATION SUB DATE
TIMOTHY HOEY 475 W SUNNYOAKS AVE 08/05/2002
PHONE: SANITARY NO. CONTROL NO,
4083582172
W ARCHITECDENGINEER: BUILDING PERMIT INFO
g w- BLDG ELECT PLUMB MECH
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H" LICENSED CONTRACTOR'S DECLARATION
�5 H� I hcreb rrrtn mat I am R«nsca"neer Job Description
p Z-O Y a previsions Professions
ode.and
(commencing B
F=`w with Section]opo)of Division 3 or me Baameaa and Proressiaaa Crae.ana my license A/C AND FURNACE
<y f J iss full fame and ellen.
rc.se< License Class Lw.N
LLD Date Contractor_N 2002
O ARCHITECT'S DECLARATION 11
g 1 undersmrld my plans shall be used as public records ✓ L '1 V �5 V
�
as
p O Licensed Professional 1 (�1
OWNER-BUILDERcsc.p, DECLARATION BUIL®I�I
1 hereby atfinn WI exempt from the RATIO is License Low for the
t-Z a following rc ion.(Section 703 L5.Business and Professions Code:Any city w county 4900 0 0
I F o hich r ripeonsit to c w 1 Imr Improve,demolish,or repor any structure
3� _Pnonoiu is once,also q the ppbcant for such pemurzo Ble a Toes sammcm
thlt he slic nsm pars ana me pm i_wns of the Conrmcmh License law lChaptn9 ��ynr�� r , Valuation
(comm gwith5t7U(gJrDiviarn3o(ihc Bus veil and Profcsaons Code) (,AYj'I`Y ;",3f6i®`!Y.",S F`5`x eAtnt�'�4.➢ eJ„• ;
or mat he's
esaina themfmm bad me bas s for rhe alleged'eaemq pn Any v oletion
--of sectors JU3 LSby any applicaa far a pemdt subjects the applicam io a civil penalty
of am come than(wrared dollar.u5oo). 301 AP'fkRY5bff PLUMBING je,k,'I, ':•: Occupancy Type
❑1,as owner of the property,or my employees with wages as their sole compensation, _ JL-
-will-d.do work:'ead thestructure'is nor intendedoroR=mn for sale-IS,c:7W : -”----- - - - ; -----. -- ----- .---__.
'owner of orproperty
Who b core:The Convenor's License Law s such
not apply to an 304 - ROUGH EL1 qtfi�'$cOA9$pections' "%•->•IT
owner of hhiso Who to Iles or provided
s thereon,and who encs such work himself
orth ghhlsownc employees, dethtsuchimprovementsnot intended earia 505 - FINAL ELECTRICAL
�coT W Tongale.-lf;er -th building t e p -anent that w tutu one Weir of .— __ ,.___ _. _.__- - _ ._ s _ .__..
eomyleuon the ownshleer will have the tithes of pmnng that he aid not Wild or 507 - FINAL PLUMBING I'll '...
improve for purpose of sale.). 508 - FINAL MECHANICAL
:1 c of rite "-'" -- " -
Property am esdtr ly tract.,w th I _... _...-_.__... _.. ..-_-.... ._.
nue C.m.tw*s
_ Li swa the project ISep ]deo,Busawrm, and Preers,whlona Code)The Comheeon, 1 .ILC;;p 1;-:y. ti!1(:;
- License Low dies not apply to an owner of property why holds or jmproom thereon, '-
:_i,:_ _Cmd.t,conir,sauwba(oesuch.PrNects.,wM a contracmrtsl.licenscd.pursuaoLto rhe. '.
Olson
Littan law,
❑lam excm tulitici Sc '- f •�K GfG"i.+K•-"'
'" B��&PC! rais'caws
RKE S CPEEN ON DECLARATION
(� D thumbytaffirsounderKualkyorpt,3uty dice of the followiegdeclaratons ..
❑ 1 h ve'and' 'll' ental Toni&am of C'. t uo self msurc for Worker s
compensation. as provided far by 5 t 37D0 of the Labor Code, for the
- - performawe rf the work tpr which this permit is issued.,i,,
❑1 h d 11 mn ma n W i•kei's Compe it t iamnde az q Siad by Secsm
G 3700 of use Unba"Cane for flm perfomunc f th work too h h this p'ennu is
_Ii1amd
My Wwla 7aC peau honi nee and Policy be are:'
cimar ' "rej Y'V i.114.4 l "t;.1my No.- .•:' i I f / ..
` Is I CERTIFICATION OF EXEMPTION FROM WORKERS 11 i% r, t„ ',, (. !; yr*",I i zt-,.i SI SLI ,U,.
COMPENSATION INSURANCE I, •'I'
--
"'N (Thissect n need not be completed if the permit is for one hundred dollars
($I W)mless) l '
shall I'aa ft th,t in,di per(ren ce'r'b”
p Y. PY pew - be o 1 utyen i th'Wok
Compc vo (Call .�in' � t
_<.e F 7 --,-_ _.... — _ .... _...... _ _
NO O LICANT afte g tht -endocam f Eve pu you should ( t - - -'-'
Z become lot m the W kie C mise i ro ns of the Lobo Code you must r ''
r
z Q fonhwnh comply-with s h provisions or this perm t shall bm
e deeed revoked.
CONSTRUCTION LENDING AGENCY
�'� ` I hereby affirm that thee' nstmct ding ag n Y f the perform ce' I. 1-
Orth ark r r sten m Pe i' rosea(sa 309]civ.c l .. ''
y'e -Lenders Lende Addressrvc:__. : ...rr. .a: ____i... a,l.._..-.._:_•._ <_. c.._:
1 f m st i M1e a cad obs apish,
U.p � n :, .'• r - {• lig.:,:1
Y s saws inion is
e10tz f^ correct.I ct,nito comply with 1b cau om county ordinances and state Ives relating
yV to ailajngeensinictionand heietiy eutheriie reyre'unmtiv<s afmis city to enter upon
the ba ed property for
-pcct o P ps s
(W Y greet a e de pe ana keep haml .thaC ty f sector,
. o ego d
Vl' Cit liabilities.l si ¢ c t. and ud.,onse loch y,b any y az gain t id TV/y y
U �' city req Ione gra r "mise n
APPLICA .DER S g. ILCCOMPLY WITH NI 'POINT" I
t. sol Alm yrl " Issued by:. Dat
/ fAPPI' HA7ARDOUSM ERIALgDISCLOSURE ': Re-roofs
;a' a'11 y, pyl cant m tutu
asdfnadbr ihCopen M ladpial.Code.
Ch.Ptt to9re1zo.audit,
ndit "I'l n and
yl -.Type.of.Roof. - .... .. . ,,,
_= r
i e
Code S ct n 255330 ' y b -
.I ❑Ye tk ! s ° N ' 'li ♦ tiv', ' lfa000 1
,.All roofs shah] be inspected prior.to,any roofing matenal being installed _
_ wo rn ppl am o f t R b efid g weapons l a new t_. .: - _
W ecu p too es h h -
to and numin t asa r ee byre By AreaA Q alily M1ral ge t f Is installed witfiout first obtaining an iiispec[ton I'agree to'remove
e District' I] materials for inspection. Applicant understands and will comply with
.yl 1 d N - � ''rl Lt 1 i .. . .. - - -,
c e , I t 1..I h1.
,l all-non non-point source regulations.,. -
1
have lt's the lalrudo. maicri 1 regmremcnts and Ch pt 6.95 bf the
alrio la Health'&Safety Calc,Sectio 25505.25533 and 2553x.1 undersmnd mat
n
-dmehdmng0.snot rte which zarc ant mat ismyear,a 'o aC
occupant m' gwrc ntsm st be ep'mmi.cs cola Cm'Fn ebf
., .. . Signature of Applicantup
. Date
All roof coverings to be Class B'or'be[ter `
OFFICE
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