01060129 CITY BUILDING uev SIoNd
NPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
7451 FALLENLEAF LA 01060129
OWNER'S NAME: APPLICATION SUB DATE
LEE ELAINE F AND GENE S 06/21/2001
PHONE: SANITARY NO. CONTROL NO.
O z FARCHITE��NGINEER
GINEER:wO BUILDING PERMIT INFOBLDG ELECT PLUMB MECH
or
S yf0lrmEam IDamO enR junder CfOR'p5 Dis Orta of Chap cr 9lwmdamardg Job Description
RATION
oz1of Division 3 of the Business and Procession,Code.ane my license 225 SQ. FT. RM ADDITION.f d effect.
S re w a License Class Lir,a
lzO
3 a Date Contractor ARCHITECT'S DECLARATION
t n O,g 1 understand my plans shall In,used a,public recons FI NA L LE®
aa
'n 0' L¢enscd Professional �/
OWNER-BUILDER DECLARATION 47YW7 <yQ
QO
,X++ 1 hereby affirm that 1 am exempt from the Contractor's License the g�a7 L L
t z i rouowmg reason,(sernnn 7031S.business andProfe.,mns cone:Any dty or county. $65000
a,? which requires a permit,o connrvet,alter,improve,demolish,or repair any structure
i3-..prior to its o"comcc,also requirestheapplicant for such permit m rile a signed,stare t -
,hm he is licensed pursuant to the pmvioms of the Comracmis Licemn Law ,
rcommencingwithSection7")ofDivision3oftheBusinessandProfessi va ; 352 O �rr�CFa 4 a_ - Valuation
or the,he is escmpt snercfrom aM h basis for the dhi ed areo,tion.An J:L...-S i 1 1:`
of Section 703 LS by applicant fora g P Any
of no,more than rive hind ddollar,65000),n subjects,M1e applicant mncivil penalty A
101PN VMftATION l"'I .sr,, Occupancy Type
❑1,-mu-1ofthe property,or my employees wit wages.,their sale compensation, ing _ PT
-will ,he work,'ad the structure is no,-intended'or offered for sare tS : ;ec7644
'BmIlliM and Pliatel Inas Chile:The Contractor's License law dues am apply to an 103 - UFER Required Inspections7l' `
r of property Who builds or improve, and who dues such work himself 1
muM 104 REBAR
over through h n employees.provided that nimprovementsau t t ded or __
R D fo -1- If,how ,h Wilding g -p eine t IJ ih dy of -- """ ---- �--
105 ANCHOR BOLTS -
Pilch? a IJer Illi the burden of Btw Md'd ,bu Wild or - �`n'.i L;:• •�: f �' •ry
mvrof p f I ' 106 - SEWER & WATER
of d`py uu.< ly t t g thlicensedcontract 202 .- -UNDERFLOOR--PLUMBING F ---
- _ nsuuu,he pmjen(5 c 7tAJ Business and Profession,CWe.l The Contractor s
.- - - License Law does nn apply to an owner ofpro,snywho Wild%orimprover demon. 203 - UNDERFLOOR MECHANICAL-L;I •.,, :.n.
mW.who commas for such projects with..anwctori licensed mnt.m the.
cora .L1cen,cLas, p rs __ .__. 204.-- UNDERFLOOR FRAME--' - — -- - --------------
❑I <a< nJersec' - ` B&PCT thisreaaon 205 - UNDERFLOOR'"INSULATION
°w301 - ROUGH PLUMBING
ORK[ COMPENSATION DECLARATION 302 - TUB & OR SHOWER
:.. Iherehrarrirm.ria«xnahrorperj,IrYowpt�ne,ronmvingaecmmeons: 303 _ ROUGH MECHANICAL
131 have'ana will dr ,ain;Cerificm<of Con,em to Kleinsure for Workr
e . 304 ROUGH ELECTRICAL
rta
Compcnusi
samon, as Provided for by Soa 37W of ,he Labor Cade, for the
peHonnce of the want Tor winch this p<.mitt i,i>,�mf.; 305 - FRAME
:
C1 I W,jr and iarfi ii6irman Worker Co.,...,,.. I ' rn '.rcy-mired nysecrr4n 306 - HOLDOWNS
37W 6fthe Labor Crap.far the pirifiammunce ofthe work far Ohich this pcnnu'is
armed Myw d-r,c ictal I .nmce arter and Policy x 307 - INSULATION
._ .,� . .,.. r _ ..
'vol ruo lir. 3.08. ..-..SHEE�'ROCK
l CERTUCATIONOFFXEMPf10UFROM WOR KFRSL - 30'9 EXTERIOR LATH',.
,�•1 1
COMPENSATION INSURANCE_
Is: .l : 3 -- —:INTERIOR-LATH T--- ---- — -- - - -----._.....
4Th' sego •mpleicd if me pewit is for one hundred dollars 'tri ..• `.-J'1r d•. I a
Isio0lmies,.l. 311 - SCRATCH COAT
need not be ro
.313- ROOF-•NAIL .
I -
Ic ,fYa,in th p rf cc 0.fine kf h,th,h pc , vin dI - -•� --
6ell t ply.' W - yin' to become byep1.aeRorloam 501 - FINAL ELECTRICAL-�t'ENERGY '
M
Camps ,ad lawi of Calf Date
NOT _.502 FINAL.. PLUMBING-ENERGY__.._ ._
NOTICE TO APPLICANT i( I¢ n�k ¢,h Cnf uafE pi ou should -- ----- -
become. bet,otheW kr c 503 - FINAL MECHANICAL'`ENERGY
) pc .ionP n. fe Wlro CalIked - .r
O p
forthwith mpyw,rn rip on,orth pc -t haub<e nee ked. _ _.__ ._---50.4 _-,.-FINAL-BUILDING ENERGY--_-
.... _
CONSTRUCTION LENDING AGENCY -----
505 - FINAL ELECTRICAL
� 7 1 he by af( that,h a w i n I nd'ng agenry f r the perf rmance ,,.i I
orae workr which this pendrit . '.-. ealscarrJ7r cr 506 = GAS TEST
Z) Q Lcivd s N m ...... _ _ _ -_
a -- —'
Lent sAdh 507 - FINAL PLUMBING '�
V C 508 - FINAL MECHANICAL'
C. 1 nfY,M1 thin read his ppT , a w, ata ab ft is
_Q EwtI g , mply th.11 yap m, rtr ,c add sure relating 509 - FINAL GRADE
V lamed ed ria ronswc(Jn.and hereby authorize r<presemafves oftht,cry to enter upon
j,:ty h aboe, i epo riyr p ro prpn. 510 - FINAL PLANNING
'Fa IW1 g<et c dmifyand keep l Y.:tieC,yt pen gamol
m habu,<_ l egm x c d a which y nanr ay gan„said 514 - FINAL PUBLIC WORKS
[) z city consequence of tie gtra ng of thL,perm t-, •. .m .
dPPI CANT.UWE0.STANDS AND WILL COMPIY, POf
WITH A NON- ST"
'!e'P
` " Issued by: Date
w, rq< prvlan,/Co t to 1. 1 1. tD t. i ,.' Re-roofs -1
ail 1 I,HAZARDOUS MATERIALS DISCLOSURE C
I-- Nbh�liificmoint boltingOccupantaa.< handl noa�re :n,;,<-d _ Type ofRoofas
Y pent bion r p I Code.Chapter 91 and the Heala y
d Safe,,
CaleSection 255Jt.1 I , s1 :' 1 "•,• ..-�':L /•. —.
0 Yes 1 rrbN ',1 r .Il 1: l5iA lr ' s . ., i. i
" .A1Lroofs shall be inspected prior to.any roofing.material_being installed,____-
an i,\Viii do applicant lir, ' IG g p t equipment devices tarn If a roof is ifistalled'NJitliout first obtaining an inspecuon�;l agree.to-remove
I it cstut?e.o. cont, n ,. dBn<d by the BYAf.A Quality Al n,gement
s" ' El No all new materials for ins ection Applicant,unrierstands and will comply with
r ' all non-point source regulations.,,,,.,,,, •
1 h rad,h hax b tame' 1 req me a und< Ch pt r6.95of the
Cohfom rtl<alfis CnJe.Seo ons 15503.35531 and 35317.Pundersmrid that
'tithe evilIJng doe noterrentlyh a sent 2550,1.25533_.n_ymspo 'n I,y, otifgthe
Occup ,Idling
q ireme ,.' h h - -
�. ✓. Occupun un rte i p isxu - f C n fc.m of -
r Sign e o pplicant_ Date
J' Own< 'oda e
Date - All roof coverings to be Class `B" or better
_:., OFFICE -
. . 1
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