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BUILDING DIVISION PERMIT
CONTRACT(TR INF®RMATION ;
Bul':Ti)T.y'EsU,sARDEN GATE DR
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GO DEVELOPERS & ASSOCIATES
PERMIT NO.
08050141
WNER'S NAME:
PERMIT ISSUE DATE
HAIM GABAY
1850 REDONDO AVE STE 202
06/02/2008
ONE:
SANITARY NO. CONTROL NO.
(562) 597-5060
ARCHIECTIENGINEER:
BUILDING PERMITINFO
BLDG ELECT PLUMB MECH
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LICENSED CONTRACTOR'S DECLARATION
Job DOSCOpiIOn
1 batch, affirm that 1 am li¢mcd uMcr pmviians of Chapler 9 (Commcming
with Shctim7")of Division 3oftheDust. and Pmfcssiuru Code.and myliccaw is
ADD PORCH, 35 SQ
in full force and effect.
Littman Class Lo. C
Dam Contractor
ARCHITECTS DECLARATION
I understand my plans Nell ho =it as public retards,
Loeved Professional
OWNER-BUILDERDECLARATIONun
I hcmby Net 11. aempt from Br communes law for the
l: Any
Cot c
fallowing . (Sac 71D t.5, Busimss and Ptofesiuns Cao: Any cart car county
at.. waft t to alta, improve, do or repair any fuecture
n.
which mquitns a Ia.
th, trail i
aim m to um tie applicant far such mon' m ficas, La (ChAPoent
shot i
prior m its o oscol
licenseitpurstion7 Om
Sq. Ft. Floor Area
Valuation
p
OfDiisiooftheConuacmr'aLocnsnlaw(Chapm9
(comma Cada)or$10000
of the Guiness ancon.
Anynvi
that he sexcuridsScuon7an0)NDivuienr
Net u exempt themfmm and the breis far alleged exempno. Any violation of
3 2 6 3 3 018 �� Number
Occupancy e
P Y �'P
be
io ]0an by airyappliolt Iwapermit subjects Um applicantmacivil penalty of
an,.
not mom man five wadma aan.m (um).
.
1, u owlta of �ho property. m my mplayees with wrA u their axle compevmlan,
Required Inspections
wiltdo the want and thesumcium u not iatendW car offered fmtaie (Sec.70as, Buaimv
at,e Profassiav Cada: The Cmdncto'. Lt. Law dons M1 apply man owns, of
property who wade orimpram tlmroon.and whoamssem wort him of orthrough his
ownemployens,pmW cwtsuchimprowmtmuemnotinmradrLwoRemadforaale IL
hawem. the wilding w impmwment iswld within arm year ofcompledon. the owna-
builda will law mr wraela of proving that Ins did and wild w impmw for purpme of
siale...).
Lr 1, u owner of me Property, am ucluively contracting with licenmd conussmrs b
construct the project (Sec. ]DW. Busbasl and Professions Cade:) The Coo4Ymra LI-
eenae Law dans not imply m all owner a property who wilds or improm theRan, Nd ,
who contmcu for such projects wit a contractor(s) licm and patient m the Canuactofa
Lice. Law.
Ej Ism nsempt under See .B&P for this n
wmr � � / v
RKERS COMPENSATION DECIARATIO
1 hcmby aQrm under penalty of perjury are of the fallowing declaration[
1 haw and will maintain a Certifieom of Covent to ralf-insum fa WoM1slsCompen-
adian. as provided for by Section 3700 of dm Lever Cade. far the unformatl¢ of the
want for which this parmit is issued.
❑ 1 haw shad will meinWn Workeem Compensation Ivuancc. as mquircd by Scedon
3700 of 0th labor Cade, for the pertamenee of the want for which mu permit u issued
'
My Wwkda Compensation Wit. carne, ens, Podia, numbor am:
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thuxctlan need Mt bo compmed if the pemnit u far. hundrW dallua ($100)
or Ina)
1 unify that in tad performaece of than work for which this permit Wood. I "I ns,
yyis
Cmploy any pitman in any manner. as b lWamO bjeetl ft a y.IS Compensation
Lawsof Califamia.Due to �ta
Applicant 3
NOTICE TO APPLICANT'. If. afler making this Ccnifsca, of Etamption, you should
bacame subject m tw Worker's CompcnsNon provisions of the Labor Cade, you must
comply with such pmobiav or this pemnii shell ho deemed mwked.
CONSTRUCTION LENDING AGENCY
1 hemby.ffirm that mem is. construction rending anent, far the airforn. of
the wont for which this North is humid (Set 3097, Civ, C.)
Leaches N.
Lhndar'. Address
-
1 curtly mat 1 haw rand this application and sole that the show, infomlNun is
norma I agma m complY with all city and county oNinancn and suis hws mladog Or
-
Wilding catwmmrton, and hereby aumorim himmaenlauws of this city to cnerupnn the
above-menuannd property for inspection Purposes.
(Wc) agree to taw, indemnify keep hamless
and the City of Cupenim against
liabilities, judgmenu,cosu W expcnaes which may in any way ucrm against said City
60
in comacgmreh artist, granting of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-�{11NT
SOURCE REGULATIONS, /
Issued by: Date
of
a n Z
Re -roofs
ra t
SlglinnotorA lion ontracmr Dam
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof
will f applicant or fumm wilding aapant gain or handle hvallous ma trial
as dcamd by the Cupertino Mmicipl Cade. Chaplin 9.12, and tie Halm and Safety
Calm, section 255324)?
Ely. UNa
All roofs shall be inspected prior to any roofing material being installed.
Will thea applicant or mlum building occu am am which
PP e t, equiprQ. or
If a roof is installed without first obtainingan inspection, I agree to remove
P
it ons tar cmtamivnu u dcfimd by the Bay Ansa Air Quality Managcmcm
M...
all new materials for inspection.
Dimict?
District,
0Yns 0
1 hale mad dm hvudaumamnaHmquiremenu umkr LTRpmr h.95afthe Celifor-
nuHcalth&Safely Cadt, Seeuons25505, 25533 and 25534.1 unamm nd thatif the wilding
-
dao, rot carramly hew a mmnt that it u my responsibility th Willy tbo occupant the
myuimmenks which must w met prior in issuanch nfaTitans of Ocapanry.
I
Signature of Applicant Date
n ' —
All roof coverings to be Class ';q" or better
Ownarwauthorivcd.gcnl Data