01010104 CI sat OF cc PvERTINO CONTRACTOR INFORMATION:
PERMIT
�- BUILDING ADDRESS: - PERMIT NO.
10339 GREENWOOD CT. ` '' `. " JUST WATER HEATERS 'INC` ' 010'10104
• O E' - APPLICATION SUB DATE
ALBERTO TRUSTEE & ET 1764 NATIONAL AVE 01/23/2001
119PHONE: - SANITARY NO. CONTROL NO.
(510) 293-9901
BUILDING PERMIT INFO
q 0pp ARiHITER/ENGINEER: Q BLDG ELECT PLUMB MECH
aiAt - r'U u I' I_J
= '71i i1 perclb a§fnisn UuSGDm ONTRACfORv.gECLARATI } ,;L"' a lob Description .
y sift ro i5ibmpPCh tu9lcommencin REPLACE 50 GALLON-GAS WATER HEATER
F`:=,� with Ssuon 70001 of DIsis.. Jo(theBumnns and Profesnons Code,eMinylicense
x 2 is in full force and effect. -
acg<a License Class Li..0
e O n O Data - Convector -
suS ARCHITEC"'S DECLARATION
a O g I'ondersmnd my plum shell be uuJ m public records' '
u�}
m 6 p.0 Licensed Professional -
o. thin he,I am BUILDER DECLARATION
from am
w I hereby o(O ,exnnp!firoun Are Cosima s License taw for the $880?<
full.p g m s n.(Semon 7031 5 t.altd si and Profs ns Cade Any city or county N 8 8 0
O
which aspirins perms t c site! alai improve demolish fi...i any structure
pnmto ufssuance.a11so mtote a the arpl tf sh permit N fie gne(Cha(Chapter
- - -- do
tkospgis,li -witpuffssm,7A pmvi Mu fshe the Stan end se lI ions ode) a„ „ t v r ,., , n - - Valuation
(comtsu a 9a a.girh SC:'FaraW)of he sisor the StanendprofgsAyvi Code) (,Qa�1f Os?�13, yG•A,•�Cjtr!*'?y i��,y � 1i,�'I's, .
" or Nal he is exempt the�fmm'dgd the Msis for the ellegea exempdoo.Any violation
-of Sskm i031.5 by any applicant for a pcmnt o. a the applicant m a civil penally p y Type
of not=a than live hundred doll..(S500). 502APNPii2Nh!L' PLUMBIN ENERGY Occu ane e
01,es owner fthe pmpeny,ser my employees with wages as their sole compensation. - GAS TES1will do the work:and'aw smca m'I,nor intended or'offercd'fm aIle(S.:Toga. 507 - FINAL PL�)�>f�f�1Spection5`^``'' ^' "'-
'Buiineii and'Pioressions Cwle:The Contractor's License law does net apply m an
owner of property Who builds or impmvn thcavn,tied who does Inch work himself
or through his own employees.provided Nat such improvements era not intended or
offered for Who,fiL however.the buildin or hn voment:s sold within one _.. __.-_ _..._._._. ._ _ _.,.__..—..._ __-._____.._____.A..
t Pro yeafof iv "
compledon,the P.W.of
will have the Wrden of proving that he ak not build m
improve for se of svla.l.
co Ipm owneyof the Pmapm7 em exclusively contesting with lidi The CWm cn ro sL" A:.*1•'
License Law
projectno(Ss,7WAn comer o and arty who
Codea The Convector's P'i.' '1 r
License Inco dose not apply to on awsr of p.o.A who builds oaimpmves Nercon,
..and who conrmcu.for such,projsa waN a contrutorW IamsW P .seam m the .,.____.._...... ......
Contiacso(s Egan;law.�I!. i .. ` r•
❑I max mpr ugae $oe I 't'yres'B&PCfor this rtmon
Owner
At
"WORKERS COMPENSATION DECLARATION
W 1
1 hereby ff� d pcn lty of pe 1 ry ooe of ilia fol[owing dedmasions: -.
❑.1 hove"end wdl mninmin o'Ccnifcam`of Comeni mself-insure for Workers ✓
_— C rape ation, m provided for by Section 3700�cf the Labor Code, for the
'perfonnbnce either work for 1,7i It IhiIpath is 1, oil,,
P I ha a rd will nw Iain as reg tea by,S ction
isided.M Workers Com nonan Insurance carrier and Pollc Ambard pennJt:s
J 00 f th Lobo Code fu the 'rfotnumen f the work f r h eh N
y to tK ?' !,`..
. . .C_mmr55r i'•.a`t { s,LjILd.PoIICYNo
! ::r. N!iCeIC{IFICARONOF EXEMPTION FROM WORICERSYV; �. !:•a v �Arh,�. v .r „ • , I,.Y ti. \t E. s,
s ar„ COMPENSATION INSURANCE ..,.� ---_,—_ T __._ ------------
or l s udtioh n en not be completed ihhe permit is for on<hundrtd aollan ' x' 1' 't .._ - [ i i
(E 1001 css.j
1candy,a {list n the rforn v
- . ' a roof the ark for which thpemnn is issued,l -,__. ... .-. ._. ••••••-•••• i TI- b.i�:7il : •'••.•��••••••.••• •• •.
"shall not am'ploy'any person in any mummer so m to become subject to the Workers -
Campenmiion Lows of Califomid:Dam
' 'APPhcani ..til. e, re , _ : .: � . . . .• _.__ ._. ._-_.. _ _._ -_ ...... __ _ ...._ ._'
;NOE mptioa.you should '
0 0 tieeaa,subjinno rhe Wmixes Compemmnon provisms ofthe labor Code,you mum
forthwith comply with such Provisions m this Permit shall he deemed revoked.
rs _ --- .. _.. .__..
.rtl 1. �O CONSTRUCTION LENDING AGENCY9.
'�'� ` , Ihe-. .Mmor..Nat thereu cn Wet od leNl gag agency N perfmrmaee
a of the work f r which this petmii i ssiucd lsec J097 Qv C'1
�. ._Lender}Name A
U 0 Yi a,v t!e,.,
•0;•1 ttnify the 1 hove matl this up pLcauon and state at the above infomuuon is
'cortecl.1 agree Ie snmply wjth all city end aoumy ordinances end etamiews rtleting
Q: mbuildingronstrdnidn,atiJ reby uuihonne ieprcsemmivesof Nischytuepter upon
-G*7 !heaboso.memioneJ pmpeny for inspection puspnmis ,
IWe)ogrceio save.indemsidy oep harm less the C tyof Cupeitinoageam
i.a Vi liabilities,judgments c st and aspens h ch toy in any ay az sae against said
U'Z City con sequence nf!he ppr m ng of chi pe mM1
ppPLICANTUNDER$IAND$;ANtf WILL COMPLt'WITH ALLNON$OIM" ISSUedb Date
'S'tlWCAREOOLATIQMS n-i '.'t ' i, yA
Slgnmurc fApplicuiVCtlm nor Re-COOTS
HAZARDOUS
W II the a Lean or fut re Wildt6 occupant store or handle It" matetnl, . . - _ ._ - .... : ...--..
m
MATERIALS DI$CLOSIIRE "
PP g n Ty. pe of Roof. _
aI dcOned by the m
Cupcno Muniatpal.Cede Chapter,91] and the Health and Safety
Code,,se
Octoi i�r(at lsf{dNo• AI s I ..tsi q,,t i vl4 .psi t sl l.l..('Ip 7M1y . .. f l ' :til,
....All.roofs,shall be inspected prior_to any roofing-matenal being installed....__
,f Will the applicant futurehildin occupant imnt devices hmh ,.
1 id, 8 w w P If a roof is installed wgthbut first obtaining an Yrisbechoti;I'agrefi td'relhove
em t Ani rallous'eir comominanis . defined by the Bay'Arce Air Quality Management
,D,ImcI. ., all new materials for inspection. Applicant understands_and_will comply with
;ave. t, i=o"° t, ,•, '. . . ' -"' --all non-point source r(jgulations.
,, ..s•r,,
Cdliio til have read the'herardous'mmenals aspinanems under Chapter 6.95 of the
s Health&Safety Code.'Sfcdon5255042337]oM 255th.I.trades that ... _. .. .-
if,liebtiildin does not emmml have.anant;ihst it is m ms n'bilit'r notifythe -
Y.. Y Y Poet ya .,
"dcQapnni of the eoquircnsents which must be mei pnm to issuance of a Cenificmc of
P'ary"' Signature of Applicant _ Date_ _
' o rnr ou had a.g t Dea. All roof coverings to be Class"B"or better
x
-r -........ . . OFFICE ... . _.. -. . __ _. _... ... _ .... .. .. _.