02090181 CITY
DVONO
IISINPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10156 IMPERIAL AVE TAYLOR WOODROW HOMES 02090181
o WOODROW HOMES 2300 CAMINO RAMON APPLICATION p 09/262002
PHONE: SANITARY NO. CONTROL NO.
(925) 365-3100
q O Zo ARCHITEC(ENGINEER: a BUILDING PERMIT INFO
kC FF BLDG ELECT PLUMB MECH
Z H 2 LICENSED CONTRACTOR'S DECLARATION Job Descri tion
O z m 1 herebyaffirm that 1 am licensed under provisions of Chapter 9(commencing ]-O O AMP METER P 10 I N IA LE
=
F I- with Secom.7000)of Division 3 of the Business and Professions Code,and my license
is in full force and effect.
Lia<nmGla,a Com
Date Convector APR 2 3 2003
3 to ARCHITECT'S DECLARATION
t or
g 1 understand my plans shall be used u public records
° LicensedProfessiourd BUILDING
a.s OWNER-BUILDER DECLARATION
usi'4- I hereby affirm that 1 am exempt from the Comracsor's License Law for the
L'z Q following ne son(Section 703L5.Business and Professions Cade:Any city or coumy $2500
-
p�5, ❑ wh ch orquirex.peon t rmaxonim,alter,improve demolish, p ny stractime
primm itsprimIs. rcmeap,lic nt fursuch pemwt TIe.si,andoirammin -- - - - - - ---- - - - --
that has fit licensed pufppm) o hi:provisions of the Conorichor's Liceno La (Chapter 9 r-0n1FiSrFippS,A(@ p Y S Valuation
(comcncng with Secilgn7000)of Division 3 of the Bushes AndProfessionsCadet s,��jl� I J't,Yl •'r,Y1l.7: uZ Yal:r!E`LrAi Dt�,A+:
or Ione he it eaadpf therefrom and Ne Wait for the allejad exemPvon.Any Outshines '
-of Section 7031:5 bs any applicant fore permit mhjacu me rt,,hunt to a civil penalty Occupancye
'of hoomnre that five hundred dol'ars($500Y 304APN �ij2JVGH ELECTRI Alii%-Nt; `" �'P
Ol,as owner of the property,or myemployees with wages as their sole compormtimn, 501 FINAL EiLEECT]R]SI AL ENERGY
will do the avialc ad'the'swcmre is not intended'or offered'for sale(Sxc-7(W1^ SOS - FINAL E..gSp ppq} Ct1Cn$''-
B'usineis-md'Piofexsim x Cade:The Cammetor'e License Law does not apply m an
owner of property Who builds or improves thereon,and who does such work himself
or throerm fir-sale.
h tin own a ply pr 'did that such p ve t t intended - „-, _ .__ ....._.. _ ._._..__ -.... _.. _ .
cRemdfor sthe'IL er " - Ih buildingavec ofimprovement Id withinone y ar of
improve far formic
owne-bu I.).will have the burden of farrowing that he did not build or
improve for puboase of mlc.l.
[Jpas owner afthe pmpenRemexclusively
ssadProfeisi withode:)The ommunm iLl"�G'h1'.!l; `t
r
construct the project(Sec.7000,Business orb Professions Code:)The Contractor'sJ;, : ... '.L'! n -
_- - Licen I�w d«s not apply to an owner of property who Wilds or improves Mammon,
I '"
"'- _and. oconvecn.......ch. roecn.wido..commcto
-- - P F r(s),IicensW.Pursuant.to.the .. ...__.. - .__...__..___._.
Y'= _ C Hem's License Lew.,.,,,yr'Ty '
empt uncamI "1 pf. I ' B&P C.for this reason )til\ T, Jifi;D
'DuteJ' 'I . 9•�
t.(' WORK RS 1PFNSATION DECLARATION
- `� I` ihercbY affi de penalty ofperjury n of the following declarstsans:
❑ 1have'and will'mainmin'a Cenifcme of Canscm m .1f insute far Warlor s
Comp..ina-u.,provided forby Section 3700 of he Labor Code, for the
ro '
peifounce of Ne work for which this permit is ivaed. .
❑I have and will ma W k '*Cnmpenmt o"ins'ranee,el requ ocd bd Semon
_ 3700 of the Cnbm'Code,for,Ne isaWmaance of the work'for which this permit is
Iss d MyW rk's C 111.11mpemation Insurance and Policy n mise' re
T
,i Lr{t 7 CERTIFICATION'OF EXEMPTION PROMWORKERS'u it
-CERTIFICATION
-,d s ..COM PENSATIONINSU-_, I -r f .. _ .___ __.
.......
c„ t t .: .. 4f'. . ...r„r i Ch_c.�h?tt rte
(Tats-), neeJ rot lie cnmplaicd If the p<mn is for be hundred dollars
(51 Wl or lcsxJ t
_rI I ter dei to the Krte `-,.. ..v:..�__ ,.., _ ...._� ..,......,�«._._.4.,....._�... - _ _.. ....._�.a��. .,
y pc k hich Ih i perm t t teed:1
rsh 11 of on los any.personln y `T to yooe. feet .s Wer,en
Co m al,Yomi ,
A
Py Pmvnm
O s 1 pe p Ic o yu'h Id ..,':I,a ;If
'N ETO LICA If ft rmhkmg[h em ,
beim b'mpywit such ps Cum nsat eA' ilabrC d<you mu:i
Q z td'nhwnh comply with such ns or thrs shall be d emeJ rc k d. ;
CONSTRUCTION LENDING AGENCY - ”' t R J ' \`
a > " ' I herebyrufarmthat there constrochnn lemmq agency for the perfo`rmi¢ei "L;G 1, ,.�s ..
k7:" bhhewurk forwhi,':h Nu nnini isived See,3U97,Civ.
--
Le dersAddrc
;. T..1MC) ,I cenif that l have read this application and state that the above information is
-� 1:orma Y
co Wild l agree to com,and lh all'mr and county,regNinane<s and stem lows enter
upon
=OAt) ro albove-mentionedon:oo'dhcrosauBodzCrcpreseniatives nl'mis city menrcr upon
txl the G e meni eda pend for ify an keep
p boo
6. (l1') g its nand espy and keep h may in the City f C pen ai altsid
VJ liabilities.1 dgmems,costs and expenses which.may m any way accrue against said r
Q:.y City consequence ohhe i ng Ih p
APPLICAPPLICANTUNDERSTANDND g ANDD WILL COMPLY N'fTH ALL NON-POLY(5 Issued byDate
t �I
m fAp licm o ua,I is - attr.',.,`' Re-roofs
vppl c m f d ng«c pant twe n ale hazallou maid "J P - -
e.of Roof _
HAZARDOUS h AGS DISCLOSURE
as,definedby theC peat pal Cod Chapter912 and thHealth d5 f,y fk is 1, L.I , f: , _ t .
CodiS Bn25532(4) uj : +5 IS.kern")1t ^4
❑Yes , s I'I le ( .. All roofs shall be inspected pnor.to,any roofing.matenal being installed..--.--.--.-.
�• nWill me applimin or future buildingoccupant use equipment atdevices which [f a roof is installed'w4hout first obtainingan ins cation;Pa ree�to iemove
com
..-`� arnii hazardous ser aminann es defined by the Bay Arte Air quality Management
P g
District? , -:. , -all new materials for inspection. Applicant understands and will comply with
❑v« 3 ,, P _
�' all souice regulations
t I ha yreeA the hazaN us materials requirements under Chapter 695 of the
Cali Tom a Health&Safety Code.Sections 25505 25533 and 25534 1 understand that:
if the bu Id ng docs not s mmly have'tenant Ihaut s myss.m,e or'.t notify the A
pcegpom of the require !m h h mi a be t pn 't t issuan a of a Cenifieate of
Signature of Applicant Date
_. __.
Owner ar authorizedager - •m a.-.
All roof c mg s to be Class "B" or better "l F
. :�_ .,. .a, t: ��'.� -.-..::,.. - - - OFFICE