01040091urERO INo
ct BUOP GDIVISION
IPERMIT
CONTRACTOR INFORMATION:
BUILDING ADDRCSS:
I
snLIIHBAY
PERMIT NO.
CONSTRUC ION 01040091
OWNER'S NAME:
APPIE COMPURTER
511 DIVISION
APPLICATION SUB DATE
STREET 0/1/16/pool'
PHONE:
SANITARY NO. CONTROL NO,
ARCHITF.C'1'IIiNGINEER: _
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BUILDING PERMIT INFO
BLDG' ELECT PLUMB MECH
CJ 1=7 L- - CI
LICENSED CONTRACIOR'S DECLARATION
I
Job Description
P
heathy nffrm r1,a, 1 am licensed under moidors of Chupmr 9 (conu icneing
wan Secean laid at Dmieim, 3 of the B-ine.. and Pride,...... Cod, I l my license
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to fill Rvice and effect.
uaItsecws. uc."
NEW
507 SO. FT. STORAGE ROOM. '
Dote Commmor
ARCHITIiCI'S DECLARATION
1 understand my plans shall he Itself as public records
Licensed Professional
OWNERIUILDCR DECI.ARAI'ION
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1 hcrcby million hot I are excmpl 1'mo the Conh'ncial's License Low far the
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following reason, (Section 7031,5, Boniness vnd Professions Code: Any city oreoumy
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which mimic. a permit to comince, alter, Improve, demolish, sampan any amount,
prior tin its..... I. elan, reclaims the applicator aerial pcnnit m file a signed.Imemem.
Sq. Ft. Floor Area
Valuation '
thin he is licensed pumumm to the provisions of the Contractor's License Law (Chapter 9
leontmeneing with Section 7010) lit Division 3 of the Business and Protesslnaas Cal
m shut he is..,I,t thcofmm and the basis for the alleged exemption. Any violation
of Section 7031.5 by any applicant loo o pennil subject"he oppI cone to u eivU penalty
ofa.,minemoolive hoodreddol has ($50),
APN Number
1pMrA
OCCUpanCY Yre
0I, as owner of the pmpeny, army mnployees with wales as their sdle rompanmtlon.
will do the work, and the sractum is not intended or olreted for sale (Sec. 7D,,L
Business and Professions Code: The Contractor's License Law does not apply to an
Required Inspections
owner of property Who builds or improves thereon, and wbo does such work himself
mrnugh his own employees, provided that such imprwemems are not intended or
10 ].
— FOUNDATION
olferud for sale, If however, dw huild'mg or inq,mvmuum Is sold within n le you of
o,nplet;on, the owner-builderwmhosethebnmenofprovingiha w
improve fm dammar, of sal,,). � I
�j 102
F�.aE ®
— PIERS
A.as owner of the property. am esclusively contracting with It sen sed simulations 1.
103
.
— UFER
stmcl the project rsec. nay Basins and Prafestlo r cwea Tb m
Liame Lam A«. not apply to an ow r of property who builds or imp �to,
`
104
20 01
— REBA R
and who contracts tar such pr,je ith a contractor(+) licensed pmNtlal to the
105
— ANCHOR BOLTS
Contractor'. Licen Law.
0l am vsemp so. &PCfiL,U�s�an
�1tl� 1.06
— SEWER & WATER
Own, _ ate �
%j
202
— UNDERFLOOR PLUMBING
ERS f P'E SATI ,' EC RATION
203
— UNDERFLOOR MECHANICAL
Inrreby rmunder wrynrpe�aDnneonnemnow;ngeremraro�.:
204
— UNDERFLOOR FRAME
0 1 have land ill Inaim:dn a Certificate of Con.om m self-manse for Worker's
Compemmion, a, pnoided Ii,r by Session 3700 of the Lobo, Cloth. ear the
- '205
— UNDERFLOOR INSULATION
rro ,ee of ore work R,r whi<I, mi: derma i. i.aaea.
pnman
301
— ROUGH PLUMBING
01 have and will maintain Worker's Compensation Insurance, as required by Section
3710 of the Labor Code. for the performance of the work far which this permit is
302
— TUB 8• OR SHOWER
issued. My Workers Compensation Insurance carrier and Policy number arc:
303
— ROUGH MECHANICAL
easier CHItIIFICATIONOF[is17IPTIONFROM WORKERS
304
— ROUGH ELECTRICAL
COMPENSATION INSURANCE
305
— FRAME
Mfls.eclum nail not he aomplemd if the .i, is for one hundred dollar.
1E100)or least
306
— HOLDOWNS _
1 cenify that in the pctoortmmce of the work for which this Pernth is issued. I
307
— INSULATION
.will not anploy any person in ;toy mem so .,s to heomne anbiecl m the Worker.
308
— SWEETROCK
Compensath.n utas, orChhman. utas
Applicant
NOTICEI'OAPPLICANT:It. after making thin Ceniticam of Exempt ion, you should
309
— EXTERIOR LATH
beeome samiect In he Wn Jmris Comore atm. pmviacm Due Lal,or Cade. you mast
310
— INTERIOR LATH
forthwith comply wnh such poomm.... or this permit .hall be deemd revoked.
311
— SCRATCH'-COAT
CONSTRUCI ION LENDING AGENCY
1 nemny e1Bm, haat mere is n nmshactlon Tenting ageney rat she performance
31.3
— ROOF NAIL
s pennssued (Sec.
of the work for which his Is issued 3007. civ. C.)
]xader^Name
501
-- FINAL ELECTRICAL ENERGY
Lender's Address
502
— FINAL PLUMBING ENERGY
I rectify that l have mad this applicmido and sate that the above information is
correct. I agree to comply with all city and county ordinances and state law. relating
503
— FINAL MECHANICAL ENERGY
to building eun,auetime, and hereby authorize representatives mf this city to enter upon
the abase .mrntioned propeny foriO,.Iroaaal, pumaises.
504
— FINAL BUILDING ENERGY
eo):tgratosave. tadsn0arrandkeepnl,rmles.e,eeayorenpamimngai0,st
liahilitien, juJ • care ' ,S at •xpenu. wh;ch may in any way accrue I insI said
✓�
CJ 505
— FINAL ELECTRICAL }
City in co lice he i ,g of This permit.
APP N S f NDWILLCOMPLYWITU NO POINT
Issued by: 506
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_
— GAS TEST l
Date
.E t it .
si Itata pac:11 1., a' US MATERIALS DISCIOS RE 1" t`
Re-roofs 509
— FINAL MECHANICAL
ill moappncam acme budding accopanl ,It handle accidence material.
defined by Inc Cupe Municipal Code. Chapter 9.12,
Type of Root' S09
— FINAL GRADE
u. m and the Health and Safety
Code, Section 25532(a)P
0Yes ON.
5 pt Thl P N G.
All roofs shall be ihs e'cted p 6t tf5' ny,C� t r I b g installed.
. w;umeappuamorthwranmldingsecnpamu.eegaipmeowrdevmeswhi`h
Ifaroofisinsndled5 l�ltout•
rs��iniKl, eco reetoremove
emit hcearinm aircnntaminum. nx JcfincJ by the IE, Area Art Qualay M....c imat
1)i.s,octly. -
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all new materials for inspection. Applicant understands and.will comply with
n. aNa, _
all non-point source regulations.
I have read the hazardous mumnals requirements under Chapter 6.95 of the
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CalifromHealthdSafety c,Scuions25505, 25533 and M531. I understand that
n cu I have a mnant, That it is my reepons' Jiry m mify the
re ouch must he met prior to i,snanc of a C tiicumlirSignature
4.�.P��,es
of Applicant Date
All roof coverings to be Class "B" or better
,recJ age DTIC
OFFICE