00080099CITY UILDINur� aONr o PERMIT
CONTRACTOR INFORMATION:
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BUILDING ADDRESS:
PERMIT NO.
OWNER'S 5E,H1_
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APPLICAT@hQ{Qii9@@99 ;
PRONE: APPLE COMPUTER
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SANITARY06 15off 2MM NO.
ARcHITECT/ENGINEER: -
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BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED COS" TRACTOR'S DECLARATION
Job Description '
P
1 herehy nfrrm mm lam licvnsad under Provisions of ChnP¢r 9 (commencing".
whh S e f Division J afthe pusioe.s and professions Cade, and my licenwr
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is In ie full farm and ¢114¢1_
ll pur e and
License Class lie .H
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TENANT IMPROVEMENT
DF,CL,RtA ,
I1 nas public recmec
Litt d ut of 144
OWNS ILDER DECLARATION
'
Iver y a drm cont I coin Boo me eomramr'r. License Law for the
. .
'Lar ia6 r assn. (Sermon 7u. ,S, Buxinasv and PmfirWon. GMm Any city or county
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which require.' a Perot to mnsunet, alter, improve, demolish, or repair any .structure-
praveI issuuna,ul.a ragniresmeapplicamharshen PdumtIn rleasiynedsmlemcar
Sq. Ft. Floor Area -
� Valuation '
that lie t. learned pursuant to the proonamis of the Central License Law (Chapter 9
(commencing with Section 710X) of Division 3 of the Business and Professions Code)
nr that he Is exempt them from and the basis for the alleged axvntptlon. Any violation
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of Section 70315 by any applicant fora permit subjects the app! eFrii to a civil penalty
onnot ntme ban red hundred dollars S-500),
APN Number
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Occ e ' -
uE' X11 'p
my eat 'sole
° i, d oche sTG4,
work,andru
the structure
will do me work and the ode: The is pm intended or offered for sale (Sec. lo44„
not handedor offered le (See
of and coda: The Contmradu License Law dos cot aprlr an
31 E021.07. 0r�lequired Inspections
owner offh
owner property Who thereon, and who does n lf
mild or wiped
worknded
his
m through sa ply p -dad thatsuchpro vee t oe t: of intended e
em t re n or
6 improvement Id within year I'
offer le i I If, a thell have
m 1, m '110 tl n a rp 'gmtl ad tnnd
101
,
— FOUNDATION
imp
con for punpose of1)
1.02
'� PIERS
°1 Ithap pay, ame i elYcontracting m'licensed tat .tt
7042 B. a 1 r
theLaw
103
R
— UFEREB
consumer p jar (i ..n. ileo,:) im c t t o
4 La does not )ply man owner uny was) Icee d, re
��
i.04
— RESRR
w
and who r, Livens ror .'nen pmjmrt wah,n aontmrngs) licensed )loom! to
lh,a c se ho ola
ElI am License Law.
❑ I um exempt undo' Sac. , tl & P C for this spam
� 105
— ANCHOR BOLTS '
Owner Did
1.0E
— SEWER 8 WATER
' WORKER'S COMPF.NSA'I'ION DECLARATION
202
— UNDERFLOOR PLUMBING
Ihereby nrermumter pmahyelPrimymon, afine faBawinadeel... tino:
203
— UNDERFLOOR MECHANICAL
° I have and will mninmin a Camrwte of Consent to .elf-inenre for Workers
204
— 'UNDERFLOOR FRAME
:•priaed coni!01
Compensmmn, ao' t by Seors 39if me Labor Carl me
peformaneeofthe work for which (his pearntis soared,
205'
— UNDERFLOOR INSULATION
C I nnve and win mghnam worked, Cmnpensatirt Itummmen, as ternited by Section
301
— ROUGH PLUMBING
3700 or die Labor code, for the per ¢aro nce of me won: For which mL' permit is
..
ued.MyWorker.CompensationInsurancecarrierandPnncymomeraro.
302
— TUB & OR SHOWER
Canter: Palir,No.:
303
— ROUGH MECHANICAL
CERTIFICATION OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
304
— ROUGH ELECTRICAL
(This section need oat be rental it heperdnh is for one hundred dollars
305
— FRAME
(51 W) m lees)
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W,0_DOWNS
;
I mnify thatin me perfoananm of he work fowhich this permit issued. l
.Shan t n any co n t beam India, Worker
307
— INSULATION
np n L arcul Date
nrni308
NOTICE TOAPPLICANT[Latermaking Certificate of Tri youshould
n—
319
— SHEETROCK
hocamesubject t maw k Compensation npr. s of theLaborCede,)aumnst
— EXTERIOR'LAT
formarthcompl> with oul Divisions arm permit shall be dociread revoked.
330E
1.0—
INTERIOR T
CONSTRUCTION LENDING AGENCY '
of the work for 'h h,hp rtoI..led(S ,3097 Cho. C)
'Leader'Nuna
I thereby affirin that there itst t leading agencymrm.jefnnnanecay065
SCRAT H CO T .
ROOF L
Leader's Address
FINAL LECTRICAL ENERGY
I amdfy mat l hanentod this aoticaronand state that me iduve'mrtrmaman,FINAL•
PLUMBING ENERGY
,Nicer. 1 ngrce to comply wan id aitr and oodnty erdirance, and.mte Iawx helping
ildinyanmirntuartandnerebyntnnati:¢rep sentativasonhi.citytocand, asFINAL
_
MECHANICAL ENERGY
the abnvcmemloned pmpcay for aspeminn purpose.'.
(we) agree to'ava, i lem'fy and keep harmless the Cityof CnpeninougaindFINAL
BUILDING' ENERGY
lianilltie' 'oa a which may in any waspermil.y accrue xgainet aaiJ
elit
Gty eve t
gDWILLCOMPLYWITHALL
FINAL ELECTRICRLDate
NT ONPO
5 �
5@6
11
A,,mOC, nr m ate
R -roofs 507
— FINAL PLUMBING
. LIAZA OUS MATERIALS DISCLOSUR
Will me,,pplinmt mture budding ocenrant )lore or handle haxanlon'mmerrl
'Type of Rool
-- FINAL_ MECHANICAL
nstlnn abym cp M Ice Cnpt 93s.adth H Id dStemy
Code Section 2553xO
°Y
509
All roofs shall impl
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— FINAL GRADE
Lor �pL•WAl material being installed.
tunm pore t 1 t r n m g e u.e hAi nt d : mon
eon hazprtl rcmtnnoann'acd TneJ by the Pay Arw Air Quufty Manny nen
If a roof is ip t� ed tui P� �t t ' u �n �}pn, I agree to remove
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Portico? t.
all new materials for
ins ec ton. 1 a n sand will comply with
At41 l�
°yes
all non-point source regulations.
1 have read in hazardous 11.11 regtdmmmats under Chapter 6.95 of the
California l lealth&Sufaty Code,. ¢dons P55o5.15533nnd2S5341undersmnetnat
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Ifinebnildin• n to plycoonI thataisrayne,cmihilitytonoti the,
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a' req! st he met Frio. m icsmmce o - n Cohmfi feet
ornpnm
acara
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Signature of Applicant Date
r ar nut ; ea, a ,a
All roof coverings to be Class "B" or better
OFFICE