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02080112 CITY t DING DIVIISiONNOPERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO. 20095 LAS ONDAS WY K DESIGNERS Plg�J�Alf APPLICATION RICKSON 11261 SUNRISE PARK DR 08/20/2002 PHONE: SANITARY NO. CONTROL NO. (916) 631-9300 WOO ARCHITECTIENGINEER: if BUILDING PERMIT INFO H FF BLDG ELECT PLUMB MECH z`uf Ul 11-:J L=1 LJ Z 8 y i LICENSED CONTRACTOR'S DECLARATION Job Description o z_ I nereby that I am licensed unJ inions of Chepmr 9(commencing VINYL SIDING n t witn se=lion y > I.ian 3Orme Buai�a ares �nd my,cense in full for a FI ALEr) o.0� license C Lic,p — SSS Dm G Cuar¢ _ u3.WO ARCHITECTS 9BCLARATION ,g:il 1 undcmwd my plans shall be used es public mcoNs AUG 2 7 20 02 5 N a i p Licensed Professional - ,q, OWNER-BUILDER mDECLARATION 1 hereby affirm Nat 1 1. exempt from the C Professions :Any c law for the $3900 Fad which followingsession.a (Section'const, t.alessand Professions Co de:Any city Stax ry BUILDING F C which Icquiux a penlrl!m mnnlun,Niter.improve,demolish,or repair my swclurt s3_ ,alsary Iheoad.m. the Cohperm uofleae Lata listre! - - - - -- --- - - — - --- --- W '^pn rl IIS ISSY811[e -- -- thi rte q licensed wh le em tp th-piovision.n 3 of m Bu int License law(Coapt 9 , ,3 639L3 0 2oI P�FFa t f Valuation q'll•" (c mm cmgg with Sermon 7IX10)of Divson]o(the EusineSand PrafAnyvi Code) ( ,�(,�7; s ,y y,, l-„1:1 f, P. or that he is eiempt therefrom and the basis for the ulleiul cemption.Any violation -of Section 7031.5 by any applicant for u permit subjects the applicant to a civil penalty jet not mare than five hundred dollars(t50n, 10 TARN P'6q*FJATI ON i i Occupancy Type C L as owner of the property,or my employees with wages as their sole compensation. 102 PIERS will do the work,-and'the structure is net intended or offered'far mle'ISec.7B14, 1 O3 — UFER Required Inspections' Bminiis and PNfessiom Cade:The Contractor's License law docs net apply tow -^ owner of impiety Who builds or improves thereon,and who does such work himself 10 4 — REBAR or liedthroughfo his own employers.provided Not mar impm t is sol vre not intended or __ -------- applied _ _ _ -complefor we.B:Fowevec mellhiave t tibimpmvemanin torp he did not y.,.or "'105 — ANCHOR BOLTS 'completion,the owner-builder will have the burden of proving that he did not build or improve for purpose of sale.). 106 - SEWER & WATER ' ___.._.... 202 -' UNDERFLOOR- PLUMBING _ ._ "Cl e.owner.of the prnpetY•OmcxJus velyconrcating wOthl«nseA rnmmcnsrsm 1.i, , . 1.• consumer the project(Sec.7044,Business and Professions Cade:)The Contractor's 203 - UNDERFLOOR MECHANI CAL'" License Lew does not apply io on owner of property who builds or impmvea Thereon, ' ..aod..whaes Licensemawrn prajec¢.wuh.a camrwmrtm.fimnud purswnr to the_ _ .. .-....._204----.UNDERFLOOR--FRAME- ------- C nwctors License law. Clvmexemplunder Sec. I ',B@PC for this¢awn 205 - UNDERFLOOR'`INSUL;ATION owner bite 301 - ROUGH PLUMBING --WORKER'S COMPENSATION DECLARATION 302 - TUB & OR SHOWER IheubyaRmlunderpenallyofperj.'mre.rdiefid.in9dedvalions: 303 — ROUGH MECHANICAL ❑ 1 ha:BEnd will maintain'. Cerif¢ute'of Consent in Wbinsure far Worker's 304 - ROUGH ELECTRICAL Compensation, as provided for by Section 3700 of the Labor Code, for the performance orlhdwark for watch this permit i.issued... 305 — FRAME C 1 have and wilt ma ruin Worker's Cnarbartaimarnsurance,as required by Section 306 - HOLDOWNS 37W of the Labor Cade for the performance of the work for which this permit is 307 — INSULATION bored My Workers C..pdpauimi msutenca ca 'er and Pobcy numrer e2 3Q6—: SHEETROCK' - - '"" :', .p� —�-rwJpr,Por iiJD30i _.. .... er Gor'PiE , 'v.,, 1 1 i :tCERTIFICATIONOFE%E ION FROM WORKERS `.I!ti r 809, t—' !,EXTERIOR' IIXTH%' - COMPENSATION INSURANCE ,. _.310' '-: INTERI'OR---LATH (This section need nm he completed if the permit is for one hundred dollars 311' - SCRATCH COAT _313"- ROOF- NAIL.,.._. Ic iy�lh tin lh p 1 uu oflhew kr' hchtl p in":is dl ".an a not employ any p. o f n any r um r s.is to hcaume subject to the Workers S01 - F I NAL ELECTRICAL'-ENERGY , APaip1tanLwaarcafirnmm:Date, " 502 , -- FINAL PLUMBING ENERGY-_.. .... NOTICE TO APPLICANT If,after making this Certificate tExemption:you should 503 - FINAL MECHANICALENERGY O Cbecome a bject to the Workers Compensation p o s of theLab. Code,you mass mtbwithcomplywithwmp previsions this permit shot the _ 504 - FINAL _BUILDING ENERGY _._. ._ CONSTRucnoNLENDwcAGENCY 505 - FINAL ELECTRICAL ' ai ; 1 rercby effrm that there is u conmuctron lending agency for the perfomance 506 - GAS TEST ' W-r hof the work far which this permit is issued Sec.3p)],Civ.C.) ._.............. ....... ... . . ......._...... ....- . o L1 ..sersNme 50.7.. . ..__FINAL PLUMBING a z Lender Add rci - U`O '' ' ' information50 FINAL MECHANICAL''"' I certify that I have rand ih s applic.uon and state that Iberians. is O:f� ,correct.I agree m comply with all city unit county ordinances and state lows relating 5 9 INA G E ) to building conswction,and hereby authorize representatives of this city to enter upon. 5 0 - INAL NG �-W ,Ihe uGrve-mentioned pmpaty for inspection purposes- - . d lWelagree nnsave,indemnify and keep harmles±iheCity ofCupeninoagainst 51 - INAL RKS rn liabilities,judgments,costs and expenses which may in any way same against said 't U..Z iI mcansequ7ceofthe g, linga(this arm. - 1 A '.T UNDERST IV s'ANDWILLCOMPLYW'ITHALLs )N JM, (/v r sol r REc laJI NS. � �8/�� Issued bye Date arafAriplicartaCiminiCler .at Re-roofs HAZARDOUS MATERIALS DISCLOSURE O WII th appl"int f ante hu lJinga pan score nr handles z Nous met nal Type.of Roof pec J fined by flic,Cuperturn Municipal Code.Chapter 9,12 out]the Health and Safety Cod ❑Y .2553 (a)?.! a s. `:. ,l Y' I, n ,:v'Rle�i,�t ;a„ib - If . ._ . All roofs shall be inspected prior to any.roofing.matenal.being installed . _._. Will the applicanto future Wildg occupianstuseexip can or de ices w hien If a roof is in4ittled without first obtaining an inspection;I agree to remove �em t hiccoccus itur contaminants as refined by the Bay Area Air Quality Managcntcm •,� District?0 yes.• eta all new materials for inspection.- Applicant understands and will,comply,with., . , all non-point source regulations.. . 1 have read Ihe hazardous materials uquimments made,Chapter 6.95 of the California Health @ Safety CW e,Sections 25505,25533 and 25534.1 underssand that if the building does not currently have-u tenant that it is my respnnsihility ninmify the nceuponi ofithe reyuir lcnu which mnv be mel prior m'su;mc of,a CetiOcmc of Y _ Signature of Applicant _ Date o pramnn aeaagemt . Efate All roof coverings to be Class "B”or better, OFFICE'