02090047 INO
CITY
ofcDVOt DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
7814 LILAC CT 020}
90047
OttjE S N�ft APPLICATION 9/ 11 972002
HONE: SANITARY NO. CONTROL NO,
WOO ARCHITECT/ENGINEER: BUILDING PERMIT INFO
E BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
O =O I hereby aRrm that I am licensed under provisions of Chapter 9(cammencing Job Description
with Section 701 of Division 3 of the Business and Professions Code,and my license ADD 363 SQ. FT. (LIVING ROOM)
cforce and effect.
L FINAL E93
a<
License
nu Class M
Lic.
u O Dole Contractor
ARCHITECT'S DECLARATION
2 O 1 understand my pions shall x used u public reeoNs J U L 2 4 2003
i
Sp p Licensed Pufessinnal
OWNER-BUILDER DECLARATION 1 ,
-< wing hereby.ffirm(S. thus 1 am exempt from the Cantonal Co License Law for thry BUIL®I I� A 2 0 0 0
following ereby (Sation t I acr Business and he Comate Cade ce cit w corn 1� g tl
Eg FO
which rtq Permit t construct,alter,improve,demolish,or and,any stru t
Kce 'nor to its issuance..1'. q N 'pliant for such permitm file a signed stat t
thhfhq klirch cdp tow Iib IS pTv tons of Ne Contactols License Law(Chapter 9 / Valuation
(co n cngwitn Sectio 1*ofDviown 3 of the Business and?TfusonICode) \"0IN j '3r �#'r �l4'�a,✓.{�t.'3..:5,),fly I
or that lie is exempt thaafmm and the halts for the alleged exemption.Any violation
-cif Section 7036.3 by any vppliamat for.permit subjects the.uplicam to.civil penalty'
of not moa than five hundred dollars($500), 101APN 1$'iDP DATION "'I Occupancy Type
EI 1.es owner of the Dmpeny,rr my employees with wages as their sole compensation, 102 - PIERS tV
-will do the work,'and the structure is-not intended'or offered'for sale(Sea:70U 103 - UFER t b ll0:
BuiYncs:and Pi6fessianv Code:Thin Contractors License Law does not apply to an Required Inapeenons")"'
owner of property Who milds or improves Hereon,and who does such work himself 104 - REBAR
or error h his own employees.provided that such improvements are not intended or, ,__._—_ __ -- _ ,_ _ -.--._---_-___--__.-._--_,-____._--___._
-
-oRemadrsale:wner-builder illhavetherimpmofprovigthathedidnot ilial 105 = ANCHOR BOLTS' -�s,•
completion,the owner-builder will have the Horden of proving that he did not Wild or t
improve for prrpase aroma). 106 - SEWER & WATER 1
'N _ _.._. 202_ -, UNDERFLOOR` PLUMBING' --'-" _._.,.....
> pI u mvner of the property am exdusiv ly contract ng tui@ licensed contractors to - u „. I rr. •r
construct the p acct(See 7041.Business and Profusions Code:)The contractor':
203 - UNDERFLOOR MECHANICAL!-7:, -
License law does not apply to an owner of property who Wilds or impravu thereon,
r _and,who,contracts.for,such.proj¢u.with.a.comma,mr(s)licarrud.pursuatn.w.Ne. _._-
' 204 - .UNDERFLOOR_..RRAME._.._._..- — --- -- - --
111itmctorsl.icepsel..w.,. 205 - UNDERFLOOR,INSULATION
r 111 am xempt underSc >t '„�^; p&PC(nnhis reason
wS u 97/� ' 301 - ROUGH PLUMBING
_ s at
WORKER'S COhJPJ�iATION DECLARATION 302 - TUB & OR SHOWER
Ihereby.fhrtn rnuef, . o
I; er rKd�n;gne '', mllnwmg aal.mtinns: - 303 - ROUGH MECHANICAL
�•.3 1 save ind will n ntiia C nahcat I C n.ent'to, sel6msule for Worker's 304 - ROUGH ELECTRICAL
Compensation.-as-pmvided for-by Section-3700 of the Later Cade r fothe 305 - FRAME
'perfonnvnce'a(ihe wok far which thin pc. ..is i...... :
❑1 h a tl II $i t Wo kcr s'Comance of dim
w6rdee ihich this
by Sation
306 - HOLDOWNS
3]00 oflh laid Cotl f tet rierfn'mmn a of ihq wod`f With Ihis'permit is
307 - INSULATION
ailtl My Workers Compensation Insurance earl d Policy numbertoo
C6'rtarsl' 9t '.li e I�(> ;P' ,. ' 308 ,SHE E2'ROCK•_^'•
PoncY Nn 6
4CERT.IrFlCATtIONOFE ,WORK”ERS Ia' 3f3053a-y,EXT ERIOR.SLATH':
COMPENSATION INSURANCE,;., J1
_ _._..__ - 3-10--- INrTaERIOR--LATH ----... ----------
-
tfThu uctmn had not xcompined fire permit is for line handled dollars 311 SCRATCH COAT P .a f1C: sj Gra i
(SIM) less)
p: . ,: . _rr,313':_.=..rR00F•- NAIL,._,„., '
,�s: t I S no mad in the If min of tet w rk for which this perm t is issuad;I i�,.. � - -�-V ••'� _... ~v~�~��-
Coll nvw oo ma in Cor _o nsnr*o bMle nuh)ect ja,m week 501 - FINAL ELECTRICAL `�ENER�iY
A � orrn}e _. .. 502. .c.. .EINAL,-.PLUMBING .ENERGY_.... _.__.
5 , PP ICA (arm,mkingnuvCnfctofEx pt ' yaushould l 503 - FINAL MECHANICAL`'-
ENERGY
Z pto u ito the sun els Coope t on owns of the Labor you l
GE TOA
O O forthwith comply uchProvsionsorthisPermitshallxdeemedraveked. 504 - FINAL BUILDING ENERGY _ _
-- - -' _ •'- - - -- ---
Z W - UCONSTRUCTION LENDING AGENCY,m " 505 - FINAL ELECTRICAL ' ''• ""
Iheeby tent
rm thth _ lit, tintendng ge ythe pet6,ui 506 - GAS TEST
or�h wfkf 'hlhhis pe is is.ued(Sm 3097C'.C) ,"tit _ -
W �' .Ganda sN tit' .. ....._._... ..... _.._,_......_..... ..._...-_
a 507 FINAL"'PliUMBING
Lend sA. 1
(Oj p i., - - FINAL MECHANICAL"II c e fY tett I ha red this pplication and t t to rth Wvc nformat on isf>••'E.acnrenI greet mply thallatyandco ty d' cued int I rci.ung 5!O�;
- INAL GRADE
V g _ b dh by, tet n ercprcs tfi cs fah nye ems upon 5 - INAL ANN NG
.to num Mli tthe h coned p p ny fornspeeli n p rp les(W lhgreeiosa a andemnfyamakeeph mudelitheCity6rCupcilhuigunst 5 - INALRKS
li tet I 1 dgrneruff m;t nd pc oes h ch may in... .y a,It.,see d6,1 ,7. n conuchat.a oftherant g f thi permit cAoo U"bERSTgNDS AND WILL COMPLY WITH/y�L L O,VPOINT// �� Issued byDate
Sign t r fApplicanUComr ctDates.'- Re-roofs
>� .HAZARDOUS MATERIALS Dls� t' '
Wlltbeapplitantorfmute.Winding accupanig6reorh wletmz"stttmenal _TyPe.of Roof- .x-.o+.• .. _. .. =•r-. "
_ d r N by the Cupenmo Municipal Code Chaptar9.12,and the Health and Safety. r --
Cdde Smart 755371.1 I v t ) viii a'AV rlt�A I', 4 I J `i Alta •!;f 1p ;'`I it S'; -a)�G.
°Ye " tt, , All roofs shall.be inspected,prior.to,any.roofing,material.being installed. -_.. . _..
,sun m PPr _ t rr 6tum Wilding occpant use eyes pme t o devices which, If a roof is installed without first obtaining an inspection P'agreefto remove
.crou.hasianimmi suracclumnairearras 'defined by theByA .Air Quality Management'
strct all new materials for inspection _Applicant understands and will comply with
�N - -' a - •r' all non ora[laurels re UIahODS. 'r f tl
x.n n v ,.t
f 1 have read the hazardous m tGrials I'lamorent.for,IWC]Wpm6.9ir4 the,
Cihe m He dos Sac currently
Cal S e cl ac ant,k 8533 and 8534 1 u dem d tet t /
tQhe buildingdanocnts whir ¢ lit tett.ormy res pons blty(noe.le of U -'
-ocivp t o(the rtq artmems which must x ma Dno t r an f a Cenifcate of
ure of Applican
gnat t__
,'..
Owner roe da aedpg 1:,, Date;,, All roof coverings to be Class B'or lietter
e,,; _OFFICE__. ..