01010003OFFICE
CI TYOFBUILDING
DIVISIONPERMIT
CONTRACTOR INFORMATION:
BUILDINGADURESS:
PERMIT NO.
10170 MACADAM LANE
01010003
OWNER:Ss is
,
APPLICA'I'111N SUB DATE
BOMMIREDDY, SATYARVASUDHA
01/02/2001
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SANITARY NO. CONTROL NO,
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ARCIIITHCTIENCINEER:
- IIUILDING PERMIT INFO
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BLDG Ii1,13CT PLUMB NISCH
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DECLARATION'
LICENSED iNSEUCOKnRACnder
.106 Description
a lammenemg
Rion alOm, Ihm lamhcenwdnnacr pro, inion ofChaper
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is inscaion71M1111 of Divisinn3oflhr'Husinea and Profecaions Code, m,J my license
i.amu forrrande
i�fose cin.._ I.if.a_5 ,,rri,aa
INTERIOR LOFT
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nitCl ll'I'EQu e DGC blic records —•• __ ``
l unemsl:,,m ...y plmns shall rw tr.ea a.. punbr ter„ms
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Licensed Professional
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DWNE&Bvernp, iR DIiCLARnTION
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1 hereby "Rol, ,hal 1 un, Paempl floe, CRATIO f n I,iccn,e Law for site
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following reason. (Section 7031.5. Buarso, and Pmfecdons Code nm city ,,.only
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which no,lim, a Prom, n, cua,iwrt, el la, inrpmve, Jemolisn, lir repair any structure
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priori I I y ih'III 11 h sennif ToI b J:Imnrr,
Sq, Flt. Floor Area
Valuation '
'
fee Ili is I li I b ponvoint,VIII Cornocul Likch,, I (Claine,9
tool a, ,,ItScef n700(doflooki p frit Br,Inc4V II c,ion, Code)
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or that he is fwntnl the ctrnm and the breis fin the alleged CVclophon. Any violation
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of Section 7031.5 ny tiny applicant for a permit wMeas the applicant ill civil penalty
of not mole than 11,P Infrared delta, (SIOU .
A PN NumberVV
14
Occupancy Type
36901047.00
❑Las owner of the property. or my PmlAwm% with wages a, then vote compensator.
Required Inspections
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will do The work. and the structure is not inianded or offered ter self (sec. 7(W,
Rusin... and Prole.nimtV Cm1, ) The Coltrane', Liccn.VC law down nor apply ato
,a, of properly wit:, loold,.o,onm,nals
p...con, and who dosnit work doe,elf
or ihmugn
1.01 — FOUNDATION .
til, own eme, ployenn,v.ded d.w -son, impmvcn nems are our infended lir
carried tel sale. u: h omvc, the building of innprovemcat is Nola within line year lir
102 — PIERS
repletion, the "wr.budder will have the burden of pmsing that Whirl nut build lir
imhi
prove tar pugnsfof,alPJ.
103 — UFER
01, a, owner of the property. and edmbely controlling with licensed Contractor, m
104 — REBA R
mm lm'he project sce. 71W. Bas s and Pirne,,inn, Ctdca Tee Conarnaoiz
L centre Law doe, mor apply m ao owner of pnms n
arty who build, irnprmrs threat,
105 — ANCHOR BOLTS
.red ITT, moan”" Ibr ,tmin ernieco. with a unvuco)"O weaned punmuu a, he
Corr merles l.hansc l.trw.
106 — SEWER R WATER
01 ameaca,prtrmlcrsee. .13&11Clot for, reason
202 — UNDERFLOOR PLUMBING
Dale
owner Date
WORKER'S COMPENSATION DECLARATION
203 — UNDERFLOOR MECHANICAL
t.
I hereby affirm under penalty of perjury rare of life following declarations:
204 — UNDERFLOOR FRAME
0 1 have and will maim:dn a Cerificam of Consent To sci:iesthe lot Wmkcr'.
205 — UNDERFLOOR INSULATION
Curnoch,dioa, as .....valet rot h, Seat 3700 if IT, Lit Cone. rt h"01
?— ROUGH PLUMPING
in which this perho is iaed.
perlion anecol'rhe work for w
t
01 have nd will maintain workers Comp:nwtion hole arcs a, rcyaiced by Section
302 — TUB & OR SHOWER
371)0 of the Ul Cale, for the perforal of the work Ibr xhleh This permit is
303 — ROUGH MECHANICAL
issued.MyW'orker'sCon,pcn.minn Insurance career and Policy nrial are:
304 — ROUGH ELECTRICAL
cnT`►19J ill fey
CER IIFICAHON OF F.XEMI'1'ION FROM WORKERS'
305 — FRAME
COMI'F.NSAI'ION INSURANCIi
306 — HOEDOWNS
(This section ped ren be cno,pmtee if tlre perinit'is for one hundred dollars
unn)m less) _
307 — INSULATION
1 certify Inas in the peronname of he work for which this panni. is i... ed. I
308 — SHEET ROCK
shall nm employ any Pmoni in any manner so a. m become .wider. a, the Workcn'
compellLaw, it California, [)am
309 — EXTERIOR LATH
Applicant
31.0 — INTERIOR LATH
NOTICE TO APPLICAN'I)I1.ahcr,nakingmin Cenilwor of Eaf.....I,rt. yrs"shirld
Iaeo,nfnun,ialromfW..kr', Cm,gfe....lio'prm i.ion of Ill, [,I'll Codc,ruu,nil
forthwith comply wl0,.wch provision lir tido fiction, shall he devoted restiod
311. — SCRATCH COAT
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CONSTRUCTION LENDING AGENCY
313 — ROOF NAIL
LI
fora
hereby affirm that mere is a construction lending agency terrible pvrmntt
onhe work far which This parents rowed Sec. 3097. Cm. C.)
501 — FINAL ELECTRICAL ENERGY
Q
bender's start,
I<wersAddrem
502 — FINAL PLUMBING ENERGY
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ICcnifylice lwofn~tdmi,:rpph".pia,:.a,lN:ae'lalfi alminlonoati; is
502 — FINAL MECHANICAL ENERGY
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eel 1 agree I fly Ili all'1 1 Iy ordin' c a "ale laws rvriny
it, nlihine 1 1 do lir' m -representatives,n. city it) upon
504 — FINAL BUILDING ENERGY
W
n a save, inspectionp`
) g . J 'fy and keep n .. Inv cis f Cosentino against
505 — FINAL ELECTRICAL
3
raD Iii c, juJbmcme, shits unJ uprn,c' xh ch may In any way a.cmc age n.l said
506 — GAS TEST
z
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co
no con gaan"'ofl r i root,.
h4 s Nuw= con V11 11 nI. IN
Issued by507 FINAL PLUMBING Dale
� euR=e .GuGLAiR� -1
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Re-roofs "' 08
IIA%ARDOUSMAI'IiK1n1s DI, G. RE
Wit[ life "pplicant or throe Molding arupan, stem or handle ha epi mamnul
Type of R=VS% 9 — FINAL GRADE
m dffned by he Capcnnm MuPrennin Code. Chapter 9.12. unathe l lcelth and Safely
YP
51.0 — FINAL PLANNING
Code, Section 2553200.1 `\,
0Vas "N"
All roofs € Jd4be-inyp( d9AIpri&tfflMnf &oNfigft&riai being installed.
Win a,a rmplicanr or furan M1,dlJiagoxxarinr, I ase esEnhnf"l or dcoi wniCn
If a roof is installed without first obtaining an inspection, 1 agree to remove
coil M1umrdous air aonmmire 1, an dulinrd by rhe fiay Ana At, Calif, Monagemmnl
Dislr'ren
ores \1 No
all new materials for inspection. Applicant understands and will comply with
-
all non-point source regulations.
I have real the haadone ntmenals naporennnl, undo Chapter 6.95 of he
California Health R Safely Cask. Section, 25505.25533 and 25534. I understood that
if he huildiogddoo�csso, currently nave a mn:un, that it is my re,pmsihiloy to notify the
I ITc la,o a ¢, prior m ianancc of n CaniOcnlc of
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Signature of Applicant Date
All roof coverings to be Class "B" or better
owher sr �mmaiam age — lir m
OFFICE