01030174 CITY OF CUPERT►NO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BIIILUINGADDRI; PERMIT NO.
' 932 ML' CLELLAN RD # 4 FSG FENCING INC 01030174
OWNER'S NAME: APPLICATION SUR DATE
CAMPBELL ASSOCIATES 11.33 N LOTH ST 03/29/2001.
iONI?: SANI'IPdtY NO. CONTROL NO.
4089953397
Off'/. ARCUI'I FCT/LNGINEFR: BUILDING PERMIT INFO
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LICENSED K'SII a COPTRAtimle, DECLARATION
I hemny arrnn ma,1 am fiem,ca anter prow.aons fir enapter 9 amnmendnF _ Job Desenpl I n
m s-w wits Seninn]IXNA oI Division ioflhc lluxincxx an Yn Ja� ryr lireme
i.In muhreeade t ( 2ND FLOOR BALCONY REPAIRS RESIDENTIAL
J `1
License e n �1 _
3 wet N rema,mraatn.
�i 12CHITF;C1"S ULCLARAI'IO
1-c.0 4 1 undeound my plans shall h used as public records
cy 2l
i E 00 O Licensed Professional -
c. OW'NI?k-IfUILUIik OECLARA'IION
W'=' I M1creny vffrtm Inv,I ,at exanpi fmn,ire Coma,(... IJevnw I.aw for the
C Z< following attona (Section 7131.5.Bu,iacxs and Psi Cale:Any city fir u,amy
IMffO which wq ircs a omni,In consWimrov
e,.alter, pe.demolish,or mpam
r any ae,am
aao prior it)inmmance.also require%the applicant for such permit to rile a,igned„mmwm
'bar heis licensed pummil it)the povoums of the Comnmor's License lyw(Chapter 9 Sq. Ft. Floor Area Valuation
(commencing with Smnon](XW)of Divislnn 3 or the lhjimcss and Profuisins Gmc)
ofSlir fine be is fa"inontrmn unto the hn..i.Io, he akegcd co, Orion.ntA,violmirn $3500
adnn
70315 by any iq,prifor r a perouf subj,,,,,he uf art to u civil pemby
of no,more than live lar dem dollar.(Hall. APN Number Occupancy Type
01.a,no net of the progeny,or nay employee.,with wage,as their vote compensation, 362212001. 00
will do the work,arta the saucmre is not intended or offend for sale(Sec.70,13,
Ilu,iness mad prorn,,io.:.Coot:The Gnnmclor,Lieen,c Law Joan no,apply to m Required Inspections
or ,of pmpu,y Wi build,or hnprovex i harcon.and who does arch work Lim,elf 1.01 — FOUNDATION
Hari his own employees.pro nded ma,such in....nnrem,are no,intended or �®
offend for tele.If,however.,he building or itnptovemm�,is snldyyt tsID•,�{ 102 — PIERS
completion,the owner-huilder will have the burden ofpuningm �_ �ItJt�hi�
improve for parpaseofsale.). 103 — UFER
[111,m,owne of me pmper1,,ant exdndvely ((mOling wins rr,:o,eJIhr1^)11����yX�11 'r ZOO 104 — REHA R
Lion,u'uc,Or, ),sc((Sec.](131 Im,incs,end 11 1...iun,Code.:)"rM1t'fl}I�i ,I'
cense lawdoes noIapplymoownerol property who NOON orintpn,ve.thereon, 105 — ANCHOR BOLTS
and who contracts far.such projects will,a morecmgs)licensed pursuant m the ^-
Cnnttractn,..Licmvel.aw. �� IN�+ 106 — SEWER 8 WATER
0 1 am emntpt under Sec. .B&P C 4
202 — UNDERFLOOR PLUMBING
WORKER'S CUMI'PNSAI'ION DECLARATION 203 — UNDERFLOOR MECHANICAL
_ M1 Ihereby afernunder Penalty ofprijugmeofthe following dcdanaion.: 204 — UNDERFLOOR FRAME
I have and will maintain a Certificate of Consent to ,elf-iamn Our workers 205 — UNDERFLOOR INSULATION
nilgw t,uinn, as provided for by Section 3701 of the LiNn cone, lar the
pedormmcof thr oak forwhlah iid,pemdli,i„acd. 301 — ROUGH PLUMBING
�M1avu and will maintain Worker'.Comperosaian lmunnce,as required by Section 302 — TUB & OR SHOWER
37M of,he IrM,r Crate,for,he performance of the work for which this permit is
kwicd.M Wor7�',Comp/enm�ti�o,nlnsmmnceemmc,:mdPoli,manh,an: 303 — ROUGH MECHANICAL
cordm �.1,F TolicyNo.: j0 304 — ROUGH ELECTRICAL
c17R'llq 'KI'ION OF nX;aMPrION rR M Ice1<s 305 — FRAME
COMPENSATION INSURANCE
(oris section need not be completed it the permit is for one hundred dop— 306 — HOLDOWNS
($lap n "'.) 307 — INSULATION
I crib y thin In the performance of the work for%Inch this permit i,issued.1 308 — SHEETROCK
,hall not employ any person in any ammer so as to M1eeonm subject to the Worker'
com""ahmnl.aw,ofcafiford..[)ae 309 — EXTERIOR LATH
Applicant
NOIlCH IOAPPLICANOI':lt:Offer making tris Cmiiicnroofliacmp,ion.you should 310 — INTERIOR LATH
hnn,nc-abjc,f or me Wake,',Cougrommiun pm,kinm ol`thc Labor Cure,you mall
p C rima(woheo,raplywitit.vnmpmal,.rn,sorad,pcmtii,IaI1h,de...rd revok,d. 311 -- SCRATCH COAT
F
CONS FROM[ON LENDING AGENCY 313 — ROOF NAIL
7 I hereby affirm that them is a construction lending agency for the serfommnct,
nf,hew ark,s,rrwhich this .it isi...edset.3f197.C,v.C.) 501 —
FINAL ELECTRICAL ENERGY
qLender',Nitre v i
z I,rder.Addn ..1
,, 02 — FINAL PLUMBING ENERGY
U O 1OcrdtymilIhave ,ad this application aad.,meroal beanweini antic.is 503 FINAL MECHANICAL ENERGY
cones,.I agree to comply with all city and county ordinances and state laws relating
O r, to bridding consionction.and hereby aurhori,c Te,re,Ontatives of this city to enter upon 504 — FINAL BUILDING ENERGY
fire above-mentioned property for i inpcciion purposes. e —
o (We)name m. ima
1nifyamlkecpnan,de,,One City ofC.,dnoaguirl 505 FINAL ELECTRICAL
n Iiahirac,.jndgmem,, ad cxpenma wadi an,in may way veeme agdnm said X06 GAS TEST
C.7 z Cry in aoa c,n,rwc oI the Framing rel mi,lemma
So .ANT ll )ERSTAND A{.LJNON I'O�
t SO TARE TRI A (Q 2 Issued by: St�i7� FTh19L RLUMBING Date 4f 0
s Appre Con ."n rnnc Re-roofs 508 FINAL MECHANICAL_
A''/.AIt000$MA'L'I?RIALS UISCLItSllkli
lout lne:,p ¢am or"'tore nnimingtxcapant,mitmhandle nam;tnwu,inmcnal Type of Roof 509 —
FINAL GRADE
vet delined by the CarcOr nwmeipol Gulc.Chaptar 9.12,ane,he Imam and save„• 510 — FINAL PLANNING
Gale.Section?5532(m):'
O It, -161, All roofs shall bfggsgected Fpjjgpp arVQjj9fiM0TijQT30VSing installed.
Will me;.p,dam or fatare hnudin,ol-,ria amenaquacm ordevi,c,which If a roof is installed without first obtaining an inspection, I agree to remove
crab hunudnu,air camnn.lmea,a,dri mcd by thu Ifay Ana As Qmdiay Maongcmm,
viwricR � all new materials for inspection. Applicant understands and will comply with
0}'e` Y<No all non-point source regulations.
1 I am read the M1v tolumv materials requirements under Chapter 6.95 of the '
Calltomia Halm&Svfaty Cade,Sccfuo,25505.25533 and 25531 1 undmswnd met
If Ilia building dors ern can rally It,',,a mnnni,mm's is my n,pon,Pouay,o....lily In,
I it or requinmen”whim nm,i h nm,pans ro iny� vOmf a Cmircam o1
AT�2�Q' Signature of Applicant Date
n,rmaamo redxgvm nate All roof coverings to be Class"B" or better
OFFICE