01040096 CITYBUILDING DI»VISIONN� PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PURMIT NO.
10519 METEOR PL SHOWCASE KITCHENS 01040096
OWNIiR'S NAME: APPLICATION SUB DNU;
C — I NYVAI_E RD04/18/2001
l PHONP. SANITARY NO. CONTROE.NO.
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n s L ARCHITBC 01INGINGBR: BUILDING PHRMIT INTO
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L� LICBNSIiO CON I ACmR'B ORCLARAIIIJN fob DescrIpn O
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0 vn—C 1 hereby atlinn tet I am licensed under pro,vionx of Chapter 9 Uontmencinp
with Section 700(11,7Divisioo 3 of he Bunine,mullsrofc.von Cis] it liccnw
s muf,nma°delleCL KITCHEN REMODEL
a a a 1-icrnse Inns,�W'� Lie.»
% ate _I—%=-z — enmincmr. _
m S u
All the use a;public
F_u. S I understand my plan%shall be used as public TIN.a
w g p O LiccncW 1'ndnsiunnl
Ed F 1 hereby assn that 11. exempt from the Contractor's Ary c tyor county
F z r following mason,ISm,iut to LS.It.alter trod I' deoi n..Code Ary Any city or county
c�O which 4 e, tt construct. R p J I.h p y:, sen
u3m prior
;xh , 1. req theoil applicant for suchpe sicsigned.ttthem
coo I I l n 0 I [. nn c , , ex c, n L (ChapteroIle) Sy. Ft. Floor Area 17Jgluution
(corm.+c exlai Sud,nnont ant D'v basis
3ulthuBaa co u,dln.An rex U¢Ic)
or thatheis cacmpt any amen and the be.ix subjects
allege)emmpnoo Any violation
of nor ion a703 1 Into iv any hundred
dm,for a permit wbjech tM nfufulicam,o a civil penalty
m,m,n„m nils,nee ltumhmd dole,tssaa APN Number Occupancy Type
01,as owner of the property:or my employees with wages a.stheir cwlc compenmtion,
will do the work,and the structure Ic sol immadnl or u0cred fol'sale(Sec.7(U4, Required Inspections
points,and Pr..lcs.ionc Cosi)Tire Contractor's Licence law does not apply ,,an y p
w r of property Who Milds or improve,tenon,and who does such work himself
nr through Ills own employcccprovided eat such improvements are on,intended or 101 — FOUNDATION
offered for sale.It.however,the building or improvemca,is sold within one year of
um,plelion,the owner-builder will have the burden of proving that he did no,build or 1.02 — PIERS
nprnw Ra purpow orsu1e.).
103 — UFER
01.as owner of mtinm
prettier,
c
ft
m,rc,the fulen(Sec.7(94.unslnt,and Pmmxeionx Calc:)The Control1 04 — REBAR
Lieemc Low d,ws not apply to an owaer or pitifully who MiIJa ser improve,thereon,
and who ontract%for,urn projects with a commends)licensed pursuant to the 105 — ANCHOR BOLTS
01 inexeptundersce. ,B&PClot this rens„t 1.06 — SEWER & WATER
01 oro exempt under
Ownmr nate 202 — UNDERFLOOR PLUMBING
WORKPRS Cl MPENSAI'ION UCCLARAi'ION 203 — UNDERFLOOR MECHANICAL
I hereby affirm under perialyot perptry onc,f the following dmemmdons: 204 — UNDERFLOOR FRAME
f0 I have and will maintain a Cer ifteme of Conwm to aelf-insun for Worker:v
Cn,pmsalion, as provided f.. by Section 370K) M —
of the Ia
e Code. for the 205 UNDERFLOOR INSULATION
penorm:mac,rmewmkloMothlnispernti,isi„sed. 301 — ROUGH PLUMBING
O l haveandrill maintain Worker's Con9x'mafon Immune,as required by Section 302 — TUB & OR SHOWER
97(X)of the Iybor C+e, or ev perronnanm of he work for which this per en is
issued.My Workers Compensation Insurance carrier and foli�cy, ,larare: 303 — ROUGH MECHANICAL
eerier' dFPtoreyo
NoL: `JbI/O 304 — ROUGH ELECTRICAL
CI?RTI FICA ION OF ILC RM"]ON PROM WOR KI;RS'
COMPHNSA'rION INSURANCR 305 — FRAME
ofhis.,lion need not be completed if the pini,in for to hundred dollar's 306 — HOLDOWNS
[510(11 m lees.)
1 eemty mat in Rte fuermm,anmIII the work for which his pentdi is issued,1 307 — INSULATION
shall son employ any person in any outcome so as to become subject to the Workers' 308 — SHEET ROCK
C,tnpenanl,n Loot ,Ictdifornia,Late
Applimam 309 — EXTERIOR LATH
NOU ICC TO APPLICANT,If.after making this Certificantof fi:emption,you should
Isv,me xobject ,,the workers cn,nfuem,mmn pnwixim,orthe Lax"Calm.you tnual 31.0 — INTERIOR LATH
ZO h,nhwith comply with suer provisions orthis <n,d shall be deemed evoked. 311 — SCRATCH COAT
F 4 CONS'fRUCI'ION LCNDING AGI?NCYI hereby —
� ' If i<�h« Name which m.t fuertnJvu t�ueJ See.3097.C age,cy sur atm l*+Intrnan.< 31.3 ROOF NAIL
m Ca cis-.c.l 501 — FINAL ELECTRICAL ENERGY
UC 502 FINAL PLUMBF11
G ENERGY
I certify that I M1ave read this upplicminn and stare that the above information¢ 503 — FINAL MECHACAL-ENERGY
W onto.1 agree to comply wih all city ural mustyordinance.and ohm Wws[,filmsO v ton:admgconstinction.antiherebyauthori.erepresentativesonniscitytoenterupon 504 — INAL BUIL G ENERGY
the alswo-nnermood prol,uny to,inspethin purr"+wc.
Fr” tit (We)our cm„xavc. ndcmni ly and keep condess,ne Ci ty of Cnpenlnn ngainn —
Vi liabilities,juJgnmmc.coa.c and expense which may in any way useine against said 50w I L ELR I CAL
Z City in conacti end,of the m ting of thin p emit
AVI'LICAN 1 NUCRS'L NI 'AN 1 WILL COMPLY WITHALLNONAOINq' S0. — ILS'
CU f JLATION'. ISSUed by: Date
0— IcAll t ox Is
rells7ano.mn,ca Date Re-roofs 50 — FIhIRI_ hIECHANICAI_
li A'ARUOUS MAIRRIAI ti DISCLOSURC
Will the applicant or future building receptor see or handle huaNnus nw¢rial Type of Roof 5 — FINAL GRADE
to dtfol l by the Cnpenlnn Muniuipul Code Chapter 9.12.and the Health and Safety
CW.Semdon 25532(x)' 0 FINAL PLANNIWGOgg
oyes ON. All roofs shall bei gpg.ted µQ1' 9,yfpl ,�, �rS,1 a�Sinstalled.
lout me appuetmt,r,ninem nuilding.Kenpant sew egailn,nm or dm.im.wmen 11'a, is instulledifhoutplSrs't fit'ainoTi '�ttids�pecflree to remove
emit h oll air conformal w defined by the[lay Area Air Quality Management
nix,rie,y all new materials for inspection. Applicant understands and will comply with
Oyes 0 N all non-point source regulations.
I have rend the vanlous materials quirements under Chapter 6.95 of the
Cid Hornig Inre
Health is Safety GMc,Sndnnc 25505.25533.,,it 25534.1 ofersoind that
if the building docs notcurmmly a etal that it is my responsibility m notify the
,ectmam of the requinmmnu w m ,n t be me,pdm m I..n.na ora Cmireatn or
Signature of Applicant Date
All roof coverings to be Class"B” or better
OFFICE