00060070 CITY OF CUPF,RTINO
Buu-owG DIVISION PERMIT CONTRACTOR INFORMATION: -
BUILDINGll,05 r4 METEOR PLSTAT NUMBER, - PLUMBIN 40n'N
DWNER'SSAKAMOTO, AKIO 5520 MARY JO e
'HONE: 4063561308 SANITARY NO. CONTROL NO.
O z Z ARCHITECT/ENGINEER: BUILDING PER.SUI INFO
O O BhDG IiI.ECIPLUMB MECH
u
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'dsv I-ICf?IIIDCONnsedunOR'Svi,iomRA'I'ION oo��3__pp
-c (hereby allinn tha lam licensed under pmvisinm of Chapter 9(commencing FULL HOUSE fEP I ,pu �20M GALVANIZED TO CO
F r'F.ry with Scm Ion 7000)If Division 3othe Bnsiuc,rmd Prnlmaion,Code.and my l keno,
6 I� F In full fomc d e C
!;,.< clesae _!'LC_6 iv
J 3 u. ole be Caan,n
u.0
ARCIIIIECI'Sbe me DECLARATI( ,
I underamnJ my plans shall used as puhlic tmedA a ,
hicenscJ professional
�( OWNER-BUuipt trmIn!C(ATION
ul 1 greasy,(lien on 1 len cBuou loan the CnnionsC a :Anym law for for
1—>� whichfollow
rayon, i to construct.
alter,improve,
ve,de Professions Cale:Any an urcaunty
"C whbh ts 1a profitt 1 t aIle p demolish, see as .waure
=o Bann t 'Iso (I 'Pl ra f M11 iwi, gn J.ntemcn(
moll, . dp eclion m p i rm c t tAal' . I Ichrvm9 Sq. FL Floor Area Valuate 1
(commencing sung Section 9(NIamilhe nii, or,rmr Bold cw andion.Anyvi Crim
or mm he Is exempt(hemfroli Anil ler.:sale for ter cursed eamnption Any I lucky
of not mn]031.5 by any upplicoll ern$°omit suhjcros the applie;mt m u evil pamdtr
of not more then fox handled dollars(5500). Occupancy Type
131,esowner ofd,PmI...rmy employees with wagca us mei, oll conipenm I,,
will do the work,and the swcmrt is not intended or offered for sale(Ser.7000. 106 — SEWEB0.q µOS
dircWMif�Mtions
Ibislucan mel Pmfessluna COLIC'.'fhe Comm na,QCmIle Law Anes not opply(o an
caner of property Who builds ar improves thereon,and who Jots,such work hinrsetl'
or through his own candoyees.prmidnl mat mcg impmvnmems are nm intemled or 202 — UNDERFLOOR PLUMBING
offered ler sale.If,h n,rsee,B,e building or lmpmv"mem is slid within one y ar of X01 — ROUGH PLUMBING
confliction.the ownerdwimer Is ill eme the burden of prnvins that he did not bn11d or v
'dn"All"'°"� "°f'""' 302 —. TUB & OR SHOWER
❑I.as owner of ler pro)"".an,exrlaaisrly emnracnng cash bare ed eouln,cln"In 50'2' — FINAL PLUMBING ENERGY
iysct the project(Sec.] J,Businand professions Ctie:)The Contractor's
imw.ensr Maae Law doesm,(m,ply m.m owner of pope",who build,a,impnor_a menet, 506 — GAS TEST
and who amlvao,for such projects will a etn.unal r(a)(ieemcd Pursuull I,the
Cnetmenn',Macule Law. 507 — FINAL PLUMBING
EJIleo coral,under Sea, ,It&P C for this rcastm
Ownu Date
pe _
WORKER'S COMPENSATION Dr:CLARAHON
Is
Ihertby attune under penalty of perjury one of following declarations:
J 1 have leis will maintain a CrdilSecti of 37M o t mLabor fee Worker's46
mpe nation, as provided, forfor or Section 7]00 of the Inbar Cade, for the
73700
nunw of(hu wod for whih this lrmnit is iaweJ. ,I hmeand will moinmin WoldsCbmpcmmion Inwmnce,as enluircJ by Section �of the Lnbr Code,lin the pcdi.... of the work fur whkh Ibis permit is
ssued yworkcr,,CLoulfacctssk.6.1,lnmmnce safe,.,fittppaolllicr—y,moumubbc,ac:
,trice..�CL
�TIFICAI' ,(), XIIM1111 ON FRt)MW'(IRKIwwob
COMPENSATION INSURANCE
I'rhis section need not M coal it me pcmat is far one hundred dollar.,
ISIoff"I les.)
1 cenily that in the arli,rn,ance of the work for which this permit Is Iusued,l
shall not employ any Berme in any manner so as to become subject us the workers' s
Cnn,penemlon I.nws ill Cahrurnia.Dun
Applicant
NOTICE TO APPLICANT.IL mor making this Cenifcum of 1?xanp,am.you should
Mumobimobi ,the Worker's Coa,pensm'mn provision,of the Labor Code,you must
Q O todhwitn comply with such pnrvi,iuns or this pernot shall he Jecmed re...ked.
CONS I'RUCI'ION LENDING AGENCY
a7herchy affirm(hw there is n consuuninn lending agency for the pati mance
W of the work for which this pemrit is issued(Sac 3097,Cie C.)
0. Q lunder'a Nam"
Q Z Ismfcr'.a AJdrtss
V 1 ecdlry mot I have ecru(his;,diadon nal oma thnt ler abase int'ormwion la
Oni 1 ugrtc to comply'III,all city and county urdia l,,.,end sun,laws rclening
Q U to building ennamction.and hereby authorize repreunmthes ufthi,city to enter upon
(gu ubovcmmninnall"',coy lort Inepmdon nmpaar,
t.., a (w'r)'iatm ,vc'indemnify mall kccp hamiloatne City of Cupcnlnn against
V, Whittles.judgment,.coca and espcnxs which may in any way,ccme against mid ^
V Z Sign of Applicant/TAN'�It(pg'n'mis Brenn,
yin. 4ucmm� All
APP A UNDER — W LC PL ITHALLNON-POINT ]slued by: DatL
RC' 'GULATION. „I
c�ntn,t. fr� aV7 FODollee Re-roofs
HAZARD Sof ATERIALS DISCLOSURE
Will the"ppliloon in forum failing rccupaut ansa or handle hannluus inv¢riol Type of Roof
an defn,d by the Cupcam.Municipal Calc.Chapter 9.12,and the Iic,ltlt and Sal'cty
Code,O yon 255321"1? Nu
El All roofs shall be inspected prior to any rooting material being installed.
Willme applicam or future hal ldir, ecapam use eGdiprrcnl or devices which If a roof is installed without first obtaining an inspection, 1 agree to remove
moi(haurdou,nit O,nnminans a,Jet in"I by the Buy Arco Air Qu,thy Nium,emant
`i,tric;? all new materials for inspection. Applic• t understands and will comply with
oyes ❑No all non-point source regul ions.
I nave rad the h vmJoa,nsaeriola rcquirenasa under Chau,6.95 of the
Calif"
to a Flealth&Safety Code,Sections 25505,25533 and 25534.1 understand that
it IhP
currently h,veu tcnum,than itIx my ar, Islbihy ,,notify the (fr
« mems which r prior ro iaauunec rf a Cenifen¢of
°4ere of Applic. Date
gs Dice All roof coverings to be Class "B" or better
OFFICE