01040117 CITY
BI oFNG R DIVISION
IV; rNNo
PERMIT CONTRACTOR INFORMATION:
RU ILDING ADDRESS: I'ERMnNO.
8078 PARK VILIA rl JAKE' S ELECTRICAL E
OWNER'S NAMIi. AI'I'LICAr ON SUR DATE
WESTMOUNT PARK rnmmuiu 'Y 1286 LEEWARD DR 04/23/2001
PHONE: SANITARY NO, C091 ROI.N0.
(ALAR) 729-9317114
BUILDING PERMIT'INPO
O 0 ARCHITIiCf?:NGINISR: BLDG ULECr PLUMB MECH
aiU CI l� LuJ I_1
aN
LICIthat Ia licenseON d
under pr DECLARATION Job Description
�'0 1 hercM1y alErm'M1;n 1 am liccnwd unJ,r pnmmms of Chapmr 9lcomnmcncing p
FUJI—ea aOr Seen,,.7iNMgarDivieion 3oflhe Buninaea ad l'mrcenioe,Cole.man,licra,a
m fol p,r,a conn error'.
06� iicensecla., Lie.0 GFI POOL LITE
U
Contractor
;+,3•+G ARCHITECT'S DECLARANON
rOiC 3 O u 1 my plan,slndl be used a public mcoml.
�a¢i ..
p cJ I' nal
°'°'o OWNER-BUILDER DECLARATION
v1= i hereby affimuhin 1 v amp'foo the Connuctor'N License Law for the
C=¢ following real m,ISealma 7031.5.Business and Prafessams Code:Any city or county
s p which aeyulm%a warat to construct,alcor,improve,demolish,or repair any nmemre
Of
p,iurm las i....are.a.o requirts the applimnl hnwch permit Or file a signed sraanem
mat he I%licensed pursomint in the provisime;of the Concentrates,License Law(Cha,ser 4) Sq. Ft. Floor Area Valuation
Icommenrhta w 11 it Se"ann 7001)lel Division 3 A he Baines and Professions Code)
or that he is exempt therefrom and the bmi%for the alleged emmphon.Any violation
Of Sec hon 71131.5 by any appllc al lir a pernhit Nahjecn ole applicant ,,a civil penally
ornm mori ma hundred dollars($500). APN Number Occupancy ype
❑1,as owner of the pmpcmy,or my employees with wages as their sole compervcthon. a!5
will do e worknmmSec..and the erc is not intended or Opened far sale Sec.7004,
mN aTh
Basesmt Pnafe—on.Codr: ,coninmmr.Lice...Law does mot apply m an ^
diRequired Inspections
tes r of property Who build.sir improve,Ihemon,and who does with work hinwelf
..hinagn I...own em'l pr,wi lett that such barren rn,emN am it...intended"' 304 — ROUGH ELECTRICAL
ops J for sale If,however,the M1uilding or improvanem is sold within one year of
Innpledor.thenw .Imdderwill have the bmalenolproving test bedid not h"pd"' 501. — FINAL ELECTRICAL ENERGY
aprace mrfar purpt,wi af.ale.l.
❑I,. wrof'heprnprny,,meadusivdycontractorwithlicensed comomoneh 505. — FINAL ELECTRICAL
Lmsweaihe prance,(Sec.71X4,Business and prone..ions Coca.)'ih,Contractor'.,
lee a Law dor not n,ly o:o owner of property who builds m improve,thereon.
and who emnmets for Nuch projects with a enntmctor(,)licensed pursuant Ira the
Comraclor's License Law.
Olam cs tp'undcrSu. ,H&I'C let this muton
sdd—wall _ Date FINAtLED
VI1RKIiR'S CllMP1iNSA'r10N DI!ChARA'I'ION
1 hereby affann under penalty Of perjuryane of Ile following drelarntiom'.
10 1 have cad will maintain a Cerilico,of Com.nm Io cif-ta.me far Worker, OCT 2 2 2001
Compcn,,a 0. us provided In by Section 1900 of the LOW, Cod", lin the
perfornm re of the work for whicla This permit Is issued.
❑1 have and will ammain Wndee v Compensation Insurance,as required by Section BUILDING
3700 of me Labor Code,for the unfinnnance of the work for which this permit is
i s."ed,My Workcrr(,'C�oriipensmian Insurance canter and PLahc/y�nuuinM1 r sire:
Cards:is _ —Ry_I TI� oP ExteMy IMi. �kooMWc}ML ��-0J
COMI'IiNSArION INSURANCE
(This section need not be eomplcmll If the I*'nnit is or one hnndred dollar,
1511xp nr boast
1 amity than Ia the perform anee of the..,it for which this panni'i,timed,1
shall not anplay any pr,wn in any manner.o as to henna,subject to the Workers
C'ompcn,mion Los,.1 Calilarnia.Date ,
Applicant
NOl10E'It)
t)APPUCAN'I':II:aper nuking 0his'Cenihcalm of Esnalp ion, on,hmdd
become umjeo o me Wodeh Compensation prevision,at the Laboroknun
Co ,you
Q 0 form.ice comply ,in such nor it is or dais permit,shall he d,anrd revoked,
Ffn CONS'FRUCfION LENDING AGENCY
lam^ L hereby anina thnt favor is a tvminmtion Icnding.gamey it,,the performance
W of the work lir which this permit is i,sacJ(See.31N7.Civ.C.1
S Q I,cnder's None
r7 Z Lender's Address
U 'l verify that I have mad this application and state that the above infatuation is
W. E. cored.I agree In"'art,with all city and orm,onhimoncs and stn,law.relining
0 U 0,building ..runion,andh hY ll, ile mp.,armn1a%of this ray o enter upon
y R7 the aboorancittiormad progeny tor al,ectionpurposes.
Est a. IW I anvr r,act, f,,ad keep In ':the Ctyof Capemn,cannot n
ZI liabilities,judgmarits.cosld ex,rons,whicir may in any way accrue against said
U 'L \hNR.TgllIt/U.r)E�ff�Jf1n{S)nTYA'5hN�D.t t•�fniI.LpL CO''MPLY WITH ALL NONPOINT
Issued by'`
T/O Dale
LUN
�4n.2 AppUt
Re-roofs
Hans or hums building
occupant
DISCLOSURE
winydepCescannr hum hledCote,Chapteonor anti
the
luvathan Safety Type of Roof
Ci dl Sad io the Cupmtinn Municipal Cole,Chapter 4.Iz arra the IIm11h and Safety
C,W.Scninn 255.'fvl'
oyes aD•HIf' All roofs shall be inspected prior to any roofing material being installed.
Wmmeappucttalarfuture nuimin,ce,apamuse egaipmuttmdevl„swhl01 If a roof is installed without first obtaining an inspection, 1 agree to remove
hit hamNous air conmmicentso Aefn y the Ray Amo Air Quality Managenent
District'( �A all Ww materials for inspection. Applicant understands and will comply with
nye, [2No all on-point so rce regulations.
I have read he h'anmdous mmcrials requirements under Chapter 6.95 of the
California Health&Safety Code.Section,25505,25533 and 255. 1.1 undmmmd that
If the buildi gdor..no'curienlly have amount,that it ken rcyaram
.risibllity I ify the
scupanl 1' file crucial,me
.which must b:met prim m issuance of a Certificate Of
°""p"" Signal re of Appl' nl Date
r
—mhmi,,n;,grn' Dam All roof coverings to be Class"B" or better
OFFICE