00030024 CrBBUloFDIVISION
NNO
NG PERMIT CONTRACTOR INFORMATION:
HUILOINcnuuR17359 RAINBOW DRa #D PIiRMITNO. 00030024
is GWNEWS NAME:JUDY CHENAFPLICAI ION SUB DAP I!
5 l u �is 03/02/2000
PHONE: SANITARY Nfl. CON'CROL NO.'
O z Z ARC]IITF,CDE:NGINEER: BUILDING PURNH I'INFO
iiiz 19 HI.DG I:I,ECI' PLUMB MI:CII
LICENST"CONI RACO R'S IAiCLARATION �V `� `l Job DOtiCrlp(IOn
0 1 h by Hon that I buil u J pct ,f Ch pl r)I mtuacing
�LCw ihS t 7(NNII nfD 3 1the Bu, JPr f.sin:Cdc I ryLcense I
ayE� Iml nI Iell-'ir. NEW TOWNHOME CONSTRUCTION
�tee y a
3 LL N
wears,Class t� ' Lia.
li tor—
ARCIII1ECfSUICLARAIIUeC.teJe— �Lp�Vv➢g.
�®
(_a�S 1 undcrstmW my plain sk 11 be u.wJ u..public mcurJs
wce o o Licensed Frolcssinnul AUG 1 5 2002
W o 2 OWNER-BUILDER DECI.ARN'ION
I hereby idlim hm 1 am exempt tram the contractor'.Liamc Lew to.the
1—Z fallowing reuwn.(Section 7031.5.Ravines,and Prne,sinm Code:Any city or county
E a which qct permit I It p p structure ucture BUILDI
aim priors t c I. nar , thef hp tt file signed statement
chat he licensed pt to the pow -aaw iftn Contractor's Lisaiveom (Chapter9 Sq. Ft. Floor Area Valuation
("„ acni ny wlh Scctu,n 700(p of DA s'n 3"1 111.B.—I—send I'mRa,o s Codd '
or that he is exempt therefrom and the Iwsis rot the alleged exemption.Any.;nlaton $195684
of Section 7031 S by any applicant for a permit subjects the applicant to a civil pnalty
of as mate than bye nmdmd AAad(5500). A PN Number Occupancy Type
❑L a,ownerofmc ors Y.annnyemployeeswithwagesa,helrs,,]aeti,smotion, 36231029. 00
will do the work,and the nrmoma is not intended or allured lin sate lice.7144
Business and Pmtenious Cade: Ile Contractors Lieeme Luw does mat apply m an Required Inspections
nr of Pmpery Who builds or improves hereon,and who dens such work himself 101 — FOUNDATION
urI m,Ih his owr mmaplayeus.Provided hal such improv ants aream intended n -
Hered lot sale.B1 however.he building or improvement is sold wthin one year of 102 — PIERS
completion,the owner-nuilder will have the burden ofpmving that he did not build or
mph amrpama..ar.:dn.l. - 103 — UFER
❑I.a,msre,onna propeny.min e,cm>laay cormai..bh licensed adistorts to 104 — REBAR
construct the prnjcet(Secs 7044.IWninuss and prafesr.lnn,Ctsda:)Tho comra,r
rae Law don.nab apply 1.an initiator property who nnddf or improve,hereon, 105 — ANCHOR BOLTS '
and who contracts for such projects with a commemgs)IicemeJ pursuant to the
C, mnr.Licyn.c Law. ,106 — SEWER & WATER
❑�mlam acsempt made,See .B&P C lin his rcnvnn
202 — UNDERFLOOR PLUMBING
Owner Data
WORKIIR'SCOMPENSAnOND2CI,ARAfION 203 — UNDERFLOOR MECHANICAL_
I[reach,alrnr under patalty ar pe,juryo iaofhe following dadamtian.: 204 — UNDERFLOOR FRAME
❑ I have cad will arairntm a sambas of Consent to w•If.mmrt hr Worker, 205 — UNDERFLOOR I NSULAT T ON
Compensation. provided for by Semen 37arof he LaMn Craft, for the 301. — ROUGH PLUMBING
per fnnnaare it the work 1'or wind,hl, a
pr nh is iswed
❑I have and w ill himmain Wmkn's Compensation Insurance.as required by Section 302 — TUB & OR SHOWER
37M)®r the Lunar Code.bar he permn,nince m tine work for which Ins per al is 303 — ROUGH MECHANICAL
wed.My Worker's Comp
enseian Insurance carrier and Policy number art:
carricr_j�pelal�
policy No. d11?Steo4_ '04 — ROUGH ELECTRICAL
OthRlI gcnnON OF GI: N PUON FNUM WORKI"RS' 305 — FRAME
COMPENSATIOINSURANCE:
(Ihixsedianncalmtbe completed ifthe pc.it i.harem,hundred dollars 306 — HOEDOWNS
(SHI(borle,s.) 307 — INSULATION
I tally hat in he Keane of he work for which this arms is issued,1 308 — SHEET ROCK
shall ctrl employ any person in any manner.a as a,become subject b)he Workers
com.en.abanLawanlCalifomia.[)are 309 — EXTERIOR LATH
Ap,licaNOTICE
s p should 31.0 — INTERIOR LATH
NUfICIi TDAI•PLIGAN71 If.after making IM1ie Certificate of linin lion,vans use ,+,
become'union m rbc W..k,,,CamR'maeon plovilic.,of the[.:,hot Code.You must
p z0 frirhwhheron,lywiln,ncnpmvisn,nn.ate,i.perrhl.a,wlbedecnnearev„keg. 31. 1 — SCRATCH COAT
FCONSTRUCTION LENDING AGENCY 313 — ROOF NAIL_
I hereby vlfrnn that them is a coarrnetinn lending agency for thepser mactico
ofhework for wmmie
chthispertisissued(S .IDrn.Ci —
C.) 501 FINAL ELECTRICAL ENERGY
a Z Lender's Name Na'ne es, 502 — FINAL PLUMBING ENERGY
Le
U 00 1real h.rtlhtsercadm6a t dstate hmhcabovcinformation is 503 — FINAL MECHANICAL ENERGY
Y application ion un
W [r
O U
corset. ngrco ,cnly all cin rancmy nees and tem
n ,addnnlen,wetmn.and
herenyaamadaareprewiumise.anyatamer.,mr 504 —
FINRL BUILDING ENERGY
hermnvomcnunard ,Ncyfor in.peetionpu,,,cs 505 — FINAL ELECTRICAL
0. (We)agree m save.indca it anal keep harmless the Cly oreupet Capetian as:hdl
F” lin liabilities.judgments.crisis and expenses which may many way accrue against said 506 — GAS TEST
U Z Civ in ennseyucncc of tine:mm ;af Ibis pemtit.
r. SOUBCrNTUNSNI ND WILL COMPLY WITHALhN`1N- INT Issued by: 507 — FTKIQI OI IIMCITNG Date
3qc�— FINAL MECHANICAL
Sigmmare�� canvCunnmes,,, D:rlo Re-roofs
If"""U1 MAI 11 Type 509 — FINAL GRADE
Wrnhenpnhenlarfummbuudias<apam.mrtaananmenaramatamatedal T e of Roof
n'nehnedbyhaCaped....M,rrddpalcode.cnranterq.tz,ataaneDe:dmandSdey 51.0 — FINAL PLANNING
Cale.Section 85321x1:'
❑Ye, 0N All roofs shall 6efili:peetep pubo o;PylBLojgg rW6,j*&ing installed.
Wit heap,bcanr a].fare him adingadepamn,aewiprmcmadevices wlnirn Ifit roof is installed without first obtaining an inspection, I agree to remove
emit haramou,air comuminanu m'debned by the Bay Area Air Quality Management
DiNdalq all new materials for inspection. Applicant understands and will comply with
El yes rlNo all non-point source regulations.
I have rend he ht/amous nunerials requirtmems under Chapter 6.95 of he
California lb,ih&Safety Coda Sections 2550.5,25533 and 25534.I understand that
if he building does nm curamy'It .tethat at it is my rtsonsibilily to amity he
aaaapum of the re, irctrcmu ch list be met prior it,is, a wa of a CeniOcme of
Ov,u,an, Signature of Applicant Date
Uwnermauthor i ,it agent - 3'a`an All roof coverings to be Class "B"or better
OFFICE