01050026 Otum o�CUTE'I TING CONTRACTOR INFORMATION:
PERMIT
BUILDING ADDRESS: PERMIT NO.
2 RESULTS WY ABSOLUTE POWER SYSTEMS 01050026
OWNER'S NAME: APPLI ATION SUB DATE
MAGMA DESIGN AUTOMATION 28130 AVE CROCKER #311 05j02/2001
PHONE: (661) 775-4893 SANITARY NO. CONTROL NO,
w00 ARCHITECT/ENGINEER: BUILDING PERMIT INFO
w— BLDG ELECT PLUMB MECH
<� LJ G.l 1_�_D I.J
LICENSED CONTRACTOR'S DECLARATION
S h z 1 hereby ffirm that I am licensed under t of Chapter 9lcommencin Job Description
D to_0 Y a prod's am P B
F`=f_w with Section]ooOlytDow,ion rtheBusiness and Pmrez:omCWeand mylicense INSTALL 180KW EMERGENCY GENERATOR.
Y I J ix in full force and cQ�
s z a Liunu Cless Lic,a 1
X u.u l- D m. Conwc of ��`L�✓'Wk.�k�l �'J �� �(�///�///j�
ANCHITECT'S DECLA N /y_/ p J ✓✓/V
u O g I unJcrstand my plant shall W used ox public¢robs ✓�l..
zy¢i
a S o o, Licensed Professional
Hn a OWNER-BUILDER DECLARATION
1 hereby affirm that 1 sero exempt from the Contractor's License Law for the
z< following named.ed.rsecdan 7031.5.Business and Profession,Code:Any city or county. $40000
E 0 which requires a permit m nmatrue,alter,impmve,demoh,lu or repair any iwnurc
to
3ec prior to its issuance.also requires the applicant for such permit to f le a signed statement
that he is licensed pursuant to the pmvnions of me Contrmtofs License law(Chapter 9 Or,p,a�a
(commencing w ith Seelion,700I)ofDlvlsian 3 nllhe Business and Professions Castle) {A. 35;/6I 041Qorft•A, Valuation
.
or that he is exempt therefrom and the basis for the alleged exemption.Any violation
-of Section 7031.5 by any applicant for a Permit subjects the applicant to a civil penalty
Want marc man fee handled dollar,(S5(Xd. 2 04 APN NE)hRFLOOR F E't i Occupancy Type
❑1,as owner of the propcny,or my employees with wages as their sole compenwtion, 1 01 - ROUGH PLUMBING
willdoshe work:ssionhrswcmre C mm'ime-is L eno Lawered dor sale Ise. to an 3 0 3 - ROUGH ME�A&UMAAectiolls ' '' �
will doe add Profession,;h Cole:The Commnten License Law does not apply wan
owner r of property who bends or improves mercon,and who does such work nimodf 3 04 - ROUGH ELECTRICAL _
or through his own however.I pmvidin that such improvemenb are not intended or
oRemd(Tshle:If.however.the tiuilJinB or fmproJdmem is sold wifiin one Yeo oaf - ---".-_._. _ __ _ -._ ..
completion,the ownervhuilder will have the burden ofproving that he did not build or 505 - FINAL EliECTRICAL .T ,'.
impmse for purpose of sale.). 507 - FINAL PLUMBING
❑Lasowmerorfecpsec.7aloeo)meselYconrofesnadanrumedemmmtrnwtsw 508 - FINAL-"MECHANICAL __ .. .. -.
License Law
the project Iappl to a Business and Professions Cade:)The wes diecmfs 514 - FINAL PUBLIC WORKS , •i '' -
andvelWwduesnotapplymanownerof property who builds mdpmatu thereon.
_. .and icul,Livens fLawcb.projcns with a.cmmrawgsl.licensed pursuant to the -._-_..._—._ .._._ ...-. -------_._.-____...
C 1m c.crpt upas Law. t't tr: .1v
OrI am eaempr under Sec. . „ , .B&PC for this season .. :t t❑
Owns Date"
r WORKER'S COMPENSATION DECLARATION
1 hereby nlFrm undop. of perjury one ol'Jhe following deciaratiom:
❑ 1 have and 'will'moulan a Ccnificmcof Convent to self-insure for Worker', O Oq
Compensation, as provided for by Seen.. 37M of flue labor Code, forY1f�
the Mprl (.rsOL
per nrmance of 0e work for which this Permit is issued, tr„ 1'1
' - I M1ave and will maimaih Worker s Cmmpensatiun Insumna,es requiml6Y stttion Ir�`
` ' Ctxk,for the perfdrniancc of the wok far which this permit rs 1DI
'- isi kid MyWLLkcfs'C /pc ip Insurance tam/er'and Pol Qy numh'lra/:}.�/ BUIL
- Carv+L(sSIJ�U/• /N/- Pol sy No.W�A OV�"-�`�' ... ._ _ _
' CERTIFICATION OF E%ENPf10N FROM WORKERS'11 ` ,
_....-._—
. t 'IThiisecti467aM no,beenmpineJ if be permit is for ane handled dolmas ., r.. 0, ---'—'------
x1001 or less.)
In;fy lhtln th prf a I0 ' kf hhth pc_ t '. .suc41 -.•_., - ..., , i_... M1 .�, 1 :las ---. .
shall trot employ any pc son n any main main become vubfen tat Thr Workers i L.C (•' '
Compensation Laws rf Calif rria.Ddm
NOTICE TOAPPLICANT.IL mfwr,sencu npowimhis 4o'Ifthe
h Exemption.youcaumad s
be h3 a theta ll C ns or
p all he Who Cwe you Inuit
Q 0
forthwith comply with ch provisions o thispermit.hall he domed accused.
Z`� 't- I CONSTRUCTION LENDING AGENCY -- -� �
a-> '1 hereby arcnn that Therein a constwnior limming.away frothe perfonuruee
r�.rr
or he work for which this permit isi.cm,d(See.3097,Civ.C.1
L'endNsName• uu.,_�,.c... . - _:
.z
V Q 1 nfY fh tlha dtti. ppl t nJ swat that th bat' fmuttonrs
Ia.F co r agree to compl,,ah all city and county,ordinance%and state sremuna
V m W'Id' g can eruct aamlh by authorizeP 1t ' ofth 'tyt nwrupon
y W the W pfd Peny f .O t p Tot �/
IW 1 yrf I s4 dlmnf dk p1 Iesi NeCtY fC pen naamnst /q�yr'
L V1 Iiabtitucs.3upq se n our n s which ma-ip.vy way omruc aaaina said
V'-z City idcnn qu d di ming o hi _
DS LLCOMPLYWThHALLNON-POINT' Issued b Dale
sOURC RE UL Y'
Signat tot AP 'can onvana,' .'.' .•...., - ,.',ri Date" Re-roofs
1lARD0Us M1 TERIALS DISCLOSURE
rue m hPpli' t f f " ilding« p.mt sbtrc or haMie ha;allous maroJal Type of Roof
N do mcd by The Cu ioa�Mu aipal Cole Ch pier 9.12,and Me Hcahh and Safety -
Crvle.. icnixOYev 25572(al'!tip .. ❑No'. : .i. 1s .:; d•." ' ..
`, H.• r 't . All roofs.shall be inspected- rior.to.any_roofing material.being.installed.---
Will th
ed.--_Willthapplicant rf wreb nd're c t l or c(laimeran do,ce,which If a roof Is installed without first obtaining an inspection,'] agree to remove
emthazardous air conateramants asdefined by'he Bay Ands Ail Quality Mnagement
District? all new materials for inspection., Applicant understands and will comply with
ors ❑ o all non--point source re ulations. .
: '.. ,. P g
I ha.e,rcud the 1humrd' iilw 7eyulretnents'under Denptci 6.95 of the
Cabrera Halt hSafn,C .secii s255U5.25533and 25534.1 understand that
if the brii'din sn ore Yhbvfa count,that it is my rcsponiibiliry to notify the
omupa t of cit w n which- it he met prior to ince bf,ttCenifleme of
Occbpano am ,
'� •� r, •".. _ _ .Signature of Applicant. -_. _-, _, ... Date
ovacro intmi:e gat, Gaffe All roof coverings to be Class"B"or better'
_t
.:. ,:..... ,. .. .. OFFICE