01020080 CITYOFGula IISION o PERMIT CONTRACTOR INFORMATION:
BUILD INO ADDRESS: -- FIiRSITNO.,
CTI N COMPANY01.020080 .
OWNER'SNAME:^1 - r APPLICATION SUB DATE
_ A�IARTMPN S 73 HERBERT E 02/14/2001
PHONE: - , a :1 SANITARY NO. . CONI ROLNO, '
ZO ARCHI'IECIyENGINEER: + ' BUILDING PERMITINFO
RLDG ELECT 0 PLUMB : MECH
FF++ 1 ICI NSI D f ONTRACI OR S UI( ARSHON 1 '
II ly ff J II' licensed p I ICl PI 9(�tanuavvrwia, • - Job Description, ,
rem—
with Section 7100(11 ofDhvat ml nfine Business and lndu'.irt Ltde,ond my license
s n fall forceand effect. a '
wS Lirerseclu's Lic.a INTERIOR REMODEL
ag5oo, Daw Contrach., -
W 5 0.0t; \R(I In FSCT' DI CIARATION '• + �'
Cho, I ond—land atyll 'hall be used :I II .1, ,` O t
p0Loca,ed1 firs: 'I
OW61 61R—BUILDER DECLARATION
ION
I herchy t Z that l pt front the Connotetr,Liccrw,
; Law f
loll in,r (Section 7011.5,B 1 P f. Code:Any city..,county r�y�M such I p „ vote, , h e J I':1 p ,dautm eyV`
'
+
30 pr , t he pi IIo.ochpe' It Id,.tm,rwd,fawra,aa
flar(con yilldp Section71r I c , , L tcn Cher) S Ft Floor Area , /��luation
o -
' (01 .D' - n f the BJI f w a, Ie) q' v
,Lath pub f and b f ar alleged ,I Ay - 1, , - -
ois , naDlsbr r pert r pe I nl rm �ppl ,t -
- p`, Y I, O -
orn , thanr n d I dollar,Issc,nl - APN Number `88CCLIpancy Type
01,a—aso—offfir p P Iy Yco,ploy II uE:a,,h p ^
II do I k d lot structure I ithanded or offered on (See,7944 - - -
Business nI Professions Code:The Contractor',License Lcw does not apply, _ Required Inspections "
caner of prpeny Who b IJ- , tmprnve: homm,and hodae,hodsuch work hia if
or mnmgh his own employees,gowned that.ucb improvements am no,Imunded or
mccal fm sale.If,however..he building or improvement i....Id within one year of _ 101 — FOUNDATION - -
omphmion,the nwner-huilder will have the harden of pnn'In6 arat he did no,bull)or n — - ,
we orptnr,owvJ`o,le.) '162 PIERS -
1.03 — UFER
- Lp+nwner wFe p(Ser.7 nn,exdusiv malProdingwilCodanrh Cmdncon's '
I,he Qac,a(Sec.7WB,tlusine.a anA I'n,fescinns c,dea The commno:s 104 — REBA R
Versus law J,rs no,apply m an owner of property who builds or impowes,neron,
. and whatc t t,in
such e 1 t. 'Alt ,nnm(a)licensed P ,t ale - . 105 — ANCHOR BOLTS '
Cont i 1 nm 1 - -
❑1 II are cl c , 1'06 •- SEWER .8 WATER` '
Ox' ""'"^' On • 202 — .UNDERFLOOR'.PLUMBING,
t FN I1N AAAI IN '
� �! 203 — UNDERFLOOR MECHANICAL
I,erCry H pen by fpvl ry n the follow in,J c,arf n ,
204„ — UNDERFLOOR FRAME
ooh, a , a,llp 'dad ftlila mrcny Sc,,, ar:vwi 61 1.111[.ii;I a Loca,I fork iitc 205 UNDE'RFI_OOR INSULATION
permrmama,ohne work for which this permit Is I....d.. .301 — ROUGH PLUMBING' .
111 have and x i11 maintain Worker's Compertr I.......a,re,,mrd by Sminn
37M of me Lama Code.for he porfornal of the won far which this permit is 302 — 'TUB fl OR SHOWER . ..
issued.MyWon=.CompervitionInsurance carrier and Policy number are:
. 303 ROUGH MECHANICAL .
earner: CERTIFICAl[ON OFEXEMIIIIONFROM WORKERS' 304 — ROUGH.ELECTRICAL
COMPENSATIONINSUIIANCIi 305 — FRAME _
([hiv section need nolIn,completed inneec.it ismronehundred dollars 306 — HOLDOWNS
lElap nr lcvs.l - v - ,
fy W,in d ff 'k for hi,l,II ,portrait v acJ I .. 307 INSULATION . .,
shall nal amp oy any person'a any nun, ., s m bccmnu.ubject Io the Wn'keri - 3Q18` — SHEETROCK
Comt'nottian Laws of California.Dam• - .
Applicant309 — EXTERIOR LATH
NOTICE'FOAPPLICANT:It,afennaking this Cenifcae of Exemp,inn,you should -
Zbecome.ubr,,,mdWW..brescaa,pensat npro,nmsormcLahoreodo,yoonam 31,0 -• INTERIOR LATH .
OO fnnnwlllicolopl,wim.odt prnai.lon,or 0m, pe,col Aall he deemed ,,.k .. r 5 -.
4CONSIRuc[ON LENDING AGENCY' .31.1 — SCRATCH COAT'„ - ..
> . Ihere,afar,chat therms.con.,rcaonfondant, car,Rana,performaore 313 — ROOF NAIL .
of the for whitathis„ctmh is lssaea(sec.3097,cm.c.1 SQ,1., — FINAL ELECTRICAL ENERGY
Lenders Armin
O Lender'.AJArcas, t '
oilYtha11naoe.,ordthsoppEnoim ooIaI
t . octethan ,e, cinl"'ationis 502 FINAL. PLUMBING ENERGY
ti
w cnren.I agree to comply with an chy and corny otdmanre,and state law,ael:mns 503: — FINAL MECHANICAL ENERGY
O V In bulgy onsmicton,andle lya ,nnrt representatives of this ety, ter spm
y 96
he am(We)
eryr n oa rem p50
e-h g eos Oran, 4 — FINAL"BUILDING $NERD
.[r 0. aindemnifyadpl I. he City ofC pun oaga nag
to firbil ities,jusliloorK Costs;aid vxpaa. hich may'n an)way accom against.+ad -505 — FINAL- ELECTRICAL
V
City up oncetrth ... f„ooh this nit. 'f S
APPLICANI'UNUERSTANDS AND WILL COMPLY WITH ALL NON-MINI' ISSUCdb .,06 — GAS ,TEST
SOURCE REGULATIONS. y.'. ate
Signature of Applic rtlCoultracloor HAZARDOUS MATRRIAIS DISCLOSURE Data Re-roofs 508 — FINAL MECHANICAL
f
wllthe apphvamormmreWildinsoceup.,orh,milena.nnlcaFinamnnl 'Iype,ofRoof 509 — FINAL GRADE
- n.],!loin by IheCu ono Motwi I C It.Chuprer 9.12,and the,eolth end Sulety
Code,Semon 255320d _ - ` 1
❑Yes 0N 510 'F�oI{.N�pA�yL �PqL NN{ ING
All'roofs shall he ireted plF.l`15�f1ytSt [c � installed:
Will lac applicant or!math Wilding wcu,um use equipmcm or des aces which If a roof is installed- tout ff s to hti n m: eeuon, a tree to remove
emit hamrJuu.s air comuminunua.defned In,me Br,Area Air Quality Management g P
• Diane,l - all new-materials for inspection. -Applicant understands and will comply with
❑ve. El No
all n2n1-point source-reguIations. >
1 have rend me hamtdnus tnolenala regnlrcumn¢under Chapter 6.95 of the - -
C I fnm a IIv.dln Sal,y Coale,S i n.c 55115 2551]and 2559d I undersmnd m., '
fare Mild J nota dyl ca,en I d lit i.my resp hl 't n ,rY[he
( cuP n y b equ ren h h un b ,p' f .+n e 1 0 f ne of
Signature of Applicant, Date
Oµnnm-mI t /// Date ”' All roof coverings to be Class ` B or better'
c OFFICE