01070138 c[BU0
ILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
18621 STARRETT CT A PERFECT CLIMATE 01070138
OWNER'S NAME: APPLICATION SUB DATE
PETER CARBONE 10570 S DEANZA BLVD 07/26/2001
PHONE: (408) 861-9545 SANITARY NO. CONTROL NO.
p-zO ARCHITECT(ENGWEER: BUILDING PERMIT INFO
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LICENSED CONTRACTOR'S DECLARATION Job Description
Z S H 1 hembY affirm that I am licensed under provisions of Chapter 9(commencing p
m with Senium 9000)uf Divisim J of he Hnsinesa and Professions Code,und my license A/C ADD. ON.
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w 3 u. .�i r 1 9 ✓ ARCHITECT'S DECLAO
s�0 s I understand my plans shall used as public records AUG 2 9 2001
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so
a p Licensed Professional
OWNER-BUILDER DECLARATION
I hereby Wrote that 1 am exempt from the Caron hr's Li,ensa Law for the ��'�
l=?a following matron.(5acuon 7031.5.Business and Professions Code:Any city or county.
Ex C which requires a permit to com uct,alcor,improve,demolish,or repair any structure
ce oe prior to its issuance.also requires the applicant for such permino file a signed oatemem -
thatheislieensed imodetut to the provisions of the Comtnnm's License Low(Chapter Y ,,far oaf �a�6 3r papa'. .) ; I Valuation
(commencing with Section 7")of Division 3 of the Business and Professions Curie) s 3
m that be is eacmIn th6mf2nm and the basis for the illegel csempdon Any violation
--of Section 9031:5 by any appl van{for a permit subjects the applicant to a civil penalty
-
,mrmotounce roamfee hundred dollar,6500). 303APN�M�M MECHANI AL"" '" Occupancy Type
O 1,as owner of the progeny,or my employees with wages as their sole compensation.
will do the work;and the structure is not intended or offered for'sale"(Sec.TW,
'Business and Prorc,,m s Cotte:The Convector's License Law Joe,,not apply to an 505 - FINAL EIH?I4WRd QIf*coons"" '- "I
rthrough
owner of property Who builds or imro
pveth
s ereon.and who ane.sum work himalf 508 - FINAL MECHANICAL
m through his own employees,provided that such improvetnents wi not imended of
aRemd'for:iia.IT;lidwcver;the builJin o7im--Jcmem is sold within one e_f
8 Pro Y Wild
.\•..t'. __-- t �
'completion,the owner-builder will have the Horden of proving that he did not mild ar
improve for purpose of sae.). '
_.__.as owner of the
ensed.-___.__ ___—_-____._—__.
x ❑I. PSrcnY•am exdonvdYnsmmn,,iowith, ed,,:)ed Contractor',
License
--� l
ndswm the does
n (sec.Tto a owner cv and Prechy whoms Coder The improves
thereon.
- Limnm Law rims nm apply man owner of pmpedY who build,,or improves t.to the
z = .Committees
Livens Low. hprole<ts.withe.comracmas)dicensed Pursuant.m the _.._ _. . _. ._.. ...
Contm exe License See
-_ ❑lam exempt under Sec. , \ 't ,B'&PChit this reason i'
_
Owniir Date
WORKER'S COMPENSATION DECLARATION
I hereby aflinn under penalty of perJury oneof the following declarations'.
c ❑ 1 have and will maintain'a Certifteme of Consent ti elf-insure for Worker's
Compedsatude. as provided for by Section 37W of the Labor Core. for the
'performance of the work for which this permit is i.wueds
❑1 have and will ma renin'sarke,%Compensation Iniur nee,ai regoiteal by Section
3700 of the Lahr Cotte far the perhun'ncc of the sank for which this pen t'.
ism d M W kcr's Cc t alnoufataccranr I jerandPol y num at e
Came �D PUITY Va - .-.. _ a .I •,,, _ .t_ -_ __ -_- "!1 1'4011
CERTIFICATION OF EXEMPTION O, WORKERS*' - - -
COMPENSATION INSURANCE
'fthisi&don need not be completed if permit p for one hundred dollars ''•P`•' :.. . i r_a f.'r
(8100)In Icss.)
I mify that in the perfortnamm` ,.'.- ' .._ ..- r, i
of the work to;which th-perm t is Isaac:l 1, t
-•I:' t "nls i ti
shall notemploy any person in any manner su as to:becoom subject to the Workcut
Compensation laws of California.Date - -
..Applicant.._
NOTICE TO APPLICANT IT after making this CabBcale of Exemption:you should
bcc m blurt theta Ae .Con pe ai pr ns of tb WM C&I you must
Oforthwith croupy ithsuch p n. rthis pe t.hall he decimal l
� - --,,. , . , - ,...,_ -- __..,_. - , , _._. .- _._. _
W) ` ' ''
` 'CONSTRUCTION LENDING AGENCY'
a;7 !0 I hereby alarm that there is a immur ion lending agency fm the performinde 'f
fine workt Lich thi,Krim, . .sue10S ':'3097 Cisv,Cl
=.Z
Under s Address _•� Y - (-•. - s.n'1
_ ,.I cenify thio 1 have read thin applicainn Lind num that the above infnrmmion is
k' f so Wilding
ng con tr mon,andihe hereby
city nml a mrse mativecs sod scity lows enter
upon
f,I to lou Id g t do d h by rho p t i vex f itis sty t tv poo
the aiNwa-merhoncidproperty fpec` purposes.
(W)agreems ttoleardify and keep h tmle' theCty fCpetin a8a nzt
Ga V1 liabilities judgment,,c t d c,pcm;s".m,h mr,in any way g In t aid / O
U Z City in eore oftn g i ll 0th pe t
O1RCF FUNDERSTANDSA WI MPLYWITHALL. uPoh " [sued by: Date
i8 t l'Apptcam/CaouanoI a
Re-roofs
I HAD\RDO IS MATERIALS DISCLOSURE
_'.Will th ayprcadfarfumm haddne p' t.tsm nth dl'nLr-w'„tt trial . .-Type of-Roof...
as deft tied by the Cupcmm Municipal CuJa.Chapter 912:and the Health andSafety 1 . \•,� t ,),,
Code.Ove
2553'_lal ' No .• 0
-' All roofs.shall.be;inspected. rior.[o.any_roofing.ma[erial_being.installed.-
1,;-I Will theapipn<m, ,,futurebeildin,midi�ant requgpmenta,ddesimor is If a roof is insialled without first obtaining an inspection,4 agtee,to remove
emit haiaidnux air contamiwdn is derided by the Bay Area Air Quality Management
DiwicU. all new materials for inspection. Applicant understands and will comply.with
' I 4rd all non-point regulations... -
,st aY n source
r..:'.
"I have mail he'har Nov(materials requirements,under Chapter.6.95.of Me
CuliPomia Health&safety Catty Sectriumen50he,it J v d255J4..l.umdentamd that
'ifcupadildingdmsnmcundntlyhmautetmnihutitismymspnct tpfitYtamtify,the
loecopant ofahc requirements which mud be mn prior ti,iswunce of a C2rtitinue of
”. Ott amcy.'s
_ _ Signature of Applicant Date
si (/"/// ---rAll roof coverings to be Class`B"or better
thoracd agcm
L OFFICE