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02090115 CI BUI DING DIVISION O PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS PERMIT NO. 10250 STERLING BLVD WILLOW GLEN ELECTRIC INC 0209019915 TE MN"`�FOWE 1085 WARREN AVE APPLICATION 09/18/2002 PHONE: 408) 289-9725 SANITARY NO. CONTROL NO. ( O O ARCHITECGENGINEER: r BUILDING PERMIT INFO BLDG ELECT PLUMB MECH a h= LICENSED CONTRACTOR'S DECLARATION Job Description Oi: 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing 2OO A SERVICE�REFEED 100 A with Sec' n] )olDivisionlo(Ihe Business andRmfessions Code.and my license -f= in^�11 fu deRecl. dam[_, R o w u ace . Clava (O tic. l . DabiCummcmr e. RCHITECr'S DECL7sR .c. 1 t- g I understand my plans shall be uud os public mrords Q Y 0 Licensed Professional �ne OWNER-BUILDER DECLARATION w=rn I hereby aRrm that 1 um exempt from the Comment,License Law for the F z< following nown.(Section 7031.5.Business and Professions Cade:Any city or county $3500 E z O which requires a permit to rmstruct,alter,improve,demolish,or mpair any structure nits prior t e.also q thepplicanl for such permul fl gedstuemem - ------- -- --- Ih3(h" Ir,nscd punlNvto rhe pf sons of the Conwcmr.LCC . La IChapler9 O ea nq a• Valuation as me< g i�ns<aQ 7fiBBl,ro ialon3- In B..-F adP faafnaeoae) ('�)y'[3`7.����`0��13?.4'7QFi;5� u.kl�T('tii: or ib l an ii excrripl thcrcfr6m`ArM the basis for the allegaf ekLmpdun.Any violation -of Seaiun BO3 LS by eny upplicain fora-permit whjcasthe applicant wacivilprnalry� 1.,.,d.r,- „ I.ofnotm°mtmtnrvehundmddollaiS5W). 304 A•P�9F(§FT ELECTRIC L'• Occupancy Type ❑Las owner onhe PmPerry,or my employ«a sults wages as mdr sole eompenaenn.l 501 - FINAL EL¢E� TRIC L ENERGY -will dome work..aril tie'structure'i�sol intended as offered for sale(Sec.7064,-� '- 505 - FINAL ELyy QC[ibnS B.,inA,'and,Pmrsssinn.Code:The Comrecmr's Licensee Law das not apply with; l) "„0.71 ow r of propeny Who builds or improve thereon,and who dues such work himself or through his own employed.pmVIJCJ that such improvements arc not intended or ._ _ _ __ _ __ ___ _ i;uBcmd'fr sale If hu the building -improvement is sold within one year of - - ®�--- — l, 1 J ,_--- +` RA v.. 01a,o°ner of the property.am exclusively contracting with licensed contractors to 'g prove puryuuu proving ._. __.____-_._ ____.._.-_.. tom In on,dic owner ba Id ll have the burden of that he did not buildor t comma the ect(Sec.70Li,Business and Professions Code:)The Contractor i a � yl_li.::'"O i !.Ul: '+• z- : License law attics not apply to an owner of who builds or improves(hereon, _ „and who.comracr_su ts.foch.projccta.wish a a com commcwrts5 IiccnuJ.pursuam m.the- SEP_.2._3._. Co roar Ltt rola II r t\.'� RL' - 1 > 01 la do Se B:4PCf rthism Dwner " BUILDING WORKERS COh1PENSAT10N DECLARATION r� L" IM1 by ff n J P IIY f a Jt Y S f the following declamuons: 11 ❑ 1 have era aw mmde n f Cby Section of 37M of t uLansurc for Worker's e CompenmeeO i provided for by Smion s i X) of the Labor Code, for the _ - - pcdommnce of the work far which this pcnnit is issued.., 0I have'and will maintain Worker's Nnipenatioo In'sumnce:as occurred by Section 3700 of Ih Who Codi toi the ii&oOrmance of th k for which ths pet-mit is I..v<d MYW rk sC pe 't li. c a Po"y"mberare ,- I�� y. A _._ .. -.. a vaia.,v............_...-,..�,.� sa rltb'IJPICA�(QNfOF EREMPTIo:� FROM wO�ERSO2 } �u fs z� ) Ist i.k s� -NI j0:i !!T , COMPENSATION INSURANCE•i„r.J OL) __ . ._ .. _._ _ _._ _._ '"'' seta not be i'oinplc¢A if the permit is for one hundred J°Ilars ISIIXII Ia�J::, Is., i- I. .�.. . - ..v.ql ._ �r aar :..» _.M..n.. - .u. : . .tea ` L cen fy that'in she pert Bala tl lM1" kfur whthth pernil sl11m` ',hall t ploy'miy Pc oriin 6,mann to Wcom bled to the Workers Com I Lws of C f '.D to c ._APP( t - must ._-.... :NOTICE TOAPPLICAVI`If fm - kl gthsC nfr to of Esc pr youth' Id ' .','t Q O 'bee bb) Imlh,Wd.e :C -P t pnv vsm flheL Aa Gdc yn fisithwith comply with h prov stuns ur Ih s permit shall be dcemaf rewk<J. . "z" y ' - !` '" `CONSTRUCTION LENDING AGENCY 11 n � a;; `'' I h by nBiml Ih t th b 2onswn on lending3gcncy fur the perfon o ` '• - '1 "' bf the rkf hlcM1 th pc 't .ucJ fS c'J097,Civ C1 c; n Lendcn AJJreu - \ Jul lttn fy th tlh erecta th apPlict dstam th ub bo' of matron is 'ta+ [r n 11 g I omply rh 11 c ly end IY b c J I Irelium, �,G7 ter nu ld ngc namcriun thereby iutho ze rcprcsen alive °f ti scity to en er upon .�-fgl dhe abovcrosntioned pmpmYf�r inspccuon puryoscs_ _, I aa'j,dgmems. t enpenu ec .m y:nanywiyaycfaCrv`eigno against e. nt said UrZ Gly n c q nc hfi g tingbf ihl pcm t ' - ' APUUCANT U�IJ,DATf�fASDS LLCO\Ii'Ll'N'ITHALL\—ON�POINT' Issued by Date v of Re-roofs gn, wBtn<aBrlica ormwr<wudin tstorebrhandl:w,�rd-le;;al. . Type of Roof._ •... - I� HAZARDOUS MATERIALS DISCLOSURE esdef cd bytheCapert Municipal Code Chapter 912 and the Health and Safety -t .� s tt•-,-' tai_: -Cod Section n j553h( 1 1 I t i p j' s YI ` t_+.: e t i t < -z., ❑re t' °,, . - _ All,roofs shall be inspected.prior-to.any,roofingmaterial-being installed.,- • tun� pph stn future t (ding p t p t devices which If a roof is installed:without first obtaining an inspecnbn;•I'agree to' remove em t havtdu a <omam est az d fn d by IM1 B Arca A r Q I ly Manag r I District, all new materials for inspection. Applicant understands and will comply with_ .. -all•non-point sourceregula .,L , 7 . .,•o�,,,, , 1 haw rcad,ihe hazerdous maienah mqde u nerneris under Chapter 6.95 6r the, California Health&Safety Code,Sections 35505.25533 and 25536.1 mul ramnd that if the Wildin does not current have a tenant,that it ism 'bilit t - df Ihd g 5' S'respons y ano y nccupabt,bf the.1wromem ort°issuance ofa CeniBCam of < Signature of Applicant. Date Da All roof coverings to be Class `B"or better . . r-e '41 ',:• ..,: '. -�__. ..�,. .� _.._. .. . -- -- OFFICE- --