011100031.
-OFFICE._ . .... .. ... _..
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CI TY OF
BUILDING DRESSIIONNOPERMIT
CONTRACTOR INFORMATION:
BUILDING ADDRESS:
PERMIT NO.
20101 SUISUN DR
CHARLES LEE & YUEN-CHUN
rANG 01110003
OWNER'S NAME:
CHARLES LEE & YUEN-CHUN YANG
APPL17TION Sy�B DATE
11/01/2001
PHONE:
SANITARY NO. CONTROL NO.
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ARCHITECT/EtIIGINEER:
BUILDING PERMIT INFO
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LICENSED CONTRACTOR'S DECLARATION
Job Descrion
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Iherebyaffirmthin lamliccmedunder provisionaofChirpier 9(commencing
REPLACE WINDOWS (2)
with Sectionafp) sion3of th<0usiness and ProPossions Code. and mylinnu
is in full forceeand effoflfn ect.
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License Class Lic. k
Contmnor
iDate
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ARCHITECT DECLARATION
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1 uneeama my plans snau M sed a. pannrecords
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Licensed Professional
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OWNER-BUILDER DECLARATION
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1 hereby alTirn that 1 am exempt from the Contractor's License Law for the
following rwson. Igectian ]831.5. Bustncss anJ Pndessbns Cede: Any city or county
whth 9 rc. perms e t t hn mprose, demofsM1 p yxruaure
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$1200
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_prw t s ce. also the
/V`_yl/'
('f1>;"j-I36592r8;d'i
Valuation
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i n xxaw of
Nat I naa pSect of to th i of D,,ns none atnrveine'a License V (Chapter 9
fhebasino Ihc eadP Fission.,
i(commencing .pfth,oivoraj
heB
li and the basis for the
elmdnt to Any violation
in thin is exempt tang
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subjects
applicant lora permit subjassthe applicant to a civil penalty
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Section 9031:5 by any hundred
mf [.firm
fnrnm mart than five nanerea amort. ($500).
10 lApN III+�ATI ON
Occupancy Type
01, as owner orthe progeny, or my employees with wages as theirsole compensation.
102 PIERS
'wardir t�e'work. arid the-stimnart is not intended or idleied for skr'ISce. 770,1,1,:
Business and Profession, Cale: The Comractor'x License Law does not appy to an
103 - Required Inspections B'. 1 " 1,
UFER
owner of Property Who Wilds or improves thereon, and who does such work himself
104
.
atthrough
at
•or tnronsh Itis own employees. provided mm such improvements are not intended or
r vh m p t Id ee
. _.__.. _ _- _REBAR
"--T05 - ANCHOR`'BOLTS.
llhav t did build
complt t wnnfbalc) wJlnmen Harden of proving that nenet bmae ar
t
106 SEWER WATER
improve purpose o
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- - - ------ -- --- --' .._ _......
as owner of the progeny, ran exclusively contracting with ]teemed commeterx to
- - -202 - UNDERFLOOR PLUMBING- ;',„,-III...:. -
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a n wet the p l r ISw. ]a ,Business and Professions Cede:) The ammamr's
203 - UNDERFLOOR MECHANI CAD' f
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License Law dues not apply to an owner of progeny who builds or improves thereon,
_and.who cnntrans.for.:uch projeco.with a comractems) ficecouni ora..or m. the
_--.... ..__ ..-2.04------UNDERFLOOR---FRAME.-._..
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s,
Law.
Convacexe exempt
❑lamenmptundcr a ” .B&PCfor this rcason_
205 - UNDERFLOOR'INSULATION
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301 - ROUGH PLUMBING
WORKS :NSATIO NDECLARATI N
302 - TUB & OR SHOWER
" I nertby alrtm an r p ty ar pcijury one g the following declarations:
3 03 - ROUGH MECHANICAL
❑ 1 have and wiil maintain v'Cenifi,me of anent "to self-insure for Worker':
3 04 - ROUGH ELECTRICAL
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Comparison., as-provided for by-Serion 3700 of Ne Labor Code, for the
3 05 FRAME
performance of the work for which this Permit is issued.
-
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O I have and will mannieln Worker's 'Compensatioti Insurance, as rtgdircd by Section
3 06 - HOLDOWNS
a
noB strop Inbar 'Cade, for the performance of the work for which this pemm is
_
3 0 7 INSULATION_
ssuee M Work s C m;�^.-.on 1 curvn a came en Policy u bear elf
y
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30a, -'' .
Caul 7 t' 1 { j h5 {ps Policy Not �, l
CERTIFlCATION OF EXEMPTION NION FBQ MWORURs
f`r'... t
rr t �... ,•
--a� 303 EXTERQOR-LATH .
COMPENSATION INSURANCE _, •'
---31O-C; ]IN•L, E,RIOR—LA•LH,-„'-_,_
(Thiel section torrid not be completed ifthe permit is for one hundred dollars
311 - SCRATCH COAT
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-
._....___.._.3.1..3._ -- -ROOF-..NAIL--. ,_
ten fy tot in the pert a ' i d work f h hlh' pe t` issued 1
shalt not employany, peeon to my manner sit as to beromesubject, to me Warkim
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501 - FINAL EBECTR3 CAL•'ENERGY -
compcnsotmnlnwagfcablbmm.Datl�.502..-_
FINAL_ PLUMBING-.ENERGY,,..
NOTICE TO APPLICANT:If, after making this Certificate of Exemption, you should
503 - FINAL MECHANICALENERGY '
become subjecuo the Worker's Comprnsamo i provisions of the Labor Code, you must
forthwith comply wall such provisions or this permh :hall he deemed revoked_
504 - FINAL BUILDING ENERGY
-arra
•'•t•`'' 's'CONSTRUCTIONLENDINGAGENCY ”'
505 - FINAL ELECTRICAL '•
l herebyarfrn that is aconstmction lendingagfgcyfmthe pe"curmaaa
""
5O6 - GAS TEST
of the seek for hick th pemii issued 309] Cv.C)
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..-
-FINAL
ane ".. -a. _
SOT-- PLUMBING-'
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508 - FINAL MECHANICAL""
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I agree Jim I have mad this cityrelati is
a about laws
andtico and ordinances
agree meomply,with ell city and countyordinances and sm¢laws relating
509 - FINAL GRADE ---- --------- -
VFnrld:l
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to buildingconxtmmian;andhcrtbyauthonmrtprtunutivesofthiscitytocnmrupon
510 - FINAL PLANNING
the abov>mcntioned, progeny forir,ction purposes.
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Wcj agree m save, inaemaify antl k p h mless the City of CJp iho against
_
514 - FINAL PUB IC
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liabilities, judgments, rose end expcnus which may in anyway accrue against said
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Ciry in ennsegON of tne'Inntmgofthii permit'. ':
YON-POINT
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LIGANT UNDERSTAND NDN COMPLY WirH'ALL
RC
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Issued by: Date
0 REcufs /
xis pea a tar to
Re-roofs i ._ _ .....
HA]AR SMA RIALS DISCLOSURE -""' '
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wit to pvbdant ter a;'lq e v r t . handle ha rm ana mmcnal
. Type of Roof..
as defined! SgOomh Cupesr voMunicipal Cade Ch pt 912, andN Health and Safe?
Cade Sn 25,532(c) ,Its is i- iN]}, skit
1 e`-.•yt, ,^ y "�.• i 1 t, l' •;
❑Ya ON. 7:
_,.Allroofs.shall. be, inspected.prior_to.any..roofing. material, being. installed.___
I-:WBltneapplicant orfuture,building«eupzmus, tripmemordeviceiwhich
If a roof is installed without first obtaining an inspection; I agree to remove
emit M1aaardous air contaminants as defined by the Bay Area Air Quality Mddigemcm
District? .
all new materials, for inspection, Applicant understands and will comply with
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all non-point source reglations;
've nid'she h dots material requirdon'tor ader Cheptn,695 of the
Califo aHealtn&Safety Code. Sections 25505:25533 vnd25534.1 undentandthat
donnot curcnJyhave atenenethat it is my responsibilityto notify Ne
-
wcwilding
��am df the rcquirimenu which indst nidi pilot to issuance of a Celli Ocatetif
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Signature-of Applicant Date
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All roof coverings to be Class `B" or better
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-OFFICE._ . .... .. ... _..
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