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CITYOF ND
BUILDI c DIVISION PERMIT
CONTRACTOR INFORMATION:
BUILDING ADDRESS'.
PERMIT NO.
20300 TORRE AV
01060074
OWNER'S NAME.
APPLICATION SUR DATE
DAY,CASEBEER,MADRID,BATCHELDE
06/12/2001
'HONE:
SANITARY NO. CONTROL NO,
ARCHITECIUENGINEER:
BUILDING PERMIT.INFO
O
LO ELECT PLUh1B MECH
I RL
i LICENSED CONTRACTOR'S DECLARATION
Job Descrip ton
I hereby af0rm that 1 am licensed under provisions of Chapter 9 (commencing
with Sect ion 1000 fDw fOo BusinaaandP _ ylicrnu
a
ins°�idt:a
a un.a'°n
DEMO INTERIOR PARTITIONS AND CONSTRUCT NE
Soar`"`
PARTITIONS.
R HITECm r DEC
� 1 undemm�d my plans shall be used as public records
oLicensed Professional
y OWNER -BUILDER DECLARnf10N
I hereby affirm Nat 1 am exempt from the Contractor's License Law for the
a following reason. (Section 7031.5. Business and Professions Code: Any city or county
O which requiter a permit m construct, alien improve, demolish, or repair v structure
q
�.. prior its issuance. also requires the applicumfrte.cucL permit to fleaaigned smtemeni.
- 0.n1fiond dp lid (lld' p' ''lu snRlcG na"ca"Li IClia,",9
(co Sell ,701X11 f Diviirn 3o fine hmiruss dl fa -oat CWe)
S -Fl Floor•Alea y
., f 'ts i —R.-Sq.
sk. `21 s. 1.1 :' 1i YA,r �: �?, iO? ,,'
VaILIHLl011
.b.'th
or that he is aaempt therefrom and the basis for the aIlejN uempt on Any violated
60000
APN Number
-� Occupancy Type
of Section 7031.5 by any applicant for u permit subjects the applicant to a civil pewlty
of not more than five hundred dollars (S5W),
D 1, as owner of the property, or my empty ns with wages ac Near sole compensation,
will do the work: it the suvcmre is hot intended or offered for sato (Sec. 7614,
'Business and Professions Cole: The Contractor's License Law does not apply to an
Required Inspections `
owner of pro,orty Who builds or improves thereon, and who does such work himself
r through
rtnrougnsulowneiopinycex.primedmat,vervementeissol a not intender or
304 - ROUGH ELECTRICAL
_ ..... _ . _
.. bfPomd for tele: Ir, nowevvE the building i is sola within one your of
'completion, me ambo improvement
build or
the owner-buader will have pr`oving that he die not
501 - FINAL ELECTRICAL' ENERGY
improve for purpose of sale.).
505
-
property,
OI flhep pe ty meal 'dye t a g Ithla.cdcontractorsm
-7,, -FINAL. -ELECTRICAL.-,._._._.
t 1-
lar is 7044, B. d P f x Cw&) I h Coal ¢or's
' r
otic W J t I t p peer who till Id pro thereon
Y with a conuacmaa),I' erre pursuant to the
and whocontractsder such projects x
.... 1
Contractor'sbp
License
D I am exem under SPP
p ' � .B&PC for this reason
- Owner " Duef
-��
�(
- WORKER'5 COMPENSATION DECLARATION
J
I hereby affirm under penaltypf perjury one of the following JCtlaral out.
�a
❑ 1 has and will mutation Cenifcale' of Commri to self-imare for Worker's
Compensation, as provided for by Section 37W of the Whur-Code: for the
Pof the work for which this permit is issued,
'
D 1 have and will'oinintnin Worker's Compensation Insurance, as required by Seaton
3700 `the Lobar Cod f thePerform of the work rwhich this verait is
is otr' o p t .orae vfly�l(�Ji
�itior
Ca SPoI'cYN _✓a .-
_ s., .. �r t -'i.. :�.1, t A{ r •r;
- f 1 +
"CLRITICATION FEXF.MI'fIONFROM,WORKBRS'I
'
r- "••
COM NSATION INSURANCE -'
_
__.. _._ _ ___ _..._ ._._.....__...__�.. ...
....
' I •'(Thcss,)' on necd'not be complacJ if the permit is for oris hundred dollars
ISI W I or less.)'
1 e hat in h pct a e leo p t 1
1 I i 1 a.1' I' •' 1`
o Workostaid
all not employ any Nixon on in any animator as to become subject m the Workers'
employme sub
-'
...
Compensation Wws of Califomiq. Da
APPlicant ..
- -
i NOTICE TO APPLICANT: If. utter malim, mis Cenilicae of Exemption. you should
i become subject it)Conmpnvalon provisions of the Labor Code, you rium
with such
forth rovisions or this permit shall be deemed rov `ked,
i CONSTRUCTION LENDING AGENCY
'- 'I hereby affirm that thele L dconsimcnam bending agency fist itis performance
of the P is issued (Sec, 3097, Civ. C.) '•
lor'which this ertnit,..
Laidewnrk
Lender's Nvme —
.. . -. .. .. .. . _ ._. ...
linen's Atkins''
It
1 comfy that I have read this application and state that the above information is
feet. 1 ague m comp) wish all city into county ordinaries and state laws totaling
to building construction lid reby authorise representatives of this liter upon
s7 the abor corium 3' for inspersion proposes.
y agte in emnify and keep harmless the Cit ICu into against
a
O habili es it ns lid expenses which. may in any ay sec against said
City ro
APIICA-``IST Is ++ ' r - Nbrv-PULNi''
.c
Issued by: Dale
ter o rpt awe mmemq' Date
Re -roofs
HAZARDOUS, MATERIALS DISCLOSURE
plenumo f t bidding p i't - rh II I Nus manorial
Type of Roof
theC pct Municipal Cod Chapter 9 I d theHealth and Safety
r5l
, ,a Y lv_
S 2553211 n �, a .t
D"°
s s' x.; s7i.'•t.
_ All roofs shall be inspected. prior to. any roofing material. being.installed.
s Wilthe applicant lirfuture baildingnceupmnnscegtdpmcntordes'iceswhich
If aroofisinstalled�with'outfirstobtaining aninspection"*FagceetoYemove
mit hazzrdnas air contaminants as defined by the Bay Arca Air Quality Management
Diatdrsl -
all new materials for inspection. understands and will with
°Ycr 0 N '
_Applicant -comply _
all non -point source regulations.
;.
'1 b.' ° to 1 mMors mhterials' no,too a tau der Chnpter 6.15 of the
nth
Califomi' of ty Codd Ssctions25505:25 3a 25534. 1 understand that
iftheb d' o aly ant. that responsibility to notify the
-
cup t e r met issuance of a Certificate of
Dart a -
Signature of Applicant ,. _ ._ _..,._ ... Date
_
All roof coverings to be Class "B" or, better
o t>n:e ngent:,: Dam
OFFICE