02050165Cr
7 C
CI71" OF CI PER I INO
B1 UAW -6 DIN ISION PERN11 COti'f1tACTOR 1NFOR �I:1TI —
—
VAIr1.R5,rr �I AV
TUFF SHED
02050105—
_--
I "LL ':, '" ELIZABETH S
490 GIANNI ST
AoTtt4f `210't�2
rl lir;�f:
I
(4 0 8) 7 2 7—
8 8 3 3
SANITARY NO CONTROL NO
::11 Ll
BUILDING PLkMIt INiV
BLDG ELECT PLUMB MI -CH
�!CENSED CONTRACTOR S DECLARATION
j
SHED
W/LIGHT Job Description
h.,lamormdunnrrrm.,,onal,rcn.prr9h.,mnr:ng
Dn,von 3 ol,he Busi«ss and P,alessiana Cude. and rrp hcenu
"M o
.n 1,'. •.•.c .,acct.,
DECLARATION ARCHITECTS DECLA
'S RATION
i1--..;rr,•..-c,-.,!plan, anon ne need,. wnhr
ON'N. BUILDER DECLARATION
I ,m it -14 Bom he C.ntrec Vam,t L,. for the
I 'rrco. a S11
$3900
C
,nll.h 11i a 1 Secuu1 70]1.5.Bun«ssand -e.d ioloh, ,: Any my oo,u ,
oe
.h�.h re i -ire•, cons,ruc, ,I,er.,mpro.e,h a
Ymtio
femt 1 file—gwY
-mem
rcquues the appluem f« such prmit t. file a ug«d uuemem
the Conu, ,.I Lit— L,. (Chspter 9
F jUa
Valuation
,ha, h, t, l nud N—m to he pmm— of
Sa„m 7VIO) If Dmsion 3 of the Busi,u:ss end H./us,ons Code)
,r R. Ty< i. earrrp, ,ht,efrom nod ,he hen, for ,he alleged nempion. Any vi.l„ion
M wy aPs hcam fm a pem,it suhyMs,he,Pph,ml l., civil Penalry
F.., h„Wed do]]— IsSwI
Occupancy Type
.f non e..„ 11—
102 —
PIERS
❑La,r.ner r pn,l.ny.o,myrmplo'.,-1h age. .,,he.,wleru,npn „nn.
imended for 76if.
—
104 -
Required Inspections
REBAR
t..rM the svuctuu h - m nrteud sai, Isec.
Bnm wd Prvftm ,,, Cde: The Cemrxt , Litems law d«, nm apply ,o m
hi—If
er or p,e;,er<y.,T,nl„dda°r,mpe,r, mere«:. am he doe. ,,r,h.on
empbyee, fm n ,ellen ,mp.,em n,a arc i,m in,,,dw «
10 5 -
ANCHOR BOLTS
„Pncd for nice If. hwever. the wilding m improve,«n, is wIJ uith,n o« Yenr of
rn'ofpmngtha,hedid .awddm
,,,,:fbo,fn. h<,,.«r.n.,IEe,.,Bea the wde
106 -
SEWER & WATER
i mpure h, p.rp.u.r ul, ).
202 -
UNDERFLOOR PLUMBING
❑L,,o.«rar,:epow,y.am,a< anelr,mtrxnng.nhI—med... o.i ,to
'be Prgen (See, 706x. B.si and Profe .m Coley The Cm„rwwr',
203 -
UNDERFLOOR MECHANICAL
I xn L.-d an«.My,°an m,«r orpwPenY-he build-mimp illf0-rron.
204 -
UNDERFLOOR FRAME
and who contra-�s r« such pool c . ib , comrwiwisl hcemed pnuant to the
C._.:.i. Lcr-1m La
205 -
UNDERFLOOR INSULATION
{: I .m e.empt u:ber Sa. 9 8 P C rm,hu
/ ne i✓L
I woR con tATIONDECLARATION /
301 -
302 -
ROUGH PLUMBING
TUB & OR SHOWER
303 -
ROUGH MECHANICAL
v h>a�:m.ndepul,y.rpq.n•^•.nnemn..ingael..n.na.
304 -
ROUGH ELECTRICAL
1 n,.r wd .dl m.,n,.,a , eemf^ae w eomen, w .ell-i,n.r, f« N'm4er1
cnmpnunon. a p..,me r« by serum, 3700 of the Lam, code. for the
305 -
FRAME
pr,r.rr.a„eof -k f. h.eh,hiapmn,laia,.w.
306 -
HOLDOWNS
DIhaemd.,!l..-W,, R,r:eompm..nm,u„«e.. aumdhrsea.n
307 -
INSULATION
31VI of ane La—Cede, I. the p f__ of N..ort for .h.h ,his is mit u
d My R'ur Cm.pe.u.oe 1111—careier W WILY namher.rc
308 -
SHEETROCK
curerPohal`°-
309 -'EXTERIOR
LATH
CFRTIFICATION OF E%ENPfION EROM WORKERS'
(;OMPENSATION INSURANCE
310- -
INTERIOR LATH .- .._._.
Irn,a.t.,,m,«w.m be enmplt,w it the promoh rm.« nuM,ed d,11ma
311 -
SCRATCH COAT
'SILO)m!c_aa;
313 -
ROOF NAIL
Iremh ,hu in,he prfurma«e ran .°r r«.nirn tni. pm,,,niawea.l
,naP nrt emple, aey pram ,n any «r o ° me sub�en ,° the N'orlen'
501 -
502 -
FINAL ELECTRICAL ENERGY
FINAL PLUMBING ENERGY
�f �-
'_/jQja.1'e,.—mg,lu Ce ,fi-,of E„mpu.n. you h,,Id
vpfy_-F'T[O`'ArYP`L';t�S1T.
503 _
FINAL MECHANICAL ENERGY
nr:d�e,.hl,et ,.:he 9,'«tee, C—Se im peo—mm onh, fahm C.&, )o, m..1
504
FINAL BUILDING ENERGY,
Gmh.cs comp'y ad, —1, provhiom e, Thi, Se—.hall he deemed a .kol
505 -
FINAL ELECTRICAL
CONSTRUCTION LENDING AGENCY
Itemny,!irenthat Mu u, mnso«nonk agency fm ,he pr(onnanee
506 -
GAS TEST
7.0
,_dz:-)r, .n::nm,apmnn,,,.watr.3m7.ar.c)
507 -
FINAL PLUMBING
,<natn N,n,e
° `
508 -
FINAL MECHANICAL
lrrm11,-1 n,.erc,am,..pph.,,,m.na.wemathe ,w,:mf«m,,.n,.
509 -
FINAL GRADE
a_
a, m Igree,.comply.M.IIa,and.... ly.Immnee, end slam i.-ui.1mg
I. ae,rg. : nm,Ibe,ehyo,,nnre pernuurc,ormi,...yto m11 p..
510 -
FINAL PLANNING
p„pem r« rn,p.dm P.rpo><a.
IN'n,grec,.s„e.Indemmfy Wt«P hartnln, the C,ry of Cupmw,gumt
514 -
-_
FINAL PUBLIC WORKS
lun,l„ic,. ludgmnna..mu W eapmes ,hien may i^ any •,y ,terve .gainst a.id
CnY'.",—qucn.c of,hia
of,k gru,ling pursue
I,'I'Lic �T I. NL`ERSTAN�S A: "D 7L COMPLY NTTH ALL NON- I T
r
Issued b y'
Date
jot 'RCBnR�I('lLA
Re -roofs
Type of Roof
ignam,rV Apvi.amlCnnvac,«
..5RDOL'S h7ATLRIAIS DISCLOSL'RL �
c:u me "Mr—"Mr« rimae w,wng —Pa., atm . nw, h. „m., -W
u .4 by ,ht C.peow NI—Ital Code. CA.pe, 9.17. W the Health W Safery
CMt. So,!:— 5! Ki.),
All roofs shall beinspected prior to any roofing material being installed.
„,P,nr ,pc;,•�^,mr eewddmg «rupam uu cgwpmem ordmcn.hlch
If a roof is installed
without first obtaining an inspection, I agree to remove
mn
mea Au„d.,ua ,.r .unu,nm, as dehnw by Bay Arta Au Quality Itf— emem
o.„earn
all new materials for inspection. Applicant understands and will comply with
all non -point source
regulations.
/Q�J
I I:,.c rr✓ me h—ot' ma' -1, uquio, a Wer Chaper 695 of dee
Canmmu llral:n 6 SO”, CMe. Seen.m 25505.25533.M 25536. 1 .—W ,hat
,/:ne luildng d, �+rr..urt,ntly h.ae, umn,,,hu„is rcsp,ns,of, C. fit the
1,
„ur„rnu .hich mus, k nae, pinr ,o nsu,rKe .f a Cen,6ca,e .f
L /
V �6 Irl
Sig nature of Applicant Date
All be Class B„
-W
(,a„
roof coverings to or better
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BUILDNG opERONNo
PERMIT
CONTRACTOR
INFORMATION:
EiY'I�`1Ae"l AV
TUFF SHED
PERMIT NO 02050165
,°"_t`t b"0Tt ELIZABETH S
490 GIANNI ST
AU'Scfv'T4)Pai"2
PHONE:
(408)727-8833
SANITARY NO. CONTROL NO.
zo ARCHITECTfENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
i
i LICENSED CONTRACTOR'S DECLARATION
E I herehy affirm that l ten licen.ed under pn....too, of Chapter 9(commencing
Job Description
SHED W/LIGHT p
ci with Section 7000).fDivision 3 of the Businesennd Prme,sims Code.And my license
BAY A�
�8 I�
A
is in fell foree and effect.
�� 77�iI1 �G®
6 Liceme Class Lic. a
Date ARCHITECT'S DCriCLL
Tri
JUN 1 3 2002
,,1mIeu,.,,.blRATION
4 1 understand mY Pl.m shall be aced ax public records
pLicensed Professinnal
i OWNER-BUILDERDECLARATION
that I am exempt
I 1 hereby affirm that I from the Contractor's License Law for the
��ING
ofollowingamoa(Section 7 Business and tom Code: Any city or county
which requires n permit re consumer, vee
ensu "her, improve, cent suuaure
its issuance. requires the
1 the applicant for such Permitdemolish, file a sig statement
toicense
3_1.%. :, :A"i,T: Ii)..
r• a••„.; �
1 •.4 M •�.<sei I
Valuation
— h1co
Panamint ontra for
licensed noheo Contractorssew
(commencing withSection7")ofDivisionns; of3o theBusimes%icenselawonsCurr9
gomt Senlon]00o)ri Division3of the Businessand Professions Coda
he 1, ewile
or that he is exempt any.,mi'und the naris for the alleged dempnuo Any violation
'
-of sen ion 7031.5 n %any applicant for a permit subjects the applicant to a civil Penalty
or ata moa man five hundred sonars (ssBo).
PN
.. c: Occupancy Type
❑i,ax,twnerpnnepmpenranmyempthyemxnmwasexaxthe,x°leemmprnwtian,
102 -
PIERS
will do the work: And the sunmum isnot intended or for sale (Sec: 7M1a4,'
Business And Profeasions Cale: Thr Cminacmr's License Law does nm apply to an
-
Required Inspections”
owner of property Who builds or improves thereon, and who does such work himself
104 -
REBAR
or through his own employees. provided that such improvements are not intended or
'offered fmr salt. H, however, me building orimprovernem is sold within oneyear dr
- ' --1 O S-_._
ANCHOR --BOLTS- .... - —"-
t.
mnpletion.the owner -Wilder x;nhave the Wana rafprovingthathedidnotwudor
106 -
SEWER & WATER
improve for pw TWA of'wird.
_202---
UNDERFLOOR -PLUMBING -
01, as miner of the prmpeny, am exclusively contracting with licensed contractors to
construct he project (sec. 7tW. B.siaess .Ad Pmfcssi.As Cade:) The Ca erste to s
203 -
UNDERFLOOR MECHANICAL `
' License Law does not apply to an owner or property who builds or improves thereon,
. aad.wh°-contracts for such pru;eas with A commcmr(s).licensed. paw,co n.ta the
.__ .._.._ 2 04.....-..
.. , v.l;
UNDERFLOOR -,.FRAME-__.__
c°"' LicenseLaw.205
_pl pt under sec' - .BaPe Tar mis �p
-
UNDERFLOOR'' INSULATION
Aer Wit/ „Oe �,I_,lltrL
301 -
ROUGH PLUMBING
FJ '. COP sAT10N DECLARATION
WORK .CON
302 -
TUB & OR SHOWER
Iheabr.Ifrmmuhn,waltypr per wry one ohne mnmwiAg decmatians:
303 -
ROUGH MECHANICAL
0 1 have and win'mnirmin a Cenifcate of Cmi�m to self -instar for worker's
304 _
ROUGH ELECTRICAL
Compensation, as provided for by section 37W of the Labor code, for the
305
FRAME
performance afine work for which this perm, is issued.
306 -
HOEDOWNS
01 have and will maintain.Worker's Compcnsaikes Insurance, as required ny Section
37M of the Labor Code, for the performance df me work for which this permit is
307 -
INSULATION
ice:tied. Mr WorkersComsemsadonmsufhncecarrierandPofeynumberwe:
3.08. -.
SHEETROCK
cRe''trl aParry No.
-
} .E';309'?', -'!EXTERIOR
LATH. ... ,•
CERTIFICATION OF aEMPIION FRO
t M WORKERS'
COMPENSATION INSURANCE a
.
3.1.0-..__-I
NTERI OR. _ LATH
' "(THis senion�nceJ not Mmmpined if the permit is for one hundred dollars
311t'''-
'SCRATCH COAT
ROOF
t Ie `ryintinlh1 rf rte' 'i f' hicnhis pem;r:issued, 1
___- _313_.-
501 -
-.NAIL
FINAL ELECTRICAL YENERGY
�nnn n t employ any pr y m, n 4 0 o me bl a rte workers
ctra, odipr/{.ews_orc D
11,�y�rTOOA_PVP`L
_ _ 502 -
503 -
_FINAL PLUMBING ENERGY
FINAL MECHANICAL'..ENERGY-
N� aft thisakingC ifcmeofExempto you,muld
61,jectmmeWorker'sCompeasmtonpmoislonspfineLahrCode,yoirmin
bFdr
504 -
FINAL BUILDING ENERGY
f cowsith comply with such provisions or mis permit shall be deemed invoked.
i e•"' `' ^� CONSTRUCTION LENDING AGENCY
505 -=--FINAL
ELECTRICAL '
a ,Trent' a m mm merr ip a conn rvubm IdAdiAs agency tar team ammAce
506 -
GAS TEST
theI
' work for which this permit is issued (Sec. 309], Civ. C.)
Leaders Name -v` . __ ... -
- - - - --507 -
FINAL ' PLUMBING - -..
Addraaa-• .'
J Lrndcdi
508 -
FINAL MECHANICAL-'
' mry that I have read this appewma and ante m.t ihe.WTo information is
1
5 0 9 -
F I NAL GRADE
correct. agree to comply with all city and county, ordinances and state laws relating
� to builJing<on.aruction, and hereby nutndna rcpresnmtives of this city to enter upon
510 -
FINAL PLANNING
the above-mentioned, property for inspection purposes.- i.
g,(We)agreemsave. indemnify .Adkeep harmlesstheCity ofCaperiinoagainst
514 -
FINAL PUBLIC WORKS
n liabilities, judgments, coax end expenses which may in anyway accrue against said
City in .... c,mnee of he smndng nf,hix pemot.' .'. .
r
APPLICANT UNDERSTAN'DS'AND 'IL COMPLY WITH ALL NO 1'T''
OURCB REG ONS!
Issued b Y'
Date
f
Signature ofnppircamUContmcmr
Re -roofs
HAZARDOUS MATERIALS DISCLOSURE
Wil l the Appf'am oe future Wilding occupant start or hattll M1arnNo s m anal
- Type of Roof _
az derAad tyro, Capers n Municipal Cad Chapter9.1 2.and the Health end Safety
Cod S t 25532(a)n .t -
•�. ' /{
t..
o Yes a :'t
r 1� ""
Wi11 the applica t A' In { m building occupant equipment devices which
....Aamrde.,
tT
Al] roofs shall be inspected prior hi alit' roofing material being ms[alled,_ _..
If a roof is installed without first obtaining an inspection; I agree to -remove
air contaminants as refined by the Bay Area Air Quality Management
Diathell .'
all new materials
for inspection. Applicant understands and will, comply.with
- ares, . , t �. .' ',
all non -point source regulations:.
I M1avc'read the Ita.ardduA nmmrials « quirf'ments under Chaper�iii of the
California Health A, Safety Code, Sections 25505:25533 and 23534.1 understand that
if me building does not currently have A tenant. that it is my responsibility to notify the'
cupam or the requirements which must be. met poor to issuance of a Certificate of
o' ccupancy:
Signature of Applicant
Date
All roof coverings to be Class "B" or better '
wncr or amhoiixd agent are
J -
'-- � -OFFICE--