02020005 OF
CI BU[LDI c DIVISION
PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
1068 WALLIN CT (LOT7) IMB LSE302020005
OWNER'S NAME: APPLICATION SUB DATE
B. K. DEVELOPMENT CORP. M 02/01/2002
PHONE: SANITARY NO. CONTROL NO.
BUILDING
O O ARCHITECT(ENGINEER: BUILDING PERMIT INTO
iy F BLDG ELECT PLUMB MECH
t U« f J
y 2 LICENSED CONTRACTOR'S DECLARATION Job Description
�i_O I herebyafftrm that l an licensed under provisions o(Chapter 9 botmnencing NEW SINGLE FAMILY DWELLING.
with SeB)o
Section)BOf Division 3 of the Business and Professions d m
Cade,eny licenx
oa, iamfuRforceandeBat. (LIVING SPACE 3196 SQ. FT. r
D
a u ole ciao Lio.a Convector GARAGE 413 SQ. FT. )
Dole
O Yn ARCHITECT'S DECLARATION
S�
to� 1 understand my plans shell be used as public rtcords
w to p O Licensed Professional
OWNER-BUILDER DECLARATION '
v 1 hereby affirm that 1 am exempt from the Contractor's License Law for the
!_•Z_a following reason.(Section 7031.5.Business and Professions Code.Any city or county
saF O which rox,mics a Permit to commict,alter,improve,demolish,or repair any structure
a3� _pn r to its issuance,alto requires the applicant far such permit no Ole a signed swement.
that is license pars AnDto th provlsimnsofine Comm"ans License law(Ch p¢r9 ,Sn Ft I'lOOrtQrea,' t r - -.q ') r�aluatlOn
(can<ne newish Sccuon 71kN1) IDlns mnJof me Buunese coil ProfeasionsCWe) ✓_; :\tl„\.-}IiTA i,p r\, l:Rd'IIII�✓'. sk !F.I'to: 3500vv
(r that Itn is excin I rhercfmin and the bait for In anew` exvmpdnn.Any violvvon
-of Section 0031.5 by any n"fincrt for°permit subjects the applicant do a civil penalty
mf nail mare than ave nanarca doRan(ss(ro1. 3 62'1 W1111r9l .... ., . Occupancy Type
❑1,as owner of the property,or my employees with wages as their sole compensation.
will Bmuro the'work:'ati the strucode:This not Contractor's
Intended or se Lawarod does
salenot apply
1. a-, - 1 91 - FOUNDATIMNuired Inspections •�'a” t
owner o eodperty Who b Code.The Cvntredar s L cense Lowes such
not work
hi to elf uuY
owner of property Who builds or improve thereon,and who docs such work n ed or 10 2 - PIERS _
or through h' own employee provided th t h vement a sola not intended or .-,-
":orfdedfislewh eqi wibuddingofinfa of placing that
within-oneyer of """"
'completion the owner builder will have the Wn(cn of proving shat he did not bald or 103 - UFER r - !
improv for pugseofeale.). 104 - REBAR
_ 'as ownerprof jec p(Sec.7vm exclusivelydProcssion,Cash:)s"conuactors do - HOR BOLTS ..::i U!` "'.1.`:11
_ ons n me project(Sec.Ito a Business and erty who
Code:)The improves
tmrmal. 10 6 - SEWER & WATER I.-i 'I' `
License law docs not app) to an owner of property who builds or impmv<s moan.
n ..and who.con us f -a roj is with ,Can, on boenxd pursaant.to.me- -- ----_..-----20-2----..UNDERFLOOR-'-PLUMBING--------------- -""_'-'---------....
CmarratimeaLic se
t ❑Iannex d g BA,pcfarmis on 203 - UNDERFLOOR'IMECHAN'ICAL
-
tom,xiontion,
11.a, bate8 b vL204 - UNDERFLOOR FRAME
ER OMYEN�CTJ�" ECLARATION205 - UNDERFLOOR INSULATION
I here yam. rpcnelryo(peyeFy6deo,tt fonowmgdecimtions. 301 - ROUGH PLUMBING
haveunu wiR'mdiritdin'e'eenifcaie of'Con%enno aelGinsurc for worker's 302 — TUB & OR SHOWER
-es provided lot by Section 3700 of the labor Code, for the
'performance onhe wark,far which mix pe�init is ixa�ed...r ,
303 — ROUGH MECHANICAL
❑Ihove k6dwi11'mdimdin Worker's Campensadinn lmorance.'os Fegoirtd by Stttion 304 - ROUGH ELECTRICAL
3700 of the'Labor Code,for the Performance of the workfor which this permit is 305 - FRAME
issued My W k s Compensation insuranc 6arrim and Policy u be a "
Caorie a,'rh,i[,, :11.niv'PobcYN ! 30,61
CERTIFICATIQN OF EXEMPTION FROM WORKERS', I�YJ�. a 307. A t+I IVSU+LATTON.Y.l�• "•
COMPENSATION INSURANCE _.•,-••,- 3.08•••» . ST-TEpTROCK .. . .. �.
(Th s section need.6,be on plcvd rine permit is forone hundred doll -
(SIBB)mless.) _ 3 tt BXTSRIOR LATH
Icaif into m' N'mun< _. -..3.1:0,::-•.':INTERIOR' ":LATH -- --- ..__ .._. '
e y i, 'e of the for which this permts'isuedl ": �t!s irlt -
ih II n d en pl 'y !! a t n do b�qme oubie t' theWorkers'[ 311 - SCRATCH COAT
C m`nand Date .-,.313. - ROOF-.NAIL..-....
pcant '-. _... .._ ._. .. .
ICE1O PPI Irl l 011e ink gth Cmhc mofE Exemption,youholdI _._.. �
rZ '.hco a blppun aWrk Compeal nprovisimi fth LaW,Cmb,, .uwt 501 - FINAL ELECTRICAL; -ENERGY
" _ _ d 5,02._,-,-FINAL,_PLUMBING . ENERGY
O onh th comply h h provisions or this permit shall he deemed rcvok
....- ..._ _ .. .__...
F � CONSTRUCTION LENDING AGENCY: .:" ' 503 - FINAL MECHANICAL .ENERGY;`
_a I hereby nM.''Ihat mere ,a connotation lendlng ag ncy f the paRgma • - -
onn 'rkfrwnchd pe I ed(S< 3097Cwe),r_ 504 _ FINAL BUILDING ENERGY
�-Q - Lc dcr9 Name. - ...i_ _ate ..____ .. . ..__FINAL_
. . ....... .......... .._..... .. _ ...._..-.
Leine qdp -50.5 FINAL -ELECTRICAL- 1 ^
5 Z a..1 nvy�—
V 1I enify duet 1 h rad min application and note that the abovemf anon is 506 - GAS TEST
c rxa l gree to comply Ih.11 city and connive ordinances and nett le s relaing 507 - FINAL PLUMBING
O.V itoWldng nstru<ton,and hereby amhnurepmmativealibis city tgenarupon 508 - FINAL MECHANICAL
m bo mem oned
�a W property eat inspection purposes.,
(we) R."io so
condem yandkttphama n any
aCupertinost said
V-y Cbll s)dgmem co ami wh ynay y against said 509 - FINAL RA
equenc ft q this I 510 F A G
A P CA T T R AY DWI COMPLY�W'ITI A LNON-ROINTrc F
IV "L'1 T ".1'r Issued" Date
jsgnata ,mfA m amrastar I , ,.'bbt��oa�e_ Re-ro&P - ROOF PLYWOOD NAIL
•,i ` 2ARD0 A RIALS DISCLOSURE, r��p oa
wll' ap Manlorfu 'Nld goacupatsicrei handle bacrianamnal TYPe�•"'Of ROOF-_BATTENS ._...._ .,-..r _ _ ....._...............
.es def nod by meC pens' nictpal ode Chepder912 and the Health ds f iy 604;. ROOF.,IN PROGRESS
'Cod Stefan 257J�(a)o 4 .� d 7 x 1
tl .
l a tolled
_. Al roofs shaIl b inspected pnor_to.any.roofing.matenal being ms ..,
willthe pplc i for am
gacupmgmipmem devices which If a roof is installed without first obtaining an inspecnon hm
agree to reove
e i tacticians i m a d.as ed by dhe Bge
ay Art Air Quality Mith.,prient
osma all new mater_als M'n, loo Applicant understands and will comply withoil ; t " all non-point so`rons
' I h ve maJ'me h m dmirmmennl. a ream nder.Chapin[6.95 of the -
.Cql fora a Health&Sofery C e Sc o -255 ad 25534 1 understand that _
-,fifth bilding does nodcum no a n that9 Yrespomibil rymnoi fyto-
Oce
o6ce.imit
arc of the Feu s e of Certificate of;y m M1 n s M i i .
0
p ' ..... ....
b Signature A cant
7.
O nern I.,1 Do All roof coverings to be Class B or better''
.,. ,.. -. - .,_.__. _...-OFFICE.... _ ....,. - ...__. _ . .-... ..._. __ _.... . , ...-. ..