01030071crBoe DIVISION
CONTRACTOR INFORMATION:
BUILDING PERMIT
BUILDING ADDRESS:
PERMIT NO.
10646 WUNDERRICH
SUNBRO BUILDERS INC
01.030071
OWNER'S NAME..
APPLICATION SUB DATIi
SUNBRO BLDR.
985 REED AVE
03/13/8001
PHONE:
SANITARY NO, CON IROI. NO.
(408)738-8898
ARCH] ITC '1'7ENGINUl r
BUILD,PERMIT INFO
BLDG .ECIPLUMB MECH
IJ
LICENSED CON'IRACIOR'S DECLARATION
Job Description
1 Mrcby aflinn in., 1 nn IicensJ under pnotion., of Chapter 9 (emnnnncing
with Semon 7000) of Division 3 tithe Business and Profe,ams Codc. and my licetss
ie in full turn" and eticc.-y S(�
clan_ Lm.ai /
,
TEMP ELECT
ease _
umc _J / Ctmmotr— _
/"�IIITGCI'$ DECLARAI'�—�—s
I undctsmnd to, plans shall be used as public records
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Licensed Praression d
OWNBR-BUILDUR DECLARATION
I hereby vf(inn ,hat 1 nn enema, Irum the Commons', License Law Ian the
fallowing mason. (Section 70.31,5. Business and ProfeWors Cale: Any city orcounty
which requires a permit m cansmart, mucro improve, demolish, or repair mry nrnemre
priorm in issuance, alsom,mm flenaplacmnt forsuch fermi, mfileasignedsmmmtent
mm hn is Beenaed pwsolI to the provis,n,. orlbe Cmeractnr'a Liccrose L„w(clmpt`r `)
Sq. Ft. Floor Area
Valuation
(commencing with Section 7040) cal ' Division 3 tit ,he Business and Professions Code)
o, that he as usenin driefnnn and he basis Bn the alleged escmp ion. Any violation
of See ,itn 7031.5 In, any applivaul 1'o, a fenny nobjens the applicant ,o a civil Pnmlty
A PN Number
Occupancy Type
of nal more than five hundred dollars (a50).
01. as ov,ner of the pmpvrt , or my employees with wages as mar sale compensation.
37527017.00
Required Inspections
will do the work, :mad the structure is man intended or oBcied En sale (Sec. 7044.
Business and Ponessinm code: The Contractor's License la,w docs not apply to tin
ch wk himself
r of propeny Who builds o, intimates thereon, and won dons suor
twoagh
304 --ROUGH ELECTRICAL
t his own e,,,playces. pI'd that such imp,ovcnmnta an man imemled m
offered bo safe. If. however, ,he buittling or iinprov rmarl is sold within one year of
501 — FINAL ELECTRICAL ENERGY
emnplction, the owner. budder will have dm burden of provingmat heard nm build or
improve fm Puna,se of .also
505 — FINAL ELECTRICAL
❑ 1• as talon, of IF, property. am. esnlusivrly enmmning win licensed eomnerars to
construct ,he pmjec, (Sec. 7044. Business and Professions Code:) The Co muclor's
License Law docs not apply ro not owner of property who builds or inmroses,hereon,
and who commas less such projects with a nmtmcun(s, licensed pursuant to the
License Lew.
Cont,it
❑ I .,it eae,nal u,taer see. . B xi I• c lin his «atm
nal
.
Owncr Due
WORKER'S COMPENSATION DFCLARAI1ON
I
onemftheo denlar,
I, reb,and ifluwill
nunderpenallyofperjury
vele-int
W..
❑ I h 1 '11 o f C t m C11-111111 I: s if f W ark
he
Cnnpe t provided f by Ser Pull f the L I Cad fn bite
km
peri' n of [lie work for im. permit I.
01 have and will maintain Work,,', Comi,circuum insurance. required by Section
'D /
3701 of ol L;ihsur Code. tor the f n l life varkfor which 'his per t.Iis
J
issued. MvWkers Comj^•nsm rn Insurance carrier and ["they number a re:
Carne.. policy No.:
CERTIIBCA'fION OF ESI!MP1 ION FROM WORKS S
,
COMPENSATION UIMPRANCH
I'I lu, scent. morel it... be completed if an permit is for one hundred dollars
(Slap nr Ic—)
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I ccmily Ot, in he Perk more oI he work for wblch this is:nuit is Isvunl, I
shall no, employ any arson in any manner so as m become subject In ,he Wnrken'
CmMensudnn Lows ul Culil'nmiu, Date
Applu an
NOFICH TO APPLICAN'L If. after making this Cv,fi.,e of E.armpion, You should
use suhlccl It the Wotkci s Cnn,pummitn provisio,ss at the Lnlrar Code you imam
.
forthwith comply Militant provisions audit permit shall he deemed mvnked.
CONSIRUCIION LENDING AGENCY
I hereby aflinn that there is n onouructam lending agency for the performance
of the nark for which this permit is issued (Sec, 3097, Civ. C.)
Lender's Name
Lender's Austin,,
I certify that I have read this application and state that the alcove infnnma,ion is
correct. 1 agree to comply win all city and county ordinances and state laws relating
at huilding construction. and hereby authorize representatives of this city to enter upon
the abmwanentiancd Pmprny fn, Inspection Purp,ws.
(We) ugure m save, indemnify and Levi, harmless the Cary of Cupcmmo against
Iiabilnlos, jndp,ncuts. costs and cepcnses which only in any way accmc against said
nl lois ,.+ti
CilY in cnnsequ.1'
NOSA LL COMPL WITH ALL NO -PO1
J—V
APPLICANT UN
Sr l' CE REGUI NS, *
lsSUed by: Date
'
Re -roofs
!
—E
sagn"ll cn, . untme — Date
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IInZARDUI' n IERIALS DISCLOSURIi
Wan nae applicant or ruwrc Ilding o'cupam store or house hzeandous n aerial
Type of Roof .
as deinsd by the cupenimn Municipal Cole, chapter'. 12, and the Health and 4ne,y
Code. Section 15532(.)^
0&a El No
All roofs shall be inspected prior to any roofing material being installed.
dm:mpl'wanlorfuture buildingms'capamuse cnuapmentordevices which
If a roof is installed without first obtaining an inspection, I agree to remove
IWill
coil ha,uni air ctmmainams m defined by he Bay Arca Air l)ualny Matngcmcnt
all new materials for inspection. Applicant understands and will comply with
Dismen
Ed yet 0 N
all non -point source regulations.
I have .d the hezadoun materials mfaircnwms ander Chapter 6.95 of the
California Health .@ Safety Cala Satin t, 25505, 25533 and 25534. I o:ndr,,o nd that
iflbchuddio docuto, cunemly have a mn"nl. that it is my msponsibili,y to notify the
oacupnnl u1' s which ,owl be act prior et issuwmc of n Ccr}}}II-"ar ur
”"p""`y. /—
' Signature of Applicant Date
wner — �/� •j/ /.e
All roof coverings to be Class "Bt' or better
o
OFFICE