02020085 (4) CI BUILDINGcEisiolvNO
DIVPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
858 BRENT AV SHARON HUANG 02020085
OWNER'S NAME: APPLICATION SUB DATE
SHARON HUANG 02/22/2002
PHONE: SANITARY NO. CONTROL N0.
ARCHITECTIENGINEER: BUILDING PERMIT INFO
g U BLDG ELECT PLUMB MECH
y a a I:J _:. L-1 L._)
LICENNLRATION
fS Ihcmby afforimSED COcnRACTOR'r DECal I all, sedmAi of Ch pa 9lcommencin Job Description
J4Fo with5enion9000)ofDivision3oftheB:ninessandProroaionsCodc.nndmyhcense TERMITE REPAIR (2 BTHRMS )
xE3 Uctmnse Class Lic.b nforeeaedee<t. INSTALL WATER HEATER.
s c rc 6 Lice
o a Data Cnntrannr
i 3 v,I-n ARCHITECT'S DECLARATION �j p
into
Iundcmm�J my play sh:dl be uwd as puhlic rcanrds FINA, LE®
T
+n o o Licensed Professional
to a OWNER-BUILDER DECLARATION MAR 0 3 200�-
as 1 hereby affirm thin 1 1. .serape s an the C°ntm<to o License law for the
3< which me reason Permit
to
70]L5.Business and vet demolish.
Code:Any city or roomy
E O which its isasap.awo moim&%e aper,improve,dnntman t ore a sig mystructure
a 3$ _pan wits area also rcqu rt theapplicant for such perrtdv is signed saturation.r9 ._... ..
mmn 1' sedpSetion70h<pb sn3 finemmcmnL :e LayCsCode) �j,3 �q, FtLFIoorAreay-� �(a` auation
(cot g im5e<{ 7000) fhe Civilian Busioessand Pyyf box Code) k 4 .N_` i , )e1 I.5 \ `C0. ,+.r {
°aha,io is 31.5 b iany a ora and the basis for the alleged caetnPiod.Any violation '
-of Section9031.5 v anyapplicantfor apermit sulj<as the applicant m,civiPpcwlry
of not more mane hundred it.]lam lssoo). umber Q Occupancy Type
O I,as owner of me property,or my employees with wages as mcir sole compeos ticm
',will do the week.and the swcmre is or,intended ur offered for sale(Sec.7Wa,'
Ing rQ;;NDATTC)N
'Business and Professions Code:The Contractor's License law does not apply to an 102 - P I ERS Required Inspections' -
owner of property who builds or improves mercon.and xhe does such work himself
,or through his own employees.prevhfeal.thin such improvements are net intended or _,10 3 ...UFER
offered for sole.)f,however,the building or improvcrum is sold within one year of, ----- - ... _-._......._ ._ ...._ ....--_... ._..._.... .. .........._ .
completion,the owner-builder will have the burden ofproving that he did no,build or 104 - REBAR
improve ter purpose of sale.). 105 — ANCHOR BOLTS
Ltrunwner ofjce pmpenyam Business
ly t t g withlicensed o-aomrs 1O 106 — SEWER & WATER .
_
construct the JProfwhonceCod.)TheConuanors 202 — UNDERFLOOR PLUMBING
00 ' .,
Liccnu Law tat nm apply roan owner of property who builds or Improves mercon.
.and.who commas for such projcc¢.wiiM1.a comranogs)licensed.pursuant,o.the.
— 203 = UNDERFli00R' MECHANICAli '
- eontmemrs License Law. .. .._.
❑Iemexempt under Sic. ,B&PCfor this maven 204 — UNDERFLOOR"FRAME"
Owner`' Dole
.WORKER'S COMPENSATION DECLARATION 205 - UNDERFLOOR INSULATION
Ihereby affirm under Penalty ofPerjury one ofthe followingaeela`,Lorre: 301 - ROUGH PLUMBING
302 - TUB & OR SHOWER
❑ 1 have and wlll'maintaln a Cenifcmc Of Coasent in selfinsure for Worker's
compensation,,-as provided for by Section 3700 of me Labor Code, for the 303 - ROUGH MECHANICAL
perrormanee or me work for which this pem,;rs issoed. 304 - ROUGH ELECTRICAL
❑I lave and will mainmin Worker i Compensation Insvrmme,as required by Sed;on 305 - FRAME
37M of the Labor Code,for lie Performance of me work for which this permit is
.: issued.My Worker a Compensation msuranaearner and Policy number are: 306 - HOEDOWNS
Useful PER TIFlC I
• , + r + 1 E PolicyTO t 'i.:- '{'t3 07..y-r b.Ir
NSULAT,ION t
-COMPENSATION ININSURANCE N FROM ORKE�S i 3'08 "-- SHEETROCK-y 5 �• ''
(Thrsseaion need no,be iro nplemd Rhe permit is for one hundred dollars 309'�`-:-EXTER'IOR�—liATH"-- +:,. ,
(Shit or lass.) 310 — INTERIOR LATH '
1 nryysaype p r of he krror ch to a 't' ed1 3.11' -'SCRATCH-..COAT'. - - -- - - -
stall twt a.,Jay
pl Y Y R y' mane,
Can po aatm��rroma Dme 6 °m b � ' w rk`m 313 — ROOF NAIL
Appl �� 501-'— FINAL--ELECTRICAL ENERGY- — —
--- -
NOTICET<KkPPLIC TIf aOer makng th Cemfcate of .empton,you should ,
Z become subject to rieWarkers Compensation provisions 6fluel-aborCmIc,younarot 502 — FINAL PLUMBING ENERGY
Z O fear hwith c°oply with such pro.isim,or this permit shall he deemed revoked.
503- FINAL MECHANICAL .ENERGY- . _. .
' 'CONSTRUCTION LENDING AGENCY 504 - FINAL BUILDING ENERGY
1 h ffthat ' '
by nn there . I d' a agency f m perforant
0. Q Le d`c,'aishiworkfor seldith this perm i is issued(SeeF3097 ry
C .C)
_...:. . 505 -_ FINAL.. ELECTRICAL _._.
Liander's Address., . 506 — GAS TEST -
U O
leimilthealIha emsappbcattonanasomthatmeabolemlbrmmmnis 507 — FINAL PLUMBING
W [o correct 1 agam,o comply with all city and county ordinances and state laws reining
OU to building mnswabgandhint tolmdoompreseninue.ofIbi.scitytocnterupon 508 — FINAL MECHANICAL
y w m<aw(we) gree in save,rap nry for demn fype d ke p hom le. 5 0 9 — F I NAL GRADE r
t..: L (WOagmet cot aced s,cus,whihama)'in
he City ofcruennioegaind
Vi liabilities,judgments,cowl and espcnus which mop in any way accrue agaln.a said 510 — F I NA P I NG
U Z' Chyinronsequenccoftce arcing°f,his permit. ' ' -- Z2 _ O L,
APPLICANT UNDER '4' n' WILLCOMPLY WITH ALC RON-POI 14�— N IC WORKS Z'
S
DICE REG D .�y7 ssued 4. Date
ignowrt o ,P lacreductratravor
..HAZARDOUS MATERIALS DISCLOSURE ce Re-roofs /
Will the ppd cant or idiom building a<p t'tom orbs me hamNd matanm T f Rf
as der tied by die C pent o'ionic ptl Coda,Chapter 9J2.a d m Health a Safety
Type ooo
Cdde Section 25532(x) •�/ (•••, -1 •r ',`
oY " !.I AI]roofs shall be inspected.prior to any,roofingmaterial being installed.
w n th vpl cant r t bulla ng <p t se e. t d ties w h h If a roof 2s installed without first obtaining an ins ectic I agree'to'remove
emh h d coma - t p y Management g p
°'a'""oY .„_all_new materials for inspection. Applicant,understands and will comply with
n< Ym Brit,Are. Qalt
N° 6. . .;' all non-point source regulatioins:
I have d me ha+ara s materials requirement mud Chapter6 95 of me -
Calif rata Health&safety Cole Sections 25505 25533 and 255311 andilroand that
if building does not currently have a count,that it is any responsibility to nerify,he - - - - - --- - -- - - -_._
occupant of the requi ¢which muss be met prior m iss
Occupancy,. uangm ce of a Cenifof
,
=; D�" I 'awl ignature of Applicant Date
_ owmeror < , nr
are . All roof coverings to be Class "B" or better '