02050055 (2) CIB
BUILDING G DIIVC,ISIONNOERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO,
10690 N DE ANZA BLVD TERRA NOVA INDUSTRIES 02050055
OWNER'S NAME: APPLICATION SUB DATE
UPHONE
ICAGO PIZZA & BREWERY (BJ) 1607 TICE VALLEY BLV 05/09/2002
: SANITARY NO. CONTROL NO.
(925) 934-6133
ITECT/ENGINEER: BUILDING PERMIT INFO
U t BLDG ELECT PLUMB MECH
a i LJ
z0 ZH i LICENSED CONTRACTOR'S DECLARATION
H O 1 hereby,d imt dord I ten licensed under provisions of Chapter 9(commencing Job Description
P=1=� wiNSectioo]000)of Diviaion3ofmceusine and Professions Cd dmY license NEW RESTARUANT
i,tun fullforc a t.
�� 6 License Clan Lic.Na��9HrI�� CI��t
a�3 0 Da¢ ARCHITECTSthalik Do Public
ne]ON
NOV 2 2 2002
I-a O u demand my plans shall W used.,public recoAs
Y
esO Licensed Professional
a.
o LL OWNER-BUILDER m the
"
tt+ =' I greasy.Stmt Jut 1 am..atop from Ute Conimns Code:A n c law co Ju
♦=z a following reason.ermit t 703 1.5.Business and improve,
ons demolish.oAny city or county {UY IT ^-
a{s ❑ whichrequiresvpermit ro,umes ibe aluaimpmvghparmittore a sig anystructure
6 m•-poor toluissuan<e.also ec tot he sheapprn,o for CommeoilmGleasiaw(sutemens.
(cmnnthat 6slittnsISialouOshet of DM s.f the Comusines LicensePr tawons,Cd9 OCr,(p�ea. Valuation
(comme,icing with Sztion,]Od)1of DivisionJof the eusircssand Pmfcssions Code 3-r3 J3,1,� 2111 614orBe a-,, I�1 f- Z"
or that h!is e[emyf theieTroin and the basis for the allegra cit mimoh.Any violation t
-of
!of our
mme than rbye hundred
dollars
($50Jrm.it.mbjca the eppliconuoecivi4panalty- 101 APNPi�M'MATION Occupancy Type
❑I,ae ownerof the propeny,ur my employ..with wages as Nei,sole compensation, In9 _
-'will do*a.&I And the'ssmuurc is nor intended-or offered for sale(Stt Br
] ig-
'Bum a-Pmfcssions Code:The Contractor s License Law does not apply t 103 - UFER Required Inspections
owner of property Who builds or improves thereon,and who does such work himself
or through his own employees.provided that such impmvenunu are not intended of 104 - REBAR ;
ouPlefor gale:If;er-lmE,the buildinge,imen of proving
sold within ncine-year-of ------- ---.----"-"-'-CHOR -'--'----"--"�--'-_ - ----- ------
'<omplaion,Neowner-Wilder will have the burden of proving that he did not Wild or 105 - ANCHOR BOLTS
improve for purpose of astral. 106 - SEWER & WATER
...-- ------'---- - - -- -ni - -----------. .__...-- -
❑Les owner f N< n wnuoctin with il<cnsde Co arras 's - "-------r-----'--'-
_ °tope y..m nn.sivelr g 2-0'2— _ UNDERFLOOR_PLUMBING_—" o.z.Dl',-,P;r.>ar rao
comuvet the pmj no(a re.]811,Business and Professions CW.:)The contractor's PLt Sqt �i'f ft'
_ - - Lieenselaweoean.5applywanownKorpropenywn.WldS.rimproveSNereon. 203 - UNDERFLOOR MECHANICAL'=`'" '
_and who<on"c¢.foasuch.pmjccm.wiN.a.commmor(s)lemod.pursuant.to.the.. _._,._-._.._...._2
cot tr License 04------UNDERFLOOR--_FRAM$.._...... --..— -- ------ -------
0 rept mts.,dl')'^' ^ ��;8&FcrorNlSeeason 205 - UNDERFLOORo`:INSUTAT'ION
-
KER'S COM- . 1. .ICOMPENSATION DECLARATION 301 - ROUGH PLUMBING
"',,; "'WOR302 - TUB & OR SHOWER
"'u Ihcrcby efltet under patultyiof perjury o'hcofN<followingd«Ivations: --
` -" +' '• 303 - ROUGH MECHANICAL
_ ❑ I h:d8'mia'will'mai'lAi 'a&'ofi.I Consent to self-Insure for W«kcrs 304 - ROUGH ELECTRICAL
Compensation, aa..provided-ter by-SKtion 37M of the Labor Coca for the 305 - FRAME
perf«mancc'of she work for,which this°stent is issued.,, t,,,
11
^. ❑I h ve ed'will miinta works's Comps ion Insurance.as re,tod by,saction 306 - HOLDOWNS
31M of NCLvbor Cdr!for the peiromunce of the'woh for which this ' I,is
's4 ea My Wo tries c 307 INSULATION
p<n5 t, 1 .ury sea Pol<Y be arc
K'�etrlcty�7uL 't FoilYP
It g CEUIRCATIONOFEXEM UNP'RUMwoRRBRsq t •,'''.'ti _3'09` f-i=BXTERIOR^rLATH"j.
COMPENSATION INSURANCE' '
370; INTERIOR' liATH
' " s+(Th ntodn dnni be 'pl ted if the Permit is for one hundred dollars :
311 SCRATCH COAT
s
anterNtpN
which Nu pcnnn ism d 1 — - -�
'shah cmti6 1f may' 'ner so ass be<omesubl tmin<wnk<R 501 - FINAL ELEC'TRICAli`ENERGY":`
Comps at La g of C 16 Durr
^ppl at "—' 502 -.-.._.FINAL- PLUMBING—ENERGY_ _ ___
NOTICE TO APPL a World f h r make g this Cen Inst f Exempt you sh Id ti ..L N O
Z sec teesb)ttuNewoktetope t provisions.tN<IaWCodeyou -st 503 FINAL MECHANICAL `ENERGY
O O r.nn N mplY- the ch pm o thisz tIbe dommedea okd. _ 504. _ --..-E.INAL_.BUILDING.. ENERGY _ _
I, onthaNSTRusacinuLENDwcncEge' 505 - FINAL ELECTRICAL
iii ....
"-
a . 1 h mby hick that there d(Sac. III g age cY f the perPrman�r r , . +I''"
of rk for hchth mIU 5 edl$K 109]Cv.C)
� ew a -. ,. dws.i: :. 506 - GAS TEST ,
G 0 Inde Na ----"--__ - - - -._ .... .., .._._
507 - FINAL PLUMBING
t7 z IFnd Add < � ' lr,inl
O „ 1 n fy,N t I h end th tins on and Lite that N W mfwmuion is
508 - FINAL MECHIiNICAL
-t-t coned 1 grt w m Ply 'Nell tY vxl eq,ntcgNinnnces a❑ s m laws returns
nrerypon 5 0 9 - FINAL GRADE
O_p mWld' g .wcto dW ny5mno p ytuves fN tyt .
}}.w enc W 't rtes- penyr 'npecr p pose. :,.,. _ 510 - FINAL PLANNING
Fat�Pa• I W 1 g e i dem' fy arta k ep harml 'the Qty of C penin.against
m Jab'Ifu<s eg a 5. . a : n 5 n n ay aY y me
men said 514 - FINAL UB C WORKS
C.7 z City to nuque e f Ne grant Ni paster - .
SA�PI L T a ,RsTs\r 'n wlLutd\ Itli ` '� ��oi '�` ussued��? r R F NAIL
[U Cl Date
$ignt fApplicHrAZARCOUBMAIERI DISCLOSURE .h °re !' `'�' Re-rot '�4' - ROOF IN-PROGRESS
�'r WII Ne �I-ant f tart W W-ga spa t tort«hurl names bond
-.Type.of Roof
as de d by th Cupert Mun c pal Cod Ch ps 9 12 ❑Ne H a1N end Safety
Cnae Set n255J lel C ,t 'I'jr 'i'\ ) 'j,�Y
-•r OYe 1' t O 5V Sl c Sry1[s Its f
All,roofs shall,be inspected prior to.any roofing.matenal being installed..
rc W II th apphcv t r unto Wilding oc-pam use equ Dmem or dev cee which r "`^---
mjt n m. sant nant are a by the Bay Aria' v ai tY Management If a roof Is Tnsfalled without first obtaining an'tnspecnEl 'I'agree to remove
all-new materlillJU`y/r,/•rpr ii7n/!ssppeeection A licant understands and will comply with
'ret OY s I C' '�%1✓
a u all non poi t s e reg tions PP. _-
1 h rc E'N<hazaNd ( al rtq 1.ve 1 u o Cc CT pi ti.95 'f the
's,
li( H IN&Safety Cd S s' sa V!h 255,.and s553a 1understandNat + �/ v C,>
fates dngdq norm ha at ria I IM1 t t. - - .. _. ._ _.� _. �- .. _CV/ _
�f Y responsibility tyre notify - v
«cup t f N a unem s h h must apo to Liman t a C rtfern, of
:.3
__ Ignature of Applicant _ _ - . ,- -„-.--, Date
0
wror or auth. mII All roof coverings to be Class 'B” or better
a t . . . . .. - . ._ . ...__ .._
I' t t. -. ,L. - __ �. .. . '-OFFICE