02040022 (2)OF
CITYILDI
C DIVISION
PERMIT
CONTRACTOR INFORMATION:
BUILDING ADDRESS:
PERMIT NO.
19465 S. DE ANZA BLVD.
CAL -AIR INC
02040022
WNER'S NAME:
AR EAST BANK
1555 S 7TH ST #K
APPLICgTION S B DATE
04/04%2002
PHONE:
(408) 283-2300
SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
I hereby aRrm that l am licerssed ands!! provisions of Chapter 9 (commencing
with Section 7(1 of Division 3 Orme B.R' d Professions Code. and my license
Job De$Crl IIDD
2 EXHAUST FANS/ MECH ICAL
in mu r ana arc x Z'Y
License cl o
a Con., o
��I '�' Com
t'C g /� 9
t�"-Q�yN �+l lSw �� 03
JQ DEC ATION
wRChall
a ue
1 understand my plant shall he used as public rcc°Mx
MAR 2 0 2002
Licensed Professi°nal
OWNER-BUILDERuexemptDECLARATION
1 hereby ofhnn 1 m n ex from the Law for the
Commas
maso
reason. on 703 Business Pr Cod Any c
Business and Profession Code: Any city mcoamy
which
me annniton
which requires a permit T°iumame aper, improve,
emacc. m repair any swaurt
$30430
BUILDING...._....__._.___._..__.____....._..
h fameash,
-flim liceuvrce.also rt ae ned <mcm
thenensumso
be to thefar Conpertni'micensle
L La (Chaps 9
aw(Ch
t
(cote cing licensed a me pro iisinf the the Business
ofDivisionJot lh<Bgarde malProfession,A' ns Code)
nso
{ �' �;'Z2 ®•V i;l7- �'_lTl7jft ii<<'j Ft_ • Valuation
or
m That exemtth
¢ exempt an Any violation
TM1ertfrom and she bash forme ahlegcd seaman
-
io b
-M Section ]031.5 by any appliewt for a permit subjma the applicant m a civil penalty -
to
,of not more man Eve hundred dollars (Ssfgq.
101APN q"�)'�AT ION '1' F' `"' " Occupancy Type
1. as owner of me pmpeny, or my employees with wages as their sole compensation,
_ PIERS
-.0
'will do me work,, and me manure'isnat intended "m"offered'far sale (Sec. ]6ea,'
`Business mid Professions Code: The Contractor's License Law does not apply to an
103 - UFER Required Inspections:, - ^
nwne r of property Who builds or improves Thereon, and who does such work himself
or Through hIs own employees. provided That such improvements are not intended or
104 - REBAR
__. ___
o e ad for sale. ICM1owe-ver. the Wildin mrnt is sold wiinin one
haw er. gmlmprove >�lder
..___.. _ ..- _ — .. ___ ..___ r_...._ -----------------
105 - ANCHOR BOLTS-
completion.the of.
will have the burden of proving mat he did not builder
improve pn purpose of sale.).
106 - SEWER & WATER
- — - - ---- — — '---"— - ---
❑ of me am with licensed commnors m
---- -202 - UNDERFLOOR PLUMBING..... — ;-;,-: --------------
su,caner
(Sec.7 Brousivehy d Ponfting
onswa the project (Sec. 1614, Basions ane Professions Code:) The Contractor i
iid-wh Lawdms.f apply man nwnwith propcnywho bodedsed
203 - UNDERFLOOR MECHANICAL':..': ,..,."
.and who.mmrsns.forsuch.projeca wim.a.contrnnor(s),IicenxJ Pursmm.w m<.
pumiumt.to the
.__.
------
❑'Tra<tnra-UNDERFLOOR—FRAME---
01tmexemptmoc7Sm:"'•'� ,B& PC for This reason
205 - UNDERFLOORS% INSUL'A•TION
bw< 'p' Did., ""''"" - .'.
301 - ROUGH PLUMBING
'WORKER S COMPENSATION DECLARATION
302 - TUB & OR SHOWER
I hereby affirm order penally of pajmry rine on he following ae,Immitum:
303 - ROUGH MECHANICAL
❑ 1 have ar if maimGin a Cenifieme of Con.art to seleimme for Wo,kers
3 04 - ROUGH ELECTRICAL
Compc,umion. as provideaa fm by Section 3]00 of me Labor Code,- for The
performance of me work for which This permit is issued.
3 0 5 - FRAME
❑ 1 have a4will maintainWbikds Coinpmiafon Iniurnnce, os requited by Section
306 - HOLDOWNS
3]00 f the Labor Cad for-theperformance of Th 'rk for which m perm t is
issue My Wod(c pe. tnl «<a dP l< nW -
y_-.....,.
-r°h<rN
307 INSULATION
308, SFEETROCK- .. __.
-J.- �' .... - -..,. ,...,. v,.....
CER"OFlCATION EXEM ONRANCE OxR'st 1-
L '� 309 r 'LEXTER•IORALATH<
SATION' -' -NCE'
"` vkean..
-. .__..__
(rhi so,completedlnhe pamt is for one hundred dollarsI
,.,311'-
,. ,:u4. 1-•.� t' -I•
SCRATCH COAT -
1<enf malt m _
,' Y Performance of work for this parrot sv d 1
- .-.`-.._ '313"= -"...ROOF -'NAIL -__'A_.. •--. ,-
- -- "^• �• --- �-•_
shall 'employ any;p y' manner so as au became q T w the work .
Compensanon Uvot of C I Tom n. Date
501 - FINAL ELECTRI CAL` � ENERGY'
Appl9p1
NOTICE TO APPLICANT If ft okmg thsCn'fcate-f E mpf n. you should
---5.02-.---_.F.INAL_PLUMBING.ENERGY.__._ .,...._. "- ----
bab subject to mew kers Com
Compensation p 'ons of Cod ,you must
'ap<np
503 - FINAL MECHANICAL'`ENERGY
r,nn Incomply_ m ort a deemed
,alnnaprm Permit snanxa ee ked.
-.504_._= .FINAL ENERGY.
'CONSTRUCTION LENDING AGENCY "" -
'" I h rely ffiim Thal Th <o w I J'pg 6 Y f r Iti' mar, ae
_BUILDING.
SOS - FINAL ELECTRICAL
of me k fqr pith m perm t i ' ti d (S 309] C C)
:_.
- GAS TEST_ A.I I ri
-Iklieer4Nalne -,••- •.,...
12nde Aadrc
..__....506
507 - FINAL PLUMBING
Icendy,Nm iM1aoe r<aa rots epPlfcmlon ana Tme mm me above intormapunit
508 - FINAL MECHANICAL
c8iren. l agree to mmply wim all <iTu.and countyprdme,Iccs and stn¢ laws ¢hating
tgWld 8 t ctidn dh by monx<rtp ttiJes ofm.clYt t"tiono
509 - FINAL GRADE
rte'"° A.p, p gyr ..peelm p o
510 - FINAL PLANNING
(W1 geemse - dem fy ndk eph I sale Cly of Cupcnlno egainsT
(
RamIT fegm rs.< t andexileaeacan h
514 - FINAL PUB IC WORKS
_y:.nywy.«meaganmaaia
City in c°nsequeni4 of the greening ar mifpermit.' - ' """ "' _""
APPLIC �t1H� qER$TAND$AND WILL �OMPLY WTfH ALL'NON: T'
',+:,
n
1 .
so CE , . . c{�°w
7ppl
Issued by: Date
matme aab WW66yyVa<T r - at '-
HALARDOU9
Re -roofs /
r MATERIALS DISCLOSURE
capthe appy_ t rfI WId gat panT stmt or handl haorml da mm at
def
..Type Roof
yP
as dby theCpennoM ncp Cod Ch pmr912 rime He lm and Saf<tY
..
Cane, Oyes 2553r(a)o "I 1 A+e t '�1f 'r -
°"f' f
k 'a. - ,
I
~ Wll th pillcMTo ftrtb t
• n ill
__ All.roofg_ shall be inspectedpnor to any,roo Ing _matenal being installed. ---
gat see nl p a na can a
.loth hazardous <onumm tsazd' by @ B- Aieq'A Qual Ty Managcm t
y y
-
If a roof Is installed without first obtainin an inspechori, I'agree'to remove
g
District,
. , ❑, a - N
�'
;all new materials for inspection
-_,allunderstands and will comply, with
1.
,Applicant .
source reguladds - - _ - -"-'- '- --
"' Lh e d me heard 'tees 'els equ rtmems underChaps 695 of me
n
' '
California Heahti is Sef I Code, Sections 25505'25533 end 25534 1 understand that
ifine bold gdce not correctlyh a lana 1 m to y-spn.'b'Iicy T notify the".
�
_. .. ... __. ._.....__ .._... .__...
ocoup t ! Tn c9orem u which muni W I p'o' m us6a ebf a Certificate of
cepp v .. - ., t.
.. ..
'' - y
Signature of Applicant
g. Date
�
---PP_ ...
All roof coverings to be Class "B" or better
Dam.