01070082 (2) CITY
of cDIVIISSIiO NO CONTRACTOR INFORMATION:
PERMIT
BUILDING ADDRESS: PERMIT NO.
7612 ELDERWOOD CT ALLIED AIRE SERVICE INC 01070082
OWNER'S NAME: APPLICATION SUB DATE
DRESEL CARL B AND ALMA P 661 SINCLAIR FRONTAGE R 07/18/2001
PHONE:
(408) 934-8844 SANITARY NO. CONTROL NO.
0 0�❑ ARCHL H U-U/ENGINEER: BUILDING PERMIT INFO
a u p BLDG ELECT PLUMB MECH
a C-i LJ C-7 1=1
Z y z LICENSED CONTRACTOR'S DECLARATION Job Description
Z- 1 hereby-flute Nal 1 am licensed under provisions of Chapter 9(commencing
t,=�Ed;j with Section]t100)of Division3 of he Business end Professiam Code.and my limnse REPLACE FURNACE
a is m fuel force an Be
stow,, Lia ns Ca d Lioc.n 2C 00
IKil 3 a[-
Date a_ mmcmf
ARCH1TEeuse DECLARATION
�'4 O 1 understand my plans shall be used E public records
O O Lv:ensed Pmfesmonal
o� OWNER-BUILDER DECLARATION JUL 2 5 2001
-m 1 hereby vfffm that 1 am exempt from the Contractor's License Law for me
?< following reason.(Section'7031.5,Business and Professions Code:Any city or county $3379
f ❑ which requires a permit to structureconstruct,alter,improve,demolish,or repair any scture
z q applicant for such permit fl a g edstatemem. _ _
-Vr mus ante al re m
th tlhg is licensed pursuant to the provision,of the ContractorsLen. Law(Chapter 9 �f q - - - - -
(c mm 'n8 q!Sctp 70001 fDivision3 fthethis..n andP rAnyvi lade) { '.3'1�i'�35�270���U Valuation
ar that He" pt th f nd th b f the alleged exe pt Any violation i
ofS r 7B3I.5byany applicantf apermit.tbjects thepplcant in, ' penalty
of t than eEdmond dnlias(s50B) civilpena204APN > FLOOR FRAME "' Occupancy Type
01,as owner of the Property,or on,employees with wages as their said compensation, _ I
_,will'do-the work,and the structure is do[intended or offered far sale(Ser.7094, '
Business`and1Pmfessians Code:The Contractor's License Law does not apply to an 303 - ROUGH ME 4 gyp.;g c ions' '
a
owner of property Who builds or improves thereon,and who does such work himself
or through his awn employeesProvided that Each imp fovintends ere tot intended.or _„_ . 304„ - ROUGH ELECTRICAL
-,,off red fid saleIr,howeveq the building- pront
veenf is sold within one yea of -ELECTRICAL
- - --
completion,the owner-bu Ider will have the burden of proving that be did not build or 5H 5 - F I NAL ELE CTR I CAL" - a'.:improve -
) f purposear I ) 507 - _FINAL _PLUMBING
__ _
❑I ftA property-ams lus ly t t B .m I' do contractors; .. . .. L
508 FINAli MECHANICP
construct the protect(Sla.7049,Business add Profesions Code)The Comracmr'a
License Law ares cot apply m an owner of properly who build.or int tberenn. 514 - FINAL PUBLIC WORKS
..,_ proves _
add who caramels foe such projects wi[h.a conuactotts) licensed pursuant to.the
Comruc[ors License la � i ,, ...: .-._ .. ...._ ...__ _ _ .-.. . ..... ._ _ .
_ ❑lam exempt under5 .B&PCfor this reason J,''• I e-rlri
net ., .. Uaiis ..
WORKER'S COMPENSATION DECLARATION
i h by formmudPenalty of perimYmn of the following decimations:
n.
t ❑ I have'add will maintain'.Certific t fC .eat to If f Workers
Come at an as provided for by'Section 37W of the Lahm Code. for the
'performance of the work for which this permit is Issued.
Ahuse'aod will maintain Worker's Compenc,tion Insurance,as required by Section
0 of the'Labor Code,for the Penfitionnando ofthe work for which this Permit is
rssued MaCpnsainsuc edPolymb
rety .i.-
Came +i r.J . . _ _._ ... .>. ..
PuI YN .�i .,rt". l^'I '`s.rc t'^'ji J.'Li.S� Aialifal v
EXE .
MCERTIFI ATION OF MPTION FROM,WORKERS "'.-IJ
'.s_ .....: COMPENSATION INSURANCE''„ '
p, or l section need not be completed if the - -
ISIOB)orless.) p permit is for one hundred dollar ,
I n fY thm in the pe,fiddroman
of the work far which his pe t i lssajadI --- -
shall not employ any person in ary matin o as ro bermansubjeFt m the Workers'
Cnmpensat on Laws of C bforri d.Data'
, _Applicant'
'NOTICE TO APPLICANT 11.after making this Coofaina of-Exemption You should
Q O fanM1m IhCl with ply such provisions t i the W k C pe t p .
oro permit shell bed d ked
i msobh Lab Code.
CONSisa cons LENDING AGENCY i -,-- -
'� 1
hereby whichffirm that thereis a construction lending agency for the performance I.
W r of'be Lmda,: kfa which thispe t'a'ssucd(Ser.-1097.'Civ.C.) -
p,lt� -Lend Name
.." >.,. . .. w ..-. . L
Le'des Address
In.that 1 h addapplication d same thatb abinformation g
G'. l ply II an,'ad t. 'd ) I t l -- Intl m
� O thb ldyvG.......d idhc ehno,d ep se w\uofha'tytscverupon -
�.Las the abnce c).,re 1.progeny for inspection p paddle,
O1 liabilities.judgments,a costsand pe End keep ha a,iniv;the City I Cupertinois said Z Cit Inc expenses h h ay n any y ag test said
City q ND of the g t ng of thi permit
APPLICANT UNDERSTANDS D WILLCONIPLYWITH ALLNON Ol Issued by: Dai/e/ / OS
SOURCE REGULATION Sn 't` t
rSlgn wre fA Ic nl/Com,ct Re-roofs
PP Da
HAZARDO MATERIALS somiSURF -
WillW
the applicant o r t ie building adamant,p sto r handle h wd munprod Type of Roof.--
sdefndbylh CpenoMnicp l Code Chpie 9.12,and th Hehhadd Srty
code Section,2553 raj P p ��, t; .
'` f . tit_-. r I
All roofs shall,be ms ected nor to an roofing material being installed._
wumapplicant future building dbyt p t AreaAirt ty If a roof is installed without first obtaining an inspection 'I agree to,remove
I'd
t M1 d t t o f d b)the Bay Artv A Quality Management
°S all new materials for inspection. Applicant understands and will comply with
❑Y
all non-point source regulations;,.
I have read the haximid.4 material, madr Chapter 695 of the
.Califo ,Health&SoftyCde.Sections25505,25533and]5534.I.understsndthar
.ifthe huddingdceSnorturtently huveatetiangthm ii is myrespnnsibilitymnoti(y the' '- - - ' -
.COccu -
onapan[of the req i be met p or m iasuantt of a CenlBcete of
Signature of Applicant. Date
l/ - .. .. .. . ... .. ..- -_.rte aa,no . Date All roof coverings to be Class `B"or better
- ;- .... OFFICE'