01030162 (2) TV OF
C DVISIP ON o� " I
I BUILDING
PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
7936 MC CLELLAN RD # 4 PSG FENCING INC 01.030162
OWNER'S Ill APPLICATION SUIS DATE
CAMPBELL ASSOCIATES 11.33 N 10TH ST 03/29/2001
SANn'All CON'IROLNO,
4089953397
M.V. lHOTCDENGINEER:
BUILDING 1'EkMIT INFO
O O I L ELECT PLUMB MECH
zw
LICENSED CONrRACfOR'S DECLARATION Job Description
Z C y— 1 hereby ullinn that I am licensed under provisions of Chapter 9 momen
rncing
G4la4 with S,,boon 7(mi)ofD;vidon if the Italian,told Pridese.....C,lata `Imy cnc`ce
rt < i'."nd11°se and '' �� ��jj�J� �— 2ND FLOOR BALCONY REPAIRS/RESIDENTIAL
z 6 1.i<en lass - , Lie.p_trLSJ
Dam$v��1„/fes' -- Cunamam_ (�
W 3 a N lfl Lv ARLIIITECI"S DECLARAI'la \T
C °3 I undusaml my plans shall be used as pnhlic,econkal
.
soli
pO Licenced Professional
o OWNER-11IIII.DIiR DECLARATION
I hereby affirm amt I v enrpl from the Contractor's Licenw Low he the
t—Z P' following al 4.9setion 7031.5.Homass and PonfeW I,Cone:Any city or county
EFe which requiresparmltconstruct,der, cricrooc,froth .,or , unta,mr,
ce prior Ill Ill '1: 'he aliplanall h pernotl File':g ,
main 1 In n d n nn c t t r. L I � . Ft. Floor Area Valuation
(.momnung with Secua.7000 of I)v,aon 3 of,he Basi ass and Proles e)
or that he is exempt treadmill and the host,lin the allegalexemption.Any rinlarion
of Section 7031.5 by:my npplic'dm fora permit-subjects Nc applicant m u civil1
onm„u:,rc than,live hondred thou...IS511Uf, p � APN Number Occupancy Type
01,as owner ofthc prnpenyn,myen,ph,yees with wages as their sole compensation. — I P
will do the wad.and Im snacmrs,Is not :mended nr.Renal for hale(Ree 71a�
BaZi nod Poole Blom Cool,The Contactor.Lieense Law docs ton apply I WILDING Required Inspections
r of propeny Who builds or improvesh wo
thereon,and who does sucrk hintfhfllMllfffR
m
net
his own employees provided that such impmvemmatr are not:meant or 101 — FOUNDATION
offered I,sale.It:however,that building m in..nmcount is sold within one ywr of
,n,plenam.doe owner-budder will Nor the berden of proving amt be did mot build o, 1.02 — PIERS
impose for purpose of sale.)' 103 — UFER
0 La,owcorw(InI Property.cal exolusively contracting with licensed conlraclor%to 104 — REBAR
snuca the.rcieet(Sec.7(94,Br.iness and Prnressimm Gde;)The Cunu ncnKs
l Lmicense Law dies not apply to an owner of proper y who tmilds or improves thereon,
and who contracts for such projects with a commool rat" d p —ncenwurmem.to the 105 ANCHOR BOLTS
commetnr.Licen.cLaw. 1.06 — SEWER R WATER
❑1 an,race..,mNe,Sec .B k 1'C or thio moron
owner Dare 202 — UNDERFLOOR PLUMBING
WONKHN'S
"SHIP
NSXIION DECLARATION 203 — UNDERFLOOR MECHANICAL
I hereby iliro,order pnnmtym perimv are of III following dcdmminn.: 204 — UNDERFLOOR FRAME
1 base and oil t tit a co,in<are of Consent to.clr-in.om rpt Workara 205 — UNDERFLOOR INSULATION
Comlemmion, as ....lied'for by Sect 3700 of the Labor Code, III, be
Ndona,anecut m<wndfn lachaikiscrm,ki,mal. . 301 — ROUGH PLUMBING
1111 I mmeard will nddm;dn worker.,com.en.mn,n m.uarao,a.rep iredhyseennn 302 — TUB & OR SHOWER
3AX)of the Lrhn Coda I'ur the perlbr i I,of ma work for which thio Iarmir i,
My Wmkl pensadon Imurtna'ear;-rand Policy number arca 303 — ROUGH MECHANICAL
c",r;eru�1�4A 'lerIlo,: /�`_MOROI0 304 — ROUGH ELECTRICAL
CI.R 11- 'All( ( ° i 11MP'I'IUN FILUM UN KH R'
J COMPENSATIONINSURANCE 305 — FRAME
('n,i,.ec6on reed nor he<o cpl<ted it he.enml i,far one hundred dollar. 306 — HOLDOWNS
ISnxnorlr,s.) 307 — INSULATION
1 ceddy that in the performance of the work for which this permit is issued.1
'hall n I employ any person in any rammer s It%m become subject to the Workers - 308 — SHEET ROCK
emnpcauaom,l.aw'nrealui,raa.nme 309 — EXTERIOR LATH
AOT C1m , _
NOTICI?TOc,,Ibc APPLICANT.It.ahennaing thisookio ,odof Laduniodc, ouhnmll
bwmires,mieeno nnewodera co,ty,a,n'aann pro.i';onn,dthe Lnnm nrdn.rim„rats, 310 — INTERIOR LATH
Ofo,drwim contain, en„g
.1,with ad,provlra u,this Ionil shall he deemed cooked. 311 — SCRATCH COAT
F r_ CONSTRUCI'IONLENDINGAGENCY 313 — ROOF NAIL
bareby Nrmn mm mere is a mn,dmcdun loading agency for the pom mmuce
� >
,film wmkfor which th B
,wIcisissued(Sec.1097.C,C.) 501 — FINAL ELECTRICAL ENERGY
A Lender's Name
z LrmlvsAddrss 502 — FINAL PLUMBING ENERGY
v O IcormlyJim lase madmixnpprcaiona:ml ,all dn,udistill vemfo""aniI, 503 — FINAL MECHANICAL ENERGY
'T, to correct.I agree in comply with all city and county ordinances and stem laws miming
O U mbuilde omgconsurn inn,aadbemnyanthem,m,mwmni,,,,.ohkoil,toemerapon 504 — FINAL BUILDING ENERGY
tr„ yrlh...0.......toned prnlcny an imipaeara purprw., —
(We).,me,o snc.mdnmmy and km,linmde..the Cityor Calnin again" 505 ' FINRL 'ELECTRICAL
zi liabilities.iudgmems.oS.s and eq,enms which may in any way acem<agaimt said
UCity Incoriseyrunttofthe gramm,ofthis pctmit. . - GAS TEST
^1UN
LERs'r yND. AN COM =TH ALL NON PRINT Issued by: - o
ph<a '„m,M nae Re-roofs 508 — FINAL MECHANICAL
n''/.AR000S rERIALS DISCLOSURE
Will the to sent or future I ildm i sum o,hm di,ca-al aan"iul '
n s« ;pan Type of Roof 509- — FINAL GRADE
as defined by the C penino Municipal Cole,Chapter 9.12,and the ilealth and Safer,
Code,scoria 25532(rr 510 — FINAL PL ANN I NG
E3 Yes YNn All roofs shall be in'�e{�,j4ed-prippi-p gyy r fg� y1t-1er77Ws�fII]�}J{�t1 installed.
Will the applic:rnnr fmure building,ceulmnt ax•saimpmem or device,which if❑roof Is installed lihout first Oblaill in*i f i1Ts 3iOP,1`8 ee to remove
mit Investors air cultural nam%as dclined by the Bay Arca Air Quality Management
;.bier all new materials for inspection. Applicant understands and will comply with
oYe, ,T<(No all non-point source regulations.
1 have nod the hvmdous maadals association,under Chapter 6,91 of the
C;dlarnla Heahh&Sanity Cold,Smtion,25505,25.133 told 25534 1 undersand that
it the hui Lang docs nor currently have a tenant.mar ii is my—is n dol i,y to not lfy the
occupant of the •of i,emenp w'hi ,he ton prior In issuance of a Cenilicam of
(Re <ySignature of Applicant Date
Datnt anmodae ngn„ e All roof coverings to be Class"B” or better
OFFICE