02050094 (2) CI BUILDING
BUILDING
DIVISION
PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS.
SPRING CT DRAEGER CONSTRUCTION INC
PERMTNo. 02050094
'VATNEALAN R AND ADELE A 605 COMMERCIAL ST AP61,ff ogsy�tE2
j§PHONE: (4 08) 536-0420 SANITARY NO. CONTROL NO.
w O O ARCHITECT/ENGINEER: BUILDING PERMIT INFO
W BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION �r, �
S w I heron firm that I am licensed artierprovisions of Cha ter 9(commencing hlT�DIescription
siCo ya ap c SIDING REPLACEMENT
wan. r me mJ of Dim>ion 3„r me Ba .and Pndc.,ion.code,and n,r hanxe
Is in( Rt and cf(
i z a Lice Class
Lic.p �d _
O i u Uam _�(i.p_.L_ C r t�
i 3 u.v ARCHITRC's��^tt[R$�/ARATION ^ JJJ
I understand my plans shall be used as To I e records
1— /O
'n p O Lic<nxd Prokssional
OWNER-BUILDER UILDER DECLARATION
F-'w 1 greasy.(firm that I am exempt stent the C onion C sLicense: c Law for the $11000
>-a following reason.(Section 7031.5,Businessand Professions h,Ne:Any city tncounty
E F O
which q pc nit t consumer,t It cimprove.d demolish,or repair any stmnorc
i6- priors t. also req thef such ptimluo hit a signed statement
math 'licensedpinuart the provisions ofth Contractor's Lcense Law(Chapter 9 �• 354�07lbDr./"a n, y ,v Valuation
(coat ect g 'th S7(100) f Division 3 of the Business arced P,af.i..s Cade) iY_
or tont he rt cxcmyt therefrom'end the basis for the alleged eAempuon.Any violation -
of Section
mrnut more than five ahundred dollars
mllara permit mbjecb the vppli<vm m v civil penalty”
(ssoo). 10]API I'?I'1flUINDAT I ON Occupancy Type
Cl.asowneroftheproper-yja my employees with wages as their sale comismonion, 102 - PIERS
will do the work:and'mrstructure is not intended Or orcered for sale(Sea.7044.
Business and'Professions code:The Contractor.License Law does not apply to an 1 _ UFER Required Inspections-* `: ..I' ic
owner of property Who builds or improves doemon,and who docs such work himself 104 - REBAR
or through his own emplo)ms.provided that such improvements am not intended or
nfrered'for'Rme.a,huwtvec the Wilding or improvement i,sold within one r -10 5- _ 'ANCHOR BOLTS -
fompletion,theowner-builder will have me burdn ving that he aid not wim or r .
improve for pmpox of sate.). 106 - SEWER & WATER
- . o""i;aiowmrwthe�aprty.6m.,iu,icirrna aisw6nBa.4do toms -- -202 . _ UNDERFLOOR"-PLUMBING ...
consamct the project(sec.704,1,Business and Professions Codec The Contractor's 203 - UNDERFLOOR MECHANICALI : . ,1
_ - License Law doer nm apply to an owner of property who builds or improves thereon,
-
.: ; _ane.who Contracts for Such.projeaas.svgh a.conuactons)licensee puruaat.to.the —..- ---_..204_ -.—UNDERFLOOR.-FRAME---_. _- - ---_-- .. .
C.Immctor s Licenselaw._ -
_-
Climate .B&PCfor thisrcason 205 - UNDERFLOOR- INSULATION
Owner' Dam
301 - ROUGH PLUMBING
WORKER'S COMPENSATION DECLARATION 302 - TUB & OR SHOWER
I htrebyaram,nod,penahynfis[rjtrynne.1me following dralwinunx: 303 - ROUGH MECHANICAL
° I hove and will riummin a Certificate of coastal 10 olbirome far Worker< 304 _ ROUGH ELECTRICAL
Compensation, as provided Int by Section 3700 of the Labor code, for the 305 FRAME
Performance of the work for which this permit is issued.
.. " °I haat ane willa iurmin worker':Cpm sadon lnsL..am.as required b5 Section 306 - HOEDOWNS
R^....
3700 13c Labor Cade,fo'r tormance of the work for which this perms is 307 - INSULATION
issu J.My. Workers Co p llon In- '1 sono c ranJP I M rat 308
6f� _ ._,SHEETROCK-R.A1LA _ ._._.
tPnh ; :�`• ,30:9 ^" "EXTERIOR,iLATH '
' CERTIFICATION OF E%EMPTION PNOM WORKERS , I '
___,_-
311'"- SCRATCH COAT
•:..vr(This inion need naihcomPlned if the permit is for one hundred donors 3.10��.-.-.INTERIOR.._.LATHi ...: ., : ,,. e_`...' ,. , '. ._• '
(slew)nn m..a.), .313...-. ROOF. NAIL.:.,..,.,
:t 1 certify that in the,perfotmance of the ,walk for which this pnerit is issued.I
shall not employ any pa mn many marine,so alto become subject to the-Workers' 501 - FINAL ELEG'TRI CAL't:ENERGY' '
Comp : ,' n Law,otclir Date _ _ 502 - FINAL PLUMBING ENERGY
Applicant _ . . ._. -. ..-
NOTICE TO APPLICANT'If,after making the Ccoilicem ofEemptmn.you shngm 503 - FINAL MECHANICAL' 'ENERGY '
--
aZ become subject m the Wmimi's Compensation provvofihe kionLefton Code,you must
O forthwithmmplywithsuchprovismnsorthisPermitshanxdeemedrcvoked. 504 - FINAL BUILDING ENERGY
VJ11_47t.' " -CONSTRUCTION LENDING AGENCY _ �
- �t. - - 505 =- FINAL ELECTRICAL . ', ' ' .t
"'- - - '
> In byarrrmthatthe is a construction lennmgagency f .thepctfo6ania' 506 - GAS TEST
of tht work for which Chas l is issued(So,.3097,Civ.C) `
4a7yrx peon': ri __. ._ _._....... . - . .- . .._. .. . . _
ky q znae.aName _ • __., 507- = FINAL -PLUMBING
Lenaer,Aedra„” 508 - FINAL MECHANICAL
.U O 1 orm y that I have read this application and state that the above information is 509 - FINAL GRADE
1IW ;: entreat.1 agree to comply with all,city mad county ordinances and state laws relating
OU to Wilding construction,and hereby authorize reprossntativesofthis
city
menter upon 510 - FINAL PLANNING
}_W the above-mentioned pmpcny for inspection purposes.
rpe IWcdagreeuses t.ihdemnm
ifyandkeephiumain line City 514 - FINAL PUBLIC WORKS
-W liabilities,judgments,costs and expenws which may in any way tame against said
city'n 9 enet of th ift g of is pe t
SPPLICANT UN RSTA SOpwiL.CON Y'WITH ALL NONiP Mr'' Issued by: r. Date
,tan ctRe-roofs
HAZARDOUS MATERIALSDISCLOSUR ,
az„ till aM1 applicaa ft b'Iding p store nh elan dun,mmedzl ._ .Type of Roof, ... . . .. .,- ,. ..., ,. .-_.... ....-._
def
Code Sect ?0a)ea byn 255the 32a)? o M n pal Cod.Chapter 9 12,and the Health and Safny .. I t r .
,. �. -
OYi,s
_ _ . All roofs-shall be inspected prior_c,any roofing.materialbeing.installed.
Will the applicant,rr bu'lding occupantuseegap t_or devices which If a roof is installed without first obtaining an inspection; I agree'to'iemove
emit haaard it contaminants defined by theBay Arca A Quality Management
Distoma? all new materials for inspection. Applicant understands and will comply With
r °Y' r °N all`non-point source regulations.
'Ili a read the hazardous materials requiverprots'anderChIfIcrI5.95'of the
of dis building
Health&Sefcty Code Sections 25505 t it
end 25534 1 do mainly
that
von,builtling dos notcurtendy have C¢nant.that ii is my responsibility to notify the -
Occu antro(,he rcquircniente which,oust be met prior m issuance of a Ceriifcate of
_ p'"y Signature of Applicant Date
o authorized gem; Dae ? All roof coverings to be Class "B" or better'
�•.:� F- ... ..- t.: . .': '. ... "....: . .,, - _ OFFICE. - ._. . .. _ - ... _... ... ...... ....