01030149 (2) cl NU Io c D IVISIONNo PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS, PERMfr NO.
20996 PEPPER TREE LA PRASADV KANNEGANTI 01030149
OWNER'S NAME. APPLICATION SUR DATE
PRASADV KANNEGANTI 03/27/2001
PHONE: _ SANITARY NO, CONTROL No
BUILDING PERMIT INFO
p ARCIIITI'CI'IEYGINIiIiR: H, IiLECI' PLUMB AtECII
rew
X 7 6 L -I
LICENSED CONTRACTOR'S DECLARATION
Inembyamemntallumreen.wNnJerprn.i.i,m.nfClntmcro(emnlncneing Job Description
F=L'� isilli Scction 7Wl Division3uf the ltnsinenxnnd Pmfe,sion,Code.vad on,license
a 5'� is in full force and dTm.
�.�< LicenseClas, Lie.« 8 FOOT FENCE WALL BACK YARD AND SIDE
o d Dam Carmen"
I�LL a H - ARCHITECT'S DLCL.ARSHON -
!'— 1 unJcnland at,plans shall he used a,public mends
zce p Licrnslxl Pvdesiowl 4
OWNERBUILUIiH DECLARATIONcu o n I hereby dRmt that I ant emmpt form the Camomile's Liven.,Law for the , Q
1_2>' refloat,mason.(Section 7031.5.liusinwvs and Profession.Curl,Any city o,county /
a=M which mnpiires i permit m coronal,offer,impnwe,demolish•or repair any ,.,am
prior to it,ia...ce.also"Wee,menprlicam known penmuo Him a.aynW,wtemenl
>� bar he i,I've nsed......oot lin are pm,i.Inn.tt me Contractor,Livers Law(Chapter0 Sq. Ft. Floor Area Valuation
(umtmeneing with Section 7001)of Division 3 0l the business and Professiots Cade)
1 w he i.cxcnipl Incminmt and the hu.in for Ihe:dR,,d uumplinn,Any viubtiun '�
o! coon 703 L5 by nn5'applicato fora permit sohjcrls the applicmuaa civil penalty
f 01 Im,te Ilan live lmmned doua,55001. A PN Number Occupancy Type
I,a,owner of the poperty or lay employee..wills u'Lige,;:,Ihcir.ole coinpcln,alion,
2591 3-43
N'ill Jn the work.and the structure is not intended or oQtmd for sale(Sec.7014.
Business aad Prulm,,inn,Cdernte Cm,lmalnra Liven,Ltw au,,and apply m an Required Inspections
owner of property Who huilds or impmvcs demon,and who does such work hinwdf
or through his own n aplo,vii.pmmded Ibar such improvement,art not intended nr 101 — FOUNDATION
olfcmd lot sale.If,h iv erc,the hold....or hnpnwement i,sold within one year of
completion,the ovner-builder will have the burden of proving that he did not mild or 102 — PIERS
oipmvc 0n p i,,c ofa le.).
❑1,a,o rat r.1 w,ho,o,.am e,clao'ely annlmatntg whh licensed cea n"teri In 103 — UFER,
,narua he pn,jnel(See.7044.business and Professions Code:)The Convectors 104 — REBA R
Liana Law does not apply ,,i n owner ol'prn,ny who builds or improves thaann,
011 who - lm'is
for such project,with a comrecmr(d licensed punuanl to the 105 '— ANCHOR BOLTS
Contraaa , -else Lax'.
❑latncxet `ala sofa, .R&PC tar this mason 106 — SEWER 8� WATER
Own" _G Dale - 0-42-T�0of 202. — UNDERFLOOR PLUMBING
RKCR-S COMPENSA'r1ON DECLARATION 203 — UNDERFLOOR MECHANICAL
I Imob,affion ad,,pennyefperjoryone.1dre,elmwangd,,I.ti... 204 — UNDERFLOOR FRAME
1 have and will maintain a Cenilicam of Consent In.elf-invum for Wader's
Cian,nwaon. a, provided In, by section 3700 of he Lh... Code, for In, 205 — UNDERFLOOR INSULAT-TON
larfmmanccofthe work fill which this Proodi,issae. 301 — ROUGH PLUMBING
0 nnvc:md will trainain Winker n Cmrlpensation lmurmce,as required by Section 302 — TUB & OR SHOWER
370p of the Luba Cock,for the pclfnemance of the N„rk or which This,emit i,
i„Lied.MyWaker,Ciniells[in oltnlaltr:mcea:rrice,nedPolicy another
an:
303 — ROUGH MECHANICAL
Carrico PaIn,No 304 — ROUGH ELECTRICAL
CERTIFICATION Ole EXEMPTION FROM WORKERS'
COMPUNSAnON INSURANCE 305 — FRAME
ifhi,..ecrmt need net he co,ndo,cl II ole pantie i,in one handreddonl:n 306 — HOLDOWNS
(511X11 or Iexs.l
I cenify lKe the Ilaroorence of me work for which mi,.cont is issued.1 307 — INSULATION
m
,hall oat cmplay any person in any thinner so as m basin.abject In the worker 308 — SHEETROCK
Compen,alinn Lawn of Calltnrnia.Dam
Applicant 309 — EXTERIOR LATH
NIyFlCEf0 APPLICANT J.alcor making this CertircauJ E"anplion,you should
AccrueSubject to me winker•.Chntpcnsalion provisions or the Labor code,you lana 310 — INTERIOR LATH
Q Q ranhwiot comply wire such provlsiolis onhi,pcnnit mall be dented revoke,
311 — SCRATCH COAT
f ^ CONS'I'RUC'HON LEMANU AGENCY
z > Ihemb,Ofle.the,them isaconstruction lending agencyfor the wrm
biance 31 —
.3 ROOF NAIL
w C Lelle» nsam` wnicnnti„ermni,i..ne(see.3m».r..c., 501 — FINAL ELECTRICAL ENERGY
Z) z L`ndcr`Add 5022 — FINAL PLUMBING ENERGY
V O 1 verily that 1 have mad this application and.tam that the ullove inlimmation i.
ez p^.I cin.....L agree Io at.loply wnh all airy and eotllny otnhtancc.and Gale mw,mhting 503 — FINAL MECHANICAL ENERGY
O E inbuilding construction.and hereby authentic represenrarvesothis city toenter upon 504 — FINAL BUILDING ENERGY
me annscormaar,ed prvpeny for impnglo tpurpu,lw.
E a taymesm;cast'acmnifyunJkcepharmlcnslMCilyafCupninougainsl 505 — FINAL ELECTRICAL
I. W City in v jm.mem.Lit...aad rips n.sc,which may in any way acame again”,aid
z rirsinclt acncntnegrmlinsnnhk,ordil. 506 — GAS TEST
SOURCE, UNDER(TYD. ANDWILLCOMPLYWI'I'ItALLNON-POINT Issued by: — Dale
03 50 vo f
Siglntlpteo A, ll,,nl(.00lrmtln Date Re-roofs 508 — FINAL MECHANICAL
HAZARDOUS MATERIALS DISCLOSURE
willate uppramt in mine building Iccupant ourc or handle malodor,atateri:d Type of Roof 509 — FINAL G RADE
:ts doled by the Cupemmn umctpal Code.Chapter 1.12.and the Health am Safety .
Ctde.s«rnnu53x(:)7 �\_ 51.0 INAL PLATING
0n'e^ \N” All roofs shall b 1l' ecle�Ff �o�'t aµy'S Q Ip�,mrL(�(' mg installed.
Will the applicin or future building occupant use equipment erdevices which If,roof is insm � ithouYtl'.i1 btanQ%Ifirtsp@'�tS agree to remove
emit heard",an condition I Aclin d by the nay Amo Air Quality MoangcmaJ
)"Vill! all new materials for inspection. Applicant understands and will comply with
0Ye, No all non-point source regulations.
I have mail the h,,den,m:ncdal,requi ernenls under Chapter 695 of the
Culifomin 11-111,&Sanely Code,Sash....,25505.25533 and 25534.1 and...lend Ilne -
iffichuil Lote%not currently have a tenant.that it is my responsibility to notify ole
occ."'I II mqul entc a,which ntu,l be net prior m issuance n1n Cenircal,of
Omnpmcy,
Signature of of Applicant Date
Ossnmo, I t ed cot Date All roof coverings to be Class "B" or better
OFFICE