00110138 (2) CITY OFc DIV IONO
IvSNPERMIT CONTRACTOR INFORMATION:
H UILDING ADDRESS PERMI r NO.
19201 PHIL LANE SUNBORO CONSTRUCTION CORP0011.01.38
OWNHR'S NAME: APPLICATION SUIT Duni
SUNBORO CONSTRUCTION 1307 S MARY AVE #21718 11/29/2000
' PHONE. SANITARY NO. CONTROL NO.
(408) 810-6122
G a> ARCHITEC/ENGINFIiN: BUILDING PERMIT INFO
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BLDG ELECT 1'LfID1H MECII
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LICENSEII CONI RACI I)"S DECLARATION
l nmm� snot t n l air,beveled order fcha ler 9 e....announceJOb Description
7 _ y et pnrvsionx o r
f,tif—w whh Sttlmn]IXX))ol Uivivinn3 oftM1e Husinexv unJ Ymrcxsioru C1,J ,too m,iicerse
_m`<� ix in rml puree aryryjj ffff.yy 7S--__ TEMPORARY ELECTRIC
2 Limns. lax (a_`f� Llcunizu.`
W 5 a umc ='�J_c2o P r Cnmracmr_
Ansst rF,CI'SDs uhli, e,
1 undccstund Iny plan.stall be usW as pontic rcc
r
Ce p O I,ian,scd Plofevainnul
OWNI?R BUILDER DECLAIonnecto
e 1 hereby.(Sect that line exertion from the Connector's Liceto.c ty o for the
F=< hdh,wing resold(Section t ]o r Ruuinos and Prooedemoli Cork:Any tiny otruenu y
`x O x'h¢M1 req pe inn construct,'Ile tin demolish. ti y nmcmre
,w.e�$ ptort t .: I , 4 theMber tfor such permitt fl a signed statement i3— than dua tt th p m ftheC 1 lm,L 1 Clraptcr9 Sq. Ft. Floor Area
tnValuation
hon, g It Section 7000) t Division 1 the H ess d{ f Cole) $1
o,that he is exempt thereln ,,and the basin Ion Oe alleged txempuon.Any vwhil oo
of Summon 7031.5 by:Il,y a,,I unit for a Permm
it s,ln,innx the applicam a anvil anallyly
oI,Inure.than live hankred dollar,($500) APN Number Occupancy'type
01.as owner of the pmeny.ormyemployeeswith wagc%axtheir side contpcmati„n 3654017.144. 00
will do the work.and the n0unure is not intended or offered for sale,Sec.]IRI.
Holiness and Pmfessium Cade:The Convacmr s LiCome law ares not apply loan Required Inspections
caner of property Who builds or imprm'o Urcrenn.and who does such work himself 304 — ROUGH ELECTRICAL
or through his own emrloycea,provided that such impmvemems are non intended or
offered for xale.If,however,the building or hnprocrac l is sold within one rear of 501 — FINAL ELECTRICAL ENERGY
imInplclion.the nweenliuilder will hove the harden of proving that he did not build or
,noeto.......Ise11'nl 505 — FINAL ELECTRICAL
❑I,ax owner or the pmpeny,sen exclusively cnmmming with licensed eo ninchrs is
Lnnstrict,he project(sec.71)44.Business and Pmlexxinnx Code:)Thu Comruemrs
icense law does nor apply to an owner of pmpeny who builds or impmvcs thereon.
and who contracts for such projects with a comracmos)licensed punmmn to the /
01Contractorexexee License law,
I am mpt under Sm. .B di 1'C for this reaw U`
Uwncr Date ��
WORKER S COMI'CNSA'I'ION DIiC'LARATION
I hereby doon under penally of perjury one nl the(011e,Ing deula.a,iun.c O(/o�
• O I have and will maintain a Cemlrcme of Conant on wlgirare fur K..kc, v
Compensation, to pmyidcd fur by Section 370() of the labor C,Ne, for 'he
pemmnance of the work for which,his penin is issued
01 have and will mai not n Worker's Compensation Insurance,as required by Section
3700 of the Labor Cnde,fur the performance(it[tic work for which this permit is
ImucA.MyW msec ,Inxnruucn cal rho and Policy emmb,:r are:
carter: • A Police No.: 6 2—
COMPENSATION
—COMPENSATIONINSURANCE
NSURANCE '
(This suction need not be Completed if the pi t I%for one hundmsl dollar%
(310(11 or lo".)
I Comity,hat In she Ierliu aI M1c work for which this pcnnin is issued,1
shall sol employ mry pals"'„II a cr a,Io a,become.object to the W..kurs'
C...o'nwtinit I.aws It C 1.1 - 1 c
Applicant
NOTICE To APPLICAN .of Ing this Cenircam of Exemption,you should
become svb)eet to the Workers Cumpensml m pmvisionx of the Isdit r Code,You mus[
Q 0 hmM1winh comply with such provixinm or This a moi,shall be dcemal revoked.
Fr_ CONSTRUCTION LENDING AGENCY
} 1 hereby adTino Iha1 there is a constionion lending agency lin the performance
W of the work Ion which tlltx pctmn ix IuaneU(Sec.3097.Cis,C.)
G (� Lender's
oi
Nnn
a z Lcndch AJdrcs%
U Q I comity that I have wait this application anJ late that the aMwc hilorrnm,ion i%
Ir. [.. connect.1 agree to comply with all City and c,,Cray onnomces and sone laws reining
O V ro building con.umction.and hereby authorize representatives Coors city u,enter upon
} ,,yt the above mentioned pmpeny for institution purposes.
t.., a Iwe)."CeIncavc.in nnilyandkeepharmlessthe City ofCutieninoagainst
fn liabilhie>judgmentnsM n expense%,bleb Iter in::ny way ncrnte agnimt sold ' Q�
U L Cie in eomnrvem, , gr ,ling of Ihix Rrmlt,
sWIRCF.NIU „ i SN A AND WILL COMPLY WITH ALL N0Nd'01NT Issued by: Date
sign�mrc .f p mal,veommemr Dane Re-roofs
DAZ.ARIX)US MATENIAIS DISCLOSURE
Will the applicant or suture Wilding,a'culen,snore ew handle h:¢arduus mvterial Type of Roof
as defined by the Corina.Municipal Cade•Chapter 9.12,and the ELelth and Safety
Code. ❑do 2553260? " 0 No
All roofs shall be inspected prior to any rooting material being installed.
Will mc:,ppbeanie,hnete 1, ldin....m.pa,m,ne Cg,dpm.nt or devlucv which If a roof is installed without first obtaining an inspection. I agree to remove
end,haranwux uI,"ma ninams a,throe i by the If,.,Arco Ai,Umdity Malmpmnem
.
Doctor' all new materials for inspection. Applicant understands and will comply with
0ye, ON. all non-point source regulations.
1 M1mc read the hamrdous mmttals requirements under Chapter 695 of the
[iftl'�CbA�ild,,dv
lfn 'afcty Cole Sections25505.25533 and 25534.lundersmnitha
n tcurrentlyhv .cprem %which and be mel prior m ismance of a Cenihcum ofcupSignature ofApplicant Date
wn. , ae I owe All roof coverings to be Class "I3" or better
OFFICE