02010136 (2) OF
CI BUILD NG DIIVISSIIONNOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
8179 PRESIDIO DR 9q } 02010136
HILL STEPHEN G AND BARBARA M A01/ 31/2002
PHONE: SANITARY NO. CONTROL NO.
BUILDING PERMIT INFO
µ�00 ARCHITECT/ENGINF,ER: BLDG ELECT PLUMB MECH
se
LJ C7
N
Z z z LICENSED CONTRACTOR'S DECLARATION Job Description
pz_p Ihereby
on7000)ofMvila.n3oftnudunderprovisionsofChCode,admyhearg WINDOW REPLACEMENT
[-u with Sectio 70001 of DivisionJof the Business+J�d Pmfeuions Code.and myliccnu
m E is in full for<p god cRcct. v/
is re
U License CL cK lZ.'1 Lic.W i Ib
a<,=y,� tt Conl r 00.4 STAL GLCn2
YY1I ARCHITECT'S DE RATION FI p 0e9AO E
!' O g 1 understand my plans shall be mind as public records E Ma
a ap 0 Licensed Professional 1 4 2002
OWNER-BUILDER DECLARATION MAR
vl o 1 hereby.(Seta(Section nt 1 1. exempt from she GOotons Co License taw for the
�3 a following rcmon.pormio 7031.5.Business and Professions Code:Any city or county- $8463.
I x O which its is.a oc.1.re co esthe,aper,improve,h noormtI or repair ed mmeum
alsurequimc theapplicantfor m<hpctors Licenplotse
Law
(Chrtmem" - -- ---
=,nela thgrsavnmth )ofDivistn3edda the BroinraueenselawonsC de)r 9 , v1 35&1F1t0 , - Valuations
nor to its Issuance.
Nat he is licarl5ed
cdion 70001 o the basis o at the Bmmeu and Professions vi Cade) l s s s
or that he Il exemPi IncrcfromwnJ the basis for the ulleeca ciempf n.Any violation �" f>- t - ."- '"
--of Section 7031.5 by anyapphourn fora permit mbjec,the applicant too civil penalty
,of not more than five hundred douars($50o). 10 1APN VFJPWDAT ION I ".':'"":-. Occupancy Type
01,asawncra1'the propert,to my employees with wages as Neirsole compensation, 102 - IERS
will n the k;andheorae:T e mended or License
erefor sae(See apply
"- _- "—"-
Business and artyPrearfeWors,Code The Common,s themes,andw Law docs not opply to an 10 3 - UFER Required Inspec[Tons'�'
owner
Tar property employees ar i vides tatsuchmpr vemd«t to not int himself or 104 - REBAR __
or
Ned h his awn employees. pinkies that such improvements mcmt arc not intended or _ __ _
;comple or sale woe wevef.the building a burden
of
n sola w Idid one year or ' --' -" `--I O S - ANCHOR BOLTS _ -
improve for the ownenbuilJer will have the harden of proving that he did not build or
improve farparpateartam.l. 106 - SEWER & WATER
—
- - - ---- -' --202 --UNDERFLOOR'--PLUMBING - - ' — -- -
01;as owner of Ibe property.am exclusively contracting with hearted contractors to - --., \l -I. III I•:�
construct the project(Sec 7044,Business and Proftsoms Cade:)The Conttaetor s 2 0 3 - UNDERFLOOR MECHAN I CALr�
License law tract nal apply man owner of property who builds improves thereon.
'.' . was ens for such prem rs witn a.<omm rent)licensed
a wrsaant.m the. _.-_-----204--- '-UNDERFLOOR--FRAME--
Cor
ense Law
❑IomcLcmmpltivcundcr5cc,' .B&PC for his reran 205 - UNDERFLOOR11-INSULATION
I
ownh Dale 301 - ROUGH PLUMBING
WORKER'SCOMPENSATION DECLARATION 302 - TUB & OR SHOWER
hereby affront underponalt of,unju ,aEafinerouawmgde<mmda"': 303 - ROUGH MECHANICAL
° 1 have and will'malntain a cariB<aic of comgclit ia.elf.imure to,Workers 304 - ROUGH ELECTRICAL
.\ Compensation, as provided for by Section 3100 of the LebmL Code, for the
1 performance fthework for whignthis peorirtl...ad" 305 -
FRAME
❑I have and altar,Cedo!ti Worker's Comance or t h week f as required by Seaton
306 - HOLDOWNS
' 7700 or the Labor,cads:Tor the performan<q of the work for which this perm i. 307 - INSULATION
issued.MyWorkers Compermation Imum a err and Pot y b< re:
p FW999f3 Ss 44 3.08-, ,SHEETROCK ._.._._.
.am lcE p[ad,.g InlDsr:'Pol cr n
,',CERTIFICA'rIONOFEXEMPTIONFRONIWORKBRS ' 1. J, t. k3 T. 11 .,,`GXTERIOR,'LATH';
_ COMPENSAnoNm;URANCE_ _ - _ ._.__..._3-1.0'•:
('nlguelido needam he compined if the perm is for one hundred dollars 311 - SCRA'T'CH COAT
lsloo) I. ) _
_d i -313-=- ROOF—NAIL-1',ertify Thai i .. per mr,c f to k( n ch'In. e, t e is kers'
Co oat anon any pe ,n a,Y ma - t. neeame.anl«t mine-workers 501 - FINAL EliECTR3 CAL``ENERGY '
Com ie t_ w TCalifornia,D t ___ - 5.02- -. FINAL_ PLUMBING. ENERGY-
.N
NERGY_ _.
pl cant '. '- -. .._..._ _ .. __
:NOTICETOAPPLI,A If nakinthisgCertificateofEe pr you h w 503 - FINAL MECHANICAL ENERGY
z. bja IheW kr C pensalon pro stns of theLabor Code.you must
0forth thcomplywhn suchp e
n.or J caked 504= FINALBUILDING_ ENERGY
In Yr CONSTRUCTION LENDING AGENCY505 FINAL ELECTRICAL
a-> I hereby air,.that Entire is acm t f- lending agency for meperfo ace 506 - GAS TEST
of the k for which thisPermit is issued(S 3097 Civ.C.)
a LLedre,NNaar� - : --- - " 507' - FINAL' PLUMBING .,. r`f-.. .... . .. .. . ...._._.._.... ---
)<z 508 - FINAL MECHANICAL'
I certify Nal 1 have revh IMI Sty and co and y,ordii that she alcove information is
t 0,U carted:1 agreeLr comply with alb city and authorize npotsco tives era state laws enter upon 509 - FINAL GRADE
O.V theaboe-mentioned roperyhonp,o. npurcenmtivesoftniicirytaenrerupoo 510 - FINAL PLANNING
0r Ih above-mentioned a e u neJ'rope property fo inspect p rpou; ,,,
� (4 li b l'f(W judgments.a et n and expenses keep h may
in any way recruit rc pengnainst said 514 - FINAL PUB C WORKS
t)-Z City consequence of the gmnfng of this pemtit _
ADPIC r0 AD 1,Y DWELL COMPLY WITH ALL NO\PINT Issued by: r Date
OL
Ppfc WCommcmr ' '.,"_ ate...' Re-roofs j.
% HAZARDOUS MATERIALS 61SCLOSURE
Will the irplicart or future building eupm store or handle hazvdeu material - Type"of Roof
as refined by the G pert rx Municipal CN Chapter 9,13 d the Health and Soper
Cid' S t n 25531 H' < i,I -i. f i 1 I st.'_ !ti ) •,y v;
°Yat `. �1" '-}- ° ATI roofs-shall be mspected.prlor.to any roofing,material being Installed,_
Will applicantthe futurebuilding' pent use eq ip t device,which If a roof is installed'without first obtaining arrinspection,'I agree to remove
t h r Nous air c t rr 'ants as carried by the Bay Area Air Qoal'ty Management
District? 'p �f , .., all new materials for inspection. Applicant understands and will comply_with
r
E)Yes J"IXNo- .. �. _ .. "" ... - - -"
all non-point source regulations,,` 11 t t .,,. .,.,
BNrorma to docs Safety
currently Cod have a tenant.Na rt 33 and 25534,1 understand r 695'or the
' 1 hove rc:W the hueadnu�materials requirem
Cihebuil Hultn&Softy CWyhave iansant.tht itis yrespo3Y.ioytomothat
g y is my spa 'b liry to notify the -
�c ppvm o e.���he. must ba,met poor to f a CeniE<ate of;
Signature of Applicant Date
! �L All roof coverings to be Class `B" or better
MIlamiscd agent. ,- Date
'.-.:. .., ,.. ,.1. . .. . � .. ... . . .. I . ... .:,.1 - . - -OFFICE.. . .. . . . .... .... . .._ .. ._.. .. ._ " .. _ - . _. "