01040047 (2)RTNO
cl oPcIJBFN
CONTRACTOR INFORMATION:
BUILDING PERMIT
BUILDING ADDRESS:
PERMIT NO.
11070 SANTA TERESA DR
TERRY MADDOX CONS
RUCTION01040047
OWNER'S NAME.
AI'I'I.ICAI'[ON SUB DNI H
LANDAZURI
10591 CARVER DR
04/11/2001.
PHONE:SAN]'LARY
�
NO. CON I ROI. NO.
ma1255-0391.
ARCHITBCr?NGINEIiR:
BUILDING PERMIT INFO
BLDG ELECr PLUMB MECH
LJ 1=J 1=1 IJ
LICEN$eD CON' I RACIOR' S DECLARATION
Job Description
I hna 70 mol' that 1 am
fe J mrcr provisions of Chapter') Ia,mnencing
Smtinn ]INNl1,o Divisionn Bnsiner Professions Code,
of and vndmylicense
with ofthe
`
Inn n"ce aml t. 3183 7�6
I.dl
lter,Cns_ t f.ie.«
D;ne-�_;t_Cpl cnmtn��zQiC-
ADD SKYLIGHT
.
ION
ARCloill CITE DECublic
1 ummnm.d Poor pan„Han ne aaed a, pdnue re<nm.,
o
jv
/
Licensed 1'ror ...ono.
OWNER-HUH
the RATION
1 hereby a(S,,Itool I front or's License law fm the
enol ram loo
oWoris
IIn LS conn, C, or Any city or
1 tntd
tollo.ounty
which re uiresa miiuill
vet d uclure
permit m ennewcl, alter, improve, danoat,1 or repair any
which requires ct. alter.
ttmeter,
prior to its issuance, alw inquires IM1e......cunt fur such penman Vile a slovJ swtamem
n
Sq. Ft. Floor Area
Valuation
J,nl M1e ie.icen w p ltr,mc ..............iOI oil,
Ithe lmelOn LndPr
cv Code)
it ANN11 nr Di o ofthe legedess and Code)
with Seen
is
basis t io n. An vi
7 emmpl therefrom:ted the nacos for lite alleged enc;nptio.. Any violation
or thin t therefrom
or that he v
I Ron
Section mala v my:g,alanl Ba a punnil ,uhjumn the .PPlinlm tu:; evil penalty
or not more,
of not mnmlhan five nunared Collor, Iss001-
APN Number
Occupancy Type
0 fit of doepn:perry.,, .Ly el„Nore will,
35
”
Required Inspections
will do (be m, k, and @c vmemre is no, intended nr offered for sate ISm. 7000,
B.'ine.,s and Podles,ion, Codi no Contractor', License Low doe. of apply ,, an
.r
o1' propen, Who nuild I:npmeca lb.rmm, and who doe, Hach xnrk outsell
tl,aagb hi, ow. employees. provided mal ,,:rn mmrovemem, are not intended or
tor
101 —
FOUNDATION
offered for,ac. IL however, the building or in,proveacat is sold within one year of
im,mp.etimt, the owner -Imide, will have the hidden oftro,ug that he did nm hold or
102 —
PIERS
prove for pts"' of,.Ie. ).
103 —
UFER
01,n, owner nl he ..(Spiny alb cxdu.e,,, dProf..it.. licensedemmremnsu,
o cher roc no Iappl Hud, Bovine„ and Poore„ion, The the or .
1.04 —
REBA R
does ili (it
Law doe, mole ply Co to owner of a cooly woo) lice ofimproves porsolhto the
whnoxo sodas., , prn,jnnl will, n ennll':,t'InrL,) licensed par Cum In the
a, d who
1.05 —
ANCHOR BOLTS
:n enue(Law.
0 l noc,cmpti..do,n'. - , B & P C Panni, at
106 —
SEWER & WATER
Owner D:dv
202 —
UNDERFLOOR PLUMBING
WOR RE R'S COMPENSAI ION DECIARAI ION
'203 —
UNDERFLOOR MECHANICAL
Iherchy.Bmnuaderpenahyofle,jury ... oil he bdlewingdechualions'
204 —
UNDERFLOOR FRAME
❑ I haw,::ImI will ;n:drol:dn ;I Ceni irate of Consent In ,cB:irsare for Wnrkcr'.
205 —
UNDERFLOOR INSULATION
Compensation. us provided or by Section 3900 el the labor Cock. fur Phu
perrnmmaneonhewor,. rnr.wmehmi,pcnnili,i.,ued.
301 --ROUGH
PLUMBING
C I have and will animal. Worker's Compcosadon m,irenee. a, required by Station
302 —
TUB & OR SHOWER
Pop of the Labor Code, for rim pedouncoec of the work for which this ..it is
,,.cd.Mywooke„Co;open,naonin„Ir:mei<arri Irminyrtnm ar:
'
303 —
ROUGH MECHANICAL
CamcA(D—t20 rahewNn.: �+f7�/
3Qt4 —
ROUGH ELEC"fRTCAL
. . CIiRI1PICAUUN 0 7 E%IiMMON FROM WORKERS'
COMrIiNSA1ION INSURANCE
305 —
FRAME
1'Ihissection meed ten he cmnpleted if ole permit i, rnr one hundred dollar,
306 —
HOLDOWNS
61(1) or Ill")
-
307 —
INSULATION
I evilly Ihal in me pem,rmaace nr the work tet which this permit is issued, I
,hall not caploy any felon in any n,unner so., a hncnme ,ah'w to me Workets'
308 —
SHEET ROCK
Compensation laws of California. Dale
App.ia:mt
309 —
EXTERIOR LATH
NOTICE TOAPPLICAN'1:U. after mnhing lid, Cenilic.a of 177lacloon ,youshould
bets. subJen m the Workrev Cmpcnnalion rrovsio., of me ter Code, ,at must
310 —
INTERIOR LATH
orthwlth comply with ,uch provisions or this larmil,nal l be devmed revoked.
311 —,.
SCRATCH COAT
CONSTRUCTION LENDING AGENCY
1 herchy aBim, Im hInure is a aonstrunin. lending agency far he performance
313 —
.
ROOF NAIL
whiehlhi, omit.,:„nnelsee.3lyn. cm. c'1
Lendndewmkrmer'.
501 —
FINAL ELECTRICAL ENERGY
LNmnc
I.nndmsAddre„
502 —
FINAL PLUMBING ENERGY
applicationadstamthin ink non g
I nnily to coulpereadalisity
503 —
FINAL MECHANICAL ENERGY
cesaaMme
awsre
I agree n, comply will all city and county ordinances and scale laws relating
and
thereel.
aihee-coniiip,.awyfortolllhori,elcprwe;.o;ti ,ofad,ellrloe;,Ivrun'n
504 —
FINAL BUILDING ENERGY
lhe.aM,vnnmmreeN..ropcnrfor i ly ad ke purposes.
(We)ngmoa,,.we,indcln,p,r,, f.naphnno, an Inc City lCnoalai against
e.nilide,.taeg;nenr,.con,:ane,pen,e,w,onhm.yinanrway.nernnagniml,aid
Cayi.em„ellaenee onhe training ortnisptrmil.
e
50.., —
�� 506 —
FINAL ELECTRICAL
GAS TEST
AP TUNDER ST, )SANDWHA COMPI.YWITH ALL N �P T
OU LE �EGUL O �I OI
Issued by:
—
Date
Re -roofs 508 —
FINAL MECHANICAL
�Qot�Ap(pl'anBC„nlr:'l„r Da
IIA%Alt. US NIA I'ERIALS DISCLOSURE
wsn ne� heam or rmu ilding,xe'uhnl .art or hmtdle luouda., notional
Type of Root' 509 —
FINAL GRADE '
n, dal n,I by the Ca'r ino Municipal Ccle, Chapter 9.1Z xnA the HeaBM1 and Sarno
-
Code, S,,, 255321u1”
510
FIN�II_ PLANNING
0Yes 0No
All roofs shall be ¢p e,2,
I any,.�'o In r a L ig installed.
Will 01c applicant or wore building occo,;-nl u,c ,uipnl „I o. devote,.tent
If a roof is install
rFf'fiB�ainin� eh- kpe agree to remove
emit huarduu, air contaminates a defined by the Bay Area Air Quality Management
aroma.'
all new materials for inspection.
Applicant understands and will comply with
❑Yt” El No
all non -point source regulations.
1 hide road the hazardous cunt requirements under Chapter 6.95 of the
C'allonci.He dh & tial ly Cis I,. Section, 2550 5� 55)3 and 255711 undcrsrtnd Ihat
-
if the WildZ des not eurrenlle have a tenant. that it is any rc,gm,ihilly to notify the
�t
f the require y yG'M1icb mutt he act prior n, iouancc .f. Cenificam of
c o''rI'cy, /
Signature of Applicant
Date
All roof
coverings to be Class "B” or better
g
1'n
(k1, Wug•m D; ,
t I V v OFFICE