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02030130 (2) CITYILDING DPERTO,NO PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO. 7407 TIPTOE LA ALLIED AIRE SERVICE INC 02030130 OWNER'S NAME: APPLICATION SUB DATE LAMPRECHT ALAN F AND LOIS W qR 661 SINCLAIR FRONTAGE R 03/22/2002 PHONE: SANITARY NO. CONTROL NO. (408) 934-8844 O O ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH <u r� I__ L-1 ILZI LICENSED CONTRACTOR'S DECLARATION 5_? 1 hereby alum that I am licensed under provisions or Chapter 9(commencing Job Description with Section 7")ofDivision3ofmeBusinoaandProfessionsCWe.andmylicense REPLACE FURNACE . a I y! is in run farce and tette eyO Liecnse Cl: Lic.e .`{ S Data 7 r Contractor i LL O Ica —7 ARCHITECT'S DECLARATION y I u olcoon l my plana shall be used as public records �r i n p O Licensed Professional OWNER-exempt,fr DECLARATION nxs w I comb)affirm that 1 1. exempt from the Cosigns Coda:a License Law for the C?a following mmon.(Sough]031.5,Business sad ve.de io li h,orAny city st county $3200 s€o which A re t t etalter,rmpra.a demolish, n y structure i3m -priort ¢' arc also req sth applicant for such permit 10 fl signed statement - - thpr be ti ensed pursuant anMc pro m s of the Contrtora L La (CbagValuation er 9 $,p, r�I� Qs - --� .. ............. (comm 'a&with Sect 7000)of Division 3 of the BusiBusinessand Pof ons Code) at that be Is ciempftbcmfrom and the basis for the alleged dcmp4mm Any violation -cif Section 7031.5 by any applicant for a Permit subjects the applicant to a civil Penalty Occupancy mora than Eve nundned dollar,(5500), 3 0 YA'PN N4M EFEF I PLUMB IN ' Occupancy Type °1,az owner of m,pmpeny,or my employees with wages as their sole compensation. -will do me work'and the stmctum is nor intended or offered for sale(See.7000,' 'Business and Professions Cade:The Com ucio..License law does nor apply to an 304 — ROUGH EMBfDWRMQ*Ections ` owner of property Who builds or improves thereon,and who docs such work himself or through his own enployca provided that such improvements t tended lir 505 — FINAL ELECTRICAL orte�for sale Ir;howevcn the Wilding or impmmmem r Id asidbin one-year of ampledan the owmrWlderwll have the Wrden of Waving that he die nor build or 507 — FINAL PLUMBING intra.efc topose.f,ale'). 508 — FINAL MECHANICAL .ameaw _ -- _ __ _-_--__... _ _ . .101.asawar.fthePopen csivel concocting with licensed d contractors m .. contract the ... (Sec.7wa,Business and Professions Cade:)The ceiContractor rasom - - and,wh law dos afro I to of cwt n h.d lice seint t to the. • - ,- DD Y ProPe y w proves C and wbo is Loa s fLow. Proja¢with a conmetor(s)licensed pursusnt m the. '. Owner ear tunse Lew. . .. . � Contractor's Lic ® �g�rs °lama p oder Scc. .B&PC far this res O WALLED ' Date . .. .: int WORKER'SCOMPENSATIONDECLARATION APR 1 200ry 1 hertby alarm under penalty.f pe9ary ane of the following declarations: AP„ + L kf ❑ 1 have and will'main6in a Certificate of Consent to self-insure for Worker's ` Compensation, as provided 1'or by Section 37W of the Labor Code, for me BUILDING �'�®IP^_' performance or the work fm which this r pemit is issuM. . �I IU VV G ��ya,havd i will mvnisin Worker's Compciisatibti Insur'encc,az required by Seniors Y/00 oDrne labor Code;far the performance of me wmk figs which this pemrli iz need MyW rkcls Co pe Ston lnsurhnce comer end;Policy numberac " u. CL'RTIFlCATION OF,E%EMPTIONPR'OM WORKERS A - t .%15 TIC.mC S i,l5t i C i,k1,t !.y ,.•f - . ',`,-. ., COMPENSATION INSURANCE"s' .,_ (This section-need not lie cnmplareit if the permit is for one hundred dollars `• ` r .r, l;,':- ' ;;Il �: ` ISIaO)car kssJ . ' ' 1 c n fy that in'here a c f th k( bi b tti Penn t .tied I t • t 1. s shall not employ any person in any manner an as 3o become subject to the Worker Y' Compensmion Laws of California.Dare t .Applican ,. NOTICE TOAPo the Worker'If.s Co making ti this CosinsofofEumption.youshould become ficim tm Inc Worker's Coionsortion permit hall edIabm Code,you man 0 � fonhwitncomply with such provisions m this permit hall he deemed revoked. .. __ ._ ..._ ._.. .... _. ...._. ._.,.__. .I CONSTRUCTION LENDING AGENCY ' 1-hereby affirm that mconstruction onswet ]coding'agency for lin peA fina ce` Lent rkfo which pertins tissued(S c3097 Cw C,) "" 11 W.Q Lendrs Name--.1 . l t - ❑r -_.:.tiLv. .______. - .. _. ... .. .. .. .. ....... . .. ... ... .. ... . .. . . ". t.0 Lender',Address..... . ." .. .. . i,,". - .. r 1 certify that 1 have mad this application and slate that the above information is Bonen.I agree to comply with all city and county ordinances and state laws misting V to Wilding construction.and hereby authoim representatives ofibis city to enter upon (O the eWowmentiancd property for inspection puryaua. y t es,j syree (,save i a n nifty d d wet harmless the Airy of farce,lib agsmst !n liabilities,judgments.fthe and eaponus wash may in e- way sett m<against said City nsegUNDE STANIEming of thisLLCO r Q� APP4ICANTUNUERSTANDS 'LL COMPi ;WITH ALL NO�'POIt�7°i Issued by: Dille SOURCE REGULATIONS .�/ � 0 y' Signature of ApplicmUContmcmr' ,- Dau Re-roofs -- HAZARDOUS b ATERIAIS DISCLOSURE Will pplinto or forms Wilding accpatar harifia hazartl6m,nomshad Type ofRoof. - - as def rIW by doCaperton Man c pal Cod Ch pt 9 12 end the Health and Safety Cod Section 255321a1 ' I T y 7 s"'• . '. c. ?w a i C+ r •. °Ye r t r All roofs shall bteinspected poor to any roofing material being,installed. Will theappbcanr 'f t4 turbl g occupant use expripicam ar deuces which If a roof is installed without first obtaining an inspection', I'agree to remove emil h i tl cont t defined by theBay Area Air Quality M - gement Dstrictall new materials for inspection. Applicant understands and will comply with _ `all-non=point Source regulations. �. I have read the haeardous materials mgmreinens under Chapter 695sof Ne Califomia HeulN'&SLfny Code,Sections 25505:25533 atW 25530.1 undemand that 'if me'Wilding does mt<utttntly base emnantJhm it is my responsibility to notify thedamson of the not iremenu;which most ba mn prior.to issuance ore eniGcate of ,. ✓ a}upaney g Applicant Date cc� 3 oL - Si natureofA licant __-.. . _.. _...._ ._ .. .. - . . _. _. -. _ Ow uthmi. gent Ua e.. All roof coverings to be Class "B" or atter - "_4 _ OFFI