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