01110015 CITY t DING DPERONNU PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
1510 JAMES TOWN DR DAO VINH D ET AL 01110015
OWNER'S NAME: APPLICATION SyB DATE
DAO VINH D ET AL 11/ 05/2001
'HONE: SANITARY NO. CONTROL NO.
o
.100 BLDG
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
be i
LICENSED CONTRACTOR'S DECLARATION
1 hereb amen that l am licensed under fCha ter 9(commencingJob Description
'•_�� with Seclion]OfMll of Divisionl of the Business enalProfessians Code.end mylicensADD OUTLETS & POCKET DOOR IN KITCHEN.
is in full force and effers.
,YEJ
s a License Class Lir.a
�;o H Dam Contractor
u. a ARCHITECT'S DECLARATION
- 1 unJciaand my plans shall M used as public rtcoMs
T
I c p O Licensed Professional
°' OWNER-BUILDER DECLARATION
R 1 hereby affirm that 1 1. uusin from Na Conwrsor's License Ww for the
which
reason.(Section]031.5,Business and Professions Crde:Any city or countye $1000
D rich ts es pentlt c 't t her,tnprove sucdemh
or repairanysvum rot _ _ -- - — -_ - _—
n �df-athcar t' e, 1 req the isimsofpplicant 6 Con Perm' aLi en agtt (Chtep,r9
d(t h9 kill' -4d pub a Imthk prl n inns of the Contractors Licenu law(Cherye 9Valuation
(commenetng _nh Se a n7fg0)o(Divis on Sof me Buailtcspand PrjrfessonsCWc) CCN 1-ig. I7lATI i�Y IN,L.^ T10
or that he Is cxempf lhetsfrom and the basis for the alleged esanpiton.Any vmlauon
-'of Section 7031.5 by any applicant for o Permit subjects the applicant to a civil penalty, '
fna/ty,,thanB.ehundredon11,(SSfn)._ 3044PN �.I�LIIBH ELECTRI AL""'T Occupancy Type
rd nerofNcprnpe or myemployceswith wagesaxlheir solecmnpensatioq - F E TRRI AILS ENERGY
-wusionat and Professions
is Coal
The'CnoYim Limen'e feredLaw does not
triply to an 505 - FINAL
Buper of and Professions CWr.The over teoi s.and w law docs not apply to an
or th r of props.,a_
,Who builds or improves Iheuon,and who docs Bach work himself
mil r his own employees. building
Tort mch venom emeold ore nm intended ar _
-;c - on Sale.If;tioweie6 thel havtorurdenof proving
sold within Dos Wood of --- ---_=--_- - --- --