00100086NO
crBUIorN UI IRONvo PERMIT CONTRACTOR INFORMATION:
HOILL, ILDING ADDRE. S: 1'LNMI r NO
18880 HOMESTEAD RD J. M. 01II INC 00100086
OWNER'S NAME: _ APPLICATION SUB DATE
RATIONAL 5880 61, LAS POSITR BLV, #371.0/11./2000
ONE: SANITARY NO. • CONTROL NO.
(925)225-1200
ARCIR rEC IENGINHER:
LICENSED CON I RACfOR'S DECLARATION
1 hereby ailuro that I If Ilcensed underpmvieyio�nkssof Chapter 9 (cmontencing
with S noun 7000)of 1)Ivisiun 3 n eBusiness and R sinus Cole, and my license
S Tome at e
,0""l we Class Lica
Uea - Conuu.hr
A CT'S DI CLARATION
s.. r rind my pP: rs��ecmrd,
suns rn e. � ,R BUILDER DECLARATION
1 herehy ullirm that I .nm exempt loom the Conlmtlmi s License Law for the
following mason. (Section II31.5, Business and Professions Cole: Any city or county
which requires a parrot in romvua, altar, improve, demolish, or repair any sweture
prior to its issuance, also requires the applicant for such permit to file a signed aatement
that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9
(commencing with Section 7000) of Division 3 of the Business and professions Cede)
or that he is exempt therefrom and the basis for the alleged exemption. Any violation
of Section 7031.5 by any applicant for a permit subjects the applicanun a civil penalty
of not more than five hundred dollars 16500).
01, as owner of the property, of my employees with wages as their sole compensmimn,
will do the work, and the. xuanure is not intended or offered for sale (See. 70,W,
Bminmss and Profexxions Code: The Comme m'.v Licence Law dues not apply to sun
oncr of property Who lxddx or improves thereon, and who dmex such work himwlf
or
through his own employees. provided thin ouch improvements am not unvoiced or
offered Imo u;ae. If, however, the building or improvement is sold within one year of
nimpletion, the owncrhuilder will hove lie burden ufprnving that he did not huild art
fpnna for purpnso mf
0 I, ns owner of'the pnga:ny, onl exclusively crmotiong with Ilcensed en imflo,v m
instruct the prRjecf (Sec. 7144, Busmen and Pmfessions Crxle:) The Conntet
(castor's
License Law docs sun apply m on nwnnr of prn(reny who builds or impnrvee Thereon,
and who .....tones. to, ,,Of prnjectx with a ennwcmf(0 licensed pnrsuanf m the
Contracmrs License Law.
0l oin exeript under Sem - , B & P C for this reason
Owner Date
WORKER'S COMPENSATION DECLARATION
1 hlrtby affirm under penalty of ca jury one of the follow ing declarations:
1 have and %ill maintain a Certificate of Consent to self -insure for Worker's
mpenmtion, as provided for by Section TIRO of the, Labor Cmlc, for the
fmmancm of the work fur which this permit is issued.
s required by Section
which this permit i
number arc.
01 —' -01 COMPENSATION INSURANCE
(This xecdon need not be face p,oro, is for one hundred dollars
0I 0) or less
I acrd I fhw Is The wroar nanc,, of the work for which this pencil Is issued. I
shall not untploy any person ho any ne nner xo m In mm th
heeoe subject e W..kO,
iws
Cmnpem,dI Laof Califoria. Dote
Aprheav
N(ITICE TO APPLICANT': IL ager making this Cenificae of lixmnption, you should
Mousse %abjecnn the Wmkcrs Cnmpcmmimn provisions ofthe Laborde, yon must
forthwith cmnply wail such poisons or this pelma shall he deemed revoked.
CONSTRUCTION LENDING AGENCY
I hctcby ullirm that there is a cambraction lending agency for the performance
of the work for which this permit ix issued (Sec. 3x97, Co, C.)
1 ceNfy that I have read this fillicvtion and state that the aMve inlmrnutimn is
coma. I vgrtc m comply with ill city and county oNinances and smm laws relining
m building nmstmaion, and hereby amhonm rcpresematives f this city m rnter upon
the above-mentioned propcny for inspection purposes. s
(Ate) agree to save, indemnify and keep hornless rhe Coory of Cupeninn again"
liabilities, judgments, cow' and experts which may in any way name agvinst .said
City in consequence of fica-puglIkof this pemdt.
qPpLICAN NDERSTANDS At COMPLY WITH ALL N N INT
/.O(1R rL a 18 %3 ��n Issued by:
HAZARDOUS MATERIAI S DISCLOSURE
Will the nppli,a n surlinure hullding occupant storenr tau dde hmmdom nsuaial
is dulined by the Cupcninu Munlc 1pnl Cade. Chase, 9.12, and the Health and Safety
Coyle, Scdin 129532(a)p
Cl ye, 0Nn
Will the :gfplicam or furore holding occupant use equipment or devices which
omit hamNnus air cnm:nninunfn as dented by the Buy Arca Air Qu:dity Management
O Nu I
is mmenels requirements under Chapter 695 of the
Ssdlonv25505,25533 and 25531. 1 understand that
have a tenant, that it is my responsibility to notify the
sicpCst be met poor to ixxuame of a Certificate of
Job DescX1ion
TENANT IMPRqk
� so
2-
w
31609037.00
Required Inspections
101 — FOUNDATION
102 — PIERS
1.03 — LIFER
1.04 - REBAR
1.05 - ANCHOR BOLTS
106 - SEWER R• WATER,
2022 - UNDERFLOOR PLUMBING
203 - UNDERFLOOR MECHANICAL
2204 - UNDERFLOOR FRAME
205 - UNDERFLOOR INSULATION
301 - ROUGH PLUMBING
302 - TUB 8. OR SHOWER
303 - ROUGH MECHANICAL
304 - ROUGH ELECTRICAL
305 - FRAME
306 - HOI_DO14NS
307 — INSULATION
308-'SHEETROCK
309 - EXTERIOR LATH .
310 - INTERIOR I_ATI-I
311 - SCRATCH COAT
313 - ROOF NATI_ ''
501 - FINAL ELECTRICAL ENERGY
502 - FINAL PLUMBING ENERGY
503 - FINAL MECHANICAL ENERGY
504 - FINAL BUILDING ENERGY
505 - FINAL ELECTRICAL
506 - GAS TEST
— FINAL PLUMBINUDate
Re -roofs 509 — FINAL GRADE J
Type of Roof 510 — FINAL PLANNING
All roofs shall be,iO;f ected installed.
If a roof is installed without first .obtaining an inspection, I agree to remove
all new materials for inspection. • Applicant understands and will comply with
all non -point souree-regu ations.
Sign cit Date
All roof coverings to be Class '•B" or better .