02050176CITY I DING DPSRoNNO
PERMIT
CONTRACTOR INFORMATION:
°il�'�8 "W6MESTEAD RD
SOUTH BAY CONSTRUCTION C
E6ntl 02050176
I "t"1i31IfAL SOFTWARE
511 DIVISION STREET
C95'9"�1��00
PHONE
(408)379-0400
SANITARY NO. CONTROL NO.
Z❑ ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
C
BLDG ELECT PLUMB MECH
w
L= O C_j L I
a
i, LICENSED CONTRACTOR'S DECLARATION
Ihembyaffirenme, lam licenudunderprgvisions of Chapter 9 (commencing
with Section 7000).( Division Sof the Busines. d1ProfessionsCMe,endrny license
STORAGE
SHED (2�' riAon)
nin full or�c and effect. l6. JJ I
J �✓ WA
6 -714
License LIC.B
y.ppe C.ntta
KAou
s� ARCHITECT'S DEC ATION
4 I understand my plans shall W used as public records
7
•
OLicensed Professional
OWNER
-BUILDER DECLARATION
at 1 hereby affirm that 1 am exempt from the Contmcter's License Law for the
$7000 7 Q Q Q
following reason (Section 7031.5, Business and Professions CMe: Any city or county
Y
❑ which requires a permit to construct, alter, improve, demolish, or repair any svocture
tint m its iasamom..1to re these I rf.r such - t t. file. signed statement
� P q rro P= i
-
-_.._.._._........._._... _.___......._.._.___..".__.-
or a enn66
t_ s 'tsti ). I'�; '::- s )t'ti :..' i. -V �4�. A1, fx.I"
Valuation
:
— (trteale ilhS atrm'p , nb c I tr.Lanelawlcn.pter9
(c t B lh Scut. 7000) fDv" 3 fth B siness and Pro[essons Code)
or rM1w he n eaempi Therefrom antl the hams for the alleged demplton. Any violmi.n
.
-of not .,amoll fora permit subjena the applinm m a civil penalty-
,a floor by any hundred
mrn.lm.rcthanrvenumreda.namissBo),
Occupancy Type
° Los owner.( the property, ser my employees with wages as their sole compensation,
102APNPIERS
'will 'do'the work, and the 'ewnure'is or intended or offered for sale (Sco*7044,'
Business and Professions CMe: The Conine or's License law don not apply to an
-
Required Inspections-! and • -
owner of pmpeny Who Wilds or improves thereon, and who does such work himselr
10 4 -
REBAR
or through his own employees. provided that such improvements are not intended or
coded for sale: If e} impmof one year 6f
.._ 1.Q 5 _--ANCHOR
-BOLTS---
'completion....
owner -Wilder wilbuilding av
thrower -Wilder will have thehuNcnofprovingthathedidnot build or
prow n that heidid
106 -
SEWER & WATER
proveor
improve for purpose of sated.
_..... __.
2.02..-...UNDERFLOOR...PLUMBING
.
° I os rte If the p pally exclusively contracting with licensed contractors to
construct theproject (Sec. 7044 Business and Pmfesi ons code) The Contractor's
203 -
fit1..:!
UNDERFLOOR MECHANICAL F,
License Law does not apply to an owner of property who builds or
rpt l p rw mpromarttodu
ran who, contracts fur. such projects -with a cmnrumur(gJ cenud pursuant to We
204 -
• y '
UNDERFLOOR FRAME
G.1 meaptCundeLaw
Sec .
xempt.paersn " " '''" " " n&Pcmrtma pa.n
❑lam[oµ^
205 -
UNDERFLOOR INSULATION
... .. •.
r
301 -
ROUGH PLUMBING
WORKERS COMPENSATION DECLARATION
302 —
TUB '& OR SHOWER
1hereby atrrmunder Penalty ofrcrjuryone ofhefollowing dedurstions:
303 -
ROUGH MECHANICAL
♦
p ° I neve and will maintain L Ccnifcme of Conant to self-insum for worker's
304 _
ROUGH ELECTRICAL
7 Compemmion, as, provided for by Section 37M of the labor Code, for the
3 Q,5
Fi'�[v]�'
_ performance of tfie work for which this permit is issued.
306 -
HOLDOWNS
❑ 1 have and will mamtpi w.1 a cont' naali.n Inaurence a; re
P gthisPermitn
' 011 (the will rCM f o perform f the work forwhichtri this
307 -
INSULATION
is ed; MY too k is C pc _ Pnl mher are: •,
"Reit 2 2oa
_
_..
SHEETROCKLATH
401 l
i i.,' 30'9:
1,
EXTERIIORi rt• al l
cl. IFrcA o�NOFexeMNreoMb
woRlcegs
310_,
]:.NTE.RIQi2., k.
LATH,..
(Th demon need not lx completed if he permits far on hundred dollars
311`,'-''
_ _ __..._. ._. .... .._......__
SCRATCH COAT
(slool.ne::.)
313 -
ROOF NAIL
" I cell fy that in the performance of thework for which this perm l is is ed; l
_. .
sof-
_
F I NAL'ELEC,TRS CAL :.ENERGY
,hall at employ any person to any mandi it, to become subject to the W.ilmrs
C.repedxati.nLawsofC.liror>ia;Due, .. ..
502 -
FINAL PLUMBING ENERGY
Applicant I .... .. .. .. ..'
NOTICE TO APPLICANT.If. after making this Cerifjcate or Exemption, you should
503 -
FINAL MECHANICAL':ENERGY t •.': ,,.
b¢.me subject mile Worlicr's Compertuamn'provisions 6fthe Letor Caere, you must
forthwith comply with' such provisions or this permit shall be emitted revoked.
504 -
FINAL BUILDING ENERGY,
1.-
3 , CONSTRUCTION LENDING AGENCY' .1 '
_
------505 -`FINAL
'ELECTRICAL CA —' - -' - -- —-
FELE L _ ,
1 h rcor firm this m lending e, y f theperformance
506 —
GAS TEST
pe c
Lith walk for month permitissued(s �m7,ry.c1 '_" •;-
' .,.:.....
�Lenders Nnme �•"
.._... ._-.50 7 --FINAL
PLUMBING--.. ......,,...... _ .___.."....
L d nae
508 -
FINAL MECHANICAlij"'' ^ //
I.,tty
Com atya f adnatethmth W f mmmnis
509 —
FINAL GRADE
to
caned 1gc r comply th 11 arm tl ty dinanceo d t t I smiming
hal
to
dpropndherebyaucifion nmtivesbfthiscitytoemcrupon
510 -
FINAL PLANNING
above -cath.
Nq ebn(We) agme 16 property for inspersion numerics.
twat agree roiave; indemnify and keep narmleaa the City of etipenino against
hee
514 -
FINAL PUBLIC WORKS
jo mentaco and expenses which tory in any way accrueagainst said
ne �muce of the gnm,xpedro�ipermit"NT ND•RSTANDS'AND FlTR7TR'ALI.
4n,
j
I
Issued by:
fff
Date
RECGL no"E"""�
6Z
Signotgrc pli iduc.ntramor ." - ^"y '• D.
Re -roofs
,. HAZARDOUS MATFRIALSDInd, orh E
Wll hes ppb c t r f tore Wilding acu m pare or handle harallous mate al
Typeof Roof
.. .. m --
-
asd Ondb NeCpenno ManICM Chapin 912 and Health d Safety
1
.lbe.
'• •. I'u:
Q
°Y r 31 d No ri;
a
ns
All roofs shall be
t.
s ct a roofing,
mspected,pnor to any_roofin
o
z t
',, toll th ppi 's Pam dee mem .r devices htoh
tom r Ire mldiln .. 9 P
the
If a roof is installed
g gmatenal.being.mstalled.
' -without first obtamm an'inspecnon; Pagree'to'reri3ove
em lens and av cnhtaminantfnedh Be Area Av valil Marta
Y Y Q Y gement
Dinrtel7
-
all new materials
for inspection. Applicant understands and will comply with
' 0yes °— :'
all nou-point `source regulations:
1 have rcatl Ne Wrard materiels regmrcmcros under Chapter fi.95 of the'
Cabf.mu Health & S f ty CMe Sections 25505; 25533 and 25534. 1 understand that
frhe does not<rte dylave aten.tThalns my responsb'Ity to nmif"he'---
occ m o e rtgwrcment whichmust be met poor t. its aners.e(Fq m�fic a of
a -
party!
(ulr0
Signature of Applicant
Date
j
-
All roof covering s to be Class B ' or better
g
roeamhonen _ Date
OFFICE .