02040055 TY OF
Cl BUILDINGDIIVIISSIIONNO ]PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10507 MANZANITA CT. ROYAL POOLS INC OF SANTA CLARA 02040055
OWNER'S NAME: APPLICATION SUB DATE
RON PAULSON 2258 CAMDEN AVE 04/12/2002
•HONE: SANITARY NO. CONTROL NO.
4083718000
C a:Ci ARCHITECTIEN'GINEER: BUILDING PERMIT INFO
�00 BLDG ELECT PLUMB MF.CH
<i IJ CJ C__J U
i LICENSED CONTRACTOR'S DECLARATION lob Description
S=C 1 hereby affirm thin 1 am licensed undo provisions of Chupmr 9(u amouncing P
with S<aVon/7000)of Dlvision3ofthe Busi sand Professions Crxfe.and my license NEW INGROUND POOL & SPA
°a r��IfokeaaeB<m. z UC>z (527 TSF) �'���,,,�®
z w a l.m C' a
° nn a
1 3 a ✓- ARCHITECr'S U RATyg
°5 1 node stand my plain anan b<need as panhc rc
MAR 2003
a.p O LiccnxJ Profces;unal ,
OWNER-BUILDER DECLARATION
uai^_ 1 hereby mif rid that I am exempt from she Commelm's License Law for the U I LDING
(:K-a following mason(Section 7031.5,Business and Pmfcssions Code:Any city or county
E M o which requires o prnma in ronnnmk alter,improve,demeli en.nr repair mty xtm lme
a 3� prio m't.issuance.also requires to applicant for such pttm;u flee -gnat statement - - - -- - - -
mat he 1 cenmd pursuant to me prow ons of the Contractor License Law(Chapter 9 -. S FG Floor Area,., - a nation
loon ncng with Sect 7000) f D,mr.3 of she Busne {�IPrfa,mm,Curls) q' .y. 3, r s, tl•i+ l.>3 f(
or that Is exempt themfo ni'and the basis; me alleged exemflr.on.Any violation
-of Seirmin 7031:5 by any applicant far o permit subjects the applicant o a civil penalty
:or ant more than five hundred dollars S500), 2WAtte .f;a:..: Occupancy Type
❑1,as owner of the property.or an,employer,with wages ua their sole e.mpensmlun,
-wilt do the work,and the structure isnot intended or offered for sale(Sec:7010;
Businexs'andProfessions Cush:The Co riacou's License Law does not apply to as 104 - REBAR Required Inspections rt •
owner of property Who builds or improves thereon,and who dros such work himself
or through his own employees.provided mve
at such impramems arc not intended or _ 1Q.7_ _..- POOL/BONDING.
_ _ /
olfc d( 1'If.however the bung
ild o t P wnbcat is Id thin army csr of ._ _._. _ :. __.......... ... _
'completion,the owner builder will have theburden of proving that he did not build ur 301 - ROUGH PLUMBING
improve for Pnrposecf sale). _ 304 - ROUGH ELECTRICAL
❑l as owner of the rty oto exclusive) contracting With sed contractors to. ._.. __._. ___.. .._ ._._ ._ ..._ _. ..... _ _ ._. __.... . .
ProlK and Bwi 502 FINAL PLUMBING ENERGY ,'-, L.. �T..
conswu the does
n (Sec Ito r Business and Profess ons Codt,:)The Ccovas tin thereon,
I Id
aLicensend.wh Low d«anmapply mannwnwth a,conuywhnbnadsmimpmvesmercnn, 503 - FINAL MECHANICAL ENERGY' .
❑lam exemtunseLaw, h.pmkms.with a.commemrts)licensed.purmmu.m me _......__.
_._._.._ _..u..._._..... . ... ......................_ _ _
Connector's License _. . , 506'-= GAS' TEST
and.who contracts
:.. P (Sec? "• ".B&,P,Cfonhisrcamn 510 - FINAL PLANNI=NG'-';
ower ' Due 511 - FINAL POOL
WORKER'S COMPENSATION DECLARATION
aeemmdnna. 516 — FINAL BUILDING
I hereby aRrm onset all, rjn.yoneor,me following
!!!
J 1 have and will maintain a Cer ificam of Consent to self insum for Worker's
Compensation, as provided for by Section 3700 of the Labor Codc, for the
performance of the work for which this permit is issued.
�' J900h'f slid .� GJ fW�M1ep fom� ohh s enc s 9u rca by,Sm n
, ark f h ch th'. perm t s
" - rssu d My k- s Compo set on In. m e J Pol y be '
j ! fJ�4ob53Z743 _.
r` CL TIPICATION OI IiXEM FROM',WORKERS'� I '• r . r t >a-V„ 3+. f
COMPENSATION INSURANCE y -
(This section reed not rte mnnplered if the permit is for one hundred dollars '" t' "' `'- '''I• - '
r(SI W)or Jess
s 1 c n fy thin m the performance of ori mshe f Which thisr tis issued.-1
shall not employ any or
n any manner m as 'hecome sableset to the Workers -
Compcnmtion Lows of California.Dale
•NOTICE object
APPLICANT:If,after making thism limn,am'h Labor on,you should 1. +
z become co m y the such is Compensation from shall
of the erand r We,you must
Q Q forthwith comply with such provisions or this permit shell M deemed invoked. '
Z'� ' 1 CONSTRUCTION LENDING AGENCY' •t
a'' I hereby offion that Lb -is a moiruction lending age ey for the pedarmance `
of mnd -Work
fme Which thPerm. itis issued(Sec.3097C..iv•..CI.,. .aa.. . . . . .... . . ..._. __ ._.._.. _...
a led sAJd r l(,.
V Q I certify that I haw broul this application and slam that the above if rmation is
C t..r t obu t 1 6 t amply ro city and ry ordinances end tam taws tr relating �I
Q r� rob Id' Fg t do ahereby amorepresentatives r state
to contraption
r �] the bo pesly f speer p rp ....
L., w
......
M Ja- yea err arta kaph 1<a he raper,nn agatnat
nam fabili!ic Ju mem sw an xpenus hick may in any way accrue again land
City in cans a of the g ing of,h, crmit.', " ' '
APPLIC {{11NDEP'TA '� OMPLYN'ITHIALLNON-P IN Issued b r, Date O
S RC EGULA On `z Y'
mm enf
A"
anbCn tr trot,-. LS " U mm// Re-roof$
HAZAR OUS MATEMALS DISCIOSURE.
tun me appy.<a tpr m building ec<apat lu.m ornndl h' as matelot . .Type of Roof _-
CateSedbytheC,gyction ', ap _ Health and Safety .;�,•, b„ - - -
Cadet d by the CLpemn pal Cotic Chapter 9 12,, a the'
.. I e. . . ,
17 Yas l .,3 ONo l rain . ..
All roofs shall.be inspected prior to any-roofing material being installed.
_
Wili'the applicanto tbmrc building ocp t use equipment or devices which If a roof is installed without first obtaining an inspection,.1 agree totlremove
�.
th d contaminants fre
.acd byBay Area A Quality Management Xr<t all new materials for inspection, Applicant understands and will comply with
❑vee ❑No all non-point regulations,
the naz rosterols mqui einem,under Chapter 6.95 of N<
CblI pro H alta aety C c us
25505.25533 and 8531:1 understand that
if the WilO snot curt Yich ant,met
is say responsibility ifirtthe .
c p the rcqui'm xhich he mei prior to iuuance of n enific¢of
oa Y. < Signature of Applicant Date
L
Dat
Lf - -: . . .i- --OFFICE
All roof coverings to be Class "B" or better '