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BUt DI G DIIVISIONNOPERMIT
CONTRACTOR INFORMATION:
BUILDING ADDRESS
10300 N DE ANZA BLVD
NORTHWEST SIGNS
PERMIT NO.
02060090
:�N HOTEL CROUP
325 WASHINGTON ST�c�nlo�
b4ff2
PHONE:
(831)469-8208
SANITARY NO. CONTROL NO.
ARCNIT[CT/ENGINEER:
BUIL-DWO PERMIT INFO
-
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BLDG ELECT PLUMB MECH
IJ I' -t L-7 I__I
z LICENSED CONTRACTOR'S DECLARATION
1 hemby .iron that l am licensed under provisions of Chapter 9 (commencing
Job Description
MONUMENT S I GN P
j with Section 7000) of Division 3 of,be Bust: d Professions Code, andm cense
�.minn alp--rr �� S '
Licmwy/Y� Lic. M
FT"��nlY,1 L�C5�
17 V
D Comra r
HITECT'S DEC TI r�
I understand my plane shall be need a, P a records
DEC 2 6 2002
OLicensed Professional
OWNER -BUILDER DECLARATION1.
thereby (Sectffirm or lam aurinfrom the Ga91ra.Cos.Anyc Law fee the
a following reason. (Section ]03L5, Business and Professions Code: Any cry or
p�
�'�®la4�
arium$20000
o which requires a permit m conswa, alma improve, demolish, m repair any swnurt
m . priorto its issuance, also requires the applicant for such permit to file a signed statement
_
- that bid ii,lici ngE Pursuant tp lnr proysbm of the Conuxcmes License Law (Chapter 9
(commcpci ng with Sevkm,7(N30)df Division3of the Business arta Professions Code)
�N�fL�
{� n;yr T,3 (>$ TY -g.,
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�' L ! t i1 Z71'iii 2.. ! S
- - - - -"-- '_'- -- - ---- - ---
Valuation
or Nei he ii'cxempi Nikfrorn'and the basis for the alliBed eiampoem. Any violation
f.
-of Section 7031;5 by any applicam far a permit mbjms the applicant to a civil Penalty -
enal[r1arnnrmare,banfivehundreddollars(55W).
1 ofnal arame ban five hundred dollars (115W),
101APNIgWhWDATION Occupancy Type
01, as owner othe propeny,ormyemployees with wages astheir won compensation,
102 — PIERS
- will do due work. adthestructure is not intended or offered for sale (Sec: 7014--
'
-
10 - OF R - Requirednspections
Business and Professions Cade: The Contractor's License law aces not apply to M
p '. ;l t',•.:--
Owner of property Who builds or improves maroon. and who does such work himself
'
104 — REBAR
or through his own employees, Invoiced th,bp em t t intended or
-offeredr I If, cad Wilding Id'ng p e ant @ m inti year of
— " - ---1'0 5 ---"" ANCHOR --- BOliTS --- — — -- ---_ —
cbmpleion'heowner-builder will have, he buMen ofprovng Ne heed nm build or
improve for pmpcse of sale.).
•`^ fi''`t - +'..:. ',L
—
106 SEWER & WATER
--- — — --------------- — —._._....._.._-----
—❑LBrowne.ann=prapeny.a eaenaiveymmu[tingwithlicensedcommcrma,o
2'02" UN CID
—_'
consumer the prosOct ra(S«.1.aBusiness roand Oy hesildsOrme r,hroor,
- License Law Beare of apply to owner of property who nudes m improves thereon,
203 — UNDERFLOOR MECHANICAL i It
�'"' -"'' '
.ana,svhp.conuarls ea
vroi«u.wif-a.[onuanor(s)lic �t pumuant.m.Ne
_..-.___..__.-_20.4_._=_UNDERFLOOR... FRAME.
entanL.such
comranars Craned Law. .
❑I pt nets , ` '' BBPCfor ad, an
._____.__--_.____.____.._._-.____.
205 — UNDERFLOOR -INSULATION
wrier" Date t_ '
WOR KERS COMPENSATION DECLARATION
301 — ROUGH PLUMBING
302 — TUB & OR SHOWER
.. Inercbyarrt,t�anaerpenaltrorlxrarynntarmefanowingde[lamaort::-
303 - ROUGH MECHANICAL
1.
0 1 nide"and win"maimum 'Cmific.t. of Consent m'sdf-marc for worker's
3 04 — ROUGH ELECTRICAL
Compensation, -a -Provided f«- by -Section 3700 -of the -Labor coda. -for the
performance orfe work for %hien this permit is issued., .,
3 05 - FRAME
❑ 1 h a mal will maimim w k,', Coinpe t on Ins6raince. as- mquirendby Section
3 06 — HOLDOWNS
3700 r f LOW, Coder m renomination Of thework' m which this permit
,IuuM by �+ h Y�s�Com t n sum c_ Policy and Polh
307 INSULATION
11 +CERTIFICATION OF EXEMPTION FROM WORKERS
- ^'
y.i ��J;T3 O9 i6}EXTEi2IOR.iL•ATHr,; 'i1"�'sC
-y COMPENSATION WSURANCE� -
„ w:
__._._. 31.0--- .:-' —INTERIOR--LATH---
ffh ctmv need not be completed if the permit is for ane hundred dollar:
($100) lea)
••`
311-, t SCRATCH COAT
[ny that the Perm of the workr nqh this pe't"
shad et plyany per cat y'annnro t become bRet.,t'wdenl
501 — FINAL ELECTRICAL- ENERGY"''
Compensationts oremlr .Die' - -'
502 — FINAL PLUMBING ENERGY
NcomesuOAPPLICANTIfafrermalwgthsCemf[a,of Ex ptoay should
become ub3eonorne Workers Compensut p visions of Lab, Code, ymmust
00'00- -' -- -- _--_
503 — FINAL MECHANICAL'ENERGY .�t'• --
- '
dnn%dmcomply withsuch provisions or this permit shad be deemed revakm.
__
504 — FINAL BUILDING ENERGY
"CONSTRUCTION'LENDINC AGENCv
1
"
— — '—
505 - FINAL; ELECTRICAL r
Ilaby aRemNtthertr art, %mon 3097 g gmty (or th pcdorrnan o
i or Ne brk for 'h ch N etl (S i097 Cis G)
Ix
506 — GAS TEST
�
-1ami Name _., :.._ -
Lend Ad7rcs , + ^
_ _. --507 "---FINAL- PLUMBING—'.__. _
"
' I mryth time rae,h esti Patin no f fon rs
'ode,l
508 - FINAL MECHANICAL:
g t Ply with n city n
yaad countyaa eeaana state laws Lang
509 - FINAL GRADE
10 Bu Id g wet m M hereby a fonae TrIpesintraiieias and y, "ter upon
,heab dpmpanyr para prpos
(We) grict to nae rWmnfy and keep hamlaNiCity ofapenm Bainst
Izabilitic, judmomis. costs and expenses which y any wayattainst said
510 - FINAL PLANNING f _
514 — FINAL PUBLIC WORKS
C n[ req c de urthe g t ng f this perrmL
--
1
PPR( NTUNDE ND$A WILL COMPLY WITH ALLppN-�Oi
/ sP
ssued b :
Y Date
1 HAZARDOUS MATERIALS DISCLOSURE _, . '..
Re -LOOT$
II f ppl'cynor Rome building «c pat Some or handl hanardou material
zs def etl by meC pecan Munep Case Chpt 912 dri Health and Safety
Cove $M on 25532(1 y
1
.—Type Of ROOF. _ _
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All roofs shall be inspected prior to any roofing. material being Installed
W dI the app l ct r m g« p t'use ro p e , de ce which
mia,h ardour r o u ants a Ri ca by Ne Bay Area A r Qu 1 ry M gem t
° '"' Ov -'
h
If a roof Is mstalledwi[hout first obtaining an mspechon I'agree to -remove
all new materials for inspection Applicant understands and will comply with
P.Y.
( -
all non -pons[ source i'egulahons —
"• 1 W oom be hazard rat ale regb mean odder Chapter'6 95 of the
` ` u " - 1Q -. " -
Ctaifomra Health & S. Code, Sections 25505, 25533 and 25530 1 undemland,hat
'fiheb but di does o neral he man, that t ray, s nsbl Ion u(
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N trtmenn h lam , brat nim u ofaCmra mo
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ry IY
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gn
Signature_o_ f Applicant _ Dateair _
All roof coverings to be Class "B" or better
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to an m =pp!ga 1 -_Y.W
I_--'OFFICE ._._... _... .. _. .. __.._.