01030181 CITY OF CUPN RTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
7968 MC CLELLAN RD # 2 PSG FENCING INC 01030181
OW'NER'S NAME: APPLICATION SUIT DATE
CAMPBELL ASSOCIATES 1133 N 101-H ST 03/29/2001
IIUNI?: SANITARY NO. CON'1'Rol.NO.4089953397
ro, AHCHrrECDENGINEER: BUILDING PERMIT INFO
u—
B CLECI' PLUMB SUCH
I--I I= 1=1
T LICENSED CONIRACPOR S DECLARATION Job Descriptio
Z I hereby ly tet thatlicensed under p IChapter 9(commencing
O Z F 'ith S i ]IXX)a1 U 9 the❑us d ('rtJc,anA my cense
is ee"`' ! S1L— 2ND FLOOR BALCONY REPAIRS
F —yt!
Ince c - Li a
/ Cnmr ten _;&
my AkChall I'.C'I"S DECLARATION
1 understand my plans shall be Iced as public rtnhJs
i a
pO Licensed Pmfozional .
OWNER RUII.DIir DECLARATION
e W=LLaa 1 hereby affirm tnat 1:nn acmpt from the
ConlravLinens law far the
FZG .(Section]Iainosand i CaleAnY city or crummy
S—o which reyuiresaperminttommt. hr. P ve,de demolish, p y.r aura
a, prtnrl t mat
IM1 ,he tt suchfa a 11signedst mens
s— 'that lie is licensed pursuant(it the p ha t Iha c r ark License Low(chapter 9 Sq. Ft. Floor Area Valuation
(,nounnown,in,win Set a 70(fd t BMW f the B .' as J IIntivor,Code)
.. than he apnha 1 n1 1 as t theB g l m t n y violation $3500
of Section] em
1,1.5 by:any applicant for a,uman kobjects Lha upplieuut nt a civil pemilly
ol.oun m men live nrndrcA dolls,k5oBL APN NumberOccupancy Type
01.as owner of the partner,or my anployces with wages as their stile compensation, _
rill Jo the work,and the structure is not intendeJ or offered for sale(Sm.70at4,
Basins,and Pmfessiom Cook:TTe Commaor'k Limnw Law does nor appy to an Required Inspections
w r mf pmpeny Wnn huilJs err impaves acreon,sad wan aces such work him¢f
or through his own employee.pmvmed that such unproven I t E® 101 — FOUNDATION
altered for sxlc.If,however,the building or Impaveman is
nopletion,meawner.hmldar will have the burden of proving ,"undid Bol humidor 1.02 — PIERS
.inpave ter pmax•nr.nle.l. r,�I�� pp,1 2001 ,1{773 — UFER
o 1.a,owner or[In pmpert,am encmai,ry aouraating wnlh BaetaW r enc s t 1! 1.04 — REBA R
instruct the pmjeat(See.nus.Mastics%and Pmte.aion,Carla) [he Contractor'.iamse Latw Jmas tat apply It.an nwuar of,uptrny who bolds art Impra.es thereon.
and who cantrams far such prttjcets with a cantmetnn,licensed WILD ��` 105 — ANCHOR BOLTS
t?rmmaarsu¢nscl.aw. YX 1.06 — SEWER $' WATER
01 ant c,empt under See. .B k P C ar I n masa
owaa nate 202 — UNDERFLOOR PLUMBING
WORKER'S COMVI7NsnnoN DrC1.ARA1TON 203 — UNDERFLOOR MECHANTCAI_
I herein anion ander penalty ofp apay now of the htBowntg dielarm a, _ 204 — UNDERFLOOR FRAME
411, I have and will of or a(muillatta of Cooler" m hWok
a,',er Woar's 205 — UNDERFLOOR I NSUI_AT I ON
mr'wa'attun, as pmvinlidtrd ter by Semina 39(1() of the Labor Code. rot the
perbtmn.aecof the viork too hid,ud.parartis issued. 301 — ROUGH PLUMBING
InmeandwinttntiiuumWrke,.Compensation m.urance,-1regWedbySmooth 302 — TUB R OR SHOWER
I of the Latin Gats.for the performance of the work for which this permit is
issued.M1y Wbrker Camparrap nm,marom eatllct an Porky namner art: 303 — ROUGH MECHANICAL
� I p'lBcyNa.: i�� 304 — PLOUGH ELECTRICAL_
CERTIIICA LUN(1P li%GMPI'ION PROM WORKERS'
)NIPENSSI'ION INSURANCE 305 — FRAME
fI",'trai ioredmrbeco.npleedlIOnpamdtisInm
rtcbanm
Jadollars 306 — HOLDOWNS
(Sl Nbor le.a.) 307 — INSULATION
1 emit,that in the fwHom ancc of tire work for which this Permit is issued,l
shall not employ any pavan in any,tam ,er. a,to become subject to the Workers 308 — SHEETROCK
Applicn.ananl xr,arcarramia.ua" 309 — EXTERIOR LATH
NOT ICE
NOa CETUct,.toCARCII:ao makinghisCcnircate the
Exemption,Cr.youmulst 31.0 — INTERIOR LATH
became subject m the Worker's Cnmpcns:ninn pmvisinns of the hbur Cnde.You mull
Q O tanhwilh amtply with wch provisions or this permit shall he Jeemal rcvnkcJ. 311 — SCRATCH COAT
H ^ CONsTRucnoN LENDINGAGI NCY 313 — ROOF NAIL
ai > I herchy nninn that there is a....utmadon lending ogenuy for the rocormnnac
W ortire workto hi,bua,,r, if isi,,.ad(Sri.9b00,Civ'C) 501 — FINAL ELECTRICAL ENERGY
GI I<ndc,,Name —
ZI z Leadm',Addot, 502 — FINAL PLUMBING ENERGY
UO Icerhythat Ihave read Ill,appbaaranaad.uncmatthin abcrveinfarmmionis 503 — FINAL MECHANICAL ENERGY
coram.
1,gom to cox'n
mply h.11 city hard a
d c my Nmanees and state laws renting
O U ut building , action.and heathy uuthorim representatives of this city to enter upon 504 — FINAL BUILDING ENERGY
�] the amttadve a armajoteJ property for mpeaian pummel.
t}, y (We)agamtuim's,indemnify and keep harmlessthe CiyofCupeninoagainst 505 — FINAL ELECTRICAL
In liabilities.judgments.costs and caim,,es which may in any way ancone against said
UZ city in aonac11 once cane graannganhia,erma. 50�—MGRS TEST
AIT :ANT 'NDERSTAND$�NU WILL COMPLY WI'II ALL NON POINT Issued by: Date —/
S I 'aE ULA'O' .5 ' ��+s�— Q'—
ti h,-r."I, I'll Ucomrrear Date Re-root's 508 — FINAL MECHANICAL_
ALARDOUS MATERIAE S DISCLOSURE
Will the cep cnalrrlmare hm1dms«et,mrt sforcorhandlelta,:adualromedal Type of Roof 509 = FINAL GRADE
a,delinal to
the L pc.iro Municipal CWe,Chapter 9.1...routine Ifculth and Safety
sale.Semicon 25532(a):' 51.0 — F.I NAL PL INING.
GYe, _ Na All roofs shall be'WIP4elect RraElyFs' Tgleat" ag installed.
Will the applicant or l more building occupant use eyuiphart or devices w hich If a roof is installe without Irst o``1 Ira an mspec ion, agree to remove
emir herardaus air contaminants us deli and by the Buy Arca Air Quality Management '
Dobie,'? all new materials for inspection. Applicant understands and will comply with
❑yes I all non-point source regulations.
I have rend the mrntrdoos unusual,tcyrhcmenls radio comic,6,95 o1h
Culham.11aallh R Sultry Code,Seaaion,255(15.255)7 and 25514.1 modet,mad that
I theIN ldittg
`"a mesa front e...ly have a corrin.limit, my rc,,n,inility a madly the
rcyuirtnents w `b mal Iw ten prior Lt Cenifcae of
not
r Signature of Applicant Date
mods ase` _Z_�ate All roof coverings to be Class"B" or better
OFFICE