00120077 CITY OF CUP6R'rINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING AUUk FS PERMIT NO.
11646 WUNDERLICH DRIVE SUNBORO CONSTRUCTI N CORPOO120077
OWNER'S NAME APPLICATION SUB DATE
SUNBORO 1307 S MARY AVE #2 8 122/13/2000
JHONE: SANITARY NO. CUNT TOL NO.
(408) 810-6122
O C Z ARCHITECTA NGINEER: BUILDING PERMIT INFO
ju O p O NLEBir UV.CT/- P UMI E
'cru
LICENSED CON'FRACI'ORS DECLARATION lob DescriP )n
ZIN
O Z ID C I thereby altine that I ant IlcenmJ under proviviona of Chaplet 9((...msec......
F 4tw Nth Section 7000)ofDivision 3 or the Bimini Prole%seery tale,and my license
_xs mluinecamenen � — Sll 2140 LIVING SPACE, 437 GARAGE
�� ismer e�sa� Comment' —S ONE STORY RESIDENCE
p al -Dale�� �— Comment'
.
to g 1 understate drJl M uncJ uh' m I'd,
ar
,^}l
i�❑O LiccnwJ I '
d that I am cxc. DECe r
='w 1 hereby alfinn that I um exc m from the Contractor's License Law for the
t=< following mason.(Section 7031.5,Business and Prolcssitm.Cade:Any city or county
FO which 'a a tower II p d Lh p ysl num A��v
at 3 primt t lk y toapplicantl hoemit tIsignedstatement
a. that he is I do I the I I,of hc Contractile,1 1 (Chupmr9 Sq. Ft. FloorArea nation
Tout g w W Se" 70gq I DIvillim 3 It the II a I I 'Codd
or(hal he i,esemmr Nero o red the nom ha Itert Ilergm cac pien n.Any liol,Ilion .
of Sectio 703 1 S by any applicant lar a pr:mol,uocru,the applicant m o civil penalty
of net mom thanfi,rhundreddollarsWOOL APN Number Ocwd'a3G�f!§9�lEr
❑1,as ownar ol'the reopen,,or ely employees with wage,a,their soir compcmmion,
will do the work.and the ylructum Is not intended or offered lar sale Isco.7.14,
Imsirn..ami rtor,.don,C.„Ierlhe Commnta'.Licence Law doe.Dol apply to all 3752701 rlieg0red Inspections
r of pommy Who trades or itnn or,feetam,and who the,,uch work himself '
a through Lin own cmpinyves.pm..tied that.0ch improvements am not intended or
Deccan krr vh,.IL however,the Molding ,,irnprovancin-ould wimp one rear or 101 — FOUNDATION
iom ileal...the minter-builder will have the In rdern of moving that he did nor build nr
mprove fill rarprwe ands). 102 — PIERS
❑I.a ,vine onheprolcryuIIrrm.ivelyrmlmningWithEeeevedemttr=msto 103 — UFER
Lntrua III.pmjcel tsce.7044,(Maines,unit 1'nd'caaion,Codea'Iha Coma.....'.
icense Law mow,not apply loan owner of peolmrly who hu'tla or improves thereon, 104 — REBAR
and will)eommcts for such projects with a etnamnorfsl licensed pursuant m We
Central License Law. 105 — ANCHOR BOLTS
❑1 am esUntpt ander Sm. .B K P C fill this masse
106 — SEWER R WATER
Owner WORKER'S COMPENSNIION DECLANA'I'[ON 202 — UNDERFLOOR PLUMBING
Llmmbyanimt ander penallY orpemr,mmol the following dcelaratiom: 203 — UNDERFLOOR MECHANICAL
k3 1 fiave and will mai umn a Ccndmalc of Consent re elf-itilme for Worker', 204 — UNDERFLOOR FRAME
can'ti'tion, as provided for by Section 3700 of the Lamar Code. for the
perfannancx Il taZ vork lar which this Kroll i.i...m. 205 — UNDERFLOOR INSULATION
❑I have ant will remnlahl Workcr's Cmnpar.A t motrame.as rcgwmd ny SenEtm 301 — ROUGH PLUMBING
371N1 al the I Codefor the pl,rlhmtaor,ul Ihn woak rot wnicn this peon:.i.
ca M r,cetnpen.aEon m,aranne canic,; (Policy namber am: 302 — TUB R OR SHOWER
ems, /_�p1U�J oueyNo.: . —6 303 — ROUGH MECHANICAL
CERFIFICAI I(1N OI'EXEMPTION FROM WORKERS' 304 — ROUGH ELECTRICAL
COMPENSATION INSURANCE
Inti,, ernecit beeontrtried itthe vcritilt,torIcntmhmdollar, 305 — FRAME
(Mwl°rIe^=' 306 — HOLDOWNS
1 verify Bid in the perf ummice of the work for which his permit i.i...cd,1 307 — INSULATION
shall not employ any pease in any manner so its m become subject to me Workers
Compensation law,Ifc:diromm.Date 308 — SHEETROCK
Appl:cam
Nrn"ICElunrrl.ICAN'DII;wt�n,..akmg tldI CcelYmme of 'v
1: y1e sit""I`I 309 — EXTERIOR LATH
Z becon r subject wme Wod.ur'.Cnmpcn.miutl IF , I n,of the Labor Coda y,m mail
rrwi 310 — INTERIOR LATH
O O loth b cont with such pnni..ion.or Illi.,ennir shall M deemed revoked.
F4CONS1 RUCTIONLLNDINGAGENCY 311 — SCRATCH COAT
a I hereby affirm that there is a conviction lending agency for the perfmman e
W onhc work for which mi,pcnoa I,is —
acd(Sec.3097.Cly"Q) 313 ROOF NAIL
O Lerde,e.,Add ,. 501 — FINAL LECTRICAL ENERGY
v C 1terlythetIfir,c ial his a,,Ii.tionand,efiemarde,ahlinterrelation i. —7 FINA LUMBING ENERGY
fa E. soma.1 all to comply with all city and nmmy ordinance,and gate lava miming
O U to building comtrocron,and hereby authenticmpmsei ivcnmheacity1.enterupon50, — FIN MECHANICAL ENERGY
he Ice r ted, rcade ' :regi pm — FINAL BUILDING ENERGY
y 1 IN j g umsa 1 ly'le' pt Ess thCCly f6 ti. Inooga'nH
H (n li: o, r t. o 1 'y In ICY Y '" boin.a,aiA /
'U z alyin< oanfmgof — AL ELECTRICAL
'LICANI'UNII' ISANUWILLC PLY WITH ALL NON-POINT SSlledh Date
SU rr NS. Y' _
�� ���� 50 — FINAL PLUMBING
Signutu ,pPlicunUGmvac — Ilmc e_rQ
HnzABig DD' ATP ills Dlsa.osukE 508 — FINAL MECHANICAL
wuI n,e omhEetmt m rm noiiding uutmum.torn or nandle Ita,amotn,tltatedttl Ty of Roof
a,hr ed by theC.,mnoMntlaipalaeto,Chaptaro.12.nmlmeWild,andSaf,y 509 — FINAL GRADE
Cmc.Section 25532(ul:'
OYc, ON,, All roofs shall be5q.4aectedipilNmLaiipL(pfp$p7Vg3�rial being installed.
Will the applicant or fount building occupant use equiFmem or devices which If a roof is installffA,4ithou4fTl 1p)LtailbUoLniU�pY(lt�t ra�grce to remove
emit lmaurbas air ammmin:ou.ns defined by the.lay Area Air Quality Management
i,trien all new materialsidiv �n spec"00pWLt�wt ®dB sWN.jpnd will comply with
�1 ❑Yes DNo all non-point gull&F BATTENS
I have read me hneardmn tnnmrials rcgaimncnts under Chapter 6.95 of the
Cullman.Health k Safety Code,Senior,25505.25533 am13553J.1 undemand that 604 — ROOF IN—PROGRESS
US,hu,1,11,12 due,net currtnrly have a tenant,that it is my mgam.ihility to notify the
«cu on lents which muu be mel prior m kstmnce of a Cerlecme of
G they. set Signature of Applicant Date
oowmmor:m get — a All roof coverings to be Class "B" or better
OFFICE