02060144 CI BUILLDIN UOPERTON PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT N0,
21201 CANYON OAK WAY ALLSTAR PLUMBING 02060144
OWNER'S NAME: APPLICATION SUB DATE
WALTER PRICE 656 N KING RD 06/24/2002
PHONE: SANITARY NO. CONTROL NO.
(408) 251-6040
ARCHITECDENGINEER: BUILDING PERMIT INFO
m BLDG ELECT PLUMB MECH
1_J
LICENSED CONTRACTOR'S DECLARATION
o H o I hereby,affirm Not 1 am licensed under provisions dChapter 9(commencing Job Description
F,HC' withsecuon] )ofDirision3ofthcBtoomosandProfessi...Cwle.andmylicenu TEE—OFF FOR GAS
z y f is in full fo a Feet. �/ �p y
3 z u.¢ Liccn IC/�� s I Pa
t3 3 v- Dn CHITECT's D RA ION
zn O_i 1 understand my plans shall b,used as public records �®
o C Licensed Professional
OWNER-BUILDER DECLARATION JUN 2002
'=m 1 hereby affmm that 1 am1. exempt from the Caston, o License Law for the
t_?a followingreason.(Section 7031.5.Business and Professions Code Any city or county
xF.^_ which requires a perms re consumer.alter.improve,demolish,m repair any strunum. 2 600
i3C -Pna miss issuance.als req ' athe Ophcam for suchp<rtmu rl igm4 stammcm _ ._
that hdsli used puryat 10 the proNi°ns of the ContractorLicense La (Chaprer9 So pS pDp& Ie.3 r Valuation
(e' ' g thSct -]IX)B) fDiikon3of,hcBusinc ndPpf. ionsCode) y;4;!� �3'42590•'2'�>.;O�Slrf,..laliia`A:, y
ar thas he is exempt therefrom and the basis for the alleged exemption.Any violation
-of Section 7036.5 by any applicant for a permit subjects the applicant to a civil penalty
mar
'ref not e than five handled doll.,($501). 106 APN�gr & WATER ;'t' ' " Occupancy Type
ElL a.v owner of the pmpenri or mY ctnplaytts with wage,a,their role compensation, tKt
-will do the work.and-the'nmcmre is'not intended or offeredfor sale'(See:-]01.L- ---- -' -- --- - - - - - - __--
'Bminad and Prbfe.amna Cale The Canrecmr s License Law does not apply to an 301 - ROUGH PL nspecttons''.r n
owner of pmpcny Who builds or improves thereon,and who does such work himself
mthmaghms awn employees.provided mansuch impmvrmenta alenothin intended or . .3.02.._=___TUB._& .OR._SHOWER...;..___. __.,.. ._. ._._.__..
's soldwrhin ane f .. . ..__... --......-.
or
di it 'If;er lh 6avete mpmof Prov yearn
a piniontheownerbuWcrwllhavenc�huNenafpravingthmhcJdnmhudor 502 — FINAL PLUMBING ENERGY
improve rot purpose of sale.).
_..._-_.GAS TEST___.___ ...
r. ❑ixurmttheroj.(Siiteny,a,4.Bmaeio, admtmninied,Codr:) heContractors
onttt°nm 507 — FINAL PLUMBING -t ',•. _.''� _._.-.... .
c
License
ct the does
n (Sec.]Ma owner o and property
who
b Cade:)The Co thereon,
p;y, � ,I I .q:
and.whLicense Law docs not apply man owner of property who builds se improves thto the ' 'i °
_Commeo e,Livens for such pr°leets.wird a.contmcmr(s)licensed pursuant to the
`�- Comracmrs License law. . ... -_._. _.-..__ _.._..__ ..._... ... ....... ....... ..
❑1 am a.rept under Sec.' ;B'&P C for
Owi " Data -
WORKER'S COMPENSATION DECLARATION
iI li by a1Brm der Pen hY of R I ry o f.th f Ilow g dcdarasions.
El h 'd will emormi I C riff to f Coastal m'. If' a for Worker's
Compensation, as-provided[ ter by Section 3000 of the Labor Code, for the
performimire of the work for which this Muir is issued. ,
01h...and will mainrain,Worker s Compensation Insurance.-as mgdimd by Sarion
3700'of the Lab,,CCode,for the performance of the work for which this permit is
icoard.My Worker's C mp t inn hAturame carrier and 23Policy number are -
J` CERTIFIC TIO 0 E OM1 FROM WORKER$s 4o ii k
3 - COMPENSATIH9NSURANCE h - _
' noT fictionn ecd nor be complcilcd if the Permits for one hundred dollars
(SIW)or less.) '
,`, Ic nfYJh(nth Pe to, of nc�work farwh htti. pe Isis.uedl -_ .- -- -
hll obi enrlo' - -
p y any p n u any manner eo ac m bvenn a cubjeer ni itie wor6eec - it
Compdnsmion I,uw.of Calif- ire.Dae
.Applicant: - _
NOTIC
become subject
APP LICANT:IL Ca makingthisoof Exemption.yoou most
Z five .comIlo the Nosh C'rnpenvto Provisionsllbe Labe Code.you tuft
z C fort 'th- ni, . with h p '.'one o 'hisprofit'hall-denied revoked i
.f,rA ' 'I '_ "`�I CONSTRUCTION LENDING AGENCY - "• _ r'I: h 'r
hereby aFinn that there is a convection lending agency for the pedosrnancc
W. of the work for which this permit is issued(Sec.309],Civ.C.) -
Lender's Name -.- :_e -. -... ._ _�._ ... .. ... .._ .. .. . ......... .
C.3
"a n <lh Jh - In d.wt Iliatbo- informationsoI gyrhto ply with all.city d my ordinances J at laws relting
Q C.1
L.,- rob Id o Lit . d h b-y' d cen
ou ve ofmi,city to enter uo'nhe above mem r a,d pY f tnopp cs. '
r) �-
if
F g t r: de ph les'ihCity fai gin
liabilities,j dgme costs and expenses which y n any y eral, gain t saidUZ Cit consequence
granting ifffi
A`TUNDERSTSDSAND WILL
COMPLY W'ITHALL'N N1 POINT
S"_
Issued by: Date
Signature oP and on r• pare
el dhingaccup DISCLOSURE Re-roofs
W 11 th -ppl cat f t mi bind gyydlloeeeccuW t store or hared) haraN' m t n I Type of Roof_
as d'- ed by th C pen N n p 1 C Ch pt 9 I J the li Ith a d S f ty yp - "' :""""•»` "' "^ ^-- -•• -«.----„
CnJ S ton 2553.0 -�/ , 22
❑Y: 't+ i"t -. ts: �Q rvV a S [ � Y',�t.F! 'Ae si.. .
! ' `4` ` All roofs shall be inspected pnor_[o.,anyroofing,material being Installed.
• Will dth pplc t future definWildinged
occ ayAt use iequipment devices which -If a roof is installed without first obtaining an inspection;I agree to remove
cmthz d cot nt. defned b5 theBayArQ IryManagement
I.., yet / -.all new materials for inspection Applicant understands and will comply with
I all non point souice regulations: .
1 h ;'lead the hazarikius materials requirements a der Chapter 695 of the ' " • '
California Health&Safety Code.Sections 25505,25533 and 25534.1 understand that
if the bu ld'ng does not currently have atcnumt than is illy responsibility to notify the
cc pa t of th req it t. hi<h must fir net pdor.to is. a 'df a Ce fcme of " -
G p y _> ow aamari== reg r v
Si nature f APPh.cant _
Date
All roof coveringsto_be
Class "B" or-better ;
OFFICE