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01050005 RTINO cJ U of CUPESION BUILDING - t{ l.nmc])]VISIONPERMIT CONTRACTOR INFORMATION: ED ILII NO ADDRESS: PERM Ir NO. 20200 LUCILLE UNITS ?_ ROYAL ROOFING 01050005 OWNER'S NAME: APPLICATION ItA'li TRAMMELL CROW RES. SERVICE 1.345 VANDER WAY ��/ J1./2001. 1'IIONE: _ SANITARY NO. CON'I'ROI,NO. (408)279-2332 ❑.Z ANCHI I'Ec DIiNGINHIE: BUILDING PERMIT INFO µ 00 BLUE Ii 1FCIPLUMB SUCH u yea y'^ LICIiNSEDCON'I'RACfOR'SD[ChAHATION Job Description _ hash I)Ili ohm l sun of ueE under lingo tali9lemnnrenens '6z=cln r:a nhwlaonxo n g m F:a olth feetionmgn)nmroisinn,hnhr Bnsmex,dna Pmtesamt,a,de..lm n'r°lire REMOVE SHAKES INSTALL 1/2" CDX & 30 YR <��� is in Ie I Li=.._7419 33(0 o d u Ince j�� set Chnmarlm yl—� SHINGLES NGI_ES 3 u H ARCHI'TECT'S DECLARAI Py am F W Cg I undemu,,d ro plane,hall Maxed a,puhlie records �u i O O Llcenred Pnrrosonul o OWNPNUILDEfr e ARAr or I greasy.(Seo led cleold from the Comncoo Fiction,Law fm hy — O hdngma.aa don]oBusiness em( ons CodsAnycity% ar =M whichrequires construct.ntm.improvderolih W Y-tnmatue 1yy— pr t t a ,a 4 [M1 pill II hpermit l flu :g Jate nem 3 L t1.1 Ill 11 IlLealliab Section m I lila: rI c In 1 fcnapler9 Sq. FL Floor Area Valuation or that a in,is eonsthafour m ci Divi,lis 3 of tat On 1c,ed oand 1'mfA.,vs Cmlc) or that he is exempt Ihemfmm and line basis for the allegcJ cacmption Any violation _ of Section 70315 by anyapplican 4,r a Flood%objects the applicant I,a civil penalty APNNumber Occup of nn[lund ame than file hred dollars($50(n. ❑1,as owner of the prolsoy.or my employees with wagers ns their sole compeardion, will do the work,and the gloalum is nor intended or off red for sale(Sec](M4, ] 9 Nosiness and "I h Perfessiona Col e Contractor License Law does not apply to an fired Inspections r of prnpcoy WFord,lir Ilnpnwcs thereon,and who docs such work himself' or ho doolit his awn Cmploycns,pro,drd Thin such Improve only are not intended lir offered for shit.Ir,hnwoxr, be milling or i:npoolunwat is sold within one year lir 305 — FRAME completion,the owner builder will have the bunlcn ofpmving[hat he did not nort,,r ©7 — INSULATIONintp wet in purpose ofsale.). ❑Las owner othe pmprny.amexclusively contracting wila will' 601 — ROOF TEAR OFF owwmmBe project(See.AWT.Business and Processions Covica'nu Central 602 — ROOF PLYWOOD NAIL Ficee Law dor,not apply m an howl of ilds them e. 602 who buur implores thee. and who elements for such prnjeet%wim it contwclor(x)licensed pursuant to be 603 — ROOF BATTENS Chhtr:ken's I.ieehm Law. I amexcand under See. .B&Y C lirthis mann'' 604 — ROOF IN—PROGRESS Owen Dine WORKER C'f1M1'ENSA'I'ION DECLARATION I hemby iffinh under Faunally of perjury one of the following Jecuralienx: PI N A L E D lnd will henclain a Certificate of Consent m self-insure for Worker's nlpcnw[iun, is a joed far by Sac[iml 3700 of the l,ahnr Cade, liar the _ dricannowehftnc oktarwIrishlhispemtitis...a�. MAY 2 3 2001 have unit will all Worker's Comwnwlion Imamate,as tra ill by Section ]1X10(tbu Luton Code for the pmfoonuall st be work fnr which this From,in - I,,rhl My Worker',Cnlnpenslit Imm,mae c...t r inffdl1Pol((i��,yy:Inlets,atm: G R Gooier:�ek1FNTI CAt�N )I�'uEXtM ! IsFit; k -ORR��D�O � BUILDING COMPENSATION INSURANCE ads section need no,he completed it the permit is per one hundred dollar (SI(0)or last , I cloudy fail iu the But'on,,:mec or Ill wnrk it,,which this Ill rinit is issued,I shall not employ any pcm h.in any romen r so as ,,heroin,s.bj,,,to the Wurkcrd Compensation Laws of California.Date Applicant N(y1'ICH'10 APPLICANT:II;u(I"um m,lois Cenif¢:etc of Excmptinn,you ehnuW Iwcomu snhjml h,Thu Work,,',C'nnpwo,iti on pmvlsionv of the Lahor Cod.,you nnwl O O Not comply with such provisions or this I<fmd shut 1 he deemed revoked. F ^ CONS'[RUCTION LENDING AdENCY aI herby apron Ism There'":.....notion lamdiny agtncy fir the performance oc lire wnrk in,whirl,flee,ennil is m,unl(See.3097,civ.C,) Lender's Nam 7_ Lender's Aill 7 U O Icagier IsmIrplhave mill,thinityan ,army elmThatth,id tat of now.Is enrmm, g con tr chmply with ell city and a reps ouli Lives led saint laws enter Upon O C.7 m almingconswed propeand hereby amharizemposenmtivc,of this city In enmruMln alis aM(We'a ianml property for inswninn proposes. ti (z) IWgegrccnuuvc,in rad IsryandA hill'nary ill to way11 Cupeninn against Z Coy in u,hr,rrrnu,costo and wilco welch nary ll any sour n uu agoing said U z Citrin Culla UNDERSTANDS Rahe NDSANofhis,COS L 1O SOUR ANTUNDERSTANUS AND WILL COMPLV'WITH ALI` 'ON POIM' ISSUE, by: Dille "V SOUR c�OI— S ApplicHAZARDal - �Jum Re-roofs HAZARD a 'rlIevAL3 DISCLOSURE or URI: son tee appueant m hilum ipal Chile.Ch lit shim m hadt a HeaNws[material Type of Roof ns,shoedny[he 32(a)?nn Municipal Grlo.Chap¢r 9.12.and alis IIcahM1 and Sufcty . calx Sl lino 25532(u)'! ❑Yti Ila All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future Building occupant ton,equipment lir dericcs ishich If a roof is installed without first obtaining an inspection, I agree to remove mail hazardous sir contaminants as defined by[he[lay Area Air Quality Management nia.ima all new materials,for inspection. Applicant understands and will comply with oyes all non-point source regulations. I have mad the hazard,,..materials rcqulmnmnts under Chapter 6.95 of the Califimtiu health Ic Safcry Gxlc,Sertions 25505,2553?and 25534.I undt"emd ohm n ///O/ lore huiWin,ha s nol narrenf,have.mnanL old h is my respsihilly to ail'y the (/ occupant lir the lv'quimnmms which must Iso met prior ha mnisnnanee ill a Ccnif icure etc _ —�' Q=apan=r. ignature of Applicant Date — n a.wmizrd igen, -/� lCit roof coverings to be Class rB" or better OFFICE