00060103 CITY F c 7ERTINO
nuuO.omc urvtsu'" PERMIT CONTRACTOR INFORMATION:
BUILDING ADI)i PERMIT NO.
IWNERs NglplebUR N GREGG D AND bZplJYTR@@@&0103
PRONE; MAHURIN BREbb D AND—F-TET- SANHARY tl)G/15/(2(t0,o
O z% ARCHITHCTIENGINEER. BUILDING PERM(IINFO
❑�❑ MAG ELECT I,UMB MECH
m c LICENSED CONTRACTOR'S DECLARATION Job Description
1 thereby oQirn that I am licensed under provisno of Chapter 9(commencing
south Seellon70(lo)wf Divi,ioo3nfine Businessand Prono,vlom Cdnand an,license
is in fun force and effect.
se uLiccnm Clos a- Lie
Dat comm°"" PANEL UPGRADE
3 m G ARCHTtC* S DECLARAnON
H m
1 mold,, nd mty plum aha°the mrd as pnhllc records
�Y
at i p O Licensed I'micxvimml
al v OWNHR-BUILDI!It DECLARN110N,
ad hereby allirm that Ianx opt fr+no
l the Cnmaemh mfin Licee Law ins
te�' kchowing a. n.(Section 7031.5. v
Busi and Pml'es s Code Any city o unty
z o owhich rcymrc ".III'.II' .t- t It r.' ps J n fsh pa_ y a ure
"r nr mine al.alm ma, irethearpl cat finoth peornitu,I Ie tined maten¢nt
at— that be is licensed moccatma theorlImm,al thec watt ',Liccom,Law(chapter" Sq. Ft. Floor Area Valuation
(comm sing with Section 70)(1 of Division J of the Bmme.ss and Professions Cade)
or that he is exempt therefrom and the basis Int the alleged exemption.Any violation
of Section 7031.5 by any applicant for a permit wbjects the applicant to a civil penalty
of not more than rive hundred douan(s500). APN Number Occupancy$T�pe
ser of the pmpery,or my employees with wages m their sole compensation,
will do the xnrk,ani the structure ix nm intended or oHcrod for fall(So.7014, 3591.0028. 0Rqulred Inspections
Bodies,and "'fe store Cole:The Contractor's License Law does tint apply h)an
rrr of"minas.Who builds or imitated,them, L.and who does such work outwit
otbmugb Ills com anployeccprovided that such imtnwemcmis arc not imendcd or -
Ofmcd lin salt.IL nnwevm,the bul ding al'ilnprovclucm is.veld withm one year of
omplefmr.mer+wner-builder will have the hurdentf rodingmat he did a,,,bdldor 304 — ROUGH ELECTRICAL
hn"msetbr"umosetfsal„ 501 — FINAL ELECTRICAL ENERGY
❑1.as owner of the protects,am exclusively contracting with hcem=aenmraetm,t,, 505 — FINAL ELECT R I CRL
Lmmoct the project(Sec 7Iµ1 Business and 1'rmlcssians C drq The Comms
ircmxe Law does not apply to an owner mf property who builds or improves thcrenm,
and who contracts far tech project,with o radia qs)lieL portent m he
Contrannr's , sc Ww.
❑1 um ex'!/�ttcundmi Sec. B B P C for this reason
)w 6 ER'S COMPPNSA`lt)N ATION
11mch,Lannon ande,tc 'Ity al er) y one ofd cold bid I' ns:
C I1 ll nn. t C it w,, 3 t or L f WnkTo
Com",m,mi rev d d f by Sccl' s 7011 f the Labor Code for the
perbmmense of the work for which this Purmn m IsstleJ.. '—
❑1 arse unJ will mainuin Worker's Con+prnvalion la,mal a as required by Section
3700 of the Lahr Cade,for the peroommadd-of the work for which this permit is '
issnrd My Workers Compensation Insurance carrier and Policy number an:
CERTIPICAI'[ON UPP_policy o.: PROM WORKERS'
COMPENSN'ION INSURANCE /
('Phis section need not be annplemd if the Pesten is for one hundred dollar,
(S 10(b or Icss.)
I ramify rho in not performance of the work far which this ,air iv Issned.I
drill not mntfly any person in any or It sat as to bvome s,,bid,,In the Wudars'
Cnntrcllallio I laws til Calikenia.Dal,
A"pheam
N0'I'ICE'10APPLICANT:IL atter n+uldg thix Cenilieam of[xmnptinn.You should
hcome subject 101he Workers Compensation provisions ofthe Lahr Codc,you must
Q Q tonhwith comply with wch provision a this permit shall be deemed r,v,,k,d.
7 —
F ^ CONSTRUCTION LENDING AGENCY
I I Ircrebs alihm thauhen,is a contuatioa lending agcncv for thr perfomtm¢c
s: of the work for which this permit is issued(Sec.3097.Civ.C.)
6. Q Lemdcr's Name
= Z Lemkr's Address
V I certify that 1 have read this application and vane that the alma information is
W E.w
correct.I agree it,cooply wilh all city add.aunty ordinances amid.sone laws relating
Q IJ o handing ensmicllton,tend nerehy nmhnrLe m"resenwtivee of this city tonern, I
tea nhavcmeminnnl property for inspection pnrpascv •.
F a (We)Limited,sor.ondemmil'y tend kcal+bnnnldss be City of Colton nngmne p�
CO) Ckylijbilin o)oo, 5ails,cavus and ex"c III whsh thin.in any way accrue against suiA
C.1 z, City in curtsey hnce of the gmming til this omit.
APPLICAN NDERSTANDSAN ..COMPLYWITIFALL N INT ISSUedby: Date
GE vo
s+ -- - Dat= Re-roofs
cH a MAng real DISCLOSURE
Will Nee applicant steam Ivimmg re.Chaptstore r9,12.handle Health
Safety Type of Roof
as JcEnal by the Cuparino Municipal Code.Chapter 9,12.and the Heahh unJ Safety
Codc.Section 25532(x)!
"s IL' DNa All roofs shall be inspected prior to any roofing material being installed.
so'l'd¢applicant or mwrc drilling tceapnmt tlxr eytipn+,m err devices which If a roof is installed without first obtaining an inspection, 1 agree to remove
emit"o ...um sir umwininuntx iso Acf nrol by the(fay Arca rev Quollry Mnnngclncm
Dismiss! all new materials for inspection. Applicant understands and will comply with
Pym El No all non-point source regulations.
I naw rend the hmmrJnus nmtariuls rcquircnont,w+der Charter fi95 of aha
Califomin Health R Safety Codc,Sections 255(15.25533 and 25534.1 unaerntm d that
irlhe bu it'Jn xnot curtendy hmeu¢nxnt.t til is my resp+nibility onmify the
oceupatn or m "modrenta wmen miter tdar n.i ..are of a Cemhend of
leupancy. Signature of Applicant Date
All roof coverings to be Class••B" or better
u o�—'.d age - " - Date
OFFICE