02030135 c►BUILDING DIVISIO NO PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10315 ANN ARBOR AV ARGONAUT WINDOW & DOOR 02030135
OWNER'S NAME: APPLICATION SUB DATE
CONNIE CHAO 10624 S DEANZA BLVD 03/25/2002
Am
PHONE: SANITARY NO. CONTROL NO.
' (408) 996-9670
non ea O ARCHITECT(ENGINEER: BUILDING PERMIT INFO
si u C BLDG ELECT PLUMB MECH
y�yL= 1""l V
LICENSED CONTRACTOR'S DECLARATION
5 1 heolny amen that l am licensed under provisions of Chapter 9(commencing Job Description
s=t� lh Senion]0o0)of Division 3ofthc Busi and Profession Code.and my lic<me INSTALL 16 WINDOWS .
j m Z: N�II force an effe t ,
:
:0W 6 li+lsnX Clazs f 7 t: .a
V, 1 undemand my plain sM1all be uneJ ac public recaNx �n ar aa� ,a
1 a p 0 Licemed Professional ,'^r q e�
' o OWNER-BUILDER DECLARATION
t I hereby aBirm that I am exempt from the Contractor's License Law for the APR 0 4
?a following re n.(Section 9831.5.Busmen and Professions Code:Any city or county 2002 $9500
iff O winch ts perms c t n h improve,demolish,ore asranyswcmrc
es. .pnormu cit also 9 theapplicant for such permit to Eeirse Lnw(Cluxmam. - _ _...-_ __. _ _----
es. b r I a red Duriupnuo chit p_ to of the Contractors L Genu law IChapmr 9
(commenc ng -a Sect on 1000) fD 'on3of the Business slid Professtom Code) • ���_ y_
Valuation
or di is exempt therefrom and the basis for the allegccd ciemptton.My violation
of Scc,ion]031.5 by any applicant for a penial ubjms the appliam to a civil pcnalry-
of not more than five hundred dollars(S500). 10 IAPN ' �AT I ON i Occupancy Type
01,as owner of the property,Or my employees with wages as their whit compensation, 1 02 _ PIFRq
-will'd.the work:and'aesueaere's'not intended or offered for sale(Sec.7049;" -
'Businesa'and Professions Code:The Contractor i License law docs not apply to an 103 - UFER Required Inspections
owner of property Who builds or improves thereon,and who docs such work himself
onn gh of empl }resp 'd d th t ouch, i d d or 104 - REBAR _
completion.
ompllT- slevn a b;monger p - tis old a ayear or' .. ..-_.. ._._. ...--. . _ _ -...__ . . _ -._.._ ..._... ............ .
comply on the owner-Wilderwll have the burden of proving that he did not build or lOS - ANCHOR BOLTS "'' '� •' ' s�
improve m,purpose.1"lix.). 106 - SEWER & WATER
❑I,as owner of Ne propeny,ammsinessland ProaingnsCode:)Th contractors to 202- - UNDERFLOOR PLUMBING - ,,, :-b':'�r: - --"-
onswa the projcm(Sec.9094.Business and Professions Code:)The Contractor's
„1
ion Low a«stn apply to anownerorpmpnrwnonwmsm;mprovesmereon, 203 - UNDERFLOOR MECHANICAL'="' :
_and.who.contaas for inch projects with a.commnor(s).licenud pursuant.m.the-
- - - 204 = UNDER LOOR---FRAM
CoWnrtract r9 Ucc�erlays B&P C for this¢awn - —' — -" _---
r Fcc . . _ 205 - UNDERFLOOR" INSULATION
❑lam � •
°°'C / i¢��?� 2' 301 - ROUGH PLUMBING
\ ORKER'SC MENS ON DE LARAT ON 302 - TUB & OR SHOWER
Ihereby ofrmtunder penaltyofrirtiryone Ofthe following eeclarauom: 303 - ROUGH MECHANICAL
❑ l Novi'mte'w iWilitam is cemficate of Consent td self-insure for Workers 3 04 - ROUGH ELECTRICAL
Competition , as pnavidm-far by Section 37W or the Labor Code, for he
perfor„iancdonne Bork tar wmrn mjs pemid is issues.
305 - FRAME
perfomu t' I'e°fanee required by sect 306 - HOLDOWNS
r rK 0 of theISbo Ccdc f ,h f thework( which this pcmut
� olir ' agPorcy li 307 - INSULATION
Cis
�a Myw Has cox d msamCyN 7/3 -0/vc07,/%e! 30$ = .SHEETROCK
I and;,11 taW rker s Com
ERTIF ON OF EMPTION PROM WORKERS t k S i'r''••.i
COMPENSATION INSURANCE' a t 309 - eEXTERIOR- LATHI•
., - ... _
•”'' fTlu ton need not be completed if the permit is for one hundred dollars - r
(allb) lino). 311 - SCRATCH COAT
313 ' -ROOF `NAIL -
Crop ane ,h k f r h ch,h permi 'ui I
lain ore a n. my ria s t t o b C oto 501 - FINAL ELECTRICAL ENERGY
1 cert/gM1fy t m th perform
Coink ti f fn at
App'ca' ----502--- -FINAL- PLUMBING ENERGY ._.
NOTICETDAP or-AN If fl k' In,,o rt'rate fEx poo should
Z bccamesu63ednathe Worker'sCompensation p sonoftheLneCvoked. nun 503 - FINAL MECHANICAL 'ENERGY
OD ronhwMcomplywmschprovisionsorth' pertnnshmhbeeameerevokea. 504_-.__FINAL-BUILDING ENERGX..._.._". . _
Z _ -
•CONSTRUCTION LENDING AGENCY
hereby aRnnlhmN ' nwm )ending urgency m parr mina 505 - FINAL ELECTRICAL -
W"G' orae Name -a . a i s sam(s r 3lNr !'C.) - 506 GAS TEST .i
LendUmdName_ .'''., .. ". ...._ ._.._ _ ... ,
z lanae sAde.ss '- 507 - FINAL PLUMBING
U Oerofy chat i have road ars application and state mat theabove infoonaaon is5 0 8 - FINAL MECHANICAL
0-t- cor,,n,I agree to,comply with all city end county ordinances and state laws relating 509 - FINAL GRADE
0•'V in building construction,and fifmtiy Minorite icpreaemtives of thin City to enter upon
p.,:W aeab°ve.mentionedpropertyforinspectionpuoroses.,, 510 - FINAL PLANNING
r ps l eWq igme io.costs
expenses
s which
h may in the way a Cupertino against
tri' Batyii,lilies.jcdgnicmo.cost+and a of this
wmcn may in any way acerae against via 514 - FINAL PU I C WORKS
U;�' City IeANTUeaeeof thegrantingofWIECOM L ' ' •'
APPEICANP UNDERSTANDS AND WILL COMPLY,WITH AI,CNON-PoINT L
SOURCE'REGULAnONS: Issued by: Date
Signature of Appl came Co tract - Dat Re-roofs
l HA]ARDOUS MATERIALS DISCLOSURE /71/>
W II roe aprnpl t a futmv bu,ldt g occupant stare or handle lige
Type of Roof-
as;
defined by roe Clpe l Municipal Code Chapter 9.12.and the Health and Safety
Code Section 25532(.).
.All_roofs shall be inspected prior[o any roofing material being installed,
Ovula_ ppren_oto,mtarebdhavtgacapammeequipmea,oraevaswnich If a roof is installed without first obtaining an;ins ection;I agree to7remove
emit h Will t nxm u az d fond by roe Bey Area equipment
Quality Managemrnt g p
Dism,1 ```��' all new materials for ins ection. Applicant understands and Will comply with
all-Ti n-porn[source re lations
1 h ad roe h Co to ahs 50 monis de Ch pt 695 droit /
CSrfbm H alth&Safety Code Serio 25505 25533 aM der Cl 1 d rn d chat
f roe bulla tlas not cu d e t ant th t t y mspo t,Illy to ufyae ---
4rgrpa nM1 req ircm t m mon tic t 2g poo m soca cit f a Cemfcaue of v
oeru naso. ,. .. ..
n_ature_o_fA leant
osytrrm°°�anss0 agent . ' ,, �? g Pp Il roof coverings to be Class "B"or[bate r -
m 2Q a A
Y '1 _ _ ; OFFICE