Loading...
01080013 CI BUILDF c DIVISION PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT N0. 10075 CRESCENT RD SHOWCASE KITCHENS 01080013 OWNER'S NAME: APPLICATION SUB DATE STRACHMAN HOWARD L AND IRENE 3 12333 SARATOGA-SUNNYVALE RD08/03/2001 IN PHONE: (408) 253-0412 SANITARY NO. CONTROL NO. w O O ARCHITECT/ENGINEER: BUILDING PERMIT INTO m BLDG ELECT PLUMB MECH Naw6 LJ i--I I-1 GI z S N i LICENSED CONTRACT'OR'S DECLARATION lob Description O 2_ I hereby affirm ma,1 am licensed under provisions,of Chapter 9(commencing E.qs< License sinessanJPre n,e.ae.at,amyronse KITCHEN REMODEL. zml; is in full forte and efts to—z Date Class Lic,p O U Dam O ommetnr / m u O G RCHITECT's DECLA N ) de }g and ffesum mY plans sM1ull be u¢J a,pubL re rd <�"CJ/ .'I p Licensed Profexsional jO x OWNER. WILDERDECLARATION I1r ='1 1 hereby allure that I am aempt turbine Commit.,',License Law mane -z a following reason,(Section 7031.5.Business and Professions Cade:Any city.r countyar, $57991 Y O which requires a permm it comuuct.alar,improve,demolish,or repair any structure to prior to its' a< requires the applt lot such nmot to File a signed.,mmemIld _._ . (co he 'I with no,n p '.vi l e t nrasinr Lavow 'ICI Code) �({. glo 1�pOI" e8... Valuation (commanding Set 7000)of Divi 3fen Basin d tlP.fAnyvi C.Je) f-r11>-� 3.20,U.'b Ub7 .'OUB - �) S,• or that He is exempt thcmfrom'anJ ar basis for the alleged emmpu.m Any violation of Section Than veanyapplicantfora pcnni,subje<u the applicant,on,civil perui,Y' �i,, -NI. Occupancy Type ..r not mare Than Bye hundred ealart asool. 101 APN P'C7�AT I ON 01,as owner of the p n,cay,or my employees with wages as their sole cen for satin, - will do the work,and the structure is no,intended or offered for sale(sec:7043; Buiiness and Pmfcssloo,Code:The Comr oar's License Law doe,not apply m an 103 - UFER Required Inspections" owner of property Who builds or improves thereon,and who does such work himself n,through hi ply :.pet J d Tom h imP c t. ,mended .._.-... _104_ _-REBAR ...._ .__ .-. .. .... "off f 1 If,however,,M1 b ldin a .. s p e t. la tdidno, or 105 - ANCHOR BOLTS completion,on the owner Wilder will have me buNrn of proving that he did not Wild or - imp rovefmpuryose.f,ole.). 106 - SEWER & WATER OLmowner or Ne propcnv,nm enclusivcly commming with licensed convwmm,n 202 - UNDERFLOOR PLUMBING construct the project(Sec.7(041.Business anti Pmfeaions Cade,)The Contractor's License Law cases two apply,.as owns,of property who hood,or improver thereon, 203 - UNDERFLOOR MECHANICAL ' ._ .and whocornmcss,for such mijeche with a contracmnsl licensed pumunt.,o,he ContracmrsLicenseLaw, . . . . 2'04 " UNDERFLOOR- FRAME ❑Iameaemp,unaelsee. ,B&P.c r."m,rea<an 205 - UNDERFLOOR•' INSULATION - _ ownerDale 301 - ROUGH PLUMBING WORKER'S COMPENSATION DECLARATION 302 — TUB & OR SHOWER Ihereby afrte,under penalty of perjury one of the following declarations: 303 - ROUGH MECHANICAL 0 1 have and will mai;nain'a andi,me of Consent to ,elf-Insure for Worker, 3 04 - ROUGH ELECTRICAL Compensation, re provided for by Section 37M of the Labor Code, for ,he r. perf.mm.c of work for which do,permit is issued. 305 - FRAME 01 h d wili ;dandfin Worker's Compensation Insummoc,av required by Sect on 306 - HOLDOWNS 3700 of me Labor Code for,h 'fano c f tnc grrk fwhich'this permit a issued.My tk is c peat nsumnce c o y(4y ysy othi 3 0 7 - INSULATION ( 7 308 , SHEETROCK -. . ... _ — Camer - Pul y No t .CERTIFlCATIO FEYEhfPr10NFROAIXO_RKERS' - - 309 '- 'EXTERIOR-LATH r 'COMPENSATION INSURANCE ' ' __ ___ , INTERIOR- LATH -- - -- — r erh, r"mesano,Wcdnple,dinnepermitisfotinehundreddollar, 31Ol SCRATCH COAT (slml an«ad . 1re' m , , - 313 '- 'ROOF'NAIL'"'certify - pc f Lan k for which,h pe t . ,su d 1. - ,nau t Nv rp 'vma, .tnn«pn njat,dmewa,eem' 501 - FINAL ELECTRICAL' ENERGY o p ,ar.n Laws of Cal tom a.Date -Applicant 502- - FINAL- PLUMBING- ENERGY----- ' -- -- -- Ncomesubject uOAPotheWorkersC mpensmgnh,Ceri nso thlLabor ode.youhmld 503 - FINAL MECHANICAL ENERGY Z NOTICE Wb APPLICANT. Workers Compensation makatgthis coifisof the lrtwr Code. asmust ld O p forth withcomply withsuch provisions or this is,rmitshall be eeemeahe rout. _ _ -504__-.-F.INAL...BUILDING-ENERGY_....._.. .. CONSTRUC71ONLENDINGAGENCY 505 — FINAL ELECTRICAL 1 hereby affirm mm mea i,a cnnnuetion lending agcnry for the performince �y , hiThe workr mcnm rc issued(See 3097 Civ.C) 506 - GAS_ TEST L � 'Lender's-Name U,o 1<ra neem. 507 - FINAL PLUMBING 1 nfY�h,lh Jth'. ppl' f d.wmthnh b f rar' , 508 - FINAL MECHANICAL :OAF' mbuidl g 't cti vIa mall "t d ,y a' c. - d `, 1.11 erupon� 509 — FINAL GRADE U i o inch ab 11 il,b representatives Rh ami crus'apo, W theM df 510 - FINAL PLANNING (X 1'g Id, -property 'fy andk php Ie.'smeGty ore yc,nnu inti N limn l' I dg ,,. o,. d rte,which may in any noloi,against said 514 - FINAL PUBLIC WORKS 'U.Z Cny in ,mvv,acrccdfm g g fth perrmt. - APPLICANT U f ERSTAUna A,')W L COMPLY WITH ALL VON-PONT'' "­"� ONS.' Issued by: Date .. tl onus rar - :. . _ . . .j Dam.. _rAZAR US MATERIALS DISCLOSURErfRe OOfSin,or f me building rracupba„tom or Type of Roof da,defined bythe Cupmind Municipal Code.Chapter 9.12.and the Health and Safety -- 'Code.Section2553'(a)', k ,t r • ,�- : • . °Y . .--All roofs shall be inspected prior to any roofing mater al.being.installed. - N Will to applicant futurebuilding inpan,use equipment or devircs which If a roof is installed without first obtaining an inspectionr•I agree to.remove em,1 d ore m,a1 doled by the Bay ArcoA Q Il Management Di" 'oY ON. ',�, ,, all.new materials.forinspection.,Applicantunderstandsand_will,comply,with gemcn -' - - all non-point source regulations.. - 1 h e'nmd the ha N l mriul reg em,end Chapter 6.95 of,the - Cal f Health&Safety Code,Sections 25505 25533 and 25531 1 understand that iftne building dore s not commonly have acnimrth.t it is my responsibility 1.notif,be- .ocujmm of'he«quirem s nic ores,be met prior,.i.manec of a ceitific is of Signature of Applicant.. Date net .[V-u ag nt -- Date. All roof coverings to be Class B 'of•better . OFFICE. .