02070034ua x yr a.alrcaca u�V
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS:
21914 GRANADA AV
OWNER'S NAME:
JANICE LU
PHONE:
O O ARCHITECVENGINEER:
fi
<Z
Z s=tet = LICENSED CONFRACSOR'S DECLARATION
1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing
F=t with Section 7") of Division 3 of the Business and ofessionxCwe. and myliccnse
x y j is in full force ai if 6
a. m w 6 License Class Lie. N
s� 3 a Date cnntmomr--11
ARCHITECT'S DECLARA55
f- ✓� O g 1 undcrnand my plans shall he used as public records
i
t�ia, pO Licensed Professional
OWNER -exempt from
the RATION
= 1 hereby ,(rete that 1 am exempt from the Contractor's Co dAny License law for the
l: 0 following reason. (Section ]oJ 1.5, Business and improve,
demolish,
Code: Any city or county
o which requires n permit re construct, eq aper, improve, demolish, orerepairasig any structure
3 ,prior to its issuance, also requires applicant for such permit Lliens Low(stammema..
tbathp is lioenteJ,puraty,m to the pmvlsions of the Cnmssim s License Law (Chapter 9
or than he is cwith t herifminv]),urhe vision 3 of the lijed sn and fsogsny vi Cole)
or that he is 31.5 b zany ap li and the burs for the era th d, Iempnom. Any violation
-of Secew ]O3 LS by any vvvlicnm for a tznnir mbiects the avolicam to e civil ocnehr
AAA FURNACE & AIR CONDIT
1712 STONE AVE
(408)293-4717
.at not more than five hundred dollars (5500).
❑ 1, ns owner of the property, ar to, employees with wages us their .to compensation,
--will do the'work'and the structure is not'In¢ntled or offered' for 'sale ' S ]OSS- - ---' --
PERMIT NO.
4ING02070034
APPLICATION SUB DATE
07/05/2002
SANITARY NO. CONTROL NO,
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
J
ADD 2 A/C UNITS Job Description
30000 BTU
Un T Al
_ - 0`ner k .. r, . Dam
.'\ WORKER'S COMPENSATION DECLARATION
Ihearby Mo. under penalty of perjury one of the following declamtmoo
t� ❑ 1 have d wi It maintziC ni ficvm of Consent ro nelf-i ,cure for Worker a
Compensation. as provided for by -Section 3700 of -the Labor Code; for the
..7 performance of the work for which this permit is ismed.,
py I he4e and will orainiain Worker's Cutnpensation Insurance. as requited by Secsion
J of the Lahr Code
, for Ne performance of she r
work'for which this pemit is
iu d My workers C pe niton Inti nee andJ policymundox,moc.
carE I r' -PWolicrNo.
E C 0 EXEMPTION FROM WOR EIt\ �. V,) •''r i, i
.. COMPENSATION INSURANCE:
I'' " I'(Th"section need not be munpleled if the permit is for one hundred dollars
(510() m iesa.) t
-•
drollyto Thai in the ,a m finnan, de d the war f which this p.rm t -is rssueJ I
shall n i employ any pcvon_ many manners so osrq bezw¢ isAy ro the Workers
FINALED
1 8 2002
+became subject
ubj API NE L Courpe km n is scums of the
Labor
o de, you ouldmost \ •. f sn :It,,
firm ah comfy the Worker Colons orhun pros sof the LaborCwe, you must
forihwiN comply with.iuch provixions or this permit shall be deemed revoked. t
"'Ito -f CONSTRU(SION LENDING AGENCY -
'' 1 Beretiy affirm that there ids cnnmaneu n lending agency for,he performance
sof tee work for which this permit is issued sed. 3097. Civ. C.)
-Lemrrs-Name
a- - ._- :. _ •_•. .. _._
Lender's'Addreaa
- t
-ytir I com y that I have read this application and stare that the above information is
.correct. I agree to comply with all city and county ordinances and nam laws relating
to building construction: and hereby authorize mpresemati6lx of this city to enter upon
Phe above mentioned property for inspection purposes,
(We) agree to save, indemnify and keep hamil, ss the Chj'bf Cup2riin-o against
liabilities, judgments. .,is and rspeoxi which not) a any way accrue vgainn said
Cits\PPLICANTin 9uence UNDER(Tlthe�Dming nf`Viepermi\,PL V f s- 1
5 p., _ t$e1. D ILLCU.1 Y\ ITHALLNON.PONT Issued by: Date 7'5--.. 2—
"' NII ill, applicant m future huilding occupatn sore br,handle hm:udous mmmal
'a; ai feed by the Cupen Municipal Cod Chapter 912 and th Health and Safety
Cod Seao
255321 )
;�Yt' sir Nol t $.i�
. trf
Will fin, applicu t m, I'munebmlJing nt•cupant nae eqt pneu mdevtces which
ani, holeadous air comnm cans, as defined by the Bay. A`Lir Quality Management
Dist c,
`w:
1 ha a reed thezaN us materials regvtrmunts under Chapter 6.95 of Bre
'California Health & So cry Cade. Sections 25505 25533 and 25531 1 understand that
if the building does not cumendv have a tenant: that it is my otspimm1bi llty to notify the
ru ^ip mtcor the.,quire n which most be met prior to rss at of a Cenif2ate of
-./_'1 y/ l t'A .. .i a-__�.
Re -roofs '
Type of Roof.
S 'i ` s 1. '• � li <� -1 t.4 Sd>ii':w: s.•d.l -
All roofs shall be inspected.pnor-to any. roofing,material_bemg installed,,, .a -
If a roof is installed without first obtaining an inspection', jtagree to remove
all new materials for inspection _Applicant understands and will comply with
all non-poinf source regulations - -' - --
Signature of Applicant Date
All roof coverings to be Class "B" or better
4: :.,.,n...,:.,... _..' :. _ .. _ t,. .:. .' - -- -- ._ .. ...-- --OFFICE
Ce
Business and Prdfeasions Code: The Contractor's License Law docs not apply m nn
303
- ROUGH
M� I111l factions'-' s"h" "
owner of progeny, Won builds or impmvr,thercon, and who does such work himself
or through his own employees, presided shut such improvements are not intended or
304
- ROUGH
ELECTRICAL
-,offered ompfrs51e.wnerb thebuilding or urden oemenus Id and oeyear or
completion, the owner budder will have the burden of proving thin he did not build Id or
501-
- FINAL
_
ELECTRICAli-,ENERGY .<�
improve far purpnsenfsale.).
502 -
FINAL
PLUMBING ENERGY
property, am exclusively contractingwithCdx:)The contractors to
— NAL'MECHANI
CAL ENERGY 71
-
construct the
conawct the project (Sec. 7811, Business and Professions ewe:) The con,metora
License Law does not apply to an owner, of property who builds or improves thereon,
5 0 5 -
FINAL
., ,�.
ELE CTR CAL
{, ...
•
.-and whp contracts for. such. projects, with. a. emitmctor(s) licensed pursuant to the........50
Cmucedr'a License Lvw_
.:�_.-
._.FINAL...
_`..._..._.... ._...1.__:.,...... _ __- ._.
..._:_.._,.
PLUMBING _ '
- -
,
❑IacresemptunderSce ''.B'&PCfmimisor.min508
-
FINAL
MECHANICAL";'
_ - 0`ner k .. r, . Dam
.'\ WORKER'S COMPENSATION DECLARATION
Ihearby Mo. under penalty of perjury one of the following declamtmoo
t� ❑ 1 have d wi It maintziC ni ficvm of Consent ro nelf-i ,cure for Worker a
Compensation. as provided for by -Section 3700 of -the Labor Code; for the
..7 performance of the work for which this permit is ismed.,
py I he4e and will orainiain Worker's Cutnpensation Insurance. as requited by Secsion
J of the Lahr Code
, for Ne performance of she r
work'for which this pemit is
iu d My workers C pe niton Inti nee andJ policymundox,moc.
carE I r' -PWolicrNo.
E C 0 EXEMPTION FROM WOR EIt\ �. V,) •''r i, i
.. COMPENSATION INSURANCE:
I'' " I'(Th"section need not be munpleled if the permit is for one hundred dollars
(510() m iesa.) t
-•
drollyto Thai in the ,a m finnan, de d the war f which this p.rm t -is rssueJ I
shall n i employ any pcvon_ many manners so osrq bezw¢ isAy ro the Workers
FINALED
1 8 2002
+became subject
ubj API NE L Courpe km n is scums of the
Labor
o de, you ouldmost \ •. f sn :It,,
firm ah comfy the Worker Colons orhun pros sof the LaborCwe, you must
forihwiN comply with.iuch provixions or this permit shall be deemed revoked. t
"'Ito -f CONSTRU(SION LENDING AGENCY -
'' 1 Beretiy affirm that there ids cnnmaneu n lending agency for,he performance
sof tee work for which this permit is issued sed. 3097. Civ. C.)
-Lemrrs-Name
a- - ._- :. _ •_•. .. _._
Lender's'Addreaa
- t
-ytir I com y that I have read this application and stare that the above information is
.correct. I agree to comply with all city and county ordinances and nam laws relating
to building construction: and hereby authorize mpresemati6lx of this city to enter upon
Phe above mentioned property for inspection purposes,
(We) agree to save, indemnify and keep hamil, ss the Chj'bf Cup2riin-o against
liabilities, judgments. .,is and rspeoxi which not) a any way accrue vgainn said
Cits\PPLICANTin 9uence UNDER(Tlthe�Dming nf`Viepermi\,PL V f s- 1
5 p., _ t$e1. D ILLCU.1 Y\ ITHALLNON.PONT Issued by: Date 7'5--.. 2—
"' NII ill, applicant m future huilding occupatn sore br,handle hm:udous mmmal
'a; ai feed by the Cupen Municipal Cod Chapter 912 and th Health and Safety
Cod Seao
255321 )
;�Yt' sir Nol t $.i�
. trf
Will fin, applicu t m, I'munebmlJing nt•cupant nae eqt pneu mdevtces which
ani, holeadous air comnm cans, as defined by the Bay. A`Lir Quality Management
Dist c,
`w:
1 ha a reed thezaN us materials regvtrmunts under Chapter 6.95 of Bre
'California Health & So cry Cade. Sections 25505 25533 and 25531 1 understand that
if the building does not cumendv have a tenant: that it is my otspimm1bi llty to notify the
ru ^ip mtcor the.,quire n which most be met prior to rss at of a Cenif2ate of
-./_'1 y/ l t'A .. .i a-__�.
Re -roofs '
Type of Roof.
S 'i ` s 1. '• � li <� -1 t.4 Sd>ii':w: s.•d.l -
All roofs shall be inspected.pnor-to any. roofing,material_bemg installed,,, .a -
If a roof is installed without first obtaining an inspection', jtagree to remove
all new materials for inspection _Applicant understands and will comply with
all non-poinf source regulations - -' - --
Signature of Applicant Date
All roof coverings to be Class "B" or better
4: :.,.,n...,:.,... _..' :. _ .. _ t,. .:. .' - -- -- ._ .. ...-- --OFFICE