02060142 1, .'BUBUIIoF curENo RCONTRACTOR INFORMATION:
t tI' ' LDING'DIVISIOSION s PERMIT
i BUILDINdADDRUS: - '•r _ PERMRNO.
21975 HYANNISPORT DR ARGONAUT WINDOW & DOOR 02060142
OWNER'S NAME: APPLICATION SUB DATE
i NOR CHUANG 10624 S DEANZA BLVD 06/24/2002
PHONE: SANITARY NO. CONTROL NO.
(408) 996-9670
Q ARCHITEC(ENGINEER: .. .. BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
Z so
I--
-LICENSED CONTRACTOR'S DECLARATION
Z .'Job DesCrl ptlOn.,•Z�+ ' ' tt'.I hereby atBrm ma I em licensed under rovisions of Chapter 9lcommencing .,
F4t with SectiorIf]Y00)of Division 3 of the BusinaXfssad Profession Code.md my Bemse INSTALL WINDOW/FAMILY ROOM
{9j 9s in fall fnr�, arc y •�V
z 'License CI ss 7 .N�
O 0.`g Date' Com ctur
3 K H ARCHITECT'S DE. RATION'
larders d shh.,It be u d a5rf��yE�b_lic
rc a f ilw /
a pe G Licensed Pmfewio
a6•,�ji OWNER-BUILDER DECLARATION
..,I hereby affirm thsrl am exempt from the CmanscoaCs License Law,for the
t?a following matron.(section 7031.5,Business and Professions Cadet:Any city or county
-f F O which mo uires a permit to construct,alter,improve,demolish,or mpinu any swnum. $1250
3$...pnono m x. ,.,ce also rtquua the eppbcmtTer such pemilmfle sg d tucment .
mm n5 sl xgsetl pars ort tq 7ht provisions of the Commcto' Lce . le tchapmr9 ✓F I S hFt. Hour p e11 �f r Valuation '
-� ,(cm ehcnig Ihseclu 76m)of Div son 3 of the Business node fe .Code] f�Yi '•4'13��V17(] B tf.]�iy,�1�TTl�9.
or d rt 1 s empfm <rmm std the basis f theallpgfed k rpt it Any violation
D ll%%
=idsm son7031.5 by any applicanttorn porrout'subjects the applcano to acivilpenalty
-
nr t <ihan Eva n std I d unmtssol) APN Occupancy. Type
101 - N6VBATION :
❑1,ax owner of me property,or my employees with wages us their sole compensation,
"will'dess a work' ad ssion% structure The C not Contractor's
intended Li or ena Lawixed far sale(Secy to an - - i Required Inspections: ' '-
'Businw and'Prdfessiom Code:The Commctor's Licenu Law does not apply to 103 - UF
owner of property Who builds or improves thcmon,and who dates such work himself
' or through his own employees.provided that such improvements am not intended or
oRercd forwile:If,however:the building or i'mpmvement is sold sviNin one year of
Icompinion.the owner-builder will have the harden of proving that he did not build or 105 - ANCHOR BOLTS
improve este Purpose resale.). •106,--,.-.SEWER, &,_WATER
_ -
t[71 esnw of the progeny aniexclus elyc t ' i gwterbcen:Jc t ouv'o 202 - UNDERFLOOR PLUMBING
Liconstructaw projectenot app ]loan Bus rev: d er f s ons Cods:)Th Contractor's -�
'License Law does not apply loan owner of property who bn la. improvesthereon 203 - UNDERFLOOR MECHANICAL
and woo Lo is fo such prolttu,wth a,comracmr(s)beena<e pennate to.me. - .-... '2 04 UNDERFLOOR,.,FRAME „Contractor'sexexempt
odder
L 9 r 1 st -
giume nopt def sr .. ,s&Pe rormisreason 205 - UNDERFLOOR"INSHATION - _ ~
_Owns �, Data
WORKER:SCOMPENSATIONDECLARATION 301 - ROUGH PLUMBING
302 - TUB & OR SHOWER
In rcbY Irmo d pe Ity of p<rlury ofttM1e fnllowmg Jttlmnuons:
303 -
ROUGH MECHANICAL
O 1 base and will' 't Cby Sec r Consent to self inure for Worker's
ti e rc t n a:,provided r nYt a]lo of me Labor alae, for me 304 - ROUGH ELECTRICAL
performank of the work for,whmh this permit is issued. , 305 - FRAME
�A 01 via a rad will ma t WtirkeLa Compamaoican Insurance,as inquired by Section
306 - HOEDOWNS
{ 11 r Co
f ter Lobo Cad f the perform vitt of mill"woof which this permit 3 0 7 INSULATION_-_
'x!i!m Y k m mmn Insu tamer and Pnl cY - bar art -,•,,.,}, „_ .m.•n
c. /. one w/ .Z�15< ry Y 308 -r SHEETROCK .<
I ,CERTIFlCATION OF FXEM \FROM WORKERS'Y i, _) N ` tr k t -
COMPENSATION -t a .-309 '-'EXTBRIOR _LATH _
COMPLNSATI -.. - - -_.._.-----.. - _. _ _ -._.....-_.- .
310 " INTERIOR LATH e% .-
(Thi tion n ed or he completed f the Permit is for one hundred dollars
311 - SCRATCH COAT
°I<enf ilii tier ierNmi ce elle workwhich'm '-
fp mored 1 313 - ROOF NAIL`n:.' ' al
Coril nm limy s person' y ry m became a object m the Workers N P• l
Co p xaumlawxrfclrom'a,nren °' 501 - FINAL ELECTRICAL, ENERGY
-npol emit. I„. _ ._ .._ _.._,..... .
- - FINAL" PLUMB -'ENERGY
.NOTICETOAPPLICANC If;ager making this Ccrtifcam of Exemption,you should t• .
z •bedhineiubjecuomcWork<fvGimpehsationpmvisionvoftheLudnC«le,youmust 503 - FINAL MECHANICAL ENERGY
Q O forthwith 6amply'with such provisions or this permit shAl be,occurred revoked.
„-.. -. _.-..--_...... .--. ..__._ _._. . -.-. _..504 ---'FINAL' BUILDING -ENERGY--- -- -- - - '
`1 I n CONSTRUCTION LENDING AGENCY '
ate yIhemby taffiim bar there t-uconstruction d gagency fur the performance 505 - FINAL ELECTRICAL :f^ ,
of the work fhmh the perms is tri d(5 3097.Civ.
. . . ..._.506- -_-GAS...TEST,_. __ --1--- _
Z ge«d A1arc 507 - FINAL PLUMBING, J .
U0 ', Icontymtlibase cadlhi yplial and baron. b 'e ultirric,im,is 508 - FINAL MECHANICAL `
tat' F ^^e t l agree in mply with•i11 lmW
y co ty d' vice d stale loos rclming 5 0 9 - FINAL GRADE
0:
.V 'to building co t i n and herbyamonmrp - rive orms city to emerupon
44 the mxamamcd Iro,ch,fon iu,ailimp W - —`
(Wo)agree to savc inibounify and keep lharmlecs'ihle City of Cupturtiou,.,ain't 510 - FINAL PLANNING �/
tz 'liabilities.j figments,costs and expenses which may,in my way accrue againa,spid 514 - F NAL WORKS
C14Z Ciry in stns gmh<e of the gra g of terra permit r
=- APRs N UNDERS AN SA AVILL COMPLY WITH ALL NON-PO N'T ' l e
ror f (�qp-r�.ATrl''s: - Issued by: Dale �/
' fl.wv^ _ - aG�Y�i
S nature of ApplicaMCnntrumor;. .Date Re-roofs
'i HAZARDOUS NIA1ERIALS DISCLOSURE
tiWII ter applicant or fwur budding net pant si m or h ndi hate nd n m I I Type Of ROOF" ,M. -
at kr ed by 4h Cup t M spit Ct de Ch pt 9 12 d the 11 her°std Safety ••'
Civil Sect 255321x) 1' v .( 1 '.`� � 1 '.rd'sis
aver e
'Ji No All roofs stall be Inspected pribr,to-any roofing material being installed , ,,
W 11 the pv.m rfumrebuddingocc pant use equipment ordeuceswh n If a roof Is installed without first obtaining an inspection'; I'agree.to remove
ema h am u am contemn un s m teed b5 the Bay.Aum Quality Management
Distinct all new materials for inspection. Applicant understands and will comply with
p ° ' t. - - ' " • - ' - all non-pointsource-regulations. "
1 haviamm the hazardous materials requiremems oad,,Chapter 6.95 or the
Califomia Health&Safety Code,sections 25505,25533 and 25534.1 understand that
-ilthe 'Idi gd one,nm cumntly vex mnaut that it is my ra,,n,ih lily
ill
the
vice m the
requirememi,w ch nitoi be mer prior in vsuarca or a Cert'fc t of
0-
'• Signature of Applicant Date
w «It,mmoroxd.,an, - a Alt roof coverings to be Class, B'or better
t-'•-; :,:..:_`,.r..•. } -..:, .. - - OFFICE. - - . . . _ ..._ .... .. .. . .. _— .. __ ..