01030138 CITBUILDING OFCUPER'fNNO PERMIT CONTRACTOR INFORMATION:
BUT LONG ADDRL'SS: PERMIT NO.
7918 MC CLELLAN RD_J'4t3 DRAEGER CONSTRUCT( N INC 01030138
OWNIiR'S NAME APPLICATION SUB DATE
CAMPBELL ASSOCIATES 605 COMMERCIAL ST 03/26/2001
HONG; SAN['T'ARY NO. CUM ROL NO,
(408)536-0420
0 coO ZO ARCO]IliCIYRNGINEER: BUIL DING I'IiRNIT INFO
W 0 CA ,f RLIXi F.Lr:CI' PLUM Ii Mf:CH
Nally} S4,4 j v £ C 4 4J )1
Nj LICENSEDC is I RACI OR'S DEGLARAfWN Job Description
1 hereby udirm That u:n licensed under provision.of Chapter H Irommcncing .
FHCj with Seaion]IXM))af Division3af the Bueinc.,,.d )Ies.ionsCde.a inylicenw
t$ c x a.mu hr's anneff f STAIRS & NEW 2ND FLOOR BALCONY
o�u License ante Lm,x
Untc S DEC rnr
AHC(shut
to w DECLAic ps,1N �'
1 understand my plans shall be uwJ as public rcunds ALE D
wLLal
s d p O
Lice ed Prob,aflmi
[bar I aRo 13Uni,l ft front
he A'fION AY
i5^— 1 horeny antnha mm I ahha rxennp,mm,rnr cnmra,uor',Liana Law for ilio 1 0 2001
F Z Q following reason,(Scotian 7031.5.Business and Pmronions Code:Any city Or county
FF
which requires a permit 1t [.after.improve.demolish. M any.t core
d C a prop [ ado)re,nocs the applicant tor such wrinif to file a signed statement
'IeLl he is leenSelll n I[to prot islons OrII C , 1 I '(CI'Pmr9 UILDIN�•
(ao hn nets og
with sx.nor]aloe:,u, n,ndhl,h(.B„n(.x,ohm lolc's an,C(dr) Ft. Floor Area Valuation
or that he is exempt therefrom and the Nasi,for the alleged exemption.Any violation
of Section 7031.5 by any applicun,for:,petit objects the applicant to a civil penalty
of nal more that,Eve hundred dollar,(s5 0). APN Number Occupancy Type
❑1.also,merof the pn),o,army enhplo,c,with wages a,Ihetr code com,mo.6o:,, 2
will Jo he work,and the.mama is mn intended nded or n ,red for sole(Sec.70,W. 362 1
Bantu”and Prahoicas Code: Me C,rnintroits License Late coca,not apply m it Required Inspections
.x r of property Who Builds or impntch thereon.and who does such work himself
r through Ida own employee.,provided Ilan seen ma„rovenncm,are not intended or 101 — FOUNDATION
offered for sale.IC nowrve,,,be building or :nprcvrmmi,is sold within one year of
i�uodenon,the owner-builder will have me burden of proving flat[he aid con build or 102 -- PIERS
nlrmv,a,r purr:,„nr snm1.
103 — UFER
REBA
❑I,itsownerhe rf the property,:Int B.111or":L contracting winoode.) ti mol Baso h, -
Lne,rnc[owoes.,fS,,. ,,a, ,w nil Proms, ,caaa,unlrrntmm�m', 104 — REBAR
inder Law ares not epply m un owner nr pmlmry too%) lice s pure a meat.
e sena eonrmma rnr won pmt t ire a ronrmnod,)assn •e pa,aant [:,rnr 105 — ANCHOR BOLTS
Coinewme,License Law.
❑I:m,c vi under See. ,B&PCfmhis reown 1.06 — SEWER & WATER
Owner Date 202 — UNDERFLOOR. PLUMBING
WORKERS COMPENSATION DECLARATION 203 — UNDERFL00R MECHANICAL
l hereby affirm under l,en:d,y.1'r:cr,io,one of the following deemmnoo: 204 — UNDERFLOOR FRAME
C I ore and will maintain o by Sect...of consent m,e],No:re ore workers 205 — UNDERFLOOR INSULATION
Cotnpen,mion, as provided for by Section 3700 of the ],No Cots.C(dq lin the
prrforn,ane,Orme work for„corn.lis perhhir i,iasu,J. 301 — ROUGH PLUMBING
C 1 hate and will o:eiondn Worker's Coml:cn,:dion Insurance,a,required by Section 302 — TUB & OR SHOWER
R
3700 of Tire Labor Cade.tar the Icrlmnanec of me work rot which this peroo,i,
wed.Aly Wort C....rematins Insurance canierund Policy nutnlcr arc: 303 — ROUGH MECHANICAL
Cmrir,: RdicyN"a304 — ROUGH ELECTRICAL
(:[:fit IFICA'I'ION OF EXEMPTION FROM WORK17RS'
COMPINSA1'ION INSURANCE 305 — FRAME
emis seenonneed not the oumpleted'ifthe psora ih(crone hundred dollar, ,.306 — HOLDOWNS
1511X,)nr Ire.) '
1 candy he,in IIt,'aakemtnce o1 the work 1b,wbeef,this p.....il'rs i"tacd,1 307 — INSULATION _
'hall nut employ troy Fit in any Imams(,so as ,,been,..subject to he work,,' 308 — SHEET ROCK
Compensation Law,dCalifornia.Dae
Applicant 309 — EXTERIOR LATH
NOnCH 10 APPIJCAN'p IL after making this Ceniecme of Exemption,you mould
n:trine,onj«Ito'he W(..kat,',entnpenh:ttioopn„i,ioneotthe Leon C(ele,youmue, 310 — INTERIOR LATH
p z' Rrnnwim ea,nply seri earn pr,vi,imt,m Thi,psora,M1an rte demned revok,d.
Z 311 — SCRATCH COAT
CONSTRUCTION LENDING AGENCY
ai I he,chy,nim than there is a c onuc,ion lending agency for he perroneence 313 —
ROOF NAIL
Til hie work I'r,which Thi,permit Is i,eucd(Sec.30R)],Clv.C.)
a c L,nd,t'sName 501 —
FINAL ELECTRICAL ENERGY
vOLeander*,Address SO2 — FINAL PLUMBING ENERGY
cnilylhalhave trrdhis appandount,ore,emO,sednteinmmtranig 503 — FINAL MECHANICAL ENERGY
Rs [r aorcd. agace m congdy with all city and cowry ornfl,x,i arA.oto law,relining
O U Ionaiews-meramcdonolargfreins,ection prprcermodv,xomni,city[ormr'°p°° 504 — FINAL BUILDING ENERGY
r R: rnr abo(We)agree ,,pmlwnd far inhpecr ke purpoxe.
.Fay (we)agrcem,aoo indemnify Oil kenpbanay in by
city otr Crue ti aim and —
rn lianiune,,inagm,Tit.coo,andrxp,nh„wMrnmariltrnrwaya.cmeasainat,ala 505 FINAL ELECTRICAL
U Z City in of hegrunning onlaisp"mit. 506 — GAS TEST
` APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT y'
Issued by: _ Date
SOURCE REGULATIONS. 3
%ignamm of A,ficanticomeemr Date Re-roofs 508 — FINAL MECHANICAL
HAZARDOUS NIX]TRIALS DISCLOSURE
Will lnr:,pprrematTime,building(,�enpam,00torhandle hoLombuNoeledw Type of Roof 509 — FINAL GRADE
a Mined by that Cul¢ninu Municipal Lode,Clmptet 912,.na no,Health and Safety
Code.Section 25532mU 510 — F I NAL FLA I Np
CY'e, 0N All roofs shall be���ecled pptr��QQr����QQ��an��C,, 1 naCerial being installed.
Will mato.rileemnrt(:torrnnffdingo,c„p:,otow,gnipinenitarvia,wlnieh If a roof is insta118fPYlhnfitTifsi�bThailGptkhsagree to remove
mit haemdous air ennmtninun,e m ddimnl by the Bay Aretr Air Quality Manasc:nend D,w icn all new materials for inspection. Applicant understands and will comply with
❑Ye, ❑No all non-point source regulations.
I Time.,:,it,he bueorluun nuncdale.....renvens under Chalner 695 nr the
Cank"nlallealth&SafmyC(de.Sections 25515,25533 end 25534,1 undesti IOil,
if the building does not cummly have a tenant.that i,is my responsibility to no,ity The
oecup fit Of the requirements which must be con prior to issuance of a Cenilicate of
occa'ancy' Signature of Applicant Date
Owacr or earthod=,J ag,m Das. All roof coverings to be Class "B”or better
OFFICE