01080072 OF
C'BUILDING DI�VC'ISIONNOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10301 MENHART LN. ROBERT LUO 01080072
WNER'S NAME: APPLICATION SUB DATE
.:.OBERT LUO 08/15/2001
,PHONE: ., SANITARY NO. . CONTROL NO.
4
O Q ZO ARCHITEC I NGINEER' BUILDING PERMIT INFO
m F BLDG ELECT PLUMB MECH
V V -
a Z LICENSED CONTRACTOR'S DECLARATION Job Description
i Z- 1 hereby athrm that 1 am licen.ad under provisions of Chapter 9(commencing ADD. 4 4 0 SQ. FT.
m withsoctiam7")ofDivisionSoffive Businesaand ProfessionsCivic. dmylicense �ERky^.t
y E�< is in full force and effect. i /�"r I '�"
t.�V License Class - Lim.a
i 3 a. Dam..._,.`. .. .' Common, - //tk
ARCHITECT'S DECLARATION . F,
.u O `•p,;..:
S- .r.....- P. V,.. . 6..2002 ,
14irderi,tinal my Plans shall be used wo ihibli,rtZordfs,
I ce0 0 -lianscd Pn+4ai anal .: e.. „t •} ,, I
OWNER-BUILDER DECLARATION BUILDIN
I hereby affirm that 1 am exempt from the Contractor's License Law for the 942908
'
t?,a fallowing reason.(Section 7031.5.Bu,inees and Professions Code:Any city nr county y�4 2 9 0 8 - -
Y x G which mquiM$a permit m mnsuuet,aloe improve.demolish,or rtpav any,sweturt
tic
63$ ...prior to iu iuuatoe,also requitvaM aPplkant fw such pumino Ble,aignal natemem. .__ _ _ _ - _-_-- _ -__._- -_-_ _____
that Iijis liccnM pursuant n the pmvkvons or the Convectors Licence Law(Chapter 9 i' arT• , T, Valuation
(commencing with Sutton Auto f Division 3 of the Bpsines and Professions Crude) �,�,ej Ai"� ,3y 1'7)/k��•ve�r;�, t(�j �v,fir`•
or Nati h2 is ucmpt NiecGam end the basis for the alli,ch udaptine.Any violation '
-of Section 9031.5 by any applicant for a Permit subjects the applicant to a civil penalty n,r,r,.,�.�
mfnm mare roam five hundred d0lars($500). 101AP-N 11001JNDAT I ON Occupancy Type
°I.esownerof Neproputy.ormy employees with wager as Chair sole compensation. - PIERS
will do the work,and the suuetam is amt intended oroffemeforsale(Sec.7044. 103 - UFER Required Inspections
Busmaox nd'Pmf.ai...Code:The Cnmmcmr's license Law docs not apply to an q p
owner of property who builds or improves memo..and who docs such work himalf __ 10.4 - _REBAR
or through his own employees,pmomed that such improvements art not intended or _ _-._-_ -
:"offered for mle.If.however,the mill ib - -' tis sold within one ear of
ger, imprn P. r - 105 - ANCHOR--BOLTS-_. .. . „•r , -. •.1:. .,1
cotton fa,me owner-loud,),win nave the barren or proving Na he eta not n,na m ;
improver uaraale.i. _ 106 - SEWER & WATER- ' -''' •'
_.21 star...
o eraneep:a ry,a: ex»:tatty omSnGewimimcnv caro nneo" — ' 202'- - UNDERFLOOR' PLUMBING - ---
o.
wmr the Proect(Sec.7W,Business sena Pmfmsbna each:)Toe Contactor: 2 03 UNDERFLOOR MECHANICAL' .•'T-r.
License Law data not apply m mJ owner of Pmpout who builds or improves Neuron,Contractors it,.. m:aumn.pruiema with a.mammmnga)licensed purauant.ta the __... .......... 204 - -UNDERFLOOR- FRAME...----
:- Commnors License Law.
of am«emtyneer Bevcrormiaaan 205 - UNDERFLOOR INSULATION
iPffIT • oaL�• /"—'�1f= 'p� 301 - ROUGH PLUMBING
WORKER'S COMPENSATION DECLARATION,; 302 - TUB & OR SHOWER
I hereby affirrin under Penalty of Pcrjry'q of the follow ing d l tions: 3 03 - ROUGH..ME CHAN I CAL
O'1 he c load II mmmat.a Ccmfcat f C m t•'ulf sum to Warkcr's 304 _ ROUGH ELECTRICAL -
Compc roma as,-Provided forby Secti.. 3700.of the Labo Codcafor the
5erformamce of the work for whim this permit is isauea. 3 0 5 FRAME
El have,nJ will maintain Worker's Compensation Insurance.as rejuirtd by,Smion 306 - HOLDOWNS
3700 of the Labor Coate,for the performance of the work for which ihia permit is 3 0 7 - INSULATION
i,u d MYW ken C pe sato 1 uranc aM Policy umber art. ..... ._..__...._-____ -.__.•.. _ _ __ ._. ___ _ —_
3 08SHEETROCK_'
Cam + 10ERTIEICATIONOFEXEMPonONFROM WOR KPRg1` , I L k1309•'�=1ygi'PERrIOR
COMPENSATION INSURANCE; - „__,._ __...-.
� �' - 310;.—�=:-3NTERIOR—'L-ATH- —•------
need
---need rent be completed it the .to is for moa hundred donors 311 -` SCRATCH COAT
W)ser lcsaJ
fsl
., a .. .. _ ,...
-..-ROOF-- _._._----. _ _..,_..
'.`I ianir that in the'performance of she work for whim This -.t hl hooted. _ . 313•-. NAIL � -
elienApp,'notemployanyperio marry manner too as to ixcorrc object m`me worker:' 501 - FINAL ELECTR'I CAL" •ENERGY -
compenaCarlminalswsorCanromia:Dat-1 . 502 . --_FINAL .PLUMBING....ENERGY_. __.. ._ .
'NTICE TO APPLICANT:If. nuking this Certificate of Emmption;you should 503 - FINAL MECHANICAL ENERGY
become subject othe'Worker,Compensation'Provisions of the Indoor Code,you must
Op fnnhivith comply with such provisions or this pmmit shall be deemad revoked. 504 _-.FINAL .BUILDING_ENERGY
P'W) 5�' t'• CONSTRUCTION LENDING AGENCY 505 - FINAL ELECTRICAL
I hereby affirm thatth a iumsimcdo.lending iii for the performance'
6nh kmr n nth 'p 't . ea(S'b 3097 C'.CI 506_ - GAS TEST
Q Land - . . . _....__... ..
i - 507 FINAL- PLUMBING , '.' - - -
O.z snerAadsh, 508 - FINAL MECHANICAL '1
V"O r, 1 certify that 1 have read this application and sum that that shove information is
'fa.7E. hmecid seer((to gomprywm ell miry dmqumrtmuinaames.ate sate laws mining 509 -- FINAL GRADE-.
to buildingcnnsttectlon;andherebyrommoriurepresentativesofthiscitytoenterupon 510 - FINAL PLANNING
the above-mentioned prepeny for inepcetiom purTa,es. _
Wee fee to stivgmdemnif and keepharmlaas the Cii of CL oi rims against Ileo 1 t f r)d
' g_ ts,costs arta expenses M1 h m y any ay accrue agamsg saie 514 - - FINAL PUB C ,
V ,� Oityyy+++ a y eOf thed m g of'his permit
q
-AIPlIrANT�aUUDT.7RSTP Ds D WILL COMPLY W'I`TH'ALL NO-NPCINT'' Issued b ate
OURCE RFGOCO a� IO 3/-0 y
Signanre'o/ApphcarulContruuor "' Dam, - Re-roots-
HAZARDOUS MATERIALS DISCLOSURE
wili'dia or farts(wildid,ciouipain,ancre or nave lwmeaus:twcnar _. .Type of Roof ___ .-. _ _..__.._ . ..
_ es def rd by th C peon M .P�Coa Chapter 9.12.and the Health and Safety ,,,a fl - f 4, T:f` 5 '• ''; s A' - t
Cade Sect ore 25532(a, - •t — - --
f, ❑Ye - - T _ All roofs shall be.mspected.prior to.any_roofing material.being.installed.
,.Will Ne apf to futurebnldmg occupant use equipment or devices which If a roof is in$ialled without first obtaining an inspection;1 agree t0 remove
em is hwrda air contaminants defined by the Bay Area Air Quality Management
Drat m . , _ all new] materials for inspection. Applicant understands and will comply with-
°Ye
all non-poini source regulanons.
'.
I,havemailth&S h seroe, oluiens2505,25ils nens'tit 255Chapar6.95dNe
Cnli(omie Health&safety CWe;sections 23505;25533 era 255]6:Puntlemand that .
if the building does not currently have a tenant,that it is mY responsibility n mti(y the
nee pant of the requirements whichmustbe'met prim to issuance of a Cmiftcem of
upao<y, ��/ S] nature of Applicant Date
�afh g... PP
µ :•
wnc,p, dWinced agent.;•,:• _ Data All roof coverings to be Class "B" or better
OFFICE
OF
C'BUILDING DI�VC'ISIONNOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10301 MENHART LN. ROBERT LUO 01080072
WNER'S NAME: APPLICATION SUB DATE
.:.OBERT LUO 08/15/2001
,PHONE: ., SANITARY NO. . CONTROL NO.
4
O Q ZO ARCHITEC I NGINEER' BUILDING PERMIT INFO
m F BLDG ELECT PLUMB MECH
V V -
a Z LICENSED CONTRACTOR'S DECLARATION Job Description
i Z- 1 hereby athrm that 1 am licen.ad under provisions of Chapter 9(commencing ADD. 4 4 0 SQ. FT.
m withsoctiam7")ofDivisionSoffive Businesaand ProfessionsCivic. dmylicense �ERky^.t
y E�< is in full force and effect. i /�"r I '�"
t.�V License Class - Lim.a
i 3 a. Dam..._,.`. .. .' Common, - //tk
ARCHITECT'S DECLARATION . F,
.u O `•p,;..:
S- .r.....- P. V,.. . 6..2002 ,
14irderi,tinal my Plans shall be used wo ihibli,rtZordfs,
I ce0 0 -lianscd Pn+4ai anal .: e.. „t •} ,, I
OWNER-BUILDER DECLARATION BUILDIN
I hereby affirm that 1 am exempt from the Contractor's License Law for the 942908
'
t?,a fallowing reason.(Section 7031.5.Bu,inees and Professions Code:Any city nr county y�4 2 9 0 8 - -
Y x G which mquiM$a permit m mnsuuet,aloe improve.demolish,or rtpav any,sweturt
tic
63$ ...prior to iu iuuatoe,also requitvaM aPplkant fw such pumino Ble,aignal natemem. .__ _ _ _ - _-_-- _ -__._- -_-_ _____
that Iijis liccnM pursuant n the pmvkvons or the Convectors Licence Law(Chapter 9 i' arT• , T, Valuation
(commencing with Sutton Auto f Division 3 of the Bpsines and Professions Crude) �,�,ej Ai"� ,3y 1'7)/k��•ve�r;�, t(�j �v,fir`•
or Nati h2 is ucmpt NiecGam end the basis for the alli,ch udaptine.Any violation '
-of Section 9031.5 by any applicant for a Permit subjects the applicant to a civil penalty n,r,r,.,�.�
mfnm mare roam five hundred d0lars($500). 101AP-N 11001JNDAT I ON Occupancy Type
°I.esownerof Neproputy.ormy employees with wager as Chair sole compensation. - PIERS
will do the work,and the suuetam is amt intended oroffemeforsale(Sec.7044. 103 - UFER Required Inspections
Busmaox nd'Pmf.ai...Code:The Cnmmcmr's license Law docs not apply to an q p
owner of property who builds or improves memo..and who docs such work himalf __ 10.4 - _REBAR
or through his own employees,pmomed that such improvements art not intended or _ _-._-_ -
:"offered for mle.If.however,the mill ib - -' tis sold within one ear of
ger, imprn P. r - 105 - ANCHOR--BOLTS-_. .. . „•r , -. •.1:. .,1
cotton fa,me owner-loud,),win nave the barren or proving Na he eta not n,na m ;
improver uaraale.i. _ 106 - SEWER & WATER- ' -''' •'
_.21 star...
o eraneep:a ry,a: ex»:tatty omSnGewimimcnv caro nneo" — ' 202'- - UNDERFLOOR' PLUMBING - ---
o.
wmr the Proect(Sec.7W,Business sena Pmfmsbna each:)Toe Contactor: 2 03 UNDERFLOOR MECHANICAL' .•'T-r.
License Law data not apply m mJ owner of Pmpout who builds or improves Neuron,Contractors it,.. m:aumn.pruiema with a.mammmnga)licensed purauant.ta the __... .......... 204 - -UNDERFLOOR- FRAME...----
:- Commnors License Law.
of am«emtyneer Bevcrormiaaan 205 - UNDERFLOOR INSULATION
iPffIT • oaL�• /"—'�1f= 'p� 301 - ROUGH PLUMBING
WORKER'S COMPENSATION DECLARATION,; 302 - TUB & OR SHOWER
I hereby affirrin under Penalty of Pcrjry'q of the follow ing d l tions: 3 03 - ROUGH..ME CHAN I CAL
O'1 he c load II mmmat.a Ccmfcat f C m t•'ulf sum to Warkcr's 304 _ ROUGH ELECTRICAL -
Compc roma as,-Provided forby Secti.. 3700.of the Labo Codcafor the
5erformamce of the work for whim this permit is isauea. 3 0 5 FRAME
El have,nJ will maintain Worker's Compensation Insurance.as rejuirtd by,Smion 306 - HOLDOWNS
3700 of the Labor Coate,for the performance of the work for which ihia permit is 3 0 7 - INSULATION
i,u d MYW ken C pe sato 1 uranc aM Policy umber art. ..... ._..__...._-____ -.__.•.. _ _ __ ._. ___ _ —_
3 08SHEETROCK_'
Cam + 10ERTIEICATIONOFEXEMPonONFROM WOR KPRg1` , I L k1309•'�=1ygi'PERrIOR
COMPENSATION INSURANCE; - „__,._ __...-.
� �' - 310;.—�=:-3NTERIOR—'L-ATH- —•------
need
---need rent be completed it the .to is for moa hundred donors 311 -` SCRATCH COAT
W)ser lcsaJ
fsl
., a .. .. _ ,...
-..-ROOF-- _._._----. _ _..,_..
'.`I ianir that in the'performance of she work for whim This -.t hl hooted. _ . 313•-. NAIL � -
elienApp,'notemployanyperio marry manner too as to ixcorrc object m`me worker:' 501 - FINAL ELECTR'I CAL" •ENERGY -
compenaCarlminalswsorCanromia:Dat-1 . 502 . --_FINAL .PLUMBING....ENERGY_. __.. ._ .
'NTICE TO APPLICANT:If. nuking this Certificate of Emmption;you should 503 - FINAL MECHANICAL ENERGY
become subject othe'Worker,Compensation'Provisions of the Indoor Code,you must
Op fnnhivith comply with such provisions or this pmmit shall be deemad revoked. 504 _-.FINAL .BUILDING_ENERGY
P'W) 5�' t'• CONSTRUCTION LENDING AGENCY 505 - FINAL ELECTRICAL
I hereby affirm thatth a iumsimcdo.lending iii for the performance'
6nh kmr n nth 'p 't . ea(S'b 3097 C'.CI 506_ - GAS TEST
Q Land - . . . _....__... ..
i - 507 FINAL- PLUMBING , '.' - - -
O.z snerAadsh, 508 - FINAL MECHANICAL '1
V"O r, 1 certify that 1 have read this application and sum that that shove information is
'fa.7E. hmecid seer((to gomprywm ell miry dmqumrtmuinaames.ate sate laws mining 509 -- FINAL GRADE-.
to buildingcnnsttectlon;andherebyrommoriurepresentativesofthiscitytoenterupon 510 - FINAL PLANNING
the above-mentioned prepeny for inepcetiom purTa,es. _
Wee fee to stivgmdemnif and keepharmlaas the Cii of CL oi rims against Ileo 1 t f r)d
' g_ ts,costs arta expenses M1 h m y any ay accrue agamsg saie 514 - - FINAL PUB C ,
V ,� Oityyy+++ a y eOf thed m g of'his permit
q
-AIPlIrANT�aUUDT.7RSTP Ds D WILL COMPLY W'I`TH'ALL NO-NPCINT'' Issued b ate
OURCE RFGOCO a� IO 3/-0 y
Signanre'o/ApphcarulContruuor "' Dam, - Re-roots-
HAZARDOUS MATERIALS DISCLOSURE
wili'dia or farts(wildid,ciouipain,ancre or nave lwmeaus:twcnar _. .Type of Roof ___ .-. _ _..__.._ . ..
_ es def rd by th C peon M .P�Coa Chapter 9.12.and the Health and Safety ,,,a fl - f 4, T:f` 5 '• ''; s A' - t
Cade Sect ore 25532(a, - •t — - --
f, ❑Ye - - T _ All roofs shall be.mspected.prior to.any_roofing material.being.installed.
,.Will Ne apf to futurebnldmg occupant use equipment or devices which If a roof is in$ialled without first obtaining an inspection;1 agree t0 remove
em is hwrda air contaminants defined by the Bay Area Air Quality Management
Drat m . , _ all new] materials for inspection. Applicant understands and will comply with-
°Ye
all non-poini source regulanons.
'.
I,havemailth&S h seroe, oluiens2505,25ils nens'tit 255Chapar6.95dNe
Cnli(omie Health&safety CWe;sections 23505;25533 era 255]6:Puntlemand that .
if the building does not currently have a tenant,that it is mY responsibility n mti(y the
nee pant of the requirements whichmustbe'met prim to issuance of a Cmiftcem of
upao<y, ��/ S] nature of Applicant Date
�afh g... PP
µ :•
wnc,p, dWinced agent.;•,:• _ Data All roof coverings to be Class "B" or better
OFFICE