02080029 OF
CI BUILDING DIIVIISSIIONNOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
21337 METEOR DR TECHCON 02080029
W EWAPPLICATION SUB DATE
CCz� £ Y KATHLEEN 17450 MONTEREY ROAD 08/07/2002
PHONE: (408) 778-1350 SANITARY NO. CONTROL NO.
BUILDING PERMIT INFO
I+ai O pOp ARCHITECr/ENGINEER: BLDG ELECT PLUMB MECH
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S H= LICENSED CONTRACTOR'S DECLARATION Job Des�rtJ�t,�Q❑�
OZ— I hereby alRrm that l am licensed under provisions of Chapter (commencing BATHROOM REMODEL 'I IV LE
With Section 7000)of Division 3 of the Business and Prfofes
gsions Cade,and my license as,6 0 y Din full fora a-__i� G [r�
S:,. Licso I' Lic.X
"` SDECaar APR 2 2 2003
3 LL G C R'S DECLARATION
t a C' laps ah used a public rte
�} e s
6'° "" °`"'°"" BUILDING
c OWNER-BUILDER DECLARATION
I hereby affirm,hat 1 in.esempt from the Conions Co License taw for the
t-z i following reasona(Section 7onsm Business and l de o demolish,
Cade:Any city s county $20000
IFC which its patches n permit to connron,alma improve,demolish,or repair any ewment
test 3 c�._Prior a its cense m.also It to to the applicant for such mmtifgo ribice s signed a 9
Out ii.oun iccnIM fainyam io the provigiore of the Contmmora Licenu Law(Chapter9A r a.a,,:T ,,,,♦ Valuation
(FommencinQ wiNS«Gon'(t1(90)of Division 3 of the Bisircsa�and Professions Carla) '•, j'�32Y1P2;'-+vel? ,CJT�rt a:YtYi i�J
or that he'is esempt hcre0om and the basis for the alleged i.P;pticih.Any violation
of Section 7031.5 by any applicant for a permit subJmu the applicant o a civil penalty,
of not matedrum five hundred doll.MOB. 101 ENPiel DATION Occupancy Type
..
Will do
eM PmfeSo na code ih Cusn aturs's Lived.law docs na apply Io air _ 103 - _UFER_
Required Inspections+ ll-if'
owner of property Who Wilds or improves hereon,and who docs such weak himself 104 - REBAR
or through his own employees.provided Bidi h improvements am not mended or
dgerea For sale If,no - i h W le g bra eine t is sold within one year of - ____r65 -----ANCHOR ANCHOR BOLTS ` • ..) `t
completion the owner builder will have the W Nen of proving that he did not Wild or
improve ha parpoae of aale.l. 106 - SEWER & WATER
- --❑isuofinecinp�ny—amexcw;iyJyjobra�tdnswilnhcerrud�o;Gctoi;to-� ------ 202—=IJNDERFLOOR_-.PLUMB ING---—cr:-;:�;,—r:.=,;."T_.-,.
construct the project(sec.7841.Flintiness and Pmressmns Cade:)The Contractor•. 2 03 - UNDERFLOOR MECHAN'I'CAL''r' r \PI yr I.
- r LicenseLaw goes n I apply to an owner of property who builds or improves hereon,
' -.and who contracu
for.such. wih.a.contractorts),IicenuJ pursuant to the. _.
-204-----UNDERFLOOR FRAME-- -- -- -- __..___-----.-.----
Cummctors Licenu Law.
_ ❑Iamexempt under sec. �• ".B&PCfurthisreamn 205 — UNDERFLOOR'I''INSULATION
301 ROUGH PLUMBING
WORKER'S COMPENSA'TIONDECLARATION 302 - TUB & OR SHOWER
I hereby affirm under penalty of' ry one of the following declarations:-
303 _
ROUGH MECHANICAL
I+ ❑ I have''add.,it onimaiin 6 Cenircam of can.enr'to sdTimum to,Workers 304 - ROUGH ELECTRICAL
Campe"saien.as peavidW-for by Section-37W of the labor Code, for the
q. perfotinance of he work for which this per+nipis mmc l 305 - FRAME
Ell him and will mat w rk to Cc ,osaf 1 comate as memo, by s«bon 306 - HOEDOWNS
3700 of the Father Chile,for he Perform ce of the work for which his peamai'is 307 — INSULATION
: 'tis ed.My W rkers Compensa on Incur n c m r uriJ Pt l
C t " Pl °(( n rte
i 308 SHEE"TROCK -., ,
------
city s 0 1 • s I'^ -
'ORKERI l (EXTERIOR *LATH_(jERTIFlCATIONOFEXEMPTIONFROM , fn'IhP
r_ ..__.,....__.
COMPENSATIONINSURANCEs s. " .. -- •—.— -•-- ^• •.• ..^;r;,,
(Th «
ustlon need not be cIinpleted ifthe consults for one hundred dollars 311 - SCRATCH COAT '
3.1.3::_.—ROOF—NAIL -.. _. . .
1 entry that in The psaf f the ork r c
h h th pe „t x ix cd I 1 + i•e•
'shall not employ any perx(A n any manner so a. do Winn a ¢lest to hew kers 501 — FINAL ELECTRI CAL` ENERGY'
Corn ic t n aw.ore Ir Date - .5.02_ - F.INAL-_PLUMBING--ENERGY_
.Apple t . . . . ' I __ .-..._-..
NOTICETOAPPucANTifanermak gh,CnlGcate fExempamn:you5hapfa. 503 - FINAL MECHANICAL ENERGY
Z be b1 roto theta rke sCompcnsat provisionsofth Lebo Cade;yo m'st \ ,
ply With such cions or hs permit ahall bed J caked — 5_04 -_FINALBU,ILDING--ENERGY .—._.—_ .— . __.
Q Q lonh hTom _- _—. ,
:a > CONSTRUCTION LENDING AGENCY 505 - FINAL ELECTRICAL
'IFind,rrcrmthathe bntmnonlradngagency foJrpedmra'nce 506 - GAS TEST
of the' kf Which hspermt .dest(Sc 3097-Civ,C) __ _
Q' 1<Jeri Name ,. .s.r.d __. .... _.. _.._ _. ..-
:y LondecaAJd ., 507 - FINAL PLUMBING-_,'
U0 1 nfY th Uh cad th. ppl t J.tt th uh b fruit ns
508 — FINAL MECHANICAL
-'e meat
m ' gra t ctolyth 11 city d tv u n dlate l a ra.ting 509 - FINAL GRADE
w g a t do bapreenut Oil city t tit port
th emens n .p"0unp p 510 FINAL PLANNING
nJemhfy and kap hannled(W) g ets' yf
S/
514 — FINAL JUBC WORKS Jl/
Vl
liabilities.3 dgmenu costs and expenu which ay, any y ccom against said
Vf r�i
Co yy sa a ce R th ND9 Ag of h e pears t 1, (• -2-0
APPLICANTUNUERST\NDS'AND WN 1.COMPLY IVITHALL NON-POIN Issued by: Date
SOURCE REGULATIONS _!
5 g i 5 rAppl a UC a t .t —I l)! f Re roofs /
HAZARDOUS MATERIALS DISCLOSURE
cart he ppl tat rwareba la gox Nam soma n dle haiallou t" al _Type of Roof.
i
as defined ny het. pen Mai, p al Calls.Childs,9.12dtheHealth ndSafety . f t i I P fa,� .,,+F Jt•� . . - y t. "
;Cgd< S«f on 25511( 1 li ti r n gs Al'
Y_ 7,
Al1, l Foofs,shall be_mspected,prior[o any,roofing,material being installed....,,-.,
ta ll
the e,ppli I Rare building pun use equipment deviceswhich If a roof is instal led'without first obtaining an inspection,'I agree f6 remove _
e t h ous air c5rdirpnimamis is deli d by he Bay Area Air Quality Management
District? ,- ; all new materials for inspection. Applicant understands and will comply with
- . ._..
'all no IT point source regulations I,
' 1 have ren dhh h.m. mammal uy rt carts antler.Ch par 695 of the
California
,Ifd is Health&5flay Code Sections 25505,25533 Pit 25534 l understand
f
the building does not currently have a tenant.that it is my responsibility to notifythe -- ^
occupant f the requ rem u Fitch."I be met poor to Islamics, f a Cembeme of
°tot a,y t %!jdZ Signature of Applicant _ _ Date .._
W _ ..
r.
" o n«m.mlimmcdo ea', Da All roof coverings to be Class "B+' or better
..1 .. . a . .
OFF
ICE- _... .. .. _ - -