02010093 BUILDING DIVISION PERMIT l-VPiIKAI,:_LVK 1AkVJKA1A1'IUN:
BUILDING ADDRESS, �I�i 1�/nn/D PERMIT NO.
/_ !/�Lf(✓/� RUDOLPH & SLETTEN INC 02010093
OW'NER'S NAME: APPLICATION SUB DATE
HEWLETT PACKARD 989 E HILLSDALE BLV 01/23/2002
' A�� SMTTARY NO, CONTROL NO.
' tc-1 _ ��3 (415) 572-1919
i.R ITECT/ENGINEER: BUILDING PERMIT WO
BLDG ELECT PLUMB MECH
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w77 fa'N �T I-1 L i L J L_J
0 H= LICENSED CONTRACTOR'S DECLARATION Job Description
li Iherzbr Sm ma lam limnzud undopmll'fad Ch Creel weirry<nefng
'„� .itbsea;mn7awDi err Di.i:;mlartbe evdmsn wPmaesvan eon anemYB=<n< TENANT IMPROVEMNT
him full fo a de �.
n w 6 L�'em
to., DM Comn a
Stec ARCNITECTSDECL. AT ON ������®
i�0 4 I undasurW mY Plans Nal l be used x,pvHic rtmrm
T
i x C� Licensed!Pnfeaiaiul
'�v OR'NER-BUBIDEADs sheC..'.
TION APR Y 5
1 hcmbv,(firm mi 1 mn,Bovine hon she Cmmmxi a litxax law for me 2002
_za k,Ban,.;ng.a�,..(ssaanTa3ls.Bndrtm,memr<eenn,cea.::Anr=iymrronnry L $300000
e'^� vbich mryira a permit So cmzwq alacc irnpmw-,hmd'nh or rryvie ay emaure
i 3 ma,hit itsinmmmp.alw rtaiucsrhappaomrrr mohpano', mfima La.Poem,,e
ovrheialieennJ pursmm bele paf Drviaeof de C gashottendPeiaw tpxpc9 cfv t Valuation
at IlsmmeislaiilASciian7B00)Ofhe beovo, Jofde Bashxa,nd Pnfemom Carl - :,3Y-Ob'�V4`3.. DIIYG
or Sect be 170315 b mWlmi and the Peelleralm a@-(eJ<i hclm as Any siplmmn -
of Beaian 7D115 by airy appiian;tan a permit mbjam eY eppaun a a civil peMry
afnal atone rbns five,haMmd dolls(1.500). 101,PH NpObNDAT ION Occupancy Type
01,m vvncr mf me pgSaty,ur my ernpluyaa wish wags m dmirx+le campertvdm.
viii am the work,and tan uru turc is am inenJ.all if offarzd rot sao(Sec.706t,
Business and Pmelasions Cox:The cmnemi a bane Law does mut reply to an 103 - UFER Required Inspections''
a.re,of p.pen,was milds or improve,d aa,n.and all,does amen Bark himself 10 4_ - REBAR
err mmu h his awn<mployeos.prvvihmard such inpmam
srcs ne rot i it nded a
aBlSe! err ones v,hmva>.m<Wiling or inipm.eaxm u nolo whUn me yam of 10 5 - ANCHOR DOLTS
cmmpkriun,Sbe awaa-builder swill have rhebmdcv 0rpmring mm haw rotbuild or
kc,msefor PVNnseof.lo). 106 - SEWER & WATER
❑Lm.,m'-is,ih<every.umesaasisclycmveactiSgvlrbBlamed nra -202 - UNDERFLOOR"PLUMBING
cinema rhe pojcn(em.7I.a,Bm-Bivesr em Pm,.hos Code)ere[omnam i 2 03 - UNDERFLOOR MECHANI CAL'•'
a irwelawdate msapply mon trials.
MPnmmor ab DvlWa minpwaiv,cdhe
aN wM.<mdaus for,mat Poiao wild a mnnmm(s7 licauei pnamm eo dte 204 - - UNDERFLOOR FRAME '-
Comrxm.;u rsxL,w. — - -
❑IameumptwderSee. ,BSPCNeches reamn205 - UNDERFLOOR -INSULATION
o,:aa "lima 301 - ROUGH PLUMBING
WORKER'S COMPENSATION DECLARATION 302 — TUB & OR SHOWER
Ithereby,afrrmanderpemlry4Mjveyomofthe forms ingd lanroes: 303 - ROUGH MECHANICAL
j; 0 1 have am will maintain a CerslOene of Conwa a self-inamn for Woaa; 304 - ROUGH ELECTRICAL
CampersaSmn, n pavideit for M' Savd.n 37M err rhe Labor Cade, for mm =
roman a 0i else ZZiesvm=h this permit u.hroedi 305 FRAME
e have and willmaimainWmkei,CmSpewvminanSegasoare4edbySeaiov 306 HOLDOWNS
�mD or me Lams Cox.ra dm Perfammvice nr me.mh h,a vein ser pamia a
307 - INSULATION
come
d.MY Wbha's Compensauoe Imm�ett<aSda ab Pdry wmLer art:
lttaRar.AIJ �tJEIGi-1tvalr.Na-:It� c4SJ-O� -. 308, -, ;SHEETROCK- .. . .. _ . .
cERnFlCACOMPENETIONPI URANCE'ORKFAS' - - '.309 EXTERIOR 'LATH
coMPENsnnoN LNsuaeN� . ' ------ -- ' 310. INTERIOR'-LATH - - - '
abii union need a be camplaed if he Pamir it fm on:bee dred dollars
(s Od}amaa.l 311 - SCRATCH COAT
1 oaniry thu in rCe perkmuna err me snits ror whmh iia Perini j,Swed.1 - 313 - ROOF NAIL• .
,lull vm,mptay any person in nny rronmrwumbmom<wbjarm me Wodas' 501 - FINAL ELECTRICAL''ENERGY
COmpcnwii0n Law:of Caldrimiv.Da¢
Applicmr - .. .502 FINAL .PLUMBING ENERGY
NOTICE TO APPLICANT:If,aha making this Cenifom of Encmption,yon shpald
be:mmesubjeep Some wish
peCompar his permit hall
alma Labor Cox,ym muse 503 - FINAL MECHANICAL ENERGY
yrmbwim,onplys.itna hFmBisionnorui.p permit mBn dam drtwk d. 504 - FINAL BUILDING ENERGY
CONSTRUCRON LENDING AGENCY
I hereby affirm mal dem is a cmmtr0ctioo lending agent for me iadamasee 505 - FINAL ELECTRICAL
S r oIthe wBakfor whi;hthis p::mithiored(Sat.J097,Cis.C.) 506 - GAS TEST
kerlIsrsName 507 - FINAL PLUMBING
lenity that heave and this apph:ldm and a one mm the above iMaaretion is 508 - FINAL MECHANICAL'
emma.l,gam.mmpy aim ail my tad com,,oNinances"am<Is.,miming 509 - FINAL GRADE
':W J u Witting eseemamn.and hereby aummitoreatoi,m of this city m asset upon
y W to ansa-m mann a p p ny for m innsien Psapases. 510 - F I NAL PLANNING
rwe)agrxtosave.indemnify and keep h.uMaa She ay a f Cupehino against
r`n babitides.jadgm,raaoaer, end e;< wn,m n.v old> vtry matx agthis,laid 514 - FINAL PU IC WORKS
(� Z City ie consequence of Sk grani s o f panda
APPLI •\T U. ERSTa A�. WIL' CW Cff LL,\'O,Y-POINT
so «-REGt OZ Issued by: Date
li an =or Dat< Re-roofs '
^ HA7AR OLS NIATER1AUS DISCLOSURE
WE,lmappLram or man building van mot.w.a,handle harardas material .Type of Roof - - -
m d,rr,d by the Cap<nino Alurvcp�l'Code,Chapter9.12,,n1 the Heald and Safety
cs,dl..0yhm
2553101' / .
All.roofs shall be inspected prior to any.roofing material being installed.
Wul me applicam or fururemikliag omapam ax eq ipmcaSmdaaa whrch Ifaroof is installed without first obtaining an inspection;'I agreeto'remove
emir hazardous air cmummana and by She Bay Arta An Qaali:y Managemant
ant' all new materials for inspection. Applicant understands and will comply with
rf Ova uo
all tion-pfiint source regulations.
I Ince read She harvdous materials igvirtme as under Chapter 6.95 of he
_
11.0
alif0rnia HealthA Safest Cade:Sxturts 2'505.25573 and 15531.1.&,..d that
dmf buddingsees omeuaendynae ant. .aiti on Sespoosibda".rmifythe
aau• there u'r7;
am 1 ua mem a p'r m issuma of a Cmlficm:of
o` aA `-Z3_DZ Signature of Applicant Date
<rara �m WinLwt,. All roof coverings to be Class "B" or better
OFFICE