00100116 CITY OF CUPE.RTINO
BUILDING DtvtstON PERMIT CONTRACTOR INFORMATION:
BUILDIN'GADDISS:10050-60 STELLI RD _ I.TRMrr NO.
. 00100116
OWNER NAMI'WAPPLICATION SUIT DATC
WANG,. STANLEY r 1.0/1.7/2000
PHONE: SANITARY NO. CONTROL NO.
if
(,$p--q38-1888xio/
O se z ARCHITEMAiNGINEER: ItU11A1NG I'I!RM111T INFO
O O BLI)C IiLEC'1%�iPLUj A1RCIf�UJ �J
zs_? Ihereby aft Oath
LICENSED
amlensed undo Provnu^A of Cla�er 9(Commencing Job Description
ON o with Section 70(HBof Division 3 of the Business and Professions Code.and my license
F-C mmui„eonttdenee,, ,I-TWNHOUSE 4991 SO._FT.:dEA)- 420.,;GARAGE (I
��=*d
License Li`.a FIGURES ARE COMBINED IN VALUATION FOR
6 o a u Date eommmor
3 a v AHCHITECr'S DECLARATION
I understand in,plans he used as public records
w Licensed Pmlic,innal FINALEENI
LL
OWNER-BUILDER DECLARATION
I heathy affirm that I am exempt from the Contractor's License Law for the
C Z a following ramon (Section 7031.5.Business and Yrhfcsdan,Co dc:Any city ur county ,1 U L 3 1 2002
x O which reclines a penuit no en. ct
%ou ,ill c+ Improve.demolish,or repair any structure
ou3= primal its issuance.also requires the applicant lir such permit mile a,moi,catsement
e. that he is licen.d pursuant In the provision.of Cmnmcm's Licens Law(Chapter 9 Sq. Ft. Floor Area Valuation
(commencing with Section 7”)of[)is isian 3 of the Business and Professions Code)
or that he is cscmpi herefrom and If,basis fur Nc alleged exenipion.Any violation
Of Scion 703 1.5 by any applicmn fur a pcmtu si,bjc,,,the applican,m a civil pc-Ily A Um • .' OCC grS'�
of not tome than live hnmlrcd dollars(E50(r. ` o, "
❑I,as owner of the pnipedy,or my employees with wages as their sole compensation.
Off do the work,and the%tractum is not intended or iffc ed for sale(.Sec.7(44,
Im.lne.x nail Pmfe"wo,Cial,the Conmmord Liecnm Low does our apply to an �R aired Inspections
r of prolixity Who build,or impnwe%thereon.and who Nies such work himself
,it through his own employees.Provided Nal such imp.....ncar,am not intended or
offered for sale.If.however.the building or improvement is sum within one year of 101 — FOUNDATION. -
mipleinn,the owner.builder will nave the hat len m roving but he did not huild or
`...Prove air aa,m,enrsale.). 1.02- - PIF-RS
twhir of Ine Propch,am cadudvely commuting with licensed curriculums to .'rl,Oar..—..UFER.:
act the pioneer(See.7(w,Business and Profession,C wco the Concacm,. - 104 RE$A R
Licen,c l.aw does not apply to an owner of pmlwny who builds or hnpoOrs Interco.. G— .
and who ennmwm fur such Projects whh n conwcmr(.)licensed pummm to the ,,.405 ..—�AN6HGIRBOI=TS
❑lame ea,t//yyI� %�ler Sec. .11&PC fnnhis mwOn 1'OEs-..- SEWER X WATF-Rsi
own -X�so'N9 .r- -��— n
WW[61<KIiH ti 1PIiN5AnON DecLAHAr ON ?OG +— A.INDERFLOOR, PLUMBING, ,
Iherchyalronunder penaltyofperjur ane of the fouow;ngdeelatamns: .203 -- UNDERFLOOR MECHANICAL...,
• ;:3
F-04- UNDERFLOOR: FRAME';
O l h J II rnt
C ' t f C m m
se : If' i air Worker's
Ci pc t p d d I by S 3709 of to I bcont, for the 205 - UNDERFLOOR INSULATION'.
performance of the work for witch this peon t is issued,
❑1,has and will mai main Wicker'sCompensation Insurance.as required by Section 3010�1 -' ROUGH PLUMBING,,,
3700 or the Luhor Coate.for the peaonnance of Inc work Iia which this permit is 3QIP_ ',:T'UB, a•Gi OR- SHOWER °
issued My Worker's CmnI,m,ation Insurance carrier and Policy number arc:
calve. PolicyNt. ':303 -, :R000H; MECHRNZ=GAL-
cISRTIFICATION Or EXEMYTIONPROMWORKERS 304-- ROUGH ELECTRICAL
t COMPENSATION INSURANCI! ,
305 - 'FRRMEr:
(Ihis,tttinn need..I B, if the permit is one hundred dollars 306 - NOLDOIJNS
151110)or less.( s
I aenify Nal in tote lenoronmrot me won.nit which Nis 1,noth is os d,1 )307' —i,:I NSULAT I ON't.r
shall not employ any persvn any res r so a..m become%object m the Worked 30&. -$HEETROCK .
Compensmio.Laws of Caoformm.Date
ApplicantCHshould 309, EXTERIOR LATH •
NITI'ITU AI'PLIGN'1':If,utier bulking this CeniCmam 01 Exemption,you
Z lmcontc stih�w,,Ino Workcr%Coo,"ca"ado�i Is.... rn onbc labor code,yiiu nit'" 31.0 �INTERIOR LATI-I_a
O O limhwith comply with such provisions m thine mtit shall Ire deemed revoked.
m CONSTRUE-rIONLENDING AGENCY .?.11 -- SCRATCH- COAT
Q a1 hereby afarm than mere is a a instruction lending agency for the Performance -r a 13-,r ROOF•,-+NA T L,
df thc'wmk for whidt thus permit is issued(5..3097;civ.C.) x.yns, r
1<ndcr',Name c50,1 • - FI'NAli ELECTRICAL. 'ENERGY.,
D Z Lenders Address -
v 0 1 ccrlity that Ih dIn pplication amid muh,th,rt the mnoWof (Cron is 50: - FINAL, PLUMBING ENERGY _
4. F ei t 1 6 t y 't n city 1 tr r t I rent is
O 03, 7s
-s FINAL. MECHANICAL-•-ENER%GYT
the nuaw
0 U rubuilding n n wi all
th I t f and cityt ' ryit . .
¢n0o dp Perry for pet pm%' - '504 - FINAL BUILDING ENERGY
'T y IW)agree indemnity dk ph toil theCry fC pen against i/
F fn hhili bo 1:and p n h ryi ar ya,mcaPii ,.aid 505 , F.INAL_i-ELECT.,RICAL,- S 2 7— O /
U Z,
Ca'in lucn.c or'he stun gold punt -
^'
APPLICANT UNI)HRST4L#N AND WILL COMPLY WI FH AL( NON POINI Issued by: 506 --GAS TEST - Date
,fRCC C LAI Isp,. I
Re-roofs
I IAVA%RDOIIS MATERIALS DISCLOSURE 508--. FINAL MECHANIC_kiJN.:,
WllihcapPlicantor fnarefuld'ngoccupvnt slum,r handle hwuNnm material Type of Roof
as defined by the CuPenino Municipal Cale.Chapter 9.12,and the Health and Safety aIn '50,9 .FINAL GRADE`•
Codc.Se,ion 2553^^-(a)7
ID yes ❑No All roofs shall 90i[Apecttl�Pi WLO A_RW 3lifj&terial being installed.
Will the applicant or future buildmgoccupant use equipment or device,which If a roof is instDlk&q ithcEt MfAIQbtGl M-4iOp o(*el.agree to remove
emit hormsous air eonaminants an defined by the Bay Area Air Quality Managentenl
all new materiaTsSfGI'.irtsptR(1t(!1F A;pLliettngglgleq flE�s and will comply with
District?
oYtes 0N
all non-point squffe re. 'BATT'ENS-
1 have tend the hanardoun matenal%requirements under Chapter 6.95 of the 6Q�4 — ROOF I N—PROGRESS
California Hemth&Safety Code.Sections 25505.25533 and 25534.1 undcoland that
i(flim h nddi ng docs not cnrmtnly have a moms
an.that it is my re%, ihi lily m notify the
occupum fit,regoarantruns which must bu mot poor o-i Iswaace of a Certiacme of
Signature of Applicant Date
wa�-
own ornamod,eda t—
are All roof coverings to be Class"B" or bettor
OFFICE