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01060097 CITY mERTNo NPERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO. 20300 STEVENS CREEK BLVD DPR CONSTRUCTION INC 01060097 OWNER'S NAME: APPLICATION SUB DATE SARES REGIS GROUP 555 TWIN DOLPHIN DR 06/18/2001 PHONE: (650) 592-4800 SANITARY NO. CONTROL NO. ' ❑s z ARCHITECT/ENGINEER: BUILDING PERMIT INFO Ire'w O BLDG ELECT PLUMB MECH earn< CJ LJ L_.J l=1 i h_ LICENSED CONTRACTOR'S DECLARATION Job Description O z-G1 hereby aRrm that 1 am licensed under provisions of Chapter 9(commencing p„Ew with secman-rnJo)nroam.ianJnnne en.in=..and Pmfe.ssion.c sand my license 7 WATERPROOF DECKS . _my_ ;sin full forces meas ������� z a 6 License Clas. Lice p u 3 su y Date - e' Cuntmaor R CT'5 DECLAR t'-- ,g undenwnd my Plans shall be used as puhb co d, �' NOV 8 2001 w p O Licensed Professional OWNER-BUILDER exempt Erom the RATION I hereby affirm on 70 am eBusin from the CusionsC s Licence Law for the Fia whichirereason(SemonNJstrBusinessandProfessionsCadc:Anyorymcounty -� BUILDING $393488 p et which requites a Permit to construct.vlter,improve,demolish,of repair any evuaum so z prio t t I q tl ppl'ct .oel pc 'u I I a g Jut nen �- tnr M1e llec fJpp pt d- pia fthtC t t :L I 1CM1par9 1 t 1 t cep, , Valuation cinm i,ng Wn�seet 7tiuol nr D'dsi , one Boa aProras.ons code) 0',,7-3 6� T6'TV. or that he is exempt shcrtfrotri and the Ws¢for the allcgcJ uemption.Any violation ( -of Senion)OJ 6.5 by any applicvm for v permit nubjms the applicant m acivil penalty Inc nil more thanfi.e nanarta collars(ssooJ. 101APN Pl6b�YbATION Occupancy Type t ❑Las owrmr ofthe pmpeny.or my employees with wages as heir sole compemaion. - r will'dothe work:and the structure is not intended or offered for-sale'(Sec.76 , -- - - -'-”- -- Business amd+rofessions Calc:The Contractor's License Law does not apply to an 103 - UFER Required Inspeetion5r." owns of,.deny Who Wild,or mprove.thereon and who da such work himself or Wo gh h'. o PI y p d d bar such'ra,rossarma,am net tended or 104. .-- REBAR_ affrmur l If.'n- n building aprn m t Ice to a¢reer nr - 105 - ANCHOR BOLTS ..�` _ ... ... f:•: ;� r cumpl t m,0e owner bu'Idcr will nnve the burden of p ss ng that he d d nil wild or impmvef«parpnseefsale.). 106 - SEWER & WATER I _ _ pl--..-_' ------- - -- -- -- - licensed_.. . . . - -- - --- — - .asnwneronhepmpcoream«cors;verronmwtmgwilehanseccamrannrsm 202 - UNDERFLOOR PLUMBING t. •'•I. . ;:<�I:T;•: consumer the project(Sec.70,14.Business and Professions Code:)The Contractor's ,n, ,p:; ii License Low does not apply toanowner ofpropenrwho builds orimproves thereon. 203 - UNDERFLOOR MECHANICAL ..and,who contracts for such projoets with a mnuacmgs)liecnscd.purtuent in dre 20 -- _ —-. Conuvctors License law. 04 - UNDERFLOOR FRAME. .. - ❑lmorm arp tralerSa: '' '` ''•' "' L'' :'BkP,CforNisrcason 205 - UNDERFLOOR"'INSULATION tn:nei' 'Dote'• 301 - ROUGH PLUMBING WORKER'S COMPENSATION DECLARATION 302 - TUB & OR SHOWER Ihereby arrmmmm�r.n<naliyirpgrjpryaripnnpfollowing declarations: 303 _ ROUGH MECHANICAL m 0 1 have and will aintain a a Cenifcde'of Consent m self more for workers 304 ROUGH ELECTRICAL Compen.euion: as provided for by Section 370) of the Labor-Com,'for the performance of me work for which(his permit is is.yed. 3 0 5 - FRAME ❑I have and will maim i ain Worker's Coarp,rot I mocc required by Section 306 - HOLDOWNS 3700 f theLabile Code,f theperf,m f theperm t s inued My�I s kees ComensaionInsurance can myaauPklfx n ms 307 INSULATION _ .� OO - 'moi / /� ( g �fn- 308. .,1 SHEETROCK ,w. Cunni V© °f-• Poli y No r�_' �. - ( sCERTIFICATIONOFEXEMPTIO FROMWORKEIIS 3O9 "• BXTERZOR LATH`' COMPENSATION INSURANCE'_ (Thsikunnneed not becnnplciedithe Permit' smi ars LATH: (MOOrorless.) 311 - SCRATCH COAT 3.13 --ROOF NAIL. - 7 1 c n f4.sato n Ne perfonnance f the work or which this permit is asura L ~• �t eM1all nm enpluy any ,,on in any mann a to becamesubjeu of the Workers t 501 - FINAL ELECTRICAli ENERGY Compe t La of C f Date - Applicant " 502- -- FINAL-PLUMBING ENERGY--- --- - --- - - NOTICE TOAPPLICANT,It ftiar making this Certificate ofE empo n You should r 503 - FINAL MECHANICAL ' ENERGY r bee me subjecuo the Workers Compensation pmrsvons of the Who Calc,you must O ronnwhndamplywansuch provisions mthis permit shall xdecimal revoked. -,..504 .- _FINAL_.BUILDING_ENERGY.._._._ ._.__-_._ - - '- 'rA •+' CONSTRVCIION LENDING AGENCY 505 - FINAL ELECTRICAL �Ir > 1 lunch; K that there c a construction leading age y f the performance t - ofthework lot wtichtn K t .'. m(Sc.,t>97.C'..C) 506 GAS TEST C Lemf N - .. . . __._ .. O z 'Lew Add es. - 507 - FINAL PLUMBING UO l ocnify that huse madth. ppiktn and tate mot the abusenrrmarnis 508 - FINAL MECHANICAL comes.I agree to comply,with ill[city and county ordinance. and state laws testing 509 - FINAL GRADE ..:C)V .building rnnstNainn,and hembyauthmilem,ciin..aves afihis city la enter upon ns 510 - FINAL PLANNING iW i ned.v pe ty f pas p H 1t (Nil gree 1. t d mnfy and keep humanists,the Citirif 6al"ahoeg inn lin Imbihl I dgments.ocol,ande p nscn larch a,'to sac ragainst.aid 514 - FINAL PUBLIC WORKS U Z City in consequence of the gran n jointing this pit 'APPLE',kf� WDBRSTANDSA J I COMIPLY'WITH AILNON POINT ' so RAPPLE�',jJ Rj--GULA 6O � Issued by: Dale 5gv Wpahclo`tant or tuiure buildingRIALS pores URE harvduusem�eti:J,� Re-roofs '1 t HAZommorm MATERIALS DISCLOSURE �l �✓ 'up heart Type of•Roof - - . ...._... _......___. .._._....._..__ .. as&fired bythe Cupen no M n ipa'Code.Chapter 9.12. ad the Health and Safety Cale.Seniors 25532(in . .. )•,.'.- i . ' �'. , 't J+• �J "ore:- ,• '";`�or:o',!';t ',; ;:°;'o it Is i r I All roofs shall be inspected.prior.to any.roofing material being installed.-._.___ .- . W'um pvl t r r b ldngoc,P t equipt d Deswni<h if a roof is i, ')' led'Cvithout first obtaining an inspection, I'dgree to'remove em it hazardous- ,defined byte Bay Area n Quality Management Dunt all new materials for inspection.Applicant understands and_will comply,With_.._ oEl Yes C]No >i. all non-point source regulations..,;�I,:• ! - 1 Imse;cad tc h 'hars,dam;materials requirement,iodcr Chapter 6.95 of the 1�ahfomili Health&Safety Code.Section,25505.15533 and 25534.1ma nderendtht, _ _ _ _ C iI.I.uilJf em,neon=, Foveate Y issuance ofa m neat the -- - n vutharisd v t that t m ms r p � ub mtp'nr w,iz c t 'C nificmc of ' Signature ofApplican[ _ _-.._ . - . -, Date _ T. t o g D„� All roof coverings to be Class"B” or better OFFICE