01030017 (2) CUPF.RTINO x ✓.. "" ' 8 ' ' '
BUILDING DIVISION_ PERMIT': , CONTRACTOR INFORMATION
BUILDING ADDRESS: - - ` r a h _ PERMIT NO. ,
22015' CREF_KSIiDE CT RANDALL .BRAIJN 01,03001:7
'OWNCII'S NAME: - - - " v ' .- APPLICATION SUB DATE
. RYAN ,JOHN 0 AND PAWL INE E - 1.040:.GRANT't,RD;'`SIE -155-12503/05/2 . '
PHONF. I _ SANITARY NO, CONT-
ROL NO:
';(415)!265-4663,-7 _
a,seZ ARCHITECT/ENGINEER: BUILDING PERMIT INFO '
BLDG. ELECT PLUMB, MECH•
Z N i LICENSED CONTRACTOR S DLION A ,IOD Description f
O UZ_p Ih by Ir tl II licensed d ion
p ,Of Chapt r9(cure req 6 R ¢,d
m will S f ]IW0) fD " lnlof llty Bu .v dndR ru" ms Ctmr,and ny l' a
s i I i f and eflwt
��a< uc C 1 u 3CI&I t REMODEL KLTCHEN. 'u
O w e
o oat S
O ,.: t R (lQdtLl� � f ,,,
3 /. ..
'r- ARLHII'LCI SDFCLARA
m-I 1 t
•_ , '7p+r/y
i' ndtyI Shallheused PbfewenMsto
te O O 1 Licloold pace.' I ' -
OWNI R Bf11LDER DECLARATION
so so 11 by ll that t pl boards,C t t I L' tar the
Z Q roll 0 (Section]031.5 B d P f :Code Any ilY only
am xhh 4 ProfitI I- r t P d sl p' Y:1 Ire
�p
prior[() .. Lrequires(h applicant w II fSignal.tt caul
he,her,licensed pIt (he wevisial, I tire Cuouncer,I L (Chapter 9 S(l, Ft, Floor Area. .ValUatlOn
(m narreariu,wire Station 9000)of Division 3 of the Huv'nut and Profess ors CMe) r
or that he is uompt therefrom and the basis for the alleged esenSaini.Any violation
Of Section 90315 by any applicant for a permit subjects the applicant to it civil penally
I " ornnl none man nvc Itrad ed dollars($500) -,APN Number ,. Occupancy Type
❑I,as owner of the progeny,or uiy entployew wish wages as their;ole compematloq: _
will do the work,and the Structure is not intended or offered far sale(Sou-7044, p -
Br,iriatm Professions Code'The Commete.,Licenx Law doer not I,,,Iy plan Required Inspections" -
aw Lp pity Whob ild 1 S mem .o.and who due: k l' If
te gnar,,ass ply p dIthat such mpowem l,red a.,intendedo, �. 10.1 — FOUNDATION' - - -
offered for s,le dr liweve,the balding ar i mprtne.cut is Sold wahtn envycar of -
honfdedmt,tnonwner-handerwm have the burden sd,rovingthethedid at.,build or - 102 — PIERS
apown for purpose of ) _
-p 1.aaoxne,ifthe I ,e.ems.orccons�fn ' mrcensedsUnraetoralo '1-03,-,LIFER. '
Property,y. v sw ;a t
mnrrtl ret project)sec 70440aaine P reamoaa codc)The Conmemra 104 — .REBAR. '
Lite Law Linest apply to an Owner of noperly who l ld -ruarproves theocrat,, 05ANCHOR'who contacts ft h projects with contractors) etsed pursuant to the BOLTS
Contractile,License Law.
t ,
...
Cl l am aectnpllmde,Set. .-,B&P c for msreran r• 1.0E — SEWER'P& WATER ' t
Coal, Date '= 202 n UNDERFLOOR PLUMBING
WORKER S COMPENSATION DECLARATION
203 UNDERFLOOR MECHANICAL
x
lin. nyFfr alrnl� fp r nn rIl gl<i' r <t, t204;, -JUNDERFLOOR', FRAME,';:yt., w .
(o nact'ull S'u ro l 61f Cons c rbc t tl t, If wt k 205 UNDERFLOOR INSULATION
Cn neural t n Proa
v'dtt1 0 r. S 3 0l: the Lebo, Code. for the
perfairlince of the w,,,k roe which dds"nit is issued 30"1.i— ROUGH, •PLUMBING _
Ed l have and will maintain Worker.cmnpeaaoron Ttemaned,a,regti,ed by Section 302 r TUB & OR SHOWER
39101 of[lie Labor Code,lot the p'f f the k f h this per 't la
issued.bfywrkersc p t Isu r,erand Policy n '
303 = ROUGH' MECHANICAL, 'I
Cab' ,.,�'J 1`:� alb P°i yN7`� M 1 ��� 304' —.,ROUGH ELECTRICAL
CERTIFICATION OF EXEMPTION-M514 WORKERS , `
COMPENSATION INSURANCE - ,
N. 305 .-':FRAME o .
(ThSectionit e olbeeinaur ad the pemtisf huaduldod r; - 30f'.:�.-o.. HOLDOWPIS N �, - . .
(Sten) I. )- -
Ieerfrythat U. In,Fortconnote othe work.fit,whennt:pt,I'a.,,.,d,1'- ' 307- • INSULATI'ON� -
.hurl t pl r t p y o n Subject[.,fire w .k 308 — SHEET'ROCK .'
1 I
Co t CalifC f Lure
" t
t . N)IICE 16APPI iCANT If ret pushing this Cn'I- t fE --pf yshould-. °' .r ,�IA9P.- EXTERIOR LATH't,
�oau subjectt the W kr' c I provisions,oftheLh cod y t, 310,,.=._'INTERIOR..LA7H
Q O f..In II ountply off uth prov sons dr th Perrail.hell bed red revoked, -
- .,SCRATCH,-COAT.-.,
CONSTRUCTION 1 ENDING AGENCY
•.1 herehy efdmt then m t. a ti I I'ng tgency for the perfonnence " 313, — 'ROOF NAIL ' -
ofthewmk for which this pennliaissued(se3lro] cin.c) . FINAL ELECTRICAL ENERGYLenders Nana 501
uC Leader',Addres502 — .FINAL`.PLUMBING ENERGY,
I lfythat I read this ppr t nd.Tt chat doe b r t Sf113' ' FINAL: MECHANICAL, ENERGY
wT4gr cart I.I,ibr t ply tl II city d county ordinances and stateIn . I t ny - ,V
o u ttb 'Id g , et and IIy n p f e. Ills lily of upon 1 ,504 '— FINAL BUILDING ENERGY'
then en m Jp ( tvf .pcat p P ret • :t :n' bn,,S.* _ _
y (We) 6 el fy dkeep.h I tl city fC p,"n,to t
m Eanlf 'i Ig oa ya g,nnt a 505.,— .FINAL' ELECT,RIGAL+^ APPUcnx _ N ALL NON-P NT lssBedb Sub — GAS 'TEST Date,.
so 6 Y•
drfe or ApplieantlContracmr ate Re-roofs „ 506 — F'INAL MECHANICAL . "
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant orpeco,building rec ptett nom or handle foriatedrus int nal 'type of Roof ' 509 "_ -FINAL GRADE'S •
acJr Jlh Cp t plCtdca Chapter912 andp H htadSity
Code,Section 55320 • `'' . 51.0 - FINAL PLA NIN `
°1'' �" All roofs shall be s ected an �J�,,j�1a n msWlled. r '
Will the ppfc I Irani 1 -Idng ntcupa n use cqu p I J ' t h h : If a roof IS lnstalle thout it C d IIISt]I. glee to remove '
conit hicitfunno,air enet tv.s defined by the BILLY Y AA na
Qally.Mzgemenl
District? t� all new materials for inspection'. Applicant understands.and will comply with -
DYe` all
No all non-point source regulations.
I have ream the Hazardous materials reqm
s ireents ander Chapter 6,95 ofIhe ,
Gulifornialiealth&Safety Cale,Secttous25505,25533and25534:1 indcolandthm
ifthebuil ' currentlyI,Ve a tenant,Nat it is my rospoacibilhy mnotifythn
of the r ter writer prior m s run Centftcme'if
�;oot I
, Signature of Applicant . . - - , • ,- Date i
Owareco,ata rutrusen na - All roof coverings to be Class B'or lietter '
OFFICE ,
h _
1TY OF CUPFRTINO
uuu.DING utvtstON'' PERMIT CONTRACTOR INFORMATION: G r
0
BUILDING ADDRESS: PERMIT NO:
22015 CREEKSIDE CT RANDALL BRAUN- . 01,030017
0WNER'SNAME:' ' APPLICATION SUR DATE
WILLIAM E 8 SALLY hIARR SOI\l 1040 .GRANT' RD. ST ^155-12503/05/2001
-PHONE: - - - SANITARY NO. CONTROL.NO.
(415)265-4663 .
p Q ARCHITECT/IiNGINEIiR: . - BUIIAING PERMIT INFO
kL"w— BLDG ELECT PLUMB MIiCH
y 6
y Z LICi?NSEDC'ONTRA(:101R'S DECLARATION •• Ob s
z m I heathy wBrn that 1 am licensed under provisions of Cha ter9(rommennn - Description,
�� with Section 7000)of Division J oflhe Business and Pmfe,sions Cmlq and my licene r
E Is!,I fill fire,and effort.
�owU LameClac, w REMODEL KITCHEN. ;
�e t. Dan, Contractor "
W 3u.m ARCHffECf'S DECLARATION s
1 undermund any pians shall he mel as public accord,
at L p O Licenced Professional -
°' o
OWNER BUILDER DECLARATION ♦ k , -
1 hem by of lin dot 1.,it exempt from the Cnmracowa 1-neem Love for ma
following mann.(Section 7031.5.Business and Pndn,inm Cade:Any city or county '
C F Oo
which requires u p m I to construa, hal im"ov,J t Itch r repair any sionatow ' -
ii 3 m price t t k,awme,alko Halt :dractiffiIan, r:u l pwritu,file i,iwed,onament
morn licensed frourn to doe 1wivisioniv of the Contractors License Few(cnptoo tg Sq. FL Floor Area Valuation_
(comm lh Section 7MX)) f Di mian 3 t f the Business and Profesnn,uCale) _
ur mut he is exempt Ile,ofrmn I I ma hwis fir the alleged exemption.Ally violation • '
of Secaion]OI LS by any epplicam fora permit suhjccl,me applicanuoacivil penal)Y
0064
mfoolmnmmnn B,ahandmddmmm($AN). " APN Number - - - Occupancy Type
❑Las owncnd me pnalx'nY,onny etnployasr with wages nx their.ole compcnmlion, -
will Jo me work,and the ztrano,is not inumi or offered for sale(Sec.]Df A,
Business anti I'massionx Crile:She Cmnracam's Licence Law door a.,apply to an - o, Required Inspections .
vsw r ropen
of py Who huild,or improves thereon,and whosuch wan
does k nlmelf '
°r ihow,h him own empwyean.provided mat such norma manly am ma intended..r 101 — FOUNDATION *.,.
offered for safe.IC however,the building or improvement is sold within one yew of s
Iimpletion,the owmer.nnimer will have me burden of proving that he did not build It 102 — PIERS
mprove for purpose of soled. -
v I
.,ad,none property, excln.tvely, contracting with licensed contractor,Ra 103 — UFER ', `
, en,um,,t the I jwt(sea.704.1,Batoc,,and Profe„ion,Cnda:)Ilan Commemrt, 104 — RF_BA R
Liconse Law docs not apply u,Ila nwmr of propeny who builds or Impmvm there...I, `
and who commas for such projoe with a commetor(s)Bcen.ed pamnam to the 105. ANCHOR- BOLTS
Common`,Liewoe Law. - -
❑1.11 Pta rsea.” ,Bk11Crormi,mason I0G — SE14ER R WATER
Owne 4 &LA o:na d 0 2f0,2 UNDERFLOOR PLUMBING ,
WORKIiR'S fIGMP1iNSATIGN UIiCLAItAI I(1N 203 UNDERFLOOR MECHANICAL
1 hamb, R ,add,pen by f pc)ry red full ing J cls tion,.
I 204 — ,UNDERFLOOR FRAME .
❑ 1 e II t " Crit a f f t :If f o WuIkeLs
Conpe r a p d d f by Ser 3Ila f he lana Code for he 205 . UNDERFLOOR INSULATION,.
pelf mmmonhewnrkforwnchtbspermiti, sued 301 — ROUGH PLUMBING
I'll I have and will maintain Worker's Compensation Inidrawe,as rtyumal by Section „302 •— TUB B 0 R SHOWER
3700 of the L,dwr Cale,for the performance of the work for which this permit is
i,ued.Mywmrkar,Cmawa,minminm:maaearrierandPolicynumbera,,: 303:` ROUGH MECHANICAL .,
Carrier:— EXEMPTION 3041- ROUGH ELECTRICAL
CERTIFICATION OF EPolicy ION FROM WORKIiRS'
COMPHNSAl ION INSURANCE 305 FRAME -r. -
(Otis union need not be completed if permit is for one hundred dollars ' 306 — HOLDOWNS
($1009a.
Iccnif y mmipthe rmmmneennneworkror,.'nirnmix .307 •---INSUCATION;'''
per Ltemd,Is I„vad,I „
,hal d I imadoy any in any maomr I,as in leeonew ah«t to the Worker,' 308 — SHEETROCK
Cmtnpcmalinn laws Ill'Califnmlla Data
Applicant 309 EXTERIOR LATH.
NOT ICE TO APPLICANT.If,after making this Cenificma of Exemption,you should
bennal:-,nhJenm the Worker,Compamadi Iprovt,tymorthe Labor Code,rnumaa - -
z 31.0 — INTERIOR LATH
Z O frilhwith comply with such provisions or this pend shall be deented invoked. '
3311. — SCRATCH- COAT
F r� CONSTRUCTION LENDING learn, iawy - - . 31.3 —s ROOF NAIL'
a ' Ihereor nlErmlhi,pwrelspama (Sec. lmminglmency firma Pcrfnrmanec - ,
of the work for which rhi.a pemail iz i,wed(Sec.J(19].Civ.CJ
y c Lnder',Name 315 EXT SHEAR
p z Lcmder,Address 50], — FINAL ELECTRICAL:ENERGY
U � 1 cenify rent 1 have real this apPlicmion and store mm the shove infonnalion is
w F correct.I agree to comply v,im all city and county molmances anti state law,m0(ag 502._ — FINAL PLUMBING -ENERGY
O U theith,i III mgamutmoiom,and,urehyaao...Inwawwine anlpB,a,onn'I,aitymcone,ap°° 503 — FINAL MECHANICAL ENERGY
} ty the uhn(We)agamt.mpal propenyfor inspection,h,ame u
F., pct (w) g et ,a J 'Ipaa J which
h 1 in the Cly a..nenfnmag .I
..t i lann'r cels hn ymmlty ya I ag 'r,t: d 504, = FINAL BUILDING,, ENERGY»"
U z
Co".c a 1u afro 'III,a")1i"'pe n, I `�
- APPLICp l ) RS`FA ANDWILL COMPLY WITH ALL NO POINT 505 — FINAL ELECTRICq�
TION ., , ..,1/, 10 0 ,Issued by: _ . . "Date �^S 0/.
tv _
coname.f Ainplic NCnmmni Dme Re-roofs 5 _ -
HAZARDOUSMATERIAISDISCLOSORE 'J07 FINAL' PLUP'IPING-'
Winntc n,,limant m found hind ir,occupmt store or handle llaramom,Imaterhll Type of Roof " 508 —' FINAL MECHANICAL
^:
as Jclined by the Cupaniao Municipal Cafe,Chapter 9.12,and the Health anti Safety
Calc,Section 25532(x)'! -
El Yet 0 N 509 — FINAL GRA E
All roofs"shulltbe t cted {qr'�Q an o t real being installed.
wdlmeapphdmlormlambaudmg�expanln,ceynipmemnramam,w'nion Ifaroofisinstall�3Gl�ithout�fihY�'6tl1tairr"� tr.f �ri7opnlCcsagree toremove
emit haO ye,saircum:nninmau❑NoOnoJ by the Bay Arca Air Qololy Mmmgement tflP kfot'110}3pllkl InaCi'stkimp rRl will comply with.
rnxld,l" all new materials s ec I 1'1'all non-point source regulations.
I have rayl the hrzwdnu,mulcrial,acquire fit,order Chapter fi n5 of the
Colifnmip Healed A Safety GWc,Secdlons 25505,25533 and 25534.1 undersand mil
ifro,haddingdce.,nil curren0y have aimam.mat it is my mgsm,ihility mon,lythe -
.I.,at nr the uimnems which inns he ren prior m issuance of.Cmifeme or
y fd/Q r "Signature of Applicant Date
minor ar�aEf, t" . Dnlc - - All roof coverings to be Class `B",or,better
OFFICE