02070077 (2) BUILDING DIIVIISIONNOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10320 FARALLONE DR KEVIN CALLAGHAN 02070077
OWNER'S NAME: APPLICATION SUB DATE
KEVIN CALLAGHAN 07/12/2002
PHONE: SANITARY NO. CONTROL NO.
0 ARCHITEC(ENGINEER: BUILDING PERMIT INFO
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,UF BLDO ELECT PLUMB MECH
<a. u u u u
y1° LICENSED CONTRACTOR'S DECLARATION
oO S h -Job Description
C I hereby affirm that I am licensed under provisions of Chapter 9(commencing p
�yfw with Section 7")of Division 3ofMeBusiness and Professions Code.and myucanse REPLACE FIXTURES & TILE (BATHROOM)
<Y y J is in full fora and effeo.
d p 6 V License Class Lic.p
Date Contractor
°uS 3 a.t; ARCHITECT'S DECLARATION
NO< I and e..land in,plans shall be used as public merits
dap O Licensed Professionaltt ly
e� OWNER-BUILDER DECLARATION F lLa• F-
Laa—
I hereby affirm that 1 am exempt from the Contractor's License Ww for the
I-?< following reason.(Section 7031.5.Business and Professions Code:Any city or county
f x�O which requires a permit to comuua,alter,improve,demolish,or repair as '� 6 7003 $2000
a 3 "'p°w m ill issuances also requites the applicant for such prmut m fie a sigtmd syy�aykl7l.
Nat EBiglianpdoSecunitdtM1p Ppuisionsof Ne Contractors LiccnsehwonnC r9 My (,, t
(conuvermipp wYhswran]t)OO).of Division3of Nc Business ped prpfessionzCWe) ..,;- '6_cjsj�{01��4� r�divl.,r;-1i�.S, � Valuation
orS the is 31.5b N f nd the ba'. for subjects
esem}gon Any. i
of Sea '1031.5 by any ppl' nt for a permit ubjcc¢Ne epPlicanno
of not mom than nvahundred allars(S5W) 101 APNI��ATION �I iiivo 1. Occupancy Type
01 of the p Pny my employees with wages as their sole compensation. _ PT
will do Ne'vi,ixrk .rd me structure s of intended or'ollemd for sale(Sec 7(oal,-
�Bhxinvos and Profess Cao Tic c pact°r.License Law does not apply to an 103 - UFER Required Inspections W,
owner r of progeny Who builds or improves thereon and who does such work himself
or through h' employees,provided Nm such vemont m r arc not intended of 104 - REBAR _
-;off def 1-ITh - l th building aethe inpnrvf .va la Nm oneald of .. _. _...___,. - .__..__-- -.__..- -t.__—._
compl ion,the ownerbu Idcr will have the buMen of pravrng that he did not build or 105 - ANCHOR BOLTS I S " P3 '• ,.�'I L..�.n
impmveforpurpmeofsale.). 106 - SEWER & WATER j
—.............. — ... 2
u owntt of the rz --'— –----:--
P(See7(44,b<siness and Professions 02' - UNDERFLOOR PLUMBING-- .t:,t-------
construct L.w project(Sec.9to a Business and Pmfessions Caeea The improves
themon, _
Lice nm emartannota to anawnerar Pe rw prsuantneoeN,- ,_._-_--_. 203 - UNDERFLOOR MECHAN'I'CAL'''`"' "' '
PPY Pro n ho builds or ire �-.. .,r.
• �.:. ._ted who,e U eumfor.La such pmlects.wiN.a.contraaoAs).licensea
C i trL<enm_ 204---- -UNDERFLOOR--FRAME— _ . __ _.__ _. ...._..---
I am ex ear B&Pcf N, aaan 205 - UNDERFLOORcT'I'NSUI ATION
° � ° � /1 h as 301 - ROUGH PLUMBING
r RKER OMPENSrY00N A ION 302 - TUB & OR SHOWER
Ihereby elErmdttpe l n of Ityofpery, efollowingdeclaranon.. - 303 - ROUGH MECHANICAL
❑ 1 have aad:viii'mamtnm a Cerdfirme of Came.,-I.self-insum for workers 3 P4 - ROUGH ELECTRICAL
''7 % Compensation, m provided far by Section-3700,,-he Labor Code.dor the
`- 'perfarman«'of me work ter whl<n Ni.pemtiI is is uea._ .. 305 - FRAME
❑1 have and will niainiam Worker's Coinpeniaiion lnsamorc,as required by Section 306 - HOLDOWNS
- _
37W of the Labor'Code:for the performance'of Ne work`foi which this permit is 307 — INSULATION
sued MyWorkers Competn Insurancecam d Pol mbc -
.. y ...•-.�....�.......,...-_sons..___.._.._...-_..__.___......-.
Carrier.ty ;teal No 308 ,y)'SHEETROCK -
'r { CEMECAnONOFEXFM"IONFRomwoRKERs - 4 3�. 730;(3„ ;-1JEX,T2 tORf_LAT'Hi "v:, r
COMPENSATION INSURANCE-^ a f
._., . . — _,..--�.�-. -_ .
snlr(g3, met ineednothecomptrmafthepermtisforonehandreddolmrs 31'0�.����"INTERIOR...LATH --- ------
_- --.
PEI W)ar less)
311 SCRATCH COAT
le nrrN t' Ne perf < onh arkr n-nm lK r dI - -..:.- '313 "ROOF—NAIL
PIr an,per y spn�tcpg�/�tn�j<tt Newak 501 - FINAL ELECTRICAL` ENERGY
Comatt yyt fC/� fj_ yn/ l/_/fid
Apple t S.lte94"�' spa � 502._.-- FINAL.
N TI TllArodar ruaf1�lkngth cnf t of Exemption.yawold PLUMBING ENERGY
OZ flXonnu'nhco'm'I1p!n kre pensm p .onsoftheUarCade,yaumast 503 - FINAL MECHANICAL ENERGY
comply with such powlsion,orth prom t smell be d I okea
z B ._ r -- - _. _._ 50.4__-.- EINAL_BUILDING. ENERGY ... _._ ......
F_tA - :CONSTRUCTIONLENDIhGAGENCY
in la1 R h t - 505 - FINAL ELECTRICAL
de ky h h N s uy
pc t sued(S 3097 Civ.C 506 - GAS TEST
"
507 - FINAL PLUMBING
U O Irenfythat Ih mad this ppi'cat n and statethat the above info tion'a 508 — FINAL MECHANICAL[ ' 1
t V
to build.,
gc _t < pn ly ddberets
Nbin tuy h iv nrau ptr raaseov ftyd rttyetso enter upon
509 — FINAL GRADE
W 'ra°bVe eop ”"yf purposes
510F S (W) geis satet tefy ik hIeche C ty f CupeK �'ugaest - FINAL PLANNING
rn
liabilities.judgment,cmf deape ee, Inch y any ay gain.,said 514 - FINAL UB C WORKS /
V Z' City, eqe a of the t g fi.,,p a ^" I
APELICAM1T N�R5T DS H y' C �LY WITH ALI NON TINT ° Issued by: V —
SOURCE P TIO t Da'O
S' rebrApplic cannddtar.�' ...... .Dam" Re-roofs '
ALARDOUS fATER,AI DISCLOSURE
d l p re<v i m n .dl n -ni n t Type.of Roof.-_____
e O Yen 2553 )) t Chapter 9 l2 arty the Health and Safety
— .--_•-� __
' wll th o pl a t foram Id g
a.def nod by N C pen M n< al Catt
Cod 25531I
a)"
n PqS'. r / i,., t l 's 'sA ,tsh f t S"lk-!> t
All roofs shall be inspectednpnor to any,roofing ma[enal being installed.,,.,
C
ly ,_ No
got p t° quip t d swh h "- •"
' irco t u f tp N' eed by to Bay A Area Quality' M gem t If a roof Is(entailed without first obtaining an inspection;-Iiagree to remove
°iatrCf _ all new materials for inspection. Applicant understands and will comply with
t
emit Jo c m t def
� t - all non-point source regulations `<d NC lmea i aterial mquimmentsunde Ch p, '695 of theh&Safety Code,Sections 25505 25533 and 25534,I understand that
oes not contently have a tenant.that it is my responsibility m notify the mquhdments which muni ten m usuanc<ofa Cenificate of Si nature of ApplicantDateg on agent' . Date, All roof coverings to be Class `B"or'better
"
OFFICE...__ . .... ...... .. -- --- - _.-.- .. . ..