01110001 (2) CI BUI D NG DIIVIISSIIONNOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10412 SCENIC CL BRAND KITCHENS & DESIGN 01110001
OWNER'S NAME: APPLICATION SUB DATE
NITTA DANIEL H AND KAREN S TRU 13715 QUITO RD 11/01/2001
HONE: (408) 871-8190 SANITARY NO. CONTROL NO.
COARCHITECT/ENGINEER: BUILDING PERMIT INFO
EO u C LDG ElZCJ,, PLUMB MECH
u _
LICENSED CONTRACTOR'S DECLARATION
z 1 hereby infirm that 1 oro)teemed unticr provisions of Chapter 9(commencing Job Description®
with Section 70W)of Division 3 ohne Busmen:and Professions Coda and my license KITCHEN REMO�'.!�.�pB E
,y uin fullf and cRcq� �dd�9 P'pL
u Li I s. ._J Lie p S-O 12�
'O"'" me i Comreaor �ek�
A CHITECr'S DECLARA I N $ 2OOL
r
dcrsmnd my plans shall b used.,public recce ds 14•T= rta MAR 2
I i p 5 Licensed Professional
o p
OWNER BUILDER m the Contractor's
gVILD
-y 1 herehy¢)fort that 1 am exempt from the Convacmrs License Law for the
z which re re a.Permit
raps.Business and Pforesmoli code:Any city st county $24000
aso
E�O which requires n permit m ronmma,cher,improve,demolish,or repair any structure
w 3 m -pnono a' alw q the pp&ant fins Contractors
Lice s BnW saartrcm _- �-` --._b- A... Valuation
(emhe al'censpapbh'o It ick of tsinf the sheBuctor.L«u!a (Chapter Coat [ .9IY�Y7 T--:' EJI ValUa[lOD
loom ei with Em orii n fhe Division or t the But it rvlP pf .ions Codc) �.(��`I �s3'_ 17�Y[ ,. .:f., p-�4 r�(��:
or that la is 31.5 b tmy,ti fi and the burrs for the alleged demon,P,Any violation
of Section]03 n v airy,hundred
em Irs a promt sobjeert the applimm w e civil Ixnalry-
or not mmeman Eve nunarm aouars(asm).. 10 1°sPN rin tU�FDAT ION i I^..:,:.n ..3 OccupancyType
01,as owner of the property,or my employees with wages as their sole compensation. PIERS
will do the workl'and the struam'um'is-nimrndNbroffered'for sale)sea.7011,;
Business had'Prafessions
011,+Business'nad'Profes,ions Code:The Comnrcrors License law does not apply to an 103 - UFER Required Inspections' -
camer of progeny Who milds m improves theunn,and who does such work himself 104 _- _REBAR
or through his own employees.provided thin such impmvemcros ore not intended or
'uffemal hostile.If.nowe.er,the buildin im tis sola'withiti one T �-- -- --��- '-"'-_......___- -___—. .—
Idompletion,theownm-m:ilaerw0l have m�nuraerool y�ovmg that heat¢not earn - - -`105 - ANCHOR-BOLTS�—'�'.•, ".. - .t� .f:
improve for purpose of sale.). 106 - SEWER & WATER
-
202 -_ UNDERFLOOR
-- ' -- - - ---- - -. -.. . - -- - - - PLUMBING-- - - -
El 1,as uwner:nf the property,am exclusively contracting with licensed contractors to
construct the project(see.7011,Business and Professions node:)The Comorciors 203 - UNDERFLOOR .MECHANI CAli'<"'
and we taw drys not apply man owner of progeny who builds or improves thereon,
_end who convub.mr such projms.with.e.commcmr(s).Iicensed.puromnt.m the
canvanorsLicenseLaw., , _. .._.__._.204---'--UNDERFLOOR—FRAME- --------'—._- ..- --------'---
"`' 'I"" "'I"' 205 - UNDERFLOOR' INSULPTION
°1 m exempt under sec. .R&P C for this mason
=" ow,;r " ""Data ' 301 - ROUGH PLUMBING
WORKER'S COMPENSATION DECLARATION 302 - TUB & OR SHOWER
I hereby from under peouhy of veritury We of the following declaration: 3 03 - ROUGH MECHANICAL
0 I have ane wfl mat.mar a 6mificarcbrCmmat to s.If-insure for Worker', 3 04 - ROUGH ELECTRICAL
�• Competamionr as provided for by Section 377 of the tabor Code, for the
perfoanor the won for wnicn this permit is isevea.. 3 0 5 - FRAME
rmce
01 have and will maim W k s Cminpenantsm1hournmerrequired by Section 3 06 - HOLDOWNS
37W of the labor cope for use 6e4fo musee of the vron for n ch this permit is 307 - INSULATIO
ssN-,. -,.
ued'My w kc s Con,samoup Imumnc - .and Poli y -be a _� — _
t.1�F )06 p� 30,8 — SHEETROCK . . . _ —
N'tt CERTIFICATION OFE%EMIT]ON FROM,WOKERS- �•f-- 1k3b§)"s -�EXTEh20RLATH- - I •'"•77
4 (This scmm�need OMPENSATION INSURANCE;
, 310-: - -.-IN.TERIOR—'LATH--' ---------- __-'-'-.--- '
"aIWsmapietadifhepcm,haforoneIsundteddouaa 311" SCRATCH COAT .. �,t.•". ,` l,' `
1E1o0)or less.)
work - - - 1-3----ROOF--NALL__._ .-_.,-._.._._.._... .... _,__.._... ..,.. . _..-.
shI 1 a oily bar in the perfnany hu p he wark rbeomen mj pam,it e issued,I 501 - FINAL EtECTR'PCAL 'ENERGY
all not employ any person in any mantrcr w as m become subjca m the Workers'
Com - tion Lews of California.Date;' "" -" '
502_ _-__FINAL PLUMBING ENERGY.
NOTICE TO APPLICANT:If,after makingthis Cenifeme'oI Earradim.you should503 - FINAL MECHANICAL ENERGY
laminate subject th
to 'workex Compensation provisions of the labor Code you must
Q forth sohplv 'N such provisions or ti,x t nmlxaeemea revoke¢. 504- FINAL BUILDING ENERG
F +CONSTRUC[ONLENDING AGENCY 505 - FINAL ELECTRICAL
I he by aRnn that die i construction lending agency for the performance 506 - GAS TEST
r, of thework for which th pe it issued IS c 909] C v C)
W Lendei N m _u..... -._ ...... ._....... . ._.__._ .._ .__ .
o — v' 507 FINAli PLUMBING
D, Lenders Address:; "v'-. - .T ._
U'-O 'leemtymatl
have mad this application and sure barthe move information is 508 - FINAL MECHANICAL
ta:p: d e- 1 agme m coq ply.with all cry.and ommy ominanr.doe some laws uladng 509- - -"FINAL GRADE..
O.Id mbuilAngcomvuction.a;ehkreby;uthodieapasknadvesonni;citymemeruPo" 510 - FINAL P I
'!:7 the above-mentioned property for inspection purposes., ., _ -
}y C. (")ngrpe tosor.:indemnify and keep haraness'the City of Cujrcrim.against "'S 14 - FINAL P I W .S
F� V] liabilities,judgments,coxa and aspens hich may in any way accrue against said
U,Z City in 2onsequence of the giantm of permia -
_ APPLIC' Rr ERSTANPSA YILL'COMPLY"NTfH'ALL'NO'PO. Issued b Date
ti S M EG ATIO S."'t' ,•..' •• '.. O Y
11
canaconnaet7r . .. Da Re-roofs' - -
HA7ARDOkts M TERIALS DISCLOSURE
-Sisna fApp'rlldanto f t rebwW�ng rearcmw.orh handle havuN smst 'al Type Of Roof;..
wnthc p
as deftmd by the Cupen Mu r pal Cod Chapter 912 and thHealth said Safety t ;
Coda:Skdm-]55321e)i7 ❑No . :\ 3 t t.: /1� fi Y.�a el l 1 S'I.. a I,
iT , . All roofs.shall.be inspected.prior to any..roofing,matenal.being installed..._
Will the applicammmwrc Wilding mapam use equipment or device which If a roof is insialled without firs[obtaining an inspection;Pagme to remove
emit h v5rdo abcomam n t u defined by me Bay Area Air Quality M 'agement
District' ,,, , • all new materials for inspection. Applicant understands-and,will comply with
°v 1 Ir: • e °."° . all non point source regulations.
I ha 'read the If our mammals recommends under Chaptcr'695 of the
Califorma Health&Safety Code,Sections 25505;25.533 and 25531.1 undhOurad that
if the building does not currentlyhave aan tl s Yuspa 'b ltyt.mufythe
r upa yef Use rcgoircments wh ch'mu mkt pit no ixsu f nifcate of
uPd - Signature of Applicant . . - .- Date
ovsm thori _ ag t - Da, All roof coverings to be Class"B"or better
:--.1
t'-:r.e. ._ OFFICE. . . ... .. - -. ... -.