02070041(I 11 OF ( I" I �7TGim
CITY OF PERMET APPLICA CUPEkTNO
APN #
Date: 7/)02
Building Address:
Owner's Name:
Phone #:
Contractor: Inn ��� Ul d `6�-
�/
License #:
Contact:
Phone #:
Applicant/Contractor: f �S /y � �
Fax #:��
Buil i g Permit Info:
Bldg Elec Plumb rMech'
escription: `�
Residential: 4z
Sq.Ft. Floor Area:
$ /Sq.Ft.:
Architect/Engineer:
Val ation: � I, — a)
�'� s
Type of Construction:
Occupanc
Quantity
Fee ID
Fee Description
Fee Group
BAPPLOTHER
Other Appliances
MECHANICAL
BCONSTAX
Construction Tax
BUILDING
BCONSTAX
Ind/Off/Comm/Quasi
BUILDING
BCONSTAXBQ
Con. Tax for BQ Zone
BUILDING
13CONSTAXH
Hotel and Motel
BUILDING
13CONSTAXR
Constax - Resi/Mobile
BUILDING
BELEC1000
Elec 600V <= 1000A
ELECTRICAL
BELEC1001
Elec 600V > 1000A
ELECTRICAL
BELEC200
Elec Svcs 600V <= 200A
ELECTRICAL
B EN ERGY
Energy
BUILDING
13ENERGYADD
Energy Add Multi
BUILDING
BINVESTIGA
Investigation fee
BUILDING
BMITIGATC
Comm. Housing Mit. Fee
BUILDING
BMITIGATR
Res. Housing Mit Fee
BUILDING
BMNEWMULTI
New Multi- Family Res
MECHANICAL
BNEWMULTI
New Multi-family Res
ELECTRICAL
BNUCOMME
New Comm Electric
ELECTRICAL
BNUCOMMM
New Comm Mechanical
MECHANICAL
BNUCOMMP
New Comm Plumb
PLUMBING
0 C
u,
Z
C)
z
'I t 'Crty'.OF OPPERTINO-
BUILDING DIVISION
? T.
N.
(CONTRACTOR aT?W31
9L!11P' INOXDDRESS: .
PERMIT NO.
,19929/99 STEVENS CRK BLV
PINN BROTHERS CONSTRUCTION Ic
02070041
OWNER'S NAME:
PINN.BROS. CONST. .(RETAIL BLDT;1475
SARATOGA AVE
APPLICATION SUB DATE
07/08/2002
.(408) 252-9131
SANITARY NO. CONTROL NO.
ARCHITECT/ENGUI!EER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
L= L=_1
LICENSED CONTRACTOR'S DECLARATION
Job Description
I hereby affinn that I am licensed under visions of Chapter 9 (commencing
with Section 7POO) of Division 3 of the Business Professions Code, and my license
i� it, -
AIR HANI.LER
1 11 and effect �56
11 se C
(#01070014)
Con. Kf KAI L�Lv
ARCHITECT'S DEOLARATION-
I understand my plans shall be used as public records
'Lictinsed F!rnfessioiial
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason. (Section 7031.5. Business and Professions Code: Any city or county
which requires a permit to construct, alter, improve, demolish, or repair any structure
prior to its issuance, also requims,the applicant forsuch permit to file a signed statement
1\
Valuation
Rroyisionsof the Contractors License La. (Chapter 9
(commeaciggrWith Sec{ on 7 I of Division 3 of the B,9ine4 and Prqfepions Code)
or th2t'fk 19 exernpCth&tfr6mi and the basis for the alleget;*euiptipri• Any violation
.
�*FS=tion 7031.5 by any applictint for a pcninit subjects the applicirm-to a civil penalty-
:9f not:moft than. five hundred dollars ($500).
iMN itinVer
Occupancy Type
0 1, as owner of the property, or my employees with wages as their sole compensation,
"wi.it-do-thevork.-2nd'[he-strutture is nor inWnded-or-offered-for'sate-(Sec:-7044:
8usir;ts�i and Professions Code: The Contractor's License Law does not apply to an
102 - PIERS Required Insp1ettions'
owner of property Who builds or improves thereon, and who does such work himself
or thr6ugb his own employees. provided that such improvements are not intended or
103 - UFER
i or iinor&timint'ii told Vithinlofie yFarof_
the burden of,oroviiij that'hedid'not build or
105 ANCHOR BOLTS
W., property, am CKCIUSiWly contracting with licensed contractors to
-SEWER-- WA E
.S�_ _T J;�
construct the project (Sm. 7044, Business and Professions Code:) The Contractor's
License Law does not apply to an owner of property who builds or improves thereon,
202 UNDERFLOOR PLUMBING
aqd-wbo-,c:orkuuts.forsuch-projects with _a,contractor(s).licensed pursuant to the-,
-2-0,3------FLOOR -E-R-F-L-OOR---M-E-eEk-N-ICA-L------
Contractoes LimmeLaw-
I am exempt IN
p, u�rider. ec. .'B &P C for this reason
204 - UNDERFLOOA`� Flk.A-ME:r:',-!7
te
wncr 'date'"
205 - UNDERFLOOR, INSULATION
'WORKER'S COMPENSATION DECLARATION
A11O
301 - ROUGH PLUMBING
1herebyaffirm under perialty,otp '3iyo 4 of the following declarations:
et u it
302 - TUB & OR SHOWER
1 0 1 hrive'and will a`&ificaie of Cdnsim to" self-insure for Worker's
'J:ompensation,
3 03 - ROUGH MECHANICAL
- as - provided for by Section -3700 of-the Labor Code, for the
Ie66irrmrnc�i of*th4� workf?r wkic4 this permit is issued.,
304 - ROUGH ELECTRICAL
0,1 have'iiid C"o'mpensat'i('3'n'l'ris6mhc�i, ks�*uirid,6y Secti6t.
305 - FRAME
3706 of ihIi Ligor Code" for dtc•p�drmancc:6f tl�c work for 'which this permit A
Ou y rke Compensation 'Tnsdr;Tc5:'camer'Ahd Policy hurriber aid:
306 HOLDOWNS
.
ITICATION'OF EXEMPIWIN'FROMMORKERS"
c T R C
3O8
COMPENSATION INSURAiiCt-:
309 RXTERI (DR--LATH
tftssmrilonlnleii:d not be completed if the permit is for one hundred dollars
310 INTERIOR LATH
($100).or less.),
for
--3-11 -SCRAT--CH----qOAT---
I certify that n'the performinci of the work wi�Ch't�L'S'i�eri;lit'ii:i,ssu'ed,'I
Mall' nor ernploy'afiy pers6n in any . manner so as t6b0dionie subject t9 the Workers
313 ROOF NAIL,
Cbrilpenuation Laws' of, California. Date . ., � . I � � _. : ' _ ''
501 -..FINAL-.ELECTRICAL.ENERGY--.
502 FINAL PLUMBING ENERGY'
hi,'�rttfi�
N�ETO PPUCANT-1f, aftii'making' , 4.�fol�EL, you should
be I corne go byect to . the'Wo . rkek's to . in . pe nsatio do
o . tibbitc C, you muit
Ni1:hwith76or6pl�',0th'su'c'h 'provisions or this permit shall be deemed revoked.
503 _FINAL. _MECHANI CAL....EN,ERGY__..
F CONs-rRUq7bNLENDWOAOENCY
504 FINAL BUILDING ENERGY -
I heriby affirm that them 'isd coiist=ri.61len mg agency for aici performance'
i. Of the work for which diisirciiiinit is'iss=d(S&: 5697, Civ. C.)
505 FINAL ELECTRICAL
Le adiT �A ress'
-TEST
.1. 1 . -, . ... - .,
I certify that I have read this application and state that the above information is
4. ir�eL I agree to cornplywith ,aH,city'and county ordinances and state laws relating
.
507 - FINAL PLUM13IN (j-
508 - FINAL MECHANICAL
ao� building construction, and fie'reby'iiuthbh,ze jepres6nitatives. of ibis,city to enter upon
the above-mentioned property for inspection
509 - FINAL GRADE
(Wc) itim ii id save; inde iii fi i NCTZMP�Z=ess the City o- f- Cu pe. trho . against
510 - FINAL ING
liabilities, judgments. an texpenses %y any way accrue against mst said
i in cone' i of this rin�
nee 0',
9 C DERS �k. L ON ',A(' E T
_JP
WORKS
14 WORKS
(7' FQNA,
Date
_0
Lt IN
Issued T .
gm� ure Of Appli t/
r F— 'act \,�Z Date'-,
Re-roofsO --r - ROOF BATTENS
S Rg
A R[AL S DISCL9SU
Will iiiie. or ididgdxcupantst6it 6i handle hizi.rd�mate�
Type- o ROOF IN-PROGRESS,....-,
ai defi 0 Municip Code ,Chapter 9.12. and the Health and Safety
32
Alt roofs slialf. be inspected prior-to.arly-rooflug material -being installed,_._.
Wql the appliqant.or future building occupant use equipment or devices which
If a roof is installed without first obtaining an inspectio6,11'agf6e to'rerriove
emit haiaiddiri air contaminants as aefinca by the bay"Aiia Air Quality Ma6ic'ment
District?'
all new materials_ f inspection. Applicant understands and will comply with
gi-in p
C3 Yes
all n soulte rNui�tions�.
on-
I have read the, b2izardous'maten;als'requireinenb under Chapter 6. 5 of the
Ciiiii0r.ma Aeilth'& S� " ty . Co&. S66n6ns 2556, 25533 and 25534. 1- understand that
-ntly have a tenant, that it is my responsibility to notify the
5 e* or iurc� d
e !eq iy i�l:ii b �rior lo"issuance 6f ii. Cettificate of
prior to ISSPE
�m�m
Signature VApplicant Date
All roof coverings to be Class "B" or better
I
as rizeda ge Dale .
. , .
ger4r
OFFICE