02030125 CITY OF CUPRRTINO - -
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION. ,
s BUILDING ADDRESS: PERMIT NO.
10092 IMPERIAL AVE TAYLOR WOODROW HOMES 02030125
t OWNER'S NAME: - APPLICATION UB DATE
TAYLOR WOODROW HOMES 2300 CAMINO RAMON 03/21/2002
rPFPHONE:-. -
f (925) 365-3100 SANITARY NO. CONTROL NO.
Oat ZO ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
ya p• 1 L._I L I f_l 1--
s.N O1 'LICENSED CONTRACTOR'S DECLARATION
Oz=O `, 'I hereby affirm that I am licensed under provisions of Chapter (commencing Job Description
PN{=w' withSection7")of Division 3ofthe Business and Professions Code.and M,heama NEW TOWNHOME
xs� mranrareeand e em. LIVING AREA 1819 SQ. FT
rc 6 License Class Lic.p
°d Date Cantmaor, GARAGE AREA 490 SQ J _ $ 50
A
ARCHITECT'S DECLARATION W'e A I[�"j
I understand my plans shall he used as public records !!!YYy VVV999 M�Yee/
�sTan Licensed Professional 2 1 2003
OWNER-BUILDER DECLARATION APR
m I hereby of nal that 1 am exempt from the Contractor's License Law for the
F Z following reason.(Section 7031..Business and Profession Code:Any city or county
F O which eq person t c stmcs Iter improve,demolish,or pa' y tructure.
6 m
Be ••Prese,also ey sat pplhant fur such pcmiu tlr g Mat mmem.
mann ..liecnrnpun gnuomep i:con:nrmeenmmcroo,l Ia (cnapter9 r Sq. Ft. FloprArea ,,, p ua[ion
fab mnan6 ih5i ]ODOf fD'vnmanJof the Busines dPr fess sCOdel `�, f} Z 8i.5'-, P.'h i7 vJl s.t ',
or"ache Ts e"Er"C helohn and the has,for me nll<gee csempt inn Any vioh T On
-id Section 703,5 by by
applicam far a pnmit subjects The applicam m o civil penahy p1.t.�7 {.mss Occupancy Type
of not mita than rive hundred dollars(55001. 3 5 7�'/Y)i'8 ql" - t P y yP
131,as owner of the property,array employees x ilh wages as their sole compensation,
will ne the work.-and the strCode
C not cam', i e e La doe sale apply s an 101 - FOUNDATIIVAuired Inspections t�•
Business and Professions Code:The COnmactm'a License Law does not apply to an
nwna work
rnfh his own
ovided smeuch iandvements auncnt intended or
102 - PIERS
or coed f r his own however,t provided mat such improvements ere not inrcndN or
.. ._. _ pa. .____..________..._ ___.____... _
cBercdfon (on.Lhbwevm, o,i iavedat imvrnvit mvn cold aphid no, jesterh.dd of 103 - UFER-
.' completion,the owner-builder will have me M1urden nl'proving that he did no,huild Or '
roeO 104 REBAR '
imp puryou of sale.). _ n
.raps __ ...y ._ . e .. 105 --ANCHOR-ANCHOR BOLTS-
�ncrOlthepmpeny,tmexdusiv<I contrnam with licensed commmorsm
ronstruct the project(Sec 7044,BI6mnY and ProfesSion.v Code:)The Contractor's 106 - SEWER & WATER "1
. - License Law does not apply to an owner of property who builds or improves thereon.
= t :andwho contracts for Such.pmjects.with acommam(s)licensed pursuant to the.
Cnmmnole License Law. _ 202 -'-'UNDERFLOORS-PLUM&IMG---'--'-'
am exempt under Sce. 't B&P C for this reason 203 - UNDERFLOOR�''MECHANICAL
o 'Data 204 UNDERFLOOR FRAME
W.R ER's AIPENSATIONDECLARATION 205 - UNDERFLOOR INSULATION
Ihcreny alines •,punalty of perjury one Of he ftnowing decmmaoms 301 - ROUGH PLUMBING
0 1 have and wilt maintain a Cef ilcata of Conant to self-insure for Worker's 3 02 - TUB & OR SHOWER
Compensation, as provided for by Section 3700-of the Labor Code, for the
_ pe orromuncrfthewmkfOrwbrahmis_Pemdnsissued., 303 - ROUGH MECHANICAL
1' 01 have and will maintain Worker's Compensation Insurance,as required by Section 3 04 - ROUGH ELECTRICAL
3700 of the Labor Code,for the performance of On work for which this permit is 3 O 5 - FRAME
issued My Wrinkles C pensat on Imumnce Gamer and Pol ay number axe -T t.aV• ..
,.- t COh1PENSATION INSURANCE :... 3 O 6 HOliDOWNS e. ..., _..-.. papa._r..
Ci tr 1!1 •.Pal cy No _.- ._--•.
r +, CERTIFICATION OFE'%ENPTIONFROM WORKERS't- i I.5 x3017 �-:>INSULATION :�t ..-
.ls _
- 308- - SHEETROCK -'- --
.
r'(Tn Sanction need cot be completed if the permit is f of hundred million 3 0 9 '- EXTERIOR LATH
IBB) rte..,) .
. 1eh fY tbuTi thepert ratan set[hework for hid : Pdn.T''s issued. _ 310-:.--...-INTERIOR• LATH
q,am� - arcem 311 - SCRATCH COAT-' ' -
flail not employ any pe n any manna'm as m be ff at fy�T
Com Cal ire -
Applaam ... .3.13 .n ROOF.NAIL
--
N(YI'ICETOAPPLICANTIfalter`;t th enncaEd f Option,d.youMUSE 501 - FINAL ELECTRICAL"ENERGY
Z became suhlem to the Worker'sC mpens uon pm :'ansa CWe yu ust
O O . fanhwill,umplywm. hprovisionsn t p c l rmOkel' 502 FINAL .PLUMBING ENERGY. .,._
z .. _,.
CONSTRUCIION•LENodG AGENCY 503 - FINAL MECHANICAL ENERGY -
�'� 1
hereby affirm that there s a construction lending agency fir,the performance T .
.nfine w.rk for which this pe Man is island(Sec.3097:Cis.C.) 504 - FINAL BUILDING ENERGY
..t<nder's Name...., .. . .-.... . ._..... .. -I .. _ . .
a Aad es 505 GAS TEELECTRICAL"
z 506 - GAS TEST
FINAL'-ELECTRICAL---
r (Chen that ihaemd(his nppl un Jtatnceshue f uonn
�T+ U 1. t I greetrcomply
on,a he Bctyand ry Nmatas and et 1 relating 507 - FINAL PLUMBING
O t..) 'he Id g arraim ai dl Ry th e'p amt ve fm. lyt 'ourupnn
}.r] me cent nwpmpnyr ' nct losing
508 - FINAL MECHANICAL
(N ) g ms ri t de nd.. d which
h May in
the City oft. pert gainst
r/]
City
IJperman crisis d xpofIld h hmayitony y .ug:nasaA 509 - FINAL GRAD
U z City eq ice Of theg I ng of test pe t. . I
Pro lCA\TUWERST OI COMPLY W'ITHALL\OC POI\T 510 jr F A G acv
sD r;su,nnry.:� n : �.l Issued Date !/
Sig m (Apple t Data Re-rote - ROOF PLYWOOD NAIL
- HAZARDOUS MATE DISCLOSURE Type ROOF BATTENS
Will he pph a Tum bu(din rupam store nth df haxallous mmaial ,,. QQ _ _ _ _
T eOD4 f- -IF-.-'1N-
as
defined by JT Gpe no Ma lfpal CM Cnin.,912.u em Heals and safety - ROOPROGRESS •�- r - `•
Gd Secy 25532(a)?,', '/ r'f's•t ) .
roofs shall be inspected prior to,any_roofing.matenal.being installed. -.-, .
Will he ppc t firma,building -- Paas va equ p t device,which If a roof is installed without first obtainingan inspection, I agree;to remove
emt by rl s n not mans,m defined by theBayA� Q al ty Management P
Distort all new materials for inspection. Applicant understands and will comply with. .
0yes - all non-point'source'regulations.
1'have ream Ne hazafdous materials aquiremena under Chapter 6.95 of due
California Health&Safety Code,Sections 25505.25533 and 25534.1 understand that
if The build)ng does not currently him a tenant.that it is my respansibiltry m notify.the' Com' "-' -"' -"- "" -' '" "' .7
occupant of the requirements which must be met prim to Issuance of o Cenifieme of �"1 I
ancy.
r-- Signature of Applicant Date
v _ Owaerorauthadxedagent — _ Sate — All ro verings to be Class,"B" or better
n.
:_ .. . . . . .. ... ._ . .., -'OFFICE _, .