01090086 CITY
]BUILDING DPERTONNO PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
iA'NER'S NAME: APPLICATION SUB DATE
SYMANTCC CORPORATIONS CC1 PIER 9 THE EMBARCADERO 09/20/2001
PHONE: SANITARY NO. CONTROL NO.
(206) 447-7672
CNN ARCHITECM`ENGINEER: BUILDING PERMIT INFO
P m_ BLDG ELECT PLUMB MF.CH
<a -"I -I LJ L_j
S v= LICENSED CONTRACTOR'S DECLARATION Job Description
Sz_o I herby uMrm that I am licensed under provision.of Chapter 9(commencing
r�Fm with Senion J(100)of Division 3ofthc Business and Professions Code.end my licenu
yyy� is in full a Cana err TENANT IMPROVEMENT.
OWU a«mees`.I. L. . L6�'J���� (CONFERENCE RM. )
,paa�—==L-� Conlmty� H.Sui
J� I ARCHITECT'S D62LaRAT10N
SI understand my plans sM1all be usN os puM1lic records
u a< Licensed 14ofes,ional FINALED
a'
as.,
o vLLi OWNER-BUILDER DECLARATION
1 hereby.(fora that I arra exempt from the eosins a e:Any
Law for the APR 0 2 2002
c-?< followingones 9 (Seaton 7onstru t.amnx and are.de io demolish.
Code:Any city or county
E x O which rcquims v permit to maces ,aper,improve,demolish,ore stir any swnurt
a3� '-pnon 1 _also q Ne pPlb If veli pc Ito fl ged sm¢menl � .._.. _ _ ..._—___
that he kl 'nvHp'nuln tgthe Pm r.k s of the Contractors L' I (Chapter9 S FL F' oo
Icom cog illi Sect ]000) f D 'i 3 f m B S p as aM P pfccf ns CoOe) / ',4'!"r L' q' I T Area, +3 -]t '1 ®'�� atlOn
or shathe¢lxtmpr therefromandthe basis farina alleged ea<mpnind Any violation "'3` i 1-}a L
s Sof ion 9031;5 try any applicant fora permit m15je0a the applicant m a civil penalty
:arnatmmOfanBvenandrcdddlin,(S5IX0. 3 b b � Lr -. s. Occupancy Type
❑ll-d othe with:and the s ru my employee waded or offer dfor s rosax.-7don,
-will-do the with:and the nmcutrc is nnf intended or olfered'focsale(Sec:JfW,' - -- ---
'Business and Profession,Cade:The Contractor.License Law does am app[,to an equated Inspections - ''`
rthrough
owner of property Who builds or improves thereon,and who does such work himself 10 2 - PIERS
or elord fo sal own employees.provided that wen improvements are not iarzpaea or ....._l 0 3...-._UFER----
-:offcaJ fol sold IC however,the noildi6--` - -iii sold- or --- - -- -'--'-- '"--""'-"------"' "--"'-'"'building-or year 104 - REBAR t` '`P:'ry --,:,:,,. , ,.,
oprovei for the owner-builder will have the harden of proving Ilia he did not build or
improve!m pumas of sa1cJ. t r
tofthe_......._._. .. --. _u_._ _... . . _. :...10.5_.-...ANCHOR- BOLTS_
.__.
s ¢ OLas owner of the propedy,mn Business and Professions
ns Cocensedemnracnrtsta ( hi L'L - --� ---- - - - --
106 - SEWER & WATER ""
- - Dt..,, the project(Sec.JD44,Business and Professions Cade:)The Contractor's a,s', :'s P1 P •s; t
y _ construct
-- adwhoawdoesaooapvrytpajectsvafproarrtywnowua,oimprave,t.m.th, 2 - UNDERFLOOR PLUMBING
..and who contracts for.such projects witM1.v.commnogs)liccnxd.putxoant.m.thc . . . .._.__. . ...__.._. .....__.._...._...__.._ -__, ___..
Contractors License Law.-r;.• 203 - UNDERFLOOR MECHANICAL
O 1 am exempt under sec' .B'&P C for Nis rtason
" 204 - UNDERFLOOR' FRAME
Owner1.16
WORKER'SCUAIPENSATIONDECLARATION 205 - UNDERFLOOR INSULATION
Initial.111.undetpea.f ofpirju}yaa,enh�rallnwvngdeclaraeons: - 301 - ROUGH PLUMBING
! -1 0 1 have and will maintain'a'Certifcate of Conant to self-insole for worker's 3 02 - TUB & OR SHOWER
Compensation. as provided-for by Section 37M of the Labor Code. for the 303 - ROUGH MECHANICAL
perhnman«none work Tar wb{rn its,rmit n issyee. „ 304 - ROUGH ELECTRICAL
❑1 have and will orainraln Worker's Compensation Insurance,as rcgdired by Section 305 - FRAME
37W of the'Labor Cade,for rhe performance of the work for which this permit is
ismer.Myw k's Com,eination'Insurance carter and Policy number are 6 - HOEDOWNS _
)rr°n a J " Policy W'e Ll.6lwulllo l�' �'< y,,• -) i�307jy-.k- NSULATIONii •�'c:
J�l'a l '(CPRTR ICATION OF FXEM�N FROM WORKERS I• _
•� COMPENSATION INSURANCE- ,_- ,_„-,--•, 3OH,_= SHEETROCK
'= "• I"''
' (Th seanon need not rte complaed d the permit is for one hundred 309 tEX'TERIOR LATH dollars . .
310 - _INTERIOR LATH t
I e n f tot in Ili pert a rlh k for hien m peap t 1.ea 1- - 311 - SCRATCH COATI -
ihall nai employ any,ps wn in any mann r so as to became subject m the Workers '
campe . tmLawsalicant. J (clr at Wit, 313 - ROOF NAIL
T NPOTICE TO APPLICAOT Ifafter making this Certificate of Exemption.youshould - -- -501 "'FINAL- ELECTRICAL•-;ENERGY' -- -"
z barnmcsubject it,sheeWorker aCian,nimmnpr.vkmrccaarhe Labor Com.you man, 502 - FINAL PLUMBING .ENERGY
O O fonbwith'comply with such provisions at this permil shall he deemed marked.
z --- —FINAL FINAL MECHANICAL--ENERGY , -
In C CONSTRUCTION LENDING AGENCY - '
I humbyufftmNanb<rcr:acnswnio lenJ'ngageny( Ili ptfrrnpnce 504 - FINAL BUILDING ENERGY —
�.� ofrhe wmkfor hich,hia permt rs issued is J09J,Co,, •-. -_. .. .. . .........
unda,salmm -, `_. 505 -- -FINAL ELECTRICAL-. ..._ .. .._... ..
Q Lende N e
7 z 506 - GAS TEST :
U-O 1 centify that I have madm ppjicatand site that the above information is 507 - FINAL PLUMBING
coven 1.1tom Iq mply th II city and county md' ante d suite 1 retailingO.p tobuilding .t tion 'dn hereby mat p . ttives ren: ityt, ter upon 508 - FINAL MECHANICAL
me 4M a mentioned pehoop tip
0.W iwq'g r ss ij
e dede inspection
tlk nle vi
keep Cry o(Cupenino against 509 - FINAL GRADE
m liabilities,judgments.costs and expenses which. .y. am r again ,ata 510 - NA NG
V. City asequence of the granting f this pe t ] ,
'� APPLICANT UNDE COMPLY WITH ALL NON PO t` ]SSUed ]{��4r- N RKS Dale Oar
S CE
granum of gt <mt t:,' r.' D < Re-roofs
HAZARDOUS MATERIALS DISCLOSURE
y- ca p g occupant tort or harMie hazardous matenal . ..,Type of Roof _ _
WIIyt applicants tripartite Municipal
bald - -.
z defined b .The 32 n Mu im al CW Chapter 9 12 and Ili Health and Safety yp P
Code Oyes 255321a,n; s. ❑N 'I r3 - s'.. r ,5,., f3i�u k i ' a -t Iv!]l,'i ,.ji '. P ,s
1
.. . . -- -_All roofs shall,be,m`spec[ed poor to any roofing material being installed__
:. P
Will theapplicant future b ild'mg pit secup op t devices which- If a roof is installedwithout first obtaining an inspection; I'agree'to remove
.mish aid it 2onte nanla 'defined by ih ByAxa'A Quality Management
Distinct? all new materials for inspection. Applicant understands and will comply with
F)Yes °N all non”
source regulations.
1 A e'mzd the animal mm,hu s equ rem im;undo Chapter 6.95'of the
61fifomii Health&Safety Code:Sections 25505;25533 and 25534.1 understand that
if the building dues not currently have a tenant,that n is my ompunhility to nmifythc -
dccupam or the rcquiremems which must he'met mor to issuance of a Cenif etc of
- Signature of Applicant _ - _ - - . Date
ow r nava -fl, - „ All roof coverings to be Class "B" or better
OFFICE