0201009995�c
is
BUILDING DIVISION PERMIT
UUN I IKAU'1'VK iNVORMA11VN:
BUILDING ADDRESS:
PERb13T N0.
20330 TORRE AV
SCHWARTZ
& LINDHEIM INC
02010099
OTW ER'S NAME:
SYMANTEC CORP
500 INDEPENDENT RD
APPLICATION SUB DATE
01/24/2002
PHONE:
(415) 562-1980
SA lrtgRY NO. CONTROL NO.
.RCHITECT/FNGIN'EER:
BUILDING PERMIT INTO
BLDG ELECT PLUMB MECH
IJ J1 L_J LJ
LICENSED CONTRACTOR'S DECLARATION
1 hoot affpm that I am licensed under provisions of Chapmr 9 (commercial
Job Descn tion
p
with Section 7=).f Division 3 ofdr, Bmicleand Professions Code. and my license
CC#1-CC#2 EMERGENCY POWER
is m full rom( W eff. /" B G
License Iasi) Lie, x
y
'
.
Dale Contra
`
� A CHMCT'S DECIdhRATION
1 Lemand my plans shall be used as public mccods
Licensed N m.imild 't
OWNER -BUILDER DECLARATION
1 hereby affirm that 1 is. cmro, from the Contractor's License Law for He
following urian. (Semon 7031.5. Business and Professions Cont Any city «eoumy
hick
$25000
n goons a permit to croupous, olmn improve, demolish, or copeir any mosturt
pow tissmaa. Ju ryuires the applicant fonuch pmtniuo fileoaigmedstomment
....
Hat h9u ofdoe Linde Lawn
it of
Q�s,, �I ntx �a�o
., s VaIUatlOn--
[1 -•
cing�)xo¢vamtglxe
Sectio'Ema,a of Dividon o o0
( Dovim the Business Cook)
Professions Code)
:: 3'V J
V Z V :-Tfl7f � y
car da, e ands
he 7031.5tb th:icfrbao'and' the basis for be alleged pplinnom. Any violation
a logial exemption.
of Scri«o ]831.5 by anyopphcunt�are permit subjects the applicanno acivil penalty
'attmtmorethanfivehu�tdollars(SSW).
1OaAPHNfl@J DATION 'ri'�" Occupancy Type
❑ 1. asewner afthattil armyemployeeswhh wages as their solecompanaatios.
'w ill do slat; wetk, grid that abomm e'is'na ibmioded or dHend for sale (Sec. ]tYps,
'Busine t and Profusions Code: The Contmctor's License Lew does not apply m an
103 -
UFER Required Inspections
r of Property Who builds or improv. durean, and who dm such w«k himself
-thr
o throughhis own employees. provided mai such improvements are nm... ear or
104 -
REBAR
oRema rot ml<. If. M1soon.the wash
geburdemvumemngthahedidnaeYearor
completion, Ne awnerbuiWer will have the burtlen of proving that M1e did not build «
.......
105 -
ANCHOR BOLTS
mpmKr«vamu a +e.).
106 -
SEWER & WATER
❑Lasa (Deeny,alaeuamissand with
202 -
UNDERFLOOR" PLUMBING " .•'
herInct Ponficasions bcCo Contractor's
i. ionsul w «;oo,appl wonowt,or'. nywh build. `°d`)"1 canthemo.
Hereon.
203 -
UNDERFLOOR MECHANICAL'
am whin commcta for such nts.wiH s contncto l ceded Nosun
Pro; w sLmde...
Js Lignac Lw
-._ _204--
UNDERFLOOR FRAMEC
❑1suraawpunder kc. ;B&PCT«this rtuon
205 -
UNDERFLOOR -INSULATION
own=t Date
301 -
ROUGH PLUMBING
WORKER'S COMPENSATION DECLARAnON
302 -
TUB & OR SHOWER
I hereby afEmn modes penalty of perjury o« of the following declarations:
3 03 —
ROUGH MECHANICAL
❑ 1 have and wit maintain a Cenfficam of Consent to self.insure for Wookets
3 04 -
ROUGH ELECTRICAL
n, as provided for by Section 37M of the labor Code, for Ile
'Coinpersou
ocifonnan« of slat work far which this permi� is issued. _.
3 05 —
FRAME
❑ 1 haw and will maintain \Nark«', Compensation Lnsmnce, m required by Sndw
3 06
HOLDOWNS
37ao or dm Labor code. for the performance or the work for which this permit it
is. MY "of, Ccon ton Inaannce comer and Pobiyyyryber arc:
09
3 0 7 -
INSULATION
p�
.r. �N��'"Pobcy No J�%� OG�i(r �%
�� � 3.08 .: •.
$ EETROCK
of - -t
CERTIEICATIOYOFEXEMPII NFROMwoRICERs', " -
3.09 -
EXTERIORS LATH
.....: COMPFNSAnONWSURANCE,
3170" _
'ZNTERTOR--LATH --• - -'--- - - -
•(510%(17Ns sm,:an 'tine not tic completed it the permit u for one hunt ddonar
311
« leas
-
SCRATCH COAT
--
1 nniQ Het in the pedonnann of He work for which this pemi u issu. ed, 1
snail Out employ any any manner so as in become Workers
313
ROOF -NAIL
ENERGY
pmvon'in subilia to she
5 01 -
FINAL ELECTRI CALL'
eompeasaiion awsofcafro m.Dme
Applicant - . _' _ -
502. --
.FINAL PLUMBING ENERGY ..
NQTICE TO APPLICAYf: IL after making this Certificate of Exemption, you should
them. subject to the Worker's Campensaion pmvisioez of,ha Lebo Coca.you must
503 -
FINAL MECHANICAL ENERGY
finhwiH comply with such provisions or this permit shall be.deemed mocked.
''•
_- 504 -
FINAL BUILDING ENERGY .. .
CONSTRUCTION LENDwGAGENCY
505 -
FINAL ELECTRICAL '•
1 hcrtb) aRrm fns them n e construction lending agency far she perfmmann
Of thewckr«'wmch this pant is issued (sn.'INT, Civ. C,)
506 —
GAS TEST
LeNe
Lender's ootnder':amAddress -
507 -
FINAL PLUMBING,.
I ocniq that 1 have mad this application and slam that the above information is
508 —
FINAL MECHANICAL
all
copren 1 agree m comply wish at city and county ordimnces and state laws relating
509 -
FINAL GRADE
to building communion,m and hemby m,mi m repmsenmtives of this city to emer upon
the alwnummFaaed property torm"cuon purposes
510 -
FINAL PLANNING
twat) -sm. to'save, indemnify and Imep harmless ire City of Cup in t against
inn delimenn, costa and n which may is any way a«puc against said
us,ru es hiinil
514 -
FINAL PU IC WORKS
Cu,
liibiitieorsegoenieofthe and of this
APPLICA.N'f UNDERSTANDS PILL WITH ALL NON-PON7
w
sr cE
A
Issued by:Date
j
-s rweorA canurenuur«. Date
/
Re -roofs
HAZARDOUS MATERIALS DISCLOSURE " '
... Will the applicant r fmt'm building ocdopaht'noie of handle hazardous material
.'type of Roof.
.. .. _ ._
as defined by the Cupcnim. Municipal Code. Chapter 9.12. and she Health and Safety
CodecYa 25532( 11 -
o
. - . ' "� . ....
.._All roofs, shall be.inspected
prior to -any roofing material being installed. _..
x'm she applicant or Name building Occupant use equipment or devices which
If a roof is installed without first obtaining an inspection;'I agree to remove
emit ha2ardous an contaminoms as defined by the Bay Arta Air Quality Management
Deed 0YnLNo
all new materials for inspection; Applicant understands and will comply with
all non -point source'regulalions.
1 hove teed to hhandous tsmrerias requirements order Chapmr 6.95 of the
Califomia Health & Safety Cade, Sections 25505. 25533 and 25534. 1 understood that
Iilly,building
_
don not comendy have a toned; that it is my responsibility m notify the
- -
-
occupant of He requirements a h must be m r to issuance of a Cenifcam of
oseupmcy.�,�
"
Signature of Applicant
Date
All roof coverings to be Class "B" or better
Owneror,uth aed.gator Data
OFFICE