02020080 OF
CI BUILDING DIIVC'ISSIONNOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10094 BRET AVE YMP INC 02020080
OWNER'S NAME: APPLICATION SUB DATE
HONG TAO CHEN 21009 SEVEN SPRINGS PWY 02/21/2002
IMP PHONE: SANITARY NO. CONTROL NO.
(408) 996-2670
O O ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG F,LECf PLUMBE��1 CH
s�s..Z<E
Z o y= 1 hereby Affirm LICENSED
Dam lice
nsed underr provisions of Chapter 9(commencing RATION Job Description
°,4 t: with Section 7")of Division 3 of the Business and rofessioTC�and my license ADD & REMODEL 3 ((('''��� FT.
EF'f "anne force and effect. J" ��®
O f5< is ens Class Lic.M
K Dam Cnwnor
'�' 3"•to RCHITECf S D public TION DEC 2:3' 2003
t u.°g I undmm�d my plops shall be ussd as public TI Ns
ad<f ,...
r° Licensed Professional
�,q, OWNER-ouI.,t RDE DECLARATION ®111
1 hereby affirm Shat 1 1. e3.Busin from the Contractor's License Law for the ®{r/'`®'
t?< followinguiresaermitt 1onstruBusinessand ove.doom Code:Any city or county' 1� OOOOO
F O which requires a permit,o al.the aper.improve,demolish.fi apron any xwcmn
3- .pd.,heint mall paBar..totespMe. roof such tWmfilea Uw(swate9 --
(embele,lice,withSctio.A o00ptwisiomn 3of'hntmcton: And Afaw(Chap,er9 h[ g�y�Yr�.ea- Valuation
orthat heS1.Bwnim,Sectio 0o0)ofhe basis oofte f,.i.nA Any code, {;('}i'j'{3,TS�l llb'3'•3{,
or Shen he is 31:5 by,any. Is roll the basis for She allege Applicant
o,Any violation
of taction 9031:5 by any.,I scroll for a peminubjnd She apPli<ant m a civil pcnahp ,3,I�'
,of not more than five hundreddollars($5oo). 101 '_"M8NFSATION "`"'""' Occupancy Type
❑I,As owner of to property,or my employers with wages es their sale emn, satioq
-mll'do'the work,and the mucture isnot intendedor offered'for Aid,(See:90a4;' "'-'- -PiERS
•Ba:mess.and Professions Cade:The Connotation's License law does not apply to an 103 - UFER Required Inspections v• IS Ca'S
owner of propeny Who builds or impmvn thereon,and who does such work himself
or through his own employees pmvided that such improvements an not intended or 10,4-.,-- RE13AR {
- orfred'fiable.owoe6wuilderwbuavetermpmofprov, soldwthidno,Wildor 105 - ANCHOR BOLTS '`'
dompleunn ,hc owner builder will have the buten Mpmnng,hm he did no,build or '
improve far Purpose ofule.). 106 - SEWER & WATER
- ❑LvownttoQhepmpcnY.amtsdusivelycommningwithlittnudcontncmrsm 202 - UNDERFLOOR PLUMBING '- ',;�: '"`-•`:'`
_ bicewn the i mjeno(Sec. to a.Busiess and ity who
Collor)The Contractors 2 0 3 - UNDERFLOOR MECHANICAL
" •-"I"
- License Law ume not apply man owner th p co not who build or improves tenon,
t r ._and who is License
forsuch projects with a.con,racmr(s)licensed pursuant Jo.the-_..
Cmnrmra creme Law. T- .._ .2.04.....- `UNDERFli00R-..FRAME;._. .....------
❑IamexempSunderSec 'B;&PCfonhisrcI - 205 - UNDERFLOOR ''INSULATION
ower.,': Dafe"` 301 - ROUGH PLUMBING
WORKER'S COMPENSATION DECLARATION
=, Ihereby affirmmWerPenal,of;A t 302 - TUB & OR SHOWER
pe, ryas.arthe muowin¢aermntimta: 303 - ROUGH MECHANICAL
I - ❑ I hive and'will'main,ain o'Cmiflume f'C.n.ie.t ,o self-insure for Worker's -
Compe_.4dim. A, do
for by Section 37M of the-Labor Code, for the 304 ROUGH ELECTRICAL
niz, 'perfor nee of to work for which this permit is issue..: 3 05 - FRAME
!. ❑1 have dnd'will m u n Worker'i Co pewfon Insure ate-
at Dy section 306 - HOLDOWNS
3100 of the Labor Cad f r the performance of that work f which,his petridI is
rased My Wmkke,' pensab (rill recameraePly be 307 - INSULATION
r arijati ^, 308 - ;SHE,E2'ROCpKi, ; 1.1
o ..:,-,._, ... ..a..
t1, it CERTIFICATION EXEMPTION FROM WORKS 5{� i IP.li,v Nof i s C 3 0.9 L"EXTERIOR`•L-ATH
4°W flTs xeni " COMPENSATION INSURANCE a -
:,.....,_. „_,._:_•__.-...- 3'10 .INTERIOR`LATH ;' -
t`' "'• on dad not As complete if She pewit is for one hundred dollars .
„=s., 311 - SCRATCH COAT
(sl c?qo I 1
1 tthr Shai m the in any r e f th o k f h,h tbS 'tort is W tied,I 3'13"- ROOF NAI L' --
s I1yy lx P< ' ''i I t ,f•�'h 's
'ej Ilntempl'y'nype o Inanymannr m-beemeaab,eam,thew�rkn' 501 - FINAL ELECTRICAL ENERGY
Compere o, Laws of CabPomia Dam '
:ApPI' oar I. 502---'-F-INAL--PLUMB- NG- EN ENERGY ,----- - - ---
_ ; .
.became TO161,APPL ANT 10 er eller makmgthis Cemlm of of Lab;3r on;You should •• •
z beomesobject the'suchpaCoionsor,o prov.tohallbe LaborCd,you mass 503 - FINAL MECHANICAL ENERGY
O Pooh thcomplywithsuchp vraana nm x itshanbedeemand---- ---- _ __---. 504.. _.- FINAL.-..BUILDING- ENERGY
14 oked
T r '';:!CONSTRUCTIONLENOINCAGENC505 - FINAL ELECTRICAL
'` I berthy him that the 'a conswat,S n lending ag n y for the pe form
of the work for which this min is issued Sec 3091 Civ C) W- _ L_
a,-�
p _506 ..-„- GAS.--__I ._..I -.
per„"Q -Londe N. -• •.' ._ .. _.. -_..._ . ..-_.__
pZ Lenders AAd„n• '• _ 507 - FINAL PLUMBING. .
�l I.r ify that I have read this application and nae that the above iafumation is 508 - FINAL MECHANICAL
.'ka,F. 6o'ir'ecS.1 some to comply with all city and county ordinances and state laws relating 509 - FINAL GRADE
-O.V top Id ge tmc1 dh by Guth P .entiniv of thirty to enter upon
W ane WA ^=dp property 'nap°' purposes.
510 - FINAL PLANNING
. W Iw)ugioned ate dem fy andke phot le.a the Ci,y lCupenino hgeinst
to liabilities,judgments.cWts and cxpseroahich may in Lay way acme against said 514 - FINAL UB C WO
V;,�,- City in consequence f She g t g of thr permit0
APpLICANTu NDERSfANDSANDwILL LOhIPLYS\TfH ALL NIT\CONI''” ! S o2—
S ORo.REGLn nTrods.; Issued by: Date ('2
y (R -- //tom i
,gti.Wra dfdf Ap'�canVC�nlnctor , yDa�e t, RO-roofs
_HAZARDOUS MATERIALS DISCLOSURE -.
W I th pplennt or fntum bu lding^coup m store o handle lmdnN tts material Type of Roof r
_ as defined by,;h Cupcmn Mommpal+Code Chapter 912 .ndthe Health and Safety \ ; - - '- '� ....`•. , ,
Code Sen on 25511(.) 'tr y t- - j !'i ilio v -Ya7Y ,, 's'-`tl� �rl�•
❑Yea .Alljbofs shall be inspected prior to-any-roofing material.being installed....._• •_
w li thq,apphcam or future building occupant use equipment or devices which - If a roof is installed'without first obtaining atrinspectionA'agree'to remove
emit h Nm,s air atomtem nems m defined by the Bay Aria Air Quality Menagement
DhadcO all new materials for inspection. Applicant understands and will comply with
ov
o Na',,.a -.'_ - all-non-point source regulations,.
I have pad the'hazardous materials rcquirem"ami undo Chair,,6,95 of the
California Health&Safety Code,$Actions 25505,8533 end 25534.1 aMemend that
iiia boldin does not currently have a«nan[,hat it is my...pomtiliSy to awry the
Occup orequre e ms which most be met prior I. nce of a.Cenficme of `
Occupancy.- nuai.
/o Z Signature of Applicant - - Date
r
Ow oraain'` a n ' il Data All roof coverings to be Class "B" or better
• a . . -_ t .. . ... .- -OFFICE.