01090038 Revised CI Bun DING DPERTONNO PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT N0.
10555 RIDGE VIEW CT MAI INDUSTRIES INC 01090038
NER'S NAME: APPLICATION SUB DATE
IOMPAQ (BLDG 6) 105 BONAVENTURA DR 09/10/2001
PHONE: (408) 434-9880 SANITARY NO. CONTROI.NO.
O m0 z0 ARCHITEC ITINGINLER: BUILDING PERMIT INFO
H w- BLDG ELECT PLUMB MECH
to
-1
LICENSED CONTRACTOR'S DECLARATION
.5 yJob Description
i z-e 1 hereby affirm that I am licensed under provisions or Chamer 9(commencing
„Cw with Section 7")of Division 3 d the Busimiss and Professions C(Ac..50d my license RELOCATION OF GENERATORS .
m y SI,in muf�ron ria ca. L�. 9
m w a ctlns, ' Ltc.a L G (STANBY GENERATORS)
JDA�4�"�^^ G°"'r — ADD UPS EQUIPMENT & A/C UNIT
7 3 u -r��-� C Cr'S DECYA A ION
.a 0 4 1 unde,,mad my plans shall be used as public memds
c4
;
K O Ou' Licensed Pmficuierel
OWNER BUILDER DECLARATION
to-- I hereby affirm that 1 am exempt from the Contractor's License Law for the
t: following mason.(Section 7031.5.Ensure,and from,inns Code:Any city or county
fy F C which requires a Permit to construct.a❑r.improve,demolish or mpao any nrvavu
11s 3 ..prior ca
c "arms q .tM1 applicant for such pemrn to file a again statement. - --
u. bathe5renepdpquantmthePns,insofrau Contractors License Law(Chapmr9 _-
(mmm c g ithSect 7000) fDivision 3oftheBusiness and PrfestonsCode) '-�y Sq. Ft. F1oor-Area� ;, ,--f t{.:, , $200(y��tion
or that he is exempt tharefroni and the naso for the alleged exemptimi Any violation `,Y 4 +al 1 i R (.'•: l a. , .r
of Section1?031:5 by any applicant for a Permit subjects be applicant to a civil Penalty
of act make than five hundred dollars(S500). 31648 N8"0 n Occupancy Type
❑1.as owner of the propcny,or my employees with wages as their sole aumpensation,
-will do the work:and the simulate is nut intended or offered for s.Ie.(Scc.7014,' - - - - -
Ba.iaes, ad PrJfesamrv,Code:The Cancan's License Law Joe,cut apply m an 101 — FOUNDATROAred Inspectionsl' "
owner of propany Who builds or improves thereon,and who ams such work himself
or grslown employees mmaed- that supm improvements aa not intended or
102PIERS
bffecodme If however.thbuilding t . � Id ih Y Liar _ 103 UFER
npler n thea ern lar will n burden fv Picking cid to dor
pr f _
. .__
P r,muc r 1 ) 104 REBAR v
cut. -I-be property I . lye i- i g rnl de Coes torn 105 ANCHOR BOLTS
_.._
License Loh p ) t(S ]OM Business J P f . Cod )ThContractor's
who 106 — SEWER & WATER
rthism on, 115 ELECTRICAL 'UNDERG
am ac not apply toPsaonlov.nerof amPan) r�Pursuam m the _ _.__..l .__ .. ..__._ .._ ... _
curt t t
Law docs
. natwnor rLaw. 'eets.witn.a<ommetnns)ncenaee 13 SLAB
Contractors License 1.
❑I rapt anaar sec. e a P e Tor this reason _ ROUND
' nam " 202 — UNDERFLOOR PLUMBING
WORKER'SCOMPENSATION DECLARATION 203 — UNDERFLOOR MECHANICAL
I hereby auirm under penalty ofperjdry,one airbe following dmlamtions: 204 — UNDERFLOOR FRAME
❑ 1 have wit will mainraln a CeniEcaie of Comsat to aelei...e for Workers 205 — UNDERFLOOR INSULATION
Compensation, aa,provided for by Seed.n 37W of the Lather Code.-for the
Performance of the work horwnicndtisPermit isissued. , 301 — ROUGH PLUMBING
❑I have ond'still rommin Worker's Compensation Insumnee,m requited by Section 302 — TUB & OR SHOWER
3]00 f be Labo-ced far the1=�rir f t e work Tc, which this Permit is 3 03 — ROUGH MECHANICAL _
houlL My Worker',Ci p i I m d Pol cy a rte arc:
C,Fr22h dnheyN Zo00cZ6ZY 3041:" ;'ROUGH 'ELECTRICAL
,' .-.7 CERTIFICA IONO,EKEMPTIONFROMWORKER.S'1 '. rA. e•3t105�7'="'FRAME''"
COMPENSATION INSURANCE
-- .._..-- HOLDOWNS---- ----__..__.. ._. .. _ ..
J ' (This 'a ori need or be cdmPlcmd i!the permit is for one hundmd dollars 3 O 6r. r' t
307 INSULATION
308 ' — SHEETROCK
I n fy th t th perf-6 c f the ark f nich thperm t' i.uW,
hail r ply apy,p y m,an r' ate ie xcame bjar ro me woFkers' 309 — EXTERIOR''LATH
%.pens"on Laws of C I foram Dare' ''
.Appbaant310 -- INTERIOR LATH.
NOTICE TO API'LICANP.,L afire mukinE this Emil amn(Excmption,you s,coltl •'t +:' �., n. 1 .
beeomeaubjento the Wmlmrh Compcmaim,,,isuku.fine Labor Code:you must 311 - SCRATCH COAT
Qz' romhwith comply with such provisions or bis permit shall be deemed rooked.
z O _ .313...7 ROOF NAIL
"CONSTRUCTION LENDING AGENCY (' ` 314 - T-BAR CEILING
1 hereby affirm th t theme is a construction lending agency f th m
'perforance
orb k( nmthis Peint issued(s 3097.Cis, 318 ELECTRICAL ABOVE CEILING
Lenders Nam.. • : _ < ... .. .-... _ -
Z) Z LeodasAddress' ' ' 501 FINAL ELECTRICAL .ENERGY
U'%O Icenifyiha(have mad bisapplication and naemvuhenbinformation 502 — FINAL PLUMBING ENERGY
k,-F. correct.Iagree to comply with all city and county,ordinances and state laws relating 503 — FINAL MECHANICAL ENERGY
[) to building eomtmetion.and hereby amboriie representatives of this city to ceder upon
the above mentioned propcny far inspection.purposes., 504 — FINAL BUILDING ENERGY
.L (We)agree to Sade:indemnify and keep harndcss the Cu,if Cr,mrdagainst
-rn liabilities•judgments,costs and capcnscs which may in any way source again!said 505 -
F INA EL TRI CAL
U..7a. City in consequence of the graming of,hu permit, - "' S O 61 .- S
A PIJCAITT REGU DpR'I SAND WILL COMPLY N'ITH'ALL NO/N--POINJT t' ]SSUedb Date
aReg
1um,of APplmm mora tor' � ' " a Re-roof5(i8 — FINAL MECHANICAL
ERIALS DISCLOSURE p.
gocin,mi it ti handle locarims mmenal _ Type of ®laf.. .F.I NAL GRADE ,.,. ,...,.. _ ..
1- asJ r can to c Ilea M pal catl cn tot 91z anam x ❑n es ray 1 510t:b.l FINAL . PLANNING
A R A
( WIIrM epplmam frarc bu d'n
Cod Sen on 255J21e1 - -
❑Ye t - r ❑No '1 ` I All roof5"Il be 14Gatenal being installed.
'Wil mphi antarfunumw Bring occupant use equipment devices wn;m If a roof is installed without first obtaining an inspection,"I'agree'to remove
:mirh lido Sarcoal ams as defined by the Bay Area Air Quality Management
Distitn. all new materials for inspection. Applicant understands and will comply with
,i - ono ., ' ; all non-point source regulations.
I hacdrfad rhe h latchu materiels regoiremems under Chaplet'6.95 6f the
Califomia Hbahh At Safety Code,Simians 25505,25533 and 25534.1 understand Char
'dbc bailJing Joey not cure_ady have isenanCmmiI is my responsibility to notify the --
if copaan!or thetrequirem musrbe'mct Prior to issuance of a Comficme of
°cn'" t r Signature of Applicant Date
r /5
ie '' toe p othoriced.,,at o- e. All roof coverings to be Class "B"or better
:,..
OFFICE