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Revision Application

  1. 26379 Fremont Road
    Los Altos Hills, CA 94022
    Phone: 650-941-7222
    Fax: 650-941-3160

  2. Revisions are limited to items being changed that were shown on the original submitted building documents. Adding to the scope of the project will require a new permit.

  3. Contractor Information*

  4. All plan check comments will be sent here.

  5. Identify All Changes to Plans*

    Please check one category only.

  6. Who Will Perform the Work?*

  7. 1a - California Licensed Contractor's Declaration: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.

  8. 1b - Owner-Builder's Declaration: I hereby affirm under penalty of perjury that I am exempt from the Contractors’ State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors’ State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):

  9. Section 7044, Business and Professions Code: The Contractors’ State License Law does not apply to an owner of property who, through employees’ or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale.

  10. Section 7044, Business and Professions Code: The Contractors’ State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors’ State License Law.

  11. Warning: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of the compensation, damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees.

  12. Workers' Compensation Declaration - I hereby affirm under penalty of perjury one of the following declarations:*

  13. I agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.

  14. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).

  15. By my signature below, I certify that I am:*

  16. I have read this construction permit application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above-identified property for inspection purposes. (Requires separate verification form.)

  17. Leave This Blank:

  18. This field is not part of the form submission.