00100053 bV7.J — huur
CITY OF CUPERTINO — nuur
BUILDING DIVISI>N PERMIT CONTRACTOR NFORMATION:
BUILDING ADDRESS • i'HRhfT NO
,
OWNER'S NAME? APPLICATION SUB DATE -
10052 ADRIANA. AV WM H FRY CONSTRUCTION COMPANY00100053
tWI HONE: I SANITARI'NO CONTROL NO
VAISHNAV JAY H AND HARSHq J 10351 SAN FERNANDO OVE 10/06/2000
0O 7 ARCHITEC TNGINEER , -.BUILDING PERMIT INFO
C (408)•996-8173 Bo ELI IBC ru�MB i+ITCH
Gay
LICENSED CONE RACTON'S DECLARATION
os,�`— inombyaf rmawr�lantbeens edu^Ierpoo�san.nfChVerQ(commenrmp � Job'Descrip[ion -
F,yf_ wrath Seenw]IXn,] Dnnaian3of meBwnua aryl Pmle,sional'ade,aM mYlrcenac A
�a "full fora end f�a
p\: Doni, CCie., a!e Li. N 5� 7p r
�luwo f dmypl °" u p ubliem°)r ARCHITECT'S DECLARATION r
REPAR ATEM WALL ON EXDISTING- SLAB TO PI
ilo I:o0 Laom pfoh'llosta WATER ROT
OWNER-BUILDER DfCLARA'rION r
I lemhy a imi thin I am e.en,X fn.n foe Cooloado,,Lner,c I aw for f,,
C?a vdbrxra,revwm.l Samnt 70313,Basin,,nd Ponfomun,Code A.,ea,oc county A
aF o which rtymres a pa'mm w oinvrvcE,almr.ingxnvc,hmdiah,«ro",any•Erucrurc 9aaaja q
Gi Std frror inns iauarcc also rryart,dsc appLcmn for wchEmnn m fit,a agncd malcontent I
e. Bluffs, fceri ^o,mmthcsmaa,...nannhe Conamul,w,LnenoLaw(Corfiera Sq. Ft. Floor Area JAN Valuation
l utraracri wnh S,curvn 7(1 of Divni"n tot the Buamar oral Noleesmns Cade, $ 20ro
r that M a cxcrapf thacfnxn and do best,for the fill rycd cacmrivn Any violntxan
"f S,ion 703 15 by any app"K9nf 6a"permit,uhlttW the gnplu'atx tr a cis d fern iY
ofnotn.xe than B,e hwdral dollars(seu) APN Number R1, ^ Occupancy Type
El 1, of the nosey,-my enydoym with w'aiea m their aie na,r9mmatim. - Bu' • I�A 1. -
-11 do fh,work,and,he aruaur,i,Iry ratended or nlfcred It,,sale see 7044. a 1
Ba,raev and Prom„nm,Co, 'Ile Cmm��,License I %d,ti,not apply to en Required Inspect) s $2800
rcr of pmpcny Who bmYL,w tmrorcs Hereon,anal wbo dnea ouch xosk hrmclf
or thnrayh ht,wn empluytt, pocsa d into such mlpnnvmrnts one inn ini or
' offend for sale It,lawn,,the)adding t.ifnp oveocal ie sold within on,rear rl 32620006. 00 . .
ntnPlcuon,the wner-hmlder will W,e the mode.of room,that he did not Ndd o r -
raprove for rar,swe of a .1. ,
°I.n,owns" the rrl„nY.am,scla„vcly-inree, with h,,ri coarn, ^fU 101. FOUNDATION ' .
m,aua ilbe ptoi(See.7141,Busircv,and Pmfc,aion,Code I l he Contrate 'a - - '
Le'cnae law doll het oppl5 to an.,of pgcn)xM bind,m ano,si thacon. -� —
etd who..mtmct,for stch'pro,tt't,with a tin anrGl accasod parsuant to floe 10e; PIERS
Commanr,L"nas,Law 103' — .UFER .
°1 an emmr under Soo B k P C for this trawl
fYwnrr naf� 104 — .REBAR
WORKER'S CCIM11PIiNNAIION DLCI-ARTION -' 105 — ANCHOR- BOLTS -
Ihi affirm uni pcwtyof p,rjmy rite-f,M faBnviry Acclamunn, 106 — SEWER R. WATER '.
1 IW,�o and »,B inamf.an a Cendiane of cm.oaf to wB-mwre'hx Workers 202 _ UNDERFLOOR PLUMBING
tinpcnwnm a, p odcd-for by Sttn. 3700 of the labor Cod,. for ads,rmn aiunod 203 — UNDERFLOOR MECHANICAL
°Ih,aestdwdl manmmWartier,Corapenanonln,umrc,.a,n<aan,dbySe<nnn 204 — UNDERFLOOR FRAME
37110 of the Labor Code.tor tlx lerfmvruc of floe wort for xheh thin:peri is -
natwd.
Say Walk,-Comm.ani;��rameran,1Polt,]'failat, , 205 — UNDERFLOOR INSULATION' '
T�K- NMS"E i'uIKY Nn..A,LT±1_3Z 301 — ROUGH PLUMBING :
\tea CERfIFIC C(MPLNSATIONIN.SURA,NCE ORKFRS 302 —'TUB IA• 'OR SHOWER -
Tba,snvon reed inn be c.rSo,c1 ftM permit L,for me honal dMlm, 303 — ROUGH MECHANICAL'
alma t,1 304 — ROUGH ELECTRICAL
Innnny that n the r'rt.,rtan ifan,:woAfor h¢h this sorna. ,i.,a.I '05 — FRAME
shall rat,mplw any pawn m any ttmnrcr so v to bci',xnc wb et,o tM Workrn' 3
Coorm.aon law,of California Uaf^ � 306' —' HOEDOWNS
Aprhni1
NOnClubse"1'ho Wor.ILdoo ornemgthn Ccmhcuf al E arbor.ioapaor,
Colt,. should 307 ' — INSULATION -
becarc,ubtect totM Woxlera Comprnvmian pm......f the Lab"Code.ytW mw .
o 0 fnnhwamaimplywnh,u,hpmOsics,orfhis ors t,Ullbedttmedni 308 — 'SHEETROCK . .
Z
CONSco,is.RUCTION LCNDIHGfia'.
Ina,nywrnn,nattna,;.a,'an„m„,m.l,w,m,penryn.th,p<trt„tmrc, 309 EXTERIOR LATH - -
a > of the xink for which this cant is awed(S,e.A)97.Civ.C.1
w Iende"ls.nr. 310 — INTERIOR LATH
z Lic"d`raA`lre- — — 311 — SCRATCH COAT /
U C I certify mitt I ha,c mad lhis apphtawn and xam Boat flk titi minor"non is 313 — ROOF NAIL. l . ,c c
w P aori I ugrte m rnra,ly with aIt 11,aM„.,my ad oeaa,,sad oafe law,relnmp
O v tobuddmyern,nacton.a..Iha,by thorooropt,aontatnanf don,on,1.omaupnn 501 — FINAL ELECTRICAL ENERGY
the obo v ancanoni pr"pcmy for m,po,wn hers
`t, rain litolaenn�n,ne�K�i:.Vosi,aWo,a�,, n'n�t�e, ato�a,`:�.y'aceu, �: „era 502 — �rNRI_ PLUMBING ENERGY
-U Z Caymc<nrrqunec of tnc gaanan,.fbos permit 503 FINAL MECHANICAL- ENERGY
APPLICANT UNDERSTANDS AND WILL COMPLY W 0TH ALL NON.POINT
SOURCEREGU1 ONS v. Issued by: 304 nrhEG Pp1ERGv
Jt
" :data,or Dar, 'Re-roofs 505 .— FINAL..EL'ECTRICAL
Will tM aE`IiivnZxRroulmluimgRi Jmnl DISCLOSURE orShaandle hsoossoua mmcnal Type of Roof. 506 — GAS TEST .
w&fibi by the Cu,,tBw Mamctpd Codt.Cl res 9 l?.amt the Itctith and Safety
Crane.So 507• _ FINAL PLUMBING
enan vst?aar' .
°Y,” 0 N All roofs shall bS0Wecie�gjfa fY aR1Er�;-1gR4> ial being installed
Will Be fork.or tattoo,Wild.,oc,ii faa,ci,,asa ltic dcvkoi which Ifa roof is instaWgvilhotjl-� bt. inspection, l agree to remove
Inn hazank.r,or runnarnar tscdcB.ad by the Ba,Am An,Qudny Mauaycmcnt
r 7.10wos,r i,to,r r all new point soel fe r E e�I a pp;ylLl �c�c�%ands and will comply with
oYea °"" all non-point sou ere ula I s.
I hmc tvd the hoaarWw,Intend,myuimm,nh trader Char,695 of the
uhfoma Elcal,h&Saintly Code,Serlitm,25505,25531 and 355)1 l und,^mnd thin
de Waling china not currently hao,at,mnL that n 6nry ic,pwanblay to notify the
leam a1 thin ao aaa 'n xhich mua be trct'e m nuunex of a Corificmc of
c'.', Signature of Applicant Date
or araMdaol'en, rYam All roof coverings to be Class "B" or better
arose