01030092CITY OF CUPERTINOg�
BUILDING DIVISION PERMIT
CONTRACTOR INFORMATION:-t
-
BUILDING A DURESS
PERMIT NO.•
220916 ALVES DR
..01030092
OWNER'S NAME: -
APPLICATION SUB DATE
,MI,ISETTI ROBERT A AND F
ANCES J,
03/16/2001
PIIONE: -
,.
SANITARY NO. - CONTROL No.
ARCH]'FHCT?NGMEIiN:
C
HUILDI GPERMIT INFO
F
BLDG 1'LU M 11
n
LICENPHO CONTRACTOR'S DECLARATION
C I hereby affirm that l um licensed under provision' of Chapter9 (commencing
Job D0BCr1 tl n-
- P
w with Scaion7M))of Diviiinn3ofthe Rlinestem! Pmfession�sFal, Jmy license
,to
an'K�Icm. _ f"` Lie'l `l'b �i
P
KITCHEN .REMODEL.. -
- G,.nnmmr
..
_
g_ [understand on, plana'hall be used u.. puMio rccnnh
.
FI I
M A LE O
xLianvcJ Professional
OWNER-exempt k r'llm ORATION
I hereby all ecu that 1 am exempt cram oho Cx,ion, r'x license d,e
following
J U L 1 3 20 01
rca'on (Seal.... ]IBES, city oa
6 Gala:Any city 1,raamly
11... ando,s.
a
l,a
danax
Improvesh sruaurn
❑ which.as"noupermitom'a,
theattic
permit anile a sigany
too,
'
am,bnidinsnunee,asamyuires
issocam Themchpermiuoocow aw(Chaptmm
-(commeccgwithSrsmnnnthepmsision.sn3ofthnitasinlsl.icencelasv(chvot
(commencing Cole)
Section7000)and
S Ft. Floor Area BUILDING
9'
Valuation -
tDivision or
or that he 7 exempt nemrr,m and the basis
exempt healegidesaandion. Any
the alleged esen,ptioo Any viun.1b,
$50000
of section ]11315 by ung applicant for n permit subjects nu upplicam m a civil penalty
It
ofnot as ingn flue In mired dollars ($500),
APN Number
_ _
Occupancy Type
❑ 1. as owner ofthe propeny, ormy employees with wages a., n'�tr sole 1o.opunsailon.
32631008.
00
will da the work, and the a ucmre is not intended nil olicred'for sale (Sec. 70114,
-
Required Inspections
Business and Professions C,We: The Contractor's License Lax does not apply to av
tofproperty Who band.mimproves nemomand who does such work himself
or through his own empnyeec. provided that such improvetntms are not hncnded or
'- 101,
— FOUNDATION.-
oifered lar 11,11. If, howean the huilding nil improvemcm is sold w!thin one year of
ompletlnn,ilderll hhburden i
uthe .,If the uren nl provng that he did not build or,
owner-hnnf
102 —
-
P I ERSS
nprnveforpmm.xeall,>
103 —
LIFER
❑1, asn ner of the propany. am exclusively contracting with l icensN contmOonto
Lidolantt"the proiect (See. nz4, Business and Professions Cade$ File Contractor's
104 —
REBAR
cense;.aweneanot apply moowner oflnopenyIshobuddxmimprovesdamon,
and who cmnmets for suel......Fit, win o. cnnlnmtor(xl lia.en'ed puna I Io ore
1.05
-
ANCHOR BOLTS;
01ama..6mpauIJ,cndeLec '. 4
p I am'exhmpt ander Sec. ' , k & P.Qfnr this rtaem
-. 1.0Er —
�
SEWER 8. WATER ,
owma, - Data
- 202 —
UNDERFLOOR PLUMBING '
WORKER'S COMPF.NSKTI(1N DECLARATION'
203 —
IJNDF_RFI_bOR MECHANICAL
Ihumbyaffim lerpenaloyofp Jmynne of lho followlug dcdaren...o:
-:
204
UNDERFLOOR FRAME'
C 1 ed,-e i. will mmdadn a cby SlIe ..f corns m aW.alamr far
n,mpenxatlo
205 —
..
I_INDERFLOOR INSULATION
as' pr..ufidal for by seri..n nw of lot Labor coda, ror me
in, the
....firm of the workforwhlehdusptratilisi.sued.
.301. —
ROUGH PLUMBING
..esus and woe maintain Wmkeds Cm 1pan.mim, mmranoe.... re.... tied by Seavnn .
3700 of the Lah..r code, rnr the perfonnunca ,I the work ror which this ..conal is
302 —
_TUB 8• 'OR SHOWER
- ..
d.MyWorkerxCo;,`aaiqnnwmneecarrierandP..utyn/�ummbberlIam
303
ROUGH MECHANICAL
Carrien�]t64 MM�Pnliry No.��T
• CERTIFICATION OF EXEMPT ION MOM WORKERS'
- 304 —
ROUGH ELECTRICAL
COMPENSATION INSURANCE ,.
305.'--.
FRAME,
fl'Lls..action need not he completed if they nait is rnr oma hundmd douan
306 •-
HOLDOWNS
tsuro)nless.l -
11
307 —'
INSULATION
I eenify that in the perfnunaret, of the work for which this permit in issued, I
shall out employ any Person in any manner %a as to become subject to the Worker.
308 —
SHEETROCK '
Compemation laws of California. Data
Appheam_
.. 309
EXTERIOR LATH..
NOTICE'1'O APPLICANT: 11, after making this Caro ieae of Exa nption, you .hanld
became .anieatotire Worker's Cnnticmadoprovi nsm'mtl.Iw,Code,yoomnst
310 —
,
INTERIOR LATH
forthwith comply with suchpowki..m or this Is,nn�hWiwdemmdmvok`d'
~
311 —
SCRATCH COAT
CONSTRUCTION LENDING AGENCY
1 hereby affirm hot there is a vonstmction lending agency for the perlimnance
313 . —
ROOF NAIL. ' •.
of the work rnr which dh is pcmid is issued (S11. 3097, Civ. C.).
Lmader'xNnne
- 501.—
-
FINAL ELF_GTRLCAL rENERGY •-
Leod"`Addtps^
- 502 —
FINAL PLUMBING ENERGY
canary that tplywithalisityanddm,andoaternmsandsttdnevuelawsadm,is
correct. I ogee ur comply with all city and county ordinances and state laws eluting
' 503 —
FINAL MECHANICAL-ENERGY
ild
to building conemed proltly kahyaahnrieercpmscmmivnof lbiscity menerupm
the vbnvo..uenlionedprolv,ny rrn' Incpuaon pn'pncex. '
• —
INAL BUILDING•ENERGY•
lagreetn'ave,Imlamoify amlkeep haroles.the Cuyoreeoemm�ag.an'l
nit', Jgme in ant..aW ex en 'Lith-nay in any way sccme against said
505 —
FINAL. E CTRICAL '
'
a, in co acgmenre of'h<grun' gof this m,it. -
APPI.t NTUNDERSTAN 'ANDWI .COMPLYWITHALI.NON [NJ
506
S r
' •/V �/
OU :O IFTIONS /
/
Issued b
MATDate
g, uml nl' Applican C. 11 n. >1,m
Re-roofs 8 —
-
FIIUAI_ MECHANICAL
HAZARDOUS MATERIALS DISCLOSURIi
Will the applicant or R,mre lab Id ag,1, .111. m dandle hareadn rat edal
es JefineJ by the Cupertino plunicipal Cud• spat 9.12, and the Health and Safety
Type of Ro 509 —FINAL
GRADE
entitle, Section ss3z(a):'
51.0 —
FINAL PLANNING
°Ye _
de
All ro s shall be§fpFc1cd_QrlpNr��n}�y'
n$LnaWi installed.
'....Bean n.' none hadding necuh:..,t axe eyu p.ucnonnlevlevs which
mit haasnLa.a air cnmamimmIs a.. Jefinedh the tray Area Air Quality Manngenteno
i^'^a''
)�)ng
lfe roof is installed without firs) obtaining all inspection, 1 agree to remove
g P g
all new materials for inspection. Applicant
°Ve'
IddroWill
understands and will.comply wit
'
all non-point source regulations.
1 have mad the h:manbus maariols rcyuitmnems under Chaplet 6.95 of the
uit'Hamlin & Sufmy Cele, Seclion.a 255115, 25533 and 25534. 1 understand that
,•
il'.he .ng :..not o.bdily.m nosily ho
-
-
panl nl' lh rcyuirecmoil Nndwym,erwmiur m ssupnof it Cenifieaoe of
'
upanry.
Signature of Applicant
Date
,
"B"
Own hurt" agent D m.
All roof
coverings to be Class or better..
OFFICE