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01070016i CITY OF CUPERTINO BUILDING DIVISION PERMIT 'CONTRACTORMORMATION- BUILDING ADDRESS. PERMIT NO. 10133 AMADOR OAK CT TOM'S PLUMBING 01070016 OWNER'S NAME' APPLICATION SUB DATE NAUM ROYTMAN 12246 SARATOGA SUNNYVAL RD07/09/2001 PHONE: SANITARY NO. CONTROL NO. - (408)867-6010 Z ARCHITECT(ENGINEER: BUILDING PERMIT INFO BLDG ELECT -PLUM MECH L1 IJ _ CJ i LICENSED CONTRAC`fOR'S DECLARATION Job Description 1 hereby million that 1 am licensed under movi"um, of Chapter 9 (commencing RE P I PE . u❑i oh Set 7000) CD 3 nfthe B"mes"Palliofe... casCWe. and my license innselClaseand �ea.�� Lia# ISbf F'14AL'ED y 'ate 7�h-as Contractor ARCHITECT'S DECLA ON 1 understand any plans shall be used as publi records J U L 2 6 2001 OLicensed Professional pm, OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from tnc Contenors License Law for the , BUILDING following reason. (Section 7031.5. Business and Professions Coale: Any city or county $7050 ❑ which requires a permit to construct. alter improve demolish, or repair any sweture ; -..pr t't'ssuance,elsorequoestneapphcent Rattnpermuo fit ... gnied state mem, - 'hat bislicensed pursuantto too p -xions of the Contecml L' ase Law (Ch pt 9 % I x Valuation (c mm 'ng wah5 ton, 7000) of Division 3 ofthe Burin mad Prpf,sameaCode) i `j=�+4, t 3`Yi�3 ����i�a 'I B"��yT ' n that h is exempt therefrom and the basis Por the alleged ex pd n. Any violation - - -' " of Section ]031:5 by any applicant for a permit subjects the applicant to a civil penalty ' '.I net mare man Eve hundred dollars (S500). 2 0 2APNbNii9RFLOOR PL B ING' " Occupancy Type 01. ex owner of the property,many employee with wages a6 their able compensation, 301 R PLUMB - w 11 db he..,k,-..d th 'structure' . not intended or Offered Law for snot (See' to an 5 0 2 - FINAL NAL PIA 0BffiN rsPb1RRGY owner n s , d Profe. n. Code Tn C es their s License Law does not apply m en ' - ughopety emplho oyees. thatsuchmprvemerim, and who nes tsamnWOrktimrelf 507 - FINAL PLUMBING 1 or er through h' a ply provided thvt such improvements e t m onintended o meha s Id th n one f - ,off d f I. If, h [h building mp y -t "i ple[ionr the ore bra Ider w'll have 0e burden of proving [hat he did not buiM or ` improve for Purpose of sola). ' I ., 01 as owner of thecontributing- _._,_.... ..._.._. _...,._.._,_-.._... _.. _.. _.., .._._. _.... ..,....._ _.__ _ .. _.__...._ ed property, t70 exclusivelyions Co :) Thu Contractor's onti oro toLicconense Lawt the does project (Se ]044 Businessd e Professions il dor The improves tmcmr thereon, ) -, dB di'dD License Law docs not apply to owner with a catty who builds or imam or ,,da „ ..and who License such projects..wth.a.wntracmgs).licensed.pueuant toahe. Contravenes LttnseL .. _ 01 m exempt underSe 6&PCfor this rtason ,,, C I. Owner ."DI - WORKER'5 COMPENSATION DECLARATION ' I hereby vffirm nd r peas ky of patient; f th following deela at ns, 0 1 hive and will' maintain a Cenil cam of Codsent to elf-imum for Worker's - Compensation, as provided for by Seaton 3]00 of the Labor Code. for the performance of the work for. which this permit is issued..,, , _ ° I have and will oma t n Work pr's Co p ton Idsurin ', os required by Beaton 3]00 of the Labor'Cude, for the performance of the -work to, which his permit is - d My Workers C aspen ati In! c d Policy M Ga der!�CQ°'�' policy, Ne 91(.(yit I (I C -S` Y , t;'s t gCERTIFICATION OF EXEMPTION FRPM WOB�BR$P ° ' COMPENSATION .INSII, _. .__.__ .... ..__... ... .�... ._ _._..._..._.. f" '(Th s $echos ted not be complied f rhe permit is far one hundred dollars IS 100) . Icas� I ndY,iha(n the pe forma ¢ of the k f when th s pe i is i6 d l ... ..,-.. _._ .. shall n t employ any p y a so as to hecom S b)ecr to the Workers Co p t Lows f C I t . ate "" _. Applicant .. m. �, ... ...... _. ..__ ... .. .. _ .__._ ..__ Y _ ._._ _. ..__. ..__...... _..... ............. ...i, __.. .... NOTICE TOAPPLICANT WmI Ir Rmakingn Certificate,Exemption,ooh Itl i becomeis c mt to the vIS r visitant t Provos oha of 'heWhof Code; y0h must fool @ � ply with h p s one a [h. pe it shall b decreed revoked. 7 ' ad CONSTRUCTION LENDING AGENCY - 't ' w .. ' th 'or w n th t in a'con wa ' I 'iding-a8 y f [h p rGirmance . t '. .: . Df th k'f Lich tM1 o pe m t v"is6ued (S e �U91, Clv. C t ,.... Leders Name:,,._ :... . .'t,._.!. _:.... .... ..... ._.__,. t _..._..__., Le"doos Address I enlfy that 1 h c mad rhos vppl on� and state th t the vbovc mfnrmutlon is est. I-agreo rt comply whM1 all shy ahJ county DNinances and rete laws relating ro huildine ..ru minion, and nerebyautliorizn represenfmivea of this city m inter upon th b f tl p p ty f Fit P m ., 1'agree g -t d nnifya dkt ph rmle.ihcCry fCpn'no giaid 7 li t ht 1 dg t. t d p ase h ch Y n nnY Y c lost .ata City quinti fm g t got rh pe t ,.S Q 1 AP (CANT UNDERSTANDS A.ryD WIt COMPLY WITH ALL NON -POINT' `/ 5 cEREcuL n s Issued by: Date x,01, g t r oft plica JCn vacmr;„ •,. .: Gme' � Re -roofs _1 HAZARDOUS MATERIALS DISCLOSURE W11 theapplicant rfmreb Idi oc p t t or bmilb,haxN int I Type of Roof ns d f d by the Cupe t no M n c'p Cod Chapter 9,12, and the4 hh tl S F ty 'ca s ton 3od211 I (" sft hr.:. ., a..; 01..{ °P °N _All roofs shall be inspected prior to, any. roofing. material-being.installed .... °Y t mmmb building p p !. al] n roof olnfsource re lotions'= obtaining an ms echon'I'agree tci"i remove O iii %Will t t °t not dfndbyth ByArcrA Quality Management: g) P t peee equipment a which' stalled without first o nth d rs fl d" 1 all new materials for inspection. Applicant understands and will comp y with " 1 have lead the h z' do . tate als requirements under Chapter 695 of the P g . CaliforniaHealth'& Safety C ode 5 ctio 25505-25533 and 25534.i understood that 'carat bildingdoes not currtnrlyh tram, Iaper, it my,rcsponstofa iobfi,ra the ui p m ofthe regouemem9 hich�,mo t h et prior to i�- �tnce of a CediFe:nre of - npae`y-' L41. ._ ._ ..,OFFICE. - Signature of Date g �L..r -Applicant . _ . __ All roof coverings to be Class `B•' or tietter t r.aum ata g nt Dae = CITY OF CUPERTINO BUILDING DIVISION PERMIT 'CONTRACTORMORMATION- BUILDING ADDRESS. PERMIT NO. 10133 AMADOR OAK CT TOM'S PLUMBING 01070016 OWNER'S NAME' APPLICATION SUB DATE NAUM ROYTMAN 12246 SARATOGA SUNNYVAL RD07/09/2001 PHONE: SANITARY NO. CONTROL NO. - (408)867-6010 Z ARCHITECT(ENGINEER: BUILDING PERMIT INFO BLDG ELECT -PLUM MECH L1 IJ _ CJ i LICENSED CONTRAC`fOR'S DECLARATION Job Description 1 hereby million that 1 am licensed under movi"um, of Chapter 9 (commencing RE P I PE . u❑i oh Set 7000) CD 3 nfthe B"mes"Palliofe... casCWe. and my license innselClaseand �ea.�� Lia# ISbf F'14AL'ED y 'ate 7�h-as Contractor ARCHITECT'S DECLA ON 1 understand any plans shall be used as publi records J U L 2 6 2001 OLicensed Professional pm, OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from tnc Contenors License Law for the , BUILDING following reason. (Section 7031.5. Business and Professions Coale: Any city or county $7050 ❑ which requires a permit to construct. alter improve demolish, or repair any sweture ; -..pr t't'ssuance,elsorequoestneapphcent Rattnpermuo fit ... gnied state mem, - 'hat bislicensed pursuantto too p -xions of the Contecml L' ase Law (Ch pt 9 % I x Valuation (c mm 'ng wah5 ton, 7000) of Division 3 ofthe Burin mad Prpf,sameaCode) i `j=�+4, t 3`Yi�3 ����i�a 'I B"��yT ' n that h is exempt therefrom and the basis Por the alleged ex pd n. Any violation - - -' " of Section ]031:5 by any applicant for a permit subjects the applicant to a civil penalty ' '.I net mare man Eve hundred dollars (S500). 2 0 2APNbNii9RFLOOR PL B ING' " Occupancy Type 01. ex owner of the property,many employee with wages a6 their able compensation, 301 R PLUMB - w 11 db he..,k,-..d th 'structure' . not intended or Offered Law for snot (See' to an 5 0 2 - FINAL NAL PIA 0BffiN rsPb1RRGY owner n s , d Profe. n. Code Tn C es their s License Law does not apply m en ' - ughopety emplho oyees. thatsuchmprvemerim, and who nes tsamnWOrktimrelf 507 - FINAL PLUMBING 1 or er through h' a ply provided thvt such improvements e t m onintended o meha s Id th n one f - ,off d f I. If, h [h building mp y -t "i ple[ionr the ore bra Ider w'll have 0e burden of proving [hat he did not buiM or ` improve for Purpose of sola). ' I ., 01 as owner of thecontributing- _._,_.... ..._.._. _...,._.._,_-.._... _.. _.. _.., .._._. _.... ..,....._ _.__ _ .. _.__...._ ed property, t70 exclusivelyions Co :) Thu Contractor's onti oro toLicconense Lawt the does project (Se ]044 Businessd e Professions il dor The improves tmcmr thereon, ) -, dB di'dD License Law docs not apply to owner with a catty who builds or imam or ,,da „ ..and who License such projects..wth.a.wntracmgs).licensed.pueuant toahe. Contravenes LttnseL .. _ 01 m exempt underSe 6&PCfor this rtason ,,, C I. Owner ."DI - WORKER'5 COMPENSATION DECLARATION ' I hereby vffirm nd r peas ky of patient; f th following deela at ns, 0 1 hive and will' maintain a Cenil cam of Codsent to elf-imum for Worker's - Compensation, as provided for by Seaton 3]00 of the Labor Code. for the performance of the work for. which this permit is issued..,, , _ ° I have and will oma t n Work pr's Co p ton Idsurin ', os required by Beaton 3]00 of the Labor'Cude, for the performance of the -work to, which his permit is - d My Workers C aspen ati In! c d Policy M Ga der!�CQ°'�' policy, Ne 91(.(yit I (I C -S` Y , t;'s t gCERTIFICATION OF EXEMPTION FRPM WOB�BR$P ° ' COMPENSATION .INSII, _. .__.__ .... ..__... ... .�... ._ _._..._..._.. f" '(Th s $echos ted not be complied f rhe permit is far one hundred dollars IS 100) . Icas� I ndY,iha(n the pe forma ¢ of the k f when th s pe i is i6 d l ... ..,-.. _._ .. shall n t employ any p y a so as to hecom S b)ecr to the Workers Co p t Lows f C I t . ate "" _. Applicant .. m. �, ... ...... _. ..__ ... .. .. _ .__._ ..__ Y _ ._._ _. ..__. ..__...... _..... ............. ...i, __.. .... NOTICE TOAPPLICANT WmI Ir Rmakingn Certificate,Exemption,ooh Itl i becomeis c mt to the vIS r visitant t Provos oha of 'heWhof Code; y0h must fool @ � ply with h p s one a [h. pe it shall b decreed revoked. 7 ' ad CONSTRUCTION LENDING AGENCY - 't ' w .. ' th 'or w n th t in a'con wa ' I 'iding-a8 y f [h p rGirmance . t '. .: . Df th k'f Lich tM1 o pe m t v"is6ued (S e �U91, Clv. C t ,.... Leders Name:,,._ :... . .'t,._.!. _:.... .... ..... ._.__,. t _..._..__., Le"doos Address I enlfy that 1 h c mad rhos vppl on� and state th t the vbovc mfnrmutlon is est. I-agreo rt comply whM1 all shy ahJ county DNinances and rete laws relating ro huildine ..ru minion, and nerebyautliorizn represenfmivea of this city m inter upon th b f tl p p ty f Fit P m ., 1'agree g -t d nnifya dkt ph rmle.ihcCry fCpn'no giaid 7 li t ht 1 dg t. t d p ase h ch Y n nnY Y c lost .ata City quinti fm g t got rh pe t ,.S Q 1 AP (CANT UNDERSTANDS A.ryD WIt COMPLY WITH ALL NON -POINT' `/ 5 cEREcuL n s Issued by: Date x,01, g t r oft plica JCn vacmr;„ •,. .: Gme' � Re -roofs _1 HAZARDOUS MATERIALS DISCLOSURE W11 theapplicant rfmreb Idi oc p t t or bmilb,haxN int I Type of Roof ns d f d by the Cupe t no M n c'p Cod Chapter 9,12, and the4 hh tl S F ty 'ca s ton 3od211 I (" sft hr.:. ., a..; 01..{ °P °N _All roofs shall be inspected prior to, any. roofing. material-being.installed .... °Y t mmmb building p p !. al] n roof olnfsource re lotions'= obtaining an ms echon'I'agree tci"i remove O iii %Will t t °t not dfndbyth ByArcrA Quality Management: g) P t peee equipment a which' stalled without first o nth d rs fl d" 1 all new materials for inspection. Applicant understands and will comp y with " 1 have lead the h z' do . tate als requirements under Chapter 695 of the P g . CaliforniaHealth'& Safety C ode 5 ctio 25505-25533 and 25534.i understood that 'carat bildingdoes not currtnrlyh tram, Iaper, it my,rcsponstofa iobfi,ra the ui p m ofthe regouemem9 hich�,mo t h et prior to i�- �tnce of a CediFe:nre of - npae`y-' L41. ._ ._ ..,OFFICE.