00070026 CITY OF CUPERTINO
riuD.Dlnc DIVISION., PERMIT CONTRACTOR INFORMATION: -
4BU'LD'N,G ADDRESS: 'y �` ' ')i" - j - - PERMIr NO
WNER'S_NAME:, - " J .F, APPLICATION SUB DATE -
HONE: -' "- . SANITARY.NO. CONI'ROLNO,
'
2-ZRCHITCDCNGINLER - '. ♦ r N, BUILDING IFRMIr INFO
- IAC ELECT- PLUMB MF.CH
IF
F?y _ _. ..
Z O y Z LICENSED CONTRACTORS DECLARATION ',lob Description i
OZ�� 'Ilercny eflirnJ it Into I' d I p ICI p1 '9f g' -
G wilhS ( 90fNA fD n3of the Bo tlI fissionsCd anenyL y2 -•
is
ll force
a.a.a Lie Gm„ L g REROOF WOOD';TO COMP "
via a U De, C nl calor '� -
O y _ e, ARCHITECT'S Uk CI ARAI IONJ. I _ , •^ "
r.
3 1 I I J I u shell be used public ods
0' I;c neJ lr fie:' nJ _
-OWNERBUILDER DECLARATION ,
E:
=c ,i hereby offdrm deal I un sed, I fren the Cann nos Lecnse Lew fee the
a ,fell g (S 'l 7031.5.F 1 Professions Code,A)city county ' v
E20 which 4 'rc p It 'I lilt vin. I I'h -p ' Y.I cmrc l- - -
`i+ a3�
prior
I I. y .lfiapplicantf hP dI fl 'g dol en . .
,Hato Intensityn I d p fn .e. l' , L 1 (Chance9 Si Floor'Ainea ,,.'- Valuation'-'
o (co g withS t 9000) lCle n9 fd B: IP f, Code), i p
onl m he a axemp,threshold d 11 Fuel'f (hellebed a pt Any v eh t on s'
' of Sewon�1B515 by ady ppi tFilarial' :object,theappl' tlo,civil penalty, -
af Ida mem than Live hundred dollars(S5flBl. S `APN'Number I. .� OccupancY Type
;.
El flh P P IY 5 trolleyed,with d, a, hall "p 'f • _. " ', + '.. '.!
hwill,J thek d theI t I ' , J d rf I f -I (Se'.9044
Bu dal Pn fesi ons Code The Contractor's L,car c Lax does not apply to a, Required In,Spections
ownerf p p ty Who bodies pr they h d h k ti If
nl g1 h. n ,plye provided' 11l ' h p- I t' , JI n, -
nE d for sleIf,however thebuilding p , le d year f - 305 — FRAME -
mplcl' n th e b 11 Il h' Ih h ip blh,h Id ib lJ -
Inp birth...... r I ) - 307 —.'I NSUL' RT I Ohl I
n r rm pr pc ly ie.' ly -, , sn l 'd ,rael nl 601 ROOF TEAR OFF ,.
'dn1 Ice p i I(s 9041 B : IP I.. Code,iThe c I cl - ., 602 — ROOF PLYWOOD NAIL
Lic L.w dins no,vpply la
all owner 1'pr npeny who hull t np`oves the eon, —
and who contracts her such pmjccly with a coutmemr(s)licensed putsmmrm the ^ ., —
Cente l License Low. � 603 ' . ROOF BATTENS '
01.,1leenp due Sri. B&PChurmiare. - " 604 — ROOF IN=PROGRESS '
I)W IICr IDme f A• A • • r ,
q t,
00(1 R'S COM ENSA'fION DECLARATION- � ,
.1 hanc afOrin a eer penalty of of t k
y - n p y perryry one I he toll g d I rations '
-
I h d JI W C n fie l f Carrier, II f Winkles,
_
netl a m a. provided l by Scene. 3700 of-the Lab., C tl f ,M1
perf f u work I h I this parent d - '�
❑11 and will m'erf W k IC pe l 1 . q ' dhyS.....a it
7/
39x1 f the Label Cod f thep 1 1 d rk far which'in p , ^
mi d.My Wer DINC Pl. lice Insurance wrier and Policy,nnhcrse
Center V ' Policy No.: r -
CEROPiCAT1ONOPEXEMPTION FROM WORKERS' - '
I COMPENSATION INSURANCE - , -
(TI' ,on nceq no,be c nnplGed:1 II p it is fee one third ied dalluri
r. ts, .
I rly,hlr all Prf ce finwork- f -whichthsp ', . round,I
shall all nlpl y no,P : Y mann - lobster)ne acct m the Wfaces
. Col Pe:f Laws ofC if Ume'Applicants
NOTICE'I O APPLICANT 11 f, k g n L I al f EW pl y shield r , +
� hecamesubject,o,hew k L pc t p .' n. flhel h rC,l you 'r . v.'
fi.It comply with hp aai[ties rli,bar be deenedrc kW. - - r,
Icy d
CONSTRUCTION LENDING AGENCY -
.,a Ih by BmthattM1 4continental lending agencyf lh perfm,anm- .'@•v - -
of11 kf h'ch,M1 p L 'Ix.uul(S 309].Cie C1
LTa Land N3 l � � -1 •
�• Z Lender-A dress
Iea,,raIthat h' dll :ityan, IIItire,
ec b f i
LTi F coir , 1 g , c,np�an with hallereby
city r tY d d 1113 relatog
enter
- -
V ,obuilding t 1 dh -by' - representatives flh': pinencr upon '
Ibc b I dp 1 ,yfinspectionp p � •
r y
(We)agree tsc I nn'fy' dkeep h I v,beCty IC Pc,i ag nt - • i - ,
LC lieh nc'ry 16 I I I re cs which to,,inany way c against d
6,1-z, City converty Ire ofih gri of lh'-p , x
APPLI NTUNDERSTANpS ANDWILLCOMPLYWITHALL NONPOINT
EGULATIONS a; Issuedby Date
f,p 1, a of AppirunVCOWAIcIOr USE'- , :Re-roofs +y •• - •• ' - ' _
HAZrNEUOUS MATERIALS DISCLOSURE - ,f
.
Will the Ipllcat frnrtb 'Iing occupant:t 'handle hymd mmerial' Type-OfRoi '+ .
r,dnlmed by the Cape in,,Mutc'pal Cade,Clause912, rd till Health add SFE,
Code.Section 25532(a)R -
1 All'roofs shall be inspected prior to,any roofing'material being installed.
' will IITif l b I I' i s a '
pp g P eby�nine I i w Wn' h 'If a roof is installed without firsbobtaining an inspection, I'agree to remove
eml le du:u cul' ,dots as defined by theBay ArcaArQ DysMnnneran -WHO, all Yee
, oNn .4 v. all new materials,for inspection. Applicant understands and.will comply with'
all non point,souice'regulations
I
h d it h d l 1. q 'Hole us unJ Chapter 695 !the, t f • ' -
Cil'f Hnlih&Salary Cd Section,2550525533d 255341 d .nndth'I
rlh holding :ntcurrently h i nl lhot l : y p :blty, rfyO ` +� ' ( 'S
wupanl of I ru une eat:when n, I h I prior ro:sa a of a CLniRme of • '
Occupancy
Signature of Applicant .. Date -•
1 or 1 or uni -eed agent - , ., ,.,na,e ,' - All root coveringstobe Class `B" or better
UFFrCr-
r ,.
INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE
CITY OF CUPERTINO
BUILDING PERMIT INVOICE OPERATOR: chrietya
Sec: Twp: Rng: Sub: Blk: Lot:32643064.00
INVOICE DATE......: 07/06/2000
REFERENCE ID # ...: 00010026
SITE ADDRESS .....: 10707 AMULET PL
SUBDIVISION ......:
CITY CUPERTINO
IMPACT AREA ......,
OWNER ............: JAMES, DENNIS
ADDRESS ..........: .
CITY/STATE/ZIP CUPERTINO CA, CA 95014-1303
CONTRACTOR ........ LIC M
COMPANY ........... .
ADDRESS ...........
CITY/STATE/ZIP . . .; ,
TELEPHONE ........i
FEE DESCRIPTION CHK TOTAL FEE PAID-TO-DATE BALANCE DUE
_______________ ___ . --------- ------------ -- __----_
BPERMFEE P 137.00 0.00 .337.00
BSEISMICRE P 0.84 0.00 ' 0.E0
____________ _____
137.80. 0,00 137.50
FRAME e...... '-307i. IN6ULATIONB DESCRIPTION
Vr- ID DESCRIPTION VOICE ID DE
601 ROOF TEAR OFF 602 ROOF PLYMOODNAIL
603 ROOF BATTENS 604 ROOF IN-PROORESE'
H' c