01050201 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
18861 ARATA WAY EVEROWNED DEVELOPMENT CO P01050201
OWNER'S NAME: APPLICATION UB DATE
ERIC W YUEN 531 NORTHLAKE DR 05/302001
�S Do SANITARY NO. CONTROL NO.
. 1
0 '� (408) 725-8822
'GOPa z0 ARCHITE /ENGWE ate'
E00 <, BLDG ELECT BUILDING PERMITINTO
1`�0 MECH
1Yf�L C J L_. L-7 LJ
ZP"w LICENSED CON'TRACTOR'S DECLARATION
h 1hereby.ifrmtharI am licensed unJerprovisionsof CM1op¢r9lcommencing Job Description
F=tom with Simn.7000)of Division 3 of the Business and Pmfession.Code,and my license SFDWL-,LIVING SPACE 1876, GARAGE 441
p y F J is in full force and ellen. D
-s we at Limnse Cie s Lic.a
w 3:U Duty^ e Commctor
F-,1 O Kan RCHITECT'S DECLARATION '
1 K and my plan,shall be used as public records
i-
cor G OLicensed Professional
i 0 a OWNER-BUILDER DECLARATION
1 heathy affirm Nat 1 am exempt from the CommnoGs License Law for the
t?a following mason.(Section 7031.5.Business and Professions Code:Any city or county. $181240
Y=❑ which milai ren a penni,to control,,ulm,impmve,dmnnl'nh,ar repro,any drunum
n3°9 prior to its issuance,also requims Ne applicant tot such permit to file a signed statement
that he is licensed pursuant to the pmvsions of the Contractors License Law(Chapter 9 mss, p�r� IOOr,,pp,,ttrr��a
(commencing with Section 701)(B of Division 3 of the Business and Professions Carte) ' 37Ts1LV�J VV" �I 4`..y . Valuation
or that he is exempt therefrom and the basis for the alleged enemption.Any violation
mf Secliom7031.5 by any applicant for a permit mbjcas thc applicant m a civil penalty
I.fnmtsmre than five hundred dollar.ls50ol. 101AENtbZATION I 'I 'I""` Occupancy Type
❑I.as owner of the property,or my employees with wages an their sole compensation,
-will-da'the work:andbe arrour a is not intended'.,'offered'far sale(Sec:70i.
t Businegs and Professions Cale:The Contractor's License Law does not apply in an 103 - UFER Required Inspections
woe
r.1 property Who builds or improves thereon,and oho dtxs such work himself 1
or through his own employe... rioided,hat such impmvemems are not intended or 104 - REBAR
affcrtti(oi sale.-lf.however.-he WilJin-.._.___emcn[rs sold�whhin one____r .___.__._._ ._.___- -BOLTS--
g or improv year o - t
scoh,Plction.the owner-builder wall have the burden ofpmving,hm he did not build 105 - ANCHOR BOLTS t ,,.
improvefapurpase.f.le.). 106 - SEWER & WATER
" pl.asgwnn pf The Pm a-am exclucivel omm�nln ._.__ _._.___._.. 1
mnanretthe per gw,mfceyDcComnorsra 2'02"--UNDERFLOOR PliUMBING -;:u rl:-i"F -- --
Licenselawaencnotaecl7MjnownerofpodProfcssio or IdsColor The Contm,eon. 203 - UNDERFLOOR MECHAN'I'CALI'Ler; i'1 `1,, tell
apply property who builds onmlooma thereon.
- .pod_aco,1,Li cts.fm_such.Projs¢wiN.a contmnmts).licenscd.pursuanr to.,he. _._-. -.__-___-__-.--"-
cammetar.4amse See ., .-.....-- 2 04 UNDERFLOOR—"FRAME-- ----------..__
Olnm exempt under Sec: •�_,B;&P C forffik reason 205 - UNDERFLOOR,,'3f S -EATION
- - S Duties- Dme" 301 - ROUGH PLUMBING
WORKER'S COb1PENSATIGN DECLARATION 302 - TUB & OR SHOWER
I herob, ffrmana ce m,yarce, rr. nn rau gd arum..- 303 - ROUGH MECHANICAL
01 inve and will t Ccrlifcrdm rf,Cumm ,. wifiriluot for worker. 304 _ ROUGH ELECTRICAL
ce
Comof a p ase f. by Section 3700 r theLabor Cm. tar the
perf thew k f 'Il, his psr fit is 305 FRAME
.sued.
M4a w.11 idin t wo t r s Coinplaration frontal aso'cluircul Ey Smut)" 306 - HOLDOWNS
3700 of sh<Lal r Codi,.far the po-floormar,of he mk f.r wh ch this d,is
`sSl d.-Myw kersCo"_pe:.mi.nlnsmtaKeBarrieraneP.Icrnaln_am:p`" " 307 - INSULATION
_..._. _.. .. 30.8-.._—S HE E TRO C K`_._
t1 __, ... - -------
Cam 1k n.. XE cy,TIO MW RKER
TIICATION OF EXEMPTIO CI
FROM WORKERS" I'T
, ,,,,;, 309 EXTERIOR-LATH :.
a COMPENSATION INSURANCE
ffn t nn deeE oat be cd
nmPki d Ili.pri,is far an hundred dollen_ - t t.lk L, 1 C DL
aural.freta t. 311 - SCRATCH COAT - `-
313-' ROOFTNAIL. _.:
, I rtrymt tame art minn okr whichthispermit-. t.< el -
l".11 , ploy..1 p ny ram so becom< .b,en t ,A wpik " 501 - FINAL ELECTRI CAL'ENERGY
Croul tion L'a f C l f Date
rs
:npPl , 502_ -_-FINAL-_PLUMB ING--ENERGY__-.—
NOTICE TD APPLICANT Ir r k g M1 C rfT in 1 L pl n Yd should -
O Obcp hf t, theta k r C mce : , npr s.nh Iabm Cwdy . m 503 FINAL MECHANICAli 'ENERGY
forth th ply w,n h p .or th pe t hall be deemed 1 d.
_, _ ._ .504_-.. .,FINAL_..BUILDING-ENERGY -____
zro 'r's `"CONSTRUCTION LENDING AGENCY " I _--_
I hemby frmi thpr,nmt canitme,a lens n f, the 505 - FINAL ELECTRICAL ------
E,5: gags Y peilbmiance .L. s •: s L .
-r ortllfdnw'vNfor m- `,ntzperm.1:.I_`lSm.31197. I: , SO6 - GAS TEST
0. Q ..Lendrs Num '`t ' J � _..___ __ -.._.____
Lend r Aedre..
507 - FINAL PLUMBING , . -.__-
U'O Icen,rythmlhave mad this a,lit,r mord ,a,<ma,thabove information is 508 - FINAL MECHANICAL'
uorieet.lagme to,comply with all city andcounty,oNironces and state laws miming 509 - FINAL GRADE
O U ,o buildingeo.t , dh ray the, p tatims IN: 'y menterup.n
y m `heabmdp per r pelt Popo 510 - FINAL PLANNING
E.u4 IW 1 5joei ro',;vac! de nify ndk ph 1 S,hnCty rC peri no against
m liabilities,judgments. a and expenses n<n Ynany y n,„aid 514 - FINAL PUBLIC WORKS
V-Z C ty y e ntt. al yr Ing rtes perms rat
APPLICA ERSTANDSAND ILLCOM1IPLYWITHALL N-P( Wit, 602 - OF Y NAIL
SOURCE C . T ,LS 'I n p Issued ft: Date
1.S+g t caI t to V of Re_ro(�s04 - ROOF IN-PROGRESS
t HAZARDOUS U TERIALS DISCLOSURE
W II theapplicam oii fulumbadding Wcuplum ,rt or h JI n cuJ ,u,d:d Type Of Roof.. ... __.
nvJ f ml by theC pent M P ICaI Chaps 9.1 .a and H Itham[S fiery YP t - - - v. _!Z3 S 2553 t I s x .t . , l , -- - .. . .. Q
( ` All roofs shall beinspected.prior to.any roofing material being installed. _-
on W R Inc ppnca t (t rc b Id' g nc p n, q t p t q n M1' If a root is installed without first obtaining an mspecti 'n"' Tagree'to remove
mth d ,cont m dc,neo by,n BYAe A Quality Management
°i' all new materials for inspection._Applicant understands and will comply with_"
o . _ , ; ; -all-non-poihCsource regulations' I - --" - --
I have dithe hazard.s mat risk ;,; I ,,;•1,,,,"
Cal f m,Heahh&Som y Cute.Sca,mns 15505 25533 noel 255.Jh blime.ourad that
)pthe building does not cumntlY halt"mnank,hm It is nm lesion sib,lily to notify the,
occupant - tremens which muss be met pritrc(o irsuanc Ya nitca¢of'p Signature of Applicant _ Date
All roof coverings to be Class B or'better
_
.OFFICE"- --