01050203 CITY OF CUPERTINO
nmt.ntvcotvtsioN PERMIT• ' CONTRACTORINFORIVIATION:= '
BUILDING ADDRESS: • -. PERMIT NO.''i - -
1`577 ASTER LA CUPERTINO, PLUMBING '•'k;;; 01050203
,. .:
OWNER'S NAME... :','., ., y
_ ., APPLICATION SUB DATE
SAUER .JONATHAN .M CET AL 1.0297,-'S-SDE• ANZA BLl y 05L301'200I.
PHONE. .. 7 #; • - - SANITARY NO. r CONTROL NO .., '
t'4 0891283 0618..1'' .
p ZO ARCHHEC1'IENGINELR'. -_ , e 3 BUILDING PERMIT INFO
IL❑ • 'BLDG ELECT" PLUMB MECH
Hy
*LICENSED CONTRACTORS DECLARATION
z z 1 nr Ir that r f ed d p fch p, 9(e,mm s _ Job Description
z
OZ � wnIhS111 70001effD 3 flheB dP f:.- �d Jmyl
a se b,` > x �02 �� 1200 'SGiUARE FEET' OF, WRT Rt,SEF2VICE
°>y o�' Dm c tactor rt
3 ARCHITECTS DECCARAT N
. � i I Understand y plans shall'be used as abl' records .. - _ C ,.
r
DWNLR BUILDER DECLARATION //j, Ce
mI h by ff II LIon astan,t ft.a. h Cimatereon-',Lioaa,e Law'I theQ},J
s- a toll w g (5 t 9o3L5 p dP fc:' 1:Cues:Ary city,,, ,y
Q whoili ri aperraidtI -a I Iter, toprovo.deranish,ur spairtury moticoure
.aA O
H.
pr 1 , . at y . ppl rf hp ,t flopticala, - .
man 1 dl I m p ill e , 1 L (Chapter S Pt. Floor Area Valuation
(c eng w th Section 90011)of D'v;' 3of,heBusn and Pr R,00,k Code) q
or that pe fillulfron,andthe n s 0 the alleged exroniou.n >stlfm _ .r _ . ,r ; .y._:k,.,$5000
ofSectin.703151y say dieralf nrnt .noc'I,the p,I cam m h"vi l penally
of rot arcure than ria handled conn.c$soo>.n APN•NumberOccupancy Type
°h it,issue,of the ar) rly,nr my employees oil,wages as lhoirsole compenanion, '�
will 1 the k d d I W
: o, area ed or olf d far sale(s 9044 - -
Ba ress and Profession,Code The C nmefor°s L cane",doc,,not apply E,an
Required Inspections.
„x rof proDary Who b 'Id r cs th'mon mal wh d n work If _ - -
rinroughn-,'wile ldn .pursued mn arojr,noe el t r all r 1' -103 — ;UF'ER- .
- offeror]for sale.If,however,the building or'nprmenen': ld within one y er of - " '
`nnpletdh the owne M1 ids will have me burden of proving he did not build 1.0f., — SEWER I! "' IATER:::. 1
1ap,nve for pn,pee"f le) : .. .507. FINAL PLUMBTNG�;•. - -
°I :r, a,id11p ryan,ia�iJivii,el'stratraiiin,with ilarled ,- tars to . - ..
L' ach the probe,(S .9044.H sure d I rolso ons C WcJ l he Con rro r s
imcense Law does not apply to an owner of propony who huilds e,improves thereon. -
- land who contracts for such projects with a comrngnro)licensed Prostate,or the ry
.Commmor's Ucane Low.
Cl 1 aaa escrale under Sec. B&P C for'his reason'
WORKEWS COMPENSATION DECLARATION
1Ihereby id p rIe fp 1 Y fol I'll 61 -1 w
rib
f ,• . ' o • - ,.
❑ Ih 1 tlrof Ctf1 f ,, I Wkes-
p i a provided I, by S 13 1 700 of lie
Labor Core. Ra he
pa
pet n wflhew kf rwli vh m'sp rot � ssledf
.n . f
' °1 hove unit will unturt in Worker's G.mpensmi0n Insumnca:m required by,Secd'n '
3700-f theLabor Cal f thepe far f 1M1 work r h I.Itis pe n talc
issued My rise 1p at sur carrier
d Policy bq are ,
CF.R'fI1HCA C 1
< 1 F.XEM9te:VibMWORKERS�,
MPENSATION INSURANCE -
(TI's seefon need not be complecd if the pernits for one hundred dollars d "
($100) he's.)
-
I citify that In the perfonnmmc of the work for which this p'nnll it issued,1
em -
shall not ploy tiny present in air,manner, so ns,o become suniacl Io the Workers;
•°Conopeasafeau Laws of California Dale .4
Applicant - - r
NOTICE TO APPLICANT:lf,.,tlrr king this Ce,tihretc of Exenrplion,you should _
Weewh
n ne ,co In Us,W k C a .s pe' p of the Latin Codc mut
you s "J'•
z O f•0nhw ih comply Milli polsili.aln,this pe n t shall be deornW re,liked. is
CONSTRUCTION LENDING AGENCY °
I hereby aftina that there saurian lending agency for We perforl race
a .'i -ofd kf,rwh;eh this prmn's s,2d(Sec3097 Cv C)
'Le tlp n Nam'
a.z Lender's Address • I -
r VI unify Out I have mad this application and late fact the above infmme,ion is s, f
",;.t. to courply withall city and conany ordinances and stateHwren
a ting '
• CJ mbuild' g ...... dh -by I, p :e,f esatth ',y, mler upon - 1`.r
�y W th'e above memi reed property for sport c n purposes, - "
Qts n (W)agoie 1.r„:haderarify andkeep 1 ml ,:(heCty ofCp 1 against .. -
.rlA liuh'll 1Jg roc :I d peas h'h m'y at cry way accrue abtiaa 'd
V; -Cit t 4 ce of ug of thisPermit.
AI .ICAN l:[�S' AND WILL COMPLY WITH ALL NON-POINT
sou RrT �— • 'Issued by: - Date
Signature off-Apphcery a„nolo Dale - 1 -
Re-roofs
HAZA ne, MATERIALS DISCLOSURE
URE ' -
Walme,Cupemorm,n,en,.lCoemnpam aoren,nnteHerkhand Safety •:Typeof.Roof � .
as deiincd ion 25 Cupertino Mnnicip'1 Cnde,Chapter 9.12,and the Health and Safety [, '
Code,Section 25532(x)1 '^ - . •m'• ' ' _
`fO Ves No.
_ AWroofs shall be inspected prior to,any roofing. being install Ed
Will mo6Ppnranl nrnrinm n'thong'eclrpwnl nae rq'Ipn,em erae�irex which If a roof.is.installed Without first obtaining an inspection, I agreeto remove
emlha 1 ueuirc0nrl name mach.,nr OnalaAmeA re urde,ice,e 1 - g P g `
Donate - all°new materials for inspection. Applicant understands and Will comply'With
❑Ye. -- qn all non-point source regulations. =
I have read the hlmrNous materials rr,uimmm4ts under Chapter h95'ol'the
Cnlifernie Hs.
ealth&SafetyCode,Sec,ions25505,15111 and 25534.1 undemmnd,ha, •
c an
Idnr]ues no, rt 11 h' em vol ltrl t: y pnhl',y, tfyfo It
” epal fI mqu eI n,sw hila cIb act prior to wranceof u Certificate 1 '
ban” Signature of Applicantl,'; ' Date
ow 11 Sae, aseal • :Data 'All,roof'
coverings to be Class "B"or better'
.x . . .. ; OFFICE.