01060162 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT N0,
6301 ATHERWOOD AV PAI CONSTRUCTION CO 01060162
OWNER'S NAME: APPLICATION SUB DATE
DANIEL HO 2698 COWPER ST 06/28/2001
VPHONE: (650) 328-8909 SANITARY NO. CONTROL NO.
Onc zO ARCHITECT/ENGINEER: BUILDING PERMIT INFO
Seca{- BLDG ELECT' PLUMB MECH
yQLIC6 -1 L.I IJ UJ
5v' Ihesubyaffismehalamllii.d.rollpmviaonsofN9hemumemg Job Description
chapter my 988 SQ. FT. ADDITION.
F with Smion 7000)ol Di,ision3of the Business and Profcaiam Code,andm been.
is in full that and tiff«r /� tl
i z a Date Class Lic.B
S n to Dale s DLAr
HITEe use DECLARA' N
.u O a I uwrrsmvd my plans shall M used as public records
OLicensed cd Professional ssional
OWNER B
U DECLARATION
JUN
O% j
8 O
-v 1 hereby.Seco that I am exempt from the Connacmr's Low ror the
?a followingmwn. 703 Buriness and iolie:Any or county
❑ wNeM1requiresa return reconstruct,alcor,imposidemolish,orrepyrany
swcmm 0 0 0 0
i 3 m _pn«r s uua«e nkso rtq are appl sf surh pc lmEleasigned smmnrnr. - __ _.._.... .-_.___ _ ..._____ _ __ ____ __ _ _
Thai he s I nn. d P iwenn fh p f the C r t L,«na law IChager 9 Q�
(commg th S uq 700D) f D' s 3 of the Bui a mrd Ro
ofass,ns code) !_ J 1 �3�J I}�t7 tj,�r,,UV. J�r p.)s i .1 9� I .[ion
of Seco 6e s 1.5 b rherctrom and she nes:fnnhe alleged applicant
t Any vPenaon `
ofSection 70JL5 by any applicans for a permit sobjrtta the applicenuo a civil Penalty '
afmt mort than five hundred dollars(S500). 101 N DATION P ' " Occupancy Type
❑I..rwner o1,M1e property,or my employees with wages as dour rale mmpcwtion. _
-will dothe worlq\and the urocruse 11.-is nor intended or for salt(Sec:70 -
BaambS oma Profession,Code:The Crammer',License Law doer not apply or an 103 - UFER Required Inspections",, i ^'
owner of propmey Who builds or improves theorem,and who aces such won himself
throughfar his own employee.. building
that such improvement
improvements are not im<naw or - 104 - REBAR
offdca far sale.If. r,lboR r,the building a impmvememr n sola within not year of0 _-.. .-_
complaion,the a+verbuilacr will have me buNen of pmvine that he did not build or 105 - ANCHOR BOLTS , "•'I' ^'• f�' ��<'� �
isomeef«pnrposenraale.). 106 - SEWER & WATER
. . ❑I:uownice erthe p^,pony.amexdnaisly<amra<tmBwith Ranawrcnm«mrsm 202 — UNDERFLOOR PLUMBING
rvcr the does
no(Sec.7BYL Business and efty%hiolu CW<:)The Cammmori
Limn.cocoa«.^m applyman eonwth a,communis bunds orimpmvrathrrcen. 203 — UNDERFLOOR MECHANICAL''' ' '" it
C who commms for such.pmI ,,with., .1, eronq licensed pursuant m the
01 am exempt
License derS ,. ,.. - -- 204 UNDERFLOOR" FRAME--.. . .---—
❑IomexcmprurNerSac ,B&PCfor I I 1 ..on 205 — UNDERFLOOR'INSU'L'ATION
Owner':. •;. :uta "'. : ,. 301 — ROUGH PLUMBING
WORKER'S COMPENSATION DECLARATION
302 — TUB & OR SHOWER
Inertby arum aaa�r,x,baby of ;aiy;e�e onn�rNloomg aenamdnna'. 303 - ROUGH MECHANICAL
❑ 1 have and rill mammin'a cenlErSm of'c6mc., m self-maitre for Weaker,
' 3 04 — ROUGH ELECTRICAL
. Compensation, asrmsided ror by section 3700 of the Labor Code, for the
pert« «
mae of the work for whim this permit,is„:crass, , 305 - FRAME
❑Ihave ad will maintain'Weaker s CoimIpcirsal `bomumr2d-uiegeiredbySLimis 306 - HOLDOWNS
3700 of the l snor code.for me perfoimomce of the wink ror which this per^iit is
wMyWork r
C n, r T.pm«e aPmpy be rc 307 — INSULATION
carie ' ePeherNe 1 93a 3084-- •:$HEETROCK
i ERTLFICATN XEMI'TION F5LATH
ROM ORK— ERtG " 'a>•Sf
m.coIOMOEE
?ErisATioN lNsurspNCE°- RIOR''
rn,s sedtiori ascan'«be eomishered vane permit nr«ma,hundred anuars
rnoB)o .l „Tr, 311 - SCRATCH COAT
1 en r that - .-. •' 313' ROOF -NAIL—•• -
'-0 11 r e ly a 'h pert cot cc' (th rk f C h Ih pc l . km l ., -
C'm t y Yp< n y robecomC b3nmtheW°ikrs 501 — FINAL ELECTRIICAL-`ENERGYi)
pe t to fC if D'r
502 — FINAL--PLUMBING ENERGY-- -
-NOTICET I APPLICANT If. Mr makinfibis Certificate fExemption.yuahould
z ti an an q tro n wok comp r po ane a n code y m 503 — FINAL MECHANICAL ENERGY
Se d cit p :roma lar th rc r anau be de m nkm.m pr 504 . — , FINAL- BUILDING. ENERGY ..
sl \ "•CONSTRUCTION LENDING AGENCY .,_li,..: t - •,.I, "" "" -
"" The by'Bd valla constructionlending'agenryf«Mppr 'mra^ce 505 — FINAL ELECTRICAL,;
oT,be w«kr«whimthsPemw si,auedLsec.3B97 C,.,C.). .. ... : 506 — GAS TEST
-.._,r ._. .. .,. _. _
y.p ae .N 507 — FINAL PLUMBING,
TZ Lend Ada �. , . . -.. .. _ .. __
C.2Q Irnfythat Ihave rend his pplicai mid ,am rhmthe.1swe informations. 508 — FINAL MECHANICAL
w;Era comer 1 B ro comply rh II city and county rdpancey d.rte laws refusing 509 - FINAL GRADE
Q.O
to bu ld Bc wa ndh byathodz p byes ofth. tys ter upon
_ } w due above-mentioned
p,pnyr pnmppryoa:. 510 — FINAL PLANNING /
eW)agrees ser nd comfy .keep hmml City against.
oaBa said "� r
W labor judgments, r ad wanywy Binat,aaia 514 — FINAL PUBLIC WORKS
V Z City conuquende of &r^ f thi p
APPLICA A . AND 'LLC P Y WITH AL IN' OINI"' p'
SOU RE �' n •, , Issued by: Date
Signem¢of Apphc JCommel -
' - ' -
HA2AR fifL, I< Re-roofs
W II rh -pprcant cot baIre B« plan me lo. khroardimmourmal Type of Roof .. .....__
cor defined by theCape M n Pei dc Ch pr 9.12. d thehealth d Safety yp oo
:C6de,Sct 25332(.)7 a - + far. ��.� s yiU1
All roofs shall be inspected prior to any.roofingmaterial being installed.,. _
-
Will the aWficanr r future building occupant use equipment ordevi«switch If a roof is instHlled`without first obtaining all ills ectio'',,''I''agreelto remove
it foramina co mm t d f ed b sin Ba A ea Air Quiday Management
N 1 all new materials for inspection Applicant Linde stands and will comply With
OYe 'yq y Ohapty 6.9of the _._ ._... . .
gNb/J t f; ... r. allnon-pointsou�eregulations.
1 h c rtad are tumNous mmcrials require mrcments under C -
Cilifdmm Hcahn'&Safety Code.Sachem 25505.25533 and 25511.1 undersand that
ifine building dtim mi rurtenlI,have it is my responsibility to n«ifymne
rx<upam fffireimine ch ' st be t no sman5e.pf is <nificme of
0.- tr Signature of Applicant _ . Date
' T` wast«car ora ag<nr r Dam II roof coverings to be Class "B'•our better
- - A
_ r
- . . OFFICE. .