00120046 CITY OF CUPERTINO
BUILDING DIVISION PERMIT' e CONTRACTOR INFORMATION : '
BUILDING ADDRESS: - ,PERMITNO.
EAST "BAY . REST SUPLY INC` 00120046
OWbE j NAME I ^ - - . APPLICATION SITE DAT
ET 49 4TH ST "12107/2000 '
TONG: / - v , SANITARY NO. • CONTROL NO.-
10)465-4300
[fat ARCHI'I EC'1'IRNGINEERI: - 'i" BUILDING PERMIT INFO
F 0 0' _ BLDG ' ELECT. PLUMB MECH. .
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CONTRACTOR a DECLARrni ATION
Chapter m Rom ncnc'ng lob Description ,
E7 alit1 Se,jime 9000)of D 1 or'Ibm Basin, J P f Coda t td ny l
I an fill Cloo, dente N Z ��( D I' .TENANT .IMPROV
aq5 O a F Dat "�y� r1.G twat Clarracm,
Cl!"I Cal'S DECLARATION
t"°'�� 1 d r ( YPI trll tied p bl N -
OWNER BUILDDECLARATION
:]_N ER r
�, I hereby offinalmel.,a c.,nild Loan(hece
<❑ f-' h t C L e Law r r In
5B J 1 .ionsCJ A
' g4 .P ti11enY ty y
t t It p d h rp
anya lure
prie t t 1 q thppl'i tel ti P rit to fil,a bn dslid r
shah 1 'dp tt the 4 Ith C Iev r I c , Law'Ehr,l 9 - t:F OC Area . - InatlDn
(ale y 1hS t ]UW) fD" 3 rth H dP f:. Cd), -
emor hei: merefounn ruddebi I he alleged oaddion.An, tualion
mfh I , banfiY Y PPI tf pe t. tl r el ppl atilt 'II•wlly cy Type foto t m� ren a ddollar,(scan AP Number '. � ccupancy Type
of erofine pdpenyotnyemphyeevwtnwges or,their 'ie compe,saton' _ -
w'lld Ill,, l dm .t t I intended n df (S AUd, -
Bit d Professions Code:Thec t t :License' L d-. t apply In an a - :.Required.Inspections '
' r oC property Whm b ld n rnprove ih re W'whm d i urh work FmeOf
o.m ghI neplmyee5 pnev deal th t: p 1 t' t dd er 101 FOUNDATION
offered 1 1.If h www 0 e hu Id eg improvement IJ II ye f d -
mnplr menwhinbrlderwu h.vep n anmrpro.at,dealt he d'anrnndld 102 PIERS -
vefornu cmfsole.. - --
improve I epos -
103 —' UFER
❑1 I th p p ny am x I 'e lycomment,with J, turncontractorst . . - - -
onsmu Law go,vu(Sec le ar Bt s tiro and Pool whnnn Code. The vei fir for a -
pl ) 104;.— REBAR .
andLawcLal J I puc t owner vlmh who buIJ p utheohe -
C' n t r p ; t w11h a emntaemrca liveried p not I �e 105 ANCHOR BOLTS. .
Cont r m peunde caw . -
❑laltne.rtnwmnaerSec. "B&vefor Oak reaamn . . 106 — 'SEWER R WATER'- '
Owner Dale': _t - 202. — 'UNDERFLOOR-PLUMBING ..
WOR RF,It'S COMPCNS/vT DECLARATION 203 UNDERFLOOR MECHANICAL.
Y I herebyaffirm under null of a of the following i declarer -
Iw Y perjury on g t tial:'
204' — UNDERFLOOR FRAME,
- 3 i l a will n I e them r c naelo tm eLaborm wr wok '
eon pe- r n, tis pn id,d r by sect nao of mm Labor Cole, rn m� '2;05 — UNDERFLOOR INSULATION .
pern,rmame nnhe work for wbmn fon l em,n,,mued. .
301 — ROUGH PLUMBING '
Ell
rdiftheLaterm,,hadher<Cnmen t r i ab)3•t '302 — TUB OR •SHOWER , _
' 3900 oC the L,hm Cod,,f me pe fnrm� f the odd f 1'cl Ili s perm I , � _ t
isace My Worker',Cn p t I :um iamPol rorientate:- - , 303 — ROUGH I MECHANICAL:
career. L XEMPTI NFROM - S r .Op 304 — ROUGH ELECTRICAL.
EI22IFICAC ON OP EXEMPTION FROM WORKERS" ' -
COMPENSATION INSURANCE', ,, 305 — FRAME - .
(Th': rmn nd�mel tie cnmpleme rn,e peFnuafo hundred aoliarv. . 30F., — HOLDOWNS
I eonv that in me mtn,anee for mm work for wli�n m;5 - t, 0'7 •INSULATION ' .
y per permit i,,mcd.I 7
to all not employ tiny parson a any manner w n.to beemme,nn eet Io the Worker,' 308 - SHEET ROCK
Coore,a,mianLvw, Call ',.Dam- - t 1'•
. -Applicant - - 309 — EXTERIORLATH, -
NOTICE TOAPPLICANI If,aft e.akin,thCertilivale orF
Z bean subject t mew kers v t p of the LbrCayyen neli ' '310; INTERIOR LATH _
O O -forth mcomply with inch pi aeesonh i
pnt shall be depand •vmked` - -
3I V — SCRATCH, COAT
V] CONSTRUCTION LENDINGAGENCY /
•F" �^ Wefebylnnnmttn meaner fJ'egalgenYr mei nem a 31.3 — ROOF NAIL
ofL kf wfich the it is iwacd(Se 3097.Cie C) - - .
Leader's Nn x' 501 — FINAL ELECTRICAL ENERGY, -
Dz 1enJ`rnaae: - _ 502 — FINRL�PIzUMIBING ENERGY •
UO 1'elrymtln Ifo'. ppl t dttfind,h Iw ' f r
w I enn 11 g 1 J 11 ray I county I d ,t l 1Yng 503 — ,FINAL .MECHANICAL ENERGY
Inbuilding .t t db byaoil p t t C0: city I M . r
_
In.above di ptyl :pet prf 504 — FINAL. BUILDING 'ENERGY
- y r1y
We)l
V• m b t : a- IY p harmless the _ y f Cupertino against
jab J en, nn y nanywr against d
- t
'
RICAL
Cityic n.ul ecu of the g ,or peout ' '
APPLICANTUNDERSTANDS AND WILL COMPLY WITH ALLNON-POINT
15SUed by: SQ16GASTEST
SOURCE REGULATIONS
ate
Signature of A,licamUCommcmr .. . Dale , aM Re-roofs a 508 —. FINAL-' MECHANICAL
'a HAZARDOUS'MATERIAI S DISCLOSURE
Hn applicant firman building p nI I naI hazardous ul e of Roof _ X09 — FINAL GRADE n
a.drelnrn cp., plr„� cl pt 9l ' -dm a In IS ny ,-.
Code,ov s3zu �N l 510 FINAL IFIL,�1 NNING
All roofs shall'be I�.s�eyy`ted pr�n5[q�y �q�( g te� installed.
wu to apir aaI l t 'n la' g m p e l i ,tit rale 2e which _ If a roof Is installed'1 Tfiout fi5•st`bb't�e}'hTir<g'S een�n,� agree to remove
unit hirmnion, ream n ns as dcl,tied by the Ray AreaA rQual Quality Mvwge tcm
i.r t _ " all new materials for inspection.•Applicant understands and will,comply,with
I - _ " all non-point,source regulations: -
Ihave...d the h rd t dais y e nd under CI apt F 6.95 d he r
Csht mu Hrahh&Safety Cade Secrnnv 5505 _5593 and25534 l understand that
d}he It ng amseot my h' t tel of lt. nye pa 'n'llyt hot I,We 1' e
¢vvpam of lli quire entx wh ch muiI he met priorto is,sure ul a Grofiu m of
ocnnponmy Signature of Applicant - - Date - -
All roof coverings to be Class"B" or better
OFFICE