01090049 CITY OF CUPERTINO -
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDINGADDRESS: PERMITNO.
18830 BARNHART AVE . BHARAT KRISHNA 01090049
OWNER'S NAME: APPLICATION SUB DATE
BHARAT KRISHNA 09/13/2001
PHONE: SANITARY NO. CONTROL N0.
n O O ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
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i LICENSED CONTRACTOR'S DECLARATION Job Description
I hereby affirm that 1 am licensed under provisions of Chapter, (commencing
'„X5 is infllhica000)afect. in3irrheBusmesaanaPrord.aiim.ciae.nndmyEeen REPLACE FRONT WINDOW,.
cr-' is in Poll force end eRem.'
u License Class Llc.M FI Y
i sO n O Dae S DECLARATION r �i
u•co ARCHITECT'S DECLARATION - C D
I understand my'Iare shall be used as public records
iW90 Licensed Professional OCT ,l 5 900
z OWNER-BUILDER DECLARATION L 1
wo p, I hereby affirm that I a exempt from the Convector's License law for the
m n
CY=C
following a(Section 7031.5.Behr d Prof.,,.Cede Any city or county
N which req ss p tet toconsumer,thealter improve,demolish,ore Ianany ol urucmm B,1'
v 450
a-3� ,'pn tot ' alsorequirespi ppliwmthewchpemdt IIIfileow(Chipuoi) — --- -_ - ---- _ -
thmhd§I scop lxdGhl tpane yr0 cions of N<Contectoas and Prtaw(CM1C 9 _ Valuation
ton m c ng with section 7000),f Division 3 of the lasiueaa arta PrWeaafina Code) f,•'')'n T X3' �'3 ,( O,?T'At1T�g r j',^j F..{@els;: f
or the he is exempt thereriom anA the basis for the ellcgeB e%empdnn.Any vtoletion
I' -of Section 70315 by my applicanr for a permit subjects the applicant to a civil penalty' t����, `
rarnat marc man pve nunared einnrs asoo). 101APN'PVU1vLAT I ON. "'::a: ^ Occupancy Type
Y ❑Las owner orthe property.or my employees with wages ns thei...lecompensatime, Y
wdl do the k and the stractura is t intended or offered for ale(Sec 7064,
jrBashesiard professions Gale The Contractor's License Law does not apply to an 103 UFER Required Inspections- `
onth of propertyWh build onnpro Ih n a 'h a M1workmmsdf 104 . REBAR
or er gh h n employees provided Boatman improvements t r but mmmdcd or
offered for sale If,h eq the will
brou,1 oproeinem a sold within one year of ” ' "-"_ _.. .._. ..
'compleuin,the owner budder will hove thelrunien of proving that he did not build or 105 ANCHOR BOLTS '''" ', �" ./fir'• pi3
improve for purpose or.=ale) 106 - SEWER & WATER
Lasowna'J ltc:Plowyamcouclu'elyconwctingwiihiicensedcontr�umto " ' 202 = UNDERFLOOR' PLUMBING
comor d the pray.sax.7144,Basin.cad Professions Code)The Contmnor's 203 - UNDERFLOOR MECHANICAL'-
-.ad
Licenx Law does not apply to an owner of property who builds or improves thereon,
< Con tartare en pro/e=ts.wm t tc>I ap '-t '"` - 205- UNDERFLOOR' I'NRSULATION
Cot t Lc nu law c ry.' 1.:.` - _ .. ...,.._. ._. .. .._--_,_
C g t derS B&PCf themason
ownc Dare`'��p - 301 - ROUGH PLUMBING
s :' ' WORKER SCOMPENSATIO D L AtoN 302 - TUB & OR SHOWER
Ineabyalrrmunair,'Pultr�drj6Frnaca1nprilmwingaemaraeana: 303 ROUGH MECHANICAL
❑ 1 have arid'will'mainiulri a ceniGcate•`of Consent to self-insnrc for Workers 304 — ROUGH ELECTRICAL
Compensation, as provided for by, 3700 of the tabor Code, for the-
-- po forprit ofthe work fer,sin ch this permiv is issued,1; 305 - FRAME
❑Ih as roma r mWorker's'C' ps t losmormee,ai bdpimaby s'enun 306 - HOLDOWNS
37W mar,tabor Coe f dho perform nee of the waWfor vinch th penin,is
307 - INSULATION
miumd.My Workers Ccuirpomanim.hearramea courne,and Poliesimmandur am: , _ p
' eine +` t= a.iul-f'y Polsy No �''r r301MJ.� SEETROCK :�� r - vh II t iJ❑.
s119C CFATIFlCATIONOFEXEMPTIONFRAONCE ORKERS 'k k ' 309' -' EXTERIOR ,LAATH
ATIO -
COMPENSN INSUR _ ___
310':;.=,'•INTERIOR
°1'' ITh lctison need not be completed if the permi,is for one hunareJ dollars I ;-" '.i C;I(3 1 s..'j)':
ale) l > 311 - •SCRATCH COAT
. - 31,3--r' ROOF NAIL
t „' I¢ndy thui'in Nc p<rf mi nce'flhe orkf Perrin ssuetlI 1 1• - +,r', '
`shall n t and l y any person n any manner so as to become ub/m to the kers 501 — FINAL E LE L'TR I OAL' ENERGY
Compen t t,aws^fcalr .Deg 502- --- FINAL--PLUMBING -ENERGY-----
e -'APpI c m . .. .. _..
+NOTICE TO APPLICANT If fte arWuglhi, rrrccuse Exe pt you hold li - "' - '•
z becomesub3ectt 1heWirk c Pest p inaono Lbnicdee:ydun'as' 503 - FINAL MECHANICAL ENERGY
0 and rmr< ked, 505 FINAL ELECTRICAENERGY
arm m ply hnu<npo .ram"011111 prmlfidl ,504..- . FINAL..BUILDING_'
h CONSTRUCTION LENDING AGENCY -
I h reby affnn that the d' Ito t n le d ng agency F r the pert nnwc- 1.- 1
wO Lndl Aka shcommspermt prga1sa3097c c) •'. ._ 509 - EST. ' �. `... .._. _..:_:.._ __...... __._ .._...._._.
507 FINAL PLUMBING 1
V z I of th'Ih adth I m d t tethanh abo et f mm Dots 508 FINAL MECHANICAli
[r :core v 1 g t ply wuh II c,ty d county b nc nd nate la s relmag FINALGRADE
0 CA rob Id g t no dM1 reby amh x rcprc duve fths ty roe to pan \-
he bo ap pnyr apart p p 510 - FINAL PLANNING
['fie pW, IW) g io" uMemn fy aMk 'harmless the Cty ofC pen ttoxg mr
fin y liablfes rydg, nts, sts and expenses h<h y' any y oris, id 514 - FINAL PUBLIC WORKS
V '� City n<nnaequentt of the g ant g of ih s pp v - " 'I /� pp
%APPLICAN7UNDERSTANDSANDWILL COMPLY WITH ALL NON-PoINT" IssUedby Date
StCE�EGUCA ONS rI !'
�1 � - � 4/IS�r Re-roofs
Stgnat�r fAPVliCenUCont ao •� 1c t Date-
�: t s HAZARDOUS MATERIALS DISCLOSURE `
s WillN apPl t au b���11f(ding occupa ut re rhanll<hazed a t 1 Type Of ROOf.- ----e -- -..
as d f a by the Cupeir I Code.e Chapin 9 12 end the Hearth d Safety' - -
or
Cod Sector 23532(s)n r r f `' s^ ' . I t t�` r r 's '.'
n
El Y6,1 Af r Ni -) r 1� 'r t a { tet e
All roofs shall be inspected pnor,to.any roofing material,being installed.
.,.Ito wE the apple t fat re a mpg occupant a,tpmentorde ce,which''. If a roof is installed without first obtaining an inspecuDn Itagree'to remove
J ` Area r0ual Quality g t
. onv etenals re mrements ._.._,. J_-•__ p pP wlll COmply,WIIhw .
emit b fined by Bay
ni and ' all new materials for inspection. A brant understands and
❑r y i all non-point souroe regulations
I have rewi the fra Mous ma q ander Cnaptec6.93 of Ne
Califdiriia Health&Safety C6de:Sections 25505,25533 and 25534:I:and<rsend that;
.__ .. ... _.. .. _. _ ...
i(the by'lding Ices naanomaly hv< tonal that t is my res (mob,
to not the- . . - �:'" ,6„ ,�,,,
Owner orrem t h<h n'.t hem tp ton -
o
Signature of_Applicant Y Date
i
c pan o =reg ss a nee o e n 'e t
a-g nt t; r L? �, All roof coverings to be Class B or:better 1 `l
-_ •:. .-- ._ . _OFFICE-
.. .. . .. ._.......,.
0 MOM
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.,OLD Single Pane ;,t <
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cl ssWalle ' ' =tx � •, " .'
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l g ExistinWali
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f V UST
45,
kms.
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Existing 4x4 - � r, \� �' •�"
BeamWIN
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Existing Concrete Foundation a
ONCE CDPV
SEP 13 2001 D
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BY
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