01020021CITY OF CUPERTINO. ''.
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CONTRACTOR'INFORMATION:
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.' BUILDING DIVISION
PERMIT
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BUILDING ADDRESS:
10857 PARRANCA DR
SMART WINDOWS '8 D
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01020021 v
OWNER'S NAME:. 11 -
YORK. CHARLOTTE TRUSTEE
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6305 DOUGHERTY•RD
APPLICA'1 ION SUIT q'TE
`6�/O6/2001
'PHONE' ,
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SANITARY NO. CONTROL NO.'
(925)556=6.010 .
ARCHI'I'IiC'1'IENOINCfiR:
BUILDING PERMIT INFO '
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BLDG CLF: PLUMU, MECE '
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LICENSED CONTRACT OR S DECLARATION
, 'Job Deserl tlOn -
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II ly"R d lar focused unJ pr : IChupIs,Qunne g
wallSection 71AHp fD a' a3oftheHo tad Prefus.v'une Cale.td nyl r
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Z "' INSTALL FAH/AC
sl ececlss pJef[yt �1Ae ,�
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ARCHIrficI SDLCLA ATIOISF-
1 underd.ml an, plans shall he .,cd;f, abl c records
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Licensed Pf. d � -- -'-
OWNER RUILDER DECLARATION
I hereby atYne that 1 on cse t pt fc n the Contract L ce tse'Law for the
• foll 8 reason (Section 70315, R 'a ', unit Professions Coale Any city circularly
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which acquiri permit a t, thin, on,roce,ekirrolid, or repairy t' emm
pdu t ,a sueurestheapplicant nonsuch pen fu fle.sbnd shtlernenl
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S Ft. Floor,Area,
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Valuati -
moth licensedp a dep ": : dal Cocklebur, L La (Chill 9
a with Section ]R and the t fm and l r f li, innCore)
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°rthtl pt thrfnn and the ba '1 thealleged pt lady I'f
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nfS f elle sly vry rpod doll mrape 'I'hl t. th ppl tt a 'Ip "hy
cion t m- r mnnfee dollars tsslxn. � -
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APN Number
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" , -Occupancy Type ' •
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191, as owner of the+r++e.. or to ms with wages as the,,oI, con fun,
I Y Ycntp-) g pens.
k-601013.00
will do the work, and-the,lo.courn 'is for ' dd' - offeredf 7oaa
Bus t.told Fore Crvl 11 Contra t ,License f i ap,ij to an
Rquired.ins ecti6ns ,
ismlnotenId. p nthIwho does 1 kh'rsof
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204.—UNERFLOOR FR
AME
his
through PY ,I Wedtht. hp,venct. ntnulof
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offe d r l If h d. h ldin. - o re IQ sold d'6 oreWarof
` .''ROUGH PLUMBING '
omplefor, the owner -ht Ede -will have,the burden of proving that he did not build or
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prove bar pomosc or.atle.).. - •
_ . `,303 t '- ROUGH. MECHANICAL
'El he, owner oftheprolserty,an exclociely contracting will, rr 1 cordon ......m
304'.— ROUGH ELECTRICAL
construct the poJect (S 7044. Business and Professions Codemvu
) The C.ods
(Scc.7044, pplya wnerofproperty who hulL p esdoctor,
ue L dapply
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- ' .'505_—FINAL ELECTRICAL._"
and h t' y,l for h procurers with u contnwter6) licensed I p :tam to the
Coulador,Liciy, a,f
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507.: FINAL PLUMBING
°I ter exempt under Seo. B& P C for ts m
t hisreason
ICAL
508'.- FINAL 'MECHAN-
Owner' Dom
.. WORKER'S CO MPENSATION DECLARATION
e- ;. 514 FINAL PUBLIC WORKS. '
I herehy amrm ander pnwlly of perjury one of the following declarations:
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I fare land wiH actianninC tt e f Crewel to wihia,forW rker's
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Comp t p d d fic by Sooner 37011 of he Lai r Code. for the
peri of the walkfor whichth'pennit is ".. d
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37111 and 11 t Worker C er t t Insurance, acquiredbySection
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374 LM C 1 f rh pot nth work for which this p 't a:
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issued.�M-IOW nkc-sCompensation
My Vd ym nbv are
/�I .tar 'o'egr and
C try/ R%� CE/1W Policy N
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CERTIFICATION OI' EXEMPTION FROM WORKERS'.
S�`�
COMPENSATION INSURANCE
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(This section need not be wntpleteJ'f the pc n i Is for one hundred collars
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I really that in the per!counnce of the work for which this permit is issue([, I
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,hall not employ any person in any manner so as to becotnr subject m the Workers'
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Compcnsnfion Laws of California Date 4
utl.,
Applicant
NOTICE TO APPLICANT: It, it or ani this Certificate of Exempt inn, you should
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hesione odject to the Worker s Corapernation provisions of the Label Code, you must
forthwith corn ply with such provisions or this permit Quill be deemed revoked"
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CONSIRUCTION LENDING AGENCY
I hcyct�;.ffi,r,flua there, t d' p .geney ondhe pe,hu nonce
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of the work for wh cloths period's sest ed (S 3097, Civ. C)
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header'sNume
Lender's Address..
I crody mat 1 huvc rend this rpplicmion and ,are that the .1a ve information is'
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tet. 1 agree In "imply with all city and county ordinances and state laws relating
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mbuildingenrnBuction.aM hereby mrWodm o w,cndnivesof this eitym start upon
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'the chose tent nal Property f.pectin jularassis.
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('et il'als, in olve, d Ty andkeep lr"the Cryill Cpt g'nst
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liebil t 1 Ig c t- d s 1 h taY1 .any y ea nst and
City 9 fah g Iy g fthi-sp t
APPLICAN f t1AND WILL COMPLY WITH ALL NON -POINT
Issued by: "" Date 'f1
SOU T(
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Signatnr dAppl mE utmdor Dare
Re -roofs'
HAZARDOUS NM [RIALS DISCLOSURE
Willtho applallor Fort building occupm aQmmcir handle htn,mdow, account
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Type,Of Roof,
as defined by the Cupertino Municipal Code, Chapter 9.12, and the Hemlth cut Safety
CodaSectio25532(e)'! '
❑Yccn ° No
All roofs shall be inspected prior to any roofing material being installed. ,
^-Willtherpphcamorfmar.buudirgoentp.musearltupmemordevie,,ishieh
If a roof is installed withou[''firstobtaining'aninspection,,Iagreetotremt'
emit hnzndous air coulanuinrms tu'definerl by the Bay Area Air Quality Mun.gemso(
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all new materials for inspection. Applicant understands and'will comply with '
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,. -all non -point' source regulations .
11. a read the d 't nal y - - a: und Chira fi95 of the
Cdit rniaHealth '. tyCole Sections 25505 25533 u125934, I tt denrnd th.t'
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ifthe building curremly huvc a mndnh that it is ray rm......ruit, to notify tau
slatemenus
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occupant of I(c 'h now be ract Prior to i... once ofr C ntur,an, o f
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oampamq!
Signature of,Applicant Dale
All roof coverings to be Class "`B" or better.
cri-M anthorieed ageal Done
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OFFICE