00070044 CITY OF CUPERTINO - CONTRACTOR INFORMATION: ' ter/
BUILDING DIVItiION Art& hopI'r' v
BUILDING ADDRESS:'NEICS NAME: PERMIT NO.
07/1012000
1499 S WINCHESTER BI L—
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- A APPI.ICA'I'ION SUB DATE -
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(4918) SAG-68"
SANITARY NO, CON'FROI.NO. -
PHONE: .
- ,M1, BUILDING PERMIT INFO
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nsa Nv ocoNrkncu)R vn cl nRArloN .,NEW POOL Job Description
-��_- Ile by R - thatI 'I ed J 1 n: fCnpl -)Ic t its .
H tw wilhs 1 701)(0 fill m3 films naw and lydc,n :Cade radioylacal'o I -
¢ygd is to full force vad JY cy L¢
z rc z¢ I.iecnse Cla. (_,_-• �— I.ic.p Y ('� S
K a`� Ume=[ Ce�pO Commaor
we 3 u RCHITECT'SILCLA IO +
on
exascei II a ..
m OWNER ff DIR DICIARAFION -
� I h;a,mb,all II I I oil ase fainmaaII C r I 1,11 logme' ,. �•� e
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allowing mr,oqis r 7031 5.Bovolox and1 f s Code Any cry wooly '
PFa which acquiresto 11 'a I ar'. loprove.donrl or rep' , acture r
$ pr 1 t Irequiresthapplicantf such permit filesigned:tmment .. ,
Be— mato is licensed me..tu mepr ism NI c nnaemr I c 1 w(Chalumr9 Sq. Ft. Floor Area p' Valuation
• anmmerlcing with Section 7(M)of Division J of the Business and Pmfcsa ms Code)
or but he is exempt therefrom and the Mai,for the alleged exemption.Any violation _
,of Section 7031.5ny any applicant for apennin subjects the applicant to a civil penally APN lUln Cr Occupancy Type
of not marc than fine hnnJmJ Dollars Ig5of11. - -
❑I
will d m k d tl 11 I r l II cJ I I fs 7074. - fs" Ulred hispec ions
R d Prefc, Code Th C welt L L J 1 'RB
I PPIv i i tGt4 —' E "
-` w r of property Win,build. impim . II man land who des such wu rk h a if.
(it through his own employees.provided that such improvements are not intended or A07 — FOOL/BONDING
offered for.sale.If,nownxr,the building or improvement i,sold within enc year of
completion,the owoer-builder w ill have the burden of pmving thathe didan land or 301 ROUGH PLUMBING -
in,arco,far p qam f. I I .
❑I nn p par' I., Iy 1Iwlhr Ic Irael h. ''304 — ROUGH ELECTRICAL-
a 1fl ,jJr5 7044 R o II 1 rsc I ) a C . SOIc — 'FIhlAC. PLUMBING ENERGYLi Oho of Iplyt Ip' ly ,h la p 'thcreor
and who contains for such projects with a c r oelorc>I tsedpa av r In the 503 FINAL MECHAN I CRI_ :ENERGY"
Control License Law.. +
❑I am exempt under sec. ` -- B Re P C for this remon . '506 — "GAS TEST
Owacr 7� , 510 — FINAL PLANNING r •+ '
\VORKLN's .1PLNSA"f .ARATION '
511 — FINAL POOL
In eny n n\in
p by ip nn farming,d I 'r ..
W,;,
516 — FINAL BUILDING
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Ih J II I er C if I1
Con I II' f
C nl r ': pI f S 3 I"m Lh,n Cada li r tl
pert rmance of 1h�work!or wh ch this perm I a inueJ. '
end.vitt nminuin W'orker's Compenwtinn Inwrancd.m required by Seaton r -
IDO of the lal or Code,for the performance of @e work far which rhi,permit is
issued.M wader's Com(E`�vdory1 Inmranro canter anti P�olicy�nu�,mcMgr are f -
Cnrrieel�•k'KIYYd_I'nlicy Na: 3L[7=Y1l .. r 5
CLIi'fIIlCA9ION 0A EXF.MPPIONP OM\VORKN.IS , -
COMPENSA'I'ION
(TLIs semina awl iml be cnmplcled fthe 1<rmil Iv[oi one hnnJrul Aollnty `� - .1
Blfgl oe levo)' - •. ,
1 eenify that in he performance of the work far which anti pcmrit is issued,1
shall not employ any person in any manner m as no become subject at the Workers' - -
Cm,emona n Lawn of California.Date 5,
.Applicvnl
NOTICE TO APPI ICAN 1 If,aftermak b On
,Carlificate at Esempi n you,should i ,
h bleu r,'h W k :CoroponI pr l he Labor Colic.van must _
�Q f 1h. ll nplyw0 uxlt pit x'u ns its uriJ:bullb d I shed
Fy ' CONSTRUCTION LENDING AGENCY
I hereby affirm that here is a communion lending agency for the p:rrnmtance •
of the cook far which nhi.v permit in issue)(Sec.A197,Cir.C.)
n. Q 1<nder's Name
Z Lender's Address
t V 0 • 1 certify that I hove read this applicalinn and stale that the tthovo ioforioalinn is _., 1•c -. -
W E. c r l e etc ply with ail cityand county ordinances d r laws tithing _
C.) nomildfin,,an,aboviiIh by oo,111crinfilol ofll 1ynl cnmr tput. . •, ..
me ubova-micinko ed prnpco,fm inspection puuposes. sl
W (We)e8 clo nave lnJennifYe dk �h mlcx rhe Ciry cranamrta gest • -
lin lit 11 J d6 encu mos mid exile lis:wh1 h uy in an)
way ancon tga I r d" •�„/�
C.7 Z APP consequence of TANDhe granting per e
^ APPLICANTUNDIiRSTANDSAN ILL COMPLYWITHALLNONPOINT �Issued by:r" Date `OU
SOURC ULATIO ��CI
S'gn ;e.1 APN nu tic r nr 1 t _ Re-roofs •' ..
II RDN'S MArI 121AI S DISCLOSURE
-
wat, ha pplu ltrmmmnudd' s c l' r'lout braille h Its ro ti .jype of Roof,"' sm
us def ted by the Qpen m MmicipnlCool,Chapter 9:12 and the Ilam anal Sol ry -
Code oYan 25532(a)?oes - All roofs shall be irispected prior to any roofing material being installed.
8511 the applicant or future building occup in use equipment nr devices which If a roof is installed without first obtaining,an inspection, 1 agree to remove
thea❑ c t b t. dined hytn By Area Aur Quality Man it t
• Disr 1 all new materials'for inspect n. Applicant understands and will comply with
11 ye, o+a� all non poin it ce regul to s.
11 II N . 1 I' t,ander Chalncr 6,V5 f d, `
C l f a H 111 k S 11y C It,sections 55115 25533 and 25534 I r Jvrsr that'
a
i f l he building does Il cialyhave.l .n,l hili it is toy mill nl furlin ofylhie —7/1400 '
ecopam of rhe ynincto ms'whi,h must he nmr prior a,issuance of a Cenllicme of
omupaacy Si s 1 re of�Appli t Date
-7 /a/CG
1 �w anmmr;:ed.seal •+, _ nym All roof coverings to be Class "B" or better -