02040070 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CON'rRAGTOR,'�sIlVF®R1MATION
• s. .
BUILDING ADDRESS: PERMIT N0,
02040070
OMWER'S NAME: APPLICATION SUB DATE
IVERY, SPENCER 04/16/2002
.*HONE: SANITARY NO. CONTROL N0.
C eezARCHITECTMNGINEER:
w
00 BUILDING PERMIT INTO
a i BLDG ELECT PLUMB MECH
S u= LICENSED CONTRACTOR'S p DECLARATION Job Description
z=S Ihcrtby)0)of Division
of he dunder provisionsofChapin9 admyp
,y�Mn is inSectiorccandefDivisionJoftheBusinessendProf sionsCode.admyliccnse REPLACES PERMIT #51682 ISSUED ON 12/7/99
$] is in lull force orad BRect.
0., uansecla:a Llc.a - PERMIT FOR ADDTN/1ST AND 2ND STORY
O a Das, Contractor
ARCHITECT'S DECLARATION
5
land...i.dmy pl.shall be used u public.,.M,
C o O LscensW ProRssronal
6 o 8! OWNER-BUILDER DECLARATION
I berth,am.tbar 1 an exempt from the Convasor's Liccve law for the
C?< following rcnson.(Section](1713,Busm s and Professions Code:Any city or ccomy
tcr o which mquims a Permit to conswct,atter,improve.demolish,or repair any structure
ou 3 -Pri� toits stonce also qu sthe ppbcam for such panuuo fileuigaed autemenn - - - - _ _ _ _
anathema sed pdsu rat rade prb sons of the Conuxtors Uanse Lew(Chapter9 ,Ft.,Floor Area i
(rommea BwNSenron(]000)ofD alan3anheBaai ocaardrrof,schn.Cade) t S I:•t I. �,; , r. t 2..-...5,:� ,:.}:.•: aluation
or Nat he se'ckempi thertfrom end the bvux for thc alleged eaemptiw.Any violation
-of Secdon]03111hy any vppticat for a pemat s0j.coa the opplaanr roe evil penalty
ry APN Number - -o
q-l:,;z,,c�:<; Occupancy Type
❑I,as owner of the Prepay.or my employees with wages as their sole compensation.
,wilyd6ibc work.-and the atrvctbrc is riot imcnded'or'6Rned fa ule'(Six.']00.s,- I Q3 -
Busiriias ane professions Code:The COn.tors Licant.Law dao nm apply .on 1'0 2 - PIERS Required Inspecti ns
owner of PmPeny Who builds Or improve.,thereon,and who does such work himself
or through his own employees.provided that such impmsemenss as not in ended a
crcd for sale,-if.holvoir.die Wildin' - _..._...._.---_�.—....__.__..AUG-
J I
.qff-- gaimproe,meatiswlawithmcitey,arar 104 - REBAR .....,AUG-.4-Gc�;��G -:;i-.
_.._..._
minpletion.the owner builder will have the burden olproving that he did am build or
improve for purpose of sale).
—---------------_..___.._.. .._.__. 105 - ANCHOR BOLTS
z: ❑I:uwvnerOfthe Progeny,anexclusivelycontracting with licensed contractors to 106 - SEWER & WATER ys -'
.. ,
cOm"ct the project(See.]044,Business and!Professions Code:)The Contractor's V I`DINGi"'''
"' ad_.Wense awdcesnmapply rauch anis. ids ropenYwhabuildsaimprovr thcrton, 202 - UNDERFLOOR PLUMBING
..and who comnrns fa wch-po)res with.• mractw(a),IicevsW_pursuans�w N,. -----._.___.......
1. commmarsu«nseu203-_--"-UNDERFLOOR- MECHANTCAli--..-
❑lam,crept der see 1BSPCfm"M1ia rt,soa 204 - UNDERFLOOR' FRAME)II
W ORKER S COMPENSATION DECLARATION
205 - UNDERFLOOR INSULATION
301 - ROUGH PLUMBING
-I hart
br cmyq`!ve �ryone,oruterallaw;age„I.ratiana: - 302 - TUB & OR SHOWER
It:- .] 1 bade md`wi11'mvimein'a'Cenificaie'or Consent io'a,lf-imurt for Workar's
It Compern,rhur: -.Nproviaadto-by-Secdon-3]00-of N -Lghor rode.-tor-the 303 - ROUGH MECHANICAL
performaae of Jc watt fo Nchths.pcm'Is ctrl...,.,, 304 - ROUGH ELECTRICAL
0 1 ha a and:vill'mainte Worker Compen tan Itu reiKe s requirtd by,5citibn
305 - FRAME
3'100 of the Lobo Code for int perfminvntt of ate-sato k/a h h Ws permtc s
seined My workersComgenaauonl Throe cream vePo) ysn_ berarc _ 306 - HOEDOWNS
Can
er .30,7,:,, ( INSULATION -
s CERTIFICATION OF EXEMPDON FROM.WORKERS - - - ! .,'3'0
" compeysgnory wsulw,cE'. ;;: ' . 308' `� SHEETROCKf
309 .:' EXTERIOR`"liATH �• •--
s't r(,m aseduon nerd rot be c-mpl0ed tf Ne pernvns for o hutdrcd dollus -. !-.. t 1 t pry
(s100)a 310 - INTERIOR LATH ' '.
n P y n,r so ss so become s b n to,rhe W- - ---�..--- - _
:' lend Nr !'the rformxnttofNe orkl Achthsperms t-'aW'I 3'11'-'='-SCRATCH COAT-L __ -- ._--
'ihallnot mP OY anY-peronm L•';r , '
Comp,,Yu on la fCel fo e'Dai ) �^ 313 - ROOF NAIL' '
App1C — --501- --- F-INAL --ELECTRICAL--ENERGY--
NOTICETOMPLICANT Ifafterm kinpN Cenfctn ofEcmpton,yo should r-' "-- -- --
y omasbnmthewakr:Co 502 - FINAL PLUMBING ENERGY
/ pensht pro ons f the labor r,la you m n
hh tht replyw Nsuchp s ns or sh spa sN 11 bed reed okd
z - — - - -.503- -----FINAL: MECHANICAL__ENEFGY,_
C ' n 'R r 'CONSIR�ICIION LENDING AGENCY IL.,, v .. f a . . ...._..
17 �^ (hereby affirm that there aconswc,oOl drag geney for the performance' 504 - FINAL BUILDING ENERGY'
Of ihe dkfor'which thu perm ru asu d(Sec 709]Cs C) I.
Ad a, aNa , c d'F .. _..__50,5_._:._ FINAL ELECTRICAL
_.
p Z �ePderagaa sa 506 - GAS TEST , ,
ton is -.._.._ ._
t
v C r ~T 507 - FINAL PLUMBING
- 1 c n/y th r1 d rud Nts oppl_,rn on d scot thn the bar form-i
/T+ F collect 1 spree to comply th ill c tyand unry oNrrnaes and stat 1 ws rclsing 508 - FINAL MECHANICAL
DU mbu ld ngco minion anehertby auNon' rcprcsent jives df Ntsntymemer upon
�r:I,' the above-menuonelptoKrry dor inspttaoa purpose;N,_., - 509 - FINAL GRADE
(.n G i (We)agrtCto sive ind,mtiify and keep harinlesi the City of Cupen .against
'tn liabilts3dgmenu,coxuavaupcnus:whchmayL;n,any,way crv,ageins�said 510 - FZNA P�NINWORK
UZ. Cityn equence of the pn99t nY fNizpemut. '
APP.LICA'S7l'�DER'37AT95 q.�'DRy-L C°3fPLY NTI'Ff qLL�O�POLYT"`' S14r- INS
fovacE aEcuL.Ano�s' Issued by: Dale
SsgnaNrc of gpphcanJCONrana- t " "' r Otist�;'!_ Re-roofs
' EHA7wRD0U5 MATERIgLs DISCLOSURE ;.n,
L ` toll Ne app 1-1 abu Idmg occupy t store a handle haiallo matenil Type Of ROOf..
Eefi d by the CupenmPowa Mu cipil Cod Ch prer 9 13 d Ne Health rad Sa(ery '--- -=- -- - --
Code Section 25532G#\ a as dr, s _ S:.t r 1 s !'f {I J d�rs `t) •r� ,
,. ❑Yes -, s W Otho L Y p r r f t .. _` L ,• ) - -
.All,roofs.sballbe inspected rior.to any roofing.
" P see trim'-ring installed..,-_.,__.-_„
WdlNeappontami ants res idedbythp tate . hear es n b If a roof is installed without first obtaining ari'inspection;�I agree,to�iemove
t naaareaus ur contaminants az dented b)the Bay Area Al,AsQdrty Manag mem
fQ1t _ _allpew-materials-for inspection. Applicant understands-and will comply-with
-. fr]Ya o .1 1 Otho ,- P PP
_, all non-point source regulations
ha x read'ibeeh'cmc mpmrials req tremens alk Chapo,6.95 df
�h �''H Qoegm�-4 Codd`.S.mias 25505.25533 and 25534-1 mWesund that '
Y
. . 8 y theme.omem chat tism res __... ..__. _ _____ ._ _. ._. .._ _ ._.
Y pansr6arymnosify,Ne -- - — .-_
Oceupanl or Ne rego remenu vh<h.mbu be ren p acro iasuaae of•Cenifiate of "- ------
r, =
Sigatue oApplicant.__-,_..
_.. ---- ... ate
77mnAll roof coverings to be Class"B orbe_tNter
_
---'OFFICE
m m!m m rn rn m m m mirn rn rn rn m m m m m rn rn rn rn rn rn m rn mm m m rn m m m m'
m mim m m m m m m mim m m m m m m m m m m m m m m m m m m m m m m m m
N N i N N N N N N N N iN N N N N N N N N N N N N N N N N N N N N N N N N
I
A . o m m ai-co- m W m m O� N W Op OD m m m m m m m W W W m m m m W OD W m W m
A A y
I A A A A A A,A A A A A A A A A A A .A A A A A A A A A A A A A A
m in i m m m m m m m m!m b m p m m m m m m m m m m m m m m m m m m m m m 6c
i
i N
i y
W W rco W O7 W Q7 CO W W Q7 CO W CO W W W W W W W W W W W W W Q7 W W W W W W W fn
D DID D D D D D D DSD D D D D D D D D D D > D D D D D D D D D D D D D
zzizzzzzzzzzzzzzzzzzz�zzzzzzzzzzzzzzzc
m mim m m m m m m m:m m m m m m m m m m m m m m m m m m m m m m m m m y
M
--I
O
D D'I .._- - ---—
?1 TI m (n a: > p m ZIZ 1'0 > m T (n Z � -(n m m < Ul > m m (n'"> > M z m c m
Z x xD �7 -< C (� Drrn r rrD -{ DX22DDmZr -70
mm W c W W c 'almmVl (n (7p O .
DOO (n < c W > Mc M W m
rr, r plr W D - C� C) m GL7 (� O L� hm DD G� �7 -{ Z'
� m m > r rn x 0 0 2 TI
m W' W m m m D D xD z n 1 x n D A z z r C (n
rr r � A Co mi-I p (7 � Z1 � m0DO O 57z xA az ] z Z p.
mU. O - rrD,— mx p DM Z G7
rr OD 2 stn0 p < -G Tlp cnm'
� �i ODD z � ZZ0m ZmQ5; 0 � r0 -n -n N 0
A (n I 0D 0 �7X z D O rDr f7 v
cn � O D -i -n m � � > Z mu K
Nm mxx m < � Z O � x m D o m
n m O D m 77' 0
m n O
O —r - — - —� - - m
cn Z
D I O
nv
I m 0
't O —. O c0 c0 w co N cD mm co m\
m 00 m m m A A A w w m
N N .— j N j W m N N
W W W A A (O O D) \ A A A m
0 0 0 0 0 0 0 0 0 C. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 o m 3
O_ O O 00 O r0�10 0 0 0 0 0 0 0 0 00 0 � � 0W'A O O O O_
(T N U1 I r p (p cD CO (D c0 cD cD m m m m
cT m U co N c0 V N Ut N N N m m m A A cD O m V W A A A O) O>
O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O M.
cp'
55 � -Z � C � D
.� ww � � w (7 wwDD pO
W co WHO WpW pp 0�(nW W W W W WOW (nmowbnnW cu pp (n (n N.
c
7
N
d
Z Z Z O I Z Z Z Z
0
0,
C
171m
0
N
• cn cn cn cn (n cnC/) W I cncf) (n Cl)iU) U) U) cn Tv,
mmmmim mm M,W wmm;mmmm 3,
N N N N:N N N NN N N NN N N N
i #
m m m mim m m mim m m mim tu m m y
A A A AiA A A A!A A A A'A A A A
i C
.4
W co W W W W W COI WW W CD 100 W W W cn
rrr rlrr r.r rr 'rrr
D D DSD D DID D D iz D D c
m
z z z z ziz z z z z'Iz z z zmiz z z z C.
m m m mim m m mim m m mim m m m CA
I ;o
m
m'
c
0.
T T T
zzzzzDzzl.zzzzzzzz %
D D D D D U) D DID D D D DD D D
�
r r r r rr r r r r r r r r r z
MMK -ommmmmv3wmm3vy
r r m r z 0 r r r r m r r z m r p
moocm � mmmcnocmncm
n G) x K x cn 0 C) 0 Kx G) m Kc/D y
cIn � oM 00
� c�ii rt�l cin W v' �' W G) W A m
zo �m { ocn
a' mo�0 momG) mmim m 1 o.
m
m G)I oJl �� n p
a0,
(D O
N
p D
D U)
1 (D
M (D
N c\ cin c`n cn cn cn cn cn cn cn cn cn cn cn m''
W W W W W W N N N N N N N N N y T
m O O O O O OO O O O N Cn (n Cn (n fD
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o m:
v
d:
WW W W W W N N N N N N N N N Wl
O O O O O O (O (O c0 t0 (D (n (T Cn CSt
O O O_ O O O O_ O O O O O_ 0 0 0 =
Nt
LL L L 00 L L L L L L L L
c0 W
co 05 W W Q1IW WW CO cu W co co U:'
PC
7�
T ,t'
d.
N
tll
n
da
zlz z z z z z z z '0
c.
• A
m
O
N