00060152 ctTv of cuPFRTtNo. CONTRACTOR INFORMATION:
BUILDING DIVISION PERMIT .
DUILDING ADDRESS: ,- .. m '"• 'r t PERMITNO.,
OWNER'S NADAPPI.ICN'ION SUR DATE -
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NG DEBCOR' - SANITARY b ^J 1 CONTROL NO. ,
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BUILDING PERMIT INFO
BLDG - ELECT PLUMB MECH
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5_'• LICENSED CON'PRACTOR S DECLARATION _ .' fOb DCR01-IPIIOn ar i
z^O I herthy ofOrm Thal 1 out IiecnseJ under powt,"sn.of Chapter 9(mmmm�emg
t-@Can with Section'7000)of Divlsiot Sof the Businessurd Pp,f,,mans Oat no,license
zm^.a Is In full force and effect. - -
Y�< License Cl.,, Lic.x ADDITION
n O n Date •� Contractor
3 n0 In ARCHITECT'S DECLARATION - -
S�S I aude,,oandr,plans 1 a II boo,ect accords
y 6 p Lic J f. Tonal -
n OWNPR-BUILDER DECLARATION
1 hereby affirm that 1 ten exempt from the Contractor's License Law for the ,
following reason.(Section 703 1.5.Business and Professions Care:Any city or county t
O which requires a permit to contract,offer,improve,demolish,or repair any structure -
.65- prior to it,i..ounce,aloin, res the applic:un for inch permiito thea signed duanunt
.Ilial he is licensed pm, art m the pmvisiptoof the Contractors Utenao Law(Chapter9 `S Ft. Floor Area - VHIHIILIOn"
(commencing with Section 7(Xg))nf Division or the Business and Pralessions Code) tl' -
or mal he is emmpl therefrom and the basis for the alleged exemption.Any vinhun n -
ofSeBion 7031.5 by any applicant for a permit subjects the applicand to a civil penalty
of..,more than five financed dollars(I500) - APN Number - Occupancy e
❑1,os nwncr nr the".Perry,or employers ,In wages as their sole comlrnvmian,
will do he walk,and Ilia,Lela,is not Intended nr offered it,, sale(Sec.7044, 362 -
Business and Prmfrsslmn.C(de:The Connectors Uvense Low does not apply to air - ulred Inspections - -
owner of property Who holds or improves therein,and who does such work himself s
r through his own employee,.provided that such improvcmn 1,arc not intended or
offered Inr sale.IL however-the building or improvement i,old within one year of , 101 — FOUNDATION-
completion,the owner-builder will have the burden of proving that he did not build or
improve for parpnxe or sale.). ,. i 1.02 PIERS • - ..
°1.axlom,rllheprojeny.ante.thiel,corGddir,withlicensedcontractor,m 103 r LIFER
conswn the proJ2el(sec:7(94.Business anti Pmressionc Cpdrr)'rhe Canwnnr'a
License Law does not apply to an owner or prop rty was a,aas or improves thereon. 1.04 — REBA R-
m
and who contracts for such pccts with a contestants)licensed pursuant to the 105 — ANCHOR BOLTS
Contractor's License Law.
01 am except under See. ).E&P C far this reason 1.06 — SEWER .B' 'WATER .
owat�p WORKERS COMPENSATION DECLAmrION 202 — UNDERFLOOR- PLUMBING
I hereby orlirm lumbar Penalty or perjury,one of the following eeclamdnm: 203 — LINDERFI_OOR MECHANICAL
0 I have add will mainlam a Certificate of Consent to sul&Imsam'mr Worker'., � 204 — UNDERFLOOR, FRAME
Compensation,a, provided I'ur,by Section 3700 nr the Luhnr Care, far the
penmm:mca or me work for wl,icn lois linnno is issued. 205 -;,.1-INDERFLOOR' INSULATION -
°1have and will nainminWorke;,Compensation in.amnce.a,reyuredbysection 301 — ROUGH PLUMBING
37M or the Lather Care,ter the performance or the work for which this petnit is 302 — TLIB -& OR SHOWER
.sued.My Worknumberre:
ers Compensation Irmadncr carrier tad Policy a _ - -
carne: Policywm: ' 303 - ROUGH .MECHANICAL
•CI112n PICACOMPENSATION11N9 kANCE oRRNBs' 1 % 304 -r ROUGH 'ELECTRICAL
—
rlltie Seclirn need not be completed if fire permit is for one hundred dollars 305 FRAME '
306 — HOLDOWNS
1 c9rldy that in lima pemn.aimed,or In;work for which Iho.Imomit is issued,d 307 — 'INSULATION- .
.Hollmilt ellmpiny any any marine y�� n,to �,uW h,Inc wae;rry
enmpeasahalm n e _ ,a_'d (J 308 — SHEETROCK
mi
nppllram Rf 4 ,
NorICETOAP/Ltc'NS rte m: ,ng aniscenirtarearrxeouira.yof,shomd - 309 — EXTERIOR LATH
become,ah;«ttotheWorkersCompensationprovisionsofthelnbuCareyoumust '10 — INTERIOR LATH
'Q Q forthwith comply with inch provisions or this permit shall be deemed revoked.
-Vi - _ CONSTRUCTION LEN n I NG AG ENCY '
311 .— SCRATCH COAT
a 5 I lottery al firm Ibm that isa Ociro mction leading agency lira tire led.....ace - — - -
ar-the ware ter which this pemmd is issued(Sec.MA7,Civ.C.) 313 ROOF NAIL
° p eer,Nalnc
Z 501 — FINAL 'ELECTRICAL ENERGY
� Lemeer,ndams
C 1onlifyme,Ihave readd,isa"pbcaaamadd.late that tireraiseinlbm,mhmis 502 — FINAL .PLUMBING ENERGY
F conform l,e t comply with all city ricalmly se r e load state l ,,r tg : 503 FINAL• MECHANICAL ENERG
ga. ten Il to t o 11 ly Ili l y, II Int, it, emprupm m
men ep pryf p t pa 504 — FINAL BUILDING ENERGY
[moi d (W I grc to-a J fY Ik ph -I slheCy I Cupertino against
fjfin lanTaeradg et. t: 1 pe. h n ay in any wayaccroeagain,lsalJ -
Z City to conic sent or the Ng nor permit 505 — FINAL ELECTRICAL 22 OD
'APPLIC .RSTANDS DS AND LCOMPLY WITH ALL NONPOINT, I �'
I
SOURC TIONS. L--az-�D Issued by: 506 GAS TEST Date
signal ) aA ptM1nAZARDOU, nate Re-roofs 506 — FINAL MECHANICAL
HAZARDOUS MATERIALS DISCLOSURE
whinmeapplicantor eInesni huddagd,Chapter sacro or ndthenaaarananmaaehJType of Roof
asddtice by theCoombeMunicipal Care,Chapter 9.12.and the lleahM1and Safety 509 FINALGRADECWe,Section 235R(a7^ - '�
0vL5 "o r All1root:s shall bEi blZpectecfW.Wb.a1Fj'Ix6lIYIdJhiffiterial being installed. -
Wil oma appI'cam nr Tulare holding oeaupant use ocrimsnt ar"devices whlcl, 'If a roof is instalayd 4/ithotirtTt W4btaF71 IilpIDS�sptdGDap'.$agree to remove
emit harnn nu.5 aVr'mfomin lei as defined by the Bay Arca Air Quality Management
DiAricrl all new materials for inspection: Applicant understands and'will complywill)
°9e `fin all non-point source regulations.
Ili read the h :ml "al requirements under Chapter 6.95 of tires
it i f t' Health&Safety C Sections 5505 25599 d 25534 I stand dad
- x.
Jac he bold ug does not urrently have an,,thm"Isnyrrp ahlldy lit unify the s
arcupanl 'the mems which xt M mel prior to oommea nr o Cenificam.1
°eOpi _ 60 Signature of Applicant Date -
-� re ^Zz—O� ATI_roof coverings to be Class "B"or betteF
ow er or a.Imriaea age. - owe - g
DEBCOR CORPORATION JOB ` 3, CoT' 1
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CALCULATED BY . �_ DATE COQ
roRFOR 11 Lic. No.385712
(408)446-1913 FAX(408)255jQ= CHECKED BY DATE
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PLOT PLANS 7 r GREMET1 B$
By
�, i Aust DEP.Tm
CITY OF CUPERTINO
BUILDING PERMIT INVOICE OPERATOR: karenb
Sec: Twp: Rng: Sub: Blk: Lot:36202049.00
• INVOICE DATE......: 06/22/2000
REFERENCE ID q '...: 00060152
SITE ADDRESS .....: 10628 BUBB ROAD
SUBDIVISION ......:
CITY .....:.......: CUPERTINO
IMPACT AREA .......
OWNER .. ..:... . .. . : DESCOR
ADDRESS ..........: '..
CITY/STATE/ZIP ...: CUPERTINO, CA 95014
CONTRACTOR.... ....: LIC k
COMPANY ...... .. .:
ADDRESS -
CITY/STATE/ZIPS. ,
TELEPHONE ';...... .
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
661016.6 FOUNDATION 666.6666 6102•• PIERS............................
103 LIFER 104 REBAR
105 ANCHOR BOLTS 106 SEWER & WATER
202 UNDERFLOOR PLUMBING ,203 UNDERPLOOR�MECHANICAL
204 UNDERFLOOR FRAME 205 UNDERPLODR INSULATION
301 ROUGH PLUMBING 302 TUB &'OR'SHOWER_;
303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL
305 FRAME 306 HOLDOWNE'
INSULATION 308 SHEETROCK'` ',.`
EXTERIOR LATH 310 INTERIOR'.LATH
SCRATCH COAT 313 ROOF NAjL
501 FINAL ELECTRICAL ENERGY 502 - FINAL PLUMBING ENERGY
'503 FINAL MECHANICAL ENERGY 504 FINAL BUILDING ENERGY
505 FINAL ELECTRICAL 506 GAS TEST 1
507 FINAL PLUMBING 508 FINAL MECHANICAL
509 FINAL GRADE - 510 FINAL Pl"A'MING a,
514 FINAL PUBLIC WORKS
tri