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02010043 CITY OF CUPERTINO - BUILDING DIVISION PERMIT CONTRACTOR INFORMATIq BUILDINGADDRM PERMIT NO. OWNER'S NAME: 10466 BYRNE AV H WCASE K T SUB ATE SERIO ROSEMARY A AND ROBERT 12333 SARATOGA—SUNNYVALEARD01ND 112002 1� HONE SANITARY NO. CONTROL NO. (408) 253-0412 G z Z ARCHITECTIENGINEER: uOs BUILDING PERMIT INFO Z 6 BLDG ELECT PLUMB MECH < _I c� �Z!2 y Z LICENSED CONTRACTOR'S DECLARATION Z=to IhercbYarumthat lnmli Ifooine Provisio "imxC iTylc«Ing Job Description p_Cw with Sa,ion 7tXp) fDivisionJof the Businnsa�e .eionx Code.,� my lice r In full force and effect. REMOVE & REPLACE KITCHEN 3 O LlttweCus Lie.n A, E Date Conwclor _ ^' ARCHITECT'S DECLAR O '�O S I understand my plans shalt W used as public ds yy>• 6 p O L,ttmW"uncssmml 8 OW NER-BUILDER DECLARATION 1 WrtY a1Rrm that I am exempt from the Commcr's License Law for the C < following rtawm n.(Section 7031.5,Business and Professions Code:Any city memory %Om which requires a ill-canswn,altar,improve,demolish,ar rtpair any smewrc n n to I ace.also MeMireadhe applicant for such Permit to file a signed siateracm $38500 ,tot IIq;sllrF ed pursuanttgthe poIsms of the Cmarsoses License Law(Chapter9 f2omme,K,ngwhnsttaeano )nrx;onJnr,neBnslnes1x�anePrpfession:code) ' •�;,„ =.i Sq E1. FI0 rArea . Valuation or that he is cxemprlhar'rrohi and the basis fnnhe alliaed 4cinplio^:any violation 3 5 714 0 5 2' 0 O''^''I_% ' 'i a o- ion)031.5 by any applicant fora permit subjects the applicam to.civil penalty I ,a(na,sure Ivan five hundred dollars($5W). APN Number ❑Lallamasftheproperty.mmyemptoyeeswith wagesaathnrsele,am dna, 101 — FOUNDATION Occupancy Type will do the work,and the mmeture;.s not;mended or offered for sale(spec s70 Business aM Pmres"im”Code The Contractor's License Law does no,apply to an — ownerarPropenYWhanuildxor;minuses orMon.and who das.enchwork himself 103 UFER Required Inspections ar through his own employees.provided that such impmvemems arc no.intended or ;^o emd for uICIL however,me Wilding or impressment is sold within one year or 104 - REBAR 1 'cmpled.."he owner-Wildcr wall have the When ofproving that hedid not Wild or lO5 improverorpu,poaeufsale,). — ANCHOR BOLTS 'Cl l.'asatvacr nt the property.son exclusively coniraming with lhenscd co.i ctors,u .106 SEWER & WATER ! tn` sM roil the project(s«.]044,Business and Professions Code:)The Contranor s 2 02 UNDERFLOOR PLUMBING License Law does no,apply 1.as owner of Property who Wild.or improves Nnwn, ` :. arca,who comment for such pmts with a conwcm,(s)licensed Pursuant to me 203 — UNDERFLOOR MECHANICAL connacmrs License Law. ❑Iam<rcmpt under SttfB'A PC for this reason 204 — UNDERFLOOR,.FRAME; ., owner Dnrc— + ��',. 205 — UNDERFLOOR INSUTION I', "WORKER'S COMPENSATION DECLARATION 301 — ROUGH PLUMBING / ' Iherebyal0nnunderpenahyofpiquryone ofthefollowingdeslarmions: 302 TUB & OR SHOWER T i•*= mpMc' 'too wiil'maWain a CeniOeai<or Consent In self-insureTor wmkae 303 — ROUGH MECHANICAL, pork tied hi by s«, 3700 r the LaWr cue r r me 304 - ROUGH ELECTRICAL pirfdrm f,ax h Ark de h ch this person! t s rd / ❑1 ha nd II mmomin Worker',Compcn rot n Ins m c ae ryes rte by sees,'' 305 — FRAME 3700 or me lira cone for'the parr m,r r the - k rdr which m 56 306 - HOLDOWNS luded 'w rk C pen uo.I -umnm c aPoueya W —,I' Q .3,07 —...INSULATION (— U1R1n - Po11tyN .. .- „� I p ERrI,CATIONO EXEMPTION FROM WORKERS.- y !�I•.• r3O8•.,I!SHEETROCK•I-;; ,• ., '•. , " i -v COMPENSATION INSURANCE 5+ k a- 3 09 EXTERIOR• '.7-1.. _... -. . .. : . . . LATH'(. (f MI..)durimeanotheeompletedifthepermh;smramhundreddonarx 310','=' •INTERIOR LATH � . . 100)m leu.) - ' he 311 — SCRATCH COAT ' 'nO certify an in the n in any I's tosk foe came thije,,permit e iudea,I 'Compen ate.Law. person;n any manner so o<Id&come xabjeu,o the workm' 313 — ROOF NAIL - CompensationLawaolCalifomia.Date ' '' "�� " ••� � Applicant 501 — FINAL ELECTRICAL ENERGY NOTICE TOAPPLICANT.Ir.cher m.king ths Cem come of Exeap,lda.you should SO2 y b«omeauhice,tothe Wmkee,Camps^rmionp�avix;a^s^nneLaWrCode,promus, — FINAL PLUMBING ENERGY' funhwimcomplywithsuchProvisionsorthisPermitshallbedecmmrcvakca. 503 — FINAL MECHANICAL ENERGY ' '. t% "c""• 'CONSTRUCION�ENDINGAGENCY 504 - FINAL BUILDING ENERGY ' Y-,y IhcrtbyalRmn@ouhcrt iaamnswnion lending agency for Ne pefannu«e 505 FINAL ELECTRICAL" t 4.r oftheworkfmwhich,hispermitisiuuWIso.-IW7,Civ.C.I - - — y,'q .—naer'aNames506 GAS TEST — . i _ 'I 1 0 L<der blame- - 5F :.I nrrmaiin' oreaatn vet. to e ,r1nnn1 W , rte,t I. 507 - FINAL PLUMBING —— - nechl g,ect_ c ply Ili 11 ryAdw ry dna cs sada tel s IYng 508 FINAL MECHANICAL ), mo ildng tent c, and he by N 'i rcpmac lhva or ih ac city tecnmrupon _ 5W asse- ned m tryf 509 FINAL GRADE Lk, (W) g emwve'inemnfy and keep l�slcsi the City or Cupertino Against .•vY lisbilines,judgmens.cwtaadexpenseswhichmayinanyway�cmeagainasaid 510 — FINAL PLANNING City fn'cowegaenie ar,hekra.,in orI ;a''perant.': . . - 514 — NA p AP CE W G'COMPLY WITH'ALC NON:POINT'' WORKS f �(� 0� ce I;ATIONS. -0 Issued by: l Dale nvw o lican RDOUS,,,, Da¢ . ' HA DOUS MATERIALS DISCLOSURE ' Re-roofs n,he ppl;W r r r,rc�m g occupar, loom beam na:,,dmat n I Type of Roof V defioid by the Cupcn no Mun c I Code Cha m 912 ❑N Health d s-1,y Cgde'Sect n 255721 )7 t - ) Yes �No F, r I All roofs shall be mspec[eil'prior to any roofing materia] being installed. s WII NG pptwi rf,rcWld gac p, y pm wtle s which .h1aab ° o ti nil t udcfin W bythRay Arca Ai,Qm.1i1yMMM,mMem If a roof is installed without first obtaining an inspection, I agree to remove n rSYea �No - all new materials for inspection. Applicant understands and will comply with all non-point source regulations. I ^ 1,ha Ire d the haziN a annals,equnemcn¢6"'Chame 6 95 f Ili t C I(Arai Health&Safety Code sat ons 25505,25533.m125534 1 understand that —. Wiltl gd Ikurrc d itenunh tit, t my,espensbt, , notify the —.6 .1 of a e9 ¢myus It �r m be met pq to ssuance or Cen Tcate of s pa1nry 1 .,+,• O^O Signature of Applicant I ... g - Date ate t; d ge .. _ + - t Dme I.. roof coverings to be Class "B" r:, + . All or bene 'OFFICE .... ....... .- .n , Ah ® (/-361,71-9Dete: f� �-._, Page: 1 of O GOVINDARA & AS95CIATES CONSULTING ENGINEERS Project: S�1vW ILITCfFCNS 0C',A,rvf., SPAIIo Isar_3d I L a , I 5 ply w� �� I p.� 07 � 50 G.2s 1 I W1 � 17.'15' C!o I-40� A 31- �•5� Yhrt- 4 a5� ,�� � i —� 4-4 4w �— J g'-2' '' GG-1° ► r Imo— IaI�.R go 34411,-)` APPR y IN ACCORD 3'52•: �2d 3 10�. i- A E 4?I 1 E CITY OF . CUPERTINO CODES AND ORDINANC S 91v8.¢tl.s -745.4 r51 L S 5-v DATE (,J/ l2 F7 9, OZ G9•aY — SIGNED _ Pbft D2�LA(f101`I W - vt l (1h�1 &t2ri I,vAp Tp1,. gk2VAT( 'ELi� c:,.catiens MUST kept on the f., . mas and it is un wfu .t i,, o alterations 5 57 o f la, y'��ter? f,4 +d a 4d L tZ�a° o from i the'it�eioing i,ef•t./a_3`lhy3on The stamp,np, :i h . , o j :pecifications SHALL FiOI ce ,._ ral[ or to be an l approval ^f L.^ v :.,1 :. ,' any provision • '•' aqV 1 C . .?ty Law. 1VKoS w; 10`l 61-r Da�p0 LcAn 1 atv`j +r , j407 W/+D ,DEFT lonng PSR coin QROFESS101 �_ s .:2-Ov QFO a�ao Bhatrd ��! D M1Lt o_�S �, No. S3250 a r l FEB o Y1fiAL D&4') tOW I0•0 Exp. 12411 fog m I FOF CAO' ± CITY OF c mviRTI O CONTRACTOR INFORMATION: PERMIT BUILDING ADDRESS: PERMIT NO. 10466 BYRNE AV SHOWCASE KITCHENS OWNER'S NAME APPLICATION SUB DATE, SERIO ROSEMARY A AND ROBERT J 12333 SARATOGA-SUNNYVALE RD01 11 2002 VIONB: SANITARY NO. CONTROL NO. (408) 253-0412 G Om z0 ARCHITECTIENGINBEK: BUILDING PERMI'I'INFO m_ BLDG ELECT PLUM13 MECII ¢ IJ 1=1 1_I I_—I LICENSED CONTRACT OR S DECLARATION Job Description o z 1 M1ereM1y nfGrm,hal 1 ran liccnad under provisinnx of Chapmr 9(commencing F=t:wwith Sec+ion]Igltll or Divisionlof the Businessacd n ns Cade, mylicenw License rOrc`�`es�anderre[t. st� REMOVE & REPLACE KITCHEN K, 6 Licen.cc N "I a LL y Dale GOmCl,'A S AmshmhELT'S DECLAR Vq�Pp 1 nndcrcmnJ my plans shall he axed as public ds 0 I6e. �u 6 80 I.i[enxcd professional OWNER- BUILDER DECLARATION CT i 1 a isG nonation Inut Turn excion front the Contractor's n Law for Inc ingmiounir13usinerdprofessions Corbin Any city or county whichrequires pecuittoonitr n .impwe,dmolihrcprany« , ca O.pr , , re al. requires applicant r h „ g,W statement ' 38500 ciI,EnxJp tt ,wm p nn Contractors License isc al (Chapter v (wn Riotous Care) ", + "r "3Ft. FloorArea Val uation 0; .1(it.,he is catt,pt meslit,d the lassgctic all=Red 6tinpium.Anyvnlaio, - 514052•:'t0 of Section]IDI.5nr+nrmn,for aIon„itSubjects menrpIrmstor.civil P= nllr ,or qm more man five nnsdoddouarx($500). APNNumber Occupancy T ype ❑I,as owner ohnea.or Inemployers with wa es as mensole confrontation, 101 — FOUNDATION props Y rs pcnsa will Business theand Prk,and the Inaaalcc The is con', d e orrLawred roe sato(see.]Twat — Required Inspections owner of and Pmfcs hons Co,lc: improves Cnntrnuarco Lancia Law s such no,apply m an ” r ofgh his o r employee%.o bacilch, provided is nt such and who improvements am n work hied or 103 - UFER or through his own employees. building me,mpr vem n t is sots arc not one or 104 — RE BAR 1 ,offered for sale:If,however,,he building or improvement is sold within one ywr of - r6hipm,Ion.the owner-builder will have the burden ofproving that Serial no,build or 105 - ANCHOR BOLTS o improve ro,paH,oa or sale.), _10.6 -. -SEWER &..WATER. 01.as owttend the property.am coshrOvely[nitureli.,with licensed contmcmrs,n icomfort me project(see.7(W.Business and Pmfesslons Cade:)The Contractor's 2 02 — UNDERFLOOR PLUMBING immelaw(1ttexranapplyInanowne,ofpmpenywashtnldeorimprove, them 1, 203 — UNDERFLOOR MECHANICAL and who contracts for such projects with a cunlmcl os) licensed purntmnt to,he _ Coutmamrs Liccoa Law. 204 — UNDERFLOOR FRAME'., ., ❑lam exempt uaJerSce:"" ' l "' B&P C for this reason I` Owner Data' ,:,;;,,:,,, 205 — UNDERFLOOR INSULATION WORKER'S COMPENSATION DECLARATION 301 — ROUGH PLUMBING n" Ln=renyammtandcrpenaltyorp<ymydneunncrauowmgeeemranoo,: 302 - TUB & OR SHOWER =i1•3 1 have and will malnamn'e Cedirlcaic of Conant to alf-Inxare for workers 303 - ROUGH MECHANICAL Compensatim. ax provided 1,11 by Sic 37Bo of me Labor Corm. TO, he 304 - ROUGH ELECTRICAL pdrmtnnansnnbc wort forwhichmispcgm�i.ixxaed., 305 — FRAME ❑I have atid'will maiM,iin Workcr i CumPkdailoti Insurance,az inquired by Section ©I l� © � lE 307 HOEDOWNS work r which n M o', I 3 0 8. —.. INSULATION 37M of the Labor CW r II pe r'rm nn , , sed W kr1C Fe1. . , Insurance carrier dpolicyp he e Ca c 'PnI CYN V .l' .-.. _.. LRTIn CATIONIT EXEMITION FROM WORKERS ,� s� t 5 )rSHEETRO@K't-; COMPENSATION INSURANCE ,9 7 309 h'XflEaRIOR L'kTH'l r (38:4«,o,, -id- tie'cmnpmtedtratcpetnitsft)raichtindreddollais 310's'