00100074CITY OF CUPERTINO -
DIVISION'
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CONTRACTOR INFORMATION
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uUIwiNG . PERMIT
RIIILDING ADDRESS: 'q
•„I}., -'
PERMIT NO.
”
1150'CANDLELIGHT.WY.a
ALEX.CHANG -
,.001.00074
OWNER S NAME : ;' 1,I
I � "'-!
APPLICATION SUB DA'rE -'
ALEX CHANG
10!09/,2000
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SANITARY NO: CONTROL NO,
ARCHITECT/ENGINEER•
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•', BUILDING PERMIT INFO'
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RLq.C�— ELEC PLO MECF{,
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LICENSED CONTRACTOR S DECLARATION _
' Job Description
I nvahy tartar that I am werfed rudep f Chadin Chad9 Wournahruar,
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10 S f '!0001 nfD on3nl'mc Ru dR r: C de nd myli er
is in (Il force and effe u
t L;e Cmc ,a
c
NEW LIVING ;ROOM/BEDROOMI .BATH ADDTN
Dmc . Gmm omr
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- ARCHITECT'S DECLARATION
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I induamnd my pon, shall be attains pbbhc (ecu d,
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Lkensed Pmae,s;onal - -
- OWNHR-BUILDER DECLARATION
'. I nereny arrrla that I ,n1a e,ennpbnalu ane comraemts.Llce"a
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ID' T - '
following reason. (Section 703 15cs
, Rusinc and Ptnfccsimts Gide: Any oily hR`111E
1 Which. inquires o l onnn to amMrual, idler, in,Prnve, dentallsh,•or repair any smcmin
prixt t-. 'I. y thef suchP It rl 'g it11
`thmh
PIOOr Area' - -
Valuation
I' dp tl Ihe p rsr,h ( 1' t I L (Clapp;'Pt.
(coe 0 Section 7000)hl D' 3 f Ih B I Profit :.' . Code{
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orthat h ': - pt tl f d t baskf the exemption Any Rion]
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- 56227- ' s
,it scrunch 70315by y l' tf rap,hnl: beoulne epa tahcivilmit
of l ,re than roc f a I doaarc 5500) pe
.`A'PNR Number -
Occupa..ncy TypeUILDING
plwnElhep,opclyorn torpI,It whgcsasIn a lmPens:tion,
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will do Ih k d he tharairm is not hilandolud or oficred f (See. TW4
Business and Profic.sicrs Code: Th Contractor's L L d. not apply I
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11 - ' Required Inspections
ow cot property Who budods i np eva d "reran and who cities v'uchrwork li towif -
r nvou`gh hi,,,,h condayees. Provided that 'act,;otprovencuts are not intended or
' , 101 — FOUNDATION.
dlfcraa for aide. If, however, the building or hapawron n 11 wild Within one year of
omplcdon, me owaut-break, will have the bunch as proving that he did nm build or
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1.02 — PIERS _ r
prove far purpncc oI'sule.l.
- 103 UFER
,'f, as ewhm of me p:operty.,an e.alt"weq contractual, with licensed canthatota an
104 — 'REBAR
o
aut tth p Ict(S Troll.R dProf .: n.Cd )In C t mos
L e pply t I may n n 11: p .mann,nd I I for nucn projects n1rn7,,licensed I s ant m me
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105.,ANCHOR BOLTS TS '
o'cachS
. ihsoften . ,B&PCfill ad,m:oh
106 — SEWER.& WATER -
owner
202•,` -.'UNDERFLOOR:.' PLUMBING', v
' R nTlo necLA nuoN
20a — UNDERFLOOR MECHANICAL
I 1 ray 1111! oil I p nary o paltry one of ere following e larm'ovs:'
y„
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X04. '- UNDERFLOOR FRAME
o.Ihave d willanotn cniateofCnh.calto I for Worker
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205 UNDERFLOOR INSULATION r
cot p nouran as provided for by Scctnn 3700 of the Labor Coda, for lie
m
perrnrance.1(heWokf-lichthispc t issued..
3011 ROUGH PLUMBING
❑Ihave he t Worker, C ia r any Satin"
3k�2 — TUB 'R OR SHOWER} s'• .
h.
37a1 ,r he Laker cud parr rid • of the wad; rn which this
ch �rorl I.
erfor ouch
suul. My Worker's Cnmpensmlon hnxumncc canicr and Policy number oar:
ch
.
303 — ' ROUGH' MECHANICAL
CAL. -
Carrier: PnheyN,;,:
304 — ROUGH ELECTRICAL .
CERTIFICATION OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
n,
,. -305+FRAME.'
(Thi,cr ccIhIbeeonpmted ifthp ah'i, fin hmhandout dollars
,306 ;HOLDOWNSI'1. .
307 -- INSULATION
I racily that to the PElnr hence at tha wok for which this punt a l"acd I
shall urn "'PlPlayaiair erson y moimcr so as to become subject to the Wnrkcrs"
- 'y n _
- 308 — SHEETROCK ' • -'
er
Cooper';ApplicantAA1 hD✓��
d09�' - EXTERIOR LATH -
NOT
NOTICE�o7e�'�u6icc,g Cenrcmol' pl-you hlrold
bmomc aanlCCl In mew A c p .ill [nr to L n c a y Inas!
t-
1.0 —"INTERIOR LATH
'rpnhw'th comply won n a 'ntW ono pc- id shall bee d rcvokod,
311 - SCRATCH, .COAT, . .
CONSTRUCTION [,ENDING AGENCY
lhareh,itffain that there onslmafoalandngagencymthe pe,lot ance
313, — ROOF' NAIL_
or th, Work for In h this p t' . issued (Sc,, 9097, Civ C)
Lenders N,nai
;-5,01, — FINRL,'ELECSRICAL ENERGY',_-
l'cve 1dd
502 — FINAL PLUMBING ENERGY
"1 vrrymtrb IE1n: ppandrnntn nfirruce,aboveinfuriation,
nrrnleagreendf, taco navy war all t'lytndi iayore than tenavRlaw.ot ng
is
503',—'-F.INAC MECHANI-CAL'.'ENERGY.- 1
baldlhgconstruction, and lurch utmon,c cancecmm�vee of hu, try to enter upon
the h ( d P lyi llf prop
' 504 —' FINAL; BUILDING ENERGY
(Wa) agate to cwt. indinainify and kctp the City ofCpet aarm
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' 505 —'FINAL
Ilab t j d8 a s t 1 I _ which y' any y' ue against . d
r _ELECT'RICAL::`' .
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City aha onneb mngonhisp oh.
ULI N INDTSTAN 'ANDW L COMPLY WITH ALL NON -POINT
506 — GAS TEST Z.0 7
'7
Issued by; e DaIC�r
Re -roofs %;506•— FINAL_ MECHANICAL'
h onnactor. Dane
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HAZARDOUS MA RIALS DISCLOSURE
Will the applicant future building Weentiorn the handle hosanna, haderial
'M
'Type of Roof 509,—_ FINAL GRADE
tire
itsrdCupertinoCode, clans 9,12,and Health and
uP I
Cud Section
C
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51.0 —FINAL PLANNING
°Y EIN
, All roofs'hall.ba��{specled�rtfNr�j�jp�an r��l tri [ ri����y�q�nig installed.
Will 11 ppl' t from building occupant cgntp n rd Which
rInt
If a roof is installed without first, obtamin an ins ect[o[I, 1 a ree to remove
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Ins air ohtaninanl. as darned by the BayArea Air Quality M,nageaent
tiinHc17
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all, new materials for irispectic a,t Applicanbundmtands and will.comply with -
y
oY, . El No ..
.all,
non-point source regulations.
' I have'read me loo'conalS anderials requ remena tinder Chapter 695 of the
,y - .
Cvlifornia Hearth&SaflyCda,SecYvou 25505,25533aa125534., P underslunethht
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dlhe holdngdoes holt sly ll. aamnma that t: ymnp n hl'tyt tify lbe
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occhof the •qu x 1, h' h rain! h t p l isw f C i llrvle ,f
i
O cupant
pa
ignature of Applicant. -Date
//Vn�///�/'f l i
L -S
Alf roof coverings to be Class "B" or better
humor aagchl Dale :. r
OFFICE