001100641 — ,
CITY OF CUPERTINO"
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pminmc mvtsioN PENT
CONTRACTOR
INaF„-ORMAT»L®N':
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BURUINGAII!RPl 32 CANYON VISTADR '
PERMIT NO
G�.11 IZIkl 4
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OWNER'S NMDGL.R ,0STA.
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APPLICAT1 BU{p,''k 2Yh00
SANITARY NO CONTROL NO.
ARCHITEC'1'IENOINEER:
-
BUILDING PERMIT INFO I-
BLDG :ELECT. PLUMB".. 'MECH "
" 'LICENSED CONS'RAC 'I OR'S DECLARATION
II hyst that r d d p .' rCl pt 9(sommee',g.,
Job Description
p e '
with i 9000) fD,ikon 3 nine Bu dProanvl n C le d yl
Li wn r I III ef1f d
icema Claus Lc %_ 6 a
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N
1:
'REMOD,EL`, ' 6
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Dmc. Canuncmr
ARCIII'I ECf'S LARATION
. ,+, 1 n f n Irs�leY he hl N
,
Lic t -t.'
. OWNER BUIL DIR )ECL ARAI'[ON ,
11 rcby' R 'bar I a pt 1 theC , , 1 L' ( 11
f II n8 ncalwar (Seth 7031S. B ines, and Paul I' Code: A y ty ou ty°
'
which culdne, - le aInternet, It p 1 h, clear y a vuuo,
- i`Soo 0
: lin'
, L issuance. al eqd res lhs.appl wO l'nrsuen perrn't to file a i fined swte hent
Sq. Ft. Floor Area` n [�vp�
tif:yr:A.
thitn',I d"Instant , f' '- fin C t ,or i I 1ChnpmT9
Ice Iib with Set 7000),d D v'.' 3 1 (heB e d P t , Code)
.flesh '. pt ,M1 Ir n and (he hn I th Hegel xempt A y violation
s ..
- ' 4411 e
?
ofS , 7031.5nYaryappld lfor uprn tInflects 0 ppl „ rend pendty
ori t to live hundred amlaresstrol la
'
k APN Numberrnrn 'OccupancyType-
s:r�16[�H0f 5. ¢ail—' �' ' .
01. as owne"I the pmpcny, nrny et,ployce wth wages ax 11 .dlecor,snocaar.
i'
•..,
VY
will do the work,and the tr t intended or ollared For sale(S 7W4
lbs lines, z d Profession, i Code: The C t License Law does.out a,wly no
Re wired' Inspections -
ownenofpropavyWh 1 ld,oainpose Ih cot andwhtdocssuchworkh self
'10].
-� FOUNDl�-,TION,
or through. h'wn cn pl y , pub"I'll Ih t h I nv n ,s r not inter deo or
offered l . . If, he the building' p n, is IJ ", lh me year or
'- 1.02
- - f
PIERS, Is
connection,t1 er bu le will have the burden of proving Ihst he did not build or
-
ua .rAdm:�Mofl) - - r
- '1,0:3 •—
UFER
n,mmaing wl@ e
❑I, a, reactor he en to
Proper Xan, ex sines,
1.04
— RF_f3AR'
)The Contract
L,cermet Lathew pardon, (a,'ee,y ,,,a, Business I and en,Prowhlob Code:) Tee laterite, laawre
a
c L d .- , pact, , y opertywhubu'W. pannintt,
.1.05
.,.
— ANCHOR—BOLTS--, .
In
.,,it a t t. r - p , ,"wile , o,naetdn,) r - d p Raan, t me
' Cot ' � �
� 166 '
SEWER' & `I DATER
a scoupt .ndi Sec
oilnnl exe,npt hindersees .B&Pefair mi, raa,dl,
- ^02—;UNDERFLO0R-PLUMB'ING�'_'
-
owner ]),lie
WORKER'S COMPENSATION DECLARATION
203
= UNDERFLOOR MECHANICAI:" ..
-.
Inerandrrl�, andar 11 r o. one t�nnd mlmwil, adaiar,dnn,:
y pend yd per; yd
204.
•.
— UNDERFLOOR FRAME .'!
g
i 1 lave and will n,nimaln It certir ads or Consent to selr-insure For worker.
205
UNDERFLOOR INSULATION
CurIanaaon. as provided ror by Seedon'3700 or ole Labor Code, for ahe
T
301.
— J
ROUGH I LUMBIPJG'
,edornannedtimsit.
enkfarwhichtei......,acd.
as
302
TUB 8:' OR,,.SI'IONER
olnave and wn ,,a ,mo wo sa,m enraran low n n' by Section
3700 dnhe Labor Col I t I ror, ,n1 kr which this, perm le-'
.. ,30s
— ROUGH., MECHANICAL •- - .
is,acdM dkerscmpn. nl.m ad b
304
— ROUGH ELECTRICAL_
.'•h
II
-
CGltlll'ir'IUN OP GXGM'urct
GM KERS
345.
.—.FRAME
COMPENSATION] N SRANCF, e -,
306—
_L`�OLDOIJhI -
(This melon need not he cinmpe it is ler one hdred ddllare
In,led if tnermun
9(Elu(nor leas) '.
'. ' ,307
v- -.INSULATION .- .. .
I tly,he, ith p.rrn it the- ark l - nichth p lis isund 1
i
v 0H
SI IEETROCK '
shall t pl y y pe y n t because bj t t the Wok
tionLar.—fc fir da,D:ne
” r 30`3;,
- EXTERIOR LATHApplica
NONCE
NOnCL TO APPf (CANT ❑ tiler rk' gth C nf' rBxc option you, nada
31.4'1
- INTER'I'OR LATH
bee n, ,t new k c u,notion provisions of the Labor .Code,you :trust
forthwith c Inply with provisions or this punm
t shall be deemed revoked
�"l�l
3s
— SCRATCH. COAT -
CONS I'kucTION LENDING AGENCY
3.13
_
ROOF ,NA LL
in -by fe,n,tnld 'a'o4a,drronle„di,g,gery for the petonnanee
.I he k to 'which his p It I: ',sued (Sec 3097, C c C)
" '501 �
— .FINAL ELECTRICAL. ENERGY .
Lenders Ners,
Iedder's Add....
502— FINgL PLUMBING ENERGY
Icer fY Watlhave head d': ,PIid„,Iunb - r .ti is
503
— FINAL: MECHANICAL, ENERGY '
Loert.Iagreetocomply t u city d county di dot 1 lig
building t t II by d representatives 1,1 city to enterI
504
— FINAL BUILDING -ENERGY .' .:
nendproperty de p t pm e
(We) ag, . J ,e Jkeep l an,hefty ., p n against
Rubin , i 1 i es,en,,, h h any i, any } ' crus ag'i nsf . 'd
1g 5
r n 0G
— FINAL-ELECTRtLCAL ' '
. "dc
GAS TES
eenne
City one9le,c
APLZCAMrU E TAN ANIy1y'ILL COMP- LY WITHry LIN( N
TAN
'
I$Sl1C 7
Issue '
- FINAL''PLUMB:ING Datl
RCL IONS
G/
sig t pp1 a,vcn rade ' ��
IIAlARDOUSMATERIALS DISCLOSURE
: Re -roofs. • '
509 '—
- s ,'� -
FINAL;•GRADE ,
Will the to f bu I i g P tw .. he dl ' le olmm
an'al„
u%dl dbylh Caper Municipal Cnd.Chapter 9.12,and to Healon andSarety
Type of Roul
,J 1:0 «-
FINAL. PLANblING '
'God , See, 25532(x)' '
❑re. , - ❑No' -
All roofs sha lie4inspe&hP3Rbr t5)h49lroW1ng4fW'i 4f.' being installed.
Will be ,,Lear, hillare hitbuilding - p t tre e9d p t d' . which
_
Ifa roof is installed without ;first obtaining, an inspection, I agree to remove
mill J w,t , ,detailed by,l Bay Area Ad Quality Mnagetncm
istrial
' 11
'.
.„
all new materials for
-.
inspection. Applicant understands and will comply with
, ❑ivo' _
all non -point source
regulations.
I have read the haiuus rancials hcilhilcjhlrius ander CIlapacr 695 of(,ne
California Health & Safety Code Sections 25505 25533 and 25534 1 undean,and that
-
itolebuildingdoesnoteurrentlyhaveameant, that it is niy tie,p.n,hvl,ty to rally the
ef rth 'rel tl nen,ua ,priorml& ad2g.'fm- oL
°eCcpp
Signature of Applicant • Date
-
All roof coverings to be Class "B" or betterat
Gwnernraamo,,.ed:gent o:,e
,
- OFFICE