00110044 CITYOF,CUPERTINO•,
BUILDING DIVISIONCONT
PERMIT ' RACTOR INFORIVIATION:,k
BUILDir'G ADDRESS: -
* '. „ . . PERMIT NO.
KITCHF_NS ' BY MEYER' 001.1.0044 .
OV.ry {t'S NAMI -
-ti .( _ '`APPLICATION
_SUB DA'rG' - r
n 'Y ' P76. CASTRO, ST 1410612000 ,
]NF - T)nR, '! , SANITARY NO. CONTROL NO.
(4'15)386r -8318
ARUIITLCT/ENGINEER: I BUILDING PERMIT INFO .
u
't BLDG ELECT PLUMB MUCH
Z m II CLCT
NSLDCONIRAORSDECLARATION 'Job Description
I I by�0 Pon I d' nxW code,I I'CI pl 9l ,n en"ng r Oesorl p
r f°.
tilhs i 70Ey fUo 7 tlhelll
drfmsi
,n
s Coacendinyltese
fc a
ITCHEN� REMODf-EL s° K
Do,, ARCH ITUCUS DE I-AR
Iunderstood any plans kllb
d Ihl I
LicensedI 1. ml Is
OWNR 9R DECLARATION
hereby h onII xclnpt JeContractor tl L (
ng (Section 7113 1,1,Bull,,,,, dPsC l AS, ly u..
which acquires pc I I .I II p e,dcadIrepair Y structure
Prior I I dea.pplicana aw,hinerninu l l ,igi d l them
hot he I,licensed parracen to the pic f
° -
^
'
..
the C t acl r 1 L 9 S[U apter 'dor Area - -
(e n g' ln5 I 91101q fD' 3 flh Bs IP 1..- -Code) - q• FI Fl1 .'�.� ',: alua '
or.11hat he is exclopth 1 J the basis lot the ll g J crecal,lion.Any ofoldion _ -
nfs t 9f13i5 by y Ipl' tforalx. , Inubjwlx We ppl Atha c v'l penall - - s
-orn t J m B.e l I d d lh rs(5500). y x APN Number' cc ancy Type '
D ' ' p uln ,
II work, thIIr : I intended offered le( 704 t 7"
' i
361
Bnn d
Profession,Code I c I I L e E a I pply to an -- '',Required Inspections "
Irnorinot p I ly WI I IJ. p Ih J h k nasell <
l d id r - pl I a d t'- p I. I' I ended,,, 101 —' FOUNDATION
ntiered for sale.If,reserve,(lie building ny r npro can-s sold within one year of -
emnpletlon,me oixos,d,alder will have in,bunion ofpr......mal he fallout nand or '- 10i — -PIERS '
taproot,fin, p f ),
oI.as owner of1 n y - Professions
I r m .- d r I" l0
I ' 11i UFER
construct theproject(Se 7141 H J P 1 i :Cld )no Collart 104RERR
R
Li L I pplyfp p y h n p
and n reattach,n n projects with ,mravl,(s)licensed pursuant.t„m= 105 ANCHO
R BOLTS
el Ir reSov"odr ,
'.
Lice
�.B&PCfor thiarmxon 108, SEWER 8WATER .
Cooler .. Data 20 2 L,ICdDERFL00R PLUMBING .
WORKER'S COMPENSATION DECLARATION - ^ -�1^ — UNDERFLOOR MECHANICAL
1n ny nr J penalty Ip I y of the followinga r 804 - UNDERFLOOR, FRAME.*, .-. -
. 1� and Ilp sail for Certificate
f 39000 Consenttolin CoduWokth - ..OQi5 .UNDERFLOOR II`dSUL,._ATIDN ,
Iserfunclarace of lhv and,fo which Ili s li I s Saul,
301 - -ROUGH PLUMBING. -
El
Ihave.idw�ll lar Worker:Compensation1 . I ' dr a r , 3tb a -- TL1P.�A', OR SHCIIJER
9900 of the Labor Cwt I II p ec I the work for which this fir,n's !
sx a Mye�ar„msur aPoly , berare: 303 . ROUGH ' MECHRNICAL .
C. ( /'� t . PnlvrNo. 37 304 = kb0GH ELECTRICAL
CERI'IFICAr1ONU1'LXEMI'TION FROMWORKE 2Of�
COMPENSAIIONINSURANCL / .x,05 „- FRAME
(Ths actionI Ib pl ld Ith p 'f f h J IJ Marx
I . .. 306 = HOLDDWNS +.
151001 ._1
"rtlytht in file p d' of- the workf h'hti:p I . ned.l„'
shall I play y any any n , :Ih subject IhW Workers 330¢187 .•- SIHNESEUTCRROTCIID'v
CI La I CalI Data
Na'
- -
''
Applicant_
NOTICE uOAPLIf II gI fC p1 you II 309EXTERIOR LATH
.
bu nJwnutire
Work C p ut provisions Lb Col you :1-31.0 TNIERTbR' LATI4 '
-
.O C ford ❑ countrywn, call ov.,ns ,rths pvnnsnall he-declined revoked _ `341' --SCRATCH' COAT
z. .
COna is 91ON LENDING AGENCY .. `-
a" Ih r a that
hlto r rlendingage ynrmepHo„ ,e ?iL, — ROOF IEIRIL
Later',
rm kfor
IIh' Ipermessm ed lS v.3097.Civ.CJ I ,a
pW„C Lend :N "1501: - FINAL ELECTRICAL ENERGY ,
z old :Adl 50E, '; FINAL. PLUMBING ENERGY
U.O , Ivulfy lh,l 11 Ilh.application and that h at '1
w — MECHANICAL ENERGY
p aslaidfl g I Ip1r lines,E tun d county nt a.tl to s,,alirt 50x1 FINAL
V. Inb Id' 8' a i JI by' IM1 p If'. flh'. 'IYt nte'upon a e
em,reeuIn's.i,yrnar,cold
}I ,pnrynsex. 504_ `- FINAL' BIJILDSNG ENERGY
°F14
(We)agree I 'pe dktlr- I. acCly fCPn'n e' .I
m Banit :1 1s .x t a=.pe,xex h 'v r r against a' 91b5 . -•= INRL ELECTRICAL
U.z c,Irt „e p 506.— TEST
APP NT UNDE LL COMPLY WITH AIL OPO - , r
'ouRu ,_— � Issued by: - -Date;9 By ° I
Sit US
HAZARDOUSMATERIALS` —DISCLOSURE� I Re-roofs•. r 508 — FINAL NIECHANICA1 ,. .
Will he ppr,al buildifignsco.,gent ala a
axdl anyn cur I M ' pled cl Ptenesl12,.an Health and Safety
`,'rypebf:Roof 509 - FINAL_;GRADE
Code Section 25532(a) AL' PLANNING..
❑r- 510 FIR
s _
;.
All roofsshall,�e p ,
11pt ecteld gKlto vLy1Lof�tll tE�t lc�eing Installed.
W II Ihe'Ipl' I ounce building eoccupant 6. eq, I I d ulah if a roof Is,installed_without ir_s�t•obtaining an Inspection, I agree to remove _
emir N .c u. v u nl nfs its Je1mW by the Bay Arca A Qualify Munugcmenl _,
s:r oye. r 'ONO'' all new materials fou inspection. Applicant understands and will comply with
all_non-point source'regulations.
I has, file Ine,tindous facceri.1, I L under Chalphor 695 oftheLeldro(uHealnh _ ' + .
Safety ,k f
If the building do,,act I w
lly he, e dial at is'troy rep oll xdul ity to bry the !
occupant of the ad out can,Ion nn61 be east prior to issucen cc ofit Certifirtoo of
' Signature of Applicant. - Date
me _ ,r All roof•coverirf to be Cla-ss `;B".or better '
OFFICE
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