00110032 CITY OF CUPERTINO "" "' "+ xxet.�.•. ' y -
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: ., �\ PERMIT NO.
1. 196 CREST R Z�3 ICf1wIf D E S J/�
OWNER'S NAME' APPLICADOM D L '
HABERI F HFi f
SANrfARYN (SN . O.
O O ARCHITCCENNGINI',ER: - BUILDING PERMIT INFO
❑.DO +IiLECY .PLUMB MHCH
0 O v=Ni I Hereby iLICENSED
nithmiDuCON
li cnwJ�Ok'lS D[CLARIAChOuptcr)(cnmmcnr,ina• Job Description
zOy with Seetiun911IXIp,fDivivion3oflht BnsincnxunJ Prnfe..ians Co, ,tarlo,licenne
x2� isiamllforceanJcffect. .. "
.< License Class uc.« KITCHEN/BATH, REMODEL
3 e.F Date Contractor
I IIT eCf'S IECI,ARA'I'ION '
so 1 nmgqmla I In ,sl ...d a..pnhllc records
ii p ,ens J ItlRcslo al
.,Som OWNER-BUILDER D17 LARATION -
u7 I Irately alYrm Ilia,Pans oxengn 1'rwn the Con[....o is lecenw Law fort IM
t i following reason.(Section 701 IS,BourN,and 1'rnfevnions Cade:Any city or county'
QFC Ii hrtq Ire- pc or , r apt n� a Je Lh p y wnure
�u 3C3 par , t issuance, 1. q m applicant .uonto tt ic g J rtnncm
moth nl It m p Id c m , r L I (Chapters Sq. Ft. Floor Area A Valuation
(n y lbSvr ]Han fD 9 f,h D .' JI f ' xle) 4 _ �i.� ..,
r S the .31.5 b 'an from and the ba lo,the cts ffic corruption.Any vinlre nn ° '
of Section HULS by any vpplicum for a pemtit subjects the apPbcnm It a c,vil penalty -
prnotmnrantann�eind,wdollar,tastal.- . 'A'PNNumber �O 0. Oc dl%h pe .
°l,re owncrnr me proper,truly empleyces withwe,es us theirsole corranautint.
,ill do the xa,rk,and the snuemre is not intended or offered for sale(Sec.)BW,
•Busioem and Pro ..I...is Cade:'rhe Control, s License Law does nor apply to an w+ `y t rWe'quirecFopections .
x ner ot pro,wrty Who builds prove. therron,and who does ruch work hi usclf
or intend,I'. o m I I y .......dal 11 ,. m p �at I I m ad,d nr k -
mrerear uI .If.ho the h'Idins or impoo.uner,i,sold verbin meyphrof 101 —' _FOUNDATION
completion,the twnar,wader,.iu war
me harden tr pn,eins mat he did not w,ila ' — .
. . improve' purptmo ]0e^ PTEP,S .
°1,as owner of pmpcny.an urtaclin,with licensed camrannrs to • 103 — LIFER - ` v
etn.It the p,ajec,(see.y(W,Business aad Pinression,Code)The Comm mr's 1.04 — P.EFIA R ,
!tLiezuse Law does n t apply to an swum propeny whit builds or improves Increon.
de cmnme ,arah projects un a commalm(s) licensed pursaaal 'o the ANCHOR BOLTS
Cnnwnors hoc .e,n w: ' -105 ._ s
❑la mae,s '. _ ,BaPcfor miareason , 106 'SEWER R. IaIR'fER .. •
U
wns �— oeRL coM1l'rNsnru)NrnicLnannoN 002 — LINDERFLOOR PLUMBING,*
Ihcrelb aM.under pnahytfperjuryone trmeh,lioom,kelemaan,: 203 — LINDERFI_OOR MECI-ihNICAL
lo- 1 'd n ' ' n a r tfcaf I Consent to:Ir .mr Workcr.• 204 — UNDERFLOOR FRAME
carp :c t pit idcd f by sit myonorma Lith cost, me me 205 UNDERFLOOR TIVSI!II_A f I Ohl
pert nc f,ho wo k f h h th'.a pc i s J.
❑Inavt ata II t "w k :.e 'pen-t insuranceImes br leci an 301 ROIJGH PLUMBING
3nultnlc 1, cnI r o II cot- nn k' nd :p ttIa 300 — 1.1^IB & OR SHOWER
ssuea MY Wo pr t n l . u c el a e cY a h s. _ ,
camel�! l4hyN . 303 — ROUGH" MECHANICAL
CP.RTII ICA ON OP L'XEMPTION FROM1t WORKIiRS L51L'14- �• ROUGH ELECTRICAL
COMPENSATIONINSURANCE
305 -FRAME
lad.action need nm ho completed eat permit ix for one nu�area ntua,a 306 — HOI„DOWNS
ISI W)or less.) - -
1 a,hif,ma,in the perrunp:mee of the se k roe whicli tmx peri,is issued.1. 307 — INSULATION
shall no,employ any person in any manner so as to Monne subject m me Workers' -
Compensation Laws of Califomiu.Date 308 — SHEETROCI Applicant
I_<
Nmlcl 'lonppucn"l II n ak;t_snl:CeRl eneme.etttprtnl von.houla. '309' — EXTERIOR LATH or
O pMen .uhf ntotheW kr.C- pnniau np afhel.ahm Cni tu,ms,
,forthwith comply ahpr ,: orth:pannn.hanMdeemedmvoked, 310 -' 'INTERIOR LATH
FCONSTItl1G9lDN LENDING AGENCY _311 SCRATCH [.OAT ' :•,fj
a 4 1herebyaninnnmtmere aeon.wii
af]cndmm
gagennrforepeRonnane 31.3 — ROOF hIATI,
spite work for which'his permit is issued(Sec.3W7.Civ.CJ '
W ❑ I<nder's Name - '
� z
Lender's AdJrexs 50.1 — FINAL,. ELECTRICAL ENERGY ,
VC IrcAlybe.Ihave mail this.,fi,adanona.talebut the above oferni.ionis 802 FINAL PLUMBING' ENERGY
OW.0 E= torrtc 1agreetocomplyx"i'hallcity nddisprmdmificesadd xmmlawserupon 503, FINAL MECHANICAL 'ENERGY
r, mna Wel, na t n Ih hereby authorise p tatives of this city menta,pan _ —
y W ",a an r, p. . 504 -' FINAL Bl.lIl_DING '
[r Or (W.. .. :u t d ntly ndA l l I YlheGry fG pnmug"inet RGY
0 v1 liahlt jJ u.c t J pest` 1 1 may in tiny y against said 5 — FIVAL ELECTRIC
Z City c f the gmm f ,s t t e
r SAPPLICAOL�CI Of DC S.
W OMPLYWITHAILNONPOINT IssUECI by: �' ��,IvVC-GJ Dale TI-�J .
ignaltr,of ApplicnnUComir nr Dae Re-roofs
HALARDOe auldrERIAI.SIHSCI.OSURE 508 — FINAL MECHANICAL'
-Wilby the Customs,
intMuni opal Cg e,Chapter
anre nr handle w,ardoan Safer l Type Of RO10,9
as defined i me 32mU nnwni,ip:aencs,couplery.12,artsmeDe:,hnand s°f`''r FINAL GARDE. "
Cale.Section 25532W)'!
°Ye
All roofs sha�llQ irrspdFt1hlHor i-dLN:LaW IM(T Bt@ material being installed.,
Will one ajf ue.,al6,mum bulltl'mgocenpam use cynipmemnr devices when. If'a roof is i�Fa�-wiBil' i!u4rWst thujtLn' nett ns l a'fee (O remove '
mit hisandon,air contuminann es dr,(xtfd by the Bay Area Air Quality Mmmgemcnt cR'� b
shim i all new material for coon. Applica understands and will comply with
°i °N all non- tints ores regula Eons.
1 d t I .ndn "t ""1requirements d Chapter 695 r the ,.A(. ./q�•-- •• -
C'aof ” He Ithffi 1 ryCade Sections 55urs 23533 and 255ii Iunderstand'hm �/
f,heb Nile l u rtemlyh t am th t t y e:po'blu" ,f)th VVV
wcupam tl'Ih a ,ant wh'Jt m t h t putt n, snu" ,a tl,G.nB,n of
Occu ancy. _ _
r �rer '/ �-3J Signature of Applicant Date
uwnforauthorizedagent Date All roof coverings to be Class "B"or better
OFFICE '
CITY OF CUPERTINO
BUILDING DIVISION INF10,RMAT1 N:1
PERMIT
BUILDING ADDRESS: PERMIT NO.
Aliq If,
"OWNER'S NAME 'y APPLICATIONSUHDATE!l
HONE: SANITARY NO, i CONTRO.Lp.
ARCH=1ENGINEER: PHONE# BUILDING PERMIT INTO
EI k, PLUMB MECH
LI—I
NSPEC' TO ARRANGE INSPECTION JOB DESCRIPTION
CALL 777-3Z28MONDAYFRIDAY 24 HOURS RESIDENTIAL,
BEFORE REQUIRED INSPECTION.JOB ADDRESS D SFDWL RJTCHEN REN40DE
FOUNDATIONIPIERS/H.D.S. AND PERN41T#ARE NEEDED WHEN PHONING. El ADDIrION Cl PLUMBING RE-PIPE
UFER GROUND 0 MULTI-UNIT 0 STRUCTURAL
PAD/SET BACX-CERTOTHER
— RESIDENTIAL —COMMERCIAL, MODIFICATION
GARAGE SLABSIPREGUNITE HAZARDOUS FIRE AREA 0 CHIMNEY REPAIR
NIP OVEMENT 0 SWIMMING POOL
t'Po LFF NO CURb�ETt-b�rfiLFABOVE HAS',h rhN SID Of n, P
z �;�AIHREMODEL/REPAIR 0 DEMOLITION
C1 YES If, I r do,,,ard ftr,,Cl.,A r I rc,io,d
20 UNDERGROUND/SLAB E, OTHER
net—
PLUMBING
i Cl NO luid.1— LC B.O.0
ELECTRICAL
cDONOT.POUR FLOOR UNTrit"ABOVE HAS`BEEN SIGN EXISTING ROOF COVERING COMMERCIAL
t,. PLUMBING C1 NEW BLDG/ADDITION El DEMOLITION
Nurnbcrol to,wito,coverings F1 TENANT ED FOODSERVICE
MECHANICAL IMPROVEMENT
ELECTRICAL0 OTHER
FRAMING VENTS
Tirlucoor,.ved— T.1heretafined—
INSULATION
PiJCCE NO S U BRI56 k 16'N'T'll"A R'O-VP'H-A';B EE'NFSIC TYPE OF ROOF COVERING
ROOF SI EATH/DIAPHRAM EXISTING, PROPOSED,
0 Buil(-UpR., C1 o1 Built-Up Roof
PLUMBING )"iv
❑
TUBS&.,SHOWER PAN El AsphultShungie' 0 A,rh.ltSIu.g1c..
MECHANICAL /9 zMnL E3 Wood Shakes 0 Wood Shakes
ELECTRICAL/POOL BOND C1 Wood Shin,,Ie% 11 Wood Shingles
FRAMING/STAIRS/E.EGRESS ID Other(Specifv) El Other(Specify)
INSULATION/VENTILATION A 7/e)/ /&&.— Provide I.C.B.O.Report No.
eCOVER'NOHORK UNTIL ABOVE HAS'BEEN SIGNED,4,,'t., Provide Mfgr Installation Specs.
EXTERIAL SHEAR/HOLD DOWN
INTERIOR SHEARMOLD DOWN
SHEETROCK/SHCETROCKSH71R INSPECTION SPECIAL INSPECTION REQUIRED El DATE INSP
EXTERIOR LATHAV-SCREED
SHOWER LATH
NO,TA]?E bWP6'kstme UNTILABbVERAS
SCRATCH COAT
SEWER/WATER
TEMPORARY APPROVALS
OCCUPANCY
NP,
z PLANNING 777.3308
Z 2 GAS TEST
GRADE W.W.777-3354)
WC FIRE
C, HANDICAP
D z
C) ELECTRICAL
Or, PLUMBING
U
MECHANICAL
ENERGY
VISUAL FINAL ONLY
0=1
BUILDING,'
°OCCUPANCY;OF BUILDING IS NOT FERMITTED,L .,,,,J.�
',UNTIOBUILDING FINAL:iS SIRTEB 0 Rtl
CERTIFICATE OF OCCUPANCY 0
PRE-INSPECTION: PLYWOOD: IN-PROGRESS
INSP.— DATE INSP.— DATE_ INSP.— DATE
TEAR OFF INSPECTION: BATTENS FINAL:
INSP.— DATE INSP.-- DATE INSP.— DATE
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION
APPLICANTS POSTING COPY