00070134,CITY OF CUPERTINO ' I,-
- BUILDING DIVISION PERMIT
CONTRACTOR INFORMATION:
BUILDINGAIIIIRESS: -
,
PERMIT NO.
OWNER'S NAMIi'. 1 -
' a
APPLICATION SUIT DATE
. 10120 N. DE ANZA BI_
00070134
PHONE: e
-
SANITARY NO. CONTROL NO,
ST.JOSEPH OF•CUPERTTNO,
07/24/2000
Z ARCHITEM7ENCINIifiR:
F
If
-I111.IlINC YFRMI"I'INI'p
PLUMB MECII
Z LICENSED CONTRACTOR'S DECLARAT YN '•
1 hereby alrmt tit t I m IittnaJ u J p ,. n I carrier 9 (commencing
Job DeScr1 IIO s
- p
wth Seaon 700fpmfD' lathe Bu. Bar fes nts Code and my hccnsc
` in mu R,ore . rid effect.
I. cense Class 1. p
Dna for
ARCItI'IT?C'I"S DECL'ARAT'ION
S DEC
ander,aoayplan.
mshnBbe2olie uhlierecoah,
STORAGE ROOM REMODEL.
oLicensed Professional
y OWNER
-BUILDER DECLARATION
1 hereby arfirn, the, 1 am exempt rmm the Contractor's License Law far the
.'
yfollowing Person. (Section 7031 S, Business vna Pmfmsinns Code: Any city m county
'
❑ which l"L.Ilel a forela n, construct, nitcq.ilnprove, d,a Josh, or repoir any'slmmnle
-
priorto its lssunnae, also mqulrcahc npph,unt tar such pane It to file. hired etmomcat
that he is licensed pursuant to the provisions or the Contractors License Law(Chapter)
Icommencingwith Section 7000) nrnivismn 3 of the Business and Professions Gvle)
S Ft. Area -
q• - Valuation ,
or that be is exempt therefrom and the basis for the alleged exemption. Any violation
of Section 7031.5 by any apprant for a permit subjects the applicant to a civil penalty
of no, more than five hundred dollar. (S50p).
APN Number Occupancy Type
❑1,a. ownuror the progeny,onnyemploye,, with wuycns dori,olecomrensoion,
83000 '
will do the wore, and tha amaClore Is rat attended or,n'fered for arae (see 7044.
-
' Rearrest unit rrofesninadCoac:'rhe Coltlmemr's uceme l.uw doer. no, aptly to an
- s Required Inspections
ow of pmpeny Who builds or improves thereon, and whin does such work himself or through hi, awn employees, p.,idcd that such improvements arc nut number] to
offered for sale. Jr. however. the Molding or improvement is sold within one year of
completion, the owner -builder have the burden
11.6260 93. 00 w �7
wilt ofpnwing that he aid no, build or
improver p rn f. l ,
a]J
101 — FOUNDATION T�
01. Ills p 10"Cry, I . ly t g Illtr t a tr,i'
'
1.02 —'PIERS � .
construct
oat ct,hcp jeer (S .7004 lir' Profession, fes : Cd )InoC fir
icen Lew cities
notapplyl ofPropertyn I Id. p :n n
hall who commas for such pro3ecu xnh nmeor(s) licensed pursuant to the
103 — UFER
- -
CnntrabtoraLiece'Law.
0 lam exempt under Ser. • ,B& P C for this reason
1.04 r REBAR -
Osener ,late
105 — ANCHOR BOLTS
WORKER'S COMrlarvsrcnON DECLARATION
1.06 — SEWER & WATER• -
I tereby, arrrm Ender petmlyerl'crin,y mwof me fouo,",in, o'claath P: x
202 — UNDERFLOOR PLUMBING
0 1 have cad will maintain is Cenifieme of Causing to self inure far worker,
203 — UNDERFLOOR MECHANICAL
Compensation, to; provided ferry Satinn 37W of the Labor Code, far the
peRmmance offle work far which IN, pem,I, is i ... ed. .•
'
,204 — UNDERFLOOR FRAME
O l haseara will maintain Worker's Compensation Insurance, asregaired by Section
05 — UNDERFLOOR INSULATION
7700 of the Lubar Cole, for the perrounance or the work for which this permit is
-
,med. My Workr,,Cmpea.anorlasuallccemil,radrelaymortarare.
301 — 'ROUGH PLUMBING
Carrier Policybo,
302 =' TUB & OR SHOWER.-
CERTIFICATIONCO!s POF FROM NSA'UON INSURANCE
303
303 — ROUGH MECHANICAL -
(This section neeanet becmalleedifhepemtltisforronehundred dollars
304 — ROUGH ELECTRICAL
(aloBj one...)
305 —.FRAME .
I ecn'Ilfy Bill, in the perro;mmucC ul nye walk for which this Pam; t it Issued. l'
shall not employ any pe - n manner so ,o become subject to the Wgrkers'
BOE —' HOEDOWNS' .
cWficeiation - of Ira°".Date 1 '.
beam
307 — INSULATION r
LI
NOTICETO odhe NT: CenincmfofEabor ode, youshould,308
become subject unite ork sa �r �n:in Certificate
of,he Labor Code, you must
— SHEETROCK '
forthwith eomplywith such fir pveion,I I, permit hill bedeomedrevoker.
309 — EXTERIOR LATH
CONSTRuarl
rchy,rich ON LENDING
heWm thim is a construction lending area, fohhaperfommnee
� 310 INTERIOR LATH, -
offlaI
e work roe when this pei, issued (See. 3097, ao. c.)
Leader's Name mnn
Len -
� 311 — SCRATCH COAT '
Lender. Adam„
,' 313 — ROOF NAIL •
Iconi fythat l have read this .,Ical too and. late that, he above information p.
ielect 1 agree a, comply with all city tied county ordinlances and state laws,elullng
5 — INAL ELECTRICAL ENERGY
-
,°bnuaingaonxteucnon, andweebym,tmrieerepre,enmavesei hNsitymenterolwn
'
02 — INAL PLUMBING ENERGY
nna an mR d„L prnyl ,I e,io p rp:
(W) t srlo indemnity ndk spit I ss the C'ty fC peninn eba m
`
503 — FINAL' MECHANICAL ENERGY
costs
l o , d xpen: es which may in any way archaic agmnnt a
City i 1 q n til:,
cityrctttgreeconnegmnt g rthis pm l
AP ANTUNUER.TTANDS DW N_ON PO
S RCE REG
5Q — FINAL BUILDING ENERGY
15suedb
y: — AL Date
s•tmmremApt lteau on one Data
)OU 'Will
Vhhpt,,w�W
Re-ris 50—,GAS TESTA
ateapplieaa or ratam bmldinge hamodons mmeriul
Type of Roof 507 ' — FINAL PLUMBING,s
defined by the ca niao hfvMcipal coe Health and Safety
ode, Section 21532(nL'
508 — •” ':n
FINAL MECHANICAL°
O Yes : O.No , •'
All roofs ShaIPJ@9uSpecR(tj#Alr tnGME)Efing material being installed.
emit hazardous aplicant rfirtiesde0ned occupant
Will cmeapp0enm orrrst nnddmg by Bay Ar. Air shortly
Bay Air. Air Quality vicesehich
Ifaroof is insrpjleo Acttpoyt�{[otRiiAmtp�ppection,'I:agreetoremove `
Dintrmto yes ❑Nn
all new ma[ert�l or,uls {fgLA_q gnfjtnd f4b0tand will comply with
all non -point so r e reg la i'o""tISS.�§.
11, i
I have read ,he hreardous materials m6manehts under Chapter 6.95 (if the
`
California Health & Safety Cade, Sections 25505, 25533 and 25534. l understand that
if the building does not currently have a tenant, that it is my nesponsihility to notify the
occupant fir the relairemems w ich mus, I, met prior to issuance of a Cem Beane or
-
Occupy
•r'] 2��
Signature of Applicant I" Date
' l(
All roof coverings to be Class ,"B',' or better
ow arrow e, age . Date
,CITY OF CUPERTINO ' I,-
- BUILDING DIVISION PERMIT
CONTRACTOR INFORMATION:
BUILDINGAIIIIRESS: -
,
PERMIT NO.
OWNER'S NAMIi'. 1 -
' a
APPLICATION SUIT DATE
. 10120 N. DE ANZA BI_
00070134
PHONE: e
-
SANITARY NO. CONTROL NO,
ST.JOSEPH OF•CUPERTTNO,
07/24/2000
Z ARCHITEM7ENCINIifiR:
F
If
-I111.IlINC YFRMI"I'INI'p
PLUMB MECII
Z LICENSED CONTRACTOR'S DECLARAT YN '•
1 hereby alrmt tit t I m IittnaJ u J p ,. n I carrier 9 (commencing
Job DeScr1 IIO s
- p
wth Seaon 700fpmfD' lathe Bu. Bar fes nts Code and my hccnsc
` in mu R,ore . rid effect.
I. cense Class 1. p
Dna for
ARCItI'IT?C'I"S DECL'ARAT'ION
S DEC
ander,aoayplan.
mshnBbe2olie uhlierecoah,
STORAGE ROOM REMODEL.
oLicensed Professional
y OWNER
-BUILDER DECLARATION
1 hereby arfirn, the, 1 am exempt rmm the Contractor's License Law far the
.'
yfollowing Person. (Section 7031 S, Business vna Pmfmsinns Code: Any city m county
'
❑ which l"L.Ilel a forela n, construct, nitcq.ilnprove, d,a Josh, or repoir any'slmmnle
-
priorto its lssunnae, also mqulrcahc npph,unt tar such pane It to file. hired etmomcat
that he is licensed pursuant to the provisions or the Contractors License Law(Chapter)
Icommencingwith Section 7000) nrnivismn 3 of the Business and Professions Gvle)
S Ft. Area -
q• - Valuation ,
or that be is exempt therefrom and the basis for the alleged exemption. Any violation
of Section 7031.5 by any apprant for a permit subjects the applicant to a civil penalty
of no, more than five hundred dollar. (S50p).
APN Number Occupancy Type
❑1,a. ownuror the progeny,onnyemploye,, with wuycns dori,olecomrensoion,
83000 '
will do the wore, and tha amaClore Is rat attended or,n'fered for arae (see 7044.
-
' Rearrest unit rrofesninadCoac:'rhe Coltlmemr's uceme l.uw doer. no, aptly to an
- s Required Inspections
ow of pmpeny Who builds or improves thereon, and whin does such work himself or through hi, awn employees, p.,idcd that such improvements arc nut number] to
offered for sale. Jr. however. the Molding or improvement is sold within one year of
completion, the owner -builder have the burden
11.6260 93. 00 w �7
wilt ofpnwing that he aid no, build or
improver p rn f. l ,
a]J
101 — FOUNDATION T�
01. Ills p 10"Cry, I . ly t g Illtr t a tr,i'
'
1.02 —'PIERS � .
construct
oat ct,hcp jeer (S .7004 lir' Profession, fes : Cd )InoC fir
icen Lew cities
notapplyl ofPropertyn I Id. p :n n
hall who commas for such pro3ecu xnh nmeor(s) licensed pursuant to the
103 — UFER
- -
CnntrabtoraLiece'Law.
0 lam exempt under Ser. • ,B& P C for this reason
1.04 r REBAR -
Osener ,late
105 — ANCHOR BOLTS
WORKER'S COMrlarvsrcnON DECLARATION
1.06 — SEWER & WATER• -
I tereby, arrrm Ender petmlyerl'crin,y mwof me fouo,",in, o'claath P: x
202 — UNDERFLOOR PLUMBING
0 1 have cad will maintain is Cenifieme of Causing to self inure far worker,
203 — UNDERFLOOR MECHANICAL
Compensation, to; provided ferry Satinn 37W of the Labor Code, far the
peRmmance offle work far which IN, pem,I, is i ... ed. .•
'
,204 — UNDERFLOOR FRAME
O l haseara will maintain Worker's Compensation Insurance, asregaired by Section
05 — UNDERFLOOR INSULATION
7700 of the Lubar Cole, for the perrounance or the work for which this permit is
-
,med. My Workr,,Cmpea.anorlasuallccemil,radrelaymortarare.
301 — 'ROUGH PLUMBING
Carrier Policybo,
302 =' TUB & OR SHOWER.-
CERTIFICATIONCO!s POF FROM NSA'UON INSURANCE
303
303 — ROUGH MECHANICAL -
(This section neeanet becmalleedifhepemtltisforronehundred dollars
304 — ROUGH ELECTRICAL
(aloBj one...)
305 —.FRAME .
I ecn'Ilfy Bill, in the perro;mmucC ul nye walk for which this Pam; t it Issued. l'
shall not employ any pe - n manner so ,o become subject to the Wgrkers'
BOE —' HOEDOWNS' .
cWficeiation - of Ira°".Date 1 '.
beam
307 — INSULATION r
LI
NOTICETO odhe NT: CenincmfofEabor ode, youshould,308
become subject unite ork sa �r �n:in Certificate
of,he Labor Code, you must
— SHEETROCK '
forthwith eomplywith such fir pveion,I I, permit hill bedeomedrevoker.
309 — EXTERIOR LATH
CONSTRuarl
rchy,rich ON LENDING
heWm thim is a construction lending area, fohhaperfommnee
� 310 INTERIOR LATH, -
offlaI
e work roe when this pei, issued (See. 3097, ao. c.)
Leader's Name mnn
Len -
� 311 — SCRATCH COAT '
Lender. Adam„
,' 313 — ROOF NAIL •
Iconi fythat l have read this .,Ical too and. late that, he above information p.
ielect 1 agree a, comply with all city tied county ordinlances and state laws,elullng
5 — INAL ELECTRICAL ENERGY
-
,°bnuaingaonxteucnon, andweebym,tmrieerepre,enmavesei hNsitymenterolwn
'
02 — INAL PLUMBING ENERGY
nna an mR d„L prnyl ,I e,io p rp:
(W) t srlo indemnity ndk spit I ss the C'ty fC peninn eba m
`
503 — FINAL' MECHANICAL ENERGY
costs
l o , d xpen: es which may in any way archaic agmnnt a
City i 1 q n til:,
cityrctttgreeconnegmnt g rthis pm l
AP ANTUNUER.TTANDS DW N_ON PO
S RCE REG
5Q — FINAL BUILDING ENERGY
15suedb
y: — AL Date
s•tmmremApt lteau on one Data
)OU 'Will
Vhhpt,,w�W
Re-ris 50—,GAS TESTA
ateapplieaa or ratam bmldinge hamodons mmeriul
Type of Roof 507 ' — FINAL PLUMBING,s
defined by the ca niao hfvMcipal coe Health and Safety
ode, Section 21532(nL'
508 — •” ':n
FINAL MECHANICAL°
O Yes : O.No , •'
All roofs ShaIPJ@9uSpecR(tj#Alr tnGME)Efing material being installed.
emit hazardous aplicant rfirtiesde0ned occupant
Will cmeapp0enm orrrst nnddmg by Bay Ar. Air shortly
Bay Air. Air Quality vicesehich
Ifaroof is insrpjleo Acttpoyt�{[otRiiAmtp�ppection,'I:agreetoremove `
Dintrmto yes ❑Nn
all new ma[ert�l or,uls {fgLA_q gnfjtnd f4b0tand will comply with
all non -point so r e reg la i'o""tISS.�§.
11, i
I have read ,he hreardous materials m6manehts under Chapter 6.95 (if the
`
California Health & Safety Cade, Sections 25505, 25533 and 25534. l understand that
if the building does not currently have a tenant, that it is my nesponsihility to notify the
occupant fir the relairemems w ich mus, I, met prior to issuance of a Cem Beane or
-
Occupy
•r'] 2��
Signature of Applicant I" Date
' l(
All roof coverings to be Class ,"B',' or better
ow arrow e, age . Date