06080094laz
CITY OF CUPERTINO
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BUILDING DIVISION PERNIIT
ONTR.A.CTCIR TNO�ITIN fi n
BUILDINGADDRESS:
MEADE CONSTRUCTION -GROUP
NiipAlI NO.06080094
10200 S DE ANZA BLV 1STFLR
.R'S NAME:
PERMIT ISSUE DATE
SYMANTEC CORPORATION
645 RIVER OAKS PKWY
09/28/2006
NE:
SANITARY NO. CONTROL N0.
(408)321-6450
ARCHITECTIENGINEER:
BUILDING PERMIT INFO
BLDG ELECT RUMB MECH
LS t� O O
LICENSED CONTRACTORS DECLARATION
Ib Description
OCscrlp
I hereby affirm Nat 1 am licensed under provisions, of Chapter 9 (commencing
withroll( on7gNBoeDlvision3af Na Butinntesmd PraessionsC ,and mylscenacla
in full fume and offset.
T.I. INTERIAL ONLY OFFICE SPACE -1ST FLOOR
LlanLm.a
Dam Tanlranllff OLE
ROOF TOP EQUIP MUST BE SCREENED FROM VIEW
qraf
ARCHITECTS DECLARATION
I underwnd my plans shall he used u public records
,
Licensed Professional
OWNER -BUILDER DECLARATION
1 hereby affirm Net I am exempt fount the Carman es License Lew for the
fallowing reason. (Secdon 7031.5. Business and Professions Code: Any city or county
which mqulrea a permit to combum, slur, improve, demolish. or repair any structure
prier it, its in.. . also req.1. do applicant reattach permit in file a signed suument
thin le b licensed purnunt in Ne provisiooe of the Contractors License Law (Chapter 9
Sq. Ft. Floor Area
VaW2109 0 0 0
(commencing with Secdon 7000) of Division 3 of Ne Bushes, and Pmfcalons Code) ser
that he b exempt thm fson and Ne basis for the alleged exemption. Any violmlon of
mbar
Occupancy Type
Section 7031.3 by arty applicant for a permit objects the applicant to a civil penalty of9�7N
act mos Nan Bm Wished dollen (S500).
3 b 9 01 35.00
p
❑ I. u caner of the property. or my employees with wages as their sole eompenaation,
Required Inspections
will de the work, and she stneturc ts not intended or offered for sale (Sa. 7016, Business
and Profeselou Code: The Canuutors Lkuue law Cham rot apply N an owner of
_
property who Wilda or improv hereon. and whodoeaauch work himaelforNmugh he
ownemploycn, provided that such improvements arc Out Intended oro@red forage. if,
however. the Wilding or Improvement is sold within one year of compledon, the owner.
b hider will have Ile buNon of proving that he did no fluid or turpentine fo purpose of
❑ 1, u owner of the property, am exclusively contracting with licensed commemrs to
F'N�
FINAL
mag at project (sec. and Lb
Tom Cade) naves
�
ft .
ray wh Norton, and,
CO. Lal an owner of property rce Wilds
law does ooh apply in a. owner of
rs anpmv
Lha conlncu for projects wlNaeonlrumrta)Iicenud pursuant in Ne ContraL7oM1
who C
f /
Licesser, Law.
❑lam nemDm undm Set .BSPC fo Nu moon
34 10Q6
11U
r Data
y
BUILDING
WORKER'S OMPENSAnON DECLARATION
1 hereby vOirm under penalty of perjury enc offt following dalarulom:
nderpo
U
am and will maintain. CartiOcateit Content to selhluum for Workeh Comper.
, u provided fo by section 3700 of tie labor Code. for the performance of tis,for
lw.y.k
which Nu permit la issued.
ave and willmaimun Workers Compensation Insurance, u inquired by Seedon
of Je labor Cods, fo Ne performance of Ne work for which Jur permit is issued.o
rapeq au nlmunnc camv and Pollry numW am:r.
QA� Policy No.:
CERT GTE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(fhb section used notbccomplcuJ If one permit Is fnro e, hundred dollars ($101)
or less.)
I century that In The permmnancc of tis, wart for which Nis permit is issued, I shell not
employ any portion in any manner an as te become subject in the Worken'Compemadon
Laws of California. Date
Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Exemption. you should
become subject m the Worker's Compensation previsions of the Labor Code, you must
forthwith comply with such provisions in this permit shall be deemsd revoked.
CONSTRUCTION LENDING AGENCY
L hsreby affirm that Ncu las construction lending agency for the perrormaiwe of
Ne mark for which this permit is issued (Sec. 3097, Civ. C.)
..
Lendce. Name
Landers Address
1 «nlfy, Nu I Mm read this application and sure that the above information is
co=L 1 Agra to comply with all city and county ordinancea and mare laws misting to
'
building consuunion, and hereby auahorin repreaeotmiv of this city to enter upon the
glmve-mcnlioned properly for inspection purposes.
(We rte to save, indemnify and keep harmless the City of Cupertino against
ilides,l g Q. costs expenses which may in any way accrue against said City
n CP L A of gran gmDs AN WIL COMPLY WITH Ar N POINT
Issued by:t&w Date
S uun s.
Re -roofs G7
194
Signals, of ppBc s n ar
NA RDO s ATERIALs DISCLOSURE
Type of Roof
ml o.pp lofutu ii in'hnardou maubil
dc(Inc y tie Cupertino M.?_.at Cada. Chapter 9.13. mJ tis, Health and safety
. sation 15331(1)?
All roofs shall be inspected prior to any roofing material being installed.
❑sin a
If a roof is installed without first obtaining an inspection, I agree to remove
Will the applicant or (ulurc Wilding occupant use equipment or Jevlcoa which
emit hacaNnm it contaminants as mle0ned by tM Bay Arca Air Quality Management
all new materials for inspection,
DlsWctT
❑Y u
thea the hsoand mawd.la nu undo Chapter 6.95 of the Califer.
n 25 533 an 25531.1 nund diatribe building
Jaa rely e an s my ms ruchility m ou!y.drocc.paginfur,
reyulreme which. mel it an of.Cervi C
Signature of Applicant Date
All roof coverings to be Class "B" or better
owner r. nari>ad.
.
to
Date
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