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02100188 CITY OF CUPERTINO CONTRACTOR eh'= T=' �y BUILDING DIVISION p T CONTRACTURE 146 116 BulJLP[)I249>I1lUUV DE ANZA BLVD 3RDFL GRANUM PARTNERS PERMIT N02100188 ffGRANUM PARTNERS APPLICATIIl59JQ'_"2002 IW'PHONE: SANITARY NO. CONTROL NO. fill Permit ARCH BUILDING PERMIT INFO BLDG EIFLT PLUMB MECH 390LICgvspocg Ari sp��ta MPTcription with Secuon )or .p.�oBmiYneu aYwMeJIPrN��of^nmsionv is 30 DAYS TEMP P�11'lI l a in fullf a��flsl�lll o orr '66rig EXPIRE ON 11/29/02 , ORIG. 402090127 CSn'b License M/aksas, �Ic. — Dau Y WPM s u ,g1N��romrds apa� LLOy2 Licurim 1 / m B �;� u�<F cow I hereby am. Nal ILarryeae pt on mm's Licel La for the' a 0 followi mason.(Scni.n 7up/S`SI it ode:A u sf Which imsunx Kmntum te w d re 441350 priorm to muancc. ea nedstsumcnl =Z0 Net he isliceNedpusuanuo ep s vof r'tLi w(Chapur9 Sq.Ft.Floor Area Valuation mcodc)ar 32634070 . 00 Section70313 by by any applicant for a permasubjecu L4 applicant m.ciNlpnsuyof APN Number Occu ane Imtm�or��Ngju�{6a p hundmecollan )( 2 101 - FOUNDATION p yTy� ❑I.aJl3iB will do the work.and tits atmCwreYmtin dW oronerW fors.s(Sec.70/4,Butlrras and Pmfeasiom Code:The Comecmh Liceme Law docs ret apply m m owner of 103 - UFER Required Inspections PmPenY who bulls,or improves haneon.and who doessuch work himself.,Waugh his .wnemploym•pmviWNtsuchimp.mmenuamnaimmndedoroffmdfwsale.lr, 104 — REBAR however,W Wildingor impmwment is mid within ons Ssarafcompkdm,theowrer- 105 — ANCHOR BOLTS builder will haw the burden of proving that he did not build or improve for purpose of sale.)' 106 - SEWER & WATER ❑1,as owner of W property,am exclusively contracting with licensed Contrattnn to 202 - UNDERFLOOR PLUMBING construct the project(Sec.71)",Business and Professions Code:)The ConmcmYaLt. time law dm not apply to an owner of property who buil&or impmws thermn,and 203 — UNDERFLOOR MECHANICAL who contracts for such projects with a ronuacmr(U licensed pursuant m W Contractor's License Law. 204 - UNDERFLOOR FRAME ❑Iamexemptunder Sec. ,B&PCfmthi.m.m 205 - UNDERFLOOR INSULATION nsr Date 301 - ROUGH PLUMBING WORKER'S COMPENSATION DECLARATION 302 - TUB & OR SHOWER I hereby affirm under Penalty of perjury one of the following eecsnuans: 303 — ROUGH MECHANICAL ❑I humane will maintains CamfisiteofCoruent in self--ivum for Workeh Compere sation,in provided for by Section 3700 of the labor Code,for the perImmaece of the 304 - ROUGH ELECTRICAL work for which this permit Is issued. 305 - FRAME ❑1 he.and will maintain Worker's Compenvtion Insurance,as required by Section 306 — HOEDOWNS 7700 of W labor Code.for W performance of the wort for which Nu permit u named. My Workees Compensation lmm.carrier and policy number are: 307 — INSULATION Carrier: Policy No.: 308 - SHEETROCK ceRrlPTCOMPENSATIONINSURAANCEOM ORKFns• 309 - EXTERIOR LATH ThissecUm reed not N completed if the permit sfurom hundrtddollas(SIM) 310 - INTERIOR LATH nrIG4) 311 - SCRATCH COAT I certify Nat in the Performance of the work for which this permit is stood,I Pull not 313 - ROOF NAIL employ any Posen in any matter an as m become subject in the Wmken'Compensation Laws of California.Date 501 - FINAL ELECTRICAL ENERGY Applicant NOTICE TO APPLICANT.It,am,making this Certificate of Exemption,you should 502 - FINAL PLUMBING ENERGY become subject mW Wormer Compemolion pmvisions of the labor Code.you must 503 - FINAL MECHANICAL ENERGY CZ forthwith comply with such ot,Winm or Nis Permit shill bo doomed revoked. zo CONSTRUCTION LENDING AGENCY 504 - FINAL BUILDING ENERGY �N+ Ihereby affirm that the.is.construction lendingagcncydue Kill.....r 505 - FINAL ELECTRICAL the work for which this permit is issued(Sec.3097,Ci,C.) 506 - GAS TEST fs7 Q Len&r;Name Z ender;Aaa •. 507 - FINAL PLUMBING U p 1 Cenify Nal l have mad this application and sum Nat Ne strew information is 508 - FINAL MECHANICAL Ig, Prorect.l agree m comply with all city and county ordinmcea and state laws relating to O WildingconswNon,andhembyautheriampresenutiesofthiscitytoenurupnnthe 5 FINAL GRADE Wshow-mimm.ned property for inspection purposes. 10 — FIN I G (We)agree m saw,indemnify and keep harmless the City ruCupcnst against ra/f in equnce of mats and of this Permit. may is my way&CNC agalrttl Yld Clly 5 N LI WORKS ^v/ („)7 APPLI ANT of DERST rag of Nis permit. F4 APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Dale SOURCE REGULATIONS. Re-roofs Signature ofApplieatUConRDO Dau HAZARDOUS MATERIALS DISCLOSURE Type of Roof Willytapplicantor future building occupant smmor handle Health and u defined io the Cupertino Municipal Cove,Chapter 9.12.and W Health and Safely We.Section zss3z(a)7 All roofs shall be inspected prior to any roofing material being installed. .Yea (]Na Will Nc applicant or future building occupant use equipment or device,which If a roof is installed without first obtaining an inspection,I agree to remove emit h. We.,air contaminants ss defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Ya ❑No 1 have mad the ha m ims materials mquiremcnu unde,C&p n,6.95of the Califm. ria Health&Safety Coda SmUom25505,25533nd255N.EunM mdNmifthe building does not currently haw a tenant•that II is my responsibility m notify the mcupam of the req.iremmuwhich most bemet pri.,1.swa eof.ononcauorOccupancy. Signature of Applicant Date Owner or autborivcd agent Date All roof coverings to be Class "B" or better CITY OF CUPERTINO •• - ✓ ��•• � a" t BUILDING DIVISION PERMIT CONTRACTOR INFORMATION Y BUIQD 'Qr19pQRFW DE ANZA BLVD 3RDFL GRANUM PARTNERS PFRMITN02100188 I NdJM PARTNERS APPLICATTIOS/UVY 2 0 0 2 PHONE SANITARY NO. CONTROL NO. PerMit ARCH , BUILDING PERMIT INFO BLDG ELECT PLUMB MFLH man oo �LI �Nsrnc� �ys�D�s��}p,��,p, <�w wdnscn^'3�Tt't'rUiiNn9�',r na5i�`.ani'""d osdon *t 30 DAYS TEMP e I�rjscription infv°rasp blYliy orc�orrec ngi0di ; l EXPIRE ON 11/29/02 , ORIG. 402090127 F?q_ uecuse C as Lre. ;-ca Dale �rmptete�a A 1 �ires u �rcanJs 3au g�r H=os I.iecrmcpe"W's"-belt 1 hcrcb aflirm that 1 a rk- ppp I c o mcmr's License Law lar the wE0o fullowi y Isccmn"�Is tat ncs' spMyrt cot ss ale:Any city or county `sum whict, ripm ,nit"I16 I t oro 1 de is , repair anyaruemm 441350 priortonsiva.ncc�� n Ica, tied statement that he is fcened pursuant lot epry sanBC[ nl 11" Je w w(Chapmr9 Sq. FL Floor Area Valuation IFG Ixxl B ns Codc)or a3$ in`aihm � ) 32634070 . 00 section 7031.5byanyapplicmt for a permit subjects thl applicant to a civil penalty of APN Number Occupancy Ty penot ma�Fhundmddollari 101 - FOUNDATION ❑ will do the work,and the structure is not in Jed or offered for a.].(See 7000.Business Mid Pmresaions Coe:The Contactors License taw d.not apply in an owner of 103 — UFER Required Inspections property who builds or imprMoot thereon,and who aces such work himself or through his own employees.provided that such imptevemenes are not intended or offered for mile.If, 104 — REBAR lumevcr.the building or improvement is sold within one year of completion.the owner- 1OS — ANCHOR BOLTS builder will have the burden of proving mm be did not Wild of improve for purpose of am.). 106 - SEWER & WATER 01,a owner of the propeny,am exclusively contracting with licensed contractors to 202 - UNDERFLOOR PLUMBING onsuuct the pence,(Sea 7044,Business and Professions Code:)The Contractors Li- moLaw does not apply to an owner ofproyerlywho WiLdsorimprovesformer.and, 203 - UNDERFLOOR MECHANICAL who concocts for such Projects with a contractor(s)licensed pursuant to the Comma tors Lice.Law. 204 - UNDERFLOOR FRAME 0 l am cumpt under Sec. ,B&P C for this reason 205 - UNDERFLOOR INSULATION Dam 301 - ROUGH PLUMBING WORKER'S COMPENSATION DECLARATION 302 — TUB & OR SHOWER Ihereby alrmtunder penalty orpeearyone ofthe following declarautins: 303 - ROUGH MECHANICAL ❑ Io is and will mamby Scoenircateof conummCosim.far the Warkcrs Compen, 304 — ROUGH ELECTRICAL salinn,as provided for by Seclinn 311x1 of the IaM1nr Cnde,for the performance of me work for whish this permit is issued. 305 - FRAME 0 1 have and will maintain Worker's Compensation Insurance,as required by Section 306 - HOEDOWNS 3)1x1 of the Lahr Cook,for the were..of the work for which this permit is issued. My Workers Compensation Insurance carrier and Policy number am: 307 - INSULATION Carrier: policyNo.: 308 - SHEETROCK CERTIFICATECOMPENSATION IINSURA CON FROM E INSURANCE 309 309 — EXTERIOR LATH (I hi,section need not W eomplered If permit is hmme,hundred douam(s tan 310 - INTERIOR LATH or less) 311 - SCRATCH COAT 1 Certify that in the perourmanec of me work fire which this permit is issued,1 shall not 3 13 — ROOF NAIL employ any pemm in any manner w a m become subject to the Workers'Compsat enion Lowof California.DateApins501 - FINAL ELECTRICAL ENERGY Law t NOTICE TO APPLICANT:B:after making this Cenifcalc of Exemption.you should 502 — FINAL PLUMBING ENERGY O zbecome subject to the Worker's Compensation previsions of the labor Cale.you muss 503 - FINAL MECHANICAL ENERGY f..thwilb comply with such provisions nr this permit ounI be deemed revoked. zedCON.TRUTIONLENDINGAGENCY 504 - FINAL BUILDING ENERGY P: 7) Ihereby reffirmNat mere iso consreaction lending agency tot me performance of 505 - FINAL ELECTRICAL Cd the work for which thispemtil is issued(Sec.3197,Cm C.) 5 W Q Lender's Name 06 - GAS TEST 5Z Lwersnadmss 507 - FINAL PLUMBING U O 1 Minify mat 1 have mad this application and state that the above information is 508 — FINAL MECHANICAL Y. F correct.I agree to comply with all city and county ordinances andmme laws relating to S FINAL GRADE O building construction.and hereby authorise representatives of thm is city enter upon the abovcmentioned pmpony for inspection purposes. H y (We)agree m move,indemnify and keep harmless the City of Cupertino against 10 - FIN LANNI G (p liabilities.judgments.coxm and expenses which may in any way acerae against aid City 5 N LI WORKS *( 6 UZ ,n consequence nr the gaming of this permitAPPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Da SOURCE REGULATIONS. stgnawrc o1 Appfcan✓asnoactoRe-roofs r Dam HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applirent or furore hadding tecuIe m.vore nr handle haasdous mamliml s dcfned by the Cmucosm Municipal Code.Chapter 9.12,..it the Health and Safety e.Section 25531(.)? Dyes ON. All roofs shall be inspected prior to any roofing material being installed. idebm"IF Will the applicant or I'more building eampam use equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove Front M1nandous air contaminants as dchned by the Bay Area Air Quality Management all new materials for inspection. DWriely Oyes 0 N I have mad thc hanNous macria)s mquiremena unicr Chapter 6 95 of the Califor- nia Health as Safety Cam.Sections 2.5.505,25533 and 25534,1 undersand mal if me huilding does not currently ham a tenant,that it is my resrymsibility m notify IM tw'cupanl of the "ummenmwhich mum bemet prior toissuance oracenmcateFit Occupancy. Signature of Applicant Dale Owoe,o,sumoomd aEenl Date All roof coverings to be Class "B" or better