02040096 CITY OF CUPERTINO •• • -
BUn.Dir.GDMSION PERMIT CONTRACT•OR''I1VF.ORMATIONS
BUILDING ADDRESS: PERMIT NO.
ARD WY AMERICAN BRANDS CONSTRUC ION 02040096
OWNER'S NAME. APPLICATION SUB DATE
JEFF & SHERLEY PENG 1145 HAWKS HILL ROAD 04/18/2002
Ir HONE:
(408) 210-4945 SANITARY N0. CONTROL N0.
k C ARCHITECTIFNGINEER: BUILDING PERMITWFO
ltlj'1 BLDG ELECT PLUMB MECH
b oi z LICENSED CONTRACTOR'S DECLARATION
Z:C 1 hereby African,that I am licensed under provision f Chapter (commencing b Description
wtu with Section]1100)o(Divisian3 of me Busioess y�sion, Ae,. 6y 7 PATIO ENCLO AW W06T. )
's in full fort a Offen. K'
z LoLi ens,Clap_ Lic.L
O Lou to Contac
LLt, ARCHITECT'5DEC TION AUG i 2002
y I understand my plans shall be used As public records
E
O O Licensed Profexstovl BUIL /'�
�i Oot 1 am
DECLARATION D'�V
1 hereby..AIBrm Nat 1 1- ,sem),from the C onions o e:Any Law o co the
< followingrtesoa(Sation]O71S, t,Obe,Aand Professions Code:pitycity or county
x O which requires a permit m conswcq alcor,imprme,demolish.or repair toy xwcturc
$15500
63Q -prlono its its.....also requim da Applicant formch pemuuo Blee signed!statement• _--.-
.. _ ..
- moi an 1 ceased Pursuant,7 Ne)omni ens of the the Dust License Le (Chapter 9
( MIbm -tA-imp,enian]000)ofheiaion7oftheBuitoeue�MProf mons Code) F l:'v ;:3�'tl125VL.lraeZv' t�i;.iF Valuation
or thin h - met mciefrom and the masa(or me all ciemptw6 Any viol non
'_ofSecdon]07 12 by any applicant for a pem,u subJectrNe Applicant 0..civil pea ll,
:Afiwtmot,NadBv�ha.ar,dd°nba(ssoo). 10 _E
�PN �7NDATION '-' ' Occupancy Type
❑Las Awoerofma,re, Y.or my e.ploy«swiN mages As their sole compensation, - :a "•
--illdo th--Wo rk�and the nrvnurc is not mmnded-or offdrtd'foi'v12(Sec']00.i,-'
Business A, Profession,Code:The Contractor's License law does not apply toan 103 - UFER Required Inspections " `'-^ ';�'
owner of property Who Wilds or improves thereon and who does such work himself
,or through,his own employees.Pwvided,that such improvements Are tor,intended a l Q 4„- .-„,.KEBAB _
j.fi d f r sale If,Rowe a the Wildingor Int rovement is Id within one - _ --'_” - ---_.__.._ .. ._;-. ,_.
coin Zenon.the owner- P year or "
p WlderwillMKNeWrdenofpmvingNwhcdidmtWtltlor 105 - ANCHOR BOLTS '"' 0,
ImprAK for puryose Of sA-,.).
____...._.----'.---,..__._.__,..........---'--_------_-_— ----'-------106- - SEWER & WATER
p(Sac.7 am exclusively mrdaingwiNli,:)Th6nntract -,
_
construct me pmiectf5«.]Oa4,Baainess arta Pvt«:ions eode:)Thd Comrwwr's 202 - UNDERFLOOR PLUMBING..
I `Wbardae -
. f' - Lkenu Law does na a 1 m m owner of " C-
vpy propcnywhoWBeAwimprov«thercon. 203 - UNDERFLOOR MECHANICAli •'=
_And.who.cs Lice.
such pajxu.with or(s)-licensed.puruuns-m.the _
a.conuact
I
Clan«emp,Am v „e.. e. -.. .- --301 - UNDERFPOLUM - ---'- -' ----._ ..: .-- --
°""°° u«rod 204`-='UNDERFli00R FRAME--`'
ROUGH
�B$PCla,thisrc«on 2 05 ` TN6UliA'TION
Owea .. t. d Date v, .., n
WORKER'S .....
PLUMBING
.... -......_..._._.._.. 302 - TUB & OR SHOWER
iheteb (Tmnunder h,o!
vA pevr peri°rYana°rmgrne°.;ngdeclarations:-' 303 - ROUGH MECHANICAL
❑ 1 haveAetd'uill'meinuin'e'Cmilfne of Caucn(io Aal(-instant for Worker's
1 cAmppmalion:.;Aa-provid.dYm-by-Seeaon-37W ofthe Labor'Cotle.rar the 304 - ROUGH ELECTRICAL
_:
:. _ _ Perrormarwe of the work for which this permit I,issued...,.
" 305 - FRAME
OIheK 'M vnn'meinwn Work«eCompe setw lnsuntci,as riq tied-by,5edtjun 306 - HOLDOWNS
JTW of the IaWr Cude (m the Performa ce of the wotk'(or h ch N i pemut rs
ssu d.My Workcli Compenssmon Imuia e « nd Pol cy Wr arc _ 3 0 7 - INSULATION
.- -_ .. _.. _
t�SHEE'Z'ROCFCr;� -__�-- i",;, ''..-'------=
"' I t t CFATIFlCATION OF EKEMPi10N�OM. OR v t :+
' comPENspnoNBNsuRANce:. ICER: • ^ _ __309 ' -EXTSRIOR-`LATH
......,.:....-....,..
(ibis«ton need not tie conipieted tithe .-•• 310;';-,-`INTERIOR"�LATH _ •,.^'^•'•.^^
permit is for onehundrcA dollars '.... �� ;,-;:• '_,nom
a100)wl«a3 ,, IK 311 - SCRATCH COAT !
si
, v Ittmf Wi nth -. ..___ _.-.
y pert a F,. f@c orkf r h hNrspe t : rsnm i� 313 -
.nau o' mploy y,perso yma wso mbeda- aohJ from workers 501 - FINAL ELEGTRIMA ENERGY
Compenset on V of C 1 ro DA¢' 'O '
502'----"FINAL--PLUMBING--•ENERGY- ----
NOTICETOAPPLICAM If Nser klnQ th Cenlfcw ofE a p, yo ihould '- — ---- ---
Z W om s bJemtoN wok raComp "uo pro marth abwcotl 503 - FINAL MECHANICAL ANERGY
Z2
forth N c ply th'such pm s_ :th perm t hell be dee ❑rc ked u w
-- - -----504---- RINAL-.BUILDING_.ENERG. .
rq °:A tf. v'CI'�NSTRVCTIQN LEN4ING AGENCY " '
505 - FINAL ELECTRICAL;; .
� ' I hertby affirm that thcrt ts.enhiiruct on lenamg agency for dx pirfomunce . -
Q _ o('dle work for whwh m s perm t Is ss W(See.'J09];Civ,C) - : •
a -LenadrsNarima � _ . . -_--..__.__506__-..�GAS.._TEST
507 - FINAL PLUMBING'
Ioen fyN lJ ha read thrs nppliee,ron eM sutthn me bo formnionis 508 - FINAL MECHANICAL
k(t or' ,oirecr IaLree t comP%mlh IPc ty. M c u ty oM ages arta st t lows rdwing 509 - FINAL GRADE
0�,O ro W Id ng co t noon a tl,for ms Nome ep ssntat vu o/Aria nry,o enrcr upon
>I:.G Ne.bose-memwnn.propcpytor, inspection purposey,- 510 - FINAL PLANNING
E^ d ' owe)agree to sae nd minify and keep harml«�the City of Cupertino n '}gains,
W-
liabilities.Jdgeaenu,CAM And«panusnthch,MY,'any�WAY;,ecru,a cost saitl
V'Z' City in consequence orthgmim&Ofthispermt . " �. 514 - FINAL PU IC WORKS
S Ulkkt'r"�vEk'srA..piA.ND wYLF Coicle�v Uj'f]i ALL�o�.'rGiC7"' (� �/
S Coe - 'rn si.=./I ' .Lr..:.•.„"r. Issued by: Date
tLn Appl canVCo ma tot 'r:r , rA /
kL
Cod x HAU.RDOVS holding
o ALS Damir A,VRE t i JY Re-roofs
ti.
P oral the epplwwlt a Ercrt W dd p naupans a or handleharutlous matmel Type Of Roof -
As defined by the C penin°Muaic pul Code Ch 9 12 And the Health And S.mal
e
section 25533(.) .:v i i f i a
❑Y 'F[5 "lk
a J _.All roofs.shall be inspected,pnor to.any roofing material being installed._
t., oral
she Applicant,t or fumrc building oecupa tuxequipment o dews Mch If
.it hasardousa taminmts As dented by the Bay Arca Ai Quality MarrsQment .roof is installed without fist nspectio`ti'I'agree to'temove
siren •.•.
❑Yes Na. S;rti -all.new_materials for,inspection.,Appliclam understands an ply-with
d will, jy ,com
all non-point source regulations.
I han,,Health
&safety
ety s nal.in s req wementa und,F Cliapt r'6.95'of Ne
aceta ant of the
'qui nw�Sections 25505:25533 it
And 2563'.1 undersand that
atthe W Itlm does not currcndY has.a¢nanr Nat 5 is A d 2553siA m ro stand me "' -” "--_ ..__... . _.__ ......_
_ dorm H IN$Sefery C
ffy
8 _ _
P q hich must be mei Anar m ssormn-,-f A CeTIB-d¢of .. — .... ... ..._..
q tog-o --Signature_ofApplicant.
Date
__
a ma :m get r o All roof coverings to be Class'B"or better,
OFFICE. .-._
n