02040120 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDWGADDRESS: ' PERMIT NO.
10565 E ESTATES DR SEARS HOME IMPROVEMENT 02040120
Y'I'ER'S NAME: T�Q �1qrE_
ED COLE 283 E . AIRWAY BLVD. APPj14/lN U'L'&2
`'I PHONE: U
(925) 245-2000 SANITARY NO. CONTROL NO.
C-Z ARCHITECT/ENGINEER: -
i-C p BUB.D W G PERMIT_W FO
a u BLDG ELECT PLUMB MECH
yF<c I_7 C_I L"J LJ
O N i LICENSED CONTRACTOR'S DECLARATION
z v.C 1 h eby affirm that 1 am licensed under prO`$,ions of Chapter 9(c m asr,ing Description
,a t_c wimsent r 10001 of Division 3 of rhe Husincss vod Pralts,mis Codeand my license INSTALL WINDO
el,y y= is in , rteyy(p�dSjf1p1. JJJ```�z13 7 n
c Littnse tla,(„Q,7 Lir.x -1
Da l dj Zy ..•r Contuctty A✓C a FN(C
p C°: ARCHITECT'S DECLARATION FIF9® A ��a
5 1 understand my plans shall M uua zs public rtcnrds 9 P`"�' ,a
v F
X-o Licensed professional MAY 0 1 2002
u=y Oars I an
DECLARATION
F Z Y 1 hereby.(Sten on 1 1. exempt from the Conuns Cod,License Law for the
i o following rtvwn.(Seaton 703 1.5.Business and Professions Code:Any city or county $7700
m which require v permit to construct,abet,improve.demolish,or repair any structure
i3� -w
prior to its issuance,diss requites the applicant for such pam,iuo file a signed statement- -
auiheialittnudpuisuanimlhcprovi;rocas of the Cure—wri4ttnsetn.misipter) � C I Valuation
g EODern.--, ?
(commencing 1hSection]pD0)ofDsion3oftheBusinessandprofessionsCode "i i:• ? ��' 'Jl/ V!Y
or that io 7 exempt tang a dm and the basis for the subjects
talleged exempnt to Any violation
-of Section 9071.5 by any applicant for a permit subjccs the applicant v civil pcnntry-
Aofnortan;ethanlivehundreddollars($5oo)' 104PNNDATION .- .:: ;e` Occupancy Type
❑I.asps,re,of he property,ormyemployees wimwage,asmeir,oleeumpen,nnan, 102 - PIERS
Will dthe '6 k and the t- rure is Ful-miended or o fft d for sale(Sri,7(44;
'Business d- -ProfessionsCoo ThContractorL Law a« 103 - UFER s not apply to an Required Inspections ..l
caner f p pcny Who builds or mproves thereon,and who docs such work nrmself 9 p `
or through his own empever.-.provided thzl such vement menrs are not intended or
104 - REBAR
riffirsid m ❑.time In llhaam ..--_...._.._._ ----"---ANCHOR
_ , -- .._._...._
got improvement r IO5"= ANCHOR�'BOLTS"
comp(, the owner-w Id ill have the bub f proeing that he did not build or-
tenor°"`f°`p°`p°s`°`s'I`')' 106 - SEWER & WATER
❑1(esmvma Ofthc
_ p202UNDERFLOOR -PLUMB ING-----mnacmrsto
conswa the projm(So,761,Entire.and ProfcuskosCad ---------_....___.
The Comnnor's tl:::,�]°.L'E i•;p,;,g "'""
Llan Law a«s not apply t0 an Owncr of property who wilds or improves a,ercon, 203 - UNDERFLOOR MECHANICAL P „-
_rndww.eomucts.feesuen
projm¢.with a.contracmr(s),IittNea.pursuam ..,he- __._....______2
conwtNr'sLtenu ane. .. . „t -. 04 ----UNDERFLOOR--FRAME--.
— -- --
- 'K nlamcaemptund'Scc'1 ;B'&FCfarbismason205 - UNDERFLOOR T`NSULATION
wrier ' ' Date ': - 301 - ROUGH PLUMBING
, t :WORKER SCOMPENSATION DECLARATION 302 - TUB Cx OR SHOWER
-1 hereby arfim,under penalty o(perjit rmjofthafrII. imgdeclamnons:"" 303 _ ROUGH .MECHANICAL
❑ 1 node and'will'malnmm'a c[rtirnnie of Conten, reself-mswe for Warkars 3 04 - ROUGH ELECTRICAL
Eta 7 Contlisptian.-m prodded far by Sections 37W of the Law, Coat, forme 305 - FRAME
performance of the work for which this permit is issued.
❑1 la..andwll mama Wmka's Cturnilemaltiort'i -a c,e rry'asd by,Sml6n 306 - HOLDOWNS
37M of he LaWr Cine fa theperforman f thek fnr Which his permit isissue307 - INSULATION
< 'd Pol cy mbc c
can;.Mf6ckat'f N� insurance
c/IIMI- ia�n o`l'1 2-1.. _ 30v8---' SHEETROCK-•_. . ,_-_
7 . CERTIFICATIONFE EMPTIONFROMWORKBRS -�
. r � 1�309�f- ERT$RIORv .LATH
COMPENSATION
INSU..AE
ms % 310';— NOR-. LATH
sc(Th d iw plced
are
if Ine perm i s for one hundred dollen N ✓ 1'CCl'IY.1 j`
a.......... .... 311 = SCRATCH COAT, • ._ `
_, -313.___--ROOF...NAIL_-_._ .._._-_
5'e 1 c n,fY u 1 n ate perfomu tt (dr oA f f h h th perm I Is issued l -^'-'-"---^---^".........__.
hmpensa ployv of any nee astObecome5ub)wt(IheWorker 501 - FINAL ELECTRICAL'<`ENERGY`
Compensation lawn Of CaliforniaCanDare
Applicant ,-'-- _ ._. .502 .....-..FINAL .PLUMBING ENERGY
NOTICE TO APPLICANT If aft k,,6 th C n TC 1e Of E mPt n y should "' """-'"` -_..
__._.
Z n_ subject millY the Wade Court pen t spro ,O ORhe Law Coe you must - FINAL MECHANICAL' ENERGY '' "•�
Z IIs:- _ .. _ 50.4 FINAL BUILDING ENERGY
` that ucrc is dee tl rc ked
1 hereby often, or this . .., ._-, ._-
n w I m l with such Positions perm I hall w
F � CONsreucnoNLENmrvcnoErycY "" 505 - FINAL ELECTRICAL- -
�(, ,w : n new lend g agency for the performance 1
of the work for which this pertntsissued(Sec 3091 C' C) 506 - GAS TEST '
gL ' Lenders Nam, ., --------- J ....ma. _ _..._ ._. "
5OT-_. "FINAL"PLUMBING
LenMSAdduu .__..._.. . ....._ .__.
a 508 - FINAL MECHANICAL"
]y 1 grey to comply h this city
and on tl Vale ann lhr ane formation g
0 F or Wilt I agree malti. .'a wren Rep qe county ordinances dna slate s miming
509 - FINAL GRADE
D.fJ the abo e-marooned n:ana fiert inspection plepaw,s. vu of Nis city l0 enter upon
j..C. the aboW041oped propcny(ori y ind ke purposes.. 51 O - FINAL PLANNING
f., d 1We)dgme ilsave,Inaeri"end keep harmless Ne City of C'epenino egunn
L Z' City inconseg mets,coos and engem,which may in any way accrue against said 514 - FINAL PUBLIC WORKS
U Z City' consequence f Inc gm I g°(this per r
wPPi1CAi7µCbE STABY AN R'ILNCOMPLY W"I1H'ALL NOS LiT`e i
'eh - - Issued by: Date
Li -
SgiuNuofApphcHAb RDO - ,. ,.
HAZARDOUSMATERIALSDISCLOSUREs' at , .i Re-roofs
Wnmeapvaeanlb (UNRwildiag°&Irkri-6.orhuidlharagwa,m.tee,l '[ype.ofRoof _
as defined by the CuPsm nO Mar,pal Co k-aani r 9 11 and the H Ith nil safety
WRirhazwtlouse}Rp)] n� ,., f .4 '
11 roofs shall be inspected pnor to any.roofing material being installed.-.-
7
1 v•W II u P! 'P bId u fi g f p>�eaAir Q t a as when If a roof is installed Without fust obtaining an,inspection; I agree tio,remove
' ecto
,O Yes
u is es tl/fi 1-9 IS the Bey Area Air t dor Manag mem
ine all n i pmt route u p y
❑Ye,P .)vo t „-.all new materials for inspection Applicant understands and will cont I with
_ n o' source'regia a•ons „
1.
"•''1 have rcvtl Ne'n our le Is uqu rtmanu unaer�Chaprtr 6.95 of.
Cal fern.Heahh&Sefety Code,Sections 8505,]5533 dna 8570.I undersand that
fthewla g dOtsnvr currently It at-1ni:I1att imus-
Y paN,blly to oU the - —
occvpan of the eequ,rann,l hmh m t bc'met p to usuence°( Ce ,tint of -Fy.
YSignature of ApplicanthDate
was'-1-1 maricamod"g`"' r z .Lure All roof coverings to be Class "B"or better "
±'a .11i;__ .. . ,.. .----OFFICE--- --
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