00110009CITY
DNaPRNO
vioNPERMIT
CONTRACTOR INFORMATION:
BUILDING ADDRESS:
PERMIT NO.
10553 FAP,ALLONE DR
LIFETIME POOLS INC
00i.•iL71009
OWNER'S NAME:
APPLICATION SUB DATE
t-IOLI_MEN TAKACSI—NAGY.
PHONE:
91.0 SAN ANTONIO RD'
'1.1102/2000„'
-
SANITARY NO. CONTROL NO.
s
A A— ]!=.74,
ARCHITEC'1'IENGINF?ER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
_
I= O l=1
LICENSED CON'TRACTOR'S DECLARATION
8 I hereby affirm that I mor licenmd under pmvisine, of Cbapm 9 (mmmeneing
Section]INIO)nf
Job Description
p
with Ulvi,l,n3nf the Bminess a,J ProfesionsC Jmy license
is In full force am ff ��ee
u.en,5 I.iO r 27��jT57i
Date
POOL RIVD S�'A
Cvrm,* ,r
m ARCHITF=S DECLARATION
_
I andercnmd my plans shall he used a, public records
s.
us hicenseJ
c. OWNER -BUILDER DECLARATION
afflo
1 hereby
ershy tore I ren exempt from me mcnmk Law fin the.
6
'
f (Scvl e Anse
r g rens,,. (Sermon ]on,cra Business and t...
shot Cw1.t Any say or county
-
which
❑ wMch requires a permit m amxtnteL alter, improve, Aemol!ch, nr repair any swnure
once. d
”
es I oor to its I"muce, a),. repute, he spill lemn I .... ch permit ,, file a uigr ed statement
-
u
_ Ihtnhe!1liendpaouam to the provisions of the Contractors License Law :(cmitmeneingwith Section ]W0)OfDivision
'Sq. Ft. FloorArea - ion
3.1or,urine„aelPmfnr,fon,Codn)
or that he i, exempt therefrom and the nasi, for me til leged exemption. Any violation
al
of Section ]0315 by any applicant fora permit subjects the appl!cant to a civil penalty.of
E
not more man five handled delta,(S50o).
APN Number �.pwupancy'TypeLwtlgexmthrtr
sr,m e,mpe,salinn,
- �y -j-VVwilldo
the work and the stmemre ix net intendedr offered r.t. sale (Svc. 9144,-
.. Required Inspections
Bu,inesx and Pndesslon, Calc TM1c Cnmmcnrz :t Liceuse Lawdues Out aped, to an
who
Owner of pruNtly mild, Or in,prnvex therm,.:led who does such work IOmsdf
.1 Ill a h his own employees. pmvlded but such improvements are nod intended nr
Offered for sale. If, however the building Or inTravemenl is still within
1 w - — UF'ER '
one year of
completion, the ownehad.er will have the brennpmthat e diot buldorrr,
104 P
for purpoe of .1,
ARImprove
❑ 1, as owner of property, am, exclusive)
p(Seery
1
.i 0- - ^ ---PQOL/ BOND 1 NG .
and PreerfngwLClieensThcommnnrsm
mntmet the present (Sec. 9t44, Business and property
License Law duet no apply to owner of who builds
whore Collor) The improves thereon.
lmpmves lnerenn.-
ROI x['1-1 PLUMBING. '
in
and qho ',awns for tach pro]ecm with a emmmcoq,) licensed pm,ttnm to he
it couly s
lam ors License law.
- ?!Tl. -. Rill IT !=Frf3TpR.L. Qq!L
-- _—
El
°LvnexemptunderSen. ,B& 1'Cfar thisresson
.sLIL'. -..1•1MAI i+l.L�MATNr r}dr.:lir-t;� ;
Uwanr, Date
WORKER'S C'OMPENSAT'ION DECLARATION
�sTk3: = rcINAL MECt:tANIC,RL_EL),ICRGY__ :
I herchy nitron ,oder pemth f!fr
y, the following declarationsa:
•' GA,^—_. TES,1: ..
have and will maintain a Cry Secti of Gomvm t6 se
catenof Const for Worked,
. 5,1,0 _ FINAL -PLANNING - .
-
a,mpamn6o., fm nfi ,retires Lane,
tr the Lan,r awe, for he
511 • FTbIAmI_ P[1171_ t- .
he vinkd,d
pedb m free nrkf r h' heli: permit '.x d.
su
El I halkand will mainland k cmc of Insurance.a, red by Suction
5), —, FTNALt BUTLIJING,
nPrcqu
P00 r tit Cool f d p I t f the wed for wli eh tit's perm t is
ork
esued.�My�WnrAer'sCotnpenxntlnn lmmmanm carrier and Policy number arc:
Carrier.�/I�I Gt"[/fytl Poli, Nu.: I5�5�S�700
CF.R'I'IFICATION OF EXEMPTION PROM WORKERS'
t
COMPENSATION INSURANCE
_
1
(This section need nit be c,mplvted if the pemtil i, for one hundred dulhtrs
0100) or a,')
,
1 certify that in the Iwrformance of the work for which this permit is issued, 1
shall not employ any person in tiny ntannu so m to become whjmt m the Worker,'Compensation
Laws of California. Date
-
Applicant
NOT ICE TO APPLICANT. IL ,fret. making this Ceniornm of Exemption, you sbnulJ
-
become--ah,,c, In the Worker', COmpunsutlnn or., of me Labor Code, you must
frnhwab arady with such provisions or Ih is fi t shall he rimmed revoked.
� -
-
CONSTRUCTIONTEND] NGAGENCY
s -
1 hereby a1Bnn that then I' n Insulae rn lending ,,easy for me perform...
of the work fnr which this permit Is issued (Sec. 3097, Civ. C) -
r - -
I.cral Name
Lender's AJdmtis
,
'
1 eel ify that I have mail misapplication and vote that the above information Is
correct. I agree m comply with 1111 city ;and vounty ardinnnmt and state laws miming
to building construction, and hereby amhorio: representatives of this city to enter upon
the above -mentioned property for im,peciinn purpnms.
(We) agree to love, indemnify and keep harmless the City of Cupertino against
liabilities, rd,scro, costs and pian,, which may in any way accrue against
.slid
City 'at.onscyuencc of the mmin, nrthis permit
'
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON.POINT
SOURCE. REGULATIONS.
Issued by: Iff-e— Date
Signature of Appbnanvcnntrnemr Date
Re -roofs
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or falcon, Noldiag cocapamt sore nr handle narnN,n, material
Type of Roof .
u, defined by the Cupen inn Municipal Coi Chapter 9.12, and the Health and Safely
- -
attic, Section 25592(a)?
,. °Yat 11 No -
All roofs shall be inspected prior to any roofing material being installed. '
"nil harud,us air ctmmt Or more
Will the at'li mnorral-1drfiredbal y he Bay Awve . lirQmlityMiee,nown,
es defined by he Bay Area Air Qminy....e,gement
oimdef❑n
If a roof is installed without first obtaining an inspection, I agree to remove
Y, ElNo
all new materials for inspection. Applicant understands and will comply with
all non -point source regulations.
1 have rad the olloolom material, mquiroa,emt under Channel 6.95 of the
-
Culifourc Health & Safety Cade, Sections 25505.25593 and 25534. 1 understand that
I r the buildi ng docs not enrrenlly have ammm,, Ihrt it ismy msponsibi Illy to t li ry 00
O "''cams rhe mquimmems which I be Incl prior m i...ance of, Cldireale of
- - -
ry�r
IG t�L��tIMX-fP�y1✓ �f/Z 200,
Signature of Applicant Date
ownnrmnaman� 11g.nt - Dale
All roof coverings to be Class "B” or better `
OFFICE
CITY
DNaPRNO
vioNPERMIT
CONTRACTOR INFORMATION:
BUILDING ADDRESS:
PERMIT NO.
10553 FAP,ALLONE DR
LIFETIME POOLS INC
00i.•iL71009
OWNER'S NAME:
APPLICATION SUB DATE
t-IOLI_MEN TAKACSI—NAGY.
PHONE:
91.0 SAN ANTONIO RD'
'1.1102/2000„'
-
SANITARY NO. CONTROL NO.
s
A A— ]!=.74,
ARCHITEC'1'IENGINF?ER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
_
I= O l=1
LICENSED CON'TRACTOR'S DECLARATION
8 I hereby affirm that I mor licenmd under pmvisine, of Cbapm 9 (mmmeneing
Section]INIO)nf
Job Description
p
with Ulvi,l,n3nf the Bminess a,J ProfesionsC Jmy license
is In full force am ff ��ee
u.en,5 I.iO r 27��jT57i
Date
POOL RIVD S�'A
Cvrm,* ,r
m ARCHITF=S DECLARATION
_
I andercnmd my plans shall he used a, public records
s.
us hicenseJ
c. OWNER -BUILDER DECLARATION
afflo
1 hereby
ershy tore I ren exempt from me mcnmk Law fin the.
6
'
f (Scvl e Anse
r g rens,,. (Sermon ]on,cra Business and t...
shot Cw1.t Any say or county
-
which
❑ wMch requires a permit m amxtnteL alter, improve, Aemol!ch, nr repair any swnure
once. d
”
es I oor to its I"muce, a),. repute, he spill lemn I .... ch permit ,, file a uigr ed statement
-
u
_ Ihtnhe!1liendpaouam to the provisions of the Contractors License Law :(cmitmeneingwith Section ]W0)OfDivision
'Sq. Ft. FloorArea - ion
3.1or,urine„aelPmfnr,fon,Codn)
or that he i, exempt therefrom and the nasi, for me til leged exemption. Any violation
al
of Section ]0315 by any applicant fora permit subjects the appl!cant to a civil penalty.of
E
not more man five handled delta,(S50o).
APN Number �.pwupancy'TypeLwtlgexmthrtr
sr,m e,mpe,salinn,
- �y -j-VVwilldo
the work and the stmemre ix net intendedr offered r.t. sale (Svc. 9144,-
.. Required Inspections
Bu,inesx and Pndesslon, Calc TM1c Cnmmcnrz :t Liceuse Lawdues Out aped, to an
who
Owner of pruNtly mild, Or in,prnvex therm,.:led who does such work IOmsdf
.1 Ill a h his own employees. pmvlded but such improvements are nod intended nr
Offered for sale. If, however the building Or inTravemenl is still within
1 w - — UF'ER '
one year of
completion, the ownehad.er will have the brennpmthat e diot buldorrr,
104 P
for purpoe of .1,
ARImprove
❑ 1, as owner of property, am, exclusive)
p(Seery
1
.i 0- - ^ ---PQOL/ BOND 1 NG .
and PreerfngwLClieensThcommnnrsm
mntmet the present (Sec. 9t44, Business and property
License Law duet no apply to owner of who builds
whore Collor) The improves thereon.
lmpmves lnerenn.-
ROI x['1-1 PLUMBING. '
in
and qho ',awns for tach pro]ecm with a emmmcoq,) licensed pm,ttnm to he
it couly s
lam ors License law.
- ?!Tl. -. Rill IT !=Frf3TpR.L. Qq!L
-- _—
El
°LvnexemptunderSen. ,B& 1'Cfar thisresson
.sLIL'. -..1•1MAI i+l.L�MATNr r}dr.:lir-t;� ;
Uwanr, Date
WORKER'S C'OMPENSAT'ION DECLARATION
�sTk3: = rcINAL MECt:tANIC,RL_EL),ICRGY__ :
I herchy nitron ,oder pemth f!fr
y, the following declarationsa:
•' GA,^—_. TES,1: ..
have and will maintain a Cry Secti of Gomvm t6 se
catenof Const for Worked,
. 5,1,0 _ FINAL -PLANNING - .
-
a,mpamn6o., fm nfi ,retires Lane,
tr the Lan,r awe, for he
511 • FTbIAmI_ P[1171_ t- .
he vinkd,d
pedb m free nrkf r h' heli: permit '.x d.
su
El I halkand will mainland k cmc of Insurance.a, red by Suction
5), —, FTNALt BUTLIJING,
nPrcqu
P00 r tit Cool f d p I t f the wed for wli eh tit's perm t is
ork
esued.�My�WnrAer'sCotnpenxntlnn lmmmanm carrier and Policy number arc:
Carrier.�/I�I Gt"[/fytl Poli, Nu.: I5�5�S�700
CF.R'I'IFICATION OF EXEMPTION PROM WORKERS'
t
COMPENSATION INSURANCE
_
1
(This section need nit be c,mplvted if the pemtil i, for one hundred dulhtrs
0100) or a,')
,
1 certify that in the Iwrformance of the work for which this permit is issued, 1
shall not employ any person in tiny ntannu so m to become whjmt m the Worker,'Compensation
Laws of California. Date
-
Applicant
NOT ICE TO APPLICANT. IL ,fret. making this Ceniornm of Exemption, you sbnulJ
-
become--ah,,c, In the Worker', COmpunsutlnn or., of me Labor Code, you must
frnhwab arady with such provisions or Ih is fi t shall he rimmed revoked.
� -
-
CONSTRUCTIONTEND] NGAGENCY
s -
1 hereby a1Bnn that then I' n Insulae rn lending ,,easy for me perform...
of the work fnr which this permit Is issued (Sec. 3097, Civ. C) -
r - -
I.cral Name
Lender's AJdmtis
,
'
1 eel ify that I have mail misapplication and vote that the above information Is
correct. I agree m comply with 1111 city ;and vounty ardinnnmt and state laws miming
to building construction, and hereby amhorio: representatives of this city to enter upon
the above -mentioned property for im,peciinn purpnms.
(We) agree to love, indemnify and keep harmless the City of Cupertino against
liabilities, rd,scro, costs and pian,, which may in any way accrue against
.slid
City 'at.onscyuencc of the mmin, nrthis permit
'
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON.POINT
SOURCE. REGULATIONS.
Issued by: Iff-e— Date
Signature of Appbnanvcnntrnemr Date
Re -roofs
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or falcon, Noldiag cocapamt sore nr handle narnN,n, material
Type of Roof .
u, defined by the Cupen inn Municipal Coi Chapter 9.12, and the Health and Safely
- -
attic, Section 25592(a)?
,. °Yat 11 No -
All roofs shall be inspected prior to any roofing material being installed. '
"nil harud,us air ctmmt Or more
Will the at'li mnorral-1drfiredbal y he Bay Awve . lirQmlityMiee,nown,
es defined by he Bay Area Air Qminy....e,gement
oimdef❑n
If a roof is installed without first obtaining an inspection, I agree to remove
Y, ElNo
all new materials for inspection. Applicant understands and will comply with
all non -point source regulations.
1 have rad the olloolom material, mquiroa,emt under Channel 6.95 of the
-
Culifourc Health & Safety Cade, Sections 25505.25593 and 25534. 1 understand that
I r the buildi ng docs not enrrenlly have ammm,, Ihrt it ismy msponsibi Illy to t li ry 00
O "''cams rhe mquimmems which I be Incl prior m i...ance of, Cldireale of
- - -
ry�r
IG t�L��tIMX-fP�y1✓ �f/Z 200,
Signature of Applicant Date
ownnrmnaman� 11g.nt - Dale
All roof coverings to be Class "B” or better `
OFFICE