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02040101 CITY OF CUPERTINO - '• - - - BUILDINCDMSION PERMIT CONITRACTOa `I,N14ORM- An.ON; BInLDwonnDREss: PERMIT N0. RICHARD SU 02040101 OWNER'S NAME: APPLICATION SUB DATE RICHARD SU 04/18/2002 - qqq PHONE: SANITARY NO. CONTROL NO. 00 ARCHITECr/ENGINEER: HULLDWG PERMITINFO u BLDG ELEL7 PLUMB MECH <c mz LICENSED CONTRACTOR'S dunderrDECLARATIONsc Job Description I hereby affirm thin l nm licensed under provisions of Chapter.and mmece... =h with Section 7000)of Division 3of the Businasand ProfessionsCode.endmylicense ADD 400 SID. F rs cefu Fend'eHen. T. rc p0{U Licens lass Lit.N 1' -. �]�(� u0 �DatJ SDECLConnctor ✓' d, r —^ CrSDECLARATION < undemen y plans shall be used u public records } .❑O u�R NE UILDER DECLARATION I hereby aRw rho, amps from the Contractor's License Low for the t Z_< following recon.(Section 70313,Business end Professions Code:Any city or roomy $42000 ,kz❑ which requiresi...n permit re conswct alter,improve,demolish or repair my structure C$ pct rtoiu rssumRe,also try im the epphcant fonuch pemuuo fileesipned net mem - ._.._ ._ _ 3— (cO ho-es`I ttnsea pus"sdaflt m are pibii;iom of aR Convvctory License Law(Cheerer 9 Valuation (coin acj Sj;, hSecpon 7Q00)of Division 3 of the Busimmaimd Profunou Code) t���(.f'` '' ), {3.Ai,,§ATI',"_a�. yj,S t'lr or tSv�is exempt tberefrom end the burs fm the subjects ed vYampn or Any violation "of5eedrium flten m' ve any applicant for$500),t subjecu the applicant R a dvitpenohy- Mnoriaan rOftheP.Pmy,oruminni ro (as0o). 101AP_N I�I �ATION "'"'-' ` Occupancy Type Cl 1,as owner of the property,or my employees with Wates u rhei...i.tampmeolmn, 'wiB dd the work:and the structure is not mien&d or olfirtd"tdr sole iSec:706i� 192 'Beside M.end Professions Code:The Convectors Littre Law does note I man --� Owner or property Who Wilda or improves thereon,and who does suc(i work himself 103 - UFER Required Inspectid'ns'' _or through his own employees.providFd butt much,improvements em not intended or uRued for le.df,however,the-building ori p t rov i gsold within one yeti of 10 5 - ANCHOR BOLTS 'improve mp ve for the owner-builder iltler will have the When of mulct that he did nm Wild or improve for purpo... _._.._ _ _- ._ 106 - SEWER & WATER __..._.._,_ .-._... _, .__ . _... uownu of.tht property,em exclusively contracting with bttued conwcrors to 2O2 - UNDERFLOOR PLUMBING on n the project(Sec ]001,Business and Professions Code)The Comrceror's -- I�.r Li...,Law does not apply to an cwnu of property who Wilds or impmvee thereon. 203 - UNDERFLOOR MECHANICAL': "t" ,: .and.wb.contracu.fon such pra*ts-rasa eomngogs).HcensW P-.t-so.the __.......____ .___.UNDERFli00R FRAME --.- . ConuanoYs License V 20'4' - "-" Olson'.emptutl!.Fc,,,_7 #p' foraus Re;on 205 - UNDERFLOOk"INSULA`I`ION ower O_ `'UDR •� ``.." , :' 301 - ROUGH PLUMBING ., '.WORKERS COMPENSATION DECLARATION 302 — TUB & OR SHOWER 1IRR e(tiw uMm pSnvl -ofL m7 -.. Y _.._. _.. by !y, p,f oneW thefollowin deehmdone-"'-' x 303 - ROUGH MECHANICAL jj ° I have ind'vill"melrium a'Cenificne of Consent I-I u io-Rm for Workeh 4,}ily. Vampens¢Iiom'u;'prmdded-fm'by-Section-371q'oP rhe-Labm'Code;for the 304 - ROUGH ELECTRICAL ' rfatm'anee bt Ne work fM,wNch this pewit ie issued. 305 — FRAME ❑1 nave and will meinWn Wmken a I mr,amemmm Insurance u required.by Hection yt 00 of the Lebot code rot the pertoittmnce of aR wank rm wh¢M1 thii,pemut is 306 HOLDOWNS {„ ly TCompenudon lnsunae corner elle Polity nymbet w. 307 - INSULATION ('h✓ ✓ tiv Volt NF yeah ^� F1CAT PFxEMManoNPOMWoaxERs, 309 EXTER'TOR LATH;' ccFa ---------r- -.;. COMPEN$�ATION wSURANCk` ' ]ihlsiedion need noibe tEmpieudif Ne pemutis for on hundred dollars 311 - SCRATCH COAT - :;' IcpNfy.dre(in the perforinanck arthe woh for xhich thin perm r'b issued'T 31.3- - ROOF—NAIL - :. . ..._.._..__ ... _......__.-.. shppolppl�poteMp o9 any,persDn In any moenu sop to beCalBF seb)cct to rhe Workeri 501 - FINAL ELBCTRI CAL`' NERGY _.--.-_ ... ._. 502 FINAL ' PLUMBING'-ENERGY----- -..-. _miCeht on U s o ebfomie Dn IC ( kip Is CeniBfine of Eeempuon yd should 0 �comeeub3ectrotheWdrkelsCom nar�nprov nsafthelsW CFdeyoumusi 503 - FINAL MECHANICAL "ENERGY be 0 onhwith kbmply with uch pro i ions or alis pew t shall be tleemed rooked 504 --F-INAL-BUILDING _ENERG$1 `_ _."._-... °i 1 �'CbNSTAV OIO LEND WG AGENCY tipthmtharccoiuuixtdnledmYaierccytorr�epertdrm.ee' 505 — FINAL ELECTRICAL I hereb oAi p : W ofthe work fee bhidi this perYn 4s isi d(Sa 3897 C(v.C) --.50.6 — GAS_...TEST,_ 1 "CtindeYrtheme ' v a 1. _.__..__ .._.._.. ..__. -----------_. .--- __ . . U C LmdenAditto 507 - FINAL PLUMBING - W s.t IcemryrhutLWveRadihuvppppl1peionerMsutethuNeaWenroweuoni� 508 - FINAL MECHANICAL (� [+: coaecr Ltrte meoPq{ly+ythall cily:6M 5ounry o{dmenus+M,mmlvWrreleting 509 - FINAL GRADE © U. toWldmgro rNCrion ind M1ercny surhonrl rc'prclehuav"et df iNEntyro ter upon in w. nFaW�m imnpa.PmPamfgr{i�:p«tronPa pa 510 - FINAL PLANNING Or: fWe)eyrce ib true indemi4sly antl keep hettnlessl0he'Ciry of Ci�peNno'ayunst ►i Iiabth{Rs,3udBmenu;cu4 and expense whish may m any way ggrye p�nnn cid 514 - FINAL PUB I C WORKS V p ih tLnse nencl of are gregVnA pp(this eeBnit r p�, Ap�'F Tt{�b TeYa�bS+�.'D«7rrt�o�fptr�titH AZ'tf`b�aoLvr Issuedb c Y Date r i t m qvector Re-roof R <` Hant future o6cuu a13C1.OSiIRE material j i' W111 the applicant h fuNsrc W 1 occupant non or hudie hauMmle mnmal Type.O OOf ss etipM by the Cupertino Momnpn Ode Chapue 9 12.and the Heeith end Safety .( r-" "--- ' Codd Session 25533(41 cl F 1''>1 -, " °Y� �� All.roofs shall,be Inspected pnor-to.any.roofing material being installed.. mf' 11 r , �.�.-• � '�-iAo 4 ti a h; � � Wal the pppiewinrmNone,it rid ``«roe.toyArgmpmen(or lftyhua:,worm If a roof is installed without first obtaining awinspecnon'Fagree to remove am i hazlydous ev C ntawnams ei deftned es the Bey Area i r euaety Mana{e hkh D1s"`1 all new mat rials.for.inspection,_Applicant understands and.w211 cgtnply w{th. 1 ❑Yes, Nb r ...all non-point source reglations. =;y,, r4 1 1 - sh't9-ild'naeIth&Si tsNbuhavc s rials rc u 25533.under Cha ler 65�a e .bu oc o Y safer Cade Secaens 23305 23393 eM 23390 1 pMvmend Nar ._ _-_ „_ ' 1 love Rad' mare 9 r P 1 of N i 1 Y Y UTIMI door ltismyresponslbalty mmufy the - " '"'_"" -" - _. .... .. _ eupent of r lie no, which mum be and poor to i trance of a CeniBu¢of .0 Occu r 1 . - sF1. s -..-Signature.of.Applicant _. . .. .__ _ Date17 7 . OW All roof coverings nerm eamQri?m 0ycm �t � r o„c',,, s to be Class B”orbetfer . _...._._..OFFICE. ...._.-_..... ... . - .._.. _ ._ _._.. _. _._-