02040110 CITY OF CUPERTINO .*'++: ':+..•;. < • •-.
BUILDING DMSION PERMIT CONTRe1GTO�Rj11VF.0RMATTQNi;
BUILDING ADDRESS: PERMIT NO.
7541 HEATHERWOnn DE 02040110
OWNER'S NAME:
APPLICATION SUB DATE
FERRUCCI DOMINIC A AND ANNA 04/19/2002
PHONE: SANITARY NO. CONTROL NO.
G{yG ARCHITECT/ENGINEER- BUILDING PERMIT INFO
(j BLDG ELECT PLUMB MECH
u r_I L. 7 u
tri 5 LICENSED CONTRACTOR'S DECLARATION v Job Description
Z—p—c 1hertby )of Nn1nm of the
Business
under and Professions
Code.
mmencise '
�t7 wiNSction700d DivisionJoftheBusincuendProfessiansCode.etHmyliceme TILE TUB
is in full fon�nd' en. .[ 6
ClusrLIE
:N /
Dile Conm r
�O ARCHITECT'S DEC ATIO yIL �
t 5 I understand m3'plow shall be used u public ncards s �/�
O O Laensed Profesdonol -5 /Q2
Oat I am exempt l n he Contractor's
/
—w 1 hertby.(Rein on I am exempt fmm the ConwcsCo License Law for the
following ninon.(Semon 7Ommu Business endProfessionsimprove.
dli Code:Any city or county $1500
f F O which requires a permit to conswa.ober,imprmn,demolish,or repair my ewnurt
3$ -prim sot issuance,ono nquinumaniTP nantforwchpdmiva Rle.Lu,(w¢mem
that he isl rinsed bynaant to 00 Rro;isbns of the ConB..I 1. !.kern Lew(CM ter 9 �Igpy p�ey t ValuanOn
(commwdng hiN Section70(t0)gf Dwoionl of the Business aril Pnfu,ioiu Cade) ��t A,` l.lt3 't6 tI7'7'.:O�U...?s-,1.-(.l(
or
that he a dempi therefrom end the baso Tor the Jlycd ea'rmpion.My violation
Of Section 7031�bymyeppllum(.a Permit subjects dmepplum,n3 civilpeashy pp
ateotd>�Nhnmehundreddonat,(s3o). 101 N � DATION '``''° ''0 Occupancy Type
ClI,e,owner of Ne pmpmy,ur my employ.with wages u Nei,wle svmpenniion.
will-do Jho Monk':end Ne stiucrurt is non intendN-or nTired'for ale-(Sec:7M. 302 - PIERS
S::9 D::iF
'Business and Piofeauhms Code:The Carnation's Lice.Lvw does na apply taw 10 3 - UFER Required Inspections•G:
owner of progeny Who Wild,or improve Hereon,aM who does ewh won himself a n
or throat h his own employees_pnm,kkF,Net such imPmsemsms art not im.,uh,d or_ 1.0.4__=-REBAR__._______
_... __ . _ .._. .__—_._..._.._— .__._.______...._._—...___.._..__.—___._.______
,offend or sale. wner,bevxi the Wilding a impmOfm moving
n sold within one year of
'colnylw for thepose of wilder will hove the burden of provinj that he did no,build or 105 — ANCHOR BOLTS
improve for euryon o-----
106 - SEWER & WATER
Ones owper 9fthe progeny,am Business
Prxtingwi Cadd:)The Cmmucto 202 - UNDERFLOOR PLUMBING :�=�'.a�ia.�.r,n,;., "--'-'-
_ _ >
construct the project(Sec. 10 a Business and Pry who
Code:)The ws tenor',
License Low d.not apply rain owner ofpropcny who Wild,wimprovca Hereon, 203 - UNDERFLOOR MECHANICAL'
meets.for wchpojav iNacoanctor(s)NttnsW.punumn�tha. __._.._..__.._._ -
a f umn,eLaw 2Q4-"=•-UNDERFli00R'-FRAME"=---" _�__.._ ..... __ __.....
o.co
nmrs.ie fl i C l t L-' .
e,n exempt rte` _,B APCfor th¢reewn 205 - UNDERFL0012' 'IN_80LATION
Dek
R s COMPEN S�N DECLAD RATION A "" 301 - ROUGH PLUMBING
ON
1 302 - TUB & OR SHOWER
W RKE
I hertbrom y.fundo pe Iry perjury,on;,ofthe following declarations:-- 303 - ROUGH MECHANICAL
l❑ 1 neve wd
will maintain e'Ceeifieeh af'Conrint"'io self-iron.for wmker'e 304 - ROUGH ELECTRICAL
compcnx,ronr as;pmviaee-rw by smaw'37Do-of`flue-Labor caaa,rw-the
performance of the work for which this permit is issued..
305 - FRAME
Z. 3700 ovf t<IabmCadC ' 306 - HOLDOWNS
f r the perfoimantt of NC slvh fon which Nii pemdt ii
isiuM My Woheh Compensauonlmurance camd�nd pal cy�numbeywue n.: ea 307 - INSULATION
`f i f, CERT F C T ON OFE EMP 70N FT pM,WPRRERS 4 + 3 R 8 :,. t $,k�EETROCK „
" cohePWsnrip wsutArcE -' ` t ' 309' ' EXTBRIOR`LATH-
(Thu action recd wtEe coinpleied if the pemmis lc one hundred dallus 37.Oj 19,7ERI OR—]JATI`._..1 p-- .0 LI^e
311 - SCRATCH COAT i .-
p wbjep to Ne Wwken •_•.
n1 p.1 l.,yry N t in the plrfon4wime pr�the wk f� Mab Nn pemut n iuued 1 37 3• _ROOF' NAI
lh II no(emploYwy,perw I ones p �— - 1 1 ,;f
i
ruin, £ �°"'� 501 - FINAL EL'ECTRICAL� ENERGY'
----FINA'L PLUMBING ENERGY
COpmpeniwon
Dlt APP moiInyyt ISCrM cam o(Exem ton b hould t,;
Z hi?emest ccu.NeWorker,Com most on rovivonsofsheLaborCod you muss 503 - FINAL MECHANICAL ENERGY
C0 forihwiN coni Ply ith, ch pro Mons-1'his Permit mail hal.und revoked. iIILD.ING,.I.ENERGY _
i-t:x any . .. ..- 504 FINAL-
B
E„ `'CONSTRUCTION LENQWq A[IENCY ' 505 -FINAL ELECTRICAL
1 hereby whish Nes Nerc ,eomwel a 1 ndiy nyenry fa NS p4rtamlence}
W 6fihe ink far whichthis
pem,tlua.uxxSea3097p1 cj v -,�.. ...--_..,..._.5,0.6._..._...G
Um!61 Neme' " AS---TE$T 1
Z Laadtr,Addrcn 507 - FINAL PLUMBING I. t..i
W lunify that Ihave mod this applinton ndstate that the shave infomnuioni. 508 - FINAL MECHANICAL
�. odjricct i same to comply with all city and county ordinances angoum law,renting
C'f L1 to Wildingmncwetion,md hereby Yothcriie npvu rcichietlof Niscity.to cnnpo
run 509 - FINAL GRADE
� _W theabon-mcntionedpropprty,far inspectionpurpox;, 51O - FINAL PLANNING
,.':p;r'. IWe)e(Tee io hv'e,IndeNNfy and kap huiNess�lie Ciry OrC pemno ajunn
fA' lisbilities,judgmenu.cow and upenseswh5hm,yinaryvnyPmrxac ga [sad 514 - FINA PUPJIC WORKS rn �
61 �' City in cohfequence of Ne pnntlnR9f Nil peri
?ve5ck"�'xu: 8a3TA.` sAtuvll.co.{ ilT't\i�}1ALt�b�POLVTs`e Issued r
IR _3 y: Date
pl con onuamw vTi v -
HA7ARUOUS MATERIALS DISQ.OSU0.E kf - itJ Re-roofs
t.-ni 0.gI1 Ne app!cwt or funs Wdduiy oceupant ddrc aehntdle h,uMdn
material -_Type of-Roof.. . -
asdsRncdbYshe Copewna Mumnpel Cada.Clmpter913 writheHNN wd S,fery i . .,.1.! - - --- _ _.__
Code Section 235331.17 r aGf t' Y. '1 y•0. :. n Tt" +, -
❑Yes No,r CTL F rt-,Yy s ,1t n ta,] ; -_....__= Ca.isU
-All roofs shall.be inspected prior_to.any roofing material being installed..._,-.___-._.,
t WBI Neapglauit Ortumrt Wddm ocrnpwtuu gmpm twdnnes hick If a roof is irisfalled'without firs ob din ng ani_ tion' I '
emit hetardo sa comeminwts adeM by NeBry Arta Nr QWiry Muuyement nspeC ,-'ii 66
all
all-new mate 3als for inspectign t Applicant understands and Willcomply-with_..,,___
„
all non- omt source re ulation
P g S .'S' !
�. 1 hen rtad d¢,h¢aN0a3 mammals req :rtmenu endw Chapter 6.93 of Ne
s
CCali/amu Health&SJ'ety Code Scmom 2330!'13333,ngy736.I uiWcnt,ad Nat
itNe WJdmgdaes not eurmldY haveefmwu Nd'itism .'...•_.,-- .. ... . _._,_ . __.. .._. _._.J_
0 t Pent Of the regeireincnu which must bq met poor to nsuwce of•Cenificaieof
N Signature,Qf,Applicant.,,.._,,,,. Date
r ofd once
P e Owner a =ad site ' / /p-ac. All roof coverings to be Class.',B or biter '
g it +_p° tri It si del'.. , g - -
' -_----- _.. _.._ .. .._ ._..__.,..__.._.. ... ._ __._.