02070088 :CITY OF CUPERTINO r.
BUILDING DIVISION PERMIT ;CONTRACTOR INFORMATION::'
•±
BUILDING ADDRESS:
.......10088: IMPERIAL TAYLOR WOODROW HOMES 2070088
'OWNER'S NAME: APPLICA
,ANTAYLOR WOODROW HOMES 2300 •CAMINO RAMON bD'I`nM002
ONE' a;•. SANITARY NO, CONTROL NO.
(925) 365-3100'
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ARCHITETIENGINEER:
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UILDING PERMIT INFO
,du BLDG ELECT PLUMB MECH
yak u -1 L. J u
�yZ. LICENSED CONTRACTOR'S DECLARATION .iy,,µ��.L�E �,p(�J}
Ihemhyamnnthat lam licensed under provisions of Chapter 9(commencing TEMP POWER TO- SHLP.b$C S'kCl-Il LER
;y wi:hsenion]0001 o(Divi+ion3 of rhe Busincsswd Profusions Code.and my license /
is in full force and ellen.
:zee 6 License Class Lic.N
fO Dan, Commnm
3 C+ ( ARCHITECT'S DECLARATION Xy
=Oys 1 undcnrdnd my plans shall M used es pubhc rtcoNs w-+ 9
i O O Licensed Professional /•
a� OWNER-BUILDER DECLARATION V >'
1 hereby amrm that 1 am nempr from the Contractor's License Law for the ` y�1 O O O
h?< following reason.(Section]031.5,Business and Profession+Code:Any city or county
S,O which requires a permit to conewn,otter,improve.demolish,or repair any structure
e.3$ ,hi,in u lir" Iso requires the applicant forsamb permit m file litigated smumem
m.a
_.. ...___..-._... ...�_w_�
cing it pun tion o7tKi70M ofDi oto of o Commcmrs License law lChaprer9 3.�ap]FT.O7oBr..®t@a -,.•�. Valuation
(commencing with&pion7000)of Divisien3ol the Business and Pro(en+ions Code) \"ye;'f. Ati�1; �,u• 11t xr1(a w�rr ,f lk)^
or that he is eicmpi Vtiemfrom and the basis for the alleged exemption:Any violation " �aIni¢niT�
of Section 703 L5 by any applicant for o permit subjects the applicant to a civil Penalty lOIAPIV ixtwto�a,.ATI
'ofnotImnethanrvehandreedonen($5(n). -,r,•>srvr Occupancy Type
❑I,es owncrcif the propary,or my employees with wages as their sole compensation, 102 - PIERS
will',dothe'woik;"rind the structure is not idterided or'Offered'for sale'(Sec:7614;' .
Bdliaeai sad Professions Coll The.Contractors License Law does am apply man Required Inspectiolis r .f
owner f P merry Who Wilds o improves thereon,and he does such work himself 104 - REBAR
or throu h his own employees.provided tit t such ps improvements o e or mended or
gffe d for salIf,"however.-the bWilding t psold emt is ,h - ycar of
5-- .ANCHOR--BOLTS
0omplcon theowner-builderIl have the of prong that hd not Wild
"nalpuryoeotor
" ' •"__. r l
106 - SEWER & 'WATER 'I
-UNDERFLOOR-PLUMBING -•
is owrmtofnhepmPeny am cxcl Ivelyconeractng with h[ensedcunvoc,onto
construct'he pro)ect(See 7044 Business and Rofruions Cotle)The Contractors 203 - UNDERFLOOR MECHAN'I CAL ',
_ md..1 law docs nm apply a an owner of property who builds t improves thereon,
cmuans for.tach.ryajecuLaw .with e.conuacrort+jlicensed puravam.m Ne. -___.—.__2.04.._:-_..UNDERFLOOR _FRAME...._._._-:.___...._
. co�aarsu[an+es,., 0,77 :.,,, , :,. .1 •;. . .. 205 - UNDERFLOOR,;INSULATION -- -- -- -
m e e ps urMcr Sec ,B&PrC fonhu mason
woR R OMPData NDECLAR 301 - ROUGH PLUMBING r
o 'nate �-7
DECLARATION 302 - TUB & OR SHOWER
Itimbyamrmundcf p<,nalry atN,rjury one of the mRowing dealamtiom: 303 - ROUGH MECHANICAL
❑ 1 hme'enJ will maintim a Cerlieenieaf Conies, no tdf-iasum for Worker's 304 - ROUGH ELECTRICAL
Cornpenmr...... provided for by Section 3700 of the"labor Code. far he 305 - FRAME
i perf miss of thiwork f with,his perm t + ad.
❑Ihevead ill''molmentrrker'+Compenset''.1 1roriceairequindbysenion 306 - HOEDOWNS
3]00 of The Labor Cosafie,'Jitar the performaince of the work f which thio,pi ads is 3 0 7 - INSULATION
issued My Wo ke aCompensnlonInsurance kemer sill Pot number are.: ' _3.OB _ SHEETROCK..._
Comer '.11'y (ff a',L"e
_. _ ... -.
to yrva ?:.^'.309"- 'EXTERIOR•.LATH;;
n' s CEBTMCAT]WOFFXEMPIIUNFROMWOR"F ' o
__----3-10 I NTER I OR--.LATH __..
(Thi l 1e .`n need not be marlpilld if the permit it for one nanarcel down 3 11`f�� S CRATCH COAT
151007 or Tut) "'
41�
+ 1 r n Thi Nn In tit pert mus a ot,h work fo h ch,hn perms a las -�� -
: NOTICET PLICA, 1`If ,.(,teal asy+.psi ye.aryEtpe�m Lion Y k 501 - FINAL ELECTRICAL 'ENERGY' '
Com w • aa(Cah1 Gm Dau0 any ' /' ga'el] �— '
Appl can p y yPc .-,.`��— eme a patsy We.. _ 502__- FINAL PLUMBING ENERGY
z Comply
previsions_ .- nonm 503 = FINAL MECHANICAL ,:ENERGY
bkomewb)c�mltie Woden Compensauohp ioneegedemaeod`voked. ece ERGY�
0 hwnhCom l with suchorthis notsonoft eLaborC oked SO4 - FINAL BUILDING EN
E„r ' YONSTRUCTIONLENDINGAGENCY 50b'-- --FINAL"-ELECTRICAL
a ' fon Ih rtb amrmlheteieelsac n;tiunl nlene 506 GAS TEST
W hhe i rk for hmh,M permB n slued(Se<7097 Crv'C.)y � `
z aertNeme 507' - 'FINAL- PLUMBING
° �daeftpddnat r .
p508 - FINAL MECHANICAL • V
U .
I comfy:hn 1 have nae:h pph n on and stele rhes,he ebo a
ation is 509 - F I NAL GRADE
fss E.r �dricu 1 ague to c mplY Ut VI nsY ane county rd:nenc 4nd tum let 1 ung
t..) so bud.:ng ernssmction.andhmbyeuNonu rtprcsemauJa of Nu sty to cn:erupon
��aa .the abo mnmidpnd ro morns ,0 510 - FINAL PLANNING
L It'll (Nk)egreesoue�nGemn(y MikeepM IsurheChyofCupemnoe, 514 - FINAL PUBLIC WORKS
FU t0 habil,:n)dgmenu,cosu and expenses wit ch may n any.wey ccrue agues,:.id,
U Ciry m mmequcnce ohhe grenimg of Nis perm, - _ 602 - GOF NAIL
, APPIrICANT UNDERSTM'D$p.Ap RILL CONPLYNf1}IpLL pO'4-POIINr I$$ned b�:O 3' O Date
EGULATI to,` 's'
rgnemre APP caMC spec :: Dan' Re-roof$
HA2:AARDOUSM DISCLOSURE
Code Se l by tit. 72(g7 f p .handle Hesltb ti mnmel Type of.Roof ..
..... and the Health ne Sofery - '.' -: ..-..'-.- >_•.:rr .
W ll Ne appl ce t m Pomre occupm,non
at defined by the Cupertino Mun¢pal Code Chap 9 12
r is )y� .V : T°.........
❑Yes r N sLits , „All.roofs,shall.be inspected prior-to.any.roofing material being,installed..,,__..-__. .
f W IItheaircontnlmtom buudmgac pentuse equipment orecvaeswhmh ' If a roof is insulted without first obtaining an ms ecDon;I'a reesto `remove
q,hazardous Lir conal.l Ila es defined by the Bay Arca ip Qbelny Mikes which
g P g
all new materials for inspection. Applicant understands and will comply with
t '�.„r •i, all non-point source---
eg Plattons
1 a Health Safer zudo s I-orlils req 25533 s under 4Acilun 6.95'of the
CaliforniaHealthSafety Code Senm,a 2350525533 and 233741undemend that
ftAe buedmg-does ria curnn,ly haveeilaid this n Limy respansibilry m notify,the
odeupens of rhe requinrnenu huh mull h mu p oc io iuu ince.of a em fate of `to
0 Signature of Applicant Dae
t
woe orauth nudagate i- - .i ; .Dote All COOP ering$ IO be C1a55"Bsa or 6ettei