02070089 CITY OF CUPERTINO
BUILDING DIVISION PERMIT • CONTRACTORINFORMATION:V
°Y18bW54PERIAL TAYLOR WOODROW HOMES PERMIT'62070089
OTA"MOR WOODROW HOMES 2300 CAMINO RAMON APPLICA"14 6302002
PHONE: (925) 365-3100 SANITARY NO. CONTROL NO.
C-Z ARCHITECTIENGINEER: BUILDING PERMIT INFO
z u C BLDG ELECT PLUMB MECH
a i IC=l I_--7
w w LICENSED CONTRACTOR'S DECLARATION
' s rrndP p g TEMP SALE I esc�ription
Z 1 heron affirm that I am licensed under ons dChe ter 9leommencin �..
:t
With fall A..0nd of Division 3olme Business and Professions CnJe,and.,license
6is in full(lace and efiee,.
;,X.6 License Class Lia.b
`N1fvfAUG 2 0 2002
O ARCHITECT'S DECLAA RATION
yi S I unders,end my plans shall he used it,ruhlic recoNs
7 1 O O Licensed Professional
'sC OWNER-BUILDER DECLARATION BUILDING
1 hereby of ran that I am exempt boom the Commcsor's License raw for she $500
t?< following mason.(Section]031.5.Business and Pmfessions Code:Any city or county
S C
Which rea,mars a permum perms, construct.alar, mprove demolish.or mpair any structure
mt3$ poor to its issuance,a1w,requires the pplicant for such permit to file a signed statement - -- -- -- .----.... _ -
,hvt he 1 ceased pars gran Na ryo'sions of me Convectors L Law(Chapter 9 _
,,++ Valuation
(commencingN
.w, Seftion]000)pf Drvision3of the BusinessInd Pofessnitscode) 'gip*�iCQISt.'4,C!S+ tar 4. Sai45s1.�Sf"'" '
or,M1u he a exemp(thercfn,m and me basis(lathe alleged exemptipn.Any violelmn - e
-of Section 91131.5 by any uprlicam for n permit snhjecs the npplicvm m v civil penal
or na,nmm man ave nunarm.oven.son'. ty 102 PIERS " Occupancy Type
❑1,do
owner of the nd the structure
ru my employees with wages offered Meir sole le S11 smion,
-will d ss and Pro ssionse ode Te isnot Intended en aLaw for snot apply
toa n - Required Inspections'
'Business and Professions Code:The Convenor's,and w Law does not only m an `
owner of property who builds or improves thereon,and who J«s such wort himself 104 - REBAR
or through his own employees.provided that such improvements am not intended or ____1.0,5. --ANCHOR-.,BOLTS_-- l._ . .... -
c cr or sale.If,hdwailde,w building or improvement n sold within one Weld of 10 6 - SEWER & WATER
completion,the owner-builder will have the harden of proving sbm he did not Wild or "' ' ' "' •"
inquasse far purpose of I ),
-t 202.__--__UNDERFLOOR -PLUMBING
hr . .._ _.. ._ ... -
convuct thep t(Se 7(N4Rusin ss rad Pmfessmns Cade)The Contractors 203 - UNDERFLOOR MECHANI CAL t_, '
-' I. crass law a«s not apply man owner of sm,A,who builds m militates thereon, 204
- UNDERFLOOR FRAME' .
r. ,.and who canracts for such projects with a commam(e).licensed punvau, .the......_-........ . _ __
Comranuis1.,«nae Law . 205 - UNDERFLOOR- I NSULATION��
lam exempt under sec. "I ,B&PCfonhis reason 301 - . ROUGH PLUMBING
w( KE ' OM �01CATION DECLAARATIIO�- 302 - TUB & OR SHOWER
Inerebya tanderrnm,y,ofredo,not ofthe following declarati... 303 - ROUGH MECHANICAL
❑ 1 hove and will amia Cenifiaie of Conant,o self-insure for worker'. 304 - ROUGH ELECTRICAL
el0; Compensation, as provided for by Section 37W of ,he Labor Code, far he 305 - FRAME
perfnrmdnce of me work fur which his permit is issued.
306 - HOLDOWNS
O 1 have and will'mainiam Worke'r's C<impessmioa Insurance,as required by Section 307 - INSULATION
3700 of the Labor Com,14 the peH'onnmree of the work for"which this permh'is
i..uee My Workersc pe t i lmumnm came,and Policy number ma: .,,_3Oa.,,, .,,SHEETROCK
„ _.. ..' -
Clm v} ,. l a„yl"'''Ful Y N _. ., ..... :.,-,
B 4.CERTIFICATIONOFEXEMPTION FROMWORKERS'” '„hr', i I309'�'-�,-,EX�TERI�OR SLATH,.
COMPENSATION INSURANCE '*e; ' _ 310INTERIOR__liATH
olds asictionriducl not beCompleted fhepermit i.far cm,hundred do]). 311''-' SCRATCH COAT
5100'°" 313 - ROOF NAIL
leenry mei in me pertprmana one okra nanm porn 11, .ee l 501 FINAL EliEC - ICAC-.-ENERGY.
sha rate ploy any rc y a s i �31�c the W ken
Co. . Cal T I wt c 502 FINAL PLUMBING ENERGY
p ICET PLIC NT n ,n Ea prior,yduAa la 503 -"FINAL' MECHANICAL ' ENERGY
Z it bfebtm ie Worm"C mpensat n I,a ^dn rCade you must 504 - FINAL BUILDING ENERGY
Q
forthwith c mply with tach p skins o ,h pe it shall a dee d evoked.
M .-. _ _-. 505 -FINAL'-ELECTRICAL -
CONSTRUCTION LENDINGAGENCY - -h'
thereby affinar thatshrc is a construction lending agency for the perlorinaom 506 - GAS TEST s -
nfine work'r hich this krinn is isatasdlsea 3W7.._1v.C1 - 507 ...FINAL .PLUMBING_.. -.
Ps.�.. Lfiners Na me tea. . _ -. _ ...._
p.z a .'neee t. 508 - FINAL MECHANICAL,,.
0 I aniee that 1 have with this application and saw,hot
es a.hove information g 509 - FINAL GRADE
LL F. cancer.1 agree comply with all city and county ordinances and state laws ation tis
'O-U on building construction!and herebynumndmrepremmasesofthiscity,oenter upon 510 - FINAL PLANNING
.� :. se-b mi ned property for inspectionpurposes,
- teg.last 514 FINAL PUBLIC WORKS91. (W)agree 1. indemnifyandk ph Is she City 1Cpenno'
V] in r egm ms, stand a pma.xwh ch yin any y g°mv ate
U citym q neofm gat gt
602^- OOF NAIL
PLICANT UNDERSTANDS AND WILL COMPLY WITH A LNONPOINT 031 _ 0
'L-IaKui1:A Issued Date
igo.,uw,of Applirn °n.memr Dae Re-roofs
AT.rRDOUS .-IALS DISCLOS RE 'Type Of ROOF .
W,II me ppl cant or fu ding«ctapant smw or handle bawd ma,mal
as def ed by the CLpenm n pal Code Ch p, 9.12,and the Health end Sol
-
CMe Sec,0 255a2O t tw.. t s y I sit t n s �kT" t l " 'l "l ,tr' , . .._...,
ones :All roofs shall be inspected prior to'any roofing_material being installed
Will the applicant or ature building occupant use equipment or devices nen If a roof is installed-without first obtainingan ins ecuon;,l agree to remove
m„Iluard us a contaminants i defib J by the Bey Area A Qu 1 ty Management p g
Iain an _ all new materials for inspection. Applicant.understands and will comply with
cm r''have
Nealm&he hkty messuorials quimm3 all Lion-point source iegulatlons:
nn undo Ch pt 6.9! d the -
'Yeu
3 and 215J4 1 ua ro"..d t
if the building does omearrendy have a wnanCthes it is mY raponsibilisy m notify me 1, .. ._ - . . v% a^ .
acupant of the realm emend which maid be met P. to issuance of a Cenifiaate of `•
at
7 Signature of Applicant _ Date
Ow emhodmdeg _t Da,e L All r� verings to be Class"B" or better
. .,w 't..,. OFFICE ..