02030172 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR-INFORMATION: "
BUILDING ADDRESS: PERMIT NO.
10096 IMPERIAL AVE TAYLOR WOODROW HOMES 02030172
OWNER'S NAME: APPLICATION UB DATE
AYLOR WOODROW HOMES 2300 CAMINO RAMON 03/26 /2002
(925) 365-3100
HONE: SANITARY NO. CONTROL NO,
(In
9 0 ZO ARCHITECT/ENGINEER: BUILDING PERMIT INFO
C s (- BLDG ELECT PLUMB MELD
iu`i
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LICENSED CONTRACTOR'S DECLARATION
Z`ey- Job Description
O Z I hereby aRrm that I am licensed under provisions of Chapter 9(commencing NEW TOWNHOME
Fra(: with Seninn]I7W7of Uivi,ion Jof rhe Business anJ Professionv Cade,and mylicens9
g,, < LicenselClas.°werr"` ro 1589 SQ. FT. LIVING SPACE
3t a.u °°'° canna°(., 492 SQ. FT. GARAGE : $12619 . 80
lh Fe ARCHITECT'S DECLARATION
O 1 understand my plans shall be used as public records F 1 N A L E
I y. P'�
syo i O O Licensed Professional Ce OWNER BUILDER DECLARATION n 'I 1 q 9
1 hereby affirm that 1 am exempt(tete the Contractor's License law for the APR 2 2003
F Z following reason.(Section 703 LS,Business mad Professions Cade:Any city or mum,
I F 0 which requires a permit to consumer,alter,improve,demolish,or repair any structure-
u°13 o prion.its issuunceisherequites theapplica,Purism .it art[...ig oriplamem_
that hq is.licensd pupuhnl to
Phe,nisi a of the Contractors License Low lChigq9) S Sq.Ft. Flopr.Area, $ UMBI @G
(commencing with Section]IX10)of DivisionJof the�uF,iness aqd Professions Cwkl i.:(3`+� I =i.i.'i. 1 sJ 6\ al r'.'s ?�l'!!^sT, l�
art
that scathe
li exempt theisfrom'and the breis for the.11 St elaempdod.Any violation
of Sot on]031.5 by any applicant for a permit r.bj""the applicant to a civil penally
of non more than EM handled dollars SNPI). 3 5 71Fptb 1d8m� , . .., Occupancy Type
01,as owner of the property,or my employees with wages as their sale campensadon,
Bmin,N an Professions
structure C not Contractor's
r' Licened or OfferedLicense
doe sale apply to an 101 - FOUNDATI Nuired Inspections •"''' ` ' �
ownerof and Ptofeuionb Cale:The Comactoro License Law does not apply ms an
ownerofhproplay,
ow emploho yees,
who does
renwork himself 102 - PIERS
,rthrouIM1 his own howevems.provided that such vernatemend ore not intended of
air d f I lf.n.. .. m b m' a -atop, emelt" la-within ineyearaf ._ 103UFER .
'aa°plea To;theowoe,bulderwill have me battler of proving that he did not bale or 104 - REBAR
improve lar,uq,asc of sale.).
...... _ ,._._. __.. ...- ___. . ._... _.,,.. ,_. - ..- -- .. .-_ -'--ANCHOR-'BOLT
ey
,asownerof@ct(Seeny,am xdusiandProfeisions Cade:)
Contractor's
License
1 S ' S t .
- _ mnewct me project(sea.]loan wnrBusiness and erty who code:)The Contactor', 10 6 - SEWER & WATER
'License Law does nal apply m an owner of property who builAs or improves thereon,
and who contacts for such project,wire a.contractorfs)licensed pursuant to rhe. __. _. --2 02--- .UNDERFLOOR--PLUMBING—_
coa"mapenre w.. 203 - UNDERFLOOR' MECHAN'PCAL
am exempt u Sec: B
I t &P C for this reason
o Bate- ' J ' -Z 204 - UNDERFLOOR FRAME
WORK MPENSATION DECLARATION 205 - UNDERFLOOR INSULATION
Ithereby inti filled,of perjuryan eathe following dedarelimic 301 - ROUGH PLUMBING
(. 0 1 hove and will mamuin'a'Ceniricae of Consent is selpinsum for Worker's 3 02 - TUB & OR SHOWER
Compenation, as provided for by Section T]W of the Labor Cade, for the
- performance of the work far whim this Permit is issued. . 303 - ROUGH MECHANICAL
01 have end will msimain.Waiker x Compe6smion lesuranee,as required by Section 3 04 - ROUGH ELECTRICAL
TIM of the Labor Cade,for the performance of the work'for which this Permit is 3 05 - FRAME
is a My w ke ,Cc,n,,n,.Iion Insurance carriern I Policy be
_. 306 -= HOLDOWNS.-._ .
;Irpol yNo " 1 t ,
'sCb.R'I'IFICATION OPE%EMPTION FROM WORKERS - t.11N , 30.7. '. -0..TNSU'LATlON! sl)�'':
.., . COMPENSATION INSURANCE'. .. .. .. ....... .. —_3'0 B-,7n� SHEETROCK_.,._. -._.... .. ...,_ .. .'
-(This I on need not he,completed f the perma i,for one hammed do lam 309 - EXTERIOR LATH
lS I W)or less)
__.._. '..L ' _ 310 — -INTERIOR LATH
_ -.-. - _
1 entry that in he perfommnce'of the work for which this Mrmit is issued:1 —
's et not employ any person in any manner so rec to 1, me oleo t workers 311 - SCRATCH COAT=
Comarmmnrtjy _ Celifo Date_
.Appiica - _ _..... _. 313.-m--.ROOF AIL _
NOTICET APPLIC NT.IL after making t en
de of °,tion.you should - -
becomesubjectmtheworkersCompensationprovisionso ,rmewe,yea(.rent 501 - FINAL ELECTRICAL ENERGY
ZOforthsvithcomply with such previsions orthis permd deemrdrevoked' 502 - FINAL PLUMBING ENERGY
-4 ..`I " -%CONSTRUCTIONLENDINGAGENCY 503 - FINAL MECHANICAL ENERGY`•
a � Ih rear which
this sai,nmdl eon lendingogency to, performance 504 - FINAL BUILDING ENERGY'
Lf the work for which mare,erten is ismed(Sec.3091,Cie C.)
Lender's No me .....•__ ... _....._ .. _ :c..._._sass.._. .._._
LenderSAdn 505--_ FINAL` ELECTRICAL - - - -- -
VOreal fythat lhave Maidthisapplct and nurethat the above information is 506 - GAS TEST '
consM L gree to comply.,wib all city and cmalv ndmme ad alone laws relating 507 - FINAL PLUMBING
i O..f� in budding dannor.and bembytatnbmnze...re,cmefNex afmtx city toeme,upon 508 - FINAL MECHANICAL
>s:W the movotocul cd property Tai ,,retia.Purposes.,,, .
F4 (Wtag to, d nfy and kepharnm meL tyfCp .lm e,.in,i
t. m liabilities pd,arraft.r t. a co,ames, M1mm) ' anyway against said 509 — FINAL GRADF
C:> z City <9 'e of theg t gof thisPermit. , '
APPUQA'sr UNDERSTANDS\ND WILL COMPLY WITH ALI NWPOINT ' S1� 1 F NA NG
CF"jrlleAA�lULIN, P —� Issued§g: Dale
St alone p,GnCcaa:narro , . .. - t � Re-roo '02' - ROOF PLYWOOD NAIL
fiA].A Irwin hI� ISCLOSURP. - _
i "!WlitheapplicantorTut ngmmpamaoreorhandlehaivdousmatedal TYPeo f BA NS
ROOF TTE
'as confined byth C peon r pal Cad Ch pter 912, dth Health and Safely !'ice 1 .604%1. .ROOF
CoJe,DY n255321a1 t / 'r 1344'^� {-• ` r� •,'i G s: , ,
All roofs_sfiall be Inspected prior-to any roofing,material,being installed.
Will the pplic nt orfuture building occprem use equipment or devices which If a roof is insfslled without first obtaining an inspection, I agree to remove
em t hazardous ter contaminants s defined by theBay.Am ,Quill ty
hlanagemem
District all new materials for inspection. ,Applicant understands and will comply with
t ❑Ye, z -all non=point-source fegulations. :
I have read the hazardous materials re"amar cors under Chapter 6.95 of the
CaliforniaHealth&Safety Cole'Secure,2550525533 and 2551) I nde_smndthat .�--.- -
' Signature of Applicant Date
' iRheonzn at nt'tlh ten nt tht it re nsbltt u,- .? O r7 __ _ .
building Y Y tH Y Y he a"�— L7 G�—
bd pm fm a ns which must he in ,lot tots t.¢ f Cenifcme of
co y
ow.e °ratan ge - 7— Dole All roof overin e to be Class B, or better
OFFICE _.