02030192 '',CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10114 IMPERIAL AVE TAYLOR WOODROW HOMES 02030192
. RM NAME:' - - APPLICATION UB DATE4IWOR WOODROW HOMES 2300 CAMINO RAMON 03/26/2002
HONE:; SANITARY NO. CONTROL NO.
(925) 365-3100
Z ARCHTTEC/ENGINEER: a - BUILDING PERMIT INFO
we O „ BLDG ELECTPLUMB MECH
+ LICENSED CONTRACTOR'S DECLARATION
hereby «rot that I am licensed under provisions ofcba t 9 immune Job Description
p`°"'° p` g NEW TOWNHOME
Fy F,ty wiNS<mion]Wp)orDivision lof rhe Business and Pmfmsiom Cod cense
�• �,8 Ji9jnful1force
ande ecr. .a� a g9 SQ. FT. LIVING SPACE
a z upen gclaxs Llc.« ev 2 SQ. FT. GARAGE $12619 . 80
,° ;Dale;,
Contractor
X73�'♦n - -ARCHITECTS DECLARATION _ -
C°•y'.g 1' •31 undersivnd my plans shall be usad to public records OCT 1 42003
O'�O jLifen.ed Professional '
y. I,' o'. ''OWNER-BUILDERexemptDECe ConioON w
C } ,. n in hereby.(Bert thin I tempt from the Goalmclars License INV
Z ;following reason. emit t ]on 3 Business ad Pr,de m demolish,
Code Any ci
F'C y,wh¢h rcgmrc v pesmu to sin s cl,ah pm e,hereat h or repair any arnica
m
$ pnato tsusuanc:also boddrd ctheapplicant(r such pemunofl Lw(Chstatement - -
a3- thathi it ommaplaevseepSe:uN,7000p f Diision thehewnolsL Low(Chapter9 / ! -Ft FIOOC AICA A Ar �r.,,laatiOn
:.(commit ng em SmuonatIM f0ivn Division (the Buv!exempi Professions Cod ) q�,z-3 4 1+: 9 Al a:". ,Y.it .0 s 111:.r'.lI l W 1 $1675 f#
.a Sm Ae i4 caempi tang ppnYand the basis for the alleged exemption.Any violation `
of not a ]than
k.5 by any hundred
deM for o permit subjects the applicant his civil penalty-
[of
enalty-
la(asn mare man Bve nanarm mnam(stool. 3 g•7 zjlljN IA'gmp}p . .;:' I : Occupancy Type
O I,as owner of the pmpeny,or my employees with wages as their sole compensation,
�will'do'the took.and-the'stmctule is not hate ded'br offered for sale'(Sec:7o44� 101 - FOUNDATII p st i'• '
Business'..&Pmfeuiovs Cale:The Commmors License Isw does not apply m m aired Ins eCt10B5"
owner of property Who builds or improver,thereon,and who does such work himself 102 - PIERS
'
or through his awn employees:provided that such improvements are not intended or _,_ ___-__-_____-__.-___�-_ _--_._---______-,--_-
iaRgmd,or idle:w however,dine building or burden
fprov n sold within one year of 10 3 - UFER .�.:r'.:,;
'comp),ion,pu bwnehbuc. will have the burden of proving that he did not build or '
,improve f rparpase,af arced., . 104 - REBAR
_- er;asownerpmjmP(Sm.7nne Business
and ntmmingns Corde:)The Contrtotsrs 1'OS ANCHOR':BOliTS- :'--':` •_::"<;,- :.,.. :n:,
'Iconsw2t m<pmjen(Sec.]Iia,Business and professions Code:)The Comrocmr'.
106 - SEWER t4 WATER PI t'l��� n"
License Lhas does not apply to an owner of property who builds or mprnves thereon,
.sandwh co tmns.for,mch pmlems.whh v contractor(.).licensed pursuant m the.. _ -. _._-202._.._._UNDERF-LOOR—PLUMBING.-
Cmaraca e,License Law,
X01 ma ,carrapt tondii,S ' ' Q,_;-`B&PCfor this reason 203 - UNDERFLOOR!!MECHANICAL
O oR R MPDNZAT1oN DEdA, ,Q 2 04 - UNDERFLOOR FRAME
RATION 205 - UNDERFLOOR INSULATION
,, Ili reby «n er penalty ar Mrluiy one oft the.following declaration.:- 301 - ROUGH PLUMBING
OrLneve"and'wlll'maintain'n�cenificae of Consent to If inmre far Warker': 302 - TUB Cr OR SHOWER
Compensation.-as;provided for by Section 37M of the Labor Code, for the
nrrmimnmeapn�work,raywmmhtmn mtni.iaaapd„ .,., 303 - ROUGH MECHANICAL
Olha'e and wilimetnunworker'.Co pc.mu Iv Vince,. nkquircd Ay S'c to 304 - ROUGH ELECTRICAL
37011 the Labor Cave;ter me permmanere or rep wark'fir which this permit is 305 - FRAME
issued.Mr wa k k Cman,ciscition lns..... Brand Policy n b< pre:
` 3 0.6 ti -
HOLDOWNS
Carrl rs ..(4 t )'l'$s`:d PoreyN ` '!
> CERTIFICATION OF EXEMPT ION FROM,WQRKERS-d t 3-O'7.+:-�NSULA'TS ON: �"r. Y:
ioN lNsuRnrvce - ....._-- 308- "-SHEETROCK- _. .-_.'
COMPENSATION
i
' (Th ;3 81on'neeratlceamplmalifthepermitisforonehundreddolmrt 309 - BXTBRIOR LATH
aha100n It am I)that
Persian n arta ma yI zA�
,•r '. I a ..,, . .3.1.0.,_.._.I•NTER30R -LATH-:,.,__...,._..._... �.L. .,_._ .._.�,__..__.
r.. t pe �rm to work f -h¢h Nu perm t ns iss ed l l I t \nU
p Yo any y iter so m t � a wtim 311 - SCRATCH COAT ` -4'''`
Camp Cahfn ate. `�_' 1IN "K '
Applicant._ .. . ...., ._. .313 __-.._.ROOF_.NAI L_-,..._... .
"NOTICE TO APPLICANT.If.aft,making, a t¢at Esemptionyouihould 501 - FINAL ELECTRICAL 'ENERGY '
00 Aecome 63 rt'tne Worket'aCamlie sat p LaborCd y t
form thcmply lh a<-h rte ,.w allb ,deemed revoked. _ 502„_, FINAL PLUMBING ENERGY
- -
coNSRUC1oNLENDINOAGENCY 503 - FINAL MECHANICAL ENERGY
P t I hereby afr,6 that there wcuon lend g g cy llrt-h performance a d,
.? oftn kr hichthis Ndrdti s des 10971 ,0) 504 - FINAL BUILDING ENERGY
4.Q -Lenders Nam6 v„u <a .. ._. ,. : .•,-....._. ...a..,, -__d__ _„_._.... . _... ._.__ ..._. .
Leede sAddrt ,
505 FINAL' ELECTRICAL,
UA T t e t ni 50 GAS TEST
.. y-.I c<mfy that 1 h ad the city a t n and stat that th h e haws a on g
.ttf�;�' 'cnnect I agree to comply with all city and county ordinances d.rote lax.relating 5 - INAL PLUMBING
. -TjJ tobuddn,const ction,andherebymutnonz pre mmive5oftbumtyaenterupo° 5 8 - INAL ICAL
(g] the ba e _t red p penthem, ctio p gp ., _ -
0. fi.jol tee ussd dens mdkeep haales the way
fCpe agsin Lunn 5 INAL
N Who t s 3 dg ms. s v�expenses h h y in any ay cane against said (sJ„✓/
V Z City m a q ice ahhe granting of th s pc t 51 O L
I ICANT UNDER TA\DS'AND WILL COMPLY WITH ALL NONPOINT” ISSued�y' _ DBIe
Siguat of APPlcan trot _t Data - _
r ' t '.HAZARDOUSM ALS DISCLOSURE Rero R BATTENS /
Will the appl'ca t f t rc ng a p m tw or handle haimJou ..led te vl
Code.Chapter and for Health dSafety -r Type o of_ R OF�"IN PROGRESS -
as define)by the Cupen ro Municipal C s
Code50ecY` 755J ({
o ,y,l} Lryy,,
PI
_ _._All roofs shall be inspected rior_to any roofing material.6eing installed ___
Will the ppo< t future ba Id" g pump q p t e s. hen'' If a roof is installed without first obtaining an inspection'Pagiee to'remove
• em t tel?, s contaminantsd fVwd by the B y A Air Quality Management
ni m<" 4 ' all new materials for,inspection.•_Applicant understands and will com_ ply,with .. ,
y °Ye , ',`• "° I all non-point source regulations 1 , -••„ .
I h,a read•the hazardous materials requirrownt,maim Chapter 6.95 of the
CalFmm Health&Safety Cost,'Sections 2550525533 and 255341 1mmnd that �.
ifthebuilding does uanot
ummi currentlyhavedtenant that Its yssommvtbtl Why to rim fy the - �- '-Q ,I,nO
ptt pant or the ieguir<.e . Arch man be t proom sssuanc f o CaniBrne of
- I
Occup ctrl s r
Signature of Applicant ,. - _ , Dateall
.
'Ow o a lmnzed igen, :. i Date' All COOP c nags to be Class, B"or better'.
OFFICE... -
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