02030202 CITY OF'CUPERTINO - - -
�Buil-DING DIVISIONPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
•10118 IMPERIAL AVE TAYLOR WOODROW HOMES 02030202
N APPLICATION UB DA}E
U6 -WOODROW HOMES 2300 CAMINO RAMON- 0326/2002
PNONE: •�'
(925) 365-3100 SANITARY NO. CONTROL NO.
' � ,r ... .: •..
0 ZQ ARCHITECf/ENGINEER: ' BUILDING PERMIT INFO
"`. ;'»n; `"!. .-. BLDG ELECT PLUMB MECH
C
to .' ,, .
"'LICENSED CONTRACTOR'S DECLARATION
z Zb 4 E ' Job Description
Ihon 7003)of
am provisions Chapter (commencing TOWNHOME 'LIVING SP. 17/71 172707'.
�<mt,:m with Section tenjefD Jof,he Business and Professions Code,and my license
K e, 6 Liven.11CIair and eR t tic.a GARAGE S P. 498 GARAGE : VAL. , 7 4 3 0 .
u37�.s- .Date .•` •,. ' Contractor
14 of ,; ARCHITECT'S DECLARATION �'NAL>E®
g ;;!�} I undemand my plans shell be used E public TION RNA
14ee< Licensed Professional '
OCT
Tri „ OWNER-BUILDER exempt
Cian ON 1 4 2003
t: ?I hereby.(firm that 11. exempt(rata the kesions Co License Lew for,he 1. 3
I_'�� .1alfollowing ore.. section l To3L5.Business mpr Pre,de a demolish,
h,or re ny aircity amactucounty
E F O whir,requires v permit to conswn,altar,improve.Jemalish,or repair any strvmum '
udja.3$.Pnori u awmicdelsoreq -,h applici i forsuch pcommfile asgnednaumen - - - - -ali
- - - - --- - --- ---
that bi a lrensed juraem, ihc pPoiwsmns of the Contractors Lame Law(Chapter 9 C O .Sq:Ft hloorrArea - Valuation
(confmertung with Section 7000)of Division J of he Business and Professions Code) ('v� � i5e2^Ll. S C'L3'. : 's1, ,J'1
.orshot he G exempt thelefrom and the basis for the Object eiempdun.Any violation
ofSection7031.5 by any split unit tarn permit adjcns she applicant,o o civil pen i ty-
of Dat more man Eye hundred dnq,rs S500). APN Number Occupancy Type
❑I.ai owner of the property,or my employees with wages as their sole compensation, 101 FOUNDATION -
'wl"do'the'"ok,'and'the'structure I,not hatinished"orbfiered'far sale(Sec.70114,- 102 - PIERS Required Inspections"'''li n:•,at
Business and Professions Coda:The Comrac,or's License Law does no,apply t.nn
owner of property Who builds or improves ihicramr,and who does such work himself 10 3 - UFER
or 1h sh h employee,:provided that such improvements arc not intended r -, .
.._offer d( sale: - ._._.. .__. ------
t . .__._._
'.r 'wnot-not-milder
,he l have
a ,men of proving
told he din-nne year f _._ __1�-4 —'...KEBAB
connotation,on,sampoo, f u Ider wdl have the burden of pmvmg,hat he did not Wild car
dmp etrprRiseof le) 105 - ANCHOR BOLTS
t.__ __..-_. ._... _ _
aaowner ar the property,am exclusively contracting-.. . . •.. .1.06- ..--- SEWER- &"-WATER: -__._
' P Pc Y Y 8 wnh I vensed contractors to
_ b imams, he majec,(Sec 70.14,Business aad Professions Code:)The Cmumatcr'x 2 0 2 — UNDERFLOOR PLUMBING. •..:•T r
r-
License Law does no,apply,o an owner of '
pP Y ProPenY who Wills or improves thereon,
— ..And-who,conuocss for such pmjacn with.a.contrecmds).licensed.purxoam,o.the .___._.__..2 0.3 ..._._UNDER-FLOOR—UNDERFLOOR -IGAL......
01 a mexrxLIon.deLaw_ .. 204 - UNDERFLOOR--i'FRAME::^,
°lamoxemtum, Sec." t'" ;B&Pefonhis rtaznn
Data 9 � 205 - UNDERFLOOR INSULATION
ENSATION DELLA AUDI
1 301 - ROUGH PLUMBING
• " Ih,eby ran nJrpenityofp,gun ofineflimingdeclamtionsr 302 — TUB & OR SHOWER
Irl%.' °,1 have and maintain a Cenifcam'ot Consent m self-inmm for worker's 303 - ROUGH MECHANICAL
v 'Compeniminn, aspprovided far by Section 37W of the Lobar Cade, for ,he
?; perrarmaneeofthe work,for.whieh his p.i,isixsyd. ,. 304 - ROUGH ELECTRICAL
t. '°I have and wil6raintrint Wok x Compen600nlnvmne ,u ed by Section 305 - FRAME
97011 dr the Lah :Code for theperformance of do,work f which this permit is
306 - HOEDOWNS..
,iesa<d Mrw k t rc t I a._1111—aP 1 y ,hp carp:,, 3'07 (- INSULATION..
• I CERTIFICATION OF EXEMPTION FR
once e
ti ar! 4 r.
Pnl rN ( y;, 30$ `'3-j'SH$ETROC.K EaS J 1 n
OM,WORKERS r,
COMPENSATION INSURANCE 3'0-9'--.— I'.-iXT•ER-IOR_'LATH
1This ttci aAneed oat beaompla,ed it the perm,is for nne hundred donors 310 ''—• INTERIOR LATH
dS100]or less.)
31.1 =,- .SCRATCH COAT
1 c n fy than theper(nuance of the u k f ish'h thisPermit is issued 1
..a
Ila n t mploy any pc n n any mann. ro ax to It It : C 313 - ROOF
Com own (Cal from m
50.1. .-..FINAL.-ELECTRICAL_ENERGY.-,._.. .__......
'NOTICE T A PLIC Nrit,altermaking crifificidgiafllxoarapfiom,youshould 50 - FINAL PLUMBING ENERGY'
'becmhe subject to the workers Compensation Prov' of the Labor Cade,you must. 2 N
z roM ,h c mply
witli such provisions or do, she[]k deemed revoker, 503 - FINAL MECHANICAL ENERGY _
y < t
CONSTRUCTION LENDING AGENCY. 504 - FINAL BUILDING ENERGY
a-' 'a; ' I himbyvlErm that dice is acontiuct n lending agency for the perparr c, 505 — FINAL ELECTRICAL r '
~ Lander' nrldr ih:n 1 have read this application and state thatrs bove mti,mauon s �5 Q 7
of th wi rk fo Mch th t d Sec J09T v.C)
;54 a Addrt 506' GASME
p FINAL PLUMBING
fT+ [r �corrtn 1 agree to ca ply ,h all city and county ordinances and state laws relating 5 - L
L MECHANI CAL
OV 'm building c r,i and hereby ambo p 1riveof ani aly.to enter.apo. 5 9 — DE .. .
",h M u ed property fonnspec, p rya s
f.y Ao (Wa)igrei to sue ndemnify and keep harmli the Cly fCpenino against 51 —Ln Aiabil u s I d, rants ,s do.penus wh ch y n any y accrue against soldCity seq enc. f the gapting.(thi pe t 514 RKS"
APPLICANT U"DERSTA DS AND WILL COMPLYWI"rH ALI JOINT'
g c u"{.,m Issued ft _ Date
- 'TEN 6
S,gomu of ApplicamCummcmr '.'.[ `pine- .i - Re-CO —
^4 HALIRDOU3MrRIC
DISCLOSURE.: v -i Qq R IN-PROGRESS
,n s W II the applicam or fume ng occupy t trt or handle hazatdo m
s..,coal _ Type O
-- - as'an d by the C pen o Municipal i ad Chapter 9 13 cad th Health and Safety , r 1 „• ,
Code,
ade Set
°Yn 211J21a1 N r. 1 alb i�i )
All roofs shall be inspected prior_to any roofing material being installed .___
and; will the applicant orfuture building occupant useaq p t d loas ob ch If a roof is installed'without first obtaining an iiispecttori;Tiigree to remove
haz.ud us aircomemman¢ssdefi by,he Boy Area Air Qusliry Mendgctnenl
Damn all new materials for inspection.,Applicant understands and will comply,with
°Y allnoti-point sourcergtilations „ ,
1 hire
readnhe huza dou matenals requ mens under Chaplei.6.95 of the
Calihord.Health&Sf ty Cade Sections 25505 25533 and 25574 f and rmndsha,' 7S�igNg)!ture
ifthhddmg doe:nrncu dyh eatenan, th, timy respo<bity in tfy the
ddeupatofthe quicnenn whchmutb rat pan tot roof u Coftute ofOna r of Applicant . _.. ___ Date'
Owner a,ou housed agent Date, All roof cover' to be Class"B"ci<b' ter
.. .i.... ,,. . ... - OFFICE '--.. _