02030201 CITY OF CUPERTINO a •� �a `-
BUILDING DIVISION PERMIT CONTRAC1ORIINFORMATIONi , '-
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BHIIl'0IIAR19ESSIMPERIAL AVE TAYLOR WOODROW HOMES PERM'TN(62030201
W §hr R WOODROW HOMES 2300 CAMINO RAMON APPLICATIB:N5yIT6y2OO2
PIHONE: 9-2-5 3-6—s-310.0 SANITARY NO. 77 �� // CONTROL NO.
ARC fln-CT/ENGINEER: BUILDING PERMIT INTO
BLDG ELECT PLUMB MECII
0 0 0 0
p00 a- LICENSEDCONTRACTORS
anderSUisions ATION b � ��
I hereby tell IC oat I am ONTRA under n CLA of Cha Icr 9(cnmmencin
' with Section PgkBofDivision 3nfNeBusmesvandPrafessionsCore,and mylicens TOWNHOME LIVId 9.
in °"forcerand^(f^c'' GARAGE S P . 4 9 8 GARAGE : VAL. 7430 .
I�5q'a" LicerseCJass Lic.«
iF-- Date! • ' - ct
Contraor ('{u J 042003
g� .
ARCHI'niCPS DECLARATION W
^
If '; 1unJeisldnJmyplansshall usedrecords
I. 1 C Licensed Pmlcssionul` BUILDING+" , OWNER-BUILDER DECLARATION BUILDING
<P .I herehy serum that I am exempt from the Contester,
License Law far rite
�I00 fulRiwing mason.(Swdnn 7171.5.Business and Professions Calc:Any city or county
K$ whicti,reufmats a permit us construct,alter,improve,demolish,nr repair say slrucmre $180137
w—y
ph",In iasoance,also requires the applicant(orsuch Permit o Eleasig ulsulcment
that he is licensed pursuant u the provisions oflhe Contractor's License law(Chapter9 Sq. Ft. Floor Area Valuation
F� (commencingwith Section of Division 3 of the Business and Professions Cude)or
$ 35717018 . 00 .
Net io is exempt therefrom and life basis it the allege)exemption.to Any lineation of
not naetrainn 703 5w hny undred deltafor a.(SS Permit Subjects the applicant loacivil Penalty of APN Number Occupancy Type
not more train Few hundred doemu ts5IX1). 101 - FOUNDATION p Y YP
0 1,as owner of the property,of my employees with wages M their sale comPereaden,
will do the work,and the structure is nm intended or offered for sale(Sec.]Bio Business 182 - PIERS
and Professions Cade:The Contractor's License Law does not apply m an owner of 103 - UFER Required Inspections
propeny who Wilds or improves thereon,and who does such work himself orfhrough his
ownemployees,provided outreach improvemensenc not iatendedarolfcred foraale.If. 104 — REBAR
however,the building or improvement u wed within one year of completion,the owner-
buiedcrwill have the burden of proving oat he did not Wild or improve(or puryow of 10 5 - ANCHOR BOLTS
rade.). 106 - SEWER & WATER
Las owner or the property,am exclusively contracting with licensed contractors to 202 - UNDERFLOOR PLUMBING'
emestroct the project(Sea ANT Business and Professions Code:)The Contractor's Li
write Law docs not apply to an owner of prapsny who Wilds or inform memo^,and, 203 — UNDERFLOOR MECHANICAL
who connotes for such projects with a coefficients)licensed pursuant o the Contractor's
Licen204 - UNDERFLOOR FRAME
se Law.
meaemp'under See. B&PCfnroixreaon 205 - UNDERFLOOR INSULATION
301 - ROUGH PLUMBING
WORKER'S CO-""AT CLARATION 302 — TUB & OR SHOWER
•'I he.1Y amrm trader pen.tyo( rjaryooullhe following denaradans: 303 - ROUGH MECHANICAL
❑lhaveand will for byneCion 37mof the Labon tor
Chile.for
for Worker'sCamper-ce of the 304 — ROUGH ELECTRICAL
•s '' ration,tri provided for by Section 7]110 of me labor Code,for the Performance of the
work rotwit ich this perms is issued. 305 - FRAME
❑ 1 have and will maintain Worker's Compensation Insurance,as required by Section 306 - HOLDOWNS
37M of the Labor Code,for the pefformance of the work for which Ibis Permit is issued.
My Worker's Compensation Insurance carrier and Policy numkf art: 307 — INSULATION
Carrier: ' Policy Net: 308 - SHEETROCK
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMP17NSATION INSURANCE 309 - EXTERIOR LATH
I'rni,section nacdnol he completed ifthe Permit is for one hundred dollars($od) 310 - INTERIOR LATH
ir1csS) 311 - SCRATCH COAT
1 cenify that in the Performance of the work for which thisPermit is issued,I shall not 313 - ROOF NAIL
employ any ronin any manncn�h,wyarcria. 501 - FINAL ELECTRICAL ENERGY
AppliatNOTICE TO AI'PI. ANT:11;al502 - FINAL PLUMBING ENERGY
become suhjcana me Worker's C503 - FINAL MECHANICAL ENERGY
OO forthwith cop
comply with such proo.sanns or Permit shall he deemed revoked,
z CONSTRUCTION LENDING AGENCY 504 - FINAL BUILDING ENERGY
t-: -'I herehy eaim,thm there iso mm�reninn lending egenry fnf the performance of 505 - FINAL ELECTRICAL
fl > [be weak for which this permitisissued(Sec.3097,Cie.C.) 506 - GAS TEST
W a' Lenders Name
] z Leader'sAddmss 507 - FINAL PLUMBING
U 0508 - FINAL MECHANICAL
W (—' correct.l agree to comply with all city and county ordinances and sure laws relating to
building consmciion,and herehy amhoriZe representatives of this city to enter upon oc 5 FINAL GRADE
O'U, aMrvrmentioned property for inspection purposes. lO FIN I G
(We)agree m saw,indemnify and keep harmless the City of Culaf inn against
fn liahililics,juJgmcnu,ensu and expenses which may in any way accrec againu sail City A,� I
5 N LI WORKS � /
in
of the granting of
U z APPLICANTeUNDERSTANDSthis AND TWILL COMPLY WITH ALL NON-POINT Issued by60 NAIL Date /
CE REGULATI
DZ Re-roofs 604 -(2'0'F INN PROGRESS
Signature of Applican"Cunt'IF Dam -
HAeIARDOUS 0.1131TALS DISCLOSURE Type of Roof
Will the applicant or future building occupant stere or handle imitations material
as defined by the CaI,ru lac,Municipal Code.Chapter 9.12,and the Health and Safety
dc,Section 25512(x)]
❑tier All roofs shall be inspected prior to an roofingmaterial being installed.
Cn
Will the applicant or future hudding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit hazaNnus air comaminams as defined by the Bay Area Air Quality Management all new materials for inspection.
O iuict]
❑Yea
thaw read the haaNnus materialsooh remcnts under Chapter 6.95nfthe Califor-
di es not ur Sntly ha Jc,S¢dnns at
it is my responsibility
inJcmand a occule buildihe
does not cunendy have a tenant,oat it is my rcsPonsihility m notify tM rccupam nl the
m s Ibihmustbeer ay' issuance 11 aCIn, cule11 cuPanyy. Signature of Applicant Date
Owner or authorized agent _ 'at z w All ro0feerings to be Class "B" or better