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02030185 CITY OF CUPERTINO BUILDING DIVISION PERMIT ' CONTRACTOR:INFORMATION BDLLp1OIA"EssIMPERIAL AVE TAYLOR WOODROW HOMES PERMITN(02030185 q-AY1?4R WOODROW HOMES 2300 CAMINO RAMON APPLICAUON�SMIF/// 2002 PHONE: 9 2 S 365-3100 SANITARY NO. // �L•• CONTROL NO, ARCHITECTIENGINEF.R: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 00 LICENSED COM'RACTOR'S DECLARATION C w I hereby allure that l am licensed under provisions of Chapter 9(commencing NEW TOWNHOME Job Description �� with Section 7gN))n[D1vis1nO3o[NC Ouslnass and Profcesions G+Uc,end myllccnsc is mlull b eamertect. 1589 SQ. FT. LIVING SPACE Gz� License Class Conduct., 492 SQ• FT . GARAGE : $126��/� ® i�m® Dam Contractor �°9�lRo ARCHITECTS DF;CLANA'1'ION 1 understand my plans shall W."dins s Puhlie records i_wdoarQ DEC 3 0 2003 G� I.i.d.d Pn+fcssinnal g OWNER-BUILDERDECLARATION 1 hereby xftirm that 1 1. exempt from the Contractor's o License Law int the a X p O which re requires a(Section,1131.5,Business and improve. demolish, Code:Any city or county �e K whirl+requires o permit re cords the alcor,nt let such d,ermit I file repair any soucturc 1` wpm poor to its issuance,also rcynircs the applicant inti such permiun EleasigneJ statement rp�y6 that he is licensed pursuant to the provisions of the Contractors License Law(Chapter 9 Sq. Ft. Floor Area $167YROti00 yF$ (cum reducing with Section]IX)(Bof Division 3 of the B nsinass and Professions Code)or i that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant a civil penalty of not more than five hundred dollars($5(16) -3 bikW/149n e Occupancy Type D I,as owner of the property,or my employers with wages as their sea compensation, will do the work,and the structure is not intended or offered for sale(See.7Hq Business — and Professions Code:The Contractors License Law does not apply to an owner of 10 2 - P I ERS egmred Inspections property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvrmen6 are not intended or offered for sale.If, 103 — UFER however,the building or improvement is sold within one year of completion,the owner, 1O4 REBAR bui liked will have the burden of proving that he did not Wild or improve for purpose of sale.) 105 ,- ANCHOR BOLTS ,as Owner of the progeny,am exclusively contracting with licensed contractors to 106 - SEWER & WATER construct the project(Sec.76,14.Business and Professions Code:)The Contracter's Li. cense law does not apply to an Owner of property who Wilds or improves thereon,and, 202 �- UNDERFLOOR PLUMBING Lwho icense Laws for such projects with contractor(s)licenscd pursuant to the Contractor's 203 - UNDERFLOOR MECHANICAL exerupt under Sec. ,B&P�C�fnr t�his�rca'snn 204 - UNDERFLOOR FRAME nd t nate/O�/'OL 205 UNDERFLOOR INSULATION WORKER'S COMP NSATI DECLARATION 301 - ROUGH PLUMBING (hereby eBimm under penalty of ry nor uttbe tuuowmg acdaradnns: 302 - TUB & OR SHOWER 0 haw and will maintain aCenificateufConsent it)self insumfor Worker's Compo 303 - ROUGH MECHANICAL simianf w ,as provided for by Section 3701 of the Labor Code,far the perooded of the work ter which this parmitis issued. 304 ROUGH ELECTRICAL D 1 have and will maintain Worker's Compensation Insurance,as required by Section 3 05 - FRAME 37X1 of the Labor Code,for the performance of the work for which this permit is issued. My wmkera Compensation Insurance carrier and Policy number are: 306 — HOLDOWNS Carrier: Policy Nd, 307 - INSULATION CERTIFICATE COMPEN COMPENSATION INSURANCE EORKERS' 308 — SHEETROCK (Thesection need not W cnmpleied ifthe permitisforone hundreddollius(SIW) 309 - EXTERIOR' LATH orless.) 310 INTERIOR LATH 1 certify that in the performance of the work for which this permit is issued,1 shall not 311 - SCRATCH COAT employ anyperson in anymannersO gopy =11—tn Ne Workers Compensation Laws.1 at, l VV 313 - ROOF NAIL Applmda NOTICE TO APPLICANT:II:after making thiftreffficale of Exemption,you should 501 - FINAL ELECTRICAL ENERGY become subject to the Worker's Compensation provisions of the labor Code,you must 502 - FINAL PLUMBING ENERGY zotOnhwnhcomplywon suchpnwisionsorthis prmnshallWdccmcdren+ktJ 503 - FINAL MECHANICAL ENERGY 55E CONSTRUCTION LENDING AGENCY Iherehyanirmthmthereis.annawrrmmleadinyagareyfmmeperfmanrecul 504 FINAL BUILDING ENERGY IYa > the work for often this permitisIssued(Sea.300,CimC.) 505 - FINAL ELECTRICAL aW q t<Mera Addm 506 - GAS TEST z 1<ndcr's Address U O 1 rarity that 1 have read this application and state that the above information is 507 - FINAL PLUMBING W Hcorrect,l agree to comply with all city and county Ordinances andsmte ho"'Clatingm U building construction,and hereby authorize representatives of this city m cater upon the 5 FINAL MECHANICAL [It above-mentioned pmperty for inspection purposes. O9 FIN (We)agree ,,save,indemnify and keep harmless the City of Cupertino against OF,t V) liabilities,judgments costs and expenses which may in any way accmc against said City 5 N G V V U in APPLICANT rUNDERSTANDS of the granting of tAND WILL COMPLY WITH ALL NON POINT Issued by61 WORKS Date C�R�GULATIO S. '07- Re-roofs 603 - OF BATTENS Signature of pplicinUCommc Date - HAZARDOUSMATJiR DISCLOSURE Type ofRgpr'4 - ROOF IN-PROGRESS Will the applicam or fuwre bu wcupant store or handle hazardous material as defined by the Cupenim MuniciW Code,Chapter 9.12,and the Health and Safety +de,Section 25532(x)? �N/ All roofs shall be inspected prior to any roofing material being installed. D Yes Will the applicam or future building occupant us,equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove ,alit le roulaus air cnmamirants as defined by the Bay Area Air Quality Management all new materials for inspection. ' Disuict? � Dy. /C 1 have read the hazardous maderialsrcquirem,ms under Chapter 6.95 of the Culotta .in Health 6 SafetyCode,Sections 25015,25533 and25534.1 understand that ifthe Willing does not currently have a tenant.that it is my responsibility to ratify the Occupant rf are rem LwMrhmust Win cenfaC,niticateOfOccuparcy Signature of Applicant Date Owne,miuthorizedog,nt Date All roof c Ings to be Class "B"or better