02030197 CITY OF CUPERTINO .,.
'BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS PERMIT NO..
10172 IMPERIAL AVE TAYLOR WOODROW HOMES 02030197
TX'Mff WOODROW HOMES 2300 CAMINO RAMON APPLICAbIg3 ?gA}1Z
h , 002
PNONE SANITARY NO. L / LCONTROL NO.
(925) 365-3100
❑z Z ARCHTTECT/ENGINEER:
p p '� BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
D:vNj= LICENSED CONTRACTOR'S DECLARATION Job Description
Zp Zr-� I hereby of irm that l am licensed under provisions of Chapter 9 Branscome).g NEW TOWNHOME p
F=bw with Scetion 10001 of Division lofthe Business and Professions Code,aadmylicense
am L�
is Tore'arta effect. 1589 SQ. FT. LIVING SPACE
IS etr6 Dinen.ecla<. C.cu 492 SQ. FT. GARAGE : 19 80
p .0 Done ' Con,sx,or
n•'I-n .. ARCHITECTS DECLARATION
t:p g 1' .i.I understand my plans shall x used as public records
y.
a.z D o 1�ccnxe Professional AUG
°i z OWNER-BUILDER DECLARATION
fifine. asoo�
`'I fiereby on
that
1 am exempt from me C.'Imnor's License Low for,he L
t- < following reason.(Section 1031 'Business and Professions Code:Any city or county
zF'p which"'aires'a Permit,o'cdnona".alcor,improve,desomisn,or rtpair any swcwre
y 3 peon , an Is q_ ,heapplicant
PPI'C t f h P< a fl a .g d.ummcm _ __...
tNvt be,5,1'a9ee p al a to
m,the appl t o Cch proms Li ,we In (Chap,n 9 -' -
(co mncng lhsc, 1UIX1) fD' i. 3 fm<esnss dP r scow') Ct} , Sf;:Sq�F Floor u,1[ion
of Jut he in'xetop,,hercrrom ane me M1asts for me alleged mpurn A y vioItowb
of
Section
WU LS by onY npphevm for a perm,sublecw me a"fi'ma s ivil penally
of am moo,don fi.e hamlree deflect also). 3 5 7A M 1Z18gIf .. 10 Occupancy Type
01,as owner of the property,or my employees with wages as their sale rom,met,tion. '
-WIIPdo the work. ,he structure is notintended'or offered for sale'(Sec.-10,11;" ],O 1 - FOUNDATI
'.Business'aiid Professions Codc:The Contractor's License law docs not apply,o an wired Inspections:
owner of pmpeny Who builds or improves thereon,and who does such work himself 102 - PIERS
or coed fur his own rmplayr.' ended that such impmvcmena are,no,intended- _` -
=offd f le.ICAs to building p 'mem t Idwithin one a of - -_ --- - .._ _
r= 1'03_.-_.-UFER"— ., :.t. -----.. . _.
"comprt o N='ooe bu IJ ill hoe,h bard f provin6 that x did not Wild or
�ntp ra p rpa or. 1 ). 104 — REBAR -
r_T� -orm .p xnr m I .le1r gwnn'it<e�xa�on,raaomo `- --105--=--ANCHOR--BOLTS
iq License Law docs no
nodoet,Mp ), t.(See 104,1 B els tdprofe«onscan,:)TWContractor. 106 — SEWER & WATER
,apply to an owner of property who Wild,or improves,hereon, - t
i :i' ..and-oho commeor for.such.pm..with commolm(a).0ceased.pursvan,to.the __._....-.___202-_.—_-UNDERFLOOR _
. PLUMBING.--.-:------.--
..I--_.--
(_ - Commnor's License Low. - - -------.
mit Sec. n
9'&PCfohisreason 203 - UNDERFLOOR•;MECHANICAL
_ ow S °�2_' 204 - UNDERFLOOR FRAME
.WORK Fyr 1It 1SATIONDECLARATION 205 - UNDERFLOOR INSULATION
�•�•, I n nrI- d penalty I ,get y n< rtbe ronawtnsaerfarattons:- 301 - ROUGH PLUMBING
1*hi na it m nta ,c mn<t f con-rent or self mare for won,' . 302 — TUB & OR SHOWER
Compensation;as,pow,ded for by Sec,ion-3700 of ,he labor Code, for ,x
o rmm and<of he work for which mi,perm;,is i sae.. 3 0 3 — ROUGH MECHANICAL
01na4<atid'wJ1'malniain Noders ComPnp '�oninsumace;'"a ui,eenysxtiva304 — ROUGH ELECTRICAL
aloe Deme et,B,r me permrmancr rrieca work my winch min perm'is
' I isw d My W mkk srr'N C pen u 1 r c < end policy 'be 305 - FRAME see: '
— 306 Iz _HOLDOWNS •-. _ —..___ _
-- `
Ca . fes. : 'jjrj ION OF r Policy No - H f-+', s } s.5 r �.. .d.
t a CERTIFICATION OFEXEMPTIONRANCE ORKERs'� 3O7, .t JAI NS UI4iATI ONt -.cy
COMPEN$VIOY INSURANCE' 1 `�
cis r t -
(Th taancednatxcom Iced ftha 309 �— EXTERIOR LATH t ' '
100)or leas) p permit is for oo<nmulre dollars
._` { I rtryJ,,l;pmrKd aarIn work for which this pem6„§is<a,i =- .3:1.0 __.- INTERIOR,._LATH.' _ ,,. ...__....... . .. _..
COAV
311
:�all�ote plyany,p ax n'W°k ._ 501 — FINALCELECTRICAL ENERGY]
C 59 ali
.NM 313 -. _ROOF NAIL
NOTICE tPLIo
a c" urmk g sCnl¢ fEx - - '- -'
p, n y mould
Z bee subject t ,he Wad Ca'.
,on P to Lobo CM Yum t `
O n me plYwtn np aarm nxa ercvaka. 502 FINAL PLUMBING ENERGY
O —
F'� ') ' ('CONSTRUCTION LENDING AGENCY - 503 — FINAL MECHANICALENERGY�1" - ---
Ih
tor m s1-1 c o.t to 1 a°gas` yr° 'h`pe;rmourne 504 — FINAL BUILDING ENERGY '' It
of the work for which this t :'turd lS 3091'Co.C) "'-" - s_,
a ' t
qsq -
Ucmf,jsN - -- - _ ._.. . _..__..505-...-_.FINAli...:.ELECTRICAL-.. ._
V Z Lcne Ada s t . .,.1 - ! T
Icrlfymtlh edth. ppfc, and ,tthat thx formation is 5O GAS TEST
. Oca; F 'oorrier'1 g =torn ply pn Bay na ,y di < d.tt Iwxo,lann, 5 - INAL PLUMBING
.V to building conswu on and herebyau,ho pescnmuvn fm ' ny,o mrerupon
}-w ,he above mentioned pmpeny for inspretamparmosev,,, S 8 — INAL HANICAL
�:f0. ,yssc)itgreetosabe.indroamfyand keep Word,ssmeCity ofCupcnin'o'agains 5 - INAL
rn liabilities.judgments.c to d aprnsrs 'h ch y n any way accmc agamn said
U Z Cory n consequence of 0 grant g of ilii perm t' 51 0 NA /
leo ICENTU\D- SgNDWB:LCOMPLYWITHALL N-POIN!' Issued -
t' .. tp
Y Date
S,' < r prr wco ,r mt.
D , . . Re-Too -
',., HAZARDOUS/ R:RIALS DISCLOSURE -
^t W 11 me oPPlat"I futurebuilding occup t store or handlehamdou m'i'nd _
nxdenneb mewType of R BATTENS
y pemnoM icplCadeChapmJRadmeH Int d5af<ry R OF 'IN �PROGRESS'""� - ,,; I
Code 5 ,con 2553(a) t > - '
. ,•-- .... .. _—All.roofs shall be inspected prior to.any.roofing.material being Installed.
Will the applicanto futureWilding p ,as'egdp nt de .men If a roof is installed Without first obtaining an iaspection;'l agree''to remove
emit h d ram is as defined by me Bay Area AQ lily Management
Dsi ,
❑Ye '- jg. .. .._allnewmaterials,forinspection.,Applicant.under_standsand.willcomply.with
.,,. _
all non-point source regulations ,
I h 'rtaC,he hazard mrial
req u d Ch p, a 95 of me
Cplif to H bti&Sof ryCM -S bi . 5505 it
d15534 1 eerstan0 mat
tf the ba Id g does not me tIY h.,-m ant en t t )rcspo 'b I,Y t m F
occupy t of the.requ re m which mar,be et prior.m ixsn of C nificate of 2
.,
," � Siey
gnature of Applicant r._ Dale
C• n r a zed ng t All roof c
Dae ngs [o be Class "B"or,beth
I
-'f- -- -OFFICE. .
- l