02030199 .. V
.CITY OF CUPERTINO
BUILDING.DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10.174 .IMPERIAL AVE TAYLOR WOODROW HOMES 02s0,uu30199
B DATE
GINIEM -WOODROW HOMES 2300 CAMINO RAMON APPucA03/ Z6/2002
iI HONE:. (925) 365-3100 SANITARY NO. CONTROL NO.
Pas O'.ARCHITECTBNGINEER: < BUILDING PERMIT INFO
Q BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
ZO S,_C I hereby affirm that I am licensed under provisions of Chapter 9(commen<ing Job Description
0 zLln with Section g000)of Division 3 of me Business and Profession,Coee.ard my license NEW TOWNHOME
=y2�' is in full rave and effect. 1589 SQ. FT. LIVING SPACE
=c' Date Clus Liag 492 SQ. FT. GARAC e $12619 80
K O u Dae' Contractor A'=
w3,a . ARCHITECT'S DECLARATION � ��®
unEerstand my plans shall Ise used as public meards
it.eis <cn dPmfenlanal AUG 2 7L 2003
e' OWNER-BUILDER DECLARATION
so ..:yl hereby affirm rm Nat I sexempt from Ne Con=tor's License Law for the
t'Z a following mason:(Section 7031.5.Business and Professions Cade:Any city or county
we F❑ which requires a permit to construct,alter,improve,demolish,or repair any structure
a•;. pnwtits a also reclaimsth applicant far such Permit to file asgned statement, - - _ _ ___. _,
thaine ;IanseJp Ntdlhcp aorta mane Contractors License Law(enapt9 r S F,t.Foor-Area, 111a
(cd cttcmg with Sect on]000) f Division 3 of do Businese earl Professions Cod) f'i)', 1 z e.rq`i ,•_ 1 `,a•n.,+dt'r" �:a e f 0." 5 tJ nation
or that he R exempt theiefom and the buss for the alleged exemption Any violation '
of Section]031:5 by any applicant for a permit subjects the applicant to a civil penalty
of.1 rime than love hundred douara($50B. 3 5 7APXllling1@! cupancy Type
❑1,"am of the pmpeny,of my employees with wages as their sole compensation,
-
will da'the work:and the structure is not intended'a,oRerW'far'sale(Sec:713411 101 — FOUNDAT >: -
'Businvais azul Professions Cade:The Contractor's License Law dors not apply to an wired Inspections ••
owner of property Who builds or improves thereon,and who docs such work himself 102 - PIERS
or trough sale: ply p d n Na such trope nt i-s ld arc not mteMW r
s sold within one -af ._ tett_. ---103--
__
,Iofi<mdr - v-n nhexld"hgonmprov<mem y T03--��=�UFER-�-
;rcompletion.thefac balder will have the home fp gNmhedidnotxaJor 104 - REBAR
' rep p rymse of sal )
of ro exclusivelycontracting " 1'05 ANCHOR—BOLTS — ' -
P MnY Y to bttnud contractors m I Licecounse
t t rah does
t(Sec ID44 Business and P f.stem Code)The Cts then ox's I I '
t andiras Lawa«snot apply man owner of propertywho slideseimprovesttoth. 106 — SEWER & WATER n,�l i.r., t ., 1 ,.
.Cnp.whaeaLicens.ser-sueh.pmjd<¢.witn a.eantmetanal.na,taea.puramanttm,me tett ----.202----"-UNDERFLOOR--PLUMBING---_.----'----------.._,._----_
ContractorLieemeLaec:w. " 203 - UNDERFLOOR+t:MECHANICAL
❑1 am exempt under Sec. B&P C for this..an
'if 204 - UNDERFLOOR FRAME
I R PENSATIONDLCLARATION 205 — UNDERFLOOR INSULATION
1n 'byR pel,y of a rnmwtngaeclamtmr5: ' 301 — ROUGH PLUMBING
• . t me.ra„ •
'> x o•I w:E'aad'w•iilr'trr.innun'a'cenifiea(e'of L.exer"m self-imurt far WmIcara 302 — TUB & OR SHOWER
Compepsmam aS-provided ser by Sectioa 3'/W at me Labor Code, for the
i a.raman<ebnhdworkforwM1lehthis permiti`ii.sssued.., , 303 - ROUGH MECHANICAL
01 h'J anewill mein W rk Compensation Inanrarice,asrtqu red by Section 304 - ROUGH ELECTRICAL
3700 of ire Labor Cad ficr,W Perms trcq r he work far which this permit is 305 - FRAME .
d My Worker,C pe z f 1 ru c and Pol y. robe
--HOLDOWNS
Cam E. S C I ? ],ION v PolicyN' -...., t :306 ma 4
I " }CERTIFICATION OF E%EMPI'ION FROM,wORKERs, .. • , .6.0-7 a-3 iINSULATI ON1` '
�eea noxeNma,letoNr me per,,,Nce 08. :--"SHE E TROGK----_ .__. .
.1':n iprry sMt .
for one hundred dollars 309 ' - EXTERIOR LATH;
(51W) Is,,,)
_:..._ ..
310__-- .INTERIOR .LATH'
1 nrydon intM1 performance of n i work for which his p,.m,tiasuea I 311 - SCRATCH 'COAT:;
'
,hall em loy aaY person m anY manner w as to icon ';ct " '
sa
O NPPI If ma. , _ .313 --- ROOF NAIL _ _ __. .._._.. . _
OTICETOAPPLICANT If ft ank g to ruI y� pt o y should
Acctsubjectt .h Worker c p ra t p yam. Lax Cod 'y you must 501 - FINAL ELECTRICAL-ENERGY
O r
n di o ply d,such provisions m �f�noxa a ka 502 - FINAL PLUMBING ENERGY
.. tett_ _.
'CONSTRUCTION LENDING AGENCY 503 — FINAL MECHANICAL ENERGY'_
5-'
Itirtxvhiehmattx c„ e ranind'ngagmcyf mePerfarmanix 504 - FINAL BUILDING ENERGY `
-Q of thew k f h ch this perm t'. Hued(S 31)9'/C'v.C) ”
fy, "Lend r Name •_ ._._.
a Aeee,r •.. 505' _- FINAli' ELECTRICAL: _ _ ..
V'Oaz 50 - GAS TEST
Ic nfythat
mn, lidos ppfaio dent that be f Conn ,
correct' g to comply with all tyand county ordinances dsame l mining 5 7 - INAL PLUMBING
is
O U to!building nn mehereby' m p tat . rte.fort t upon 5 8 - INAL
p. Q. m arta n sec pens r inspection p t ar C I CAL
F LL es judgments,g ' m a dcmmp d kehi hamay in a Ctay sC Pen n - 'set 5 - INAL
Vi I'bil n< cost d expenses which yin any ay some against said
U..Z City APPLICANT,UeneenrT gramm 510 N
APPLICANT,t3N0ER NDSAND WELLCOMPLY K'RH•AI .60N� NT-
E'fac �n.-
Date
-O Issued�g _ ngKqDate
gra t e fAp - . et Re-foo
SURER BATTENS
m naval n.tanrd nut m Type o � f c_
s tlef d by fie CuPerstn M c pal Cade Chaps 9 li d th Health d Safety
R OF.i Coale:ov n2ss32(•i ar : 1 „ y ,..j•',,. t,. • n:,IN PROGRESS.
S L 1 - 1• r �5 ..'v i y .'a t ..
All roofs shall.be,.inspected.pnor.to any roofing_materlal bemg.mstalled.. _
° call theirepp I t r W Id ngocc pan juipmc t e '< earn If a roof is installed without first obtaining an'iris ection; Iia ree'to remove
mit h r,.n s ec anmm rant s�er"m;by m B y se A r o ty ov ices
%b , g P g
°"` ' rte .. ,-., _ all new materials for inspection,_Applicant understands and will comply with
6Y No r.
all non-point source regulations _ t -
• f I hu read the h don ateriel l req menu antler Chapter 6 95 of the
Cabf to a Health&Safety Carle,Sections 25505 25533 end 25534 1 oncersmnd thin
ifithebuilding doe a,stioenfly have ¢nam th n'i s y}Espo b'Ityc"notirythc' tcenn�,!
occupann f me q uircment 'h h- ust x t p e,n iso fa C rtifiate of
Pincy.
_r: Dor aumorizeaagent , ,reAll rooto be Class "B"or better
o.I - _.. .. ..__ '. .. --OFFICE ------- - .. .. .... ...
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