02030204 'CITY OF CUPERTINO
.
V;BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
101.78 IMPERIAL AVE TAYLOR WOODROW HOMES 02030227E04
TLW WOODROW HOMES 2300 CAMINO RAMON APPLIc03N /2002
PH (925) 365-3100
ONE: SANITARY NO, CONTROL NO.t
❑W zo ARCHITECT/ENGINEER: g BUILDING PERMIT INFO
U BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
Z,!n- , I hereby aRrm that I am licensee under provisions of Chapter 9(commencing _ Job Description
°-°„tto wall Section 701 fDi,i.aon3(,fineBudnes,add Profession,Code.andmylonerm NEW TOWNHOME
ral LinseC)..eanae ==r LIVING AREA 1819 SQ. FT
s�'6 is in al Class Lic.p
xo° u Date:. .. SDEC A GARAGE AREA 490 SQ. 512568 . 50
m 3,LL's ' ARCHITECT'S DECLARATION
S
i0-� .
I ” I,undemm�d my plans shall W used as public recordsrecordsL.g ELS
.. tam
w°e a'0 Licensed Professional.. AUG
cye„ ',';;r�,? OWNER-BUILDER DECLARATION q ry'
ts�o '-1 hereby affirm that I ate exempt from the Comment's License Law for @e 2 / 2003
F'Z.Q 'following reason(Section 7031.5.Business and Professions Code:Any city or county
3 F o
iihich'inecuirse,a perm t to consoul ider.improve,demolish,or repair any swcture
al prior to itse.also resistant the applicant for such Permit to file a signed statement
mathe hcemfedpuaranttarthic lonevisommoiraccommentesUremsehwlenap,er9 S FL Floor Area, anon
i<n memc ng.dh Sor 7000) f E vmon 3 orthc But nessund Pronouns Cmdq i.�Y� r d ,q,Ft jzt ._+t .,i': �.}ri f-_V 5 1
or that he is exempt therefrom and the bass for the.11I exempt on.Any v cilotim.
of Sector 7031 S by any applicant for a permit subjects the applicant to a civil penalty
.or not mor<dan five hundred aonarx(sour. 3573N' 6T18RlI :', Occupancy Type
❑I,d owner of the and
the structure, my employees with wages fe their r sale m ec.71)on,
Bu ao the work:ssi the This not wnr'sintended e e Lawered rot snot apply to an 101 - FOUNDAT I ODhuired Inspections ''
_Business pial Professions Wilds
Code:The roves duction.
License o dodoes not apply to elf .•�'
owner orproperty Who buildsor improves th such iand whodoesm workhimselfor 102 - PIERS
or it for
h' -e pl ye provided tht such im rc , rc n or mnticd or
oe dr .'r rzn- theb le sor in' ot . la min eycarof . .. ....103 UFER_ ..____-_.-. ._.__.... __......__ _....._. _ _...__-
o drlmn the owner bu Ider will have the burden of proving that he did not build or
cm
improver p aemf,ale.). 104 - REBAR
-- ._.._ .__.
____1_0
OS------ANCHOR--BOLTS-----� ------- -- ---...
.:d-• df as coats of the property.am exclusively contracting with licensed commnorsm +
eoaawe dal poser,tsar.70r .xwner of propery who Wild or improves thcmon,usim ss and Profession.Code:)The commatora 106 - SEWER & -WATER a.•::. ::.a' � , . -I_:n
License Low does nm apply to an o
_.dna who comma,for arch projectswm ructnrrar.I=enset.pmenant to tee-........ _... 2.02.. .-_.-UNDERF-LOOR---PLUMBING-
Contractors -- -----
--
L¢cn,q La
` f mtorders Pc far thin on...n 203 - UNDERFLOOR','MECHANICAL
-it .c.:' o r '..'e;a'�='.';.'' ',j -�L 204 - UNDERFLOOR FRAME
KE 'COMPENSATIONDEC ARATION 205 - UNDERFLOOR INSULATION
-"' 11twilpB- nater'enahyof'ar;urryoneofshefollowingdulameona 301 - ROUGH PLUMBING
a.
R ) 'a 1 fime add wii maintain Certificate of cenKin to self—mature for wo,kers 3 02 - TUB & OR SHOWER
rs compute t o -provided f by Section 7Laboror me Lar Cede, Tor m` -
Cro 'nc' .the work for thin pe t issued. 303 ROUGH MECHANICAL.
❑I h e- d 'Il mai t n W Yin i Compc d Insdronse,as mgmrcd by Section
304 - ROUGH ELECTRICAL
37W of tee'LuWr code.for he Narrational of thc'work for which this permit is and Policy d 305 - FRAME
ss d My wo k r penszt on r be
aartent 1, { LC 'Insurance n e c. '.SI:4Po1bYNo 306 '� HOEDOWNS ... -> ••:-. .. ,_e,�_ ._ _. ,=. .._..'-_^-
c •'➢' °
307- ;t=.?I•NSUliATION) Si't;al:
'I .[ t CENTIFICATION OF,EXEMFTION FROM WORKERS s. - f
•_- CGMYCNSATION INSURANCE ' -30'8-,- -SHEETROCK-- -
Y.. .,�..r _ ...._...._- ._.. ..._ _.. .—._._.
(m s sac! nneed-not he comple al ifthe pem,e is for one hundred dollars 3 0 9 - EXTERIOR LATH ;
isltlo)mne,ad '.
-..: 310 INTER IOR__LATH
o sandy bar m the Performance of the rk.for ixhi<n thisp< -,is i,a a.I 311 - SCRATCH COAT' f . u k d,.
shall t o I v any pe o y m n t bac ti t ,YW rs '
.ACo Ile M ._.... 313....-....ROOF.- NAIL_ ......
PPI - .. ._._._.._ ..._-._.-.... ---------
been
.... ....... ..
beenasu AYILI N'rIf.arrc k an In t - 501 - FINAL ELECTRICAL ENERGY m y an Ia
Z` became bl n Thew kr.0 pe t pro n t Lebo Cud you most'
Zrehnwithcomplywith 1.<npma,onaorm n kdW .meurovoked, 502 - FINAL_ PLUMBING ENERGY
E„ f "CONSIRUCTIONLENDINcAGENCY 503- - FINAL MECHANICAL ENERGY 1 -
Y �
Ihereby
that them nnatmt .'leag'g.en<
agency for the prcom
of she k for
w this pannit'- ..sueC 504 FINAL BUILDING ENERGY'
Lentl r sNarralr.
LeM1de Add 505 FINAL"'ELECTRICAL
—
V.p : 50A50 -
TEST
I ccrify that l have read this application via scum shat the above information is
:OrE. covecl:iagmebacomyly,with au city and county oNmanga,an sate law,tinting AL PLUMBING
t„) to Wilding Coasta n.dnaM1ereby'amemdzercpdientmivesbrihiscity toenter upon AL ICAL
} W
,be W t n<d property fa pect o p r,am
'E. C. (Wel g toss mull and keep harmless the City ofC penin against AL
Cil Innes f dgments,cot nd sp nus h h y ny y m< g rot dad city qeo=e Orth gr g fthisp it . L'APPLICA\e UNpEA$Tf\DS' v wI1L COMPLYWITH ALL NON ToiNT ISSUeDale
Signmum ofAppltcanVComnaor ,-- - - ': c'j;. Re-roHAURDOUS+wTERI CLOSURE ' BATTENSWill the pplca, futd Wnldin pant..ort or handl haiard met alasci rn dbythCupen noM pal cod Chapt J12adth<H hn as ny TypeF:,IN PROGRESScode s tat 2557 far _ s.Cl YaW I,
;IQ 1.. g iaY
:,r All roofs shall be ins ected.prior to.any_roofing.material being.installed. ---.-.
• -- Will theit applicant r t rt Wilding ng rap ,q¢equipment devices we<h If a roof is insialled without first obtaining an inspection,4 agree'to remove
mi,h Mos tam to.a eer�ryny theBay Arta A Quality Mi nag< en,
oaro 0.Year No - - -.all new materials for inspection.,Applicant understands and will comply with-„
all non-point source4egulattons ,I ,,-I
1 have onciWaradmi,inummalI relational order Chapter 695 of heCabf Health&Safety Code
Sections 25505.25533 oil 25514 b I d< t d that'
Rh WId n6J -art rrc tly h' to
I,I, y2po ' ltryt notify the
_.
&cups t f the quirtmems which �t Wake,- prior to Issuanceof n C-ripen of -
r Signature of Applicant CJ
D2[e
hr+-,-- ---
" °^aea,ngn, Date All roof Hogs to be Class B ocbetter
"'. - .'�... .,.. :_..,:_. ....c_ . . ..- .... OFFICE. . . ..._. . . . . . . ......... ..� _.