02030177 S. c
r :CITY OF CUPERTINO
•. ,�BUILDING DIVISION' PERMIT CONTRACTOR INFORMATION:
BUILDINGADDRESS: PERMIT NO.
10180 IMPERIAL AVE TAYLOR WOODROW' HOMES 020g30�17E77
dh YNA�'sM: WOODROW HOMES 2300 CAMINO RAMON APPu 03Nj26 2002
l
PHONE: , SANITARY NO. CONTROL NO.' ,
(925) 36S-3100
CWzARCHffECGENGIN_EER
0O :, g
BUILDING PERMIT INFO
m C f _ BLDG ELECT PLUMB MECH
1F- "LICENSED CONTRACTOR'S DECLARATION
Z O w 1 hereby !firm that I am licensed under Job Description
pi_.o res provisiunsnfChapmr9(c°mmenciog' NEW TOWNHOME p
F=Cm with Scnion]0(101 of Division Jof the Business and Professions code.dna my license
pc�a is toLicefall
c�us and
effect,
ue.x LIVING AREA 1649 SQ. FT.
too a.- Date contractor GARAGE AREA 430 SQ. I FT. $12619 . 80
_.0
wit', '. :. ARCHITECT'S DECLARATION
or•g ,•• 1 uMersmnd DIY Plans shall be used a public records �Q �p,Y��
es,
i p'O 'Lleensed-Professional n' �Ij`x
OWNER-BUILDER DECLARATION
y
h"I�'I hereby affirm that 1 am exempt from the Contractor's License law for the
I- AUG.2 g 2003
3 ,folio g reason.(Sectio ]OJ 15 Business and Profeson
s s Cod A y city county
O
which requires per
amrt c t Imq'mprove demolish, p yapostate
3 m Primt t al n q th pprcum for peon n f e s Bned:ta¢ment - -
- detth<sl«nivdyurs ndthbpro i.onsonneeommemr L<enula (cnapterq •Sq:,F[. Floor-Arealv,, ,' ` r �'�� lua[ion
(c pm era sxcntlse<t ]ni'and isoofineewsna apr,_fe scale) ••a '{ 1, ? _, :�,xt),t\ :.'tc: . sn,kt; 1i'�l 4�.✓9
or tea he is eaempt zany applicant oro and the hats for the alleged exempnt to Any viola on
-of Section]0J 6.5 l w u dred fora permit subjects the applicant m a civil penalty ,
..arrwttnaretnanBvenwndreeaallara(shoo). - 357k9� tP9 11. _ Occupancy Type
'O I,a owner of the propeny,or my employe¢with wages as their sole compensation,
will do the work,and the'swcmre is not intended or olrered far iso(Sec:7041; 1 1 - FOUNDA
'Busmefs and ProfessiT Ions Cale:The Contractor's License Law does not apply to an Wuired Inspections '"'''•'
owner of property Who builds or improves thereon,and who does such work himself 102 - PIERS
or through his mpl y provided that such improvements are atintended
-'arc dr ..-rlrh in,buildior ng issole ton one r- ..._._-. -103 UFER" .. .-_..._.. - ._ ..... . _—__ .... _. .._.._......
co pl i on,the owner builder will have the burden of proving that he did not build or -
iinprovefarpwryoseoraale.). 104 - REBAR .'
-.
?.d,eerr;.oZpropcny.nmeaclwsivetr<ontmcrngwrtnlicensedconn contractors 105 '='-ANCHOR BOliTS --------
eanatmet me protect(hea.]au,ecarolss and Professions code:)no,Connector. 106 - SEWER & WATER' :. r..
"License Law does not opPlr m an owner of,cm,eny who twitcher improventhereon,
ax).Eaaa _.-202 --..-_UNDERFLOOR-..-PLUMBING-.-....'.------
: ., c pursuant-to.the
a contracts o c Prolars w th. tract _
canameireas And w 203 - UNDERFLOOR.-MECHANICAL
tunderS ":B&P C for this recon
°.., Dae
J'" � �' 204 -' UNDERFLOOR FRAME
DRKER' OMPENSATION UECf,ARATION. 20S - UNDERFLOOR INSULATION
301 ROUGH PLUMBING
E (hereby off nder,penahy of perjury one of rhe fallowing declarations:
-I. 01 hive'and wm'inalnuin;cemrcate of consent"
tri self-insure for Workers 302 - TUB & OR SHOWER
Compensoips. as ravished far Section 37M of the labor Code, far Ne
pelfpTlanlY of the work for which this permit is uvea.„ 3 03
- ROUGH MECHANICAL
- .01tstiandwiEmSintainWorker'sCompensation Iniurance.as6quiredbySection 304 - ROUGH ELECTRICAL
'.nodaf the labor Cope,for the erforro nce of me work for which this Permit is 3 05 - FRAME
s J My W rk r C ripe t I Tr l a d Pal y wrote
n cearlPlcATIONOPex. 306" r HOLDOWNS'°•^�..
Carte PEMP`nON FROM WDRKERS ' l 1�,I1� � 3.07 rj INSiJL"ATION.
a ' LOMPt-;.. lNsuixnrvce ", - . .. . .' _— 3'0'8 :- SHEETROCK-.--'--_ ------
t _._ ,_... ..
_. .._
flhs ioncneed'nmbeuomplemddrhepermt sfor one hundred dollan 309 - ' EXTERIOR LATH
(SI00)o I 3 - '
310. _ .INTERIOR,--LATH
IcofY that in theMff rm of me work for which thispri i'. issued,l
shatl temp)r nyPe on rw k 311 - SCRATCH COAT-
evil -
co Ant oat313 .r- ROOF- NAIL
APP(w t . . ..._ __ .. - ....
NOTICE TOA PLICA rII`ftmakingt cilrle pt yes ,n la 501 - FINAL ELECTRICAL' ENERGY
z' loch d subjectiro thetarke C p sat p th Lon Cadmall
Z p, : .In np .on.<arm pc sluilbeaesmd kat: 502 - FINAL PLUMBING ENERGY _
_.._
E,I m '." rCONSTRUCTION LENDING AGENCY. 503 FINAL MECHANICAL ENERGY'`
m } n or rcnr that them t ding age yr melt oman<e' 504 - FINAL BUILDING ENERGY'' `
w rr Lethe work for which this Permit rs rssu d IS 309],Civ.C)
Q -UAdePs Name: _....-... ..._.__. __:- -_.,._.:u
'1<neer:Aaaks:'.�...
505 = ' FINAL ELECTRICAL —
�cZ
U O rtr that in haver. 506 GAS TEST "
W h Y sty and
J state that the above caws re on is
F otbrcorrect.1 Br roc .ply he II tY ri ry 1' d.t t m at,,
5 - INAL PLUMBING
;-'w , 'he lag .t :tinn.' ane hereby m representatives-nn 'ryt enter wpan 5 8 - INAL HANICAL
} r� ,the ub i neaproperty f poo p p u. c
p•x a '(W)rgmeto sale. dem ify andkeep ha r..the ctyofcupenuoaganst 50 - INAL
Vi list I t s judgments, t. and expenses arch y n any way accrue against said o
U Z City T,UND f the granting f thispemlu 510 - L _� q
' 1WLICAhT ONDERSTA\DSAUD WILL COMPLY WITHALL h'ONPOINT Issued (fit/
Tv O ft- -
Da[e
Cid Section canVComracmr -' Re r0
Sib t fAppl
r HAZARDOUS M,�i (ALS DISCLOSURE ' Dare,_• RO BATTENS _
will the applicant future witrl ng a p nt stn or handle horardo manual
ad fined by the CupcnmoMunicipal Code Cha per 912.and tn Health and Safety -.-.Type oFll'R r F.,�.;IN. PROGRESS -
i ❑re + ❑N '" - ...All rO St.shall.be inspected poor[o.any.roofing.material being installed. _
. '
Will he iiapplicant future n id' s r p tolegwp t a ,which If a roof is installed without first obtaining an'ins ection;('agree to remove
emit h b air conrammane az eefned by do Bay Arca A Quality Management g p
Dismm -^•" all new materials for inspection,•,Applicantunderstands and will comply with.,
°No` - -- all non-point source regulations: 1 .
1 have real the haaareom materials requirements and r Ch pt c6.95 o6 the
Calilumm Health&Safety Gide Seamus 25505 25533 and 25534.1 undersand chat
If thebuilding doe.not currently have a¢ t that i my responsibility t notify me
x< pm of thegwm lit. which must n me,p i—Ince of a crcEcmeor . y�S^•�2 .
parts).
Signature of Applicant - Date I
0L
wn aw 0ii ag t Date All foo coverings to be Class "B" or better"'
. .:-'� ';;', -;. .t ,. .. ... .._ _ .. . ..__ ._ . .-. ... OFFICE