02030182 CITY OF CUPERTINO
BUILDING DIVISION PERMIT t?CONTRA�CrTOW INF ORMA ION:54
BUILDING ADDRESS: PERMIT NO.
10190 IMPERIAL AVE TAYLOR WOODROW HOMES 02030182
OWNER'S NAME: APPLICATION SUB DATE
TAYLOR WOODROW HOMES 2300 CAMINO RAMON 03/26/2002
PHONE: SANITARY NO. CONTROL NO.
(925) 365-3100
O O ARCHITECT/ENGINEER: BUILDING PERMIT INFO
U BLDG ELECT PLUMB MECH
Z1hereb inform that LICENSED ONovact under pr DECLARATION Job Description
a�_� provisions of Chager9gommencing NEW TOWNHOME p
P E:I: is in Fallf. anile DivisuionJoi the Husincss and Ymfessions Cede.and mYliccnne
m rpx none and,Ben.
Ece
is
Class Lie." LIVING AREA 1649 SQ. FT.
3 a< Date
ARCHITECT'S DECLARATION GARAGE AREA 430 SQ. FT. $12619 . 80
tor
O
F uM'Oy� I understand my pans shall Mused as public records
r
O Licensed Professional
o�
OWNER-BUILDER DECLARATION
1 hereby.Mirth that 1 a.1. escmpt from the Contractor's License Law twine
h?a following rums Permit
]031.5.Business and Professions Cale:Any city or county IAas,�
oE F G which requires a issuance,also re mnsuuei,aper,improve,demolish,or repoir any arucmm
la3b 'hat hensensearse requires provision=m Por mchpenniuofileasLw(Cha m,m
— (com nlicemedpursuant7")ol provisions of of theBacml%xandeeLawmmsCor9 S FL Floor Area luation
or that a is a emit 1 mien pOTiand the basis or t the le ede x and Professions Cole) 11' ,.'a•
of that he is exempt thcrcrrom and the pads rte the alleged exemption.Any violation 9
of Section 703 1.5 by any applicant lin a permit subjects She applicant to a civil penalty
of not.ton man r hundred dollars asnl). 3 5 7UILDINdccupancy Type
❑I,as owner of the property,or my employees with wages at their such,compenmtion.
will du She work,and the sorvcmm is not intended or offered for sale(Sec.7044.
Business and Professions Code:The Contractor's License Law does not apply to an 101 — FOUNDAT I squired Inspections
owner of property Who builds or lampoons thereon,and who docs such work himself
or through his own employ=s.provided Sha such impnvetmnts art not intended or 102 - PIERS
clrered for sale.IL however.the building or improvement is mW within one year of
completion,the owner-builder will have the burden of paving that he did not build me 103 - UFER
J'inapowennpmpn,enf.ale.). 104 - REBAR
aa owner of the pmpeny,manexclusively Comraed ng with licensed"ammen"t° 105 — ANCHOR BOLTS
((( =tet the protect(Sec.]644,Business and Professions Code:)The Ccamommr's
Li=nrcLaw doees not apply to an owner of property who builds or improves element, 106 - SEWER & WATER
and who contracts for such prajeas with a contractor(.)licensed pursuant to the Co202 — UNDERFLOOR PLUMBING
nometors LicenseLaw.
amesemptandersee. &rerorthnrcas" 203 — UNDERFLOOR MECHANICAL
O R 'S Da'Hiati&TIONDECLARATION 204 — UNDERFLOOR FRAME
Ireach y alBnn cr penalty of perjury one of the following d=mmtioni 205 - UNDERFLOOR INSULATION
. ❑ 1 have and will maintain a Ccnmcac or Consent to.elf-milam 3 01 _ ROUGH PLUMBING
r fdc`York ie 302 TUB & OR SHOWER
Compcnsaion, as provided fur h Section J]IIU of the Labor Cede, far me
performance f ma walk for which his momi,is i.med, 3 03 — ROUGH MECHANICAL
❑I have and will mountain Worker's Compensation Insurance,as required by Section 304 — ROUGH ELECTRICAL
374 of the Lahore Code,for She perf oommnce of Out work for which this permit is
sued.MYWin xc,.Compensation Insurance cano,.,dPolicy...be,ace: 305 - FRAME
Canner: Policy No, 306 — HOLDOWNS
CERTIFICACOMPENTION OFEXEMPTION
TION INSURANCE ORKERS' 307 — INSULATION
(This section need not be completed if the permit is for one hundred dollars 308 — SHEETROCK
309 . — EXTERIOR LATH
I cerify tha in the perfor one,of the k fur which his wrid,is issued.1 310 — INTERIOR LATH
shall not employ any e7 c
t y mann �o rays he Worker.'
0 n� 'INEI ter" cal" i, �S L 311 — SCRATCH COAT
NOT rOA 'LICA .If,after masking mos wific, ran.you should 313 - ROOF NAIL
ZZ heenn,subjeellotheworker•Compeneaaonpr, son „oICMe.yoamt,r 501 - FINAL ELECTRICAL ENERGY
O, mrtnwnneomplywhnmmpovi.mnsortm. d=medt<w,kM. 502 - FINAL PLUMBING ENERGY
H ��•, CONSTRUCTION LENDING AGENCY
Ihereby allimanthot then 111cnreomcomnlending uguncyforthepafonnantt 503 — FINAL MECHANICAL ENERGY
W C ormewmkrorwnienwispm,irsi.,aMs=.Ja97,civ.c.) 504 — FINAL BUILDING ENERGY
L l<uder's Name
U z LenJersAJdrcaa 505 — FINAL ELECTRICAL
Iconree to clbav,reail all
ity and ion andunty statethat the aboveinfommdon is 506 — GAS TEST
Its, . cone=.I ag=e to comply with this h city and county ste thatordinances and stole laws relating
O r„) io building construction.and hereby authorize reposcatativics offinis city 1.late,upon 507 - FINAL PLUMBING
�s W me.h�ve-menlinneJ pn�pcnY nor in.apeclion purpuras. �0
p o ex.pal ro=.ave.dmemnify and k hi h rmminma way in om.,to.,.last said 508 — FINAL MECHANICAL
� liabilities,judgmrnu,atsu and,xpenmx w=en may in any way a=nae,gamy sono 5 0 9 - FINAL
V Z City in consequence of the granting of his permit.
APPLICANT UNDE NDS AND WILL COMPLY WITH ALL NON-P T 0 'F A ING u (/
R EGUI Issue
Date
Signature at Appbcan cn�ttoetor at, Re-rod'®Z' _ ROOF PLYWOOD NAIL
HAZARDOUS M DISCLOSURE
wtll the a,,he ,fain ng arupant store or handle hazvdoas maoenal Type�QZ�of— ROOF BATTENS
as defined by the Cupertino aipal C Chapter 9.12,and the Health and Safety
Code,Section 2553'-(o: � 604 - ROOF IN-PROGRESS
O Yes elNn All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future hui lding accupanl use equipocm or devices which If a roof is installed without first obtaining an inspection, I agree to remove
emit hmallow air contaminants as defined by the Bay Ana Air Quality Marmgemens
Uisina❑Yes ,�1 pall new materials for inspection. Applicant understands and will comply with
all non-point source regulations.
1 have mad the hazardous ntaretials nars
quirecntunder Chapter 6.95 of the
California Health&Safety CMc,Section.25505.35533 and ii534.I undersand that
Jthe bu;I of
he repamrazol,yhavcalt be
H is my responsihilirymnmify She
accupent of the es not currently
which mus an ma prior to issumce or it fe notify he D LJ
ney.
s•� Signature of Applicant Date _
e,of ant mbed,gent Dae All roof rings to be Class"B" or better
OFFICE
s