No preview available
02030183 . - . CiJ CITY OF CUPERTINO ^" ATi R! apOa..M SI QNACTR BUILDING DIVISION PERMIT IN("EAR4O] RAI!VWIA"T.^£I:©Ai N �: Ar,�?.:=; a� -aevr.><.>•�t� t=.�'e. ^ � '. PERMIT NO. n-T§11 MPERIAL AVE TAYLOR WOODROW HOMES 02030183 ' APPLICATION SUB DATE P11" YS"522E;WOODROW HOMES 2300 CAMINO RAMON 03/26/2002 l SANITARY NO. CONTROL NO. PxoNE: (925) 365-310 1 0 - BUILDING PERMIT INFO MOO 'ARCHITECOTINGINEER: .' ❑ BLDG 'ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description `+ 1 herchy aRrm that I vm licensed under provisiom of ehupmr 9 FS� (commencing u9 widSection]("gl of Division 3 ofthe Basics,and Professions Code.and my license NEW TOWNHOME a s� full force andeffon. LIVING AREA 1649 SQ. FT. p a.U ata etas" Contractor`1C'"0 GARAGE AREA 430 StQ. FT. $12619 . 80 3 a� �ma'. '• ARCHITECT'S DECLARATION AL C E:O 5 1 undcrsmrd my plans shall be used as public rtcords glallim pO� Limned Profesianul Oat I am c.,t from m he CcATION JUN 2 9 R in hereby.dfi.Scit that 1 am exempt-min the Como n,C Littme city o for rhe �. O.[OOJ ?<,`following g rtasoa.(acct ]OILS•Bualter,andmpr ve.demolish, Cudc:Any city nr county f p ;which rain ma permit m ennnrad.alter,improve,demolish,nr repair any stmnure +pts $ ;Tionoiu iksuan«,oamo qui+c lheapClinof,he Contractors Licese Law(nxtement v a.3- thatheoliemsedponnantmmeprovi.ant.ormecnn„cmr,uanseLaw(cnamery Sq. F[. Floor Area I Df� -7342yalua[ion '(commencing with Section]o(gll of Division 3 of the Boniness and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption.Any violation of Tsa Section 7031.5 lay any applicant for a perrmii subjao the applicant toa civil penalty Occupancy Type of i more than No hundred dollars(SN)(d. ❑Ltae owner of the property,w my employees with wages as their sole compensation• aid,db dtewors:and the structure i,a.,mteaded or offered for sale(Sec.]two. 101 - FOUNDAT I ORk uired Inspections .Business and Profesainns Cale:The Contractor's License Law does not apply to an 9 P "owner of popery Who Wilds or improves thereon,and who does such work himself 10 2 - PIERS ' Mthmugh hi.+own employees.provided that such impoevemvntx art not intended o" offered for h sale.If. ^weeer..he budding to mmnpooca t is old within ane year of 103 - • UFER completion.the mearlbuilder will have the human of proving that he did not build or 104 - REBAR �sap/ry ve fore purpom of salt.). �QQ, dr the pr"nper1,,lor exeluslvely rom®c0ng with licensed contractor.to 105 - ANCHOR BOLTS • _ r beet the:project(See.]mu.Basica.and Pmre.ster,Code:)The Cormorant's 106 — SEWER & WATER Lic rase Law does not apply to an owner of property who Wilds or improves dom a r and.who contracts for such projects with a contraem(s)licensed pursuant to the 2 02 - UNDERFLOOR PLUMBING •comm cocs uamu Law. 203 - UNDERFLOOR MECHANICAL pts race. B&PCf . m this reason D, • ./.pJ S--nZ_ 204 - UNDERFLOOR FRAME WORK'R'SC EVONDECLARAT0 205 - UNDERFLOOR INSULATION I hemby olfmn n der penaltyof penury one or the fnnowing deelamti...: 301 - ROUGH PLUMBING ❑ I have sad will maintain v Curifmate of Consent Us slFin nbe for Worker's 302 - TUB & OR SHOWER o Compensation:as,provided for by Section 3700 of the Labor Cane, for the 303 - ROUGH MECHANICAL Performance of the work for which his parrot,is issued _ O l have and will maintain Worker's Compensation Insurance,an occurred by Section 304 - ROUGH ELECTRICAL boo of the Labor Code,for the permmsance or the work for which this rimi(,is 3 05 — FRAME issued,My Worker's Compensation Insurance carrier and Policy numberarc: 306 - HOLDOWNS C Ter CERTIFICATION OF EXEIMPTION FROM WORKERS' 307 — INSULATION COMPENSATION INSURANCE 308 - SHEETROCK "(This section need not be completed it the permit is for one hundred dollars 3 09 - EXTERIOR LATH '(si(.n)ar less.) 310 - INTERIOR LATH I certify,Ihm in the perrnrmaa-Ra I work for which this permit is ismed,I mm coli any r I'.in nor nner.o . p n <r`worker: 311 - .SCRATCH COAT & ,1C;` 313 - ROOF NAIL OTICE )APPLICANT:If,vUerneA lthisCarolm puon,You,houW 501 - FINAL ELECTRICAL ENERGY O pFecome anbjmtm the Worker's Cumpcnsmmn Vm ' s ober Code,you must , .rorthwu, imirplyevithsachprovfsionsarths albedacr—b eked. 502 - FINAL PLUMBING ENERGY Z CONSTRUCTION LENDING AGENCY 503 — FINAL MECHANICAL -ENERGY 5j I hereby union that them is a construction lendingageney for Ne perfummnc< 504 - FINALBUILDINGENERGY of the work for which Ni.permit is issued(Sec.3097,Civ.C.) E u^der^"°m° 505 - FINAL ELECTRICAL L nder's Address Q O 1 certify that 1 have need this vpplicmion and mate tont the above information is 506 - GAS TEST rtes E: co^em.I agree to cointply won all city and ebony ardlnaares and sone law,odd mg 507 — FINAL PLUMBING O Q to building construction.and hereby amhorme representatives ofnhis city to enter upon 508 - FINAL MECHANICAL iy (aj the above-mcntiomd pomco,far inspection purposes. rF+ Q. _ (Wed agmeto save,indemnify and keep liarmlcs,the City ofCupertino Timor 509 - FINALARk LO liabilities,judgments,cons and expenses which may in any way recom against said QZ ''Ciy in consequence of the granting of this permit 510 — (FI L APPLICANTDERH NDS AND WILL COMPLY WITH ALL T ISSUS14y: Date Signature of ApplicvMCantrumr Date Ref s ROOF PLYWNAIL HAZARDODSM ALS DISCLOSURE y ROOF BATTENS Will thwpplica t or I'mu ag eeeupant store or handle hazardous imilerial T oc Roof as difnned by the caption.M palCode.Chapter 9.12.and the Health and Safety 0 - ROOF IN-PROGRESS Code.Section 255320)? ❑Yes IXF„ All roofs shall be inspected prior to any rooting material being installed. Will the applicant or future Wilding acupontuse equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove emit hmardnus'air ennmminams as dulinod by the Bay Aren Air Quality Management 000crrall new materials for inspection. Applicant understands and will comply with 11 ye, all non-point source regulations. .. 1 have read the huasdoux martial,requinemcm.under Chapter 6.95 of tint Calif^mia Health&Safety CMc,Section,25505,25533 and 25531.1 understand that if the building does nm curmdy have u¢nam,that it is my mspmnibiliy m noudy the —�lae•1 z 7R r Ri '�- occupaotor the re mommin�u.t be met prior m issuance of a CcniOcate of C.J Signature of Applicant . ate mer tar amnarned agent Date All roof cove'mgs to be Class "B" or better OFFICE