00080226c1nuonN
uSIONo
CONTRACTOR INFORMATION:
.'
DIVISION
lPERMIT
❑UILDING ADDRESS:
-Rt
PERMIT NO.
226
ow"BR'S rvA,I::I NFINITE LP
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,rrLlcnno 1 .I
APPLE COMPUTER
SANITARY e. G. .
ARCI11'fEGT/ENGINEER:
(/�. u78 —
BUILDING PERMIT INFO
IIIAG .EST PLUMB MECH
J -1lo
I.ICENSED CONTRACI OR'S DECLARATIONlob•
DesCr 10
I hamby.ffrm that 1 am licensed under provisions of Chafers) (commencing
with Section 7001) of Division 3 of the Business and Professions Code, end my license
is in full force and office'.
.icense Class Lia.p
one Conmmnr
TENANT
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IMPROVEMENT
ECT S DECLARATION
lets an leekns
'athfirecords
Li ms o 'n sxumu
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DECLARATION
OWNBUIIDER DECLARATION
hereby .1 inn that 1 am exempt from the Contractor's lJoemse law for me
following reamn. (Sectlon 7031.5. Business orad Professions Cole: Any city m county
which requires a permit to consumer, alter, improve, demolish, at epuir any structureprior
t. in issuance, also requires the applicant for such Permit o file a signed statement
SCI. Ft. Floor Area
12AAAWon
that he is licensed pirsunm., the prnvivim,s of the Contractors license Lot, pChapm,9
(Commencing wiit) Seal Lon 701 of DIV l.sam .1 of the Business and Professions Code)
oa that he is excmpf mnmGnnt and the boost, far lie alleged exentplion. Any violmton
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of Section 7031.5 by any applicant fora perms subjects the applicant m a civil penalty
of must love hundred 1n11ors(s500).
APN Number
01, as owner of the propenyl or my employees with wages a, their sole compensation,
will do the week, and .be swemre is not intmded or offered for sale (Sec. 701
Business and Professions Cade: TTe Commenor'sTicense Law does not apply to an
1 ��•��
07 alt Ulled Inspections a/
o
.,net 'property Who builds or imposes tMdoes rcnn, and who ds such work himself
r through his own employe, provided that .such imprnvunteuts are not Intended or
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inhaled fes sale 11: nawe,er, me hnBding m nmpmemam is xam within one rum, of
]. pj 1 —
FOUNDATION
�completion. me owner-nnimer will n:ma fle harden of posing mut he did not build or
mpmnemrpn�,owel,ale.).
1.02 —
PIERS
C1 1. as owner of the profanely. am exclusively contracting with licensed contmmorsho
103 —
UFER
eonswet the project ISe. 70,1L Business :sed Professions Code:) The Coatmetors
License Law des not apply ,o an owner of prnpcnr who builds or improves thereon,
1.04 —
REBA R -
and who comets for such projects with a contrdcmr(o licensed pursuant ,o the
Conraemr"li"n"Lax''
1.05 —ANCHOR
BOLTS-
❑ I am exempt angor Sac, , B A 1' C ho mi, mason
106 —
SEWER & WATER
Done, Dae
WORKER S COMPENSATION DECLARATION
202 —
UNDERFLOOR PLUMBING
Ihereby ationunder Finally dfPerjury one riffle following declarations:
203 —
UNDERFLOOR MECHANICAL
I have and so maintain a Ceniacae of Consent to self -moue Int Workers
204 —
UNDERFLOOR FRAME
m,pcmation, as provided for by Section 3700. of the Labor Cade, for the
performance of the work for which this cmut lv is,ad
205, —
'UNDERFLOOR INSULATION
❑ I haveand will onaintain weaker, Cmti"ination mmraoca, ns ruebed by Section
301 —
ROUGH PLUMBING
3700 of the Labor Code, for [lie perinrmmne<of the work for which Infix permit is
issued. My Worker's Compensation Inamance carrier and Policy minister an:
302 —
TUB 6• OR SHOWER
Came,: Pali, Ni
303 —
ROUGH MECHANICAL
CERTIFICATION OF EXEMPTION FROM WORKERS'
INSURANCE
s--sa
304—
ROUGH ELECTRICAL
(Tins section need bra be emr,lemil it f limit is for nue humind dollar.
305. —
FRAME
(alum nr l<sx.I 1.
30E —
HOI_DOWNS
mr em tl,thu in performance far mmensuh to e WortarsI
307 —
INSULATION
hunif
shall arabanmanner so asrI. be subject
employ r r<
Compensation Wws of California. Dae
308 —
SHEETROCK
Applicant
Nal ICE
n.
after orisvivalcayou should
309 —
EXTERIOR LATH
Worker, Compensation fin LabrtCisle,
provisionsll he d LnMn Qda you mer
forthwith tap yu Wo such p's C.m ., Indus
forthwith comply wise such provsm ,r ndn pem,It hall he Jemnm re,nked'
310 —
INTERIOR LATH
CONSTRUCT ION I.13N01NG AGENCY
311 —
SCRATCH COAT
1 hereby union mai there is a comtmetlan lending agency lou the performance
.fine work ser which flux Perm I, issued (See. 3097, Co. C.)
313 —
I_
ROOF loo
Leader's Name
lerdI Address -
501 —
FINAL ELECTRICAL ENERGY
I vo that l have mad this application and state that the ahevo information is
=,as"o
FINAL PLUP15ING ENERGY
correct. 1 agree m comply with all city and county ordinances and state laws relming
aoniei,ca-nvtrue...,a,andhembymnhari.nreprawatai,a,nnhisall, I,r nr,npem
03
FINAL M HANICAL ENERGY
the aboce.m:eminned property for imspecdnn bap."cq.
(We)lureem"mc,in min,on, keep hamde"the eityufC.fmmnagainvt
504 —
FINAL Il_D.T.NG ENERGY to
liabilities, judgmemty. costs d expenses which may in any way accrue against said
City in c - ue lh g of tins perm..
U S NO WILL COMPLY WITH AL1 ./0IPDINT
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F I NA E _ECTR I CAL `
AAPPLI .'
- r • Il �Issued
by:
t�o
Dateacs
contra. -
Re -roofs 07 —
FI AL PLUMBING
r-Fae
HAZAR S MATERIALS UISCLOSUR
Ithe i"Nicnt I, mm buildingtcctfan, store no handle huardwuvmmed.l
Type of Roof 508. —
FI NAI_ MECHANICAL
us d<linod by the Cupertino Municipal Coca, Clwlnca 9,12, .std the I [call, and Safety
509 —
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FINAL GRADE
nd<.Section25532(mr
0Yes ?4
All roofs sh Il be1jp.ocuedFpT4tp*-arlYLrO Ibg*aterial being installed.
Will the applicant or future budding occupant use equipment or theles which
hazardous defined hyrhe Bay Area Air Quality Management
If a roof is nstalgq 4ithoLiVIRgptaipiMLntUp
l�Eagree to remove
omit air contend..... as
)intact
Drs
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all new materials or inspection. Applicant understands and will comply with
all non -point Source regu_ lations.
I have reed .hc It tan, t aerial' ¢gnlremen¢ node, Chafer 6.95 111 lie
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Ctil"In is HwhhAaaley C.J<, ctinns 455115, 25533 and Z55341undcmmnd that
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if.h huildin of cu my a emanr, emit is my respnnnbi yn Drily the
o of ey m t , t ut he stmt prior m issuance a C tifcae nn
cape,
n n
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Signature of Applicant Date
All roof coverings to be Class "B" or better
—a Cate
atom or as i`ed.gm,
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