00100115CITY OF CUPERTINO
BUILDING DIVISION PERMIT
CONTRACTOR INFORMATION:
'
BUILDING ADDRESS:
SOUTHBAY,
CONSTRUCTI
MIT NO. 00 100 11. 5
FINITE LP
OWNER'S Na,s
'
511 DIVISION SPREE
APPLICATION A' 1
f7/2000
�tl91.
GATEWAY PARTNERS
ONE:
(408)379-0400
SANITARY NO. CONTROL NO.
ARCHITECUIiNGINHER: -
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECII
LICENSED CONTRACTOR'S DECLARA'I ION
hereby Minn thus 1 am licensed under provisions of Chapter.9 (commencing
lob Description
waNf It
7ml)nnh,isto 3.nne eI '"I# nYd Pma,re„i/n� c. and�ny licenseTEMPORARY
LI. full fon J effect. % �7;
icenu Lic, p r- -
Ute
30—DAY PERMIT
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I2C1 'T's iC. ON
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1 plans by ,nd
tarso. . ,in
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OWNER-BU .DER DEC AT IO
I hereby affirm that 1 am exempt from the Comercuo', License Law for the
following reason. (Section 7031.5, Business and Professions Clair: Any city or county
which requires a permit to comWd, alter, improve, demolish, or repair any structure
prim In Its isxunnce, ulna ""mire, the uppl leant for such proton m Ile a signed stmmnem
Sq. Ft. Floor Area
�` Villint
that he is neirsed pumuam to the ponmens tonne Contractor's license Law(Chaptir 9
(commencing with Section 7000) of Division 3 ofthe Business and Profession Code)
or Nat he is exemia therefrom and the basis for the alleged exemption. Any violumn
V
of Section 7031.5 by any applicant for a pernin subjects the applicant to a civil penally
nr totrt mare Nan fie nandrea douan Isseo).
APN Number
Obouupancy Type
❑ I r rte r.a tr r pl r N g .: m 1 pen,ammq
31602108.
00
46
will do the work.cl the , t tintended I, offiared for .AI (Sv,. 7(44,
Bosine” and 11 1'.. Cd I he C l m, L Law dor.,, applym m.
fh Will,b'W: vc N nunJ shot such work h'nsclf
Re uired Ins CIIODS
IOf '
arvll how that
1QJ 1. —
FOU DAT
g p yees provided .achadproovotead, are tont imended or
.Rent for save. If, howeve, the building or improvement is wild within one year of
'102 —
PIERS
io rs,huon, the nwnervhuilder will have the burden of proving that he did not build to
mprove 0r pufnne of sale.). -
103 —
UFER
01, as owner of the pmpeny, am exclusively contracting with licensed contractors to
1.04 —
REBAR
mtmm stn probe, (sar. n.. Bmiuess,md Pmressoh e.:m:) The Contactor',
and wh Ins Jac ant apply omnur who bol ids or improves thio
105 —
ANCHOR BOLTS
fun l(Itith s rmny
and wit„ aomrarlc ter .sen prejrelc w;d, a conntarton,l heen,rd panmlant to the
the
Low.
106 —
SEWER & WATER "
01 her racial,
1, moo
❑Ism exempt under Sec. ,BK PCfor Nis meson
202
— UNDERFLOOR PLUMBING
Owner Date
WORKER'S COMPENSATION DECLARATION
203 —
UNDERFLOOR MECHANICAL
Inerel,yamnnorder Penalty nfperjury one orthe hollowing decmratiom:
204
— UNDERFLOOR FRAME
1 lase and este tol:dntam n Cm rico, of eomarl I. wall hems for wmkar',
205
— UNDERFLOOR I NSULAT I Ohl '
.mmpensalon, as pmsfded for by section 37M mf the LanN
or Code, fur e
perfomunce of the work for which this permit is issued.
301
— ROUGH PLUMBING -
O l have and will maintain Will Compensation Insurance. as required by Section
302
— TUB &' OR SHOWER'
370() of the Labor Cale, for the perfommnce of the work for which this permit is
issued.M ker'a ape snook, nv rand Pofeynambcrar,
303
— ROUGH MECHANICAL
car,;er:A_N'R 4c• �:i1��'_��za5
- 304
— ROUGH ELECTRICAL
ttHKEN6'
LRIIIIC COM PCNSNIION N II [ON 017 NSURANCE
305
305
— FRAME
Mrs section need not be completed if the permit is for one hundred dollen
306
— HOLDOWNS
($1000 or less.)
307
— INSULATION
I emits Into in Ir" p rfommate of the work for w 'ch Iti perms' issllel. 1
w
'-
308
— SHEET ROCK
shall not ennploy wry in y m' an to .� nn t , , m the Wnrker�
cLmpe,n,ab.to l.:In - rc �.
309
— EXTERIOR LATH
nppucant
310
— INTERIOR LATH
NOTICE nrP.1C N . ,at nRn NisCmifemeaEaempn.n.rOO9"1°'d
hcmme subject nn lha 'taker" Comperoula n pmvislon, of the Labor Code, you most
fonhwiNcomplywithsuchphavi,inn,orthis .is shllNoEarned clued.
311
— SCRATCH COAT
CONSTRUCTION LENDING AGENCY
313
— ROOF NAIL
I herchy o inn that there is a comtrumion lending agency for the perfmmamm
Lf'he wtake wllalm tui, pernmit i, Testate rsea. 3M7. cis. c.1
' 501
— FINAL ELECTRICAL ENERGY
Lenoder's Name
I.aPe%.Alins,
502
— FINAL PLUMBING ENERGY
I renify thus l have mad this application and sum that the above information is
503
-FINAL MECHANICAL ENERGY _
mm t I greet comply with II toy d warty ty N' a ca I . t t laws retailing
lob ldingrmtat n do toy ten tete p tete, nn. tyro r pop
a,v
,he no m Delp property for ImYnprlm
(We) I d m JA Ir" Cl fC all
504
505
'
- FINAL BUILDING ENERGY
— FINAL ELECTRICAL
B pl .. y Iwo
liar t: d puts <n otos Dar .y maann.galam ,.dd
Cityh g 8o' - tAPP'f
1
506
— GAS TEST /
4".1......
A ' LY WITH ALL N POI I'u ��, eGlIssued
V
by:gQ7
— FTNAI PLUMBIN(lbatesi
nontarto ° `
Re-roofs ' 508
— FINAL
HAZARDOUS MATERIALS DISCLOSURE,
Will the applicant orfumre building occnpm Imre or handle lumardouw nmlerial
Type of Roof 509
- FINAL GRADE
as defined by the Culamino Municipal Code, Cooper 9.11, and the Health and Safety
Code Seel.n 25532mTf�`�
Cl yes
510
— FINAL PLANNING
Y`�l
All roofs shall be i etL
W�
prjDgNf8hy iPbl9titteW DBL/iitG installed.
Will the appllcam or future b,I dding occupant use equipment or devices which
If a roof is installed without first obtaining an inspection, I agree to remove
hxrmdous air contaminants v, /Cfned by the Bay Arca Air Quality hfaougemem
DistrictI
all new materials for inspection. Applicant understands and will comply with
emir
°Y`
�`/(n/p
all non-point source regulations.
I halo real the hazankas mumrials requiermem, unMr Chapter 6,05 of the
Calili,mm I ImdN k Stdmy Code. Scetion, 3505, 25533 and 95534, 1 undersand that
Il the building do•, n 1ntnen,ly have. tont, tial it is t resrymsibdily m many the
me fsdal.f, he met prior m isuance of a coif "n
Oc
-
Signature of Applicant
Date
c lino al rile agent air
All roof
coverings to be Class "B" or better
OFFICE