02020016CITY OF CUPERTINO
.BUILDING DIVISION. 'IgI
BUILDING ADDRESS:
OWNER'S NAME:' " '
CONTRACTOR INFORMATION:
3RMIT NO.
020?nniF
PPLICATION SUB DATE
02/05/2002
1NITARY NO. CONTROL NO.
. BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
Z LICENSED CONTRACTOR'S DECLARATION
. ]Ob Description -
1 hertby affirm that l am limnsed undo prmisions o(Chnp¢r9 (commencing
with Section ]000)of Division J of the Business and Professions Cale. and my license SFDWL-LIVING SPACE 2 / Q
is infaRrorceaade0«t.• 411 GARAGE 411 S FT
U License Class Lie'" - REPLACES PERMIT #S3877 -NO FEES
Date Contractor
tiARCHITECT'
SDECLARATION 7/16/02 EXTENDED .TILL, 10/17/02 3 MOS ONLY
5 I understand my plans shall he used has public records
Licensed Professional
OWNER -BUILDER DECLARATION
m 1 hereby affirm than[ um exempt from the Contractor's License Law for the
following mason. (Section 7031.5. Business and Professions Code: Any city or county �1
I which requires o permit to construct. alter.improve. demolish, or repair any suacwre
$
poor to its 6amance, also mgmrcs the applicant for such Permit file asigned statement - - __.___ _.. ..__.—_ _—. __ —____
that he sle n dpdrs p n9ihe provisions of me Comr,tctors Lrcensv law (Chaprcr9 6 S 'Ft Floor -Area rkn rl,.A.ak,. -,.n Valuation
(F mncpg ,jh Ser 701X))-1 Divisma 3 ofine Blemesstd Prefrailmas Code? f,. �_?; 1 rq'E
or that he is esempt therefrom end the basis for the alleged eYempdon. Any violation
of Section 9031.5 by any applicmn for a pemut suhjerm the aliplicrosl to a civil penalty'
tof not m.,a than Five hundred dollars WWI. APN Nun
01,s downer of the pmpeny, many employees with wages as their wle compensation,
37531010,
'1' tied R d'f 'I S 044 '
$240000
..7 - nccun,
will
tla the work, and the nruaum rs not toren nr n ere or u e I it,
]
Busineaa and Professions Code: The Contractor's License Law does not apply to an uired Inspections"
caner of property Who builds or improves thrilland who does such work himself 101 - FOUNDATI
omptetlon. the owneyomldepwm have the burden of proving that he mo not Wild or
improve for purpose of sale,):'-
cr ♦]Icax owner,n(ihe pmpeny. oat erdusively communing with licensed commctom to
construct the project (Sec. 7614, Business and Professions Code:) The Contractor's
r License I-uw it,., not apply to sea owner Of property who builds or improves thereon.
.
and who cnmructs.for such prujecta with.u.cumostwo.L.licenscd pursuant to the
C ratim s Lilt . La
❑I smexempr made Sec " u B&PC for this rens
Owner v v -, • Date
"WORKER'S COMPENSATION DECLARATION
c,"' I hereby affmm under penally pep of fy:onf of the following declarations: "
❑ 1 hev and will mdimuie d'Ccnificaie oaf Consent'to self -insure for Worker's
' r Compensation, arprooded for -by Section 37W of rhe -Labor Code, for the
'pttformwlce of the work for which this permit is issued...
❑ 1 have and will'inainrbin Worker's Compensation Insurance; as required by Section
3700 6f he Lahor; Code, for the performance of me work'for which this permit is
is ed MyIW rk is Compen utw 'I . cu nd Poll y number art `
Camera >n"s_:-. L.ili
-tf �,nCERTIFlCATION OF EXEMPTION FROM,WORKERS%
COMPENSATION INSURANCE ,r r
( ' ) Ofid union need nal ne�compinM'f the permit is fur one hunmN dollars
q'' red, ly th 1 i to a pert mince of rhecwork for which ths Ismal is issued 1
`'hall not employ any permn In any manner an as to become subject to the Workers
flirt comply with s..h provisions or this permit sholl be decried revoked.
CONSTRUCTION LENDING AGENCY "
I hereby aRrm that Ihere i i' eon duction IenEing ogency fo the perfo'rinauce
work for which this permit is ismed (Sec.'7097; Civ. C.). '• ' - '
r Address' -s'
fl r
li 7 1si•s
I certify that I have reed this application and smtn that the above information is
L 1 agree to comply wish all city and county, ordinances and stale laws reading
Ging construction: and hereby'aub&iae'mpresenmives alibis city to enter upon
any x'ayattme aIt ._aid
1.02_-._ _P -I -ERS -
103 - UFER'
Ry-�-(�--Q-('--.---------
105 - ANCHOR BOLT
106 - SEWER'& WATER
113 .... . SLAB . BUQLDINC
202 - UNDERFLOOR PLUMBING
203 - UNDERFLOOR MECHANICAL
204 - UNDERFLOOR FRAME
205 - UNDERFLOOR INSULATION
301 - ROUGH PLUMBING
302 - TUB & OR SHOWER
303'= ROUGH MECHANICAL
304 - .ROUGH ELECTRICAL._,4.':
t ;'305 =FRAME h.,a.•j V,„Irl"t
__..._-
307-%`;:`- INSULATION 4
308 - SHEETROCK- '
..,,...309 - EXTERIOR L...v
w_... ... ..ATHtI ,alt .r..i a..•
310 - INTERIOR LATH
311 = SCRATCH. COAT
313 , - ROOF.' NAILIl
315' -----EXT 'SHEAR.... __. _., .....
402 - TEMPORARY POWER ,t. > -. • (<<,.
_.__.403•- ---GAS METER -RELEASE
404 - ELECTRIC METER'IRELEASE
5 - INAL ELECTRICAL ENERGY
5V2 - INAL P BING ENERGY
5k3 -INAL C I L ENERGY
50 INAL ENERGY
Issued 5 - L Date
Will the I ambeard a faluR balding aace.pamt Hort or Instant, harardar mars' pe.c
ac deo ed by the 2my? Mun p I Cod Chapte 9 12 a d me liahh nd Safety
Code 5 t n25$32( ) I„ l W I 1 -n 1 ak s' lr\
`r t7Ycs f ' r pn'..l It <'ll_ I, a3All r01
Will the applici i rfumle huldi gocc p luseeq Ipmemo do ices With If a to
Ill
OYesh ..tis ❑No is i
1 haves 6hbf6mi,avesrood be hatdoust malenal req rr mental mode Chapter 6.95 of the
mrHealth & Safely code Sections 25505 25533 and 25534 I understand that
if thi Orate icg does not cumemly have tenant: shot it is my responsibility tonality the
&cupam of the requirements which musette met prior to iransnce ore Ceniamor'af
�:-
Owner th zvd g m p . ',;1; -' � Ume
7- FI L PLUMBING
�f - F AL -MECHANICAL..°
9 FINAL7GRADEIN
6a1Lbel T4Mtgd.pt nNoyo6ng.matertal being installed. _ ..
4installFt�gut4-�pj�te'mWMI .pecn'I
on''agree to'remove
gerialsfg cI 6pAlt understands and will comply, with
T soarU�I MYNO0D'NAIli'''p'
603 - ROOF BATTENS
604 - ROOF IN -PROGRESS
Signature of Applicant _ Date
All roof coverings to be Class B” or better "
..-.OFFICE.._.. ... ... .......... ...... ..... ... .__....._
WO
Ooy
Z�
de�wa
JJ66eeOy
LLQ
atad
jT
H
I: Z
1
i`.sBUILDNG DPERoNND
..-.r .. _.._�.... - .. -I_ _..
CONTRACTOR INFORMATION:
PERMIT
BUILDING ADDRESS:
10710 JOHNSON AVE
PERMIT N0.
02020016
AUREL'fO & LYDIA TANDOC
A816E2
PHONE:
SANITARY NO. CONTROL NO.
ZO ARCHITECTICNGINEER:
BUILDING PERMIT INFO
F
BLDG ELECT PLUMB MECH
S4
LJ O I� L-1
LICENSED CONTRACTOR'S DECLARATION
with Sectionereby0lof that(commencing
ly )of Natlamofthedunder pndPiofssi 9ndmmencing
DivisionJ
Job Descri tion
SFDWL-LIVING SPACE 2, 411/GARAGE 411 SQ FT
t9i nsCodeChapter
ohne Business andProfessionsCare. license
UI, in fall force and effect.
License Class Li,,#
REPLACES PERMIT #S3877 -NO FEES
Date S DECLARATION
ARCHITECT'S DECLARATION
5 1 understand my plans shall h used as public records
�'pj M1ea
rH'M�a tt &a
Y P �
a2
Licensed Professional
OWNER -BUILDER DECLARATION
1 hereby 1
n(x
T O 2 �Q
H affirm that em exempt from the C.at.tor'a License Law for the
llle
following ]BJLr. Co dc: Any city county,
O which - erraitOn
requirespennn m construct. a Ica Improve, emo uh
t. illea9and vePoasionsmi o structure'
any...an,
. p nor to rssinum,, also re uile-t the am for such rill la. sig
q epic pe License
ow (Chmmem.
— iaath'is-licensed ulsuantm th mDivisiion the he Bust rs License law (Chaprer9
s moo FIP
([OmmeaClnWllhgeIn.] IfDIViSiunJOf the Bust
Op o rasa and rrtf inti, Cadet
5
or that he is and the bosh for the e i.to Any violation
/ ,1 ],
'+-illi $'a J. �•'a li •C','i i�tGAO"{— 1141:A ff -�
�A��
Valuation -
31.5 by any a pli ce;alligled
pliant
d ll fora permit xubjrels she applicant m e civil pewlry
- of Ssden a than it any hundred
:arnamoremanfivehanNNaouenfsso0).
APN Number
I
�Pr_sc ,:' Occupancy Type
❑Las owner afN<property,mmy employes with wages es Ncir sole compensminn.
101 FOUNDATION
—will do the wok and 'he structure Is nor' Intended or offered' for sale( Sec ]044;
'Bosl es a d Pr, res; ons Code The c imcwrs License Law due. not appy m an
--- -- -- -- --- - — - - - -- -----
102 - PIERS - Required Inspections ;1;," 1, II.J 1
caner of property Who builds .1 owe, Hereon, and who Nws such work himself
103 - UFER
or his own employees. provided that such improvements ore not intended or
_ _
odd for is sat
or sole If, however the building improvement a sold w m n nue yea. or
'improveion
__ __ _ _ — —.
- -1'0'4------ REBAR I -
Ineposeof udderwill have the burden of pmving lhm hedid not Wild or
e t pricing
improve for puryose of sale.).
105 - ANCHOR BOLTS I
.: QI;mowno, pf Ne property. em exclusively contracting with licensed conuanorsm
— ;r,:,r;,;< ...t: 7^:F[•
conaamot me Project (Seo. ]tN4, Business and Professions code:) The Commctor'a
License Law does not apply to an owner of property who but proves ilds or imthereon,
2 0 2 - UNDERFLOOR PLUMBING
:-.and_who. contracts .for mch.projects%iih..a.comracmr(s) licensed pursuant to.fne.
Contractors License Law..
_.,_."...__-203-•--..-UNDERFLOOR--MECHAN-ICIAL_.__.'-.___._._...-..
'! ''' PCtorOil srerson
" ❑Iana.amptunderSec: 0&
'�
204 - UNDERFLOOR-nFRAMEicn -
Owner '' Dme ' ""'"'''
205 - UNDERFLOOR INSULATION
,'.;_'•, WORKER'S1. COAIPENSATIONDECLAR-A
301 — ROUGH PLUMBING
t' Ihereby affirm under Penalty of pe)ryoe of the fl lowing declarations: —
rill
302 - TUB & OR SHOWER
❑ I ha a -and wih mule .`Genie rc f C :ani in elf-irstoo for Worker's
3 03 - ROUGH MECHANICAL
Compensation, its -provided for by-Sectmn 77110 of the Labor Code, for -the
perm ma eonnewbrkrorWhonthi p mii,jaiaauq. ,,
304 - ROUGH ELECTRICAL
0 have at will'aialnuin Wdrlier's Consl6saipn Iloomnce, hi«rijiu id by Scction
305 - FRAME
_ 370o'ef the Lobo: Cddc) for the pei(donanie of the work'mr which thispcmris.
306 - HOEDOWNS -
Is
C y
907
;
Cartiers Pol cy No ��_
s CERT Ii ICAT10N 01 EXEMPTION FROM,WOIIKP.RS
n M T_! .�'SHEETROCR .x i a'•i:
COMPCNSAT6N'INSURANCB r
..-.."__-...._.3.0 9 ... .-EXTER I'OR- -LATH,... . -_- ---------�.•,..
----(Thi'
(This ctionneednot be complered if be permit is far one hundred dol+ars
15100)or le. s)
310' --INTERIOR LATH '`r .' `Ice" i _
+,
o l
1 rn I t th f-rmanee nh wh
"'' -- -311---- =-=SORA-TCH COAT
y a t r n NH pc r isa�"d'i
,v
aho11 not employ any perm to any manner so. re become FuM1lect io the Workers
313 - ROOF NAft,,PHc_-
onpe IInL11WSOl Calromu'Dout
—Appl i. "'
-__._....501..,-_..FINAL _ELECTRICAL_ ENERGY__
tNOTICETOAPPLICANTIfafreiMakigNs'CenilicmelCxcmPtoo,yogsnould
begame suh)eci to the Workers Compensation provisions o(Ne Labnr Code, you must
__..._.
502 - FINAL PLUMBING ENERGY
-Itinhwin 6ompty:with such provisions or this Permit Shan be deemed revoked.
503 - FINAL MECHANICAL ENERGY_
CONSTRUCTION LENDfNG AGENCY
_ -_
504 - FINAL BUILDING ENERGY
I hereby aRrin that thele is'a construction lending agency fm the perf6rtnanc.,
fNe w' kfof which Nl perm tis issaea'(see Jog] cm.c)
505 - FINAL ELECTRICAL -
L'enaeraN
Led AJI a
506- '- GAS"� TEST-'
I emfy that have read this application and state that the anove mvu
formaon
507 FINAL PLUM BINE r;',r
- '
e ortecl I agree m comply with al) lily and count ordinance., and state Iowa relining
508 - FINAL MECHANICAL
re building constraciion,-and hereby authorize mpresenmtiaes alibis city m corer upon
Ne above-nlmtioried pmpeny ror mxpcction puryoses.,;;
509 - FINAL GRADE
'-(We)'agrcetdmsuive;inderiinifyandkeep harmlesiIII chyofCLpeninD"against
510 - FINAL P ING
liabilities.judgments, cost d expenses which may in any y against said
-
City quince of ih gram ng olthf pe t
APP41CANT UNDERSTANDS AND WILLCOMPLY WITH'ALL NON-POINT"r
r
11 NA WORKS
SOURCE REGULATIONS ' '.II 1
Issued tl14
�`N
Date
SirerAPphcandconuct ole:'-;,
Re roof3 0 ROOF BATTENS
HAZARDOUS MATERIALS DISCLOSURE t '
lic
I e an orurc n Pants ora eez abo mrcnai
TypeoP.Ro%f. ROOF IN -PROGRESS
as dcfned Y pen noM cp )Cafe Ch pt 91 and H I
th f N and Safety
, „•;
dNolgocc
t
Cotl Snt on;357 (4) t
❑Yes
Yt ulT ;_�xp Yf `
.
1
h
All roofs shall be inspected nor to an roofin materia] being rest
P P Y g•-
.
)wntn upplic t f t building pant use equipment devices which
MousmUnri
,
If a roof is ingialle'diwithout first obtainingan ms ection, I a ree to remove
P g
Icmtha air mors ns defined hythe Bay Aron Air Quality Management
Dstct
all new materials for. inspection. Applicant understands and will complyIlett.
P PP ]t
- Cl is 't❑thee __ ._ .a:.._—
I
-w
_.._. .. .. ... c
all non -point source regulations,
as mmenals rtquircmenta tinder of the
1 havalth
& se et 4. 1 u dersta
time imia Health s I understand Nal
Code, Sections ort"h t it
and responsibility
time din6 1 cci cubed naveal n4 t N t 11 p y Daft the'
p Y e y ses I s m
""' '- - __-
lot'.
m,si
occupant of the rcgiiv m t which n t tie met p or to'sv ace t a CettScaio of
p y "`i'
-
nt
SignatureofA Applicant Date
PP
_ _ ..:._........_
. .. .
All roof coverings to be Class "B" or better'
ow omnunit aag nt' pate-
—OFFICE----
. _. ... _.__ .. .._ .._ _ ..... _ . ... _ .. ..
PERMITII:
ARCHITECT: PHILUPVIERACR
VALUATION:
24
APN:
LICENSE 0:
ISSDATE:
SITUS STREET:
JOHNSON
SUBDATE: 6/3
SITUS NOO:
10710
TYPE: SFDWL
PLCHKDONE:
LATE CODE:
AVE,CT,ST,RD:
AV
BLDGDEP7:
N,S,E,W:
DESCRIPTION: SNG.PAM.OWELL
ENGDEPT:
NOIt:
PIANDEPT:
CIN:
00
CMA:*
21P.
95011
CPLCATEGORY
CATEGORY:
LTRRRE:
LOTO:
0
DATEDUE: 624/99
SANDIST:
ID:
FTA -N -D -OC------1
Cgmmuciel
HLTHDEPT:
OWNER;
TANDOC
G1agg01t
STR TOTAL-
TOTAL
OWNER
CEagdlttl:
INSPHOLD:
ADDRESS:
CN¢q#ft#:
TY,STREETZIP:
PHONE:
CUPEflTINO CA 95
Residential
RNsgglNl; 2411
CONTRACTOR:
REaggflp:
UCp:
RUS.sggltp: 41
See�gh byAddes
S3877
10710
JOHNSON
AV
TEMP POWER
2/28/01
2/28/01 JS
2 P
S3877
10710
JOHNSON
AV
1FOUNDATION
2128/01
2/28/01 JS
4P
S3877
10710
JOHNSON
AV
FOUNDATION
3/2/01
3/2/01 JS
S3877
10710
JOHNSON
AV
SLAB
3/6/01
3/6/01 TO
2P
S3877
10710
JOHNSON
AV
GAS TEST
3/6/01
3/6/01 TO
2P
S3877
110710
JOHNSON
AV
ROUGH PLUM
3/19/01
3/19/01 JB
4F
S3877
10710
JOHNSON
AV
ROUGH ELEC
3/19/01
3/19/01 JB
2P
S3877
110710
JOHNSON
AV
UNDERFLOO
3/20/01
3/20/01 CC
2F
S3877
110710
JOHNSON
AV
1UNDERFLOO
3/20/01
3/20/01 CC
2P
S3877
110710
JOHNSON
AV
MECH
3/19/01
3/19/011.113
1 P
S3877
110710
JOHNSON
AV
UNDERFLOO
3/23/01
3/23/01 C
2P
S3877
110710
JOHNSON
AV
ROUGH PLUM
3/23/01
3/23/01 CC
2P
S3877
110710
JOHNSON
AV
SEWER TO H
3/23/01
3/23/01 CC
2P
S3877
10710
JOHNSON
AV
UNDERFLOO
3/27/01
3/27/01 JB
2P
S3877
110710
JOHNSON
AV
ROOF NAIL 3
3/25/01
S3877
10710
JOHNSON
AV
iEXT SHEAR 3
3/25/01
S3877
110710
JOHNSON
AV
ROOF NAIL 31
4/25/01
4/25/01 AD
3P
S3877
110710
JOHNSON
AV
EX SHEAR 31
4/25/01
4/25/01 AD
3P
S3877
110710
JOHNSON
AV
ROUGH ELEC
5/30/01
5/30/01 TO
2F
3877
10710
JOHNSON
AV
ROUGH PLUM
5/30/01
5/30/01 TO
2F
S3877
10710
JOHNSON
AV
ROUGH MECH
5/30/01
5/30/01 TO
2F
S3877
10710
JOHNSON
AV
S3877
10710
JOHNSON
AV
IROUGH PLUM
6/25/01
6/25/01 TO
S3877
10710
JOHNSON
AV
ROUGHT ELE
6/25/01
6/25/01 TO
S3877
10710
JOHNSON
AV
ROUGH MECH
6/25/01
6/25/01 TO
S3877
S3877
10710
JOHNSON
AV
ROUGH PLUM
7/9/01
7/9/01 JB
1
S3877
10710
JOHNSON
AV
ROUGH ELEC
7/9/01
7/9/01 JB
1
S3877
10710
JOHNSON
AV
ROUGH MECH
7/9/01
7/9/01 JB
1
S3877
10710
JOHNSON
AV
FRAME 305
7/9/01
7/9/01 JB
1
S3877
10710
JOHNSON
AV
IFRAME
7/10/01
7/10/01 JB
1 P
S3877
10710
JOHNSON
AV
ROUGH MECH
7/10/01
7/10/01 JB
1 P
S3877
10710
JOHNSON
AV
ROUGH ELEC
7/10/01
7/10/01 JB
IP
53877
10710
JOHNSON
AV
ROUGH PLUM '
7/10/01
7/10/01 JB
1 P
S3877
10710
JOHNSON
AV
INSULATION 3
7/27/01
S3877
110710
JOHNSON
AV
HOLD DOWNS
7/27/01
S3877
10710
JOHNSON
AV
TUB/SHOWER
7/27/01
S3877
10710
JOHNSON
AV
INSULATION
7/30/01
7/30/01 AD
3P
S3877
10710
JOHNSON
AV
TUB/SHOWER
7/30/01
7/30/01 AD
3P
3877
10710
JOHNSON
AV
HOLDDOWNS
7/30/01
7/30/01 AD
3P
S3877
JOHNSON
AV
SHEET
8/21/01
S3877
(
JOHNSON
V
EXT LAT _. of
8/21/01
J
_ER M
53877
. 15US7
10710
EGT
JOHNSON
T�
V
DESC PTs
INT LATH 310
ED U
8/21/01
Rnits
53877
10710
JOHNSON
V
SHOWER LAT !
8/28/01
8/28/01 LS
2 F
S3877
10710
JOHNSON
AV
SHOWER LAT
9/5/01
9/5/01 LS
3P
S3877
10710
JOHNSON
AV
f
S3877
10710
IJOHNSON
AV
GAS METER R
9/17/01
9/17/01 JS
2F
S3877
10710
;JOHNSON
V
403 i
9/17/01
9/17/01 JS
F
S3877
10710
JOHNSON
AV
SCRATCHCO i
9/26/01
C
S3877
10710
IJOHNSON
AV
SCRATCH CO
10/2/01
10/2/01 LS
2P
S3877
110710
JOHNSON
AV
ELECT PANEL
10/2/01
10/2/01 LS
1F
S3877
110710
IJOHNSON
AV
SCRATCHCO ;311
9/27/01
9/27/01 LS
3F
S3877
110710
JOHNSON
AV
JELECTRIC M
10/8/01
10/8/01 JS
2F
S3877
110710
IJOHNSON
AV
ELECTRIC PA
11/6/01
11/6/01 JS
( 3P
3877
10710
JOHNSON
AV
GAS METER R
12/3/01
12/3/01 JS
I 2P
S3877
110710
JOHNSON
V
GAS TEST (
12/3/01
12/3/01 JS
2P
S3877
10710
JOHNSON
AV
GAS TEST 506
12/13/01
12/13/01
S3877
10710
JOHNSON
AV
ELECT-F
12/20/01
12110/01 TO
2F
S3877
10710
JOHNSON
AV
PLBG-F i
12/20/01
12/20/01 TO
1F
S3877
107
AV
MECH-F
12/20/01
12/20/01 TO
1F
S3877
10710
JOHNSON
AV
BLDG FINAL
12/20/01
12/20/01 TO
! 1F
S3877
107
AV
GAS METER Rs
1/3/02
1/3/02 LS
1F
S3877
10710
lJOHNSONV
FINAL ELECT
1/3/02
1/3/02 LS
1F
53877
10710
JOHNSON
V
FINAL BLDG E
1/3/02
1/3/02 LS
1F
S3877
10710
JOHNSON
V
FINAL PLMBG
1/3/02
1/3/02 LS
1 F
S3877
10710
lJOHNSON
1AV
FINAL ME CH 5
1/3/02
1/3/02 LS
1F
53877
10710
(JOHNSON
IAV
FINAL BLDG 5
1/3/02
1/3/02 LS
1F
•N . I es ft