02050108 CITY OF CUPERTINO
BUILDING DIVISION PERMIT ;,CONTRACTOR INFORMATION:
BUILDING
DPeRMIT7539KINGSBURY CT CCK CONSTRUCTION CO '62050108
MgkF PHILLIP 860 THORNHILL DR APPLiGA 4172002
PHORE:
(650) 990-9168 SANITARY NO. CONTROL NO.
O m Z ARCHITECIENGINEER:
O O BUILDING PERMIT INFO
z"' BLDG ELECT PLUMB MECH
LJ CJ L_'7 U
It--?i LICENSED CO.NTRACfOR'S DECLARATION 7
i O
thereby M.mm 1 am.f the B under provisions of Chapter 9 m oro lincose ADD 3 9 9 S Q. FT. &IO� P659'°°
mtJ wish Seniorceand affect. onlof the Bosinessand Proressions Code antlmylianse
is in full force and eBect.
O V Date Clan Liontr
3 . F Dare Contractor
u O d ARCHITECTS DE'S D[CLARATION ,
O I understood my plans shall heused as public records
i
i a p O LrcnuJ Professional
na OWNER-BUILDER DECLARATION
1 hereby.('Sect that 1 ver exempt from the Contractor's Ca a nye law for the
t z 8 following mason.(section 7031.5.m Business andmpr Professions Cade:Any city m counry $300000
F r O which requires a issuance,alto re consumer.aper,improve,h Permit t m repair any swmum
u°itement
thattoor 0iinsidmisorequireuheapplido thefor sucCoM1perminoiensele a Lw(nest empter9that I wap rs i n79l,B of Island the Ge BusinesLnd Pr Law(Clwprer9 ( : ,13 g`A 'bBi( ar' 1-t; ,. Valuation - --- _—
(co a g Nsen Section mm�3ohne BusnasspMPm.Any vi Cede) 1 i 9
tor mm he Is 316 b any applicant
li end the basis for the alleged csimPmn.Any l pmehn '-
'ofoctanflon by anyapplicantporn Permit subjects the applicant tov civilprnalry- 1
rardmmdmd;anr.enanareeaauars(ssoo). : Occupancy Type
01,as owwrofthe Pmpsmy.mmycoaplo)cas with wagesas their sole compensation, 102 - PIERS
-will"do the workand the:titinure is nor intended'or'"offered fmsale'(Sec.'TO34;" _
'B6siness'and Proressions Codc:The Contractor License Law does not apply to an Required Inspections'"' '
owner or p oWny who wads or improves thereon,and whe does such work hie self 104 - REBAR
or rr b his own employees.Provided that such improvements an not Intended or
isrtemd�r sale If.howcvarr,the n ilding or improvements sola won.one year or"' _._._.10 5 "- ANCHOR-BOLTS._. __ .. ....._.. _ -
mmplct a .the owner b ldc, ill have the burden of proving Thal he dId nm wad of 11.
improve for purpose of ole) 106 - SEWER & WATER
._ -.---_.202------UNDERFLOOR—PLUMBING
/'"�as own of the pmpmy,ver eaclusrvaly con tmct ng w th I ce d co tro ors to - "— - ._._ ._.
con wet the pmjact(sce ]oan Business and Profeesmns Cod:)The Co taemr s 2 03 - UNDERFLOOR MECHANICAL
Liceau Low does no,forsucmanowner ofpr commouno buddaonmpmvc:thereon, 204,_._ UNDERFLOOR FRAME _
void who ow does for such
.projecu with a romnemr(s)IicemW.pursumt m.me ..... .._. ,-
.. . Con�,� WOR
aw. - . . ..... _._:. __...... -�. .__._. -_.__
:.. ❑li<.' "` ` "' ' -"`';B&PCfonhiscomm 205 - UNDERFLOOR�iJNSULAT_ ION
= 79301 - ROUGH PLUMBING
RSCOM Ey ON DECLARATION 302 - TUB & OR SHOWER
InembyafBlm
under pelmhyofpario;yooionhefollowing declarations: 303 - ROUGH MECHANICAL
F 0 I have dna win'mainui�:-Cenificoie of,F Cdnsert to self-mame err Wmkar's 304 - ROUGH ELECTRICAL= Compensatieq-as provided for by Section 37W of me Lawr Code. for the
305 - FRAME
4 peormu rine workr nch this pmmt,is asued, .,
OIh vc and will mammin Wml.er'Compensationrisumob as required by Section 306 - HOLDOWNS
37ao ofthe Labor Cade f thPerformance of the work for which thispemlk is 307 - INSULATION
issuccL My Worker's Compensation
Insurance
Is•lmooe
iet ' '.... ]t sP omley carrier ❑'-Policy numberv,ite
Ca '
.33.0180_._.'--_.-_-SHEET'ROCK
:CEnFiCATIONOFExEMPr1ON 30.9' -1:rEXTERzOR aLA.
THt_.r MFRR�NOEINTER I OR_LATH
IT' : o��«anaix<oP:mertlnepefor
moro num.eu dons . .._
-
_— _...:._.._.-..
SCRATCH COAT �e...ti....!i.
31 - ROOF NAIL
li 1 of mai inth 4 ..--•— -------
Co.
.-_
y perr,ma - nthe zt b Mchth pemuttiemeAi 501 FINAL ELECTRICAL,�ENERGYr� .�
anal)na mpg r,any n aq n o s t w-oche s gttt t the workers _502 = FINAL PLUMBING ENERGY
Compat 4 Cal to
d I -
A1r�Iy6
:N, _E APP ICA If t<r ng,hs hila t (Exe pto you:no 1d - - -- 503 -ENERGY- - ----
O 'z ooh Ncblc,uoMCWork s ompc t pm-eons fNelsboCade.you , FINAL MECHANICAL' ,-
-a0 p er imsmhpm o this p Permit abed a ked 504 FINAL BUILDING ENERGY
CONSTRUCTION LENDING AGENCY - - 505 FINAL -ELECTRICAL
- - -
I
a A 1 M1ertb oirm that there is a> e(me orkro h ch mspc ti s mnxwmon codingagencyforthe 506 GAS TEST
ssue:(Sec 309] C v.C) -
Lmde sNmq' _ _
.. ..._....__..50.7- --FINAL--PLUMBING_-_.... -
:D-1 Lina sAdere:a - --_ _. ..__
V'O . .. 508 - FINAL MECHANICAL.'I
1 en m that i by a ad.1 pphce, and, t met tae aw fmmmlon g 509 - FINAL GRADE �)
W
I. to buil L e e t comply m 11 city ,county.o t ness na statelaws elating
O.r> to stli - nst 'enbn and llfor monzirep hmivesofinscryt "I",upon 510 - FINAL PLANNING
il. me ewvv-mcmlenetl pmperryfor ify andIepharrols.
(A (s,jud,eetosaots-11 eipenndk hihamyinan wayacof meag in I said 514 - FINAL PUBLIC WORKS
Z' City liabilities,s e quence costs d expenses x h ch y n any way ace against said
V AP n'onsegUNce of the grant dg of this pc t
B sT}�CpAAI.D N'ILl 0\1PLY WRH AL[.10\PptNT"'r 1
s lY 7 t?� Issued by: Date �J
Ig,mmrt,-'f App�ilan o me :.:.9 Date':: Re-roofs
L•
Hpp2ARDOUS MATERIALS DISCLOSURE t
I'-`��wll the applu4m ea fit w Id ng*Cc.*,nine v bindle luvzrdoa m tme .Type Of Roof
as def nod by th Cupentno M n c pal Curie Chapin 9 9.12,andto H aitn ad Study, I t - - "" -
code s n o 25532(Q „ If a '.e ..
Oyes a �No>d,; t ry q t �'Ysj Pi 1 - u
= " _All roofs shall be inspected pnor.to,any roofing.matenal being installed...
I., wlll me ait 11,t tet win g«<pat use q p turdevices-;rt
ich roof is installed without first obtaining arl inspecho',I'agree[o•reinove
mit hoz Bova a nm a t def ed by me B y A Air W Illy Men g mem
D stem
c, Yin a :
a new materials for inspection. Applicant undo;stands and will eom I with
t "'( ' ` -all non- oint source regulaho s E y- ........
1 h ve u d die'harmdii s th¢nags sequ¢mens a der Chepter,695'6f,Ea 1 '
Calf nue Healer Q Safat Code Section,25505 25533 end 25534 n andmuM that
rine wdd og dxs nuc mlYn eatemnt that t s yrespo Ibity mrmffy mi (( �/rf'� _
oc ppe t of tqe requirt s loch must et p o to sxua ce of Cen(cote of 7-t o?-
Occ'
.. .. e
r at All roof coverings to be Class 'B or`better ' u
OFFICE