01080109 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMITNO.
-,1206,98 KIRWIN LN CUPERTINO CONSTRUCTION INC 01080109
OWNER'S NAME: - APPLICATION SUB DATE'
'CUPERTINO CONSTRUCTION 10079 SAICH WAY 08/21/2001
{ p110NE: SANITARY NO. CONTROL NO. ..
(408) 253-9000 '
02 ARCHITECT/ENGINEER: BUILDING PERMIT INTO
U b BLDG ELECT PLUMB MECH
0.2 'r LICENSED CONTRACTORS DECLARATION Job Description
s Z I hereby.M.that 1 am licensed under prasisions of Chapmr 9lcommencing P
-tom xanSmion70001afDiviams3oftheBuxinessa°clProfessionsCode.andmyBanu NEW SINGLE FAMILY DWELLING.
ismm°r°"`and effect �_,g_p�q � 2982 'SQ. FT. LIVING SPACE,
:O '.0
License Class_f— Lid.. -�'_— ,
y O rn Coadowbar—C-3 I_
i" ARCHITECT'S DECLARATION 434 SQ. FT. GARAGE. A ��
I undersmnd my plans shall bx used as public record, G"!
Liecnsed Prafessiunal 1 .
e' OW'NIi1LBUILDER DECLARATION
e. .I hereby ann NSEP
ffat I um exempt from the Contractor's License Law for the b
following reason.(Section 703 1.5,Business and Pretensions Code:Any city or county -
F C ,wh ch 'act. permit to construct,alms improve,demolish,or repair any structure
EEE 3 •poor a rd pursue n to
t r p rxrs o roe Contrarmrs License
Law(
that U.9l censbOp a pnno0 yoDivisinf o he Bra°rsLaid Pr Law(ChapterCor) !3 is Ft Floor'Area i � t x V .lion
f<o mm�g with Saitgn,7000) fD Division Sof the Busmen end Professions Code) (�{lay. as, "s. Ia.: li e.Y.t. $3 ®l7
onhm he ri exempf Nemffom end the halls for he alleged diemptins.Any violmma
' --of Sections 7031.5 by any applicant for a permit subjects the applicant to a civil penalty,
.mf oat mare than five hundred dollars(SSW). 3 5 �i�IgTb�'0 .r :� Occupancy Type
O 1,es owner of the properly,or my employees with wages os their sole compensation,
'will'do the work;and'the-stnicture-is not intended or offered for sale"pier:7614, - „
Bninix,rad Pri fe,sions Code:no Cmartanw,License law docs not apply to an 101 - FOUNDAT RONired Inspections tae
owna,of prolixity Who builds or improves thereon,and who does such work himself 10 2 - PIERS
'm through'h s n empl Yee provided that ch„p i m nts are not it nded or. ,,,__._,.-,-, _
'TMfe'df- WeIfhd twhuavet p n mi `oW minneyour dOof' 103 _ UFER
improve far the owner budder will have the burden of proving @m he did not build or s '
Improve roe parpou of mans.). 104 - REBAR '
_..__.___-. _a . ._ . -�. _
x.s °I;ec owner nnhe prnpeny.am uclusively s... - '_105 .- ..ANCHOR-..BOLTS_ _.___-__.._.—_-_,.-:---,.._..._
comranin withlicensed Coaunors 's t i _ ,Gf l`ar
License me project Iger lin a Business and ery who
Code:)The improves
thereon, 10 6 - SEWER & WATER lt'I"t i, '-1 q
License Law does not apply m an owner of property who builds or improves thereon, '
,-and.who contracts for.suchprojecu-nidi a contmcmm
Hs)Beaed N
pursuant-to. c _ __ - 202- -- UNDERFLOOR -PLUMBING'-
°I am exempt
License law.
Contractor's
ada«seq. Ba Pcfor misrcaan 203 - UNDERFLOOR' MECHANICAL
own •1'' " Dina - ' 204 - UNDERFLOOR FRAME
WORKER'S coMPElysnnoN DecLAlano" 205 - UNDERFLOOR INSULATION
I henbyaRirnunder pea°ItK.,f perjury oneof the following dedamti...: 301 - ROUGH PLUMBING
❑i'have'and will maintain a cenificaie'of Cement to self-insole for Workai 302 - TUB & OR-SHOWER "
V` Compensation, as,provided for by Section 3700 of the Labor Code, for the
Parrarmaba°fbeworkforwhichthisp.itisissued. 303 - ROUGH MECHANICAL
O I have and wi 11 maintain Worker,Compe.,am.Insurance,exacquired by Section 304 - ROUGH ELECTRICAL
'3700'uf the Lub(WCode,for the performance of the workYar which thio permit is 305 - FRAME
Ceued My W kers Compensat on 1^md«ce anter and Pol cy mbar art '
C 306 . HOLDOWNS `. '
, .
FIC,
-^. (same POI¢y Na - s... t ti 4l4 id ♦ . ,. .. 1, 1- s'
{ CERTIEXEMPTION '�"MW[IRKERS,. V a l� 307(' `+INSULATION'(
. ,rT-1 G,�p9M-e COMPFNSATION INSII L CE ^9 r(63 _
1T- f KW 9 -� .e ._..... ._._.308 - --:SHEETROCK_._. ....._._. _..._ .-
ITh -dons need not be compinN if the permit is for one hundred dollen '+ I
309 - EXTERIOR LATH
:` `� I c n fy ih.t in th'pcdoeman a of thew k t h-ch tins permit is
-issued,I 3 10---"'I'NTERI OR""LATH
'shull not emplayany person to any animations to become subject to the Workxrt 311 - SCRATCH'COAT
,Comps un LaadsafCalfom 'Data
Apps n, 313 .- ROOF-NAIL—..
eNOTICLTOAPotheW6TIrapermakingthssifeet fE e yushould I' a ,.
y �p 63e mmew kr's Compensationprovisions of thborCode,you must 501 - FINAL ELECTRICAL 'ENERGY
zfonlwmmmplywith bprevmonmoethis p it,hallbed«marcaked. 502 - FINAL -PLUMBING ENERGY---_,,,
F' _
W \.r'.Of CONSTRUCTION LENDING AGENCY
Iberebya�RrmthatNceisaconst cl nlnd'np agency for the 503 - FINAL MECHANICAL ENE17GYl`' '
n warkmrwmah,tn a t : ,aep(s-3t)97Cix•.c) 504 FINAL BUILDING ENERGY -
a.Q ^Lender Nmi'_. s_ . . ..L >, -. - ..... ....m-... _ ... ._..-.._.. _ .-. ..._...
DrZ Leede Addrpa. " 505 FINAL"'ELECTRICAL.
U O I Ccnlfy drill
in 1 bass,read this application and stale that the above information is 5 0 6 - GAS TEST '
u trail, l taa,mpl 507 - FINAL PLUMBING
Gas sF agree p yiwith all city and counry,oMinanc«end xmm laws relating
. Oi,U 5o building canstrdctlon,and hereby authorise represemmives or this city to enter upon
W he enavx.meadoned prop ny fprmspeiti q pmpgses.,. 5 08 - FINAL MECHANICAL
ra' (We)ngrcetosave;intlemniryentlkeepharmlesslneGtyofCupxnindagainn 509 - FINAL11 LATrONS G E
In liabil t x 1 dgments,c is d e penes which may in any way m<ne.gemma raid
U"z Ctry
m c sequence of Ne granting f this Peoria. •- ' 5 10 - N NG
S
'APPLICANT,UND!U TANUS D WILL COMPLY WI'PHALL NON POINT
sd0RCE R �,y\ ,p Issued bpi Dale
Sgnat of Appl caMC mmctr - - Dat Re-roofs ROOF PLYWOOD NAIL
'a HAZARDOUS MATERIALSDISCLOSURE, , +'
-" un Ne applicant or future bolding upon,store or handle hmrdu material .,'Type of RQ,,, ROOF, BATTENS.__ _
as exit N d4yCupcn oMu ('pal Cod cit pt 912amaxatn asarety . . ., ,604 + , ,
ROOF~vIN-PROGRSS � `.. ;., r 1
Code Ston 2SSi21a1, Yi 5.5 --i l ' F \ h. }y
°Y :., -All roofs shall,be inspected prior_to.any.roofing.material being installed____
wit me apprgq t n eb la ng p p gopmenaa aeex which If a roof is installed•withou[first obtainingins rtiest;I'a iee;to remove
emit haaardsm,a r contaminants n defined h)the Bay Arca Air Quality M.nagemmn o a
P g
all new materials for inspection,,.Applicant understands and will comply with,
all non-Pettit source regulations: .
r 1 ha e. Odhe hazard. mmeriax qunementa and r Chapter fi 93 of the
Col f rem Hehhh&Surety Cud_,Sectibna 25505,25533 and 25534-I undcrsmad that 1
if are building does not currently have.tried,that it is m- ---
,. y ymen ;hhiyw wlite of ,
Occup.t of Ne rcquieementi Mch mum be met lin 'tit tont e f e C nifiiam of
Ochpanc � ••,. .
Signature of Applicant _^- Date
ownermhantad.'ant Done All roof coverings to be Class "B"or better
Id,
OFFICE.