01030060 (2) J• '
CITY OF COPRRTINO -
BUILDING DIVISION .PERMIT CONTRACTOR INFORMATION: I ,
BUILDING ADDRESS: . . PHRMI']'NO.
2158X LA PLAYA CT — YEHUDA K HANNA BA NOLKER 01030060.'
OWNER'S.NAME: - APPLICATION SUB DATE
YE�16DA 8. HANNA BAMNOI_ ER 03112/2001
' �PHONG: SANITARY NO., - CONTROI,NO,,� _ r
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ARCHI'r1iCl'/IiNGINEER: . BUILDING PERMIT INFO
BLDG ELECT PLUMB .MECH
ay
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'f.10714SHI)CONTRACIOR'Sorp DIiCLARAI'ION , - -. 106 Description -
to I1 by affirm that 1 m often Business
P fe of n, a 9(rommcnang p .
'�r t wanSet 7tXlo) ro ' SnbeBa and nre�an.f ,d rdmrRcen,a " ADDITION-3BEDROOMS/1 BATH
sinfull f e A Recta -
m s a LicensorClrss L. p "
g 0 u.O Dam Conwnnr ..
toto amAItCHITECfS DECLARATION FI w p /� LE®
J I undemnd y plan%shall housed ns public re cords e /Ieq
i 25
p O Licensed Prof..i...I
OWNERBUILDF.RDI'CIARATION JAN 10.2002
u�i as ',, 1 hereby affirm that I am exemm from the Canoe,.,',Lieensr Law for the
fill mavo..(Section 7031.5.Business 1 P fie.ions Cialc Any city or cuunty +
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'hich requires a permit , et alter,'ni v domalivit,errand, y stracture
aa. pr, t 11 t acrAf.L Il) ppl if hpercaI tiler signed st ehisaa
bar he lagowdp rsu alt th P - 'soh C t and fila.vch (chapter9 Sq. F . Valuation
(cnmmcnt g w th S cf ]IXXII t D t f Il) Bu'rue unJ P fie. :Gale) $5Ba00
or that he a csempi nherefmtn and the haus for the alleged exemption.Any violation ' "'
c f Section 7131.5 by any applicant for a gamin subjects applicant to a civil penalty
fnet lnmedmnrsehawmddanam(s5om. APN Number . Occupancy Type
X1 r rIl p ,pmy, rnry cnpl.y d g:.:Ih 'r p snot. :371623100G. 00
ii do flic.work,and the an ch m is not Identical or offered for I (Sec.](HJ,
Business and Professions Chile The Cnmracter s License Law Ates runt apply to Inn Require(1 Inspections
wo r of progeny Who Imihis or impowes Whereon,and who does such work himself
o
.,mmugh his wn employees.provided Wbar such improvements one not intended m - 101 — - FOUNDATION
offered for sale.If.however,the building for inlprovement is sold within one year of
aample.....,ther awnot-hi ilder wi 11 have the 1, Joe,or an,ing liar he did ant bit tit ni. - k 102 _ PLEAS -
npmvurorpnrryrseofsale.). - :� ..
103 — UFER, .
.❑I.no,,.an,of the pmpeny an,cxduairdy cnntnning with licensed c.nlmenas to
anssa mCo
ode:)project(See.TW,Badness and Profession. Je:I The Cnntmrmra '1 04 — P.EBAR' .
Lmicense Law does not apply it,an owner of pmpeny who milds or improves thereon,
and was contracts tar such projects will)a commercial licensed pursuant the. 105 — ANCHOR I BOLTS-
- Cont t .. use Law. t
r. ❑1 y It let See. _ ' Bat Cf 'his;; n 106 ' -- SEWER R• 41ATF_R !,.
O» 4J 1� nate /}PI7t 202 UNDERFLOOR-'PLUMBING
RKF}SC�O,�(."��/1'FI Seu1ON DECLARATION 203 — UNDERFLOOR MECHANICAL
rue nl r ndrp�Stiyrrytpena aeannerau w g 1 I , 0. 204' -UNDERFLOOR FRAME
Ip 1 n I 'I a t 1 rl'are m cotser,la, Rl .ar,f w k s �•. 205 UNDERFLOOR INSULATION
Compensation as provided too by Sectio 1700 of he labor Code, for par
perra,mapre cftne work far sudden his gestin is issues. r 301 — ROUGH PLUMBING
E)I have and will morin Worker's Cmnpen.ation insurance.ars rarinal by Section 302 — TUB. R OR SHOWER
1700 of the Labor Cale,far the,performance of the work for winch this permit Is
io.wbM 'wad.dr',Gm,pmt.aaan,Iasprom ,niernngPmirymtache,.car, ' .'• '� 3,03 `- :'ROUGH .MECHANICAL. _
y '
Carrier:' Paricy.Na: 304 r ROUGH ELEL'TRICAL
CIiRDFICAIdON OF EXEMPTION FROM WORKERS'
C(MPENSATION INSURANCE '305 — FRAME . . _
front,set new not becma,hred it Oe pmmh i,in,sac hundred dollars _306 — HOLDOWNS.
aun)pr,Ies.l '� - '307 — INSULATION . "
1 cenit,Whit,in,be pedommuce of the work far which this Permit is issued,1
shall not employ any person in tiny manner so as m become subject it,the Waken '308 — ShIEET ROCK
Compensation has of California.Date
Applicant 309 — EXTERIOR LATH'
NOTICH 10 APPLICANT I If, her ratkan, his Corhificid,of lboandiont.you should
nel In
raj meWork...C rrot 'eG
Pel,heLnhuule yat mal •. tt 310' — INTERIOR LATH > ..
p • ra:arts d Ilrwm' provisions. "or this lcri' 't-I-IIn<nrrttenevnkw. r 3,11 ,- _SCRATCH COAT
E CooCONSTRUCTION LENDING AGENCY I - _
I herchy am.t ahem m a enrolment.lending agony far the performance ,313 ROOF NAIL
nnersamwnirnnnispmtdi,mmwtser.397.em.c.1
Under Name c 501 — ,.F.INOL• ELECTRICAL ENERGY a
� z .Lrw Address502 — FINAL_ 'PLUMBING ENERGY "
�0 1 sly tnwlh hall ity an county ordinrule ances
M r , n 50 — 'FINAL MECHANICAL ENERGY
O pi coma 1 agree m comply with all city and county ordinance-and xun laws relating
U ,o building conntuction,and nemnyauthor,erepresentatives mmiscity mother apnn 504- — FINAL .BUILDING ENERGY
>, W the alurvcne.tioned property for impecnion purfoics. s
lZo 1Wcing,ncrosuvc,inAc.tnllyaw,kcIh bra a,in
he Cryof Cupertino against
t n imdit ca,j,ndgnnenu,ecga aml expenses cannel)Iruy m nm way areoe,ngainvt sold 505 — FINAL ELECTRICRL
U 4 Cltrin....lselne.re ,It in gm.dngrutdd�ren01'' - ' .6 — GAS TEST . �'f /'
SOULIA C�UNDGRST USA AND WILL COMPLY WITHALLRON POIMr •ISSUC(I by: — to 4-2 ^(,J /
.' rid l'ApplicanhGvtao - Deter `Re-roofs S08 —' ,PINT-1L MECHANICAL
HAZARDOUS MATERIALS DISCLOSURE -
willroe hplin1"in enuddingarenpant,tore ohandlel)uo,mau.matrd,d . 'hype of Roof „•509 --FINAL: GRADE. .. , n
asAt flys CpNrnhli l coda Cbaple,914and rl Il lln are Safe', _ . '.I' , < I
Cm Section 25532()'1 510 — F I NAL. PLANNING
[3Y "" 'AEI root's shall be ins ec'1!e4d prio ro �R��,�r 1 stalled.
Will Wn r r f mre building averment ase e u t r devices hien �Il u �r L" `-"'� �I
lip Isq - If a roof is,installed YJi o t firs[o unm an inspec fon, agree to remove
elnlnn rut t erearayrueBarArnaArQItvn+ g m g P 6
sial r ,all new Materials for inspection: Applicant understands and will comply'with
all non-point source reguI ti `.
1 have mad,he ha I u. materials requirements under Chapter 6,95 of the
m -
Califoo l Icahh A Ssf ty Cade Sections 2.5505.25533 and 2551) 1 understand that
f,hehui11 1 not cu sly haveatenan6lbat iW is mytuspnmymnmify the
necapnm J regdircmenls hich mus,be hart m issuance of a Cenibeac of
Signature OfApplicanf Date
01)6cr oromhnrircdagent Date All roof coverings to be Class "B"or better'
OFFICE