00060143CITY OF CUPERTINO
CONTRACTOR INFORMATION:
BUILDING DIVISION PERMIT
BUILUIr(1 ADDRPSI ;
10539 LA RODA DR
ATLAS HEATING
Prxnn'r NG
00060143
OW NI!R'S NAME:
VTSWANATHAN RAMKUMAR AND
SHA 155 SAN LAZARO AVE
APPLICATION Still DA'I'li
06/21/2000
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SANITARY NO. CONTROL NO.
(408)739-0516
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ARCHITECI]ENGINIiER:
BUILDING PERMIT INFO
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RLUG 13LECIPLUMB PIECH
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I.ICENSCDCON'I RACOk'S DECLARATION
,lob Description
1hcmM1y afti""'ha i anlwro,rd under p....Wo, of Chnper 9[a,itno Ing
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with Seclic,074 )of Divininn3mIha Bm+ilevand Pndesn.ons Cuk.molmyliecnx
i, In fall for. adeRem.
REPLACE FAN/ 'AIR CONDITIONER
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Lmclnu Clnsx IJe, a
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Date Gemmel.,
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ARCHITECf'S DECLARATION
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I andenlnnd of plan xhull ba used m pehlic rccnols
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Licensed Prole,innot
OWNER -BUILDER UF, CLARATION
ex,LOPR
1 hream anirm Thin um .Bonne from IM1e Cunlmam'x Liceam U. lotco IM1e
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following ¢aa,a (Smtnn Any city orr
Baines, and Pmfccousli
,
HD
conLS.
white requires a permit a, cun<w21, alter, intbmve, > h, or stricture
repair anv smmwar
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nuor mchlnrmiuonlunxL.Iioi slmnncm
thu ll... t fi
Intontto
Sq. Ft. Floor Area
Valuaticpl
3
kimas
mnlneirein,wJpnec,nlmgh))ofnimmorthe cnEmor:,andxehwon,Cory
that he is the
(commencing scup suenon oligo n J of the ns c1,Jm
s, and P...
S
Any vn,Immn
mann me Ary
of o, m,i lc,ed
o deal he a for mu Illmge,
per
mnu hs by anyunteddllterapamnn subJe.ls me.presser 6,aeine penalty
of 5 b any applicant applicant
APN Number
Occupancy Type
or near mem than me mounted .Quays ($slx).
no,
36933023.00
Ol.:oownerorThe propeny,,or, e,npoy«s wit, wages a,mci,odl om,n,mim,
Required Inspections
will Jo the work, and IM1e smo mre is or intended nr offered far sale (Sec. ]nu,
Business unit Protew_Qons Coale: The Contractor'I License Law docs not apply to an
owner of propcny Who mites or hoproves n,ereon, and who does such wink It still
303 — ROUGH MECHANICAL
or Through his own employees. pmcided that such improvements an am intended or
offered for side. q however, the building or improvement is cold within one year of
304 — ROUGH ELECTRICAL
niltmlmion, the owmerouildcr will huv. tee hoyden of proving nun est did not hddd or
improve mrpurpo.eofxale.l.
505 — FINAL ELECTRICAL
❑L ohnepropelly,neneseloavely"nlmmiagaimnco.cdeommetm.to
508 — FINAL MECHANICAL
uu9NUtme protect (se.. nus. Business and Profession, Com,) The Co,maemr'.+
. License Law does not apply man owns of property who builds or improves rhcrccu.
.
and who umma, our such pn,ju9n wish a,onma,tor(sl Iicemud r,ram n, The
G,mmcmr. Clans. IWw.
❑ 1 am exempt under Sec. . B & P C for This reamn
Owner Dire
WORKER'S COMPEN'SAI'ION DECLARATION
I eeo�hy noun, under pau'lly of pedlny ooc of h, Ii,nowir, dudavaarme
J have and will Inain n u Cenincate of Consent to .elf-instre for Worker's
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coul cneadon, as provided for by Section 37q of ma Lump Gale, for ill,
performance of rhe work for which this ,,mrir is issued
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❑ I Lave and will maintain W..ker'e CII ,nsation Innumn' , as rnmired by Scction
J]W of the labor Code, for the performance of the wmk for which This permit is
I ... cal. SIT, Worker, Co.1}' t, Innnscranee carrier and PolliiccyjjjS(((b```m���!^�^�^�her arc:
l�,1
Canner; �HTllt
L\yGtIIT1O\ b�WORKERS'�
'
COMPENSATION INSURANCE
(This .section nttJ not be completed if the pr airis lie one hundred dollars
($ l age or let,J.
I eenify that in In pe,om oo rce of the ,1, for .0kh this permit is I.,sued; l
shut l not employ env per , y manner bleu m rhe N'mrken'
.
Cnnlpcnxw'wn l,pRFnf �hfirmw, 1141c kip
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Applicant _(,, 9c% DP^c''U
NUTIQ?TOA LICA I: If, afterC..... making this neam of EaemplCod you should
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orki m
the Wr key'ssi,men saunI, pre n,ll the Labor Cnde,y1 stet
h.unwill,c
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fnrlhwile comply wish x n pmvisiom m Nix permit xeull be dmincJ rcvokcd.
ply
CONSTRUCTION Lp.NDI NO AGENCY
_y
I helaby Iran iss comwce t. lending agency fur the perfonnanm
lreh
this
er the work for which this pemtit is isxucJ (Sec Ja)]. Civ. CJ
for.
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Isndcr's Numc
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LenJer'e AJArc,s
,
Iccuify than l base read this applicmion and smocdait o, above informal is
t�r•
c, ra,r. I ngrcc m cwnply with all airy aad county onl'mancm and state laws relnling
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building con,wnion.and hcmhy mahori'ze representatives ort this city m cater urym
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the alovo-mcationeJ property for inspection purpose,
ti 0.
(We)lrgrcc mvwq inJcnndfy and kncp harndes Thc City of Cupertino agar"
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liabilities, lu l'u., n, cosi, and cgencc, ,h,,h may In any way accrue against win
Ciry in conscquena of me gmming of chis air.
AI' ICANT,fJDERSTANDS AND WTI. OMPLY WITH ALL�N
� /u
Date
S U E �,tj.AT10N.S.• - � �.\
IssUeLl by:d4
Re -roofs
sgltarar. of Applieawcorttme,or� � Dupe
esu me applryki�„`r��Gh Jingrc �Iwl,tt:m"m.i�R,elie,a..,raoas maer;al
Type of Root'
as denten ny The ellpenlno Nt i ,al CI,Je, Chapter 9.12, unJ Aha Heahh and Salty
Cads ticcllnn 255321x)'
oyes ❑No
All roofs shall be inspected prior to any roofing material being installed.
Will nccnppneam or Emrre nuudn,goeer,am use cyulptncut or desires Muth
If a roof is installed without first obtaining an inspection, I agree to remove
enol ha .0ous air eomamiumms as dcOnrd by do, Ifny Arca Air Guulity Stonzgenent
all new materials for inspection. Applicant understands and will comply with
,;et]
0 le, ID No
all non -point source regulations.
1 hose read The hazardous ntmerials requirements under Chapter 695 of the
Califnmiu health & Sol Cud.. Sections 25505. 25533 and 25534. 1 undecaund that
It the building , not con'cntly hasv a leranL than It is lay rcxpn... It Iity I ify the
n
IKCYpint 1,( a requirements which must be N prion to I,,uNCC f a cn1Ecic of
°e`apare CFO
Signature of Applicant Date
-ATI roof coverings to be Class "B" or better
O iruthorized agent [)are