02020065 CI BUILDING DIVISION PERMIT
SIION ° CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT N0,
ACTION7881 LEONG CT TEAM INC 02020065
OWNER'S NAME: APPLICATION SUB DATE
FLAVELL GEOFFREY L AND LIMAY H 1278 ALMA CT 02/20/2002
PHONE: SANITARY NO. CONTROL NO.
(408) 629-4433
ARCHITEC ICNG W EER: BUILDING PERMIT INFO
F BLDG ELECT' PLUMB MECH
I_]
LICENSED CONTRACTOR'S DECLARATION
a 5„E 1 hereby ma that I am licensed under Job Description
Z-C y a provisions of Chapter Y(commencing ,
„_Ea, whnseerion7arolefDismn3enbeeusmbs tePrnfeaaronscoeb,undntyliaense GAS TO COOKTOP.
x y f is in(ll fttat attd"ef(erc2,.n�
z re a LicensePflS bY� 4_ Lic.N
n U Commn
LLO Jr' CHITECT'S DECL TION
g undersmnJ my plans shall be used as public records
co-
OO Licensed Professional
= OWNER-BUILDER DECLARATION
y
1 hereby offrm,he,1 am exempt from the Commemr's License Law for the
?C following' reason.(Section 70]1.5,Business end Professions Code:Any city or county
whichre $380 .
CCF
which q permit, wa abbe,improve demolish,or repair any nrart
um
..Pdw to its gli sed e.Pumma acquires 0aovisiosofeadit for Cannouch m Lica s,Law(Chaptil cm.
a3� ,hat he,glcensed phis anuoth Provisions of the Cenwnops Lrcemc Law(Chvpter9 Sq pE FlODPArea-
(commencpp wth Secton 7000) f Di,hmn 3 of,he Bupnes and Professions Code r'//'' I ry, , 1y!� pc Valuation
or thmlm`lfs ai i thereBlom and the basis for the al legcd exemption.Any violation 'tell s 36'217?0611 0`O H,
-ofsemnn-7fv:5byany aMlicamfor apermit ubjeasthe
uppfeunttnaeivilpenahy.. APNNumber 1:';.';...:
tof no,mere man line hundred dollar,tssool. Occupancy Type
❑Las owner of the n,mm 106 - SEWER & WATER
grope y y,is no,ees wise x'agesoa ed do,sole (See.,,ion, I
will do he urork:end the'nm<mre is norim<ndcd'or'oRertd for mle'(Sec.]BLit' -- -- -- - -
-Business'and-Professions Code:The Contractor i License Low dabs no,apply,o sat pennons•� "U-, '.r
owner of progeny Who bands or improves thereon,and who does such wars:himself 301 - ROUGH P 19
nr through n s own employees.provided that such improvements are no,intended r TUB- &--
Ierdf -lt lrh- th folding m _._.._ ..-302."_.-.--. .OR-SHOWER ..
- f of t nenremem t,sem whom one year of - _..
'compltion,the waetb 'mrwill have the burden ofpm.'nythat hedid not build or 502 - FINAL PLUMBING ENERGY "
improve for purpose of sale.).
- - ---- — ._._._._...-- --- -- - --nsed ------- - 506 -
GAS_TEST"____" '
_ ❑Haset he
arti(SeenY.am exclusivelydProfess Professors
Ca ce)Thc Cmbrmtm'o
icenseLawdrejnotape]t44.Business oanowerofpndPmres.ionatodc:)Tnetentraemr: 507 - FINAL PLUMBING .,;r, a :.r -s.i'.P.
- -
License Law does no,apply,o of owner h p ammo who miles eimpravea thereon, 1 '! t
-,and whgcontmms forsuch projcc¢.with a.comrncmr(s).licenscd.pursuam m.Ne _._......_. {
'-
Contractor s License ---_._..."__.._ ._."... ... ...,., .. ... _ _..-_._.... .. ....__._._.
_ ❑1 ne,enp,under Sec ,B'&PC fonhis reason
--. ...,.
Owner... ..' i.":!s•.. a"pate -
r" "'WORKER'S COMPENSATION DECLARATION FINqLEp
'{,f - t° l herehy.1 is under penalty of perjury one of the following declarations:
r \ I hard and will'mai uda a'Cenifcdm°of'Consen( to self-insure for Worker's FEB 21 2002
Compensation, ., rovided ior-hy-Section 37W of the Labor Code, for the
performance of ihe'wMk for which,his pemdt is issued.
❑I hevdund'will meiniein Workers,Cgmpensa,ioh Insurance,es requiidd by Section BUILDING
e_ 3700of,he Labor Cade,for the peA6 ince of Ne work roe which,his pcad is
sura ane a d Policy umboare
Comer. Wok ltC� s,ontn• „
' ! lCpRTIFIGAll D o17Er3N'lo�flfto WOR£ t.4,f('' t 1'y,[Y-, 1, j.3u0{, k[�' �'.41',.�'rd! 0n 4:Q. "o Iv fitr', _. _..-.
COMP[?NSATION INSURANCE" r'rt
"p'"•'fTfiis'iedi`on'need not be'complmdd if the permit is for one hundred dollars .\!>'x""•'^ `f __"-"---
isIBIB erless)
am,fy that in the performance a'f the k for which this permit is ued 1
sM1all nut tioploy any per.on in tinyenne so is to become hi t in the We k rs
Compo-p,omLaws of col f rion.Date
I NOTICE TO
u �I�^r of New1shekfboA
yPuPfLf that
_after_ ..kam. G -
Co
should
Z become subjdcuothe Walkee,Cidrdpeiom paiators of he Labor Code.
you must
onh N mP y ih h slons or Bas Pamir shall h eemed rt eved.
''CON-S
IaTRUC1ION'LENDING AGENCY
n th„h na ryn n g u encYfo hePf n mace
h eh thspeat sissded'(Sec'3097 Civ.C)
Name
W'Q - Lnd r
.-Aw
bt
,
Lendms Addrea .. .- --__. .. ._ .___ (..._i t .._..... . . ......._.-._ _ .._._.
tJiQ— .l cenify Chet l have reed this application and nate that above information is "
f•*a.E.,i coded.I agree to comply with.11 city,apd county ordinance,and state laws mining
no butldmgc nst ciion and Ninety'authonz repre enmtires of Bbs city.to enter upon
the b of n d plopery for i"Pierian proposes.
L G. (We)agocii 16 sinal Bull nify and keep haatss theCry of C'peninb against
LL VJ liabilities.3 dgmems,costs add expettaes htch may in any ay accrue,Sam,, aid
V.K Cityin' consequence ofd grenung fthispeanI. ��
'PP LI CANT UNDERSTA ND WILL COMPLY WITHtALLpON'POINT
ceRP IL roN 2 711", '12-20 Irlt�; so Issued by: Da[
f pplcanuc tmamr i '.h.•". '.Data- Re-roofs
,� ', HAZ RDOUS MATERIALS DISCLOSURE Type.Of:ROOf.
VJ ll t a'.ppI ,m f g holding occupant sto' o handle nmaMo s material
asdefned byN Cupertino MunicipalCod Chapter 9.12 and Be Health dSafety
ceaeior: zss3z(jdi /s4;''�'6.�" '-f ove. IL x
O All roofs shall be mspec[ed pnor to any roofing ma[ena] being mstalled.-
Will
>; the applicant future build ng occupant e ago P i ,o de is wh cn YIf a roof is installed without first obtaimn an tes ecnon j I'agree to'remove
h at do t ms as� rano by theB y Area'A Quality Man gen m g P
District' 1 ! , all new materials for inspection Applicant understands and will coat 1 with
(� °Yea ;..
all source regulations P Y
'i..�
1 h e
head the hrzeNoni'mwrids requirementi under Cbapim 6.95 of the
Calif.as H alth&Safety Code,Sections 25505t25533 and 25534j mMentaM that
if the budding does no,curreit have o term:than it is my responsibility,to notify the
, h'mun be me,pno t issuanre of C eifcme of � "
occepen,a t e requtreme ,s enie Signature of Applicant Date
y '
... _ _ .. a _._ ._.A
wne o ,h rued,gem D m
All roof coverings to be Class'B" or better "
s nr•t, _ , ,
i• .
'r
0
.l
OFFICE