00120137 CITY OF CUPERTINO ,
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: -
RmLUINcauDlTV9.47 LINDENBROOK LA li:RMlT rvo.
i' 001.20137
OWNER'S NAMk.,AJT . , I APPLICATION SUR I>A'rE '-
b 12/21./2000
PHONE: SANITARY NO. CONTROL NO,
G Q c ARCH TELT/ENGINEER:' - '• BUILDING PERMIT INFO
Ro' _ BLDG ELECT PLUMB MIiCH
to Cl CI CI 1='1
n
LICENSED C(INTRACIOk SUCU.AItAIION ,lob Description
I hereby affirm dem 1 am licensed ' m
en:d under im '. ns f Chapter 9 lco nencing , �.
F F; nhSm m]f""Il ofD rsmnit(dhe Bu.n:. dPrfnnaCWgnnd my hren>e - - -, -
ninf.11foric.mideffisel. 1ADDITION.-OR 715,-SO.. FT.
Dat C n,emr__ .� "j
�3LL„ ITo-�Rclnr[crs Dl.anknno h-HAd C 6�
I d tnJm Ian-sl,llMusrrl hIc d _
al
Let
od OWNER-BUILDER, lwi ' ISI CI ARAI'ION .
uu�7l IL
I hereby II th I pl fmaIl, C ntru„r'v Lnemc Luw for the (��1
(=Z Q
following reason (Section 7031.5,Business and Profession:Code Any citym Lundy
m
which q pe t r dot Ir p d Ill, p y s, d re '
prat i,s ismance,ulso minimsfile applicant For h Nallit totile gneJ statement
•a drill licensed o It to o notion n: nl C m , rat t 1 IChapt 9 Sq. Ft. Floor Area I a'. . Valuation
Ito++weing will,Sanon 700(hof D'vivl m 3 d the llua tnS nJ Pr I'eav t,:Qalul or lim he is exempt therefrom and the nasis for the alleged exemption.Any violation r• $69076
of Semon 7031,5 by any applicant fora peanut subjects the applicant m e civil penalty
of more than live hundred dollars Wish. - r APN NumberB((�y �� Occupancy Type
❑1;I+sowNG
netoftirepropmtyannlyndployeeswithwagesListheirson,com„ensetimt• "'36923022. 1 '.
will do the w.,it,atm the structure is not intended or uttered for owe(See.sBW4. Required inspections
Bi sine 'and Premnor
.ne
ressions Gtle:The Com 's License taw dces not apply man
r of property Who builds or improvesIhemm,,and who does such work himself - 1 01. — FOUNDATION. .,ION.
orto
Mthrough his own employees,provided that such improvemun s are not intended of - _
` e'd to,'ale.IL however,ore haiwmg i,hom000mam is sold whldn ono year of '102 -- P I ERS '.
...mpletiin,the owner-lol will have the burden of proving that he did not build it - -
oveforpmporeoraale.l. 103 - LIFER
oL as nwne,.nlle pmpeny,.,it eaclaamely comraeting with licensed ell imemrs to 104 — REIIAR
construct the prnjem Se, 7044,Business and Pron%Oiins C.Me:)The Conwcror's
Lia .aLuwdoes not apply It)anowner o(pmpenywho build,orimprove.meraan, 1,05 ANCHOR BOLTS
.and who contracts or such prujeca with a contortionist licenses]pun and to the '
Commcmrs Lmense Law.. .a 106 — SEWER & ''WATER - -
❑I nm eaempt a der Sec - U&P C for this reason
1202 UNDERFLOOR PLUMBING
0asue, Dole I
WORKER'S COMPENSAI ION DECLARATION : .. - 203f.— UNDERFLOOR MECHANICAL - ,
I herehy oBmt and Or pe. by rpel ry one of the Fallowing decl t n. _ .004, - - UNDERFLOOR..FRAME
CIDrw11 ve and wto dais t renifi.t n:
fC, anHo sednstre, bar Workers, 205 - UNDERFLOOR INSULATION ;
Cmnpensation, it% provided for by.Section 3700 of the Labor Cede, for the ,
pnnedaneeanb<workrnrwnicnmisprntitisissued. 301 — ROUGH PLUMBING•-' a
❑Ih d 'nmmm' Worker:Ctmd e:.t 1 . tens 1 IbySet n 302 — TUB 'g. OR SHOWER -
Nid it tiCode,I d li r r te k r -ashch d t m t Is: `
savdMyWorker sCompensation lnum ecarrieranti olicynumberare: J "303. —:.ROUGH MECHAN'ICAL_'.:.
carrier: - Policy No, 304 - ROUGH 'ELECTRICAL -CERTIPICATION OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE - ;305 . 'FRAME '• - -
(This section need nor be compleneit the permit is bar one bull dreddollars • 306 — H01_DOWNS
1s""°ones.) 30,7 — ..INSULATION
I ceniry dial to life pemornbtdce or the work In,which this Fenno n dvso`d'' 30II — SHEETROCK
shall d npl y t y 1 city mann t h hice,m(1e Wu kecs' _
Gnn t. t n b y 309 — EXTERIOR LATH
pnl t `a .y�W.—. _
NmiCF TO AiI I I k nmk . , d at IExempuon yuuah v1 310 — INTERIOR LATH
.bat - hJ ,l t i 1 t ( pen ( n p r I me 1. Gourd ro le.Ynu mus
zs to
rnrtbwmeomplywm sop s trespen�dsnmbadgesr lrevnAcil 311' - -SCRATCH COAT a
E h1 CONST RUCTION LENDING AGENCY 313-- ROOF NAIL
I hureb,afifirinhot they,is stonsnuct on lend ng agency births perfnmwnee
w ? of the wkfor alnuthis dl ssuedSul3a97C ,C) 50.1 — 'FINAL ELECTRICAL• 'ENERGY
A. Lcndt sNtme
� Z lemmr',Address 502 FINAL PLUMBING ENERGY
V O toe't,douIhvve mail Lisapplicadtmaw,nac.hiddhenboveimmmnmmoi. 503. — .FINAL- MECHANICAL ENERGY
coned 1 g t ply w th 11 city nJ my d' ad that law. return, - :
OU nnlon, toad bymth, xcmad nhi ,yt urlxm 504 .— FINAL - A-UILDING.. ENERGY
r� Loah d II pnyl out s .......
a (W)Logical., e m keepfyadI 1:sthacty of Capetian,against 505 FINAL. ELECTRICAL //1V)lG//✓/6.-�_�—
rn d ab I t judgments,a (. ml i pore. Ie h may n any only accrve against said 506 — GAS TEST, _
�,) Cu, yes neeof the GramA it this L t. - -
SOURCE GUIIUNDERSTANDS AND WILL COMPLY WITH ALL NON.PoINT .,Issued Sar? .._-�P•T 1 T Date ,
• S(1UkCi, GUI �'',I�O,N�Sf,,�• Y� NG1L R!J�fq{a�JG � J '
sisnamre yi, ie�noeonnT �t''�' r-�ii1�Q'— .Re/-roofs — FINAL MECHANICAL ' '
Itorda, DOUS MATERIALS DISCLOSURE Type 509 —'FINAL: GRADE
Willthethe and -ft iyodl Cg ” p t.mmnruldt h rdousnmmety iy COf ROOF
avail tion (opt M t lulcod Ch pm 9,12anlmenealthmd5liy 510, — FINAL'-PLANNING "
Code,S d svzn ' r
ova. ,7 No - -ATI roofs shal13514ispectRlljNjgLtOPWEgfLngOMbell ng installed.
Will the pplid d d n dding,xcupandtseeynF d des swnch If a roof is installed without first obtaining an inspection, 1 agree to remove
snit - duos nI,sum mmol s finedbythe Bay A,utArOo1,,y Alan,geant
Dia, n \ all newt iaterials for inspection.•Appli6rifunderstands and will comply with.
,t ❑res t�rvo "ap'non-point source regulations. -
1 have read Le hazardous materials requirements under Chapter 6.95 of the
5 Cal 9Ir Int h Sid ty C 1 S r ns 55(15 255T d 125534 1 'n r.f nd drat "a. - - m - - •�.
t ilia bodlibingd - tet currentlyl terra t Leto illy responsibilityt notify the - -
occd pant of the r q ire t. li h must IN met pr t r to issuance of a Certificate or -
Occap ncv. - Signature of Applicant •Date
- .
Oc1hi multuawd.,,n '- - DateL ' � All�roof coverings to be Class"Q"'dr better '
4 OFFICE