02020026 ;.CITY OF CUPERTINO.
'BUILDING DIVISION " PERMIT CONTRACTOR INfORMATION is
c .w
BUILDING ADDRESS PERMIT NO.
10370 _ LINDSAY AV 02020026
A'SiVG JERROLD K AND LOUISE F AULCr I)Ot3 T�UA62
PHONE: SANITARY NO. CONTROL NO.
cZ ARCHrMCG ,GINEER:..- BUILDING PERMIT INFO _
ZF BLDG ELECT" PLUMB MECH
`v rJ fJ L'-_7 L-_7
rat Z LICENSED CONTRACTOR'S DECLARATION bb DD h0
O=. Ihereby aRmthat Ism licensed under provisiamofChapter 9(commencing KITCHEN & B TH �tjEM� , q& REPIPE.
with Sect�io�/1000)of Division3 of the Businers end Profex,iomCd qyy (`�}nary' f-� n�
6 is in full iy(ce enstejf _ tL c(� tl'�tl ld /F"^"g-
rc dY 6 License C'h s •� Y�f
ro{O� Cons or
D
ARC HITECI':S D ARATION MAR
t] �/ �r1i02
,7 I understood my plats shall be used u public records t19F1R C Y
T
aso o Lioenud PmfesrotW )..
a6 q a OWNER-BUILDER DECLARATION
I hereby Nf. A AleL ``j /±
set that I am lumps from veh Li
the Concmcense Law For N �V
e 1G $25000 Q Q Q
C Z< following resson.(Section 7031.5,Business and Professions Code:My city or county
F o which requires a permit o seasoner,ehm,improve,demolish,or head,any uuc..
$ .print Wita bltoa e,Also mqui.theapplicaat for such permit Wfileasigr�swemevs.
3- ,tat h{'HlBccmW punuNJ Wan'proviswm oFthe Covuacmts Limnu Lew(CNper9 Valuation
or the,
he
wish Secuon]Op0)olDivisionJof the Bmgtw and erofeaiom ode) {_i ..s, l ,,,-s,,. y, y- •;s,):A!r..r3,i.I r: i
ar,hat he s esemprthemfroM'S5od tW basis for the alleged eiempsle9.anY viohrion lllI,r�.,
-olsmdo.7030 byanYapplic,8)tfres permit subjects the aWEcros Warnil pe.try� 1Q1�'-n7+P `V ll[YDATION s.:�...'t •� Occu ane e
of not more than five hundred doll.($500), p y Typ
°1,u owner of the Property,ser my employees with wages as their sole compensation, 102 - PIERS - i
'w111 Vo be work;and the Is not intended or Offered for,ale(Sec.'7044;' - -' - - -' -- - - --- -- - - -------
'Busbicis and Professions Code:The Contractor's License Law does no,apply to an 103- - UFER Required Inspections >' .1.• "1, '
owner ofpropeny Who builds or improves thereon,end who doessuch work himself 104 - REBAR
or through his own employees.provided that such improvements arc not intended or _ _
offered for'mle:If,however,the building or improvement is sold wi,nin'am,year or "_... ._-.. ...,i....__ ..."_..._ _ __ _..._.._..._..
completion,the owner-builder will have the burden of proving thm he did not build or 1'05' -=' ANCHOR BOLTS' �, .. .
improve rmpurpmeofsme.A 106 - SEWER & WATER
--....... .................__.._. ...:...._...._.__ ..:.... ........__..... _..
--202------UNDERFLOOR.202-- -UNDERFL-OOR--PL-UMB-ING- -
-
,hat m owner of the Propertyy,aaxe lusivelY convening with diseased convenors to
construct the project(Sec. W.Business and Professions Code:)The Contractors 203 - UNDERFLOOR MECHANICAL
License law does not apply W an owner of property who Wilds or improves themon,
_end,whas.manacle foomch.pt,jects,with,a conuaoWr(s)licensed pursuant W.the. .._. .._._.204-..�.,UNDERFLOOR---FRAME.-__._._.. ._..- __._.._..._.-..__...._._..
contractor,License law. ._.
❑Iam.esemnouptimSm. ' t B'&PCfmrhi,reawn 205 - UNDERFLOOR`:INSULATION .
own< a 301 - ROUGH PLUMBING
WORKER'S COMPENSATION DECLARATION 302 - TUB & OR SHOWER
llbamlby affirearunaIpnauyarp<t;uryo erd f.1lo.ingdoelarnione 303 - ROUGH MECHANICAL
1 i °'I have and'wLl';numaia a Cenificdte of Conseil as af.ioam for worker', 304 ROUGH ELECTRICAL
- Compematian:as,reAded f6r by Section 3700 of Ort-laWr Code, foe Ne
pmformancevf tha'wmk for wbirlh tbi.permit is ivued.,., 305 - FRAME
[II he. ad will`glainiele,W61ker,Compevaiion lniumi¢e.0 niquiied by Sanson 306 - HOLDOWNS
37W of the libm Code,fdr the performance of the'work for which this permit,i, 307 - INSULATION
E Issued My W kers Compo treat Ins ce came and P I,y oumbcr ore:
3'Q8-, ;SHEEri'ROCK- :,.. .,:, I', .. . -'. ....,.__...__. ._.
CWbu,.% Lr, i , - t t::.Poficy No.: is �rs,�yy.. a 4
I' CERTIFICATION OF EXEMPTIONFR MWORKS ER$ — +..t. i s ?3 O.J, a .".PaA lER:L.OI4,t+LATHr.
f - (Thisim6co'need not k completed if the Permit is for one hundred
• COMPENSATION INSURANCE '
INTER-IOR -LATHr I - ) y
(SI00)e I p I'< amlat, 311 SCRATCH COAT
-,ROOF ROOF_-NAIL_- — n -
1 c Wiry that m th per!rmanc f Nd ork'foI wN h W V i�ued'1 .. - _. -• ...
she0 nm employ any pe can to any m r so to b'o e Worke✓A 501 FINAL Eli$CTRI CAL ENERGY`�
cempe gtylnlaa,,orCeldopta. _ - 50.2 F,INAL._PLUMB ING...ENERGY-- ._ _._. ..
NOTICETOAPPLICAt7T lr'aflet rrssmncmaf Exemjahm,y. should 503 - FINAL MECHANICAL' ENERGY
Z become subjecuo the Workets Compenseoon pmvisioni of the Labor Code,you muss
z thcomplywit one
morthitpmdt,hanWdeemedrevoked. 5-04 - FINAL BUILDING -ENERGY.
fonnwi - '..,- 505 - FINAL ELECTRICAL
tONSmeis'. ns LENDINGAGENCY
"1 herebyrm,ha{there ii a aorriwmion lendivg agetx.'y for the pedormince
w 0. G otthewarkforwnen hitpeftnhisits.W(sn.3097,cN.c.) - GAS TEST
506
LenderA rvime'-- . . _..... •,.. _.... ., ...::.. : ._ '. �:..'..: -- - ' 507-- .-.' FINAL- PLUMBING. .._ .... ..
Lender's Address _
O 508 - FINAL MECHANICAL
1 unify that I hove need this application and state thauhe above Information is
GL (� cbrtect.1 gree m comply with ell eery and aunty a,Ninmca,and,real laws relating 509 - FINAL GRADE
O p mbuildingconsimction:and
herebyamhonierepresentativesorthis city toenter upon 510 - FINAL PLANNING
^�, (y the above-mentioned property for inspection purposes.
[-i�;6 (We)agree to side;Indemnify and keep harmlesi the Oki of Cupertino ugainn 514 - FINAL PUB C WORKS
r':lA liabilities,judgments,costs and espmses which may in any way accrue again said
-�.�,Z City inconsequence of the granting of this PPtmit. " '
APP ICANTUNDERSTAND9 AND WiLLeCOMPLYNTfHALLNON 01
too c uLATI 'S. -C- f�" Issued by: Date
ata o"AIPPIm aaA/vC r .. •
Date _
• HAZARDOUS MATERIALS DISCLOSURE ' Re-roofs
>
"'do
'reWlltheapplicatnorfuture Wilding oecupanua
, eorhandle heeudousmatmnd Typeof.Roof. .._.
ai ined by the Cupcnino Municipal Code.Chapter 9.1?.oad4he Heolth and Ssfery "- -- _" """ '"" `="" '"
Code.S3 yon25531a)7; .n bNo . ...,•.,.?.;�.�l ' '.•f - � •1.a r; i_;...,',. ,
13 ye. All`roofs-shall be.inspected prior io any rpofing,material.being installed.
case the.ppl natio Potwe buiiemg occnP.ntaa eq ;patent nr devlees wMeh If a roof is installed without first obtaining an inspection;.Lagree to remove
• emit hazardous air contaminants es defined by the Bay Man Air Quality Management
Dimnn7 all new materials for.inspection., Applicant understands and will comply,with
oyes ❑rva --, all non-point source regulations: ., ,,•,;
I havercad the hmmdaus materials requirements under Chapter 6.95 of the -
C41ifamia Health&Safety Cade,Sections 25505.25577 and 25534.1 understand that
ifthe building does ammonally have a tenant,that it ism -' - -" - - -• - - - - - - -
y issuance
of 4Y to notify f
P h must W met poor m tssuanu of a Cenificme of
O<cu ant of the requirements hi��rJ�
Occupant
/
g
Si nature of- Applicant Date _ _
a t or eZ g�., ate All roof coverings to be Class `B" or better
:, -. J. OFFICE
- FEB 0 6 2002
URCE COPY KITCHENS ETC. Lic. #750211
0060 Esther Dr.
a r San Jose,Ca.95124
w
r->= 6 F a Re-model Plan for
91S 9 1 9
I _ John & Louise Keating
10370 Lindsay Ave.
v i
41 i O-- - O _ 0 ELECTRICAL PLAN
ppPROV ED Install new 200 AMP Service Panel
IN ACColl NCE WITH THE CITY Uf, Install new Flourescant lig
ht w! switch
1 CUP ERTINOS ND ORDVNAN ES
M >-t9 l i Install Undercabinet flour-fights w/switch
OATS
SIGNED tions MUST Install 2 new circuits for G.F.I. recepticals
- ct'S 7'r !�- rnIS Serdt-9r&F h ,. a d it is aa.+
r. lavrtuhto make ar:Y changes or alterations
ermisSio0 frolR
U) - � _ 'I,^, on a wilhnu: w itiar. P
DaPt•. C'tY of CuPe. • cations PLUMBING PLAN
N ! The 5itampinO of :h;s p.an snd sPa be all
SHA NOT be hed t pe.mit or
i.:n of any Yio99 Re-Pipe: Galv. Pipe to Copper
n d nor $tate L8
Fr o 6 install new Faucet, Sink, Disp.D.W.
LIv/v
(LD o oma! SCALE: '/:"= 1 R.
Drawn By: David A. Carlson
�.. KITCHENS ETC.
5060 ESTHER DR.
SAN JOSE, CA 95124
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