00080008 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
II U I U LING ADURHSS: 19iRM IT NO.
JON R CRASE CONSTRUCTION INC00080008
OWNER'S NAME: _ APPLICATION SII)DATE
1.64 "GILMAN AVE 08/01/2000
IDN): SAM ARY NCONfROLNO
• (408)370-1485 O,
C ce Y ARCHITEC-rfENGINCER: - BUILDING PERMIT INFO
wO O )LDG ELECT I'LUMR MECH
F� IJ I_I I= f=-I
8m LICENs11U CON'rltACFORS DECLARA'r1ON Job Description
�- l hereby nfrrrnthm l am llcen.ed under pmvisinn,of Charter 11(conmmncmg
°r _w with Section'R00)or Di,mon 3nf he Business and Pmfcn,ion,CLde,and my l rearse
Mo.< LicneClassaddelrecaq—L i.ic.# lgl,f 1 REFRAME CARPORT AND WALL 10' DUE TO VEl-
O n U Dale L�.� Commmor
c w ARCHrrEC'r's OECLARAIION DAMAGE w
L:`°'S I understand m>'planz,hall he used as public records
Cy�S
m d O O I.Iccnscd 1'mfndnnal 't
a ON
u o Oat L i Louc'emn f DE,he Com
er
1 hereby.perm section nt 1 m exempt Bom the Conimnma e:Any c Law for the /
C=2 followingarm,. rla"con S,It,alle,,and I'ndes,ions Calc:Any airy ar county
$x° xhich nyuims a prmit m constrict,alcor,impmve,drnu8 i,n,m repmr eny amemro -
n3�
prior to l is lso requires the ppl< t to r suchpc It file a signed aare=.,
nLa he 1 I aut, d , of dhe c forfoo,,I......c 1 (7lLapnr9 Sq. Ft. Floor Area duation
(a,mmenc ng with Sechon 700(1 of Division n 3(it the)asmc.,s and l f..' n Cods)
of that he i.,cxenmt therefrom and the basis for the ullel exemption.Any violation
of Smti,n ADI S Thy Tiny appllcanl fon;(moil subject,the applicant m:,Jvll Noddy
ofadnum,tban Esehundred dollars o51O. APN Numher Occup$fnboe
o I,it,owner ufmc prolnrty,or lar cntPh,Yw,w'nh wugus as their sole anmpenuore, .
will do the work,and the arvcmre is not intended or offered for sale(Sec.7044.
:F,siess and profmsinns Cose:Tac Camach anLicense Law does not apply to an 31602094.ftuired Inspections
wncr i1 IF pent Who builds or impmve,mere.....and who does alch work himself ,
,,'air
through his own aoployen,.pruv;dd that such improvement,Bre not intended of
otemd for sale.If,however.the building of ifromic;ncnt is sold within one year of .
......plmion.fire owncr_htdmerwfILase lite hnnlen Thr mallong 111,11 be 111:111111 build of 101 — FOUNDATION
impmve for p owof,deJ.
102 — PIERS
❑I,tr owner of fail mpe.7 L Business
n Mufle,ng win+ de:)The contractor's
m
aconstruct the(resat(See.7W4.owner o and ernk,xiob Code:)The sesIndeed. 1 03 — UFER .
i w1,Lnw line..not apply if).....s or progeny who solide sed irme,th,,far
scot who ronnnt, n,r soli, pnJena wlm a,..nmenn,)heimatl nu,nu;am n ma 1.04 — REBAR
cmitowor's License law,
El l am exempt See .R&P C lot reason 105 — ' ANCHOR BOLTS
Ownar Uatc 106 — SEWER & WATER
WORKERS COMPENSATION DECLARATION 202 — UNDERFLOOR PLUMBING
Ihereby nfrmtunder fanaltyofaTijur,one orthe bellowing dedaratiuu.: 203 — UNDERFLOOR MECHANICAL
I have and will fouitano a Ct3mcm, Lir cou,c;n to.,alein.nm for worker. 204 — UNDERFLOOR FRAME
bmpensation
, as provided for by Section 37(01 or the Labor Code, for the
perfofmanceofheworkforwhichthisrcm,ilisissued. 205 — UNDERFLOOR INSULATION
❑Ibase and will maintain worker„ compensation m.urance.asrequiredbySection 301 — ROUGH PLUMBING
3710 of the Ltuar Cole.for the performance of the work for which this permit
is,aw.My Workir.k Comp .;hon hsumme sarrier ma and policy atmarcp:pg�5i T� 302 — TUB' & OR SHOWER
Ctrricv_,57A EFhlYIlhcyNo.:U� 9 303 — ROUGH MECHANICAL
CI!Rfll'ICAnON OF E%I:MPI'ION FROM is,ORKY: S'
COMPENSATION INSURANCE 304 ROUGH ELECTRICAL
I etia Mem,,new lot heconplmwinhcpermlisFar one hundred dollars 305 — FRAME
(slab dr le,,.)
306 — HOLDOWhJS
candy that in con Mnoonane of the work for which his X i,Werke,1 -
shell nm employ �(coon in� Y manner m as m Mom¢w Jrct m wmkn>• - 307 — INSULATION .
Compsnwtinn l n lir Liu U:n /
Applies ,moo/JUG— 308 — SHEETROCK
Nor,
CIi TO 'LIC7�' LaRa ma mg tic Ccnilicamo Exemption.you should
becom,m,bjal m the w'o e,.Coml,onoutur pravi,ion.of me Latta code.you must 309 — EXTERIOR LATH
0 z0 follow ill comply with and,pnwtson,or Thus permit.Ifnl1 ba demoed m,akad. - 31.0 — INTERIOR LATH
r y CONSTRUCf10N LENDING AGENCY
Fy > nuc,.hymn,..ma,mirei,;,csl.... ole..dmgag,vey forthepedomam, 311 — SCRATCH COAT
of the work for which this,+ertrat is issued(Sec.30LY7.Civ.C.) 313 — ROOF NAIL
L Q Linder,Name
C z I,cwc,,Address 501 — FINAL ELECTRICAL ENERGY
� 0 1acraythatIhavecallthisapplicationandaatethat'hedbtwcinfomarionis 502 — FINAL PLUMBING ENERGY
1+ I.. a rrc t l g t Cly ly l ll ''ty'cal ty I' acv d state l relating
0 U tobuilding e .t t +L do by mo representatives ret 'tet terPon 503 — FINAL MECHANICAL ENERGY If
me n n t IP penyf ,I pet prF
IW')agre t l r,Iy +Ik 111 1 he Col fel aglnet 5@4 — FINAL PIJIL_DING ENERGY
y
liabilities.judgment. r .t. d expenses h may any y eagainst:aid
v z City in Lowynenur,of he grad is,W'his in505 — FINAL ELECT R I CR1y� �r
APPLICANT .RSTA DS ANI coM LTH ALL I Issued by: - Vate lse>—/,L,l
SOURCIf T / y' Raq
Si"o,ts aoLpphc:ntic....,m< untc Re-roofs 507 — FINAL PLUMBING
HAZARDOUS MATERIALS DISCLOSURE
Will the apphcanIorlot wil)ng ,cepametot mhandle hazardous material Type of Roof 508 — FINAL MECHANICAL
ax defined by the Cupertino Vol ictp Coda Chapter 9.12,and the Iicalth and Safety
Cd,.Section 255dz1:0'! `"409 — AL GRADE
a Ye, ”' All roofs shall b` eete o a r �J[qj%alerial being installed.
Will thea hcamor l score boldin t..rr Int de,isex whlih � .— 1', Crl_aIM IYY l4l]
pp g„¢span yainmin If a roof is instalI''.e withon� c toDDD111 L]� at hJv )gree to remove
mit hue:atloun air onnaminanl.vvg1dincd by the llxy Arca Air Quality Management S V(} p {- ��p{J,Ipl ,�l.. R,rt )pO` p y
`tbia7 all new melerlal, f r IDs eel IC IICZI❑❑oaCCrsh'a Il(1S :al❑❑❑d will comply with
❑Ye, all non-point source regulations.
1 nave rend me bvanluo.;moron;d,reyai udar Chapttr 6.95 Thr do,
California health&Safety Code.Section.25505,25533 and 25534.1 undcremhd that
if the building doe,not commit'hula,a mount.Ilia it is my a,ptmsihilryt notifyt
ausupam of 11 ynnrn,cm, Lost he me, Lir m...u;,nco of a niticat To
cea,aner” �'
Signature of Applicant Date
�. Owdualumlioneedapint Da All roof coverings to be Class"B" or better