00050209 M
' CITY OF CUPERTINO --- .. ,. ... .�, ,
BUILDING DIVISIOlypER1VIIT_., ''CONTRACTOR INFORMATION: -
BUILDING ADDRESS: - - - -- PERMIT NO., - ^
a, oil
OWNER'S NA ' .y - - APPLICAMON SUB DATE
X0487 MANZANITR CT/I—T ,00050209 ..,
SANI fARY NO. CONTROL Ni
THE OBRIEN GROUPS : .05%31/2000
n,Ile ZO ARCIIITC 1 a - -, BUILDING PERMIT INFO -
- BLDG - IiUrcl PLUME MBCA
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LICENSED CONTRACTOR'S DFCI AAAI'ION J lob De CrlptlOn'
00 Iy y a I sandy,affirm th l 1 ,I'cenreit J P f all 91 is g '
withS , 91108 CD' nrthe Hu' nA ,d n I - R '
'.c" tilt ifc, 'm ' " `
Xp�+cIII D,n1 Cl C14
3, F HITECT'S DCCLR
t al I adapeaAmypl mall boaeal :pn , or 3347- 'LI-V.ING "SGACE, ' 674 GARAGE
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-X is-
11t, OWNER BUILDER DECLARATION' ,} _ _ -
w— I h by 0- thou 1 con a.au,t fmon the Contractor a h ee,a Law birds,
`< +•
3 0 roll h g _ (Section 7031.5.Bar...
,Yauiwn �r
has has I,du.mtf hpmod1 file ag J.t mment - 'r.
had her,licensed yot Judie p - f,hContractors 1 La (Chpter9 Sq.Ft. Floor Area Valuation
PIa cid g�wthSect ,90001 or Division 1 of the B,v'ne dProfession,Code - ,
or that h ` 31.5 byyitherefromand the basis f theis tlic exemption Any rainier
nn
of Sec,on loll 5 vny dreg d r pe t bj , Ihd appy u p Iry _
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net are than file l arw dolma(ssoo). _ - • APN Number , Occupapcy,'lype
❑i: anxner„f mevrnpe,y.nr„ye,tpmyeeswihwage.a.m : l ;,pens $340182
will do the k d the structure d d or offered to,ul,(S a 7044'
Boomers d Professions Code:Th c I t r L a had ppb to an; i • Required'Inspections
ownerfp icry Who builds p ddriver,and hdoes: h work If -
onn gh his oxn a,rd Y proved,bthat such i p t I b,ed d ed,
ofilled for Is if,braeve,or, h building p t IJ Ih n year f _
c+,mpl, Ih b IJ r t burden fp lgthath did In 'Id _ -
,np r .... r sole) 101 — FOUNDATION
El (if iheproperty,so I .i. ly , , s '(Ilcen d - I- , I "102' — •PIERS,
el
e , t,omomtl.heForest(S 7044,Basin,.,,andemte„an,Codo,)TheCanmmra .103 — LIFER
License L does not apply to an of property ho builds or imptheaciall
,
and who contractsfir such p ) twith a ,uvemd,)'I e d Financial I.the
Catr ,rLicense L ' 1.04 REBAR,
❑I noaxenptnnaerS B&veto,mizn:nn,
-
. I05 --ANCHOR” ROLT.S'
- Owner WORKER'S COMPENSAI'ION DECLARATION , '1.10Fr; - SEWER' 9- WATER*
Ithereby ff A p ity fp 1 Y film Ell i'r,dfiaddormi202 — UNDERFLOOR PLUMBING
° 11 B C whale rConsent ta d' r Worker', I, 203 UNDERFLOOR MECHANICAL
Cm p t . p wed far h,r
Section vun. he L h,in.Cople. fo me - D04plat nfi6r hhtl :p I . UNDERFLOOR"'FRAME
;L
°Im eandwllmn 1 Worker's C Compensation 1 o - frequiredb-Se1 - „,;t?I o. UNDERFLOOR INSULATIONi
1700 of I nbe,Cove,f me e r m e al rhe wars I n.n t i,psc v, . 301' —•' ROUGH PLUMBING
Feed. r,Ca nq.roal vu a,d Pol”,num , ,(` -
302 .— -
TUB & OR S .
caner. A BOWER
- t ER C TION OF HXEMPTION �RO RKERfi' •' -,- ,. ::.303 ROUGH^ MECHANICAL
M ) INW
ernsection ,end not he ramplmw fIn t t n 1, 'agliam' .3N4• - ROUGH =ELECTRICAL
n 305 — FRAME
Polon,nem) ,g , 7 _
1 rarity that in the performanw a1 th walk I"r h h Ih tK r" '....J I — f -
'3ib6 HOL;DOWpIS :
,bmf t mum r r n r Wanner a. to became n) m,a he Walker,' •307 . I�NSUL'AT.I ON i
Camp n:or Laxe of C "f nfa.Date - , ..A,t -
NOT t I -
NanceTOAI.the NI Worker',
..king this Cof o, fe i pti n ,, u:h alai , .308 —.„-SHEETROCK - . '
fort wit o a the W k Compensation I provision,or the deemed
C ley anxt
.,0.� rnrtnwmcanplywiu, l provisions' arm p ,�rnh.all,rp d e,nked. °".. - �. ',i309..=� EXTERIOR -LATH v � ` t ;'• ,
CONSTRUCTION LENDING AD •31.0'.- : INTERIOR •LATH . ,r• - -
a I hareb;,affrm thta acfat I d',gego y forthepadmrmand — -
W anh k r which Jim v t. aced is c 3097,Cn,c) 311 SCRATCH BOAT -
W z
Leader',Address 313 '— ROOF NAIL,-
v'O certifyu tIh e head this and:tatethttn n 501 '--FINAL ELECTRICAL ENERGY '
agree to ply with oil city I y m and-tatelarelating 0edbv
O U it)building dne by m hare. (h "tyl tp5 2' FINAL PI_UMBINIG ENERGY
Ino b r dpr pctyl p _r p p , 03. -FINAL MECHANICAL-ENERGY-
i rHhriaall)dg Ia`i ace indemnify .eeakhchmi ;5`heywayaCmeagainst ion d504 — F•INAL BUILDING ENERGY_,.r
6,7 Cily c n. oflh g nhnggfthi elm, -RE ERS SND ND LCOMPLYWITHALL I NT ,I ,505 —„ FINIAL' ELECTRICALDate
Sigrwwr pplicu nlC t - D e Re-roofs `,- .-,.. - .r
i HAZA US MATERIALS DISCLOSURE 507 — F I NAL,;PLD MB'I NG
W,11 Beapplrmt n n'mins arch,se, heh al n me•. ,atrial ,. Tf peofRoof - .
^as defined by me Capon M n'a'p,l Cecil,CAapI,9.12.and theH nh and Safe,Y 50B' FINAL MECHAN I CRI_
Code,Radical 25512tH). -
°ye5 to All roofs,shalf.—W ihspecfed:' I'10r•toG�6ting material being installed.
Will m ppl , I t building ip t - chim nt d :which If a roof is insfiIlfN withFdtlflfiLoli dim—tWil Iilflpectton,:I'agree to remove - '
nii,hx 1 m r dh)m RYA A Q IIy M"be t District, all new materi5ll tpr HrisIRiTth(¢yLAp�1 ggngipdgyylyq*gond will comply with
1 .
all nop-point,Wedeg
11 a men e . nationals l m. and cn p1 695 rn - PI:YWOf7D NAI L F .
jpr�
n&sanyed c r ,zssuszssl3 azss7a'.H nae:ha tried that I- °'603. .ROOF. BATTENS': -
a+ snot emly haveamat ,hatl y p "11lly mmol fy lh'Pomo l h'c�n tp I i fuCen t iOcto are,
do
Signature of Apphcant "y Date,. ag GY 1a All'roof coverings to be Class"B"or better .
s ... - :OFFICE.':'
.,