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01050093 CITY OF CUPERTINO "'nutt.DING DIVISION' PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO. 22027 MC CLELLAN RD G$ GROUP 01050093 OWNER'S NAME: APPLICATION SUIT DAI'li ONES RICHARD E 8921MURRAYAVE 05/09/2001 PHONE: SANITARY NO. CONIN OL NO. 0,.,15 ARCHI'IHC'I'/13NOINEIR: BUILDING PERMIT INFO w BLDG ELECTPLUMB b1EC"I F'4 LICENSED CONTRACaOR'SDECLARATION lob Description O I hereby u1Bnn that 1 am licensed p under provisions of Chasm 9(commencing =t J wish Seninn WNMII of Divi>i Jof the l{u,ine„wJP ofesaoy�«t nJ my license 'enI fleetlnneBem. (��'CJ'7( REROOF/SIDING AND TRIM zea i)ate,e crass Lie.a_ Fx,o u D,ne S DECLARATION u+3 w y ARC]III III t"S DECLARATION 1 unJcnlnnJ my plana shall M u.wA a,public acnnR —�T a a 50 Licensed I'm(e„iunnl Oat I am exempt ifr DECLARATION u� m 1 heresy effort that 1 a Bann Imm the Contractor's e:Ar, r Law for the tnhli,h I rcavna(Section Ilonor llmincaand profession,Code:AnY city or county wM1'h q ' : "xn.0 t tIhar ' 0 J r:hrepairany:I utrc �$ pre I nl, 4 e' '"unix 11 11 t, II l (Chat au alms 1 'I Ipinu II m r "an nh cmramor 1 r ,rLawon,Cod' Sq. Ft. Floor Area Valuation Iromm he is with Seehon therefrom nd and Dibl basis J the alleged1 he n mptPmfmny violation i cane) . or that io is exmnpl"any p li and the hauls far the e, exemption..Any t nem Sly of Section a than 1 s by any hundred doll far a perms subject the aPPlieam m a civil pennlry or sol more than rise nandrta sonar.rssan. - APN Number Occupancy Type 01,a,—r or:J the ptolxny,or my until)eel with wasc%;:v their%life compensation, 3571 31-A 1 00 will do Inn wok I lid the mctnm 1s nal Im....ded , ntremd far vale(Sec 7044• Huslue,s oull I'mfM cso " ns Cndr:'rhe Ctmnnmur,(sake Low doe,Intl apply III Int Required Inspections r of pmped,who build,or imanoe%Ihcreon,atul who do,,such work himself' lir through Ili,owls employee,.pmwded That such imProvemcros lire not intended err 305 — FRAME offered for one.IL howcac the building or impmvemenr is sold within we year mf completion.the ownerbuilder w"1"have the bunlenofnnw"nglhat he did not build or 307 — INSULATION nuance for par,Wcof,alc.). - - 601 — ROOF TEAR OFF 01,i,ax net lir the prolmny,ama u y contracting wits no licensed contractor aan,lmCl n,u pt Ire .'eY. 4. IN; unit rrore„ianx Cale:)The Contrarmrx 602 — ROOF PLYWOOD NAIL elanw Law ernes o1 y awl ofproveny woo baud,cr'unpm,c, "reran. and xmo Conlin % Sect, ill a r mracall s) fcenwd It m me 603 — ROOF BATTENS nlntramarxl- xel'a" 604 — ROOF IN—PROGRESS ❑1 am exa -Jcr _ .H P forua�'f:rearm Owner We k/ O ER. CONI ENSATION DECLARAI R1 the . Ihewhyeand illmaimernI,CeofpJory ofCosenttl,lmwilledecforWor CINALED C 1 hove and will waded f Cenil Oath of Cometh h, Ulboure for Workere r Colnnensainn, a pnrvideA far by Scnion 171N1 of the Inha Cade, for the performance of IIs work for which this pennh is issued. DEC0p 6 2001 y L O O1 01 base and will maintain Wmkm',Compensation Insurance,m required by Section EC 11 O PW of he I,mNi Code,for the performance of the work la,which this prmit i' issued Sly W mker's Can lion In,nrunee carjie(�and�Policy number am: — Catrier' � Paliay Nm. BUILDING C13R'11P1 'AION I'13X13MPI'ION DRUM WUNKERS COMpliNSAIdON INSURANCES phi,Iernan need sol be completed fife permit is for one hundred dollars (SIM)or Ic,,.l 1 certify that Ia the Ne fmmancc of the work for which 011N portion in ixsual.I ,fell sat employ Imy n.m1 Ia Ivry mmnner so as u,becmuc subject m tic Workcr%' Comryn,adon LawN of California.Dam Applicant NO]ICE TO APPLICANT:If,after making this Cenilicam of]is unfair..you should I come subject to the Wra s Compensation pralkinns of the Lahr Code,you Inu,l Q 0 forthwith comply with such provisiens or This permit shall be deemed revoked. FtiCONSTRUCTION LENDING AGENCY a ' I hemby xllmin Ohm them i,amslrnetion lending agency"Lr the performance ofthe work fur which Thi,parmil Ixi `sal 14n.3091,Ci¢C.) QUnder'%Nunn 7 Z 1,eadcr,Address U � I reality thin l base mail this y1m an ad t thaffie dancenomination s Ls. [.. e,1 t l meet t m t " c t ace J t t _rtl I Ig Q (� ton Id g I cf Izerep drives oftb city to rnr upon he th,le-menlionpo ny 1 11 't n � 6Vi (We)Ilt L lid 'thcCity AfC cis' l ,I N cilbi e, t c I' 'Y .IIIY Y auLt s.'d U Z ch 'e R r "I I'll /t �� C APPLICA LICA UNDER 1 r I t oMl LY wlru w.rvt -Pow Issued by: y�O 09 t, Date SOURCE fit iU t Signal co pelican Commua Da Re-roofs IIALARDOUS h1ATERIALS DISCCOSU IF the appliant lir fmttre budding accnpam.store lit handle hazardous fo mial Type of Roof. a,dcfncd by dm Cupamino b4licipul e.Curtail,1).12.i I:he Headband Surety Code.Section Y55J=tat°. 0 ye, No All roofs shall be ins Feted prior to any of g material being installed. Will me applicant at rnmre na;m' rupant sue pis emmae„as whim If a roof is installe ithout o a' ng ' inspection, 1 agree to r move cmilhm:INous air contaminants lad dbI the Ba Am Air Gualiry Manamc I, all new materials or ins et n icer underst• ds and w'll c ply with ❑Yc, No all non-point s roe r ula 'o I h:w .cad the Ills. : , rder Chafer 69 of IIIc CwirorllitI alfl,ksafe, :oil. lass ,25 Ju12514.1 le unJthul ifthclmildingdocv real ; Ic hal- Nmnubl” y,I mtilythe mcepam of die requir nuns hien`I err In ixtmn t a C fate al' ; Occupancy. If ale Signatur Applicant Da e owner oranml edabent — — ci'L a-l— All roof coverings to be Class "B"or better 1 1` OFFICE CITY OF CUPERTINO "'nutt.DING DIVISION' PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO. 22027 MC CLELLAN RD G$ GROUP 01050093 OWNER'S NAME: APPLICATION SUIT DAI'li ONES RICHARD E 8921MURRAYAVE 05/09/2001 PHONE: SANITARY NO. CONIN OL NO. 0,.,15 ARCHI'IHC'I'/13NOINEIR: BUILDING PERMIT INFO w BLDG ELECTPLUMB b1EC"I F'4 LICENSED CONTRACaOR'SDECLARATION lob Description O I hereby u1Bnn that 1 am licensed p under provisions of Chasm 9(commencing =t J wish Seninn WNMII of Divi>i Jof the l{u,ine„wJP ofesaoy�«t nJ my license 'enI fleetlnneBem. (��'CJ'7( REROOF/SIDING AND TRIM zea i)ate,e crass Lie.a_ Fx,o u D,ne S DECLARATION u+3 w y ARC]III III t"S DECLARATION 1 unJcnlnnJ my plana shall M u.wA a,public acnnR —�T a a 50 Licensed I'm(e„iunnl Oat I am exempt ifr DECLARATION u� m 1 heresy effort that 1 a Bann Imm the Contractor's e:Ar, r Law for the tnhli,h I rcavna(Section Ilonor llmincaand profession,Code:AnY city or county wM1'h q ' : "xn.0 t tIhar ' 0 J r:hrepairany:I utrc �$ pre I nl, 4 e' '"unix 11 11 t, II l (Chat au alms 1 'I Ipinu II m r "an nh cmramor 1 r ,rLawon,Cod' Sq. Ft. Floor Area Valuation Iromm he is with Seehon therefrom nd and Dibl basis J the alleged1 he n mptPmfmny violation i cane) . or that io is exmnpl"any p li and the hauls far the e, exemption..Any t nem Sly of Section a than 1 s by any hundred doll far a perms subject the aPPlieam m a civil pennlry or sol more than rise nandrta sonar.rssan. - APN Number Occupancy Type 01,a,—r or:J the ptolxny,or my until)eel with wasc%;:v their%life compensation, 3571 31-A 1 00 will do Inn wok I lid the mctnm 1s nal Im....ded , ntremd far vale(Sec 7044• Huslue,s oull I'mfM cso " ns Cndr:'rhe Ctmnnmur,(sake Low doe,Intl apply III Int Required Inspections r of pmped,who build,or imanoe%Ihcreon,atul who do,,such work himself' lir through Ili,owls employee,.pmwded That such imProvemcros lire not intended err 305 — FRAME offered for one.IL howcac the building or impmvemenr is sold within we year mf completion.the ownerbuilder w"1"have the bunlenofnnw"nglhat he did not build or 307 — INSULATION nuance for par,Wcof,alc.). - - 601 — ROOF TEAR OFF 01,i,ax net lir the prolmny,ama u y contracting wits no licensed contractor aan,lmCl n,u pt Ire .'eY. 4. IN; unit rrore„ianx Cale:)The Contrarmrx 602 — ROOF PLYWOOD NAIL elanw Law ernes o1 y awl ofproveny woo baud,cr'unpm,c, "reran. and xmo Conlin % Sect, ill a r mracall s) fcenwd It m me 603 — ROOF BATTENS nlntramarxl- xel'a" 604 — ROOF IN—PROGRESS ❑1 am exa -Jcr _ .H P forua�'f:rearm Owner We k/ O ER. CONI ENSATION DECLARAI R1 the . Ihewhyeand illmaimernI,CeofpJory ofCosenttl,lmwilledecforWor CINALED C 1 hove and will waded f Cenil Oath of Cometh h, Ulboure for Workere r Colnnensainn, a pnrvideA far by Scnion 171N1 of the Inha Cade, for the performance of IIs work for which this pennh is issued. DEC0p 6 2001 y L O O1 01 base and will maintain Wmkm',Compensation Insurance,m required by Section EC 11 O PW of he I,mNi Code,for the performance of the work la,which this prmit i' issued Sly W mker's Can lion In,nrunee carjie(�and�Policy number am: — Catrier' � Paliay Nm. BUILDING C13R'11P1 'AION I'13X13MPI'ION DRUM WUNKERS COMpliNSAIdON INSURANCES phi,Iernan need sol be completed fife permit is for one hundred dollars (SIM)or Ic,,.l 1 certify that Ia the Ne fmmancc of the work for which 011N portion in ixsual.I ,fell sat employ Imy n.m1 Ia Ivry mmnner so as u,becmuc subject m tic Workcr%' Comryn,adon LawN of California.Dam Applicant NO]ICE TO APPLICANT:If,after making this Cenilicam of]is unfair..you should I come subject to the Wra s Compensation pralkinns of the Lahr Code,you Inu,l Q 0 forthwith comply with such provisiens or This permit shall be deemed revoked. FtiCONSTRUCTION LENDING AGENCY a ' I hemby xllmin Ohm them i,amslrnetion lending agency"Lr the performance ofthe work fur which Thi,parmil Ixi `sal 14n.3091,Ci¢C.) QUnder'%Nunn 7 Z 1,eadcr,Address U � I reality thin l base mail this y1m an ad t thaffie dancenomination s Ls. [.. e,1 t l meet t m t " c t ace J t t _rtl I Ig Q (� ton Id g I cf Izerep drives oftb city to rnr upon he th,le-menlionpo ny 1 11 't n � 6Vi (We)Ilt L lid 'thcCity AfC cis' l ,I N cilbi e, t c I' 'Y .IIIY Y auLt s.'d U Z ch 'e R r "I I'll /t �� C APPLICA LICA UNDER 1 r I t oMl LY wlru w.rvt -Pow Issued by: y�O 09 t, Date SOURCE fit iU t Signal co pelican Commua Da Re-roofs IIALARDOUS h1ATERIALS DISCCOSU IF the appliant lir fmttre budding accnpam.store lit handle hazardous fo mial Type of Roof. a,dcfncd by dm Cupamino b4licipul e.Curtail,1).12.i I:he Headband Surety Code.Section Y55J=tat°. 0 ye, No All roofs shall be ins Feted prior to any of g material being installed. Will me applicant at rnmre na;m' rupant sue pis emmae„as whim If a roof is installe ithout o a' ng ' inspection, 1 agree to r move cmilhm:INous air contaminants lad dbI the Ba Am Air Gualiry Manamc I, all new materials or ins et n icer underst• ds and w'll c ply with ❑Yc, No all non-point s roe r ula 'o I h:w .cad the Ills. : , rder Chafer 69 of IIIc CwirorllitI alfl,ksafe, :oil. lass ,25 Ju12514.1 le unJthul ifthclmildingdocv real ; Ic hal- Nmnubl” y,I mtilythe mcepam of die requir nuns hien`I err In ixtmn t a C fate al' ; Occupancy. If ale Signatur Applicant Da e owner oranml edabent — — ci'L a-l— All roof coverings to be Class "B"or better 1 1` OFFICE