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03020108 (2) CITY OF CUPERTINO '.BUILDING DIVISION PERMIT z s�o?s,:?9w .,�, `•tr.MO�s>if;E mh$asl. i!0ro " 0frhb BUILDINGADDRESS: KALLIO CONSTRUCTION PERMITNO, 10311 PALO VISTA RD 03020108 OWNER'S NAME: 1492 WALBROOK DR PERMIT ISSUE DATE ARMSTRONG MURTAGH 02/26/2003 PHONE: —9 7 7 7 - SANITARY NO. CONTROL NO. ITECT/ENGINEER: BURRING PERMIT INFO BLDG ELECT PLUMB MICH 0 �oo LICENSED CONTRACTOR'S usulcvishms DECLARATION Job Description I hereby affirm that 1 w licenced u�n�d�e�r vbiOm of Chapter 9(commencing P with Secdon 701111 fDiWalon Sof the ppProfe Inns Code,and mylicevoh yt�gp mi Cmulneudacmraund cmLy puna ahalllMCuLvkA gu "i"Ilermcfo�rd-a -7 yr f d � /�/� / IN NET/WINDOW) z mfanBATHRM REMO TI !a Date ffi APR 3 LL Licensed Professional �2 2003 5y OWNER-BUILDER DECLARATION 0 0 1 Malo.Ilium that 1 1. .exemptBusim from the Conlnnofa Licence Law for the ��'�®�� 0 o following noon.Permit t ](1315.Business and are,de tau Cade:Any city m county `G $ which Its issa a permit re construct,et.alar,Improve,demerits rie a signed awcmn FSS° pilar W its issuance.p also requires the appli s ut offmach per ar's Uc c rcu Law Chapatistatement O (Commenche Is ing ad pSectio7000)of Division of cribs Bvactofa Limn¢law(Chapur9 Sq.Ft.Floor Area 'on Ila (Commencing exe pthomfoun and the Diviaionl cribs Anynvi Cade)of Nn ha h exempt thertlrom and Ne buts for the alleged eamp0an.Any violNon of Section 7031.5 by any applicant for a pumit Subjects Ne applicant to a civil penalty of not mom Nan Bm hundred doll.SS300). r Occupancy Type ❑I,u 0wnu of Ne pmpeny,m my employens with wren a aleuaine compeeminn. will doihawad.,and Ne IM COR ta IMPS nded prone do(mss apply 70an Budneu Ndenywhana Code:TIM Cedamon, nd who IJWuchnot applylfrtoWmf iof s 102 - PIERS equlred Inspections propenywyees,pdaaded thamach Imprve who da uauchwmkhlmalforNmueh his . . . .. own emplayeca,pravidnd Nat such improvements au not lnundW oroRemd(orssk.IL 103 — UFER However,the building or Improvement Is sold within one year of completion.The owner- 104 — REBAR bulldu will have the burden of proving that be did not build or Improv for purpose of ASIA.). 105 — ANCHOR BOLTS ❑I,as owner of the property,am exclusively contracting with licensed mnuamn to 106 — SEWER & WATER construct the pmjein(Sec.7044,Business and Professions Cade:)The Conmemr's U. cmda,Law does not apply in an Owner of property who builds or improves Mccroon,and, 202 — UNDERFLOOR PLUMBING who cantncufor such projects with a COnmalO*)licensed pursuant lithe Contrcloes Lkenm Law. 203 - UNDERFLOOR MECHANICAL ❑I am exempt underSee. ,B&PCforthuman 204 — UNDERFLOOR FRAME Owner Dau 205 - UNDERFLOOR INSULATION WORKER'S COMPENSWnONDECLARATION. 301 — ROUGH PLUMBING I hereby a Man under penalty of perjury Ons of the following decimations: 302 — TUB & OR SHOWER sat and vvdedfrnby 8egoonn 3700 Arcanum our Codeaia Me`performancere of the 303 — ROUGH MECHANICAL rwnIOIt this permit is Issued. 304 - ROUGH ELECTRICAL I Mare and will maintain Wmkces Compensation Insurance,u required by Section 3 0 5 - FRAME 3700o(the LaborCWe,fortherevermnceafdmworkfor men this permit ta Issued. 305 — HOEDOWNS My Work Ys Compensation insurance caller and P ,,box. Q 7ATEPolicyN - � 6147- 0 307 - INSULATION COMPENSATION INSURANCE 308 - SHEETROCK (Thu action need mtbecompleuni lfthe permit lsfomne hmrdrWtlnilars($100) 309 — EXTERIOR LATH Orman.) 310 — INTERIOR LATH I cenify that In the performance of the work for which this Permit is Issued.I Shall nnt 311 — SCRATCH COAT employ any parson in any manner an u u become Subject To the Workma'Compensation 313 — ROOF NAIL LAWS of California.Dam Applicant NGT(^_E TO APPLICANT.It.aRor making this Certificate of Exemption,you Should 501 - FINAL ELECTRICAL ENERGY become subject Or the Worker's Compensation provisions of the labor Cods,you must 502 - FINAL PLUMBING ENERGY OZ o ronnwltn Comply with Han proNakns or that permit anon m d emcd resulted. 503 - FINAL MECHANICAL ENERGY CONSTRUCTION LENDING AGENCY p•,�•. 41hechyamrm that then hac0nsumttion lending agency forme performance of 504 — FINAL BUILDING ENERGY eG� the work for Which that permit 11 Issued(Sec.3097,Civ.C.) Lender's Name 505 — FINAL ELECTRICAL W Q az Under'aAddress 506 - GAS TEST v o I certify that 1 have read this application and mut that me ahem informadua ts 507 - FINAL PLUMBING ' Correct.I agree to comply with all city and county ordinances and amu laws Mining to rU^ building construction.and hereby AUMMIM MPMACMmIM Or this City to Coal Upon Um %8 - FINAL MECHANICAL ab.-OnarTioned property for inspection purposeF I RADE(We)agree to Sam,indemnify and keep harmless the City of Cupertino against _ /pry Iiebilid"Judgmcnu,C09M and expeses which may In any way acme All mid City I NGr`�/,/f/v/�inconsequence of the graining of this perealt.APPLI ANT UNDERSTANDS AND WILL COMPLY WITH A ON- INT Issued by: C WORKSDate SXU IIA PULATIO n ( ^� .s.--,—�—�� Re-roofs nslun of ApplkanVConlncur WAS HAZARDOUS MATERIALS DISCLOSURE Type Of Roof Will the applicant or future building=upset atom or handle hanrdou material as dented by the Cupenino Municipal Code.Chapter 9.11.and the Health and Safety code. [3Y.25532(a)? y C o All roofs shall be inspected prior to any roofing material being installed. [3 Y. [1 N Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove colt havardous air contaminants As dcfincd by me Bay Ana Air Quality Management all new materials for inspection. 17 ❑Yea I hem mW the hux4n,121 maudau requirements under Chaptar 6.95ofthe Califor- mlaHcalth&Safety Cade,So" 25505,75533 en 125534.Iuntkrs thatl(thb building d n0y hem a unan4 Net It h my rosponsihility u retr Occup t Or the yui m wtich mgey��met p�'or�i�vuenm ofa Cenincau of Oce , _It I��-11.5(=�..� Z— l� � Signature of Applicant ,W Date Avner car aulhorimdagent pats T All roof coverings [o be Class rrB��or better �An�� KIft Cmetniction :. _. 1492 Walbrook Ddve �" San Jose, CA 95129 (408) 873-9777 ,F B HIC 554785 ScoPc of WO ZV, p cv- 262003 g PO ` ..�.. _ ' 1k L! • oa • `Y OfJ�v;fir;agRgattwltltiTttEceiiYtB� --� L �G f-E �Uit.�lt>;IND.tt3 ;nit _co I�ratra�s - . .`rJVST7ke.L �5ePf})ZAT-6 GA<-U`r. PM o q� $JAVED GUvhTbz. OUTTLE r JP� This set of.,p{an d speciflsatior�& ItJ� bg,kept on the' b-at all timosnng ltds kin aV YkAHfINPi l � I •�� � ��.'� �/Y� •v on same withoutt(+ritten permission from ��e h.hlAln c,r) of Cupertino. T ho the startiping ei ttiis pion and spacifioatiors SHALL NOT oe hold to permit or to be am %pprovel of the violation of any provlsloW .s 'xf Ah* City ofdlnanoe or State Law. r r' GENERAL ENGINEERING CONTRACTORS O CALIFORNIA VALENTINE CONSTRUCTION REPORT Date: / bL3 Project:A 2,S I-40 ,H Project No. 2-16V Contractor: V%'l(Z,uTINE (� ek)aA-7W Superintendent: STEvc' ,a Site Address: - - 12�3 ()Ms/ _ o.C 58 m Exp.G OJ J'J91 CIVIL Q�\p • F OF CAS\FO I z/is/off VALENTINE,CORPORATION 11 PELICAN WAY•SAN RAFAEL, CA 94901 •P.O. BOX 9337•SAN RAFAEL,CA n4912•(415)453-3732•FAX(415)457-5820 1 . , PERNA JACK Valentine Corporation 111 Pelican Way ' nb 11 & Name O N u r-tet-c- San Rafael , CA 94901 Vll (415) 453-3732 lob Address -`-,Y (j - �— Date Completed 3.x,5 11 dra lic Gau a Read s in P . S . I . I'iec Depth Pier 1 Pi 2 Pier 3 Pier 4 Pier 5 Pier 6 Piet 7 Pier I Pier 9 Piet`=Jlo in Peet 33 14, 6 _.. 9 ion 1'2 //a-) _ 15 2 /!Uy � .� 2 Z46 GYM 18 2-�v Cv ZZGr7IML _ 21 -� � 91 Z � 24 lf� '27 QaJl7 30 —� __L3_ 36 ::1 sF7 39 4 2 �ra 48 .: 51 wh;; 54 57 ku 60 0 ex rr6 r - r CIVIL - �;•� ,;.a 69 F CAU 72 Actual Penetration ZS" /� �� �� �D 17 i.n Feet (� Pipe Length /) used in vj C/ 3 2 1 Feet ll 1 ( Foreman ✓e :�1