02060062CITY OF CUPERTINO
BUILDING DIVISION PERMIT
• CONTRACTOR INFORMATION:
BUILDING ADDRESS:
10090 PASADENA AVE # A4
PERMIT NO
02060062
wa,yr & KATRINE BHADURY
APPLICATIONSUj DATE/2002
1(ONE:
SANITARY NO, CONTROL NO.
ARCHITECTIENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
U L-) L: I IJ
LICENSED CONTRACTOR'S DECLARATION
Ihereby rile that l am licensed oncerpr visions of Chapter 9(commencing
I]On
MR590
with Section] 1 of Dimpon 3 or the Busines Rofessions Cod and mylicenso
CONVERT ATTIC
Lin fullf lice de
icense Cl " Lie.0 S O`
.OA? ;� p . �.'.
Dae Cont=;
ARCHITECT'S TION
I No
a dt�• �®
N.P°'s�@� (1 0000
uodmuna my plans shall as
used as public records
�1...,
0
SIP e7 L L
n 9 9002
Licensed Prafeaaianal
OWNER -exempt R
I hereby the 1 vin aurin from the Conuocwos license Law for the
m the Contractor's
SFS
7I"
(Sect Business and PmBemoli Code: Any airy stmousy
follow ire ]onstr
BUMMING
a. Permit
requimuscres ct.
which mquirts o construm, alar, improve, demolish. repair any structure
issuance. alk ne to fi gaedwacmem
_prionosliisidintalsoregniresmaapplicant harthe
-•� •_ • _._......_...__..__.-___._____...__. _.......____._-�_.__..
Cohpctorsicensle.e
Jut he isllee pursuanuo 00)of Divisionons the Contractors 9
&•'� .A , ]'.
Valuation
andPetaw hasoi add)ter
(comncing wim,S«)ion ]DOD) of Division ,i of the Busineu and Professions Codc)„
yxit
f f's.
i h l\ .. i r.' i`. 1 , s. E t l lyu : a . r:)
;
mon, is exempt therefrom and the basis for she alleged exemption. Any violation
'
"of Section 903115 by any applicant for a permit subjects she applicant to a civil penalty
:offimmo2menfvehoodmddopats(s50pj.
10APN-NF9NNDAT ON
'=o'•:r.ri Occupancy Type
❑I,as no net of the property. or my employee with wages as weir sole compensation,
102 - PIERS
.
-.it] do the" -work, end the unicture is not inmoded or offimd'fwaoda-(Sec: ]044r
Business aid Professions Coda: The conuacou's License law does not apply m an
- Required Inspecltonsvf
owner of properly Who builds or improves memon, and who does such work himself
104 - REBAR
or through his own employees. provided that such improsamenls am not intended or
.offered formle.If. however. the building or improvement is sold within one year of
... .....105 __ ANCHOR, _BOLTS
cdmplmmor wol nave me Widen arpmving mat rte eta na bu°d Of
106 - SEWER & WATER
pm,caner-baJdcr
improve for pumosc of sale.).
._ .....__.-._ _.. .. _. _. _..._..
m
- -._
202-- -UNDERFLOOR- PLUMBING ......:....::.....::.-.._.:----__...._. _
,__---
❑Lm owner,ofthe ymn gwi
p pmey.am Busimvel Iraetln mode:) hCanlmmoRlO
construct me project (sec. ]ou. Baaeeaa arta Proraaiana code:) Th. eontncror'a
�.. t .t ri(:\I'li
� 203 - UNDERFLOOR MECHANICAL,_, ': „r :5p ,•;.•, ,
License law dins nae apply m an owner th is coo y woo builds nr improves thereon,
dna.whaeonwenseLaw,n.ryaj«rs.wim.. aanlnemr(s)_l¢emud. pursa.nl to the
._`_ __--_204. _-.._UNDERFLOOR_.FRAME.-------.._._.....---.----.._..._......._:___._.._
cantalanuae" w` ,";,
❑I am exempt under Sec. ',BAPCfor this rtmon
205 - UNDERFLOOR
Get:...
301 - ROUGH PLUMBING
WORKEWSCOMPEN SATION DECLARATION
302 - TUB & OR SHOWER
Ihereby eflim, moor penaityafperjut'yone ofthe mnowingdeclarations:
303 - ROUGH MECHANICAL
I hive tied will maintain a Cmifcam of Consent to sel6insure Tor Worker's
304 - ROUGH ELECTRICAL
Compenseimn, as provided far by Section 37M of he Lobar Case. far the
305 - FRAME
performanee of the work for which this permit is issued.
306 - HOEDOWNS
❑ 1 hove and will maintain Worker's Compenmiion Insurance, ei requimd byS«tion
37W of the Labor Coda for the performance of the work for which this permit is
307 - INSULATION
ssoed Myw ken Compc rot 1 urn a Led Policy numb«am: „ .
(^ ryry
car'I -
.. �-"-._.. ......, -_lir'—I---_• ____... _ ....
308 . - -SHEETROCK ._.
t.._._--
��3 09, , t%'EXTERIOR.
\' /`t o. - cBRnFICA we tie ExEn NFROM woRKERs 1
- _ COMPeNsnnoFINsuRAlvcE
,LATH
_._.. _.._ _310. - INTERIOR...LATH._
„Y. Tr ,r. t.�
°'r Thrsumonn dnotb compldeddmep mus for one hundredaolla
._-
3111= `SCRATCH COATI "'' `.•"Ir''•: } ,?•r;
IS]W)m I..) .- ..
.._. _._- -_.3.13...c... ROOF
_ ..
'Ittnifymel nmeperfmtanec fihe orkfor hichtM1sFermt' s ed 1
501 - FINAL ELECTRICAli• ENERGY'
she'll! not employ any perm m ony manner ao os to become subjwt tome Workers
CompensationlawaoruhfnuraWDate
502 - FINAL PLUMBING ENERGY
Applicant' •- _ - P - _
NOTICE TO APPLICANT If after makingth ten rica�e orE empean. ray anpda
.. _... _ ..... ...
503 - FINAL - MECHANICAL'ENEIM '-
become subject m the Worker's Compensation provisions of the labor Code; you must
504 - FINAL BUILDING' ENERGY
rorthsofcomply with suchpraviaorraorthisPermitanallbeaemedrevoked.
_... -_--.._ _.._ .. _-_ ... _
°'. • '
_._ -.._. 505 --FINAL ELECTRICAL- ---- -
n ' CONSTRUCTION LENDING AGENCY
•" " 1 hereby aRrm met the s e mmouct on lend g agcnty fo the pert rsno
S O 6 - GAS TEST '
arthC work coli which this ea (See: 3097, .e.j 3. ..,....',
LendersNamew_.thispe ,.... issued -., ... ...
.___.. ..
507 --FINAL PLUMBING- --._... ..- --=--
16ndef6 dootat' ' v t ,. .•..
"^=grin-• .
-
508 - FINAL MECHANICAL'
I cert that I hove rue this application and state that above information is
509 - FINAL GRADE
ci r e.1 agree o comply with all city and county ordinances and stem laws relating
to building cons ciion:and h' baby authonan rtpresentadves of this city to enter upon
510 - FINAL PLANNING
he eWveluaof billions orinsautionpurpoxs. ,,- ,
(wc)'e'gre ave: ind mnify and keep homeless the City of Cupe nb egeind
514 - FINAL PUBLIC WORKS
It ilieim, judg nm, expenses which may in any way terve gvnn mid
'n
.mss
Cit bonscq nee she j ting of
=1mT
sou CAST :' .:Ro A a, WIu:,FOS,Pw
Issued by: Date
gnamm of Appri anmeatm'. ,. --. ....".. ;;�„ am.-•,.
i HAZARDOUS MATERIALS DISCI.OS
Re -roofs
re
can the PPI m rumre W I in, occupied some or handl hamNou marvel
-
Type Of ROOF -- - "' -- - - ..
as defined by the Copcnmo M Code Chaps 917 end the Halm rind Softy
,
Code S«titin 2553;pa1nA
1 .•.
❑Ye c 5 a Na
All roofs_shall.be inspected poor to any roofing.matenal.being installed.. _._-_......
Will me appl mso future buildingcoconute x...i meet orate a witch
If a roof is ins[alled Without first obtaining a l Inspection I agree D, remove
ith ardour conmm ism cd by the Bey Arta Air Quality Marmiaman
imictv
all new materials for inspection.,•Applicant, understands and will.comply,with_
:.:
I' l ..v,.. ".'.
all non -point source regulations ,. .; •,,:
'p'"y 1 in.6'h- a end usPinamriets requiremenm'under'CTapmr, 6.95 of the
CLifornie col ofet Code:Seceians75505;25533end75534rlund-tend that
-if Jin bull 'ng asci u nJY love emnms: ,het it if my rtspo 'biliiy nmify.the
-- --_ -
ecsai'm f req -ire u Inch ust be et n l .wane. cafe pear. of
Occup t ..
�D
Signature of Applicant Date
. ,._--
All roof coverings to be Class "B" or better
r imp ed age , <, „e
r
i,
...atz t
OFFICE'