01050188 CITY OF CUPERTINO.
BUILDING DIVISION PERMIT, CONTRACTOR INFORMATION: ..
BUILDINGADDRFSS: a. PERMIT NO.
10090 PHAR`LAP DR TOM & SONIA MAIELLO 01050188
OWNER'S NAME: -" " APPLICATION SUB DATE
TOM & •SONIA MAIELLO 05/29/2001
HONE: SANITARY NO. CONTROL NO.
O�Z° ARCHITECISNGINEErRy,g r 1" - - ' - " ' " ' - - BUILDING PERMIT INFO
6 tiaF , BLD ELECT
CI PLUMB MECH
LICENSED CONTRACTOR'S \
5„? JobDescr tion
O Z-co -1 hereby d01of Ihnr 1 am licensed under pro ono o u m mg , rl D I TION.Description with -Iherbyir,.Divisionlo(Ihe Business an &ssions6 , 1 �• rysYsln/
fan
in fall,urea ana2rreel.,,• .,. ' t,g EX AND KT ' EN'' & 'FAMILY" RMn '
i w m 6 License Class Lie..N -
°° ° Dat` comma° VISICS FEE
:PAII)' 'ON 03/04/2002 ,
ARCHITECT'S DECLA 'TION T
Y
I .1 undersand my plans shall be used m Wbl 1 = PI NALEO
i E O O . Licensed Professional
' OWNER-BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the [p
CZ s' fallowing remon.(Senion 7031.5.Business and Professions Code:Any city or county S[r. 2 4 2003
I Z O which requires a permit t construct, Iter.Impar demolish,at repair any structure
ttes13CQ pito t r osedpu soregmrc the pplcantf rs Immunes offense La (Chapter
Ch _ - _
thothetl nwithS ua6n-7(M of stulion3 ec tmctnralanemelnw(Cn old-) ,Sq:F[ Floor,Area ae -i t g j�on
(co me c,8 ,i(hSpd 71NX1) (DVr J flhe6 efvpndProfessonsCor l s �f• ;,�„ 14'. N :.Ag; u N h
or thal'he is exempt Ifirmfroah one the bass for the alleged exemption Any violation -
=of nation 7031.5 byany applicant for o permit mbjecb the apPlicam m o civil penalty
� eurnot mom manrwenaiwaaaonara(ssro). 32y4EftQ�ltptt9� r:u•.rr.�D_ Occupancy Type
❑T.as owner or Ne progeny,or my employees with wages as their aria compensation,
will:do the work;'nndrae'srmeure I,'.not'intended or V ered'(or sale'(SeC'701,1 c,
Business''and•Professionv Core:The Contractor's License Law does not apply to an 101 - FOUNDAT IIr 10hred Inspections;<
owner of property Who milds or improves thereon,and whit does such work himself 10 2_ - PIERS
or tbrough his own empinyees.'provided that such improvements art not intended or. _ .,_,-- _- __ _—-_"_
":oR ud'foi dale.ICRowaer,die Wildnh r im rovement is sold with d ode'-ear of -- -- -----"--- -- - ---
g. P r 103 - UFER - . 'i- .., ,..P„
completion,the a m.f alder wit)have the tureen of proving thin he did not build.r
' improv for puryom ser soled. � 104 - REBAR
with ,
"y vOItr own of the property, ssiness contracting uChadensedcmnacarsm .100'5- 'ANCHOR'-BOLTS - t Lr-f
i t «rhe does
(5 y to a;Business nd property
who
Coes 1 The Contractor'.Cher al gips c I �. <';I
construct
Law A«:not apply man owner of Progeny who bit ids or impasses thereon. 6 - SEWER & WATER
and.wha.vontacts.for ancoproiects-unh a_aonmectortal Rcensm.parsuanrto the _.... .._ ..._:..2 0'2---'-UNDERFLOOR—PLUMBING-----._:.-----'---- --------_----
Conwmors L¢enu low ,
❑lam eaemPt under se ' ' BaPcfor his reaa.n 203 - UNDERFLOOR"MECHAN�I CAL
owner ' auto " ” 204 - UNDERFLOOR FRAME
"WORKER'S COMPENSATION DECLARATION 205 - UNDERFLOOR INSULATION
hereby affirmanee,xaeyurp,j d unnpfonuwingaachmitimm-- 301 - ROUGH PLUMBING
° 1 hive and will onfifilad.ii Ceniflcem f'6ani 16 self-insure for Worker's -3 02 TUB & -OR SHOWER'
t! Comparomion,ma provided'(.,by Section 37M-of the Labor Code; for the
pvr(groutiveprem work for which this peon,is issued.: 303 - ROUGH MECHANICAL
°Ihavc'and'will maintain wdrgers Cclmile=aiion Insurance,as ragairea by section 304 - ROUGH ELECTRICAL -
37M oGthe'"bar Code,W the perfomonce of the work'for'which this Permit is 305 - FRAME '
slue= +6WCERTIFICARON OFIEXEMPTIONFROMWORKERS ` t 306--', HNSULANS
umnc<c mer ^I Policy tone ,,
s307 INSULATION.„t v °
COMPENSATIONINSURANCE •' a '° - '
.,' - -' -
--------3'08-;'--SHEETROCK�-- — --- ---- ----- ------..
(Tnis it n umitn t becompleted iftn permit k foronenundred dollar 309 - EXTERIOR LATH:I Ir, t s lel•_' -
(EIMI I 3 ]
g.1.0..:,_,.•.INTERIOR-LATH _ ......
1 cert tY th i"in rhe peNom c of thew k f -loch th permit rissued,I
sh II n t employ any perm n any man r so s t.beeam _pn3ent�.me wgKers. 311 SCRATCH COAT '
'Compen.ai nLaws of Guitar .,Dare -
-.313 .,-._ROOF._NAIL.... ... ._. __ _... ..._
yryoTICF TonprucnNT B ane meld gthsCert(cam ofE empti ypo"filmid' 501_ - FINAL' ELECTRICAL" ENERGY
O Qbe°mea h3em to the WorkeY Co pc 3 nn pm x flh Lab' Cale yet mot'
rdnn Ito ply with azh pr n a th permit shag be deemm revoke d' _ _ _ _ SO2 FINAL_ PLUMBING ENERGY
503 - FINAL MECHANICAL ENERGY-' ^''"„ `"
a � ”' I hereby.afRim that there (e mnistmnion lend g gency for to pert c
W.
.nh w let° `h chthspe r i .la(se 3097 c. c) 504 - FINAL BUILDING ENERGY -
p -L'endera 505 'FINAli ELECTRICAL -
Z, unser Addmaa,. 50 GAS TEST .,' n. c
O I �
I nee that I have read th application and store to:n the eta a mfome I'i is
w [r ;c° r 1 agree to cmnpy to l city and county nmoiw, and state laws rclaung 5U- INAL P UMBING
ulatuforurlrcseturive nh ctyt enmrupon 5NAL C ICAL•the b.e f cJ p,.p tyf_mspea Pry°.,o. (We)agree tosmn,indemnify and keeph mlex [be Cit of Cpertino against5NAL
CA liab lit p judgments.casts and expenses which y any y gainst•saidV-,2e cityy nmquenecofrhegrant ng.fth pnm t 5APPL7CANTUNDERSrq NDSAND WILL COMPLYWITHALCNO�+POINT' ISSued L� Date
$DURCE REGULA710h15„', i
s:
Signature fAPPlicamlCortr9 to ,,','t. - 'Date Re-roofs
HAZARDOUS MATERIALSDISCLOSURE
cr
Will the itlificamorr tore building occupant since or handle hmallous muedal Type of Roof.- -._..,.-
'aaderi ed by he Capenno Municipal Cade Chaps 9.13.a oil the He IN and Safety s ,\ S i, a t e -•`:,'' IJ r t -.s-r�, ',ill ��s r ,
Code ectinZ553?I(a) °N , j Imt..tv vj .f - l ' t1 s.V .t.� .. .. 4S.b'-r, _ . •^'_ -
El Y6,
mu hazutlous aircomominanaazdfin dbe Ne Ba ,a q quip
alt Ma `.. All.roofsshall be.Inspected-prior to.any,roofing.matenal.bemg installed. . ....,_...
•'�, Will theapplicam or futurebu ldin,occ pant use eq tpmegt or devices m�nl If a roof is instalied without first obtaining an inspection;`Pagree to.'remove
Y Y O Y Management'
nistrlct ., , , all new materials for inspection.- Applicant understands and will comply with
_0 No,.- all pori- oint source re ulahons
'' 1 h4 tread ilia haaardoui mnrcn.ls.requlrements unde Ch parr 6.95of the
.Canf.m1.Heahh'&Surety,Code,Sections 25505;25533 and^353x.1 understood that _
-,a;c.pf the buildingothe res not cams which Most have a tenant:that it is my r sponsibiliry m nmRy the'
'(oixupani of.the rcgnircmenrs which must be met prior to issuance of Certificate of '
r. ,Occupancy,
_Signature of Applicant Date
Owner mor¢eeag t ) w , All roof coverings to be Class B or',better:
.:.:.: ..
., -... ,.yerp.. _,.-. . ,,..'.. �.. , :.�,... __._:_.:_.. _-, , - -- ---OFFICE"----