00030019 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
EIJILI)ING ADDRINS, PERM I'1NO.
7359 RAINBOW DR. #A SOUTHBAY CONSTRUC ION 00030019
OWNER'S NAME: APPLICATION SUE UNIT
JUDY CHEN 511 DIVISION STREET 03/02/2000
I, p11UNE: SANITARY NO, CONTROL NO.
(408) 379-0400
O O ARLIII'I HCI'/ENGINI ER BUILDING PERMIT'INFO
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1.10ENSIiU CONT'RACTOR'S DECLARA'nON
Job Descrlptlo,�
I hereby ullirnl cul,I um of Ile I under pray Nol i Cbapar 9l d ua,license cine is
I�
wllhSa'tlon]IXHI)of Uivivion3nl'Ihc Ruaine„nnJ 1'n,fcvsinns CoJc.unJ lay liccnec p ar�gX
ase < i,Inmlunree, ,r t. 3a�'rG TOWNH
a,a,i6 ,in mClaw_ 4{k Lic.X_ .�-as.
3 u. Dare_dam�L Cnmructor 3 1.11,16—
Lx �ODr1
F LL O ARCHITECT"S DECLARATION AUG VL
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I micmmnl Iny plan'eh.Il he mW ax public rcnord, !'1 V
w i p�
Licensed prufcuioonl BUILDING .
vo OWNER-BUILDER ecen" ur the^RATION
l_m I reason
n(Sci mon 1 nm c¢,in from the Contractor's Cast,A n s Law tor me
C'j< fbllawine rumor.Genion Jane,Itueinex and se.dr profession, tAny ear m emmty
ac mO whichreyu.mole.unul.....re irc,,h,,allay,alor,ash Nrinxh1 ort ytnig Iny4ner"ae
63� thatheslicened pursuant toithe Ihcnpplican,lin wonrators Liilae,Law(Chater9
(aUtu of live antiPxlawter; aer9 Sq. Ft. Floor Area Valuation
or is ewith Section 7000)of Div ntdmclgedexxand Pon.Any vi Cass)
of S,,he is caemp,therefrom and me basis for the d,the enn„p,ioo.Any violation
ofSeetian J(In 5 by an,
undre doll for a 500).4, allied,the nPpllcam In a cull pcnul,y
at toil Isom matt live honored ananet(s50 ), APN Number Occupancy YPe
01,as owi er of the property,onny cmployeu with wage,aslhclr.anle comrensntion,
will Jo the work,and,he structure is no,intended or offered for sale(See.701
Ru>incx,and professions Code:The Contractor's License Law docs not apply to an Required Inspections
." r of y Nopa Who laulJs or imrrnvq,memon,and who Joc,such work Illnswf -
11 ronel, his nwa on"doyces.powided Ilia,such i:npowemem,are am ialcaded or 101 — FOUNDATION
offered Ibr sale.If,however,the Building or in,rmvement is sold within one year of
completion.the owner-builder will have on,Burden of proving that he did no,build or 102 — PIERS
id,owe for pvr,we of sale.).
❑Ca of ma property,a xcli-oely e,arru,in,,wish lieen,ed emnmetoe,to 103 — UFER
construct the project exec.J04J,Bus and Prous ,Codcu The Coleman,c 104 — REBA R
License Law does no,apply to an owner or property who build'or improves,hereon.
and who contracts file such project,with a contractorfe licensed pursuant m the 105 — ANCHOR BOLTS
Cnnaaca„sptorderSee ogrrCfar his net... 106 — SEWER t} WATER
C tonsax riunder Sec.
Owmr s Dale 202 — UNDERFLOOR PLUMBING
.� WORKEWSCOMPENSATION DECLARATION 203 — UNDERFLOOR MECHANICAL
I hereby alEmt under Nuahy of perjury one of ate following declaration,: 204 — UNDERFLOOR FRAME
o I have and will imdnaal, a certiecic of Consent to,ell-insure lin worker x 205 — UNDERFLOOR I NSULR'r I ON
Companu,ion. as provided lin by Seaim, 3700 of the lahot club. ler the
perrom,aneeoftnewalkrnrwhichthis .all it 301 — ROUGH PLUMBING
01 have and will maintain Wader's Compensation Insurance,as outlined by section 302 — TUB & OR SHOWER
3700 ill,ha Lmol'Cade.Ibr the pahamnnca of the work for wbah Ilii,parmi,Is
d.My Worker s Condensation Insurance carrier and Pali,number are: 303 — ROUGH MECHANICAL
caracr �bla.Lty.1i)_policy No.:3304 — ROI
IGFI ELECTRICAL
CRRI IIEC)TION OI,E'I7MPflON PROM WORKERS`
COMM;NSAnON INSURANCE 305 — FRAME
(This lotion nylon,becomelde,urIle pentritisill,one hundred dollars 306 — HOLDOWNS
(vlgn ane..�l 307 — INSULATION
1'unify,ha,In,he performance of the work for which,his permit is issued.I
,Baa I;1 mnploy any rets.,is any munaer,n sax In heenme subject m,me Worxcrs 308 — SHEET ROCK
Crou'a'udnn Laws of Callfuml..Date
Applicant 309 — EXTERIOR LATH
NOTICETo APPLICANT:If,after making this Ccrificme ill liscmption,you should
necome"abjee,tome Worker,Compensation lm,visions of the lalaa Cash,you mus, 310 — INTERIOR LATH
OO torhwith comply wilesuch ausvika,or this permit,hall be drained r,,okud.
311 — SCRATCH COAT
CONST'RUCT'ION LENDING AGENCY
> I hereby ar n,ran,h s mrnat is construction(See lending agn,ey ret me r eortnance 31.3 — ROOF NAIL
critic work for xhich his pennn is isvuM(see.UN],Cir.C.)
a p Lcndcr,rva,ne 501 — FINAL ELECTRICAL ENERGY
o z I`"`I"nAi1dress 502 — FINAL PLUMBING ENERGY
U O 1certify that I base read this apphialla n„I vote od ate all umfnm,adou is 50”' — FINAL MECHANICAL ENERGY
:v F correct.1 agree m mmrly with all city and county ordinances and set a Inws rclming
O V ,a building construction.and hereby aumricempm.wnta,ivesnnhi,eitymelncrula,n •4 — FINAI BUILDING ENERGY
me abovcontend o red property for inspection purpnes.
F>, y (we)agree tosa, .del„mfynndkelp nuadesS[he City ofCupertino uUturl 5 5 — FIN ELECTRICAL
tin liabillac,,jodgnmuty,a,.as ad ex c wldch may in„ny wiry accrue xgnin.e said
V z_ City ill causegaeneconbcgmn �nr Lx perath — TEST 12 Z 'U
SOURCF�UND;.OYSN AN WILLCOMPLY WITHALL N}�Pf� Issued by: Date
Si"nalnrn of -t ummefnl V rota Re-roofs 508 — FINAL MECHANICAL
IIA%ARDOUS MATERIALS IIISCLOSURC
wu me pphcam or metre wudmg«capa,n.Tare nr handle harrmmt,momr;al Type ot'Ro 509 — FINRL GRADE
ax eehned nr me U,pertina Manmmnl c,.lc,cuar,er y.lz,ane me Hcahn and sere,).
Core.Scctianz55321nrr 510 — FINAL PLA NIN4
oyes G No All roofs shall be s ected ra�jj any�(( Ing�,n: ��ing installed.
wIumcapphca„Iormmtonuiwmgoccuwn,use ey,IiptncnnnrJavicexwhich Ifaroofisinstall Ithout bBtair515 frlSpe�'Y`�greetoremove
'cal M1wntJuu,air cnntmninants as defined by the Eav Arca Air Quality Managcmem
Tisrie,, all new materials (9nspectl�OFAp �e• + Ast�i{� �nd will comply with
Ores GNo all non-point soufaO egulntiRMF BATTENS
I I.aa tend the ha,aol m:Ierirl,re,iw,amea onde,Chw,te,11 05 UI The 604 — ROOF IN—PROGRESS
Calillunia Hcallh N Salm Ciae.Se,tlan,25505,25533 and 25534.I title rx.;led that
if the building des nut cuvanlyh:ncu ant,,ha i,is my rcry
, mvibili,y to nobly the
«capon,of the,e luireme ,which st rte 1nu prior m iswanec ofa Cenilica,c of
O,`Ir°"cy0l,ylo\ Signature of Applicant Date
owneTmaamo, , ,,gen, n:,n, All roof coverings to be Class "B" L r better
OFFICE