01090038 CITY OF CUPERTINO -
- BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: r- �• PERMIT NO.
10555 RIDGE VIEW CT M�� ��(J r �/L[Ej CC 01090038
COMPAQ (BLDG 6) 09/ 102001
I,-"% PHONE: SANITARY NO. CONTROL NO.
O O O ARCHITECT/ENGINEER: BUILDING PERMIT INFO
w- L ELECT PLUMB ME-CH
"J LLD -
8 a
LICENSED,.thatCONTRACTOR'S DECLARATION
S y= Section
7 affirm that 1 am IicenseA under provisinna of Ch Coal 9(commencing Job Description
iyrw hSenion]UW)ofDivision3ofthee�sinessendl'rokai case. amylicense RELOCATION OF GENERATORS .
y s inn reree ana aline 2 (STANBY GENERATORS)
a a Licenze Class N
rO n.0 to DECLer
ARCHITECT'S Lic.DECLARATION
�y n`ik it undersmnd my plain shall be used as publi<rttoM.a .
}
i6pCLittnxd Profcssionol
OWNER-BUILDER CEGLARATION
I hereby.am that 1 found the C vaso s.
License-
Lou for the
t-ca tdllv' g reason.Section 70315.:BusinssAny
d
ggs PPridons Code A Y tY county
a Xigki h q s e i cI,r , _
structure , ,.-•
Lj= .prior to is Isoreq the ppnunr r«auvn pemmt ngnm.tatemem_ .- - -- - _.-. . .._-.
shah s,IF, nam toInIp mnsoftheCenvxter Lce !a (Chaptar9 , S Ft,FloorA ear - Valuation
'(rum ncing with Sen oni]OOIp of Divimmartthe Buline a dPofgssions tar
t��`+, I Yy„yq} 1'J t1 1,.11'4.1:•,1 1 :jJ.' '
or Nat he iS exempt mcrelmm end the basis for me alleged dthrmnua.A.Y violation
-of Smion 7031.5 by my applie nr far u permit sobjects the applicam m a civil per.hy-
oramlmoremanfive hundred dolmn(5500) - APN Number j. Occupancy Type
of/asownarorme propcny,m my employee,with wages as their anleeempanaaenn, 101 FOUNDATION
'will m me Prkfand the structure is not imenard-ern Usr roc sine(See y,.o ' 102 - PIERS Required Inspections, �®
-Bus n s d Prof Code This tte iuen L cense law docs not apply t0 en P11,Owner f Property Wh builds proes thereon.and who deals such work himself 10 3 - UFER
or through his n ply p J d mut such mprovements are not_mended or -PAY
oRc d for—mile. If.howengar,the bu Id t is sold within one f _ -
'complt to b 'mr will have me b�den of proving that he did not your of
104 REBAR- .i.. t �,, 2009
improve for Purpose Of gale). - 105 - ANCHOR BOLTS G
— — - -' —--- - — — —. ... -
Ol,aaow%iterof mepropenY,im ucwswely contacting with licensed cortacton to -lO6 - WATER
- - _ construct the project see.7044.Business and Professions Code:)The Contrani'ra 2 02 - UNDERFLOOR PLUMBING .u-1 lL Slr!9G• .
-
Liciano,Use does not apply manowner orpop y who Wilds or impgrawas therem. 203- UNDERFLOOR MECHANICAL
land who contacts for such projects with commerons)licensed.pursuaru.to.the ------_...-__ .-__ __..-
Contractors License Law. .
e. . . --
_ ❑Iamasteroid maiOr.See!, '.B'&PC for this reason 204 - UNDERFLOOR FRAME
205 - UNDERFLOOR INSULATION
'WORKER'S COMPENSATION DECLARATION 301 - ROUGH PLUMBING
Ihereby aaininmatt pcnahyofperjury d2orthe following declaaenna: 302 - TUB & OR SHOWER
a inayq and will maintain a certificate of concent to aelf-instar, far Workers 303 _ ROUGH MECHANICAL
compcnmtion. as provided for-by section 3700 of the Labor Code, for the
parforminee of the work fm which this Permit is housed. 304 ROUGH ELECTRICAL
:..;:.. 305 - FRAME„
r m _91 h a d 11 ma nu w rker 6 C Pc lar I ( n req red by Sectio
ti
Wait the fab«con f, m pert ace of me iii.it n n m penmt 306 HOEDOWNS - --
saued'M Wrke's am i 1 o and Policy be , .._..__ .._.___.._.-..... .__ ..,
- 307'_';= .INSULATION"
Cara rf C ON�dF XEMPolic�ION FROM WOflRO� it�s• 1 L3O8af{j'SHEETROCKY aV3_*. . . I '
")t'e COMPENSATION INSURANCE' "'
. . .. • __.-- - ,-^ - ---------309-----EXTERIOR- LATH-._.-... ::... - — -- ' - -
Y TMs section nee'd'noi lie completed if the permit is for one hundred dollars 310 -v INTERIOR LATH - •u S``'ri•` 'I"
11hiemlomny pain- -,er as ntnthis pe t .areal 313 - ROOF NAILI�I '- •
employ any pe y inn es to become subject to the Workers .
ComAp,lpensation nlswsofcutomi wti• - _--_- 501.-.r FINAL-_ELECTRI.CAL-ENERGY.
NOTICE TO AP.the ANM.If.Workers after Compensation
this Ccnincalesof of kaiser Code.
umshould
m 502 - FINAL PLUMBING ENERGY '
Q Obecome subject y the Workers Compcn r his permit sha of the labor Code,you must
fonhwidi comply with such provisions or this permit shall be deemed avaked. _ _ SO3_ _FINAL _MECHANICAL ENERGY_
-i r;- "^(CONSTRUCrIONLENDINGAGENCY " 504 - FINAL BUILDING ENERGY'
'1 Kcaby affirm that mere I,.construction lending agency for the p narrance'
aFc-> 505 - FINAL ELECTRICAL
GT7." of Ne w«k for which this permit is issued(Sec.3097,Cis.C.) _ -- -_ _ _ - -- --- -- - -- - --------- --
y.(a -Lender';Name.,. . -. _.... - .......d_.. _+, ._ .
aersnaaa 506 GAS- TEST - _._...
�-Z "' 507 - FINAL PLUMBING
V I ceraly that I nave read mix application and state mat the above information is
li. p.t correct.F-agree to comply with all city and county ordinances and state laws relating 508 - - FINAL MECHANICAL - --
r0 U to building comiruction:andherebyaumnne,icpreventativesofmiicitytoenter upon 509 - FINAL GRADE
(z] me above-mentioned property rat inspection tposea. _
(A (W)reg t g. is mnify e, nil an way
f C pen o"against 510 - FINAL P I NG'
V] the Owc,1 dg fits,costs end einem may any y _ against said
V Cit consequence ntro g in&o - minit - 514 is NA OR `
- fICANT M1DL'RSTAM1 AN LC WITH ALLYONP INT' 'I '- " - . (
OURCP -GI':ATIONS '4 Issued by: Date
f t.. ...
- ,ems - n :r .. " Dare . - Re-roofs
,j: HA MA RIALS DI5CLOSURE
wit the applicant Or WildWildil occ p rt sumi or handle nara,d ar,mmend -. Type of Roof
de I by the Capemno Man of Chapter 9.12.and sheHealth and Safety r ,
f code sato 255320d t, - ; Sit tl ' .'I '^ ttl.'1'f' z' 1`k'l ++) - , ;•. ,'-a.
❑Y '',.' ❑No ....5,
. ._All.roofs shallbe.inspected.poor,[o.,any,roofing material,being.installed
. .__ . _...
ej,,, •Wlltheapplicantorfuturebuildingoccupantuseequipmentordeviceswhich If a roof is installed without first obtaining an inspection;I'agree.tdremove
mi hazardous air contaminants as defined by the Bey'Arca Air Quality Management
Di t n _ all new materials for inspection. Applicant understands and will comply with
R ❑Y a ❑ry all r oti point source regulations.
1 have Health
&S eha'ty a tie materials requirements under'4.1 un 6.95 of the
i mild H,doesi ofaYCod Seniom 25505.hat 25533 myand
sponsiluy to ma that
d planofthe'nsnot curtentl eamnent,Out
to omanceiofa tonecatc.oe -
cupenr of the requir si be inn pact to issuantt of a Certificate 0f
inn Signature of Applicant a:• Date
0
40th ger . ' ate All roof coverings to be Class `•B•'or better
. :.. ._.�.. ....: . :- -- -OFFICE ._ . . . ..