00110012 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDINGADDRESS: PERMIT NO,
10600 RIDGE VIEW CT MAI INDUSTRIES INC 0011001P
�. OWNERS NAM17 APPLICATION SUB DATE
COMPAQ jog snNAVENTI IRA I)R 111 /0p/p000
ZONE: SANITARY No. CONTROL NO.
SIS^ [ Z l lQZ (4171A) _
Ozz ARCHITECUENGINEER; BUILDING PERMITINFO
BLDG -ITECI' PLUMB MIKE
<�E GRt G YS L=T, L�—
O LICENSI:)CONTRACfOR'SUIiCI.ARAI'ION .lob Description
oZ E n 1 h,rchy affirm Thal vFiF liacn,ca under p....ion,of Chapter 9(enmmeming -
Cco whhSMion0111N)Inl'Div' rn3nf:hu llminoeemd Prum,,ionc Cde.anamy licence
<Se$1 is n full fur amt effect.r
< License cm,` Lica TENANT IMPROVEMENT, B OCCUPANCY
6 v
Date Commeor 5 /�
AItCHITECI'S M1DECLAItAI'[ON `r✓}yy`i.'.C'
°g I unA A cry plan,,ball ^u,�e fie un'c record., /
ol
Lice Profesuo
O\ - ,U[k DEChAkA'1'ION
ul_ I hcmhy climt shut I mu ea, I Oran aha Contraeer's Liccntt Law for the
Following reason.(Section 7031.5.Buainea and Prolea,ints Core:Any city or county
F G which requires a permit to construct,alter.impi demolish.at mpir any umnum
ea prior in its issuance atro require,she applicant for such perminn file a signed naromeFn
road n,i,hern.edpnr.nam Fern,provisinn,ohne Cinnaeor'x Llam,e Low(Chapter 9 Sq. Ft. Floor Area Valuation
(commencing isith Sectloo 7000)of Do'inn 3 of it,Business and Prom"iun,Court
or that he is munipt therefrom and the bust,for the alleged exemption.Any violation
of Section 7031.5 by any applicant for a permit suhjecu the applicant to a civil penahy
of not more than live hundred dollar (SMY)). APN Number Occupancy Type
01.as uwmer el roe property.or my crNoyees wlnF wage,a met,sole compammin 1, 14�E 1210
will do the work,and she staeure is Fiat intended Far offered fear,ale(Sec.7I . -
Bmiaces and Prafessiona Code,Me Commcmr's Llceax law dues not apply m an - Required Inspections
r of pmpeny Who buildreo
,Fir improve,then,and who does such work:himself
�, hannslt his own cnmpl^ycc,.groomed drew Buda i provc, am ren intended e 1.01 — FOUNDATION
offered for talc.If,however.the huilJing or improvenuml is sold within one year of
iompletion.the owner-builder rill have me hurib n of paving that he did not build or 102 — PIERS
mprove for purpose of sale.).
Ell,sewomofl[at pf,,r... .n,s,horely,mnranu,with Iacen,edennme.o..or 103 — UFER
,n,Fa,t be projee,(see.7( t.Basins,and Prom,,iom Cade)T%c Cnnmacmr, 104 — R,EDA R
LicensLaw ales not apply to an muFier of pmpeny w'hn Wild%or Improves roemm,
and mane,amore,In,such pmiecr,with a eommeeaa,I licensed p.,.art ,, he 1.05 — ANCHOR BOLTS
Comr:vanC,Limm,c Law.
0l am ravrru Fn der See, .B m P C Fa rrx reason 106 — SEWER R WATER
owner Dae 202 — UNDERFLOOR PLUMBING
WORKER'S COMPENSATION DCCLARAI ION
203 — IJPIDERFI_OOR MECHANICAL
nm,r,hy antra coder penalty ofpedary one of the following declarations: 204 — UNDERFLOOR FRAME
0 1 base and will maintain it Ccnificac of Comcm to.ch-home fnr W'mrkm',
Cnfnperoahon, as provided for by Section nal eaf the Lith m Ctde Far the 205 — IJNDERFLOOR INSULATION
Perko omane,althe work liar whichliklicrniti,Isund. 301 — ROUGH PLUMBING
❑Iymeand will nmainmmwake,.Cmnpen.ationInsurance,asrequired bysmtinn 30'O — TUB R OR SHOIIEP,
37x1 of me Lahr Code.for the perturnance of me work for which this permit es t—
u,ued,MyW..k,r'eCmnpv :.I nhocuuecommand
Poli`y'madt,,am: 303 — ROUGH MECHANICAL
a""'° Policy NS:
Na' 304 — ROUGH EI_ECTRTCAI_
CCRTIPICAI'IONOFEKILMPFROM WORKERS'
COMPENSATION INSURANCE 305 — FRAME
rmi.,eebnmeed nethecon.p]credit hepemati,harenchamdredd"ller, 306 — HOI_DOWNS
(slap Fir less)
I seAly net in the peELnnamx of the work IF,,which this Iemat i,i.a,ued.I 307 — INSULATION
,haB out upla,any e
pes, nm a m
any nth ,o n.10 becoe,abject to date workers 3,08 — SHEETROCK
Com"axatinn Law,m cdm�rma,Date
Applicant 309 — EXTERIOR LATH
NOT WE TO APPLICANT:IL after making this Cenmaate of E,mnpran.you,hover
7 bvr,mm„uhect In the W..ou a cminvoarean pro n,afore Labor Cade. ,it, ,ext 310 — INTERTOR LATH
Q lnrmwida comply win,uelt pnsvl.iom ur Ilii,perm i'dm:11 he d,emcd revoked.t
z g 311 — SCP,ATCH COAT
F-' ^
CONS theRUCTION LENDING AGENCY —
C lheteurminhmmmemisa,mF9r,een107,Cagenerrmm,paerinrmanm 313 ROOF NAIL
W aims work lin which Fhlx permit is issue(ism.]II9],civ.CJ —
a c Lnr,.,Natm 501 FINAL ELECTRICAL ENERGY
z der',enifyts 502 — FINAL PLUMBING ENERGY
U O I c""c than 1 have moa 1.11 application earl note that me abuse inllmnatiea is
nrldia, oumemaplywlrtaEcity and.nmyarainvn„eaml.mtelaw,er.,,g 503 — FINRL MECHANICAL ENERGY
Ov themoiognmaanepri, herenyaameimmposematmereannHd"t""at"a�'n 90A — FINAL BUILDING ENERGY
} M. the ubo(We).,me m propend for inspection puqu„ca. .
Ea b IW'e)agrcc ,sass,imle vs,nand keephuneryin meC aOfcruer nga.at —
m banihr,,,iudgm,md,,,red,are exrem,x tunica reread nm ally way accrue ag:rFist.ata 505 FINAL ELECTRICAL
U Z city ,nro,gNO err ow gn 1 tai,perm` .°yQIF-r — GAS TEST
APY,,C�NT
NO ow )SAN LL COMPLY WITH ALLN Nd'OINT Issued by: Date
Soul�1i Cf-0✓�TIONS � ��,2�OD Y 111 1 Fit 11==FL=9RB:FRG
—
gna1tvof' amnmr—`'�� Daae Re-roofs ti08 — FINAL MECHANICAL
iIAYARUOUS MA'T'ERIALS DISCLOJURIi
Wil the applicant Fir future dildngtccupant,tart are frnJl,haaaNm,material Type of Roof 509 — FINAL GRADE
redefined by the Cupertino Municipal ode.Chapter 9.12.and the Health and Safety (�� �( (� jtk
Code.Section 25532(a).' 1 — Fd�11 Zf cF$ V•Fbn't71t�F
❑do 11'1p111 '
All roofs sial a nspec a I r t n o S material being installed.
Will the applicamm future building mcupam rw e,dipmet or devices which If a roof iS inst Ilee4d wt[l�tJt l�r.t-oMi i gTa iMR&6cd, I agree to remove
Corti hmeNaus air contaminants as defined by the Bay Area Air Quality Management
olHdeff all new materials for inspection. Applicant understands and will comply with
°Yea^ all non-point source regulations.
1 have read the hererdaus materials requimmem,under Chapter 6.95 of the
C.alili,rin health K Safety Code.Sections 35505.35533 and 35534.I to demand that
it rebs building dna nod earn.... Fv",Ia ..m It i,my re,ponxiM1ility m notify be
ccnpam oldie requhenemv w Imh rem ret oder m i aumme Fir a CeniEcam or
Uceapmm
0-0—
U Signature of Applicant Dale •
owa,rr,rau,�. — D111e All roof coverings to be Class "B"or better
OFFICE