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00080146 CITY OF CUPERTINO um�.ninc urvis�oN pERMIT CONTRACTOR INFORMATION: NUII.UING ADDRLSt P[RMI'I'NO. 1a133 RIEDEL PL ALLSTAR F'LUMBING 00Q�f301�i6 OWNGH'S NnMG: AVPI.ICATION$UI3 DK�fi ' ANDY O' DOIVNELL E56 N I:ThIG RD IZ�B/cl/�0�a ' (�N'"C": � ' SAYI'fpNY No. CONTROI.NU. �wa-' 7 — 7 S caae� �si-6a4m O K% ARCII : 'NGINIiLIt'. � . IiU11.U1NG PIiH�IIT INPO �u O O �// `1/ IiI.U(i lil.[Cf Y 11Mit MLCH �ii(-j � / � /Vp I_I L=1 L L_] ri2� _— �'�'= uciaNsr:o r.ot+ren�nua�s rntci.,ven'nuN Job Descrip[ion ��_0 I herc�y a1Gnn iha 1 um IimnvJ under pmvisions uf Chapmr 9 Rommenany _ . Fw wiihlm�ion]fXp)o(Uivision9nl'thclin.�inmsunJlkofcseiun�CWc,unJmylieen.�e �y�� �.a�nai m�������a�it���. `! J 9 6 1 RE—F'I FE z�6 LimnaClms. C3� Lic.x_ � °'�'n V Dac___Q, Qo Cnmm<mr /���T � 'uj 3 u H nNClll I1CI"S OIiCLAItATION ' t�=�g I unJci.�wnd nry plxns�hull M uvcA ae�puMic¢mrJz � 5.�y�.� a 6.,p� I.ittweJ Prnleevional OWNFILI{UILD91t DIiCI.AHATION w�m 1 hcnhy aflimi iLa 1 um c.enip�trom�he Comr+nnr's Lirrnsc Lew fnr ihc � ��r followin62ana(Scc�ion]031.S.Hminc..amlPmlu>innxC�nlc:Anyciry'orrounp. �s o wn���n��a���.�..;�n�����n���«,��r������,m��,,�m„«��..a��„�,r:n<�<«���,o�y.�.��w« � a3°O Ptinnnitsiewxnce.uhnre9uiresiLenpPllcnminr.weM1penniuolilr,i.ibneJsimemeni ' — �n:nn���u���.�w��.Mrn,morw�������,onn�c��m��„r.u�����wich�P��,v Sy. FL FloorArea Valuation (w�minenein6 wi�h Scnion"IOINII�f Divi.vi.�n 3 nf ihc Bucinese unJ Pmfmsinn.Cale) $1 � rt iM1w hc le uavmp�ihcietroin arvl ihc Faeis fnr ihc ullcgvA cvcn�plinn.Any dulminn of$cclion]Ol l 5 by onY opplicanl for a pcnnii mFlcvu ihc upplicnm m a civil�nahy of noi mort�han frc hundmd dnllart($SW), APN NU II1bC! Occupamcy Type ❑i.��.�w�,���,nne r.�,��ny.„����r��„ni��y��_,w�o�wos�F�w ie�t�,�d��,��������.�r����. 31.E�L Q�F�1. �7.T� ..��n e�m�.,,�,�.:�a m�������R�.�rn������e o,��rc�aa u�..air�stt.�iva. . n�.m�.,��n N«,re.>�����,a.��:rn�a,�„�n„r.i.�«�,�i�w a�K.��n+��iy�o�� Reyuired Inspectiuns o� .,�rn,��iwnywe��m���ia.�������„���.�aie�,..,��.:��nwe��a„��..��.nw��.en����F�ir 10E — SEWER 8� WRTER ' n����sx n�.�����„oioyn�,.n,��.m.�n mm wd����,��a,���o���a o���oi��ncndw o�� �rt.��ro,��i�.ir.n��„��.z.,n��n��ie��s����mr�,�zm����,wia.,���n���M y��.�r .-. _ • �„���rim�����,m<<�w�.�.m��m�,..�un��.m�n�m����r�,�.��e�n,�n�a�a����w�w�„ 2�� IINDF_RFI_OOR F'LUMHING �^��^'°�r°��°�'°^°^'^��_� 301 — RDUGH PLUMBING ❑I.unowncrnfiFePropcnY.umuclusivelYcnmmaingwiihliccmNcnmmcmn�a 31712 — TUB R� CIR SHOWER ,nxvuai ihu prujcc�fticc.91WJ.Iintincnv'�mA Prnfcs�mnm CoAc'.1'fhc Cnniruc�ar's , u�.,�..�w.,,mK.��„��orir i��������„��r,��rr�,��n,wi„�n��ia.�����„r�,�,"in..�����. 502 — F 4 NRL PLUMB I NG ENERGY anJ xho aonvacu fnr wch pmjca.wiih a commc�od•)lieenud punuam m�he c,��i�:�.i„ai.����.�i.:�w. S�lfs — GAS TEST ❑i o�,��..•���vi��n�,s�a. .u,v�r c r,o��a re��.��, 5C�7 — FINAL PLUMBIN6 ow��, o.,i� . /�� WOItKLN'S CU�1PfN5A"190N UF,CLANATION Ih hY rc J pc I�Y �1�0 Y f�h f❑ sJ I �on: ' /�� 711 J �II r' � Cilai I( : ii , ll " I -W��k�r'e 7 'mpc i pm'dJ 1 by ti i i91N1 f �h IeMr Cal fo tbc � � • II ped f�F � kl 'hchiM1. pc i . :u J / ❑IhuvcunJwllnunlunWn�kvrcC�m�nnw�ilvumi y JbyS�tlon /1 3]IM1 ofthe LaMr C�Nq(or ihe perfomuncc ofihc x�nrt for which�hi.pcemi�i. V i.cnuaJ.h1y Worked Q pnuaiun Insumncc cumicr and Poli<Y'mm�Mr are: . O c.R�.,: Un��Frd Pdc�/,( N„���,N�,.: �L1s' zobi-o� CLRT119CA'ilpY OF GXCNPTION PROM WORKIiNS' C<�MPF.NSA"fIONINSUNANCC (ITis xnion irccd noi Fe complaeJ if ihc permii I.(nr une hunJreJ Jullars � f51 iHp nr Ims.� I eetlify that in�he pcdimimnec nf Ihe worA lar whieh ILi��wrtnil is is.meil.1 aM1:JI w�cmploy uny pcwm in uny manncr w�o.m becume zubjai io�hc Wor4ei � C�vipcnr.nlion 1 uwx ot Callfnmiu.Dau nrru.�,� NOI'IC[TO APYLICANT:IL nf¢r making ihis Cmilieam ol Ln.mp�ion,yoo shoulJ � ' bcaumenuklautmihcWad�x'eCum�n.�tionpmvi,.innrnf�M1eLvb�rGJo.youmu.� Q � �unhwiih cwnO�Y wliL vucL prnvhianx nrthln perudi ehull he�eemeJ revnACA, , � F � CONSTNlILT10NLENUINGAGF.NO' , C > i n�reny onv����nm�n�.�t:n�o��.iN�u„�i.md��,s��se��y c���n�o���m�����.� � ol'Ihvx�nrkfurwhifhlliiw'perniiii�n�ucJ(Scc.3099.Civ.C.) 0. Q LcnJer's Neme . � z Ia�nJer'�AdJre.s V 0 I ccnify iha I havc rtuJ iLis applicuiinn and sum ihm�hc xMrve informmion i. . � R (.. comm�.1 agrtc m comV�Y w��h+�l viiy and cnunry oNinanccs anJ sm¢luw.relaing O V i��n��im'�ne.���n.o-��.�i���,.:�nni�.�r��ny:�um��ri..�r���re..enrii.��.�,nni.�i�yme�icr���,n F �l ihc unnve.ineniinnM pmpmy Ibr Ins�x;ninn Puqune.. y (NY)a•r �vre.i cmnifymJkttphvrmlc..IheCiiyol'Npcninaagaina , � � Vi I'mhllnie�. A n . cnws� J n�n.ca which ma>'in uny waY'ocemc uguinz�saiJ U Z 'q m�y��:• ���� �e� ��������s oi ndfi m � APPIyCAN ' ��ST DS AND W COMPLY WITH ALL NON�POINT �tsued by: � �>�« � '�"�.1— SOMtCE ',U : 1 '. Siynnw � -ApP�icu VC�mvucior ��wc Re-r IIALnHDUUS MAI'ERIAIS UISCLOSUNIi u�nn����rr��,m„�r����mn� dmg«�i�p�m:�om��rh��mehv�����m+uri�� '�yF7C Of ROOf ' x.delined hy iLc Cupunlnn Munmp il Codu,Clinpar 0.12�,:md iho IIe;Jih imd Sufcty � Cala Smiinn 2551:(nl'.' � ❑���^ �Y� All roofs shull be inspected prior to any rooting mxterial beino installed. wu m���P�r��o�����m����m��i�r��b�.���i,��,��.�.�4��m��r�������e���«�wi��n, If a roof is installed without firsl obtuining an inspection, I agrec to remove cmii hwrJuus ar conuminanis ae�Icf nN M1y ihc Nay Arca Air pmliry�Nunagemcm Uiarim' � all new materials for inspection. Applicant understands and will comply wiih ❑v�� �.. all non-poin[source regulutions. ' 1 hovc rcaJ�hc hamrJws mamrials myuimmcn�n unJcr Chap¢r(i95 of p¢ � Culifomiu I IcoI�M1 Nc tiafey Gxlc,Seninns 35505.255JJ unJ 155)J.1 mAcrnnn<I�hm iIILeM1uilJinydoe antlyhucen�rnunlihaiiilemyrc�pnmibiliiyinnnlilylhc cupam ol i n1 x'M1ich mmi M mn prior io icwunee nf o Cenitiate ot `'`°�'"` � Signa[ure of Applicant Date ow e _ .�a i�„e -All roof coverings to be Class "B" or be[[er OFFICE