00090056 CITY OF CUPERTINOBUILDING DIVISION PERMIT. CONTRACTOR INFORMATION:
.� UOILOING ADI TRESS: r, - 1•ERh11'I'NO., ,
' OWNER'S NAM 1.10129: S. lXppj.lrxyrolSM16Ar: C
x)NE: LAKE '13ILTMORE • SANlrnxrNO� ' r. •O'
c z¢ ARCIIITECr/ENGINEER: - —
O O HOLDING PERMIT INTO
is III.DG ELIiCT .- PLUMB MECH
z y5 ilwren aIrnNSltu(<0NfRACTIiR!SnECLARn'Iiou ;•' : s .: .-" . Job Description -
oz—o >ann n rew,see II p ' ns orenapwrvrenntne 'n _
p_I_m whh Section 7")of fine Ruiintes and Professions Code and iny Keene '
SS9� iso Lot f wA etfil ,.
tee it 4 Q -1.ic Class ' ,J ��•.,i '' '' S
a° U nal C na ctor ' 'TNT. RMDL REMODEL .KTCHN AND BATHS All '
5 nacan'I:c'sDeCunl<AnoN' gDDD WASHER AND DRYER,
C 9 I uwlersmnd I„ l,lhs`snall ne,lsed ns mit reconls
yd o'�
F t1WNLR exempt
OI It ACCT Nol,NjN
I hereby (I rn that 1 exemPl f Ih CoI n 1 Lawfor IIle
- -
z< toll g ,, I in 711]15 11 5 d I f :CM , y,on ny
�S p wh h 4 11 ,dh,..,p r I I n I':I p. y.l- I . '
.CC$ p I Lt�. 1 q J aPflc ofnpermu fl J.11cm A .. ^•
morn 'Ic Ip Imp n..: fm Ca I i (ch�p,rSq. FtFloor Area - Valuation
(u ,v'gwlh fru ,7(I(q) Illvis' til U : II f.:' 'C r9 -
or that he , empl dallefrooll call me ba. :for the alleged eumpt,,.Any v of n ot ,
of Secunn 703 1,5 by wry applicant fill a pennon whjects me applicant to a civil penalty
It .(,to manr.anrwdreddonum(s5xq. r.. APNNumber. - Occupant T �e0.
01 n fnhc( p.n) > pl ) with g m le wpa n
will J d1 A d[fie snuctuaret , orendell or offered t r vfle(Sec.7194 ,
R,s a IP 1 .-' ca nec_t t r 1 J t rlly( - •Recm dlnspeclions' '
war f property N h b IJ r t p rc IM1 d h d h k himself
r,h .Through n ply p Idnu1 h p n I r'n tel ',5903008. 0 NOV Q p
If. Jfr II theh 'Wng p Intl II th m")e2 8nl' - - . t3xl�t7
coingetion, e owner-builder willhave thburden f proving that h JJ notbuild try - ,
to " rl ' J0.1, — FOUNDATION
J`
yll fmlrnpollc 1 y n ng ',hl J Itan '.f 1,02 — PIERS '_ _ `BUILDING'•- - .
ZZZlllyyyl I'h project N )(LW Hinsirres,andP fit Cola)Tre C I G
L« el Au.n ,I nply.l a x' rvl1 ,pveywl,nn ld 1' u,b1ani - 1.03 —.'.INFER '•. ♦.`
and h Irc far 1 p jecf wi,h c 1 , qs)lie n. J pursuant m the
Cann I , ol h 1.04 — REBAR;
❑I IIS B&I Cr thine.„ -
Oss'ne _[/C,L(I{„e Cl_�� ].05 — ANCHOR BOLTS
0 xl.xscompervsnrlONI)EC"IsArION ., I.OF — SEWER •R, WRTER - '
Iwachyafrrwnaaerpenallynrp<rjurynnennherpunnsngIditalwio1a: 202' — UNDERFLOOR PLUMBING
hoe ord velli n,oiwuin a c.rracaie tr'cnl,sent 1a".cif=msurre for iyo:ker," ' - 203 — I:IPIDERFLOOR MECHANICAL,
Compensation, as plosided for by Sell .n(ro of me Labor cone. Sir the FRAME
perfnrs,rce of�hc work for which this peon..is issued. - � � •,,.' u.'204 - UNDERFLOOR-FRAME
°I have aad will 'in.it Workers cnwpensaeoI.In.nranee.I requ+.edbySee,.in. 205 — UNDERFLOOR INSULATION .
37(x)of the Latour Coee, or me perforreace or the work lot which this Per al As 301 —..ROUGH' PLUMH,-I NG
ssuul.h1y Workda COlnpWL ,mnnu,"o'cacorri,laid Policynm;1vi,a,.a,.:,u •� Y
Carrier: . 302 TUB &' OR SHOWER
OF cyprcelrrmlcnroNXEMON :
FROM WO HKHlcs�, -. '�0'3 — `ROUGH MECHANICAL
COMPENSATION INSURANCE I r -
rrhissrrrnl,nyeslw,ln�cntnplwmpmep.rl,dlisbnnnewll,dredJnl,as . 31214 — 'ROUGH' El
—ECTRICAI„ -
uuxl)ariess) 305 — :'FRAME
I"ilit,fienw theperlionvor,o, nbe wool,for toloch his IN - t':' 'e
.`hll ,ot
e
mploy wy person in an) nanner o as to Kern ne whject .,he Will
.30EHOLD
DOWMS
comparnn ,nrcarrn California.
Applicant 307 INSULATION
Nodes lO APPLICANT If. n ak' ,flo c rf a, IL w n Int,h IdSHEETROCK•
L M Coyou u
308
fom mnnplywlnsal , . nsnrn sr,,, hdu,O d d 309 EXTERIOR- LATH
co"SrauCa]ON LENDING AGENCY
4 rcnylrnnmwmurehaenhstnudnmmrdingngtneyfor the nerrnrn,once 31.0 INTERIOR LATH-
.D 311. — SCRATCH COAT, _
Lal Star
zLeW All, "
- '
._
- .
313 — ROOF. NRII_. . . .
C
I cceif,v that I buiveneaddr,co,plictitio. nolsuch, bit the aIvoc interposition k 501 — FINAL ELECTRICAL ENERGY
0 j- mlv Idl g incf, ply I'll.11
ryM1ad nY J' n c and state In '.claim, - .
U sn,s y,u -, s,n,or,,, l,hi"it, t.r.a"s, 502 — .FINAL PLUMBSNG ENERGY . ,
y the (We'eM1nnocepo n.'rnrins lion Pa ,•es. 50� FINAL MECHANICAL ENERG
.F-1
M. (We)- t sw ill fy ,dl pM1 nhc Cly fCupen oaga Del �,
m iitd,nl 1 g l e t l vel , Y ny y ns, d 504 — 'FINAL BUILDING ENERGY
C.7 z City n f,h g I g t Ih:pc ml. r
Sf Rll CA uoFrtls'o �ANOWILLCOMPLYWIT}In �rv.� Issued by: . 505 — FINAL ELECTRICBht(: x'.��/6.•^�y
Sig a nl Applicantl ntraClor ^'("' `� nae Re-roofs ` - — '
HAZARDOUS MATERIALS DISCLOSURE
Will'he liIIII-M II It bistros,wcupant store nrham kvcwd ,Ioaallicl Type of Roof 507 — FINAL PLUMBING
as def ed by nh C pen M n p I CNe.Chapmr Y 12,and Ih II hM1 and Safely —
Cook,s r 25532(a)? � 509 FINAL_ MECHANICAL_
°Y °N ,- - All roofs shall be Bilipcied Ifrill"tAlainyGrd?c6t?ifri material being installed.
Will m ppl I tr,Oe n Id s p I . Itpwe I d ash .If a.roof is installdi U thout fi'r1dlNfltai*j eRMLlhlJhl hon, 1 a ree to remove
nlhh and sa anon .n-a,Jvbnce by he lin,Ano Al Quality Mro'conn g IW g
hslnw" . ':all new materials f57igspoc oq.t,�pli(pl ILMIcWt:6t�tFdltlSwill tocol with rc
Owl. °"° - all.non_point source regulations. comply ,
1 h s h ".."ho"
J n I. y ,. underCh p, fiy5 LIM1c'
Cullb Ik ITh SnferyC I S f .25505 255at J255J4 d .t dthol , so
- " a or
f1hc1 161 ,Ic tlyl ,len' th t ) :I .'I'I, n ,I fY the ^ .
mcup' p; , h ust M m p' ta's.wu c f Ccntficatc ofS^ -
OCC
SignuureofAppllcant Date „
UUUU1l'. _f/ —/�!Cil---I r
owns rnwnodnenage I Dale a' All roof coverings to be Class "B"or better
7ADDRESS
PERTINO w"• k-�F,�+I`+ a`?z� sra �t,- -I
BUILDINGDIVISION pER %CONITRACTOR INFORM' ON y
;BUILDING '. I'ERMII'Nf1.
,-1,.."3 f; t1( fal\If"`i 1 .5-031 l 1 1 / SANIIS\RFNO.0 I " �{INIR
d.l: '.7E-,illi f>;fj- Pdf'"34fh1'tn{£ri f-i 7,13 Fit"r,t)4�.R 1 IJTHE: w_ s i,`:
ARCIUTEC'1'n NGINEFIR PHONE. xo ILDING '11011T INFO
-- nfur, 171 PLUMB n1ECH
+Ip 'Y:INSPECTIONS `r'.}a v�A ;+ `DATE rINSPEC i' TO ARRANGE INSPECTION
¢z • .e. '. a> ". + CALL TTI.3228 MONDAY- .TGR DESCRIPTION
t-¢ FRIDAY 2J HOURS RESIDE\IIA LI
FOUNDATION/PIERS/ILD.S. BEFORE REQUIRED INSPECTION,JOB ADDRESS ❑ SFDWI ❑ KITCHEN REMODEL
I z_ AND PERMIT#ARE NEEDED WHEN PHONING. D ADDITION ❑PLUMBING RE-PIPE
UFER GROUND
m EEl MUI:U-UNIT ❑STRUCTURAL.
z¢ PAD/SET BACK-CERT -
RESIDENTIAL_COMMERCIAL_OTHER MODIFICATION
3 a n GARAGE SLABS/PREGUNITE HAZARDOUS FIRE AREA
Ll INTERIOR G CHIMNEY REPAIR
a u= '!POUR NO CONCRETE UNTICsABOVE HAS'BEEN SICNED=4 Mf.
IMPROVENIEN-1 ❑ SWIMMING POOLS
-p0 UNDERGROUND/SLAB ❑ YES If yes-I undeawnd mw a ClmcA ra+l O BATH REMODEL/REPAIRG DEMOLITION
PLUMBING ❑ OTHER
K —
F=i ElNO Initial LC.B.O.#
a ELECTRICAL
;$D6,,NOT POUR FLOOR'UNTIL'ABOVE HAS BEEN STONE ?,Sl, %F" EXISTING ROOF COVERING COMMFRCIAI
PLUMBING - D'' NEW BLDG/ADDITION ❑ DEMOLITION
MECHANICAL umber of existing nrverings ❑ TENANT ❑ FOOD SERVICE
Ia1PI<ow:alcvr
ELECTRICAL Th IN remoO,d TO he retained ❑ OT[if R
FRAMING VENTS
INSULATION
"`•'� TYPE OF ROOF COVERING
,FPLACE NO SUBFLOOR;l1NTILtABOVEHASBEEN SIGNED Scr'�..')r
ROOF SHEATH/DIAPHRAM EXISTING' ITI)POSED•
PLUMBING Z ❑ Built-Up Roo4 4)7 Ruill-Up Raul
TUBS S SHOWER PAN ❑ Asphalt Shingles C A,phall Shingle,
MECHANICAL. L�_OJ - ❑ Woad Shakes ❑ Wrn+d Shakes
FLF.CTRICAI✓POOL BOND N . J ❑ Wnod Shingles ❑ Wood Shingle,RAMING/STAIRS/E.EGRESS ❑ Other(Specify) ❑ Other l5peci(1
NSULATION/VENTILATION Provide LCB.O.Repurl N•a. _
=COVER'NO WORK UNTIL"ABOVE HAS.BEEN SIGNED�4;'u\`F3 :`'.Fr:Z'': Provide Mlgr la,tallatiun Specs,
ENTF.RIAL.SLIEAR/ROCU DOWN
INTERIOR SHEAR/HOLD DOWN
SIIEETROCK/SHEETROCK SHE, INSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE INSP
EXTERIOR LAIHW SCREED -
SHOWER LATH
,NOTAPEORPLiASTEWUNTIEP OVEHAS BEEN SIGNED';:
SCRATCH COAT
SE W ERfWATER
: TEMPORARY APPROVALS
OCCUPANCY
z PLANNING 777-3318
zQ GAS TEST
GRADE(P.W,777-3354)
FIRE
a0. z HANDICAP -
C1 C ELECTRICAL
OF PLUMBING
W MECHANICAL
ENERGY
U Z VISUAL FINAL ONLY
BUILDING
i�OCCUPANCYOF,BUILDING IS NOT PERMIT'CEDu
UNTIL BUILDING FINAL IS SIGNED BY BUILDING
NSPECTOR:r �R, , _. t , r -�., ., CERTIFICATE OF OCCUPANCY El:�,_ A, �:..°.0
RE-INSPECTION: PLYWOOD: IN-PROGRESS
[NSP UATE INSP. DAI'E INSP. DATE._
TEAR OFF INSPECTION: BATTENS: FINAL: ,
INSP. DATE INSP DATE. INSP DA'T'E
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION
I APPLICANTS POSTING