01020074 rSY•OF CUPERTINO - ..
CITmt uwc olvrsto v PERMIT CONTRACTOR INFORMATION.
BUILDING ADDRESS - , y •S ' PERMIT NO ✓
r r?0020 RODRfBBY Y
OWNER'S NAM �'+, - ^AV - * GG -APPLICATION SUB DATE
PHONI..
LAVE, — - - - CONTROL NO.
SANITARY NO. -
p K Z &RCI{ITLCTII,NCINI Flt', - '' " " ^ ve ' BUILDING FERMI'IINFO .
O O BLDG„ HLFCI' - PLUMB MEGA
'O n ,LICENSED CON TRACTORS DI CI ARAI'ION _ }^ Desert 1
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OWNER-BUILDER DLCLARAI ION ^ „ry/ O 9�
m u ny-n than i pu l C r I I I f m
I"' a wilowingreason.(Section70115 Moines, 1 P :Code.A ) a, a ,) .°. •.�� O� "
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ofconed a1.5by nn,aPPlonm fornpern,h,abijec"the pplaann inns"J1pucally .. .x . .
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wma s 'o i 0 r rmanned R l r : 1 (s Ioaa. ,.{
it pc r Code T r C 1 r L L 1 : 1 apply r an - Required Inspections,
ow r fp-p IY1e1 l c ,P chlen nlwi 1 1w lO Ir '$ -
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—lops rr.we lLn:w u.,mi001970E ,lcaef,m' .nww nn one yen-nr '10] — FOUNDAT'ION , .
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nl property, 1 : 1r r s with I e . 1 r 10:.7 — _UFER
m F ITA 10a4B : IP r .. .c&) H C I I ],Q14 — REBAR -
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� 105' — ANCHOR BOLTS
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❑I "On Sec, - 11 Pcm Is re -. 1.06 ''SEWER &':WATER ;
Gw,erp,a Date i6 '- 202 - -'UNDERFLOOR -PLUMBING
ORK{.R S C( }p W__r CI AR ION.
/9 rG— r//N/ 03' --UNDERFLOOR MECHANICAL "
11 rP, IY II J fl ill g11 -I
• ❑ 1 h B'.e , e c n t c : 1r w k r, 204' UNDERFLOOR FRAME
Cnnp.,.,, a, rn ded for by Section 3700 of In Label Code; tr ,he , 205' — UNDERFLOL7R '2NSULAT'IOnI
serf of the kr n IJ�,p r . k. 1. _'.
301 '" ' ROUGH„ PLUMBING.
,pll J 'd , 'enenWA CnIar1 1 . n 9 dbyS in .e
37000nl 11, C 1 r In pea ern kir n 1'm. pnnais ,��/h' ' TUB &. OR SHOWER• .
i, i,M)wnrker.c n :I I„ar anlPiyyna nhe'ece -
cn- Pm v N :•e 303. '- ROUGH MECHANICAL
r . CEMIFICAnON OF ExuNIMION' FROM WORKERS'. 304 - ROUGH EELECTRICAL. '
COMPENSATION INSURANCE -
305 FRAME
ITn 'e I , new nm ndpl
rnn a d'nle porn r' ',0,707,0 iLrdrm dnnar,
(cion rlu".) ' � - -w - '' 306' ='..HOLDQWNS,
eernrylhn in,perfd�seemsthe,,nkfinwhich J,I.pe,an,i, ,acd.1 307 —_INSULATION
,h:drn,l en,lny,nr un : Y . 1,hea,dre., ce,tome Wnrpna 308 — .SHEET ROCK
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mon ld ,noywlhp : ,n ,r, nb Hoed370 INTERIOR LATH
^ 311SCRATCH., COAT
CONSTRUCTION LENDING AGENCY11 h a❑ d ,II , r I 8 Be yf 'n perfm 'ne> fth well,tor which �lent 30th 0c c) 313ROOF NAIL ..
ri501FINAL ELECTRI
CALt ENERGY
,of
n . der..
V'O ', i rfyJ ,ln am'_ ppay, a I:,. m',m n f -r 502 — �F�INAL PLUMBING ENERGY .
w t; ase,l aree,toconply thalle;lyandcounty connene dstae awse,laling 503 — FINAL MECHANICAL ENERGY.
O U Ion IJ ,, r I d by 0 p to Id : lyl n '.
>+,w men 11 peryr :Pel pq - 5011 — F,INAL BUILDING ENERGYAyJ. .
F y wI s pe Ikeep n -la c,> icon s ( ,• 505' .— FINRL ELECTRICAL l am,
n.r V2 Ilut Ir J dp c r p n .Y ,+,Y Y"k uc.Lo'na. d
Cd, 4re,eeo{,he Lyon n,df ll, p nl " ' '
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT )QI F3r — GAS TEST
sOURCEREGULATIONS. Issued by: Date"
S"nelareofA,PllcL Vcona'e Dn,n• Re-roofs
HAZARDOUS MATERIALS DISCLOSURE 506' FINAL MECHANICAL
Will lhe.,pp1¢,n, labillihaddli, p' 1 1 h 11 ha ,thenal Type of Roof
a,di Ihvtl CSI M Plcd Chpr 9.12 and file H Ilh ISafety 509 —1 FINAL. GRADE„
Cnl s 2551 (') , r
( ❑Y. El No All roofs shall b'e�hl�cfed Ftrr�i�tah} 'kW nil being Installed.,
will m- l r r n ie s n' e e9 n , 'r de 'cam. n h If a roof is installe51i lvAthmit IKXK lh'argIdiA6��peWf;RFl9gree.to remove
enlh
• l m Ir dhyll HVA ' & Qrvna"nenr
Dol e M
all new materials for inspection Applicant understandsand will comply with
°Y °N all-non pomtsourceregulatiom:
I 1 rend Ile tr d ,u y nl,an de,Cha,ac,6.95 al the;
C.I r H Id S.I y C l S I' 25505 25531 -125514 1 I :, d m f
TJ 1 L , Jy ria ,h r , Y P 1'IY I- .Otho
eco rl qq r I'1 :I by rp ,rn �r Orel I
°c cySignature of Applicant Date
gwnel, _ One - All root covermgs.to be Clads B'or better
OFFICE