01020077 CITY^OF CUPIRTINO' - "• z' - - x
' BUILDING DivlSHIN PERMIT +'' CONTRACTOR INFORMATION:
BUILDING A MORES S. p „, PERMITNO.,, "
y UCTI N COMPANY01.020677 t
OWNER'S NAAtI!^ 090 s\ ' - _ APPLICATION SUH DATE
is v. F " 62/14/001is
"•PHONE. - SANITARYNO. CONTROI.NO. "
" - e n t Y
❑x]. ARCHITECT/ENGINEER ' - `y - .. BUILDING PERMIT INTO '
- � •BLDG ELECT 'PLUMP MECII '
a U H
H
F ,i
LICENSED CON I'RACI Ok S UFCI ARATION ' ]OI1 DetiCflptlOn
0OL-•❑Els Ih h fl far II o 1 P rrlCo J( e -
t=v. PuS 1 70(y fO ni of the Nt n IP f,. .0 1 and nYl was
y5I is in fcllf I ffel S x l '
oNwa pJl CI:. « INTERIOR REMODEL.•
ARCIE'1'FCI S OI CI ARATION 4
0-1 1 andIlleandny Pints shall b<u:clt,bidahe run Is !• -
CGO LasernAedP' f: ,
OW NI k ItUll Ut R DECLARATION
�Ed 11crehy if part 1 PI r the Contra..",abarraniLane far the s `
4 •.
C d
fallmin,mason.(Section 7031511 : n]profession,Citric Any off, ly
❑ vibech rripamsapranrftI I t -h p 1 1',h p, ,sanctumt
PEI tons lko rrine,ohm antif hPedI fl g dstructural ?• '
that he treated p II Ih p fd C ad License L (Chapter 9 Sq. Ft. Floor r r�. _ Valuation
(ca g withSection7000) rD" 3 of the E .- dP fission,Ctr) .< ���� k,
or tiln hes emPl lher<fro n and the to s for Ilm alleged a npuon Any v of I u "
of 1 1 70315 by ) Ppl ' I . P subjects theIII tt" "I penalty ' ' • .
of m r l 1 I d u .raspm. - APN � Occupancy'Type
❑1,;is r fthe prp<ty, rr{nyemployees with wages s0 olc<o nlevn I -
will bothe ork,bothd It,structure is actintended ff1 f (See 7044. J
Businessand Puffs .Cade Use ContractorLicense L des a,,, pd,16 atRequYed'Inspections
,w f property WI h ld,in ari hemor.and whodoes nd, k hinnall
r In ah h': a,. PI r fairevidical ilea 1 p I.am a., I d a or 101 -"FOUNDRY ION_-'
elr If :ill,If.n ir.me nadang to l 11 'm ones r �, , .
I is nnp11 d l ld will o n 1 rP sRatn de to le '' '10c --, PIERS ,
.r;'
1 id,p r p v r 1 1 f
�
,
I nil I 1 Ry ns 1v t r g 'III v I + in
7.0.. -
(S 7144 H P 1 .. C, 1TI c IP I , 7,Q14 — REBAR
License Law doesbe,a,b,Ed an di of p Prywho build,
mP e, lancon. -
and'Is,e u' r r 1 anar's will' la amara(') :ed plrslent t the
c,.I on" Law. ,. 7 05 r ANCHOR DOLTS, r x f.
0 triad S< R&P farthi .: ] 06 — SEWER R WATER
, -
yry y
E is Gw ' W�aU�t-D.tt �X✓� " 2m - UNDF-RFI OOR, PLUMBING'
A �RKI M r DELI ARnIR 203 - . (UNDERFLOOR MECHAN 1 f A! ,
I II `by fl IcrPenal ry "Ill ) r h d s I, cl 'I - -
204, =' UNDERFLOOR FRAME
❑ Ihv End will 4le' a�Cf 11C Itt F f wk v • !-
Cep P 1 1 r r by S< 3704 f til Lam cnde: m me 205' UNDERFLOOR I NSUL-AT ION :
perr <ellrlE...k fa-ship bo,an sE.isner. - -
_ -
301 .ROUGH PLUMBING.
❑Irive d will ma�arriri w i Can,clarfibla lia,urract,as nrimd1rs I n :—? TIJB & OR SHOWER
3700 of the Labor G do,f..the ridnionsen sit the w,,k for wh<h this per t I I,
issued My W kwls C I t t Incur id Pal' Y her Eire: -
c N 303^ ; 'ROUGH MECHANICAL, ,-
Call
OFEXEMPTION FROM WORKERS, I ` .3QI LF ROUGH• ELECTRICAL_
COMPENSATION INSURANCE, . '
'
(71 two need EoIb <Iapletd Trial,i,e-nl I,fo,car lu,drmdell s 30E — eHOLDOWNS 5 '
I tinily matlnd nn2work a,rwl, nlh.per trrs .en .I " '307,-'' INSULATION .
said I contelo,air,fo Y inner so a,t beciannead,jecatothewrke, 308' SHEET-ROC:K.
Ce 1p ai Laws of California,Urur ,
Al'r' 309 — EXTERIOR LATH
NOTICE IOAPI T ICA NI 11 andr, his Cei lificate IfBucau t n yen 1 Ild
z Wrinne s.I,j,d fit the Wo k c niccoarea,precisions ifrmeLabor Cril ral 310 INTERIOR LATH
O forl-alt cannily w ll I faccianne,or his peiarn shall he durl nd revoked .
31.1 — ;SCRATCH 'COAT'
CON 59 RUCTION,,atE eGAGENCY
n 1y fr that In ,nSI ei d' gagenevre mePsaorminc., 31'3. ROOF NASL b , •'
of kin 'M1' I II penuit is ,,.ad(Ser.3097 Civ.C)
oW q d .Nma 501 r.'FINAL,ELCCTRICAL:wENERGY .
Add
Ur 00 - I ,dy Ohre (this application and state that the h r ns 5031 FINAL PLUMDING ENERGY .
_ rte. " <in I's- e Ilr with 11 to, d Ir 1 s 503 — FINAL MECHANICAL'.ENERGY I.
O V mb ld gc :I t dl by' d P I'' Id ityi t p ,•. - d
Ise n e t E Ir l mf y t r e . 504 - FINRL. BUILDING. ENERGY
H pW w7 g t ek pl henries, rC r iia g4 .t 505 — FINAL ELECTRICAL
i..i 1'wb I dy t: I d xPen:v 1 1 m.Y unl y - abu ret s iA v .
V City :<yI<nc<ol til g'td t6 of lh'pemt. ^
^"APPLICANT UNDERSTANDS AND WILL COMPLY WITHAL( NON-POINT' , 506 .GAS TEST
C.' SOURCE REGULATIONS. q . Issued by:
50—1 FINAL
)E - Si6 '1 fAitpllCnm/Co nrJ<Y r- r - - Dare Reiroofs.
HAZARDOUS MATrR1A1 s DISCLOSURE 508 FINAL MECHANICAI_
Will fl PPI t ft h II g cce Lem h dl h '1 a 'I eofRoof -
usJl dbytl Crd M tried Castle,Chai 112led II HaIII tdSufly• �p 509 FINAL GRADE _ ," y_
y Cod Section 5532 - 1 * G -
°Y °° All roofs shall`be in5ps Atea• pOf t��J�Jppa����5 f�o116 1 N(�}��e�[Gt�jQy��{�(�( installed
'
Will to rai 4 I f b 'IS g -p' l :< I 1 t i<S which If a roof is insiallecNilllouTt rSE;M-itQ'gI�{t�.s 1 5j ect�Yl I�h rree to remove "I
n til N,ui.ircn l rmsassdi, h, he Hit,Am.Air Qu Managementty
D , I'.'• all newmaterials for'insp'ectlon. Applicant understands andrwill comply with•°Y °"
all non-point Source regulations.
I have reed no harti material regetremmats under Chapter 6.95 of Eire• !r 5
Calf H III & ftyC1 S t s 2550525513 and 255341 t dthe(
if the Id61 Ill I I11It yrp :bltyt ifY the s (, .
ilei f it I' PStb Ip n Cnl. t f "
Oc p
F
,<„ /// O Signature ofAppLcalit Date •r
All root coverings tobe Class `B"or,better„
DoH amm�'ewI Qan� - g
OFFICE s .