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CLTY OF CUPERTINO
CONTRACTOR INFORMATION:
BUILDING DIVISION PERMIT
BUILDING ADD
IY`,�98 ROSEGRRDEN LR
MFR CONSTRUCTION
PERMIT NO.
01.0,0112
OWN17R'S NANIE,
SHIAO SHEN—WEI AND TAI—
`
I 114 ROYCE ST
APPLICATION SUB DATE
?15/1.1/2001
'I IONS:
SANITARY NO, CONI R01, NO.
(408)280-5681
L
ARCHITEC-DENGINEL'R:
-
BUILDING : MIT INFO
LD ' .ECT PLI1M11 MECH
❑O❑
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LICIINSED CON'rRACfOR'S DIiCLARATION
Job DescrI Ion
1 hereny allium IM1a, I ., Iieen.,eJ under pnrv..lov, of Chapter 4 (comm .wmy
eeu
wall Section 7(XXdofI of beBmies..ndProfc..i Lyn n
ran rnrcr a. ne r CW./yC��/y
368 SG�.FT. PATIO ENCLOSURE, NEW SLAB.
U
Q
Iarc Commmor
a
ARCital[tCT'e LARAI
a, public
IundenemJ..,y plans shall hu ua•J ns public record,
FIN A LED
p Off'
I,iceaw` I'me'es.iunul
OW NEN-NDILDIiR DIiCI,n ItAf10N
an, ate C„mmn,Cor Li[enw late tom the
1 hrrehy .IR,.,. Inn, nn, eB-on
,
JUN 0 7 20 01
H
,
%Inch ire ,Gaeta Permian IDOLS. Bminet, aminve,'demol Calc: Any can ocounty
wh li requires ps.m„ t ,run he e J dish pa y nmaurc
at
5—
e
print , L a m. ro m applicant l n Permit to file a signial statement
that hc.licensed Pursuant tthe P _on. of the C t tar License Law (Chapter9
rea
Valuation
(commencing 'thSeu "!(IW) fDisk q of the B.in dP fc. n.Code)
B('FF.A
u'LLr�J�
or that he i, exempt therefrom and the basis for the alleged exemption. Any violation
,it Section 'malsbynny:mdi,tmfor anem,it.unjco,heapplicant macivil prmItr
APN Number
Occupancy Type
of no, more than five hundred dol lad ($5110).
36617038. 00
1-1La(1wwrol Iennp,c,ty.or.,,vet„ployccswin,wage,-.smcb.olec,,.,menmmn
Required Inspections
will do the work, and ,hc elmcium i, no, intended or offeM fur side (See. 70.14.
contractors
Business and ProNv%iau, Calc: The Liccnw Law does no, apply ,o an
se, a ad who does such send, himself
,.1f property Who builds or imp,„re
101 — FOUNDATION
..µthrough his awn employer... provided that such impmvcmenu arc not lammed or
ofreted for sale. If, however the building or inamocanew is sold within one year of
1.02 — PIERS
completion. the awner,buiwer will have the burden of proving that he did not build or
103 UFER
improve mr purpose of sale.).
—
4 as(11.11,oldhemol,ony.11rxcln,ivdvcommrlil.gwi.hhcemM,...army^,,m
104 — REBAR
,.molike pnue,i (Sec. 7044. B.,ine,, mud I'ml'cloonn C:dr:)'rh1 Con.n.nnr'v
Liccn,e l„w does not apply n an owner of property who Wildv or hnproves thereon.
1.05 — ANCHOR BOLTS
and who conn, for such projects with a commemins) licensed pursuant to the
1.06 — SEWER 8, LJATEP,
Contractor', Limnw Ire.
ElIain exempt under Sec, .B&P C for ,his...
202 — UNDERFLOOR PLUMBING
Owner WORKERSCOMPENSNIION DECLARATION
203 — UNDERFLOOR. MECHANICAL
I hereby ldBr.n under p<onity al pedary one of the mnawing doclaranm,.:
204 — UNDERFLOOR FRAME
3 1 have .,it wiq n,ainulm a Ce,ofirate of C.1.,se., .o w1b nem R,r Workers
205 — UNDERFLOOR I NSULAT I Ohl
ConTen,aaon.., provided ro, by Seen.... rust or ate Isla„ cele. lin the
301 — ROUGH PLUMBING
performance of 0h1 work for which this Permit i, i,wed.
302 — TUB 8- OR SHOWER
❑ I have and will maintain Worker', Comscnsminn lrnurence. a, required by lection
370p or the Irbor code. for the performance or the work for which this Permit is
303 — ROUGH. MECHANICAL
nsued. My Worker'. Compensation Insurance carrier and Policy number am:
ca
304 — ROUGH ELECTRICAL
ie. ah<yNo:
CER'i'iIICA'1 ION Op EXP:MPI'ION PROM WORKERS'
305 — FRAME .
COMPENSAI ION INSURANCE
306 — H01_DOIJMS
O),i,, ,cninn need no, M+ron,pleeJ if be pcnnit is for one hundred dollars
(su)n)ar le,..j �
307 — INSULATION
1 certify mot in the pe,f(1rmance of the work m which this I,tnni, is :mated. I
308 — SHEET ROCK
_
.hail nm employ any pcnon m , ,le Worked
309
compen,an(1 cmifi Dmn°`f'"_a"_ _1
— EXTERIOR LATH
nppl t
NOUCI ()Al"P`cnNrl'. 5f'If�,yRSrCemliewe ofexcmprot youshmld
31.0 — INTERIOR LATH
z
he j uo the W kv. , Cionfen,cii .... ... ;,,,,ir,bc Labor de yet mum
ntedN—Oxd.
nn.,- o,nor,m,penini, fall be oriented
fortha.op'u'la v
—
311 SCRATCH COAT
O
CONSTRUCTION LENDING AGENCY
313 — ROOF NAIL
1 hereby allinn that mere is a rnnstiunion lending agency for the nsr(nnrem,
A —
501 FINAL ELECTRICAL ENERGY
orthe wmkfor which this pcm,it isisaed(Set,3o97.Civ.C.)
p
Le^der. Name
502 — FINAL PLUMBING E14ERGY
z
Leader, Address
ovitif, that IIread ).:.ppl , atm In f alio,s
503 — FINAL MECHANICAL ENERGY
F
correct. 1 s 1;, ra IIy 'n a i.r ,y -r g
504 — FIIVA BUILDING ENERGY
V
u,bnild'mgcat,mcwm,uul hereby autb... ',c r,p(1smn.uve,'Ir on, city .u""" apt
,
means--n,eni^ncdpomenybainspertionporpo,e,.
505,— FI L ELECTRICAL
p„
(We) agmen..,, indemnify and keep harmless the City of Ctm :mno against
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liabilities, judgment.. co,,, and cxpcn ch which may in any way arcate again., said
City in consequence of ,he grinning of this peon:,.
_ .) — GF- - TEST
APPLICANT I1NDIiRS1'AND AND WILL COMPLY WITH ALLSOyll
” URC : 'GULATk09�5 //
z-_— �
(Issued by: G Date
_ CAL
Re -roofs
_ `�
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IrnzARDOGS Mnrr:RIALS DISCLOSURE
509 — FINAL GRADE
Will the nPPlic.m, or r wo, building ocrimula sat.. or Knell' nv�nlon, m:dednl
asdetmmbmeCug,erninaMunicipal Code, chincr9.12Had the licall'and Sarcl.,
Type of Ro
510 -' FINAL PLANNING
Calc. Section 25532(.)'1
❑Yen ❑No
All roofs shall b51n4peete(Fj*WA1Q aP)jB6aj;n lying installed.
Will the applicant or future building occupant uw equipment or device%which
If it roof is installed without first obtaining an inspection. I agree to remove
emit hazardous air cnnuminants as defined by the Bary Area Air Quality Management
all new materials for inspection. Applicant Understands and will comply with
Di,triet,
❑Ye. 0 N
all non -point source regulations.
I navy rent Ilio M1uuvdau, ncnuriuls nnluim.nrnw unJcr Chnpmr 695 of the
Culilinnin Huuhh & Sufcty Gale. Scainns 255115, 2?533.nd 25544. I undcmm�J olio.
it ,M1c huilJing Jnr nn, currently M1are n Icnan., ohm i, i, my rc,pnmihilhy .n naily the
ecupam of ,he nquircmm�t. w h may be .n , prior w .stat. c, I u Cenilicm of
fxcuWt^<y.
Signature of Applicant Date
All roof coverings to be Class "B” or better
OFFICE