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02020035 (2) CITY OF CUPERTINO BUILDING DIVISION PERMIT CONTRACTOR MORMATIO. . BUILDING ADDRESS: PERMIT NO. 10960 SANTA TERESA DR 02020035 WNER'S NAME: APPLICATION SUB DATE MOHAN RAM P AND SHEILA 02/08/2002 ItV PHONE: SANITARY NO. CONTROL NO. O O ARCHITECT(ENGINEER: BUILDING PERMIT INFO m u F BLDG ELECT PLUMB MECH y a Z H C I hemby afi'no hal I am NSED liensedLunder provisions DECLARATIONons of Chapter 9(commencing Job Description In t:-iwith Section 7000)of Division 3 ofthe Businessand Professions Code.And my license in ton(tore dna efr D 2��� 5L} EL. x s-, Liens Lia a 0,U O Dae C nas or O ARCHITECT'S as or 1 underemnd my plans shall W used as public rtcar s �.aaooa5 G al Licemed Profc.simnal AUG,0 L o OWNER-BUILDER DECLARATION 1 hereby affirm that 1 am1. exempt from the Contractor's License Law for the BUILDING ?< followingprMason.permit ]Wstr Business and Professions Code:Any tiny orcounty $28300 Y CF C which requires a permiw to ronnrvn,alto(,improve,demolish,or repair any swaum Z. -Prionoits issuance,also rzquism the applicam for such permiuo 6l<aaigned mumrn Wt hais Bcesurd puauanuo Ne provisions of Contrectds Uccnx law Chapter Sg Ft.,Floor Area, s (commencing with Section 7000)of Division 3 of the Business and Professions Code) ?� i.�• a Valuation m that IM ii rxcrtipt th reform end me Wsis far the alleged masngibn.Any violation 35 6'13 0 0 3''I'0 0•-v 1'a'of Section 7031.5 by any applicant for a permit subjects the applicam no a civil penalty .mr nlat m0.than five hundred do]]...($5W). APN Number Occupancy Type oLu.awnet arthe m.ar int la ee�whh wet<a..mei(anle cum Dan, 101 - FOUNDATION Pd to Y YemP Y g petro will rc the work,and the urb:The is not intended at offered for sale(Secy 7864,Bto - PTERS — ownier ofdna Poxary Who b Cad:Th<C°nwhereo,and s Law etas naw appb m an Required Inspections owner of progeny Who bullas or improves thereon,end who does such work himself 103 - UFER or through his own employees.provided that such improvements ere not intended or _1 4 - — REBAR "oRcidd for We.If,however.the building or improvcmcbi is sold wimin one year of -- - completion,meevner-buaduwill have the burden ofproving that hedid not Wild or 105 - ANCHOR BOLTS improve for purpose of sale.). 10.6 =.._.SEWER . &._WATER .'_. _.. 0 1.As owner of the propertY am exclusively contracting with licensed contractors I a 202 - UNDERFLOOR PLUMBING construct the project(Sec.7064,Business and Profusions Code:)The Contractor a adwhLicense lawdetfapplyman air of a.comywha Wilds or 203 - UNDERFLOOR MECHANICAL . and who convects for,such.projeas.wim a conwaor(s)licensed pursoam ao.me ._ . Conlmd°ia License Law. _ . ,... .. .. .... .. .. ._. ._.. .. -. ❑I am mcmp,under Sce. ,B&P C formic moon 204 - UNDERFLOOR FRAME 205 - UNDERFLOOR INSULATION WORKER'S COMPENSATION DECLARATION 301 - ROUGH PLUMBING I hereby affirm under penalty of perjury one of the following dalantiom: 302 - TUB & OR SHOWER Iffy 303 - ROUGH MECHANICAL ❑ 1 have end will maintain a Certificate Consent to self-insure far Worker's Compensation, as provided for by Section 3700 of Ne labor Code, for the 304 ROUGH ELECTRICAL performance of me work for which this Permit is issued. . 305 - FRAME l have and will maintain Workeh Compensation Insurance,as requirca by Section 306 - HOEDOWNS X100 of the labor Code,for the performance of the work for which this permit is ,y iAs Ad My Workcr'�Compcnmtion Lnsun r,ierand Policy number eR:' 307.- —. .INSULATION , .o.. ..._.. ._. ...........� .. _ . OOG1d IoY._.._ _ _ 308( SHEETROCK i;.,•t e.men �a'4 "CAT, OF EXEMy ON FRAM WQRKERS'; - V /.N I . s � tot • '.. '• COMPENSATION,INSURANCE - ..30.9..__..._&XTE I.OR_J.ATH_-......... ... ...._._.....— ' -.._...... - •7'1' Irbil tact ion need rdta,Completcdifihepermitisheoa,handled dollaa 310: INTERIOR LATH - E100fofrs) 311 - SCRATCH COAT ' I certify that in the n in any ma n the work for which this ct to the issued,l 313 - -ROOF NAIL A'hell pent employ any person m any manner so m m become subject,o Ne Workcri lampcnaaeam lawn of California.0.?e SOI - FINAL ELECTRICAL ENERGY Applicant NDncETOAPPucANr.If.After mpensMaking mi.CemineudEsabrCrell,yoush.tild you 502 - FINAL PLUMBING ENERGY z bet:lawsthco ply thewith suchprvoionsorthisPer itshalafthe laWdCvoked. most 503 - FINAL MECHANICAL ENERGY O O ronhwim comply with such provisions or this garment shell be domed revoked. Z2 . -.. .. - - - -504, - FINAL- BUILDING ENERGY, '^ ^ CONSTRUCTION LENDING AGENCY '' '',I hereby affirm that there is'a construction lending agency for mi performance 505 - FINAL ELECTRICAL ' t of the work for which Nis permit is issoad(Sec.31)97,Civ.C.) ' - ' 506 - GAS TEST - y.❑ ' L<ndar's Name..,._ .. ....:..,.s.., .. _....... . ...... .. . '.:�. _. D z Lbdcr' Adclocss 507 - FINAL PLUMBING U'O i cemfy that I have sea this application and auto that the above information is 508 - FINAL MECHANICAL W-Est conal.I agree to comply with all city and county ordinances and auto laws relating O_rJ to Wilding conauucuon,end hemby AUNorire mpmxnutivm ofthis city m enter upon 509 — FINAL GRADE y:k theeWxe-me a ppapemmrinspecbmnpurpaxs., 510 - FINAL PLANNING es,judgments. dgme ts.cost indemnify and keep harmless me Ciiy of Cupertino a said, W liabilities,judgments.casts and expenses which may in my way stria against said C WORKS V•7J.. City in CANT UND of Ne gaming mf Nix per,ntL ' APPLICANT VNDERSTANDS A D COMPLY 7TH ALt:NON-P 1 (� t' SOURCE REGULATIONS: $/�1 Issued by: Dale Signature of ApplicanJConwnor' Dale;" Re-IOOfS IjAZARDOUS M RIALS DISCLOSURE ' w,n'we.pyBmntarmmrehaaaingarouwntnota«.wmale.n:.a:eoo.m.weria ...Type of Roof. as ac6ned by me C Nino Mumcipsl Code,CTapw 9.12 end the Hr Lh and Surety -- CoaaSectiont 1a)7' -..j5y..i.r•;-} ^ - ❑Yes'C ";"' �: r.•::: All roofs sha]l_bc inspected-prior to,any roofing material being_installed._. _ Mti6 We appiiwn,or future Wilding occupant use ceopment or devices which If a roof is installed without fust obtaining an inspection;'I agree to'retnove emit haaudous air contaminants As defined by me Bay Arta Air Quality Management r District? . all new materials for inspection. Applicant understands and will comply with °v i �ie� "all non-point source regulations. 1'h (rad ma hixardous maenads na,m rrobas under Chapter 6.95 of the California Health&Safety Code Sekuom 8505,15533 and 25536 1 undmund that f the an 6 g does urn curtcmly have a mnanL mal nus my rtsponsibibty to nIII Ne — - - - - cupknt Of N'regm net whu must h ton pnm to issuance of a c-,".. m of aw° / Signature of Applicant Date Owrerm,u?no�"er!•• a,�. All roof coverings to be Class "B" or better • 02/06/2002 21:84 14082810893 v CABINET CRAFT a PAGE 02 y CDAj m OU • _ o d < m d d N a < .. 0 O O J W �J 00 L OCEE till . . y II nl w ti a � 04 Z0 3Jyd ONI 53OIAd35 1IW83d E93LEZSLOL 06:80 LOJZI_O/z3 • ,02/06/2002 21:84 140626:0893 CABINET CRAFT PAGE 03 1.4 r- $1,008 Khetum &.Dam �N.. . s:00.E CA 051° 10 s 'r i r Z t t� J 1 �: . N IFN C--. � - � 3 0_o c . moi c1i • T � o C r � '£ 3 � o p AO ti 1t1 O N � O o rn z O 3 N 3 N moU 3', EO 3JCd ONI S30IAd3S IIW'Oal E99L8i.SLOL 0E:88 300Z/110/80