02060158 TINO
CITY UILDING DIV SIONPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO,
10407 SOMERSET CT RODRIGUEZ JAMES J AND LORI 02060158
OWNER'S NAME: APPLICATION SUB DATE
Aft RODRIGUEZ JAMES J AND LORI 06/25/2002
11 'HONG: SANITARY NO. CONTROL NO.
reZ ARCHITECr/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
f9 LICENSED CONTRACTOR'S DECLARATION Job Descrip(�ol�d tlenirE—
�
O Z g� 1 hereby affirm thus I am li¢n.md under provisions of Chupmr 9(commencing
wire Section 7")017Division 3 fifth,laidoussand Professions Code.imd my license KITCHEN REMODEL
is in run force and effect. qq
License Close Lic.Jr SEP O J 2OO[
3LLe Date SUECLAr (1102010107)
I"i, ARCHITECTS DECLARATION tt
t LL to
0 g 1 understand my plans shall be used as public records 1 p�
pp`Ore LicensedYrofcssinnal OWNER- ��ILD�itl�
a BUILDER DECLARATION
6m, 1 hereby affirm that I am exempt from the Contractor's License Law for the 3�0
t Z following reason.(Section 7031.5.Business and Professions Gde'.Any city°r county
D which requites a permit m...surto, her,improve,demolish,or repair by structure. Z
a3w priorm,ts to also q the appTcant mrsacnv=tmit, n ae edwemenr -
- -
ton!pq lg licensed pursuantt the provisions of the Contractor's License La (Chapter9 pA S Ft Floor AreaY, q 7 �* }ja{UdllOn
boron c6S with Set n70A fU iotm 3 of the Business and P Q,; .Code) f�_i/.`'slti x`5'9 A CPU '11Q,1' I)RINLAr� 4t.�.b1: $250M
or that be is esemp,therefrom and the bass for the allfged cxnmpoon.Any violation
of Section 7031.5 by any applicant for a permit subjects the applicant in civil penalty
of no,mom man five hundred dollar.($5001, 3 6 9 � b Occupancy Type
o Las owner of the property.m my employees with wages as their sole compensation.
othe (See
Business
the Pro and is Code:The isnot Intended License
Law does no apply to an -- - -- -'---- '- ---- '-- -""
owner es oda Po°r,Who aide:The otth ors uaenw Law does not apply m an 101 - FOUNDAT IIZ$�Atired Inspections :,•.' .. L
owner or property who loyves or improves me Bch i and who does omen wink intended
or 102 - PIERS
or through his own employees.provided the such improvements are not inteMeJ or
'fr
- dcil'foTvlc If.li6wevu,the builJinB or improvement ii iolJ�wimin one yea of---�-- - � - - -- ------ ---- ------------------n—,';— -------_- -- - - ""_ __.. .
c"ompletion,the owner-hmlderwin nave me nmaen nrrrovmg mat l:e am not nail.,,, 103 UFER ' •,
improvem,mitsomirsvle.). 104 - REBAR
cJLauownerprojec p(Seeny.am Business
and Pracegw6nfiansedeommcwrsm -- 105_..-_ ANCHOR--BOLTS al-1 '.. ., rr. ,
icewn the reject(Sec Ito a,Business and Professions Cale:)The Contractortheri •s I
" fist«ate law does not apply to an owner or property who Wilds or improve.mereon, 106 - SEWER & WATER '... ...
and who contracts for.sach.prolects.with a contracoms).licenxd pursuant.to.the _ ---- 2'02-----'UNDERFLOOR- -PLUMBING"'--
ontmemr's License Law.
tC37W
it,<xemP,underse<.' ""' " " B&PCforthisreason 203 - UNDERFLOOR`'MECHANICAL
Dat 204 - UNDERFLOOR FRAME
woRKr:R•scoMnnoNnrcLARAnoN205 - UNDERFLOOR INSULATION
I hereby affirm under penalty of perjury ane of the following declarations: 3 0 1 - ROUGH PLUMBING
1 hav amt wildmaintain v Cenificaie al Consent ,o eell.iman, for worker's302 - TUB & OR SHOWER
ompensation, as provided for by Section 37011 of the tabor C111. Tor the
rformanceovine work Tor whim this permsis issaed. 303 - ROUGH MECHANICAL
1 have and will maintain Wmkcr's Compensvli oInsurance.as required by Scotto304 - ROUGH ELECTRICAL
of me Labor Cope.for the performance of the work for which this permit issued My Workers Co pc i Insurance tam305 - FRAME
er and Pol cy number am.amet'.'::1 t-1 �'PorcyN _
` t,,CPRTIFICATIONOFMEM17IONFROM WORKERS'1' t-..� 11 %3 07- •- INSULATION
COMPENSATIONINSURANCE'•'"".• ..
_...• . .. _-._.--_-_--3 08�-;--.-SHEETROCK-.-"--- --
(This'section need not he completed it the permit is for one hundred dollars `
csloo)one�s3 _ 309 - EXTERIOR LATH
. 1 [ly d'a(in tM1 p if "fit"
so k fdr wnt tois p , s�<a'i - " 310- -- 'INTERIOR.-LATH
'tnml n t crop any pe: r "VItt-ct to me workers 311 - SCRATCH 'COAT
Comt,cnmttnn Gahro "`d
- APpI¢ Q m, ate NAIL ------- :.._ .r_ - -- - - -- -- --- . .
Nrn'I onrr CANT: , tern king"is", ,at<°fE aption,you"'in 501 - FINAL ELECTRICAL ENERGY
recon a)«uo t e woo ra compo satmn prov'f:ren.of me labor Gale,you most
c z0 fonhwt tmsneh °rmispems,"aBxdeemitne"ked _ . 5D2 . - _FINAL _PLUMBING_ ENERGY..
"CIINSTRUCTION LEND[NGAGENCY 503 - FINAL MECHANICAL ENERGY '
> I hereby affion that there is a com motion lending agency for the performance'
oftm.,it for h htn, perms i,i s.cal Sot 30ta Ci -c) 504 FINAL BUILDING ENERGY
U O0 L`"d" ,Name
- - - - 505 - FINAL ELECTRICAL
Len le sAddrc.:
506 - GAS TEST /
I gfyth that dth city
t dttmnM1 w f t
c F Fon t I go m hereby
d tr r d store I Tog 507 - FINAL PLUMBING
[1 toWilding I run dh M1y thr p tf cs of this city it) ¢r upon
p., fs1
the above We)gronwprpen r andkephatrai _ 508 - FINAL MECHANICAL
r<„ ps IN 1 ge t m d 'pensee i haml.s the C,y fC pen oagvaid
liabilities,1 pg r er expenses which v :,nr r g ins erre 509 - FINAL GRA
V'z Ci,y' consequence of th t g f mis pe t - 10 �: N NG �.
APP.ICANT UNDErl' ,. ANt))1'ILLCOMPLVWITHALLNO' � 1NT Issued Dale
SOt q.REGUL, "9 t '. �'�'�J/d
ofA mmnlO,tenor Date 'w
,gpan Re-roofs
f1AL amne hIAT,occu, DISCLOSURE
ill the upper nr hnnm building acupant stare ur handle hurWou.material .-,,.Type.of.ROof.
a
c Ivied byithc Cupertino Muni Cale.Chapter 9.l2.and the llcahh and SvfctY
Code.Section 25532(.)'. ' syr'.i1 z r ! Fy:,' i "` .%t "tr E 't'ss:.�.y,f .Y : .. ..
O Ycs' .. ,
�'. �'"l° i• + _. -_ _ _-All roofs shall be inspected priorAo' any roofing.material being installed. -
Will,heapplicant orfuture building occupant useequipment ordevices which If a roof Is installed without first obtaining an inspection, I agree to remove
cron,hircandim,air contaminants as defined by he B,Ar",A Quality Management
District? all new materials for inspection. Applicant understands and will comply with
°Ye ISN° all-non-point source'regulations.
1 have read the hazardous materials requirements under Chapter 6.95 of the
California Health h Safe,,Code,Sections 25505.25533 and 25531 1 understand,hm -
ifthebuilding doe.no,currently have a tenant,that it is my responsibility to portly the - " - - - - - - - - - --
occupam of N to which moon be mer prm i...arm of a Certificate of
`Y' Signature of Applicant Date_
2:
';.
tnorineaa eat / ,te All roof coverings to be Class "B"or.better
OFFICE....