01030053 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO,
7763 SGUIREHILL CT SHOWCASE KITCHENS 01030053
OWNER'S NAME: APPLICNI ION SUIT DAI'li
STRCHNICK GREGORY L AND ISABEL - 12333 SARATOGA—SUN YVALE RD03/09/2001
PHONE: SANITARY NO. CION FROI.No,
(408)253-0412
BUILDING PERMIT INTO
O ARCHITECf/IiNGINEER: BLDG ELECT PLUMB MECH
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LICENSED CONfHACuOR•S DE ions it TIO" Job Description
O Z✓J G I hnx70 affirm than I car 3Ileoesud under provisions nl'Chvpter 9lconmtendng
scwithsection7fxxp of llivonn3ofthe Eusines and Rofessinn,C,dc d lie se
6 E ix in full Tome unJ cited.
o es< Licen Lie.x J KITCHEN REMODEL
.y Date Commotio
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OWNI R RUILDER DECLARATION ^�
u� 1 hcmb, fl n that I pt from ilm C yon I L., fur the
CZ6 f Ila ' g (Section 7031.5,Hirmes, adPnf ,Cd Ay city orcounry
O
which 4 isc ,i1 I I I h e I demolish. - P'' y structure O
i w prod I u' also y the applicant tt h'mot t fl g dstatement
i Ilail lie i,licensed par,tran,nII p tw t tire Contractor,L1 (Chapter9 Sq. Ft. Floor Area Valuatio
(commencing with Section 70(10)of Umsion J of the Ravneas and Pmfesdans Code)
nr Ihot he is esen,Id Iharctnnn and ILc basis for the nllegcal e,ampit r An,viulwmn
of Semon 7031.5 by any applicant lin n permit Sublecn the applicant In a civil penalty
of not marc than me hatulrtd dollars mason. APN Number Occupancy Type
C3 1. owner of the Pmi,tt,•orm,em,k,t,c,wit It wage,todmir sole eon,cr alion, ?
will do the work,and the ntrctum is not intended or offered for sale(Sec.7(/W.
6223
Ba,ine"and Prole. w ode:The Cormador,Lm„m,c Law rh .,bol apply m Required Inspections
owner of property Who milds or inmprves thereon,and who does such work himself
through his own elnployeex.provided Ihnl mels irondance an"arc not intcmkd or 101 — FOUNDATION
offend lot sale.It,huwcvec the building or improvement is.sold within one year of
completion.the owner luilder will leivc the home.of pro Ing mat frill tun meld m 1.02 — PIERS
mlprove roti purpose cf,ale.),
103 — UFER
❑I,as owner of the progeny.am e,dauc e%a contracting with licensede Oanur oro m -
Lamwd the Priem @,l ywa,owner ws and Pride„Ion,Coda:)mp estheemr, ] 04 — REPA R
ice re Law does not apply man owner with
Pmperlo wan hulice or imposes thereon.
and who contracts IL such projects with :r cn„oadonvl Iicelmaed purnmint m= 105 — ANCHOR BOLTS
Contractors 1-Mende Law.
❑lam ea'mpi under Sec. Rxrch,r llmiw rea.oIm 106 — SEWER & WATER
Owner Dale 202 — UNDERFLOOR PLUMBING
WORKER'S COMPENSXI[ON DECLARATION 203 — UNDERFLOOR MECHANICAL
Ihemby afhrm under penauyof peciiry one of me following declaritims: 204 — UNDERFLOOR FRAME
0 1 have and will maintain a Cenircarc of Consent In %elf.insurc for Worker's 205 — UNDERFLOOR INSULATION '
C ipemmi.... as provided lin by Sedinn 3701 of Inn Lubar Calc, lin the
penin,turee(it the work for which this pennitisiswa,vL 301 — ROUGH PLUMBING
❑I ove:rod will maintain Worker's Co nPemation Insurance,as required by Section 2 —
lnlo of the Iabor Cale.for the performance of the work rte which this perndt i, 3@ TUB & 0 R SHOWER
„md.M WWafke,,r,,.,C,n,�'No........mwmr,ccarrierrun Policy no iter am: 303 — ROUGH MECHANICAL
'ander: ""`i�I'nliey"a' b— 00R, 304 — ROUGH ELECTRICAL
CERI'ITICAl]ON DIa ILSEMPIlUN f " WOHKLIiS'
COMPHNSATION INSURANCE 305 — FRAME
films Ivcaon need nal be completed it the Permit is for one hundred drifters 306 — HOLDOWNS
(Man one>,.1
I cdity thus in mho performance of Inc wad far w
ihich tPee
his rmit is Ix,tied, 307 — INSULATION
.11:111 mil employ any per,mm in any,manner so as to become,object In the Worker 308 — SHEET ROCK
Con,Pematinn"W,.1 Cold orof,Damc
Applicant 309 — EXTERIOR LATH
NOIICE TO APPLICANT:IL atm,nmking this Cer ilicale of l?aemption.you should
0 m•ctune dries it the Worker's Cmnpensation provision,of the l-abm Cave.you most 310 — INTERIOR LATH
O forthwith comply with mrchrowisiomort]if,Permit shall bedecmed revoked.
z 311 — SCRATCH COAT
FC(INSTRUCIlON LENDING AOIiNCY —
a > 1 herby amyl that mere is a conmo ction lending agency for the perfommana 313 ROOF NAIL
o it d,—Nib,Lanirn mi,,mdtisi uea(see.3147.civ.c.) 501 — FINAL ELECTRICAL ENERGY
a z IsndchAJJrcm 502 — FINAL PLUMBING ENERGY
U O Icrnifylhar l nm read misapplication and vise that the amide inh....eian In 503 — FINAL MECHANICAL ENERGY
W correct.I agree Tu dm,ply with all city and county ordinances and cute laws renting
O U orhuilding,vnamclion,and herby authrweoc,lesentamive.of this city,,crier.,at 504 — FINAL BUILDING ENERGY
�y r� the uMrvwncnuened property for insl,cion purpose,,
CL. (We)agrec to save.indemnify and keep harmisw the Ckyot Cupertino against
tin Iiahihee,.judgments,cod,:md e,pense.,which may in city way acer —e against said �� 505 FINAL ELECTRICAL /
f) z
City in consequence of the gr/// gnl'Ihis permit 3 - q O /
'LICAff DF.RI elovotin'!DWit.I.COMPISWITHA LNON-POINT Issued b 506 _ GRS TEST Dale (�
ti YO 1 CE tC r LATIONS I //JJRt y'
nM71 rorYr, ..m
uI IA/. Ir Dam Re-roofs
uz RDDusMnniHIn1.SDIscLosuee 508 — FINAL MECHANICAL
n time applicants future buildmgaccnpant>am m handle h:raauJommanvial Type of Roof 509 — FINAL GRADE
a,denied ny the Cupenlnn Mmdrlpal Code.Chirpier 4.12,and the nealm and Safety
Ode.Section 15.112007 I
O Ye, Cl No S10 FI AL FL NI aG.
All roofs shall be ��1I55pgcame E�CI any,.( Ong, 1 g installed.
wu maalpplianm on metre nadmi„g r,crlpam llse eynipment or device' If a roof is installed b7ihoui fi , nCn tit ec�Sli�i�,T3gree to remove
emit harmonium air confirmation a,defined by he It.y Alta Air Quality Management
Dicfidl all new materials for inspection. Applicant understands and will comply with
❑Yes 0No all non-point source regulations.
1 have read the haaact materials requirements under Chapter 645 of the
California I houlth ffi Sutety Code.Sections 25505.25513 unit 25534.1 understand that
if the huilding docs oat dnrcndy have a tenant mat it is my mspon,ibility to notify The
a,upam of Ilia rcyuircmn hien Inus1 nc mut prior to iv,nuncu of a CcmiOcmc of
cupurl` a._ 0(1 Signature of Applicant Date
ag , Irate All roof coverings to be Class "B”or better
OFFICE