00100119/ CITY OF CUPERTINO -- _
Buu•Dirvc DIVISION PERMIT CONTRACTOR INFORMATION:
ITU I LDING ADDRESS. PERMIT NO.
10010/20 STELLI RD 001001.19
OWNER'S NAME. APPLICAI ON SUI.UA'I17
WANG STANLEY 1.0/17/2000
PHONE SANITARY NO. C'ON'TROL No,
G.rp-738—l8slexio
�ceZ ARCHI'TECr/ENGINEER: - BUILDING PERMIT INFO
❑ PLUG ELECT PLIIMR M110-
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a z N b - LICENSED nCON I licensed
p DECLARATION lob Description
O Z_ 1 hamby afootI thin 1 nm offhead anJcr.nrvlsion,of Chapter 9 rd o,beer,
F,mFtJi with Sttlforce an f of Division Ldthe RminesanJ lhv&.inns GNc.andmylicense
�p s Lirtrlull seClass ue, Lie.« TOWNHOMES (2) 1730 SQ. FT., LIVING (EACH)
a°LL ""` Contractor 441 SQ. FT. GARAGE (EACH)
G< ARCHITECT he
IIECLARATIrn
C��.a I unJurxwnA my plans Shall M1c anal to public rcmnla
a a Llcctnal Proressional
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OWNER-BUILDER DECLARATION
ti =to 1 hereby a0irm that I am esenapt Inn°the Contractor's License Law for the
H L< Rxllowing motion.(Section 7031.5.Business and Pmfevanas Code:Any city or county
E 2❑ which mquira,a permit In contract,clic,imrmYc,dratoi li.cant ars aructnrc
e. that Prior ua its issuancgalsoayuircslar,dicaut ho,ach Per tnitlo file asi,acd,,atemvnl
mat he is horn,ted prrsoanl to the......tons ofthe ennuaron,uccnne law(Chapter 9 Sq. Ft. Floor Area Valuation
(coaanmring with Suction 70)((0)of Division 3 of me Be,inesx and Profvvtiors Clair)
indict hel,cxcn u Faletrona unit the bans far tin,.11 Tcd csru,aiva Any violli inn
i f Section 7031.5 by any applicant for a permit subjects the applicant to a civil Penally
ofact late than live hnmbeddnnaR($500) APN Number Occup1ju5bgs
01.as owner of me pmpeny,or troy emplay,s with wages a,Meir sale cotttrcnsaeon.
will Jo The work,and the nwcmrc is not intended or nReted fur sale(Sec.7W4.
Baine„and rn,m„iad,Cade:'Ihe Cnantanr'x Lincu,u Law dnc,n,apply to an 35907003VOored Inspections
orir of prapcny Who hadds cr improve,dere n,and who dors ouch wad ninewif
through Inc;own anployces,provided that such impmvctttcros are non intended ter
uIcn l ror rale.IL however.ore Aladdin.or imprue:cut n Ill within one Yat'of 101 — FOUNDATION
nmaanion,the owncr-huildr,will have the burden of proving that he did not
mrrove far pntpaxc nf.ale.). A L D 102 — PIERS
d)..1 owner onhe protein,ria exclusively coutractiag with rcen.ed contractors to 103 — UFER
can6uct the project(Sec.7041,Iluslness and Profaduns Cale:)The Ca tra 1
1.mea,e Law dor,nbw
al am,lr ,ason,of property who..tach or aiipmves memt(tt� 1. 2��2 1.04 — REDAR t
and who contracts for such projects wall a mnvactur(a) licensed Pursuant In the
Cataract.,License Lax'.
o l am cxempl under Sec. B ItoP C fat this 105 — ANCHOR BOLTS
owu, Date ,(_4_xo� 4Yd ILDING 105 — SEWER R• WATER
ORK13R5 1'ENSATIONDE DECLARATION 202, — UNDERFLOOR PLUMBING
Ihereby amralunde rally ofrerjatyOne o the rouowingdeclaration,: 203 — UNDERFLOOR MECHANICAL_
0 1 have amt will mainlldn a Certineato or On"cnt to selrdnxule ror Wndcr, 204 — UNDERFLOOR _FRAME
Compcn,mlao, as provided ror by Section 370H0 of the Lthor Ctulc. for the
perrornaua nnl,e work r,wmen tin.permit is i...ed. 205 — UNDERFLOOR INSULATION
01 have and wl1IfimainWckrr',Coat,r,alonInsurance.a, e9uhtdfly Scou1 301. x — ROUGH PLUMBING
37W of the Labor Cues,far he performance of the work for which this permit is
isxncd.My Worker,cmnpumation Insurance carrier and Policy Otani arc: 302 — TUB & OR SHOWER
Carver: Palley No, 303 — ROUGH MECHANICAL ,
CE R I'IFICAI ION OF F.XpMPl'ION FROM WORKERS'
COMPENSATION INSURANCE 304 — ROUGH ELECTRICAL
(This section need non be completed if the reran is factor hundred catkin 305. - -FRAME
SI00) rlcxx) 306 — HOLDOWNS
I certify that in the rerfornerwe of the wad for Ishich this permll is issued.1
.hall ionemploy dry pa nor in tatty ufa or ,,:t.Ill become,,,bjcol in the Workers 307---- INSULATION- -
coal'if,mical awsofcalifomia.[)all 308 — SHEETROCK
Applicant
NOT10E'ro APPIACAN 1:It.aurrtnnla,tg this Cenmcam of Evetnwi r,sou xnoala 309: —r-EXTERIOR LATH
becotne rbj_l b,Lae Worker's Comgnwlna provision. A the Labor Code,Ynu nmol
O0 fnnhwith comply with such Pa.Wuns onhis permit shalt he declined rnokeJ. —
O 31.@ II+ITF_RTOR LATH
CONSTRUCHONLENDINGACENCv 311 — SCRATCH COAT
> I hereby nfhmt that mem is a c...ttun c n lending agency Ila the pof fofmance
W of the wurk int whim ed,ramtit i,i„tree(Sec 3097.civ.C.) 313 — ROOF NA.T I_
° p uder, rldr
aenJcisAJJrcss 501 — FINAL ELECTRICAL ENERGY
Is
U O I ecrtilY that 1 have read Tbia tt.pmnmon trod tale that tnc above inl'ormnmol'tx 502 — FINAL PLUMBING ENERGY
Fa correct.I if to comply with all ear an I net nolinxr...ani.dam laws minting
O v building canvarnotion,.,oil botchy authorize rIpmwinatives ofthi%city In enter upon 503 — FINAL MECHANICAL ENERGY
�.
e thafmYc.mcuaoneJ.ropcity Ila....patial pulls^e,. — -
F avey (we) itabounifyu.onto ahnt �V 504 FINAL BUILDING ENERIt �^
CO) liabilities,judgnanb,curb and eslrn,es which rally in any way accrue agdont said
U z City hacoin:loence(It file grating ofm'tnpemit. 505 FINAL ELECTRICAL
APPLICANT UNDERST )S AND WILL COMPLY WITH ALL NON-POIN' Issued by: Date
SOURC F Oil 1TION.- �.� �� y'
SiEuatnte of npr6ram)con,mclo Date Re-roofs 1 507 — F3 NRL--' PLUMBING-
HAY/sRDOU. . AIERIALSDISCLOSURE
Will the aprlicanl nr(mare Ladairg accap:mt ware or handle haeardnln m:nerial Type of Roof 508 — FINAL MECHANICAL
ot,derncd by life Carrolton Mareipal Code.Clans 9.12.and the ucdm:md Saint.,
adn.S,lon2553200! 509 — FI'NAL- GRADE
❑Ye, 0 N All roofs shall b ecled a r rial being installed.
Will the applicant or future building rccupo't use c9ufpnu•ll or devices which If a roof is insta 4vlthou �Ll fLnII p agree to remove
aniinm udnus mrnmwminants a,JmineJ FY the Ray Area Air Quality Mxnagemem �� p 7 pL comply D'txtdeff all new materials r ns—ec an will cam I with
CYvw 0No all non-poinbso rregulat
I have read tic laaaaartn nntmriul,r.,aicawn x corder Chains,6c.5 at life 503 ROOF BATTENS_
CAifomin Health k Safety Cole.Section.,255115,25573 and 25534.1 undersand that
Hobe hinWill,doe,not currently have atenant.that in,tnYm•rv,n,mutty10Funny the 604 — ROOF IN—PROGRESS
cupanl of the A, cots which tnu.0 be amt mar to nsu,tnse or a Cenifn,:ns of
""apan`Y _ Signature of Applicant Date
d uP
tom;!,-audit, r. ageaat — _ ” 1 IJii1L All roof coverings to be Class "B” or better
OFFICE