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00060176Gril CITY OF CUPERTINO CONTRACTOR INFORMATION: BUILDING DIVISION PERMIT B W LDUG ADI .'.. PERMIT NO, OWNER'S NANYAMAOKA GEORGE AND MI514KJ 2000 ZONE,: SANI'I'AkY NO. CON 11401, NO. a ARCHITGCDENGINEER: BUILDING I;ERM1'r INFO qO w El ELECT PLUMB MECH Z LICENSED CONTRAC'1 OR If I IFCLARNI'ION DLC 101 E Ihereby aOrmmmlamlicensed under provisions ofChapter 9(conamacing NEW T—Bti ca sn Son a9NNB cinnJnfhe license is lcRqrel3?Licnew� Lic. a ,J b -U Dale Cmarach" 5 ECT'ti UECLnere1N lain ull be use] ac pnhlic rcamts 1 undemmnE my pm Qhkensal l'mfe„inns] RXI �i UWNIim exempt License Law for y ontrION I hereby .(Erin that 1 am exempt from the Contractor's the rose the Cuda: Any aIle nranmty following reacs lion S. It. and C v p aper con alter ve.demoli nr repair structure which rcyuire,apermit ILIre mresthe akar,impmvah 0 ' a signed afammem permits ed statement prior m', issuance, also requires the applicant for such Pamir to Sq. FL Floor Area VS cnmmsines Locn,a Law — mmnmir l Jpurunm minep ,, e,oma,ptcr9 at,v f Tokirofhc (commenting with Section vi Q,Jon fhe bass n J of the Ravine„ mW , ions Any ant the basis for the ducted exemption. Any violation of thatheis therefrom and tAny of 31.5 b TFm stJ9acbthe uppllenm an al cion pam,llr moethniv anedred r.T! �.7a �• APM31F50—M083 00 Occupancy Type P y YP dollrnl:Ilw+edit of not more than live hundred dollar ($51X1). not Cl %a, o„'ncr mf me I ..pat', nr I,ly amploy,ti, with wage, a, tnJir,nle lonapenvatlna, 101 — FOUBlI Td I}I6becUons will do the work, and the stmcuoc is not intended or offered ]or sale (sec. awn' Bra„ and m, Calc The PmdesioCaThe Can a chin', License Law toe, not apply In an I. daho does sack himself of pn,,,ly W1 brim, or In,pro,, me:eond wk wor or Through 102 — PIERS his own employeesprovided that such inmoxamcas are not mended or offered far sale. If. however, the huildut, nr imarewaemm is sold xhtbin one year of 103 — UFER the owner-milder will have the harden of proving that he did not build or inapleliun. mprve far purpoNot s.1e.L 104 — REBAR El 1, a% other of fire prulperly.,on exclusirofly contracting with hLeawd comraClur, to 105 — ANCHOR BOLTS CO RQTUCL the project (Sec. ]BW. Business and professions Cadep'Ibe Cnnwcmr', License Law does nor apply to air owner or property who build, or improves thereon. 1.06 — SEWER & WATER and win, contracts for ,00h projects with a mnhaoor s) licenced Personal m, the Cralmaor, License L:ew 2202 — UNDERFLOOR PLUMBING 01 am t,morm under See. . R K P C for 'his maw. P03 — UNDERFLOOR MECHANICAL owner [)ala WORKERS COMPENSATION IyECI.%RATION 204 — UNDERFLOOR FRAME I bench,afire order petmhyol pe,.,,,nC nnhe fnuowingdealaraaona: 2205 — UNDERFLOOR INSULATION ' I neve and will Innintain :t Cenin, ere of C isent to self.in.wre for Worker, 301 — ROUGH PLUMBING ,mpematlon, as provided Inr by Section InX1 of the labor Cole, fur the 302 — TUB & OR SHOWER feassmorncaofhexorkf which his permit I,i... ed. ❑ 1 have and will maintain Worker's Cunepensatfon Insurance. a, nal by Section 303 — ROUGH MECHANICAL 37g1 of the Labor Calc, for the performance of the wok for which mi, permit is 304 — ROUGH ELECTRICAL issued. MyWorkcr,Compen,:dmn1,oramecarrier 1r number am Carer:_ � �—[�police No, ((Q�/ 7 FROM WORKERS 305 — FRAME cER ICAr10NllPEKEMPI'ION 306 — HOLDOWNS COMI'ENSAI'ION INSURANCE (This rection need not be completed if the permit i, for one hundred dollar 307 — INSULATION (Sanmle") 308 — SHEETROCK I CCmfy mm in the performance of the work for which this perm, is issued.1 309 — EXTERIOR LATH ,hall amt employ any in any nwnncr nm a, m bcemma,ahim to ora Workers' Compensation Laws ofCalifornia. Dale Applmamt 310 311 — INTERIOR LATH — SCRATCH COAT NO]ICF TO App1.ICA INI:It. arta making IIi, CCmfCen Of E.CaFtI a L, yon S alIt1 Z become subject to the Worker's Compensation provision, of the labor Core. you must mmew'Ith Comply wale such or this permit .hall be deemed revoked. 313 — ROOF NAIL ., pm.Wom 7CONSTRUCfION LENDING AGENCY 501 — FINAL ELECTRICAL ENERGY 1 hemby "Ifo, that there is a anou action lending agency for,he performance ,Ithe workfar whi,heti, Peron, ooad(Set.3097.C.,.C.) 502 —FINAL PLUMBING ENERGY nla r, Addre ss . r 503 — FINAL MECHANICAL ENERGY z ^� catinnanddarc bar hesixo.i fomtion1, ICernythatIhavemadthisappfm 504 — FINAL BUILDING ENERGY correct. I agree a, aanply with all city nor county ordinances and ,fare laws o lacing t,, buildingconslmaiom.aadnembynaltmuprepfcaenherve.ofhasCitytoemervia 505 — FINAL ELECTRICAL y Y the above-mentioned property but inspection purposes. , soc.indenify:Ind keephanmletheCtytdCmpenmoagaifo We) agree mm,s 506 — GAS TEST (Q—ZG—o'e7 » widen I,ealy b amy was aecme :Igaina said co iudgmems. Cosa, and mil 507 — FINAL PLUMBING Z of this City in CANT UND R the grunting nl this permit. City in APPLICANT AND WILL COMPLY WITH ALL NON POINr Issued by: SQjg — GTNAI MECHpNT CALDate REGULATIONS, SOURCE REGULATIONS. Re-root's 509 — FINAL GRADE st'na nfnppfc,ad/Commcmr nam HAY,nRDOUS MATERIALS DISCLOSURE Will the ... heart or more building oee.ranl same ser handle lmsardon,mamritl Type of Root' 510 — FINAL PLANNING a, dammed by me Coperino Nwedcipal CodC. Chapter 9.12, and the Wealth and safety 514 — FINAL PUBLIC WORKS Calc.Noclion 0yc' 2553200!0No All roofs shall be inspected prior to any rooting material being installed. Will theappnealnlorlmane building „Ceemaatase eynianemtorInoi.,,swhieh If a roof is installed without first obtaining an inspection, I agree to remove nit hmramer, air emnmmirmho m defned by the clay Area Air cook' M.nagearem all new materials for inspection. Applicant understands and.will comply with ,mictr oye, 0N all non-poinl source regulations. 1 has read the hamadon, m:nerialk merirenmas under Chapter b91 of the Cal'donda 1lehllh h Safe,, Cure, Sec Eon, 255(15.25533 and 25534. 1 and... I I than if the building due, not O manly have o tenant, mat itis my res W mihllhy m notify the wOpam of me rap:imidem, which rue he met prior to i,adarec of a Cenifcam or Occapancy Signature of Applicant Date All roof coverings to be Class "B” or better ownetmatm,mi,.m ager„t mase Gril FA `7 7 E S , "d wjct:t'e 0©0z GS -F)pw 42TS 02E: eat, '014 xlljd 7f" tll tic, of k$ - FA `7 7 E S , "d wjct:t'e 0©0z GS -F)pw 42TS 02E: eat, '014 xlljd CITY 06 11 10f�10L WffljANCES ')ATE 77 6 - z c in ilGNED__�� chis set o: p %:tc itic IP(-LIf �Ctrllls MUST -JJ I;fI!eS:;nditLsun 44(WO Ili -c �il) u a:terauom, on some vrilb u ;)e Mission frocl .he buildin', 1'ap f"L'Pulwo. rhe stampinF, it VJ specificad" ,SHALL NO)i be 11LIO li i'li: m,. ar to be ar, Ipproval of. 410 groZ&.O nn.v Cil Tv { Srtir ° IJ Di U,• I I I'll Wl.E7 IJAOIJWIJA I 35603LL : wobu tic, CITY 06 11 10f�10L WffljANCES ')ATE 77 6 - z c in ilGNED__�� chis set o: p %:tc itic IP(-LIf �Ctrllls MUST -JJ I;fI!eS:;nditLsun 44(WO Ili -c �il) u a:terauom, on some vrilb u ;)e Mission frocl .he buildin', 1'ap f"L'Pulwo. rhe stampinF, it VJ specificad" ,SHALL NO)i be 11LIO li i'li: m,. ar to be ar, Ipproval of. 410 groZ&.O nn.v Cil Tv { Srtir ° IJ Di U,• I I I'll Wl.E7 IJAOIJWIJA I 35603LL : wobu