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171
CIBUILDING
BUILDING ISIONPERMIT
CONTRACTOR INFORMATION:
BUILDING ADDRESS:
PERMIT NO.
20330 STEVENS CREEK BLVD
HOWARD WRIGHT
CONSTRUCTION
00.01090087
OWNER'S NAME:
APPLICATION SUB DATE
SYMANTCC CORPRATIONS. CC2
PIER 9,
THE EMBARCADERO
09/20/2001
PHONE:
SANITARY NO. CONTROL NO.
(206)447-7672
ARCHITECGENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
Job Description
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing
with Section 7")ofDivision 3offs, Business and mylicense
TENANT
P
IMPROVEMENT.
TPryfensCodc�
Lin full force and effect 6b O4d
icense em. Q Lir«
CONFERENCE
RM.
Date Contractor V G
ARCHITECTS DECLARATION
1 W
FI N A LLQ' ®
o a �"1 G
undemand my plans shall m used public records
NOV 1 2001
Licensed Profeesionm
OWNER -BUILDER DECLARATION
I hereby a(Onm License taw fou the
11. caempt from the Cessions
on Business and Professions Code: Any city or county
(allowing (Section 703 au
mmmn.
construct.
which eqd es parrot i . f n, abs lap e demolish. or repair any stmnure
pnio to is iva«e, el q tlrc apple tf <h pemuuo Bkaniemdnu¢mem-
__ _ ...
.. ___ _
f y S Ft FloorAregT
�t_i N Rri q� h_��.�
nation
twine T«mMpuis tt th proviam arthacrtmct«s Lica.Law(Chrm,9
Section 7") fEvi. 3 fth Business Professions Code)
(co ran .g,_th and
or that he is exempt therefrom and the basis for the alleged akempaik, Any violation
M1 k:5ks,
i_'a •.3 .r,.[J
)
of Section 703 L5 by any applicant for a permit subjam the applicant an is civil penalty
of not more than rive hundred dollars ($5110).
"ROumber
Occupancy Type
a 1. ss ownaorine pmpenr. a lar emplorees wan wages ss tneb sole compcnswon,
_
will do'the work, and the structure is not intended or offered Tor alae (Sec. 7014,
'Business and Professions Code: The Contractor's Liceme Law does not apply to an
102 —
PIERS Required Inspections +
awns« of propenr Wm Wilds or improves thermn and who does such work ldmsaf
103 —
UFER '
or through his own empl.ye«. p,.,,dcd then such improvements art n« intended or
oHcrid for sale. If, however, the building or improvement is sold within one year of
10 4 —
REBAR ' . .
the owner-WBder will have the Harden of proving that he aid not wild or
mcompletion,
prove for purpose of sale.).
105 —
ANCHOR BOLTS
❑LasownerofheptSeeny.amBain. cwnzetimgwithflanndewnecmrom
106 -
SEWER & WATER
Lice se theproject(app.Ttoa Bmieaafdnaertywhobocode:)The contractor:
imnee Law does not apply to an owner rr progeny was milae or improves mertnn,
202 -
UNDERFLOOR PLUMBING
and no ennlmma lar such projects with a rmoow icor ) licensed pursuant to the
203 —
UNDERFLOOR MECHANI CAL.
Contractors Licmae law.
-
❑lam exempt under 5th. ,B&PCfor hia rtawn204
—
UNDERFLOOR"FRAME•'"
Oise, Due
205 —
UNDERFLOOR INSULATION
WORKER'SCOMPENSATIONDECLARATION
301 —
ROUGH PLUMBING
I hereby affirm om15, penalty or Perjury me of W following declarations:
302 —
TUB & OR SHOWER
❑ I have and will'nomeiain a CatiBcale of consent ou B"insane fm Workers
3 03 -
ROUGH MECHANICAL
roc by tion noB or he lam, cane, roc the
Compensation. as wart,
performance of the work for which this Trait is issued.
304 —
ROUGH ELECTRICAL
❑ 1 have end will notme. Worker i Compensation Wasomi e, u required by Section
3 05 -
FRAME
37rlo or he lam, coda, for he pedo., of the wok Bar which this pcard, is
3 0 6 —
HOEDOWNS
issued. My WokefsCompensation Incur n let and Poi'ry number art .i
...._..
...........o
E GJ �.,3 Ir
C.m' o -6a, /«7 7ptyspalc No C2 6r� Ir ro
307 .-
INSULAT,ION, i
r
, " CERTCER+T. CATION OF EXEMPTIONFROM WORKERS's
�_
s
308 '='BHEETROCK
'�`
�,. " _ ., COMPENSATION INSURANCE; ;'
_.__,..._309`..=:EXTERIOR-"LATH..__.,
__......._.---._.._.
_ ....._ .. ... _.
.• .
Y os sectico need mot m cola lewd if he Trait is far one hundred dollen
° °
310 -
INTERIOR LATH
(S100)or less)
"
1 cettifr that in the p of rte wok for which this permit isaaca, I
—
311 -
SCRATCH COAT -' -
° i • : r ,
in anm
a
Como noten employ in any manner .w as to become iubj«t to the Workers'
313 -
ROOF NAIL •' 1 `" t' : _''
wa of rill
Compensation Iowa of Califomie. Data
- , -
501 -
FINAL ELECTRICAL ENERGY - - - - -
NOTICETOAPPLICANT: If, Com,wroadionthis Cisions of the of n. you
NOTICE
b«ome subject m the Worker's Compcmaion provisions of rhe Iamr Code, you rami
502 -
FINAL PLUMBING ENERGY -
forthwith comply with such provisions orthis p<rmtshall b e«mmrevoked.
503 -
FINAL MECHANICAL ENERGY
CONSTRUCTION LENDING AGENCY'
504 —
FINAL BUILDING ENERGY
' 1 heneby efirn that here is a construction lending agency for the perfamsm
of the wok for whicnthix permit is issued (Sec. 3097. Cim C.)
505 —
FINAL ELECTRICAL
Laanpe[lSAEAncss
506 -
GAS TEST
507 —
FINAL PLUMBING
.1cmifythat Ihavemad his application and aan. that theabove mfrrommais
la
es and state Iowa
correct. I agree to comply with an sty and rormr ordinances
508 -
FINAL MECHANICAL
amnio enter upog
m milting comtoic ion: and hartby nuthodzc rtpy of this dry lame upon
the above.mennangd property for in,p«tlrapm,ro,a..
509 -
FINAL GRADE
(We) agree io save. indemnify and kap broure s the City of Cupertino against
510 -
FINAL P I NG
liabilities, judgments, costs and expenses which may in any way «alae against said
City in consequence of the fthis pemsit. -
APPLICANTUNDERS 05 DWILL COMPLY WITH ALI,NONPmQINT'
S14 2,
N WORKS
SOURCE REOUL�- /J,/
Issued Dy:Date
ACV
/i J
Signature of APpli i/ m -'. Dim' f11,
Re -roofs
HAZARDOUS MATERIALS DISCLOSURE ' �
to ane pplicantfuture Wilding stwew haMle It"ous maerins.
., Will the Incur
Type of Roof
esWill
defined Cupertino mcCnde. Chapter 9.12, and the Health and 5afny
�, ..,.,•„t
..r,
.. '. :.,,�i .
l}. 5•t.:
Code. 5«don zs53ua)7, rJi•(' ..r.a. ,.,
yes "t` t ° .'.',' • ,•; 7�""'','
a.t.,r
v"•}sJr'�.'sti�l.:
„ . ,
_ _.,All roofs shall.be inspected prionto any -roofing material being installed.. ,
_._ ..
. Will Ne applicant or form Wilding ornanmusas,tipmamarthric<swhich
If a roof is ins[alled'Without first obtaining an inspection' I agree'to,remove
emithrdo.' air contaminants as defined by the Bay Area Air Quality Management
Dionct? ` J
_ all new materials
for inspection. Applicant understands and will comply with
❑Yea, t ,: No -
all non -point source regulations:
's 'I hove read the hazardous materials requirements coder Chapter 6.95 of the
California Health & Safety Code. Sections 25505, 25533 and 25534. 1 understand that
_
if the building dens not curremly have a tenant, that a is my respomibility m notify the
occopain of the requirements which must nd me, poor to issuance aft Cenificam of
°tupan`Y"• i Q • - i "' - Q /
Lo
Signature of Applicant _ Date
T� /
All roof coverings to be Class "B” or better '
I
Ownero, antmn of Data
OFFICE