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01020027cl oFCU I EH 'PERMIT CONTRACTOR INFORMATION: rNNo BUILDING BUILDING Ar DRESS: 20400 STEVENS CREEK. BL D HOLLANDER SMITH CO ) JCTION01020027 OWNER'S NAME: CUPERTINO CITY CENTER fSSOCIAT 733 AMES AVE APPLICATION SUB DATE OeZO612001 PHONE?: - SANITARY NO. CON'IROLNo. (408)946-2800 ARCIII I ECI'IENGINEER: BUILDING PERMIT INFO • I1L-IK/ HLEI, PLUMB Ist LICENSED CONN RACIOR'S DECLARATION Description 1 hereby affirm tent 1 am licensed under pnrvieions of Chapmr9 (mmnmim., ,lob with Stl:7kh))of1)" 9111 hellolow", ToInxiuCxlr. and to license is III ion a,raand erreu. CREATE TWO OFFICES Uat ri (� G,mmCI"S AI1L111'rHDECLARAI'I( uldi I Jnd my plain W mall used a, public ma,Na unntun Llan...I Prot ere i d OWNIant BUILDER front he ARAI If IN ra.... 1 Mrtby a1Bnn that I an, UILE)l from the Carl recarr's License Use fur the rnllnwing rcaean. (Section 911.31.5. Business and Vrofe,siod% cash: Any city or county which rcyulrc% u permit R, eon,no. allcr, irnpnrvc, dcnndieh. 111 Icpalr urry amcuun print to issuance, also "ones the applicant for such permit to file a signed statement Sq. Ft. Floor Area `*AI mat he is licensed p,Immntto die prea...ion, of he C.rarctoe, License Law(Chapter 9 I. no"raing w.RI Sced I70 0) of l)ivie'in1, 3 of Im Bnrieare ami Protensione Codc) 4000 .,,but he is exempt tnemfrem and the basis far the alleged ascription. Any violation o'Senior 7011-5 by nay applicant learn permit wbjero- the applicant to a civil penalty ,If inn mo.c than rise llra,dred dollar ($500). APN Number Occupancy Type 36901022. 00 01, ae ownc,.fine pmlmny.lir toy employee, with wag=e as weir a,de ctoopersathm. Re aired Inspections will do the work, and the woman, is not intended lir uttered for sale (Sec. 7144. Bnxnnx, and rnne.aions code:'rne c11olmemra LI„usn Law ,'tee not apply tea 3311 ownerof pro„ eny Win) build, of irorroye, thereon, and who do=se such work himself 101 — FOUNDAT I LAIN rnthrough his own employees. provided that such improvements am not intetaled or nlrearf lot,. dc, Jr, h11weve, he buddi 111 inn, ,rovenear is sold within ane year o' 102 — PIERS con tpledan, Bm ownerbudder will have the WNcn of poning thin Im did not build or improve for pia"scorude.). 103 — UFER O 1, a- ,111 In, y. pro,ynan, nxeuxiyet, contracting with lice:-,d contractor, m 104 — REBAR coramawrhe project (Sce. 7194. Business and professions Cole) The contractor's LicenseLawdoe intapply tout owner of,anpcnywho Wilds orimpmbeacon. 105 — ANCHOR BOLTS cand vear convects fir such Projects with :r tammmtonq Ilcansad pnr tram to in, 106 — SEWER x• WATER ontractors l.iceme law. 0 l non exempt under Sac. ' B re P e for this reason 202 — UNDERFLOOR PLUMBING D"0er WOR KCR'SCOM ENSATIONDECLARAIION 203 — UNDERFLOOR MECHANICAL Ihea4y atftrrn lin Irrptn;i1yot perluryoonof3bc lbhbwhrgdeclanlnn,: 204 — UNDERFLOOR FRAME 205 — UNDERFLOOR INSULATION 0 l haze and will maintain ,t Cenificate of consent to alBinsum for workers Qm:pcosntion, ;is provided for by Section 37MI or be Labor Code. for the 3@1 — ROUGH PLUMBING perfornwnec of the work for which this permit 1, 1...r,L 302 — TUB & OR SHOWER C1 l have and will maintain Worker'%Campenvtion Inmate. asreynimd by Sectio 17x0 lir the E.:th11, Cusic. fro he pen16 nauca of the work. ser which thi.,tcnn, i% 3@3 — ROUGH MECHANICAL iewed.M/y/�Wo�rk,d> eoty��;nvroa Insuranre cav�i'j}� �P/sea/rc�y �n tater Inc. LCA ,h,,EEcr N,,.�7 aQd— 3@4 — ROUGH ELECTRICAL Carrick:N•f,/lfiybl _�CERI INCAI ION OP EXHMPI'[ON FROM W'ORK1iRS' 3@5 — FRAME COMPENSATION INSURANCE 306 — HOEDOWNS (I his mednot lm coaidrnsd lit be prrmi, is forone htmd,ddolhnx (glen ar l=ee.0 307 — INSULATION I ,ddyahat inthePevl'onnanchit Ilmwork for which this...... Iisissued. I 308 — SHEETROCK a,aB ant employ arty sersean in any mnnncr In, a, ,, h=ome sunken to the work,,,' c11mpersanon Low. of California Date APplicvnl 309 — 310 '— EXTERIOR LATH INTERIOR LATH NO ICE rD APPLICAN'1: B:after :,taking mixcenir,at,a 17 codas you should Leconte subject to the %%cnixes Contpemadon provisions of me labor Gee. you Inst nnhwhh comply a ith such provisions or this permh,h:dl lm d=inned evoked. 311 — SCRATCH COAT CONSTRUCTION I.13NDING AGENCY 313 — ROOF NAIL 1 hereby aRnn that them is a construction lending agency for the performance — FINAL ELECTRICAL ENERGY 11fmeworkfnwhichthiswrinitisissued(See.30)7.On.C.) 501 [coda's Nmnc 502 — FINAL PLUMBING ENERGY Lender's Address Icertify that Ibass tend tills applicatiannnJ%tatethat dmahos, aoo,mtionis 503 — FINAL MECHANICAL ENERGY correct. 1 agree to comply with all city and county ordinances ;Imlstale laws mining 5@4 — FINAL BUILDING ENERGY to building construction, and hereby authorim mpresemmives of this city,, enmr spm moaHoye-r11ermomn moperty sur in,pecti..., nu,ow, (We).,me to w, I. adcnmil, and keep otrndcs%the Cayor Cupaeina against 505 — FINAL ELECTRICAL liabilities, juJgtrcnu, coots and cxpenms which may in any say acme ag=low said the granting (if this i,hC IN9yUNDuerni,ERSTANDS, O 506 — I GAS TEST _ J / Airy )WILof LC1t ❑ 1 T )MP. WITIIALLN N.rol T -cool Issued by: 507 — FINAL PLUMBING ate - Re-roofs 1-- 1 NHL MECHANICAL SlgnamrcotAppl alnlc mmnu rate HAZARIXIUS MAI GRIALS DISCLOSURE Will [lie applicant or fume Wilding occupier wore or handle heraNtws mntcrial 509 — Type of Roof FINAL GRADE -defined by be Ctymmm,Municipal code, Chapter 9.12, and lW Health and Safety 510 — FINAL -PLANNING Calf. Section 25512(a)'I Ell,, 0N All roofs shall be i54)&-ted pRdlrWlknyPkIk1BhjiGatdd9RMrng installed. wnl(lie apprcantorwmrnIfni ding o,<Ilpannale cyninnmmo,d,vmaaxhich If a roof is installed without first obtaining an inspection, 1 agree to remove emit hazardous air <onmmin,ans as de incl by the Bay Area Air pualtry Alanagen¢nI non all new materials for inspection. Applicant understands and will comply with °Pa^ 0"" all non-point source regulations. 1 have read the ha)a doe mamrials nyuirentens under Chapter 6.95 of the California Ile dih & Safety Ctxle. Sectinn- 255115, 25533 and 25534. I undemmnd that if ten building does nm currently hove a n'nunl, that it 1, my mepnasibi l lty Ill and Iv the pant of the areas ch moa W lie prior R. issuance of a Cenificme of seen, ,O / `��i'1 Signature of Applicant Dale �/ �F)wncruwmhuriaJ All roof coverings to be Class •B" or better - Demur nlnhuriaJ ugcnl ,gem OFFICE