00100122 CITY OF CUPERTINO
nou.ntaG DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESSJ P GORMAN INC PERMITN 12243
806STEVENS CREEK BLVD
OWNER'S NAME: '701 ALDO AVE 1#47 APPLICnIIo E, ATE 2
000
WYSE SECURITIES
PHONE: (408)970-8856 SANITARY NO. CONIROE.NO.
M-O o ARCI IITECTA.7NGINEIiR: BUILDING I'IIRMI IINFO
m_ PLUG ELECT PLUMB MECH
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LICENSED tCOM IturtCfOR'S DECLARATION lob Description
OZ—W 1ho.7000rutn Inv,In3lddheWunderrnrvieinnxof Chnptcr9(mmmcncing
F_t wensahannggnnftitin,mnlannela,n,eC.andProfe.Ciala.c,de.andlnyheen,e INSTALL SPLIT A/C,/ MECH AND ELECTRICAL
bill force and cOcn' P I C a 30. 9
z 6 J Licen,c __((���.� y�Lie.M P
y e. Don•�f�2 J/ Cnmmcmr_ \N
W 3 u. '7115�n'ANCA1i'B T S UIiCLARA�IC
��Ny' ")L�c0.+71 Is u. a.nihil,record.
Licco ed I'mfle,iorld
e OWNEWBUILDER DECLARATION
M1ercny.[fine IM1w I dna cannm Una,C ARATIOm'v L'wcnna Law lot to,
r Z] follnwingreaon.tSeeion703L5.Buvinoaamil'mfe„it)ns CEa :A.ycityorcounry
E is❑ which 4 P min II ah r, p d I'1 I' r r, a ds,
6O prion t also I theapplicant for hIntendI filegnat oratorical
the dr ,.art I l r , fIh c barcle,,I I-sow Ica p,,9 Sq. Ft. Floor Area
(commencing with Section 700D)of Il shorn I of tee Buninevn and Profe one Cute)
tar That he is exempt thetefrnm and he haai.a Tor the alleged caemptian.Any violation
or Section 7031.5 by ary:Rplieenl for a period.UbjeCts the applicant tea civil penalty
of net mon than five hundred dollars,($500), APN LiYgmtgrj50. 00 Occupancy Type
❑ho.ownerof the,nixal,or my,'ado"c with wvgcs astheir side cnmrwn.miun,
will do he ,re.and roe xn,coac is n e imcmmd ,,neared for sele(see.IND. 101 — FOUT P
Business and foriomrem
te„ n,Code:The Cor� cense Lm RICQIl
License dons nil apply an eill fIiN ectlonS
r al property Who ht ild,or imand thereon, who does uch workm
hi, elf
orthro.I hi.own s nploye,,provided that suet,in,pmventers are nal mended or 1.02 — PIERS
offered Re sale.If,however.the building or improvement in.old within one year of
iampudor.thenwaer-bnlmc,wiw,ave the burden afpovd,g,ha,es,fiid inn naimnr, 103 — LIFER
mprove fm pIt'is•of sale'). -
1.04 — REBAR
❑1,racl the of the Pmpeny,an a voinesdy d professions
withodl Th Contract to
,chisel the ase,nl(See 744.Ii Bn.in,:a.Iona elty Iinr,C,deq ai, commeor. 105 — ANCHOR BOLTS
ai d who
law d„ct foret such
m nn ms with ampcny wen licensed
inipnwee Than he
Corr„inn r,Lern,for,del,rrnjar.with a cammenrc,)Reersea pantaant m ms, 1.06 — SEWER R WATER
canine"'n Ila order
Law' 202 — UNDERFLOOR PLUMBING
❑lam na mtaneer .Bgrrcrar this ma,nr
Dwrer- late 203 — UNDERFLOOR MECHANICAL_
Mr:NsnnoN DECLnunTloN 204 — UNDERFLOOR FRAME
I rrhyarfnnunlcrpnnalryofperjury one of Ile following dcdamtinn.1 205 — UNDERFLOOR INSULATION
Innhave and win radiation:,Cerarcale of consent to self-instars,for Worker. ^01 — ROUGH PLUMPING
penaeien, ns pn,v lded I... lay Scoion 9700 tar file Labor Cn Is, rnr me
IKrfmnwreeolheworkRor.,l,iehthi.pnnili,iend. 302 — TUB & OR SHOWER
have and will initiation WorTer's CmnPensation Insurance.as required by Scoriaeiv 30;; ROUGH MECHANICAL
I 11tMI of the LnMn Code,for the perfomunce oermit ill work for which this p
„ta J.My worker,cm„1nn.:,ll Insaranee carrier laid policy nnmber:le. 304 — ROUGH ELECTRICALcnmer:0{-(pltc�¢q _PnuerN,x: 305 — FRAME
CERTIIl- ]ON 1:EKEMIlTION FROM WORKERS'
COMPENSATION INSURANCE 306 — HOLDOWNS
IThi.s ocetinn need not he con,rlaed If the I<mtit IS for one hundred dollar. 307 — INSULATION
n dao tar m.,.) -
308 — SHEETROCK
I ecnn dial in the n i nan,yn is of Bic wink Gtr wldeh thin perntia c arks I
Chan inn ei.... am penin..dry manner s,a,a,neenme,tanjeat a,me wmkerk 309 — EXTERIOR LATH
Applto icaaadnnLlawanrc;IRn,n"a'DJ1C 310 — INTERLOR LATH
NOI Cm
NI II CE Trent,LICA..':IL aRcrmakinglnio—misol hei.ainptioli,, mean t SCRATCH COAT
Incomesu comply the Worker',Coionv or this psmit shall
the Lalan Cale,ol. sun 311, —
OO I'nnhwith comply with such provision,or this permit,hull ba dcenmA revaAN.
� 31,3 — ROOF NAIL
H14 CONSTRUCT ION LENDING AGENCY —
nnnewnrArn� hien line Il,,,c,,manse...3097."g agency lir rocperEmnance 501 FINAL ELECTRICAL ENERGY
he,fo Inch ahs thelia is n uawh(Sten Imnl
C + civ.c.>
y 'q L.„ee,CN;,111e502 — FIhJAL F'I_UMBING ENERGY
a z lender',,AJdm„ 503 — FINAL MECHANICAL ENERGY
Iccoil'y tballhave nmd this applicalinn and ode lhn,lheabuvc lnli,roadin I is 504 — FINAL BUILDING ENERGY
(L F u,met.1 agree to cmnply with all city and county ordinances and state laws n•Iating
Ov shaddiagcmns...chin,.xndherehyarlriacnTa,waakeCnfm't,efly lnemc,croon SIDS — FINRL ELECTRICAL
ythe also,c-nemiuned popery for iny,eaion ptar nww.Witta,recon irdenl,m,and kcepeannle„ hecity,TCt,wninaagair,t F — GAS TEST
N liabilities,juJgnn�ma,cmU and exierecs which InaY in anyway accrue organist,aid •JOFd /II I
v z Chyineo.wgdc , egrarde,of]I' rare 5 FINAL PLUMBING /'/ i �
r SOUI CAmIT , , LANOS�AND`WZ L COMPLY WITH ALL NON-POIMI' ISsned bY. —, ' ICIYf`Sty
Si atm of ,Pitcan b.m,clor nate Re-rooks 509 — FINAL GRADE
I IAZAR DEWS MAI 17R I ALS DISCLOSURE
WE]the applicant ur f...re huildin,cecupant sore tar handle hamrdous maaial Type of Roof 51 0 — FINAL PLANNING
lined ny the Capeei, Municipal Ctale,Chapter 9.12,and the Heallh and Safe,
code,Section 25532fu1:' 914. FINAL PUBLIC WORKS
❑Yc, 0 N All roofs shall be inspected prior to any roofing material being installed.
Will the a,dicaru at foram handing mars..'use eytairmem or devices which If a roof is installed without first obtaining an inspection, 1 agree to remove
mil ha ear lm„air aeatunlnvnu v,.ME Iby IIle Bay Arca Au Quality uty M'anagnnent
Thaw, all new materials for inspection. Applicant understands and will comply with
❑Yc. 0Nn all non-point source regulations.
I have rnul the haaenlnu,r ae.n.1,nyuirt under Chapmr 6.95 of the
Cotillion.ileullh h Sala C,dc.Seceuto 255115,155131unI 25534.1 a d—ri 10m, ,
if the huilJinS Joe,Dole rtcndy havcamnae.thm it is my.,, If I,
°x 1p:,Int the ,, acid,which Dual he Incl pt it to Innuance tat a Cc if If al
Cee Signature of Applicant Date
Iaamor; da Hate All roof coverings to be Class "B” or better
OFFICE