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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 ].w as H= 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