00080223 CPPV7.DDRESS:
ER'nNO
BUILDING; rvtsu)" PERMIT CONTRACTOR INFORMATION:
Ii UILDING 13 PERM11 NO.
713
oWNER'SNAMd0�J90 T - APPLICATION SEE DATE
_aha: STUART MCDONALD SANITARY No. �coNTxoL ND.
❑z Z ARCHI'I ECRENGINEEH: BUILDING ITRMn' .NFO
w 0 0 BLDG PLUM II MCC11
xw-
u
ay
S v LICIthin I,CON'CHACTOR'3 DECLARATION lob DCSCrIp(IOn
o Z 0 I heruhv)(free that I dm Ilcunsad under r re P-11 dI Chapter J(cnnmendng
F m f-tY with$ecdnn]f: reflood. n 3A he liuxincss and Pndessiom Cmlc,and my licanse
^I is In full l'o' reflood.
Icer.
'xo�u Liee"+d rl"+' lac or CHANGE MAIN SERVICE
mad Couhnnor
w 3 a h ARCIII I'IbC1"S DIiCLARATION
C 0 I andcuo,nd it,or nbull be ruwA ns puhhc alerts .
,ce
p p I:¢enscA I'nilccvinnal
n = DW'NIdo cda,DER arsDECLARATION
I Imreby.(fern Thal 1 1 exempt from the Comeanr's Licen.+e Law for the
FZ2 wId,ho,,diunn.ISeninn]IIMS,d,aftosmpatoe.dcons Ca le:Any city or manly
x %hien tet, oro u Nram re eomuun,:mer.improve,da didn't m repair adds.+mucron
r,3 that he ieiswad!pursnnyuins dhovisartiosof furouch Conrerml'slactewigna(Cmemem -
- fhul urenci gunput>nannnntepnDivioi nnhecnmecmessandwLaw(Chapter y Sq. FC Floor Area Valuatioti
nommenciseerti Section7000)rater Dmnronsofine BusinessandimrAnyviolationi Adel
of that h n is 703 1.3
memmndd and the t per roe m,r,the exemant tom.Any paly
of Section]O3 n iv anydided d ll fora permit.unjms the applicant m o civil p,wldy
nfmmntnnmanfeenaminadnuar.(s5llo). APN Number - Occupancy Ty
Ell.to owocr of the property,or my cmpluyas with wage%as their+ole condpcnddion.
will Ju the work,and the%meddle is not intended or offered for sale(Sec.70,14. 3'75370
Business and Professions Code:The Conlrefor's License Law does not apply o)an
- 7 red Inspections
wircrof pmpcny WhinM:ilcB ter improves Thereon,and wno dues sucn work himsclt
r through his own employees.provided that such impmvdmm
es are not Imd te
ager
o(of,dudi for edc.IL
however,the building or improvement is sold%thin Ane year of 304 — ROUGH ELECTRICAL
mrlvdmh me dwner.hdilder will have he burden of proving that he did sol build ter
l„rrdvdlt,r,dra,+�nl',+ale.). 501 — FINAL ELECTRICAL_ ENERGY
1 I
❑I,t "I'IN 1roperty,a .esu.r�,elreomment,with h,doed<oduahoran 505 — FINAL ELECTRICAL
I'll
msvnmwam Profen(sm.7044, eircr of god rrly 11id h eaten,)Tha Contn,mars
arieawh L..w dao 0,m:y:ply to all owner with
I slur who)cc m Ilopnwdx,ba,he
dud whoa L.i i,,I'or wah Innjceke with a cunwam(x) IlccnwJ pnrsuum n,the
CnnvuaoC:v Littnm Law. -
and It ndcr� ,Nhl'Ch,i Ili,mason
two r _ (2-
ER
( ��
ER. CON PRNSATON DECLARATION
1 hcreny dation ruder penalty of perjc,y one of the follos m,decleetion,i
j I have fund will neli main.a Cenifatte of Cement u,yeti-incur, for Woder's Q j
Compensation, us Invid,d for by Section 3]W of the Labor Cook. war the `
Performance of the and for which this permit is issued
O I have:mJ will maintain Worker's Compcndtion Imumntt.s mydieJ by Smdinn /
JI00 of mC Labor Calc.for the perfrntnance of the work for which this Permit is }\
asued..My Worker's Cotnpenddion Inw norm carrier and Policy number are:
Cardec. Paley Na:
CER1II71CNTIoN OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need not he contplced If the permit is for one hnndeal dollars
1S I(N))ter lees.)
I certify That in the perlonnance al the work fur which this permit to imnal,I
'hull out uruplu,Any Pmmn in any neeer u,us h,becone cuhjeal to the Worker,
CumPmuulinn laws,of Ci like nin Urate
Applicant
N I ICE'I G APPLICANT If afer making this Cenifeatc of Excionion,you shounl
Istcutne whjacl m the Worker'.Cnn,pcnsaion For doors of the Labor Cold,you Ams,
Q 0 to thwim comply will,.such pn,vinloo.+o,This permit nall he deemed invoked.
F ^ CONS'rRUCrION LENDING AGENCY
' 1 hereby a0inn that There is a cunsdmainn lending agency a
cy for the"I'mnae
of Inc work for which this permit is issued(Sec.3197.Civ.C.)
M. a Under',Nance
M.
oz Lender'.+Address
t.7 0 1 certify that I have read this application and sore math,abuse information is
m E- correct.I agree m comply with all city and county aminaaca and.rode laws nmhng
Q U to building cnn+tiordon.mN hereby authodm representatives of this City to enter upon
} W she ahnve-mentioned propcny for inspection purposes.
t96 (We)agree In save.Indemnify and keep hourri the Chyof Cupertino again,,
to liunilitie"judgments etnts and expanses which may in any way acme against did
U Z_ City'in cors Ucno'
tet Ih .randns tet Ihts permit. y 7/ OO
PLICANTUNDERSfA. SAND WILL COMPLY WITHALI.NON POINT Itisred by: Date (/ �j
.H iGULAIK G L
ignalttre o Appfen....C, raaor Adm Re-roofs
IIA%AHDOUS hug,
AL$IIISChOSUNC
%MmesOpti,crIv Mon bp,11C1c.Chamwmnorhnmdleme 11ordmin ndatedttl Type of Roof Code, ter d:e Crmanndn M,�nkiaJ Cale.mama 9.I2.Atm cite Emld,and sdety
Ctxlq Section 25512Up!
_ ❑Ye+ [3 No All roofs shall be inspected prior to any rooting material being installed. ,
Wmmeaprli,aalot'ftee.chadniagdcamaotuse ctlulhtncolordev °which If a roof is installed without first obtaining an inspection, I agree to remove
mnit hmardnue air am,aminanl[as de amid by the Ray Area Air Quality Managcntcal
,iwtdca] all new materials for inspection. Applicant understands and will comply with
0Ym 0 N all non-point source regulations.
I base read the human.,ndamriul+mydnmemv under Chuper 6,95 tet the
California I health R Safety Cook.Sections 25505.35533 and 25514.1 anJensenJ that
it me building dues ml currently base or enam,that it is my nsprnsihll ity in four fy rhe
wcupada of the requiemcros which must be met poor to issuance of a Certificate of
fey D -3t, Signature of Applicant Date
0
Owner ter pal@niacd„gem Date All roof coverings to be Class"B” or better