06090013CITY OF C11➢ERTINO
.a>x�'T"�'"�a,{`♦� '"•''' "!
BUILDINGPERMIT
COl\'.LCT`lIt1.L'OIV3"1t1.�ION:
BUILDING ADDRESS:
MEADE CONSTRUCTION GROUP
0""°06090013
10201 TORRE AVE
OWNER'S NAME:
PERMIT ISSUEDATE
SYMANTEC CORPORATION
645 RIVER OAKS PK11Y
SANITARY NO. CONTROL NO.
(408)321-6450
ARCHIIECr/ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
LICENSED CONfRACIOR'S DECLARATION
JOU DCSCrIpIIOn
1 hereby affsm Nader t 1 am licensed unprovisions of Chapter 9 (mmmaneing
ie, Sccuon 7")of Di' on 3af Oc Busioessan P androyloinums
ire roll ro ane erc«L'
TEMPORARY PERMIT -GOOD TILL 10/05/06
Liccn 1 Lick
Dote�comuxoar
n T.I. ORIG PERMIT $06070140 -OFFICE SPACE
ARCHITECTS DECLARATION
1 understand my plans shall to used u public records
Licansed PmlcuiONl
OWNER.BUILDER DECLARATION
1 hcmby affirm that 1 am exempt from the Conuacom's Liccn= law for the
following reason. (section RD 1.5. Business and Professions Code: Any city or county
which mquima a Permit W communion, aher. Impmwe, demolish, or repair any structure
! prior m its issuance. also mquiras the applicant for such permit to rile a signed statement
Commerce, Lumom Law(Chmptm 9
Sq. Ft. Floor Area
Valuation $0
that he is licensed pmwant in do, pmviainns of the
(commencing with section?D3D) or Division 3 of NC Business and Professions Court) or
chat he u exempt the efmm and the bass for the alleged exemption. Any violation of
APN Number
Occupancy Type
Section 1031.5 by any applicros for a permit subjects 'be applkant as a eMl penally Of
not mom thin rue hundred dollars (5500).
36941005.00
❑ I, as mwxr of on, propcty, or my cmployca with wages u their wk cmmpnmsion,
e ns
Required Inspections
will do the wink ud the wracture is not intended or ofreme foraale(Sce. 70". Busimsa
and Pmfassione Code: The Communes Licehue Law deet rot apply a an owner of
q P
Property who bdadsorimprcrms tnemon,and whodossuch work h ifor through his
own employ provided Out such irep^Mmonts tie not imeMN woReme for sale. If,
hnwcver. to, building or improvement is sold within ane yeti of ooroplauun, the mum.,.
builder will have doe burden oving of prNat w did ret build or improve for purpasc of
sale.).
\ •.
❑ 1, as owner of Ne prapedy, am e=lusively limitations with :)len=d ntnwmurs to
construct she parrot (Sec- Cade:) Tho coovaemn,
aM limitarty
\
G� \\
who and
u an owner of propora who builds or improes thereon, and
casae few docs not apply of
i\
a
who concocts for such projcca with a canmcmr(s) licensed pursuant a dm Convacmr"
c m with
Licensintaw.
(
/�`✓
❑ lam oomph sneer See .fid PCror Nu ma=n
am
Data
V
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury ren of the fallowing declaeuom:
❑ I have and will maintain a Certificate of Conscum o self -insure for Worker's Compen-
salla., as pmAded for by Section 31011 of doe fiber Code. for dm parfrcores a of the
work for which this permit is issued.
Cl 1 basic and will maintain Worlmes Compensation Imurance, az required by Section
TIDO of me Labor Code. for the performance ofthe woo for which this permit is issued.
My Worker" in sa on Insunn curia and Policy nun ts, art:
Cartier. PolicyNa.:d,py�_
CERTI ATEOFEK PTION FROM WORKERS'
COMPENSATION INSURANCE
-
(TTs section need not becompleled if the permit is forms, hundred dollars ($10()
Or foss)
1 ccmfv that in the perrommnce of the work for which this Permit is issued. 1 shall not
employ any person in any mmncrw an a become subject a the Warkeri Compemauon
Laws ofc3lilomia. Dam
Applicant
NOTICE TO APPLICANT: I. after making Ns Certificate of Exemption, you should
bavmroe wbjcet as the Worker's com'sainb t provision, of On Labor Coda, you mull
' forthwith comply with such provinimu or this permit shall to deemed mvobed.
j CONSTRUCTIONLENDING AGENCY
I hereby
AeRn that them is a construction lending agency roe the performance of
' the wok for which this permit s uucd (Sec. 3(191, Civ. C.)
UntilName
IendeYS Address
I terry that 1 hate road this application and sou thin One above information is
'
' correct. I agree to comply with all city and county inductees and state laws mlaung to
building canswction, and hereby amhorim repmsenuriwa of this city to enter upon the
a prop,
fichd; ,Non pugwus.
(We) a to Saw:. ind, mfr and ke Ph less the, City of Cupertino against
st
abvc-mcnuunc0
ObRlue,.jY .[Ota end pC.=S Whp''ma ONy Way OCLN, igdIn5I5Wd City
on a the tendo this perm)
rf U )S, N /1 L COI IPLY WITH ALL-POINT
Issued by: Date
SOV" REGULATIO 'Jk�
to
Re -roofs
Sign me fApplicadsaCon car Otto
ItAZA R OUs n IALS DISCLOSURE
Type of Roof
ill the appli sir tum buidin occupanchah
tsarm redlcmaNm
ousaarial
as defined by the Cu n' Munici C a. ch: , 9.13, anthe Health and Safety
d
de, ❑ Ya Section 25533(a)?
e
All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtaining an inspection, I agree to
Wi11 the applicant or future building occupant use cyuipment or devices Which
P g remove
emit harardnus air canuminmu yAcfined by the Bay Area Air Quality Management
all new materials for inspection.
District? \.Wlr`/i
Y,5
Ihavemad ehvyNsws ma ialsmquimhrmµs under Ch1Pmr6.95ofdu Califon
ria a kSar ,Sc dons 505, 8531 a�u1u 34.lundcrsta.dth ifNc ilding
r
dace he s mi lily m notify the up of d¢
mquihemc. ichroustec r ads crtrtatemr, a
Signature of Applicant Date
All roof coverings to be Class "B" or better
Owmaro auto *,triage. Get
U