00090029CITY OF CUPERTINO "
CONTRACTOR INFORMATION:
BUILDING DIVISION PERMIT
BUILDmcADDRetit9333 VALLCO PKWY
GORDON—PMU INC
PERNU NO. 00090029
OWNER'S NANIE: COMPAQ1245
PEAR AVE
nPPLlcnnoN su 09/ 08/2000
PHONE
SANITARY NO, CONTROL NO.
(650)335-1
990.
ARC1113'ECr/1!NGINEER:
11UILUING 1'ERhfl'I' INFO
RLI 13Lf:CT PLUNH M-.
T
LI — _J
LICENSED CONTRACTOR'S DECLARATION
Job Description
I hereby ollirm Iha, 1 am licensed under provisions of ChaPmr 9lcornmeocing
w;thseednn taxfn,r{a{ is ionic Bn,ines.ana Pmrc ,io c,.le.:mdlly reen.e
'sinhdl come Ina efrstV ��y,
INTERIOR
IMPROVEMENTS FOR EXERCISE FA
//
'".ice"'"`'2S_s�t��52
vale contraa�
FOR
BUILDING OCCUPANTS
ANCIII'1'1!CI"S USCI, TION
RCIIII T S
.
mnlcrslanA nq plA shall hu a, no lie reION
Licen¢A I'minsinnul
' OWNIam RATION
I hereby affirm that 11..Benin Isom me License Law Iia me
exempt fro r the
7131.5. Business and feesimemr,
oli Code Any city or county
coq Baum. (Section
t. or ¢pair any saucmm
t m comuucl, alcor, improve.
vis. demolish.
which reyuim, n e
which
issuance, h peout 1 g J.t mmem
1. q thef brae 'u
e, also such
Sy. Ft. Floor Area Valuation
thatnn
Ih.I. 1 tt n I - nn L t is . 1 (Chapter
es,
sot m m s t 1 t one e d l f ".,dal
e therefrom o-ct. for me alleged ,` RI Any 'bma,n
of that n . exempt an he
li .ni
orseelmn any a, o me apphenm a:,dr't1 penury
APN Number
lk� 16F3
vanyupphcallhtrapermdtamtbjan,
Inn,Itt,oreroanrrennne,eadouamtssool,
than
�c
0 f aS m+wna of ha noperta or my emldowa, with wages m mmh Ude ount,w ,clan.
Q
Inspections
will du me work. nod the "huchac .. meI Inert ed nr ,lured Iia sale (See. 91144.
Bmlttws aim Profesani, Code:'1 he C.oulmcmr Lneme Law does n+l apply n, nn
P, ed
oproperty f pperty who build" or imnn,ves thereon. and who doe" Such work hitmelf
Ihnmgh his own empinyce,, nm,ided Iha such impmvenuenu ars not intended or
orr
offered for sale. If, bowcver, the bidding of improvement is .old whom one rear of
101
— FOUNDATION
iompletion. the oxmer-hulldcr will have the burden of proving that he did not build or
102
— PIERS
mprove Br vm,v or,aln.f
OL.,owner of property.airt e,nuovely contracting with licensed contractors to
103
— UFER
ie Cror..
,n,wct the Protect (sec. tat uu.ine., and Prnre„ion, Code:)'nr+aaa
i
104
— REBA R
icenve Law does not apply m un ower nr r,u,my who build, or improve. thereon.
sC:al who contracts torr Such protect. with n.nnlrecado licensed onstizI no the
105
— ANCHOR BOLTS
"al"r, Lice,”, Law.
D Itnt memnl ander Sec. .11&newt this reason
106
— SEWER & WATER
('w°"
2202
— UNDERFLOOR PLUMBING
WORKER 'SCONIPENsAUONDECLARA'IION
203
— UNDERFLOOR MECHANICAL
Ihereby affirm under Penalty ofperjury one ofthe follow. ingdermralion,
204
— UNDERFLOOR FRAME
0 1 has and xHl maintain a Cerircate of Consent no ,df-insure for Worker
Conpen,ation, a, provided for by Section 3700 of the Lanni code. for the
205
— UNDERFLOOR INSULATION
Performance of the x'ork Iia which Bis permit i, issued.
301
— ROUGH PLUMBING
DIhave ..it will nuainWorker,can,pct„:Bo.lose .... c.a,rcr,iredbySection
37x0 of me [..his, Code, for mo pemmrmm�na ol'the work ror which this pend( is
302
— TUB & OR SHOWER
issted ht + s Compensation Inwruoce card I iy nunm
0 2 0 %�� � (/Zr
Policy No.:
60 303
- ROUGH MECHANICAL
Carrier',- _/
ceRTIFlcnnuN OF lixrmrrlury ROM WURIclius
304
— ROUGH ELECTRICRL
COMPENSAI"ION INSURANCE
305
— FRAME
r.le scenom meed not n, colmmplemd if me perm. i, for one hundred dolmr>
306
— HOEDOWNS
ulaBone„o
1 terry that in the performance of the work for which this permit is issued. 1
307
—' INSULATION
.hall not employ am Persian in tiny manner ,a as to become wbjeot to the worker.:
'08
— SHEET ROCK
Conmpensalmn Laws of California. Dam
Applicant
J
309
— EXTERIOR LATH
Nmnua TOAPPucANT((.:Icor otttking mi. cariraale of naenmmtir+n. vo,t.nowa
"tam
beer c,anie` nothe Wvrker,C.nnun,aho..pro ,.....ormici, o C le, "m t
X10
-- INTERIOR LATH
lorlovilh conmply with such pso,vim, of thio l,onil alar he deemed rooked.
.,
CONS'FRUC'I ION LENDING, AGENCY
- 311
— SCRATCH COAT
I hereby allimm that there is o const o lion landing agency kit the sertolumncc
313
— ROOF NAIL
m, work I'nr which IDIS Permit is i...ed (Sce. 3091. Cir. C.)
savr'AAd�ss
501
— FINAL ELECTRICAL ENERGY
502
— FINAL PLUMBING ENERGY
I eermythat l have mad this application and state that the above information is
curer. l agree to comply with all city and county ordinance, and state law, relating
503
— FINAL MECHANICAL ENERGY
to building minidh by thr representatives of the city to enter atom
communion.or
mean inspiration por,saw,�
,We) slow t lav odTy� Ikeep l I.. the Cty fCl I ag:i,eI
504
— FINAL BUILDING ENERGY
too t. c m r wy y,.d
Cly d tl Int, tl ill 1
,.
505
— FINAL ELECTRICAL -�
c ”;
AI'1'I,ICA m lERSTAN SAN UWILLCOMPLY WITH ALL NOPr NI'..
So
ISSIIC(l b 506
-• GAS TEST Date
Re-roofs
sign: ora of Al rca,�acmr — � —I_
HAZARDl1US MAI ER1ALS DISCLOSURE
508
— FINAL MECHRNICRL
Will thea,li,am or(nntr maiming+,ttnPant Dore tor handle hammus, material
Type of Roof
usder nmby the C.,mini,bl.nicip.IC+de.Chapter 9.12.and heIhealth ..itSafety
509
— FINAL GRADE
Code. Section 25532tan
DYe, [D No
All roofs shall be FhilQcted IiribPU Ln)Hb�illiVift6rial being installed.
Will thea ...I or rune heading use ,tpa i me egnmtnent:+r device, which
If a roof is installc514hoot Fr€MIainWBLiLPeb I1)IRKSgrce to remove
nit ha.ardou.n as cotnandnum. a, defined by the Bay Ara Air Quality Managemetn
insider(
all new materials for inspection. Applicant understands and will comply with
Dyes n No
all non-point source regulations.
I have read the hit ... dnn, macrim, mqulm m, undo Chtmn, 6.9.9 of the
Cabuma Hea1m&Safely Calc Sections 15505, 25533a„d 255341 uoR urn I that
,
if the building dos, not currently have a certain. lost it in Bryn, lobillly In nobly'he
,
ccupam of me mems xh h nma M mcI poor m rssunnm 1c, fic.'rart
(coca an ,S /.
Signature of Applicant
Dale
All roof
coverings to be Class "B" or better
ser ,..mods d.genl--' dale
Ll OFFICE