00090016vrt-Ict
CITY OF FU R TINO
CONTRACTOR INFORMATION:
BUILDING DIVISION PERMIT
BUILDING ADDRI!SS:
PPRMn'NO, ,
OWNER'S NAMES.
APPLICATION SUB DAT[
20605 VALLEY GREEN DR
SOUTHBAY
CONSTRUCT.ON
00090016
PHONE;
SANITARY NO. CONTROL NO.
APPLE CPMPUTERS
51.1 DIVISION S RE
l" . 09/OCn/POOO
Z
ARCHIE FICDENGiNFER:
BUILDING PERMIT INFO
BLDG ELF,Cr PLUMII IMICH
❑O❑
E
CIc.
w
on
1ICENSIUCONIRACrORSDFCI ORATION
Job Description
11 by fl rtl',l 1 scid J p '' eotCl pt )1.......u.lg
iv
i I fD '' 9 flim Hue Il license
!nSail t
find f cand sit
�
tJ
License ic- is
class D m.nam' C , LPL L
F�Z �� i "I"S UF.CLARA ON / 0
' • /�
,
/y
3
CHIT
Itmdermf.mlany I a
TENANT
IMPROVEMENT '
C7
.
Licenm,d Prop
f NCR-I,I lER Il .Ce
on
Contractor',
I hrear .flim, thin 1 vat cBnnnt tom the Cession, r'- License Law for the
0
Code! Any nn nr 'arulnum
Pualter.s
nmwn. remain
which
o
mp sae, deions
t evoinv or apart any atmcmre
which ¢quires a Iwai, a, amcwa, alter, improve,
requires
g
-
h parmas t
atement
that heslicwamce,ala,rtm,im,he applicantovi,to,f theor such pcainn Blcae La. here
that he is ucen%ed pa�aamtoma pmaimmm none Committees License law (cnaptery
Sq. Ft. Floor Area
- Valuation
ing Division 3 of the Rucincs and N
An, vi
thaefom and the basis forth, alleged loo. Any violation
orca , therefromand
or that he is
that he
,ficu
by any don fora peau subject, Ne applicant v, u civil pcnvhy
of 31.5 b
mo
APN Number
Occupancy Type
hundred
ar not mare man five naimrea Janam (seen).
not than
❑ Lae owner of the pmpeny, or any employees with wages as their sole compensation.
.
Required Inspections
will Jo the work, and the sauaurc is nn, intended ou offered for male (Sea. TM4.
Business and Promssions Col The Contractor's License Law does not apply n) an
o,vner of property Who build- or impnrvcm ibc,aon, and who dose, such work himwll
or though his own employeesprovided that such improvements are not intended or
3261004 6. 00 J1
offered for .vale. If however, the building or improvement is sold w'nhin one year at
crandetion. th ernb'IJ willth bed fp vingdnh IJ ibJdor
A
np r P p of )
1 —
FOUNDATION 1
❑I 'slept r.Y lei, lY t rgwiml' I f fest,
„t ro '„t5 nw4❑ nae II I.: wall 1,rd L fnr,
who ani cenoi ......... es the eon,
Lmenw Lew Jac, nm apply "';at none, If a counter
and who rammer Ira -nen molests will, n a,mrumad%) I'�%enmed pur.awn fa Ina
02 —
-
.03 —
PIERS
.
UFER
01nall fo/m Liccnec Law.
❑lam eae,md imaet Sec. .Bxtretmr in, rta%m,
7.04 —
REBAR
Owner Date
105 —
ANCHOR BOLTS
WORKER'S COMPENSATION DECLARATION
I OF, —
SEWER & WATER
IherthyarermanJcrpenalty (if perinryline ofhefollowing deelarmiur,
202 —
UNDERFLOOR PLUMBING
❑ 1 have and will maintain in Cenireate of Consent to %elf -imam Bar Worker's
203 —
UNDERFLOOR MECHANICAL
Com,amajon. v.s Provided for by Section 37W of the labor Core. Ibr the
performance oldie work for which ,his recta i% issued.
204 —
UNDERFLOOR FRAME
❑ l blue and will maintain Wod,cr'e Compensation lroumnee, as required by Section
205 —
UNDERFLOOR INSULATION
37M of the Lahr G.1e, (or the performance of me work for which this pennid is
immnen.sfyWare"'.cnmpmeahm m%aranee erandPoreynumberam:
301 —
ROUGH PLUMBING
carrier:�%�%%1LL��'<
302 —
TUB & OR SHOWER
• CERrIPICAI'ION (IF BXEb1YrION FROM WORKERS'
COMPENSATION INSURANCE
303' —
ROUGH MECHANICAL
IIhis .cenan naed nod b...... fl,md iI the psfail iv for are hundred dollar,
- 304 —
ROUGH ELECTRICAL
lSlfro, yr Ice.) '
305 —
FRAME
I'army hal m ma vat f tat lab okra pu fid %,. d.
shell mal employ any I've,,1eL tai .,a 'Ia f,p.:
Lowe rferl� Cl
Conl,fICIT
306 -
HOLDOWNS
It's,
307 —
308 —
INSULATION
SHEETROCK
I old
wnq'icRohj rPLIllthe .tire,ner,uarfi IElsen niccifthe aborCod.youain't
Iux�m„a %tmicad fn mal urea..%cmnnen-ala„pro%ianm ohne l.annr ends. ran n,u%t
Z
,`
mnbwimvand, with .umpro,oonem.his permiturhall rtedeemedmvaked.
309 —
EXTERIOR LATH
7CONS1
RUCTION LENDING AGRNCY
310 —
INTERIOR LATH
>
Iherahyanim,thauhcreintaeon.micanmlending agencyfat heper(orioae
mfinewmkforwhichthis sandi.i...id(See.301O,C.)
311 —
SCRATCH COAT
z
Lender', Addmmm
313 —
ROOF NAIL_
I onadytbmt l have mad this application and vme that the above information is
501 —
FINAL ELECTRICAL ENERGY
E..
cornet. 1 agree to comply with all city and county ordinances and state laws mining
rJ
mbuilding constmetion.and hereby authori.erepmcentahvesonhNcity Inenter uPon
502 —
FINAL PLUMBING ENERGY
Lel
CL.
the alwvc.mennnaed property for inspection purposes.
(We).,.aInsave, Indemnir and epharmlessmeCityofCupeninets,ina
503 —
FINAL MECHANICAL ENERG`
y
z
liuhilitics, Iudgmcros, c vxI 'n. hi any way attic 4guina saiA
cry in ean,cefue nae antra n a°a
TH ALLnNON 'D/INT
504 —
FINAL BUILDING NERD /y'
APPLICANT
S 1
Issued by-
at
Re -roofs 506 —
_
GAS TEST
�✓ --
sg.�reur phcmf�Om,fmn� and
I IAZARDOUS NIN'ERLLLS DISCLOSURE
Will d,carpbend (it lhmmhau:n,gacca,rd Imre mr needle ha,.anll'aed:einual
Type of Roof - 507 —
FINAL PLUMBING
is dcrncd by she C.w;, n M Cade. Chre', 9.13, and the Ilamhn mall SN'ciy
Cod, Seefon 29533007
❑Ye-
508 — INAL MEC ANICAI_
All roofs shall b� tyecti i�rAtl3 alb a g material being installed.
'btu)i ion, I
W;umeaprliemm�rIufaran,rangoccasion use "inipm:'ntardr, 'i,,,isah
mit hamnloue air comnndn:m'm. lined by the Hay Area Air Quality Munagen,ern
Ifaroof isinstal�1,+Q�KWpJyVithott�
,-17 VI —
[rel 1 ljis[��ctagree toremove
1- N 4d l lfm
Di.irien
all new materials f utspe a ❑: pp l a 1 c ods and will comply with
oy'e,
all non -point son`k riegalafFc4AAL
PUBLIC WORKS
1 have read the It. do., nueerialc useful at, under Chapter b.95 or the
California I1ealth R S y Cede, Seninn., 2 5 3: d 25534, 1 undertmnA that
lithe notchng, , deur nt cad , at-,ci yreep,neihiliry ,noti(ythc
cecupnm of m seuancco(u Cs 'flea¢,
°°pare[
'nature of Applicant
Date
f�-1 —
All roof coverings to be Class' 131” or better
owner , had.en neem Date
vrt-Ict