00060074CITY OF CUPERTINO
CONTRACTOR INFORMATION:
"e'1•olNC, °' VISION PERMIT
BU"lNG1!848 WEYMOTH DR/LT1
''1''RMI'r N00060074
OIVNCR SWREZ, MAX
APPLI`Ar�YyATSY2000
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SANITARY N(1. CONT ROI. Nu.
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ARCHI -fUGNG ITER:
BUILDING PERMI1INFO
BI.DGEI.IiCI'. PLUMB MECII
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I.ICHNSBU CON1RACIOR'S DECLARXHON
]Ob Description
1 herehy aftirm chat I ant licen.wd under pmvi.iom at Chapter lcmnmenciny
wiBtSeetmnRaxpofIJiviainn3„nnennanv,,and11 fe..ioisa c.nndmrueen.e
3062
LIVING SPACE, /+31 GARAGES LOT 1
Lin full force and effect.
icense Class Lic.n'n'ts
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D:nc Contractor
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ARCHITIhe. S DI,C1ARA cord
IUJ rJnylf :.IIIb d Js
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lice dI fees. tl
OWNEHBUILDER DECLARATION
IM1 by lfmthrI ptI t C trna:L 1wlor fire
ftllo b -(Scti 7031.5. B c. II I - nsCN A y lyorcounty
ICV AAA
..ry Atb
when requires it permit to convinict,hr, improve, demolish. pa ystmcture
-
-
(f,7 LiL J
V
priori t also requires theapplicant I such 1 nils fl , Laamment
,too he loaarwdp tso , lo he provikono of the c t mn, Licenset (choor,9
Sq. Ft. Floor Area
♦ p1�t
(commencing with Sect 70e) fD o 3 or B nes 11 :. mCont
-ZV7
on Brae he is exempt t ne'i, ram and the basis foe the alleged enempuon. Any violation
of Section 7031,5 by any applicant into pennilsunject, fire spplimnt to a avil Nrialty
A 8.
- Occup 7Type
of not mac mmr Bcc bummed dollar. fs500y
—1-1
.rk_
00
01, us uwner ol'uhc pmpcnY, ser ury enonycex with wage. u. Mair sole rotnpencaoon.
101—
FOUNbAT11f f �1,pwions
1 u
will do the work, :rod the oruaum is not intended or offered for rule (See. 7(47.
Business and Profession, Cute: The Contractor's License law docs not apply m :m
w r y ul Pm,va who builds fir impnrves themon,:md who duce ash work himself
or through his own employeesprovided that such improvements art nut intended or
102
— PIERS
offered far sale. 11, however, the building of impmvenuco is sold within one year of
cnnmldion, the owner.n Kidder will have the burden of pmvine that he did not build or
103
— UFER
imp n.pufmc of sale.).
104
—REBAR
anhepmpertr.ante.da.iaey cammcanrs w'itn ucen.ea corrtrarmrsm
rnarI.'wae pmj«t Isce. 7aa.'Im.ine..:t id Prafc.airmx code:) The Comm01ir'`
1.05
— ANCHOR BOLTS
License Law does not apply u, an owner of progeny who Builds ser Improves thereon.
and wfor contracts for such projects with a contmnon.l licensed pursuant to the
1.06
— SEWER & WATER
Cnnwrnra Liernc Use
01forn eyrr�rI,n�under See BK PC for thisomon
202
— UNDERFLOOR PLUMBING
wnct_ _Datc(��11(OV
203
— UNDERFLOOR MECHANICAL_
It BR'S) I'IiNSA❑ MI .0 .A It ATItIN
204
— UNDERFLOOR FRAME
I hereby affirm under penalty o 'f fertility one of the following declaration%:
205
— UNDERFLOOR INSULATION
have and will maintain a CcniGc,ie nl Consent m sel6irome far WorAcr's
Compensation, as powided Ior In, section 27100 of me Labor Code. lir the
301
— ROUGH PLUMBING
crmrmanceoftire work orwhich this porilisissued
'
302
— TUB & OR SHOWER
.If mainWorkeys Connren.nhon lo.orance. a. required by Section
❑mare and wh
30�
— ROUGH MECHANICAL
1700 of the Lar Code, for the performance of the work for which this permit is
is sued. MY Worker ICmnpen.ataninumncccani,, and policynmoberare.
.+
304
— ROUGH ELECTRICAL
C [,)he,w,.:
305
— FRAME
CERTII9CA'I'ION Op LXLMP-1 ION FROM WORRIERS'
cohrPENSN7oN INSURANCE
306
— HOLDOWNS
In, cation used am be completed firepermit is for one hundred dulla¢
T
307
— INSULATION
(SI W) ser less.)
30B
— SHEET ROCK ”
I reunify that in the perfomrance of the work for which this permit is o,aed.l
.shall not employ any person In aur manna sn ax m heeome onsjnt m the Worked
309
— EXTERIOR LATH .
Com"a'aaon Law, of cahfomia. Data
Applicant
310
— INTERIOR LATH
NOTICE TO APPLICANT'.If, after nrkingthis Canilicate of Esempuiun, you should
o, of the Lan Code. you muse
e object Worker's ConnNosti.m. provisioLab
becomot u
311
— SCRATCH COAT
forthwith cntoply with wch provisions fir cls permit shall he decimal revoked.
313
— ROOF NAIL
CONSTRUCTION LENDING AGENCY
I netcby oniorn that inctcis. constmcdon Ivadhea,vocY for the parfommme
501
— FINAL ELECTRICAL ENERGY
of the work for w 97, which this .if, is issued (Sac. 3(1Civ. C.)
502
— FINAL PLUMBING ENERGY
Ude..Namc
lsnde"Add"''.
503
— FINAL MECHANICAL ENERGY
I cculfy (ten I hevc read min aDPlicntinn mrd elute that the .Bove information is
correct. I once to comply with all city and county ordinance, and state laws mmring
504
— FINAL BUILDING ENERGY
Is, buldinscan.lmclion. are hcrchyamm�ri.cmpresenof...Athfscity it, `n"r.,ur505
— FINRL ELECTRICAL
the aha. c-nocrooned progeny I., inspection pmposcs.
(Wel ogmc m sure, indemnify and keep hound... the Cay of Colwnino against
506
— GAS TEST
habBi irN, judgmrnt., assess and expense which may in any way uceme against said
City in cnnaquencckcg of Nin permit.
' APPLE T UNDND WILL COMPLY WITH ALI . ONP INT
SOD 1'.
G (�
507
Issued by:
— FINAL PLUMBING pate
.�
re
'"p"- °a"
Re -roots 509
— FINAL GRADE
S h1Al ER1ALS DISCLOSUREWiumcappunndmngrccnp:nntsmreorn:nmdlcna,::Noasmamrial
Type of Roof 510
— FINAL PLANNING
nn defnen M1y uhc Cupanino M1lunicipal Ctdc. Chapter Y.11, and tat Ileahh and Salvey
Gale, Smtion 25332(u)'!
❑Ye. 73 No
�
All roofs shalAt%S CCI2l� to�a� i'O [fh iii �. beim installed.
Will the applicant or famre hoiliingoccoporn use ta,cipment or device. which
If a roof is. ins�ACU
,IY�i,6f(
wIthVQf•[1T�1pJl O0 I iII A& on, l agree to remove
havnlous air contaminants to Je(rwd by the Bay Area Air Quality ManagementIil1QA1.
p T
all new materi0eortns 1QA1 Y: T 4%derstands and will Comply with
Tuc't? ❑No
all non -point J4W
jLIB' EIV—PROGRESS
I have 1. the hI a 'a mrurinls reyuircnnems under Chop¢r 695 n[ the
Culifomia Nenbb&SafdyCWe, Sermons 15505.?5537 and 25511.1 undcrsrnJ Ilia
A
rf
ifmc hullJing does not curmndy have n t➢nnnl, th:n it I. ally nxponsibilhy m notify the ft
cwgam or which masa he ma prior 1a issuance of a Cedilicrc of
-1
Sign t pDate
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coverings to be Class "R" or better
anrquirlcnm
Ow,rer: fit [)at,f