02050156 CITY OF CUPERTINO a -
BUILDING DIVISION PERMIT CO1�T`RA'CTOR INFO TION:
BUILDING ADDRESS: PERMIT NO.
10123 N WOLFE RD # 2017 02050156
OWNER'S NAME: APPLICATION SUB DATE
ELECTRONICS BOUTIQUE 05/23/2002
PHONE: SANITARY NO. CONTROL NO.
Z C ARCHEi'ENGINEER: BUILDING PERMIT INFO
OO
MECHBLDG ELECTPLUMB
=D C-1 LJ LJ
ss.. LICENSED CONTRACrOR'S DECLARATION
0 z,yin I hereby afivm that l ora licensed under provisions of Chapter 9(commencing Job Description
with Section 7")of Division 3 of the Busine and Professions Code.andmylicense TENANT IMPROVEMENT
is in full o ct.
E O U License Lij-
Da - Con -�
LL O ARCHITECT'S DEvac ATI N Duat
T understand my plans hall be used as public records
Licensed ProfessionalOat I am eU rapt fr DECLARATION 1 heaso.(firm[lira 11. exempt from the Cosions C s License Law for the? whicfollowin quires a pa cion 7o3smact.5. Iter,i rid Profession Cade:Any city or coumy $28which requires a e..1.to mmwm,alter,improve,It per it t or repay say umea mrc. YYpriorm int issuance.atm rcqu1 the epomxoffor Contrasnduoima. aw Islia11,s pryNsonsof Ne CamrvctWSLiunse Lew(Chap¢r9 Q��yp�s�� 1 On
or an.,be"g ma Schumm of Division 3 of the BgqssyPraepp�,m�dPsafessiani Codel (�(��I Kl� •t: ":`tJ: L 'Ir;'f t V:V.
or NnI he n lxempf thckfmm erW the basis far the elfpgdd,3mmydah.hay violation (
arsddanm than earaPpreal rs($5 rmit,aniertameapplK,ntwaci.•ilpen.hy Occupancy Type
Wardroom than rive bandrce eanaas[sso0y 101'4PN 1�@�ATION i''`'f`'gT"O
❑1,as owner of the progeny,or my employees with wages as their sale compensation,
will dme'work.and he structure is'nor intentletl oroRerttl'beside'Sm.7044:
Busmeli'and'I'mmasions Code:The Contractor's License Law does not apply man 103 - UFER Required Inspections:-
owner of property Who builds or improves thereon,and who does such work himself
or through his own employees,provided that such improvements am not intended or 104 - REBAR
,offered fbar ude.-If.however.the ar imp�aemenfii sola withinone rem ar 105 - ANCHOR BOLTS> �' •o ,.�„ ';.!' ,�
'completion,the owner-builder will have the burden of proving that he did now build or ,
improve for purpose of sale.). 106 - SEWER & WATER '
a1:lL,We,-o t progeny.emacrosivdycom�ncSing witli licmza-c----n`to __. .-------202 UNDERFL00R PLUMB-ING-_. F-j�-r("e l•Fz 0-..—._____.
-_ construct the project(Sec.70,14.Business and Professions Code:)The Contractor's 203 - UNDERFLOOR MECHANICAL`-"` I' .:lu ,.•_,
License Law does not apply to an owner of property,who builds or improve;thereon.
1 ._and who.contracts_for.such.projects.wvh.a.conuacrortal licensed,pursuam m.the. ...._____—_-_
Contractors License L .. _.__.-204--._...._UNDER'FLOOR--FRAME--
❑I m Pt,�ai s r' a_,_ '- `' Ii�Pcfarmi,mason 205 - UNDERFLOOR IPNSULATION
Onet ='fiat 301 - ROUGH PLUMBING
-'WORKERS COMPENSATION DECLARATION _ 302 - TUB & OR SHOWER
Ihereby.115.inderpnnahraf �ry,bn�ofinefanm.;ngded,aamta: - 303 - ROUGH MECHANICAL
❑ I have and will lons.11nii'Ceniecxte of Consent to self-inmre for worker, 304 - ROUGH ELECTRICAL
Compensmimr, as provided-for by Section 37M of the Labor Code: for ibis
Phformance of tlm work,(m which thispemsit is lssucd. 3 0,5 - FRAME,,
371 haveandwill r' t In ar h rpe fempenwof t e work for
as hick t this
Section
306 - HOLDOWNS
- - _ 37oB ar me Laborcdee,Tar me plrfprinaaa ar mtwadcmrwM1icn rata amaiq is
307 - INSULATION
issuedMy Workers Co pe set o I-via cereal and Pol cy bcr
�_"-- , ry.. ._` . .....
v'{A [[�0 U ` h No. F _G 017�Y r .V. ff •Y 's H•., +.. t„ '• ,IL1C.
t7tCATIONOF PI'blS FROM RSF\ 'l.S,; t IJ1 ( •���•.s^♦r{�
COMPEN ON MSURANCEr 309, -INTERIOR-LtfTRr'
_...-._.: _.__..,_..._ _ 3T0"=—TNTER'IOR-'tiATH:_ ._.-__.___n-`--- —_ �_
rl''K'U'(Thisiiciion need not be complemd'if the permit is for one hundred dollars vr'v a't�t )O _ ::atll'p:t
aioB)or s.),., 311 - SCRATCH COAT
— 3"]:3 ROOF NAIL ' — `
..�_r ...! - .. _._. . .___.
1 emfy,ihai n the porn say mann @ k fur which thispetm,i isissued 1 , :n.
"Audi hal empl y'any person n tiny me cr so as m become subject to the W rkem' 501 FINAL ELECTR'I CAL` :' RGY 1
ApplCrunicant[ Law. fcattfmm:orta _ . ' _.___- ._.502 FINAL- PLUMBING.-
TO APPLICANT If.after making this CenifIcam ofExcmpuon you sh Itl `
berme out i to the Workers Cope st p [stn of the lobo Cray most 503 - FINAL MECHANICAL"ENERGY
0 0 farthwin ritplywith suchpo or this Permit shall he clearoadi ked _ __-5.04.. -._FINAL BUILDING_ENERGY-___ _.. _ .
CONSTRUCTION LENDING AGENCY "'
las IhembyaRanthtthe -nwctidleidt,gagencyforNeperfrmnce 505 - FINAL ELECTRICAL ,, , _ , Mt,.
.W,qof the work which this permit s d(ge 309Ta c1 506 - GAS TEST
Llndes Name -- ---- - --
z 'underrAddm; : 507 FINAL PLUMBING
V`Ohas.' '' - 508 - FINAL MECHANICAL' r
1 n(Y[hal l od Tho ppllc uon rid state th t @ bo of u t
W'�a ,correct 1 agree a a mply,wrth all city and county ordinances and state lows relating 509 - FINAL GRADE
�[(:7 to building maswctidn;and heab abthorim mpmientittives of this city to enter upon. SIO - FINAL PLANNING
_Lr7 the abo a me tioned p pent'f 'nspau p rpb. s i
0. (We)agree,. a e mgemnify aM kap bmml ax Ne Cdy of C p'cnino age not
to
liabilities.judgments,cost.end$pensc which may.n any ay arc a ago n.t said 514 - F I NAL UB C WORKS
UOty,n co Seq once of the ggram ng f di s Permit.- ('� �S
WPP ICANT N`DERSTANDS WILL COMPLY WITH AiL Ifo POINTS" + l;Jv
sof�rr 'c jLAt r l ! Issued by: Date
n t r df pplKma C ntmxtm, i,.', a Re-roofs
- \Cade by
3 337fe)um Mumc al Code Chao,,,9.12 d th H lth and Safe _
t HAZARDOUS MATERIALS DISCLOSURE
• WOIt oppl morfumy buldig occupant store or handle haiaddous mamnal Type,Of RUOfa -_�..._._. _.._..._................._ .._.,.
Y upt 11,
Pry 'l:Vii, YI L •�
°Ye ' ` u+r r"R s§ !ter` All roofs shall be tpspected prior•to any_roofing,material being installed,
Will he applicant or future building occupant use equipment no d;.•io,,which If a roof is installed without first obtaining an--.inspectioni,Fag'ree tri.remove
emu ha idau Q y g
Ds thiol ' - all new materials for inspection. Applicant t understands and will comply with
' et'Area t
s art c n amman s as e t y e n amen[
0
,
all non-point source regulations .
-' 1 hove read''the Safety
Code. actions 2 requirements udder'4,1 u i 6.93 oLdm
'i the mia is does
Safely Cale.Sections ant,that
itis y r 23334.I understand that
Ifd,e bu ld gtij not Trendy have aanbm the Bis my rcsponj@ditymnodtythe '— - " ' "'_.. -_ _.. ..._ . . ._ _ ...
occupant of m req em must be ran pdono ix vaace ofp anifcam of
f O cup
gam- Signature of Applicant Date
aathotiaed ag nt - All roof coverings to be Class B or better ,
a: -% t .•,., . : _- t. ._..'........ . ..... . .. ...OFFICE ... ..._ ..... . _.. .._.. .... . .. ...._ .._ .._. _ _ .