02080022 CITY
BUILD NG DIVISION PE*T CONTRACTOR INFO ION:
BUILDING ADDRESS: PERMIT NO.
10123 N WOLFE RD 4 2052 02080022
OWNER'S NAME: APPLICATION SUB DATE
STEVEN MEISTER (FUN' CANDIES) 08/06/2002
PHONE: SANITARY NO. CONTROL NO.
9 Q zO ARCHITEC(ENGINEER: BUILDING PERMIT INFO
kC V F. BLDG ELECT PLUMB MECH
8 m 2 LICENSED CONTRACTOR'S DECLARATION Job Description
O Z Ei 1 hemby aRlm(nal 1 am licensed under provisions of Chapter 9(commencing P
�yhu� with Section 7000)of Division 3 of the Business and Pmfessinns Code.and my license TENANT IMPRVOMENT
z7 is Tamm Corse and effect,
6 License Clans Lic,X
°'Be a O Dae Com arm,
3 ARCHITECTS DECLARATION
t g 1 understand my plans shall ne comas public recosis AUG 2 6 2002
N
o O Lmcnud Profsslonal
OWNER BUILDER DECLARATION
I hereby.Hirth(hat 1 am excen,anomer from the Conions Co A nu Taw for rite
as < Following uasoa(Semon]onstr Buaiter, and Impositions Code Any tiny or comity
❑ which requires a permit no conswn,alter,improve,demolish,or repair any ssmcwrc
i3$ .poor to its issuance,also routines the applicant for such partial o file a signed satement.
that hers licensed Paraded to the Pmvidoru of the Conuactoes License Law(Charter 9: X13,1 f`q•,Ff,.F,{t\O�I'Ca yr �T71"r� 'a, Valuation
(commencing.with Section 7000)of Division 3 of the Has end Professianx Code) % 'sj 172 V lYd 4lc ,
or Nan he is exempt therefroln'end the basis for the alleged exemption.Any violation "��l "' r" �"I'
of Section 9031.5 by any applicant for a permit subjects the applicant to a civil penalty "
Of had more than five hundred tied.as S50(). 101 'PNFATION �'" "' - Occupancy Type
°I of Ne property,or my employees with wages as their sole compo non,j _
will do the work,-and the structure Is not intended or offered for sate'(Sec'?614' -
D s nese and Professions Cade TTe Contractor's License Law does not apply to an,- 103 - UFER Required Inspections- I'
owner or property Who Wilds or improves thereon,and who does such work himself 10 4 - REBAR _
or through his own mploy provided that re te
such Improvements anon unmarked or
off red lot sal IF K6 e - the Wild g or Impoi imam's`sold within one yearof - -- -
mortician the ow ,builder will have the burden of proving that he did not bund or 10'5 - ANCHOR BBLTS -
improveforpalposeofsale.). 106 - SEWER & WATER
Y;u owner of dk '----' _..___._ _ `-----..-(Sm.
lam eusinissacomrrcningwiNlicrnsno Coaunotslo. 202 - UNDERFLOOR PLUMBING___._-p•Tx.D
construct the doproes
no(Sec.]064.Business and property
who b Code)The Contin E'i_.
License Law does n t apply to pan owner with
property who but or Improves thereon,
203 - UNDERFLOOR MECHANICAL
. and.who co Lie...mucts fL sack prolenx.with a contmcnortg Immxd,vurauanrt the. ....___.., 204----- UNDERFLOOR-FRAME
.. _......... _.. .. ....... .....
C nuaaors L¢ense V '
is °la c mptund ac '' " " '1 B'&PCfrthl reason 205 - UNDERFLOORr�"INSUL'ATION
KER'S COMPENS OKATION -- - 3O1 - ROUGH PLUMBING
302 - TUB & OR SHOWER
I rebya nmanggpech.1. rxrryrynncarthermlawingdedemnmm: 303 - ROUGH MECHANICAL
1 ° 1 have a will maintain n c6aif m of Coast.,'ld self-nsure for Worker's 304 - ROUGH ELECTRICAL
Compensation,oProvided e f r by Section 37ae of he Labor ode. far one 305 - FRAME
pcdormance of the work for.who h this perms n issued.
Q 1 h -d' II'm t o Worker'.'Comp[main.Immune required by Section 306 - HOLDOWNS
3700 of to Labor Coe f thepetfomn.m 1 the work for hich'lhis pc' it is
307 - INSULATION
issued.My Workers C pen n lata a and P l y n iter a
3.08 ,- ... $HEET'ROCK ...................�__..
COT `] � Y ?I^•C�Pol cyN .' ... / v
N(CERTIPI'C MPEOF NSTION INSURANCE,,., ED 1' ""i l..l, 09— f. EXTER'I'ORILATHv7• I
v, p moi _..3.3.0_1._. I-NTER'I OR-..LATH
(rhes se8hda new not be coin leid if the t is for one hundred dollars ' ... Ul;'.
sS1001 less.) 311 SCRATCH COAT
313::_-:.:.ROOF .NAIL. .:,.
Ic nlfy that theprf� or the .,it for hhthpnnuincoined,l
"h II n e pl y any p any ma sit as m become ubl cit to the w rkers! 501 - FINAL ELECTRI CAL'1'ENERGY'
Compensation Lows or CBllfomla Uae
..:Applicant.'- ' " - ._5.02. _-..-FINAL...PLUMBING—ENERGY
NOTICE TOAPPLICAN m aIlenukingthuC ntc s rExemption,yau.na Id. 503 - FINAL MECHANICAL' ENERGY
'4 o bJ=Ct to rh W k 'C mMn t pr V sahh Lab rCd•,y m sit
Z Q forth th en ply'wnh u n p isions th permit shall be deemed oker.
_- _-504 BUILDING._ENERGY_- _
co"MUCPIO,LENDINGAGENCY505 - FINAL ELECTRICAL
as > 1 hrb
ey fre that n them aconstruction leading agency for the lierfman I e ,
� ., nnh ,kr nrnm a .Itissued 3H9rce,c> 506 - GAS TEST
g�.
Q -Lender blme `
Z Lea Address ....._.. .. _
PLUMBING
. 507 - FINAL PLUMBING
-
V
' •lcertf that reed this srdii that mOw,ntiann,ln t ' ' 508 - FINAL MECHANICAL
Correct.6egrce to comply with all cily;nnd county ordinances and slam lows relating 509 - FINAL GRADE
°.Qw W 'theabovementineiPaul hercbyaectionpurprescmalives�fnhkxcitymenmrupon 510 - FINAL PLANNING
',�.-0. the Bove mentioned p pend f inspection p,eases
F d' (We) g i - cath fy anJ kaph 1 eslh Cry fCLpemnd g nil
'res liabilities,judgments, t d expenses which. ,y .any y gain.t said 514 - FINAL UBL WORKS /J•�
C.) Z 9-com of UNDVII D WILL the NDSANof this L[
APPLICANTCOMPLY WITH ALL,46N t]I r
s RCE oLt, Ns _ ��r Issued by Date [/
gn re PAP candC a ni : t /:�`, .'k''i�• /
! FW RDOUS'MATERIALS DISCLOSURE Re-roofs
v, win flm appOicam«f ire holding..,.I Imse onam( ha:amw t nal _Type of Roof
as defined by the Cupertino Municipal Cade Chapter 9.12.and theHealth d Safety •'" "'-"""` •'^ "`• '-'
Gd e tion 25332( fN' I II . is �.T.1 m l�. agree
°v roofs hall be ms ected.pnor to,any.roofing,material being.mstalled
,Will dim applicantorfuture building«c poor a.mu p tit or sues n If a i00f IS Installed n without first obtaining an inspectionr'I a ree to-remove
rtu
= tM1uard sur conmmanr tlefnw by the Bay Art.A Quality Menag m g
all new materials for inspection. Applicant understands and will com I with
rt ❑vex , I 1..,. I t ..: :.. :.. :.._ P .. PP - _,p..Y
all non-point source regulations'
1 tt ve read the Safety
Codhazardous mammals regwrc 533 and der Chaps r 6 95 of the
Cahe til id does Safety Code,Sections 25505 25573 and 25534.1 understand than
l
no
anti does not cunennlyhaveamnanghmitiimYrcsponstbiliryt.novfy the ""-""-"" '_..... . ._..... .__ .... -....._... - ....... '..._ . . .. .. _...-_.. .. ....
P rawho qda t fi t f
« c , g sun t b=m t t„ Signature of Applicant _ Date
{ 1 , .Dae .. _.._.
oc m time,rc u nm n h h p iu ane f ('ani
P Y
i All roof coverings to be Class"B"orbetter `
OFFICE---- .. _.