00050214 CI'T'Y OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS. 1111Q�0.�tV2 T/2S h (�7�� P�mNo.
OWNER-SA0683 APPLICA9'ION SUH DATE
322 f 57b2 tS cre"k - Vd- 00050214
'HONE: PAUL PETER �y SANITARY NO. CONTROL No
/•Tv 05/31/2000
.C Y. AIiCHI'I'IiC'TII3NGINIiIIN:
BUILDING PERMIT INFO
Ins–w 0OC FILM ELECT PLUMB MECII
F ad I_7 1=1 CI 17=I
vNiI LICENSED CONTRACTOR'SDECLARA'T'ION Jobl
O y–G I l 70(hothat I ten,Flhdlicensed under prnvixioos of Chapter 9(cununec,a,e Description,
h in—ad—, with Scnlcrehyaffirm that1oo3 ofinecide,undl'odkxximrax Code.undnrylleeme
m —7 ix in full tome and effect.
O 6 Llcenxc Class Lic.B
U Dam Contractor
t�i 3 u G
ARCHITECT be o S asCIANAecord' /
I nnJcrxtmW my plans shall he used as Public records
..H O Littn.aA I'mfcxxinnal /
c%� OWNER-BUILDER DIiCLARAfIIIN 4
m—m 1 hereby m fino that 1 mit exempt fonts the Commcre'.,License Law for IhC TENANT IMPROVEMENT
t_'t N following remora.(Section 7031.5.Busims and Professions code:any city or county
f O which mamircx n permit m comm¢6 nice ;ujro rd demollnh,or repair any amcme,
that heslicenanx¢aEnmyuiree provi,ionam mrwcb per;niUoclusc Law
(Chapter9
— mat.antacttwithScuam700(no'vieimnsofofthBusinesandPrLawnte,Cor9 Sy. Ft. Floor Area Valuation
or trot he is ewitht hem out and the asic ln(ea❑gedmxcopin.Any violation or that he is exempt any anon and the haxi.x for he cts alleged ptici into Any l pil W ity �
of Section 70JL5 by any applieenl av$500).t xubjanx me applicant too civil penalty r031ll
..r not;mime rosin Inns nnmdred donnrx(xs(yd1. APN Number Occupancy
01,as owner of the pmpcny,or my employees with wages as their sole comnmon:owill d n k.and t .t a Iintended offered r 1 c
1605053. quired Inspectionswe 1 Code.I Contractor's t License Law does not apply t,
an
ownerfpopeny Who Wilds therean.and who does such workhmself
or through h'(,on cruploydev.p IJthat, h ounprovenicars are not intended or
offe d Tor rola If,however.the holding or impoocinuent is.old within one year of
completion,the owner-builder will have the burden of proving that he did not build or
hnpnwc I...pn,pnvc of xal,J.
01.as owner of the property,am exclusively commeling with licensed cotracmmm 10t — FOUNDATION
mxncel the project(Sec.7044 Ilusinu,s xnd Professions Code;)The Contractor'sLicense Law does not apply to an owacrof pmpemy who build,or improve.thereon. 1.02 — PIERS
and whit contracts for such projects with a contmaor(s)licensed pursuant In the
Comrano6 l.icen"`Lraw. 103 — UFER
❑1 am exempt under Sec. .B X P C for this mason
Gwuar D,te 1.04 — REBAR
WORKER'S COMPHNSK110N DECLARATION 105 — ANCHOR BOLTS
Ih,mbyafinnn...1,. •nallyolwrpuryuneormefollowing declarations: 1.06 — SEWER & WATER
0 1 have and will maintain a Certificate of Consent to self-inwere for Worker's 202 — UNDERFLOOR PLUMBING
Cm,tpeo.oM1oo, ux provided for fly Scaion 3700 or the Labor Cale. Inr flue
m
perforance of the work for which this couriti,issued. 203 — UNDERFLOOR MECHANICAL_
Olmoe.,d ,If mah,min Work,,',C,mistn.xntiom hlxm:mxc.as mm:ifexl by Sedion 204 — UNDERFLOOR FRAME
37M of me lamer C,de,for the perhouni ee of;he work for which this permit i,
issued.Nl wur- Compcnmaonm,manceani/er ndrohc�yjnamnemk��f, / _' 205 — UNDERFLOOR INSULATION
C
arver: y % ronsfi". � KM(ems 301 — ROUGH PLUMBING
CERTIFICATION or I:XENumo ERom woRR(:hs X02 — TUB & OR SHOWER
COMPENSA'1'(ON INSURANCE
Thiswctiun raced not W completed if the permit is for one hundred dollars 303 — ROUGH MECHANICAL
(Sugnorlexs') 304 — ROUGH ELECTRICAL_
1 cenily that in the perfonname of the work for whim this permit is issued.I X05 — FRAME
shall o...employ any Peron in any actow,so a,In account,sonm d 3
de,
m worker,'
con,penxation laws of cahromia.°ll1e 306 — HOLDOWNS
Ap,hcunl
NOIICB'rt,Al'PLICAN'I'.11.morocnong this Ccnircam,tt E—at a,you should 307 — INSULATION
bmct
ecoe subjemine""oke",Comm
pemum pmvisionx m me Ichor Gude,you ain't
zz0 ronhwdheumplywimsuch pmvi.ion,orthis youth xhall Wdecided mvoked. 308 — SHEETROCK
F ^ CONSTRUCTION LENDOJGAGENCY 309 — EXTERIOR LATH
a > I hereby affirm that mem is a cnmm,ction lending agency for the performance
of the work fur which mix ry:nuil I,:xsucd(Sec.3097.Civ.CJ
p`il'l, p 1<nder',Name 310 — INTERIOR LATH
z Lemh'r,Addrexx 311 — SCRATCH COAT
U O 1 certify that I have mad this appueadon and.tate mthe e above information is 313 — ROOF NAIL
correct
1 agree to cannily with all city and county ordinances and state laws relating
O U tobuilding cooameaum.tmdthereby ummori,creprew,nmivexofthis city inenter upon 501 — FINAL ELECTRICAL ENERGY
W the aMrve-meotioned pmpeny for inspection pugmses.
E~ a (We)agmeto%ave.indenmifyandkeep harmlcsxthe City tit CupenlnougWnst 502 — FINAL PLUMBING ENERGY
UZ) liabilities,jadgn.emx.cox,and e.,c c,which may in any way le...e against slid
z citym cmn.wynvam'm`egmum of this permit. 503 — FINA M CHANICAL ENERGY
^ APPLIC 11 NDERSTANDS ANO WILT.COMPLY WITH ALT.NONI'OIN
R 1. '1( s._ _ Issued by: 'a0yt — rrnl I. III nrnlr_ EfII:iY ^��d0
.stgy 'p 'unznuo r eRlnL.c Dlscl.tnuRla D""-� Re-roofs 505 — FINAL ELECTRICAL
Will the applicant or future melding occupant arm or handle harallom mmeml Type of ROof506 — GAS TEST
s dclined by he Calm inn Man'm ipd Calc Chapter 9.12,and the Ileahh and Safety
citde,Section 255320? 507 — FINAL PLUMBING
El Yr, 0 N All roofs shaHmj�rdnspegte0LRj*r tWEClq-pfjjgOI4lterial being installed.
Will the uliphumn or Enure handing:campmn use rnaipm•n or devices which Ifit roof is inyj witttaaa�aal/11.-11{{K{,qq[ otI�a[[���{yyp�q}{{�n inspection, I agree to remove
emit hnadous air contaminants as defined by the Day Area Air Quality Monoplane.,
NHL rj rX F11./G
raxtderr all new materi�a, s or in:��ppee����yy� I stands and will comply with
❑Yo 0 N all non-pointCt ereg619tIStf�-��'� Y '
1 1,d read the haamI materials_r1 4wm«re,en1,mon ,eptm 6.95 or the 51.4 — FINAL PUBLIC WORKS
California Ilcvlm Safety C,de.S- mC!5505.21533 5534, unJmsmnathat
if the building doesnot caave a ne anl.th ,my re,,ouldolity to notify the
or
""' l or the r' ,mn I,wnnn, cnd no prom to issuance of a Cer ireme of
Occupenc
Sl..31-21 Signature of Applicant Dale'—•
owner„ -, D-m All roof coverings to be Class "B" or better
OFFICE