01040148OFFICE
CITY OF CUPERTINO
CONTRACTOR INFORMATION:
BUILDING DIVISION PERMIT
BUILDING ADDRESS:
1122 YORKSHIRE DR
DRAEGER
CONSTRUCTICNI
PERMIT NO
INC 01040148
OWNER'S NAME:
APPLICATION SUB DATE
PRICE ROY W
605 COMMERCIAL ST
04/26/2001
ZONE:
SANITARY NO. CONTROL NO.
(408)536-0420
i
ARCIII"FECEMNGINEER:
BUILDING PERMIT INTO
0
BLDG ELECT PLUMB MECII
w
Lan
Job Description
11liDCON'1'NACad ro,ECLARATION
I hcmby nOlmt rh'vt 1 um lice sscd ands previsions of Chapter 9 faonnncncing
wId S t' 7fNN1) 9D �yoljy' :+Pa,1C d 'nJ :nylvc rvc1 r ll 19Y I (T'
h; "
FIREREF'RIR�R
F)
3 �� Y
(IIICl5i'z
'
O
MAY 7
200'
jLicensed I'm&ssii"°l
y OWNER -BUILDER DECLARATION
I bctt'by htlimm that 1 um evenpl from the Connector's License Law Iia the
<
Iidlowiny reason. (Section 7031.5, Business and Professions Code: Any it, .,,,.a',
O
which requires a permit u) construct. alter, improve, demolish, or repair any sVucmte
—
pnor a, its issuance. nl.w requires the applicant for such penniuo file a signed swtennnn
that he is licensed punuantanne provisions atmeContractors License Law (Chapter 9
Sq. Ft. Floor Area
Qr Valuation
(commencing with Section 7010) of Division 3 of the Business and Professions Code)
$ 85875
or that he is exempt therefrom and the basis for the alleged exemption. Any violation
M Section 7031.3 by any applicant for a permit subjects the applicam u, a civil pewk,
APN Number
Occupancy Type
of am more man five hundred dollar, (5501).
36208006.
00
O 1. a. owner of the propcny, or my employees with wages as their vole compensation.
Required Inspections
will du the work, and the .wcurc is not intended or offered for sale (See. 7144,
Business and Promssion. Crile: The Contractor'. License Law des nor apply to an
or prnpenv Who noun , improve, hereon. sad who does such work outsell
101
— FOUNDATION
osr
through his own employeeprovided that such iurpmvements are not threaded it
offered for rale. II, hnwuver, ha building or improvement is sold within one year of
102
— PIERS
conhplelent. the owner.nuimer will have the bordcn of proving that he did not humidor
er cforpurpo,crosmc.).
103
— UFER
dm pn...cry, n. xclolile], e hntrallin, with wenrm,vadeaetnr, to
Cl l.:�a
104
— REBA R
hW
itm:secoital (Sec7044Ilu.ness and V -1 --as Code .)'I'he Conmaor'siamw
Lawdrax"mapply wmiownmof mo,u, won lm0a.or impnwc. mm,n,u.
105
ANCHOR BOLTS
ANCHOR.BOLTS
and who commas or such projeen with a conuaaods) hecnsed pursu"nt m Om
106
— SEWER R WATER
O l ash exe:upt under Sce. . B .W P C or has Isola
202
'
— UNDERFLOOR PLUMBING
Owner _
WORKER 'SCOMPENSATION DECLARATION
203
— UNDERFLOOR MECHANICAL
Ihereby alfirmunder penalty olperjury one of the followingdalurninn.c
204
_ UNDERFLOOR FRAME
1
D 1 have and will maimain a Ceno ircme of Consent w1r-in,me for worker,
205
IJ61DERFI_OOR INSULATION
Compensation, as provided for by Section 3700 of he Labor Code, for the
301
— ROUGH PLUMBING
petfomnameoftheworkrmwhienmi.perniti,iomed.
D l haw and will maintain Worker's Compensation Insurance as required by Section
302
— TUB R' OR SHOWER
3701 nr the 1. bon Code, for he performance of he work for which his pamtit is
I b,c
303
— ROUGH MECHANICAL
isucJ. Aly N' r'r Compcnv��u/nnj}/t�drama ea �dj�'' DsBev mauler are:
. 0 " � "aa clyand _2 y
4'LRS'
� 304
— ROUGH ELECTRICAL
comer_
CLR I'IFICAf[ON OIs EXLMYI'ION FR N
305
— FRAME
COMPENSN'IUN INSURANCE
3016
— I-OLDOWNS
T as.c"unuccdn l he c 1cmd ifthe pemur is Nature hundred Jnllam
(snu)alu-)
307
— INSULATION
I sally mol it. me purh:mn"ec 0 he wink Tor whish dols lennir i. nxned. 1
308
— SHEE I POCK
n i nm. .
.ball on mnploy any pct-, .t n :,"y aha r so as a: bcm",o.nn,iur to th, Work...
oao„,.o.adml Lavv, of C"aflurnia. Date
309
3.10
— EXTERIOR LATH
— INTERIOR LA Ti -I
NM CE'Ilaurn IAPIPUCAN1:It, alter making his Cenireate mrmrinio". you Id
L
Reonm vobject to the Wodc,,C(.nhpcnwibn provisions of the Labor Cotle, you must
hmhw;11h"untilywim... It, ... ski nto.orhis -,it
311.
— SCRATCH COAT
n
CONSTRUCTION LENDING AGENCY
3121,
— ROOF NAIL
I hereby afinn that there is a construction lending agency for the performance
onheworkforwhfchhispemat:sissued(See.3097.Civ.C.)
501
— FINAL ELECTRICAL ENERGY
502
— FINAL PLUMBING ENERGY
Z
I.cnder', Name
I unify that l have mad this application ministate that he above information i.
503
— FINAL MECHANICAL ENERGY
,i, ble
coact.la,am trctin.and brchy mill .cite mw,elupon
504
— FINAL BUILDING ENERGY
dith.11 at,andm mm,milmtiveonnis
mah imrepyanmans a.,relary'a
tomeldingcansto ct...
•.
y
A
he show mentioned prupcay lot inspection par, o.er.
(We)agree msasae.indemiifyundkeep harmlcsstheCay ofConceinnagainst
liabilities, judgnenn, coos and expenses which may in any way came againo said
5
50�
—FINAL ELECTRICAL
TEST
Z
Ciry in umm�pmnce of the grenfing if this pnnit.
506
— GAS Y, 2
"'
API'LI'ANT lINOP STANDS AND WILL CObIPLY WITH ALL NONROINT
SOUP IBEGUI. O'
Issued by: 5 17
— FTNni Of iimnTNG Date
Re -roofs 508—
FrWYL MECHANICAL
mtracrir — Dare
rr eni
oo nnzngnuus MAnsRInLS DIscLosuRls
nnilding:n<,:pant.wre ornandla b::<rdna.:,mmri:n
Type of Roof 509
— FINAL GRADE .
will deappll�.,nnm rococo
de, me C,geniun Monicipnl Cola Chupmr 9.12. and rhe llcuhh unJ Safety
510
— FINAL PLANNING
Coda, S,ccctlli
Code, 2553200'!
❑Ycr DNo
.
All roofs shall 1:5ir4peetelli7ii tPM1211T nWgRgt )eing installed.
Will mcapplicantormteebulldimgiccuentUse eg,dpnhcmordes ices which
If a roof is installed without
first obtaining an inspection, I agree to remove
,,nit harardoor air conmminamr a, defined by he Bay Areu Air Q.chly Manugno nem
all new materials for inspection.
Applicant understands and will comply with
Undricr
D Y`n ON"
all non -point source regulations.
1 have read the W,.n1uus materials eyuirements under Chapter 6.95 of the
Califomia Ilcaltn.F Safety Code. Sections 25505.25533 and 25534. 1 underoand that
if he building acs nit currently have a tenant. that it is my esp,m.ibility to notify the
recupum of the requirement, which must W met poor m issuance tar a Certificate of
Signature of Applicant
Date
-ot�Lt
All
roof coverings to be Class "B" or better
„6f5ab'«� Dam
OFFICE