00070080 (2) CITY OF CUPERTINO -
nuaDlNabtvlsION. PERMIT ' CONTRACTOR INFORMATION:
BUILDING P'`SRESS
. , PI?RMI'r NO. -
214 PUBB RD L►00*10 00070080
OWeNER'S NAME: _ ' ^1��� �y ' APPLICATION SUR DATE
LEWIN (i 7 ✓� 07/1.4/2000
ONE: , - SANITARY NO, - CONI ROL NO.
O
p c z ARCHTTEC1717NGINEER: I BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
z N:_ LICI!NSED CONTRACTOR'S DECLARATION - Job Description '
O Z—❑ I hereby aBilm that 1 am licensed under provision:III Chapter 9(commencing P
F, Cda wifloSeefirst700B fD ,i s fine Business andP f Cade.vndm5 license - -
.al Lfnfulllrcf�deRcn 4 . SEISMIC UPGRADE ON HOME
Licca IC /YIf _ P p. tr v ,
o d Date
'3 a AR hall be total
ot DI CI AI I
Iundersmnd my plans shall be ualupublcrttl nln '
m�p0
LicarmordP f I
OWNFR BUILDER DECLARATION
I hereby U nh I pt 1 d Contractor I License Lax Ind the,
c C 4 roll nb .(S 71111.5 Bla,miss,and Profe,fron,C Any IY r'nunly
p
which h I p r 1 1 1 I r I I 1 e I.I r p .v any c n re
3
priorI t ..turrace,al y s(he applicant Fsuch permit I a signed surearicat .•
that he is licensed pursuant the provisions atth Contractor v License La (Chapter9 Sq..Ft. Floor Area Valuation
(commencing with Section 7000)of Division 3 of the easiness and professions Cuda
or that he is exempt flora ram and the bnvi.s for the alleged exemption.Any violation s q,
of Section 7131.5 by any applicant fore petmit subjects to applicant a civil pench, -
of not loom than five hand real dollars($500), tt " - - APN Number, .. Occupancy Type
❑L a.S,wner or to pmpeny,or my emPlaytta with wages m mcir sale eamticasuan. 7F21 1 e .
will do the xnrk.and the,Imuatare is not intended or offered far pale ISec.7fWi.
Business ad Pmfcssion,came:The Cammcm,x License law does*nal apply man . Required Inspections .
rir of property Won builds or impmvcs thereon,and who does Stich work himself
,through his own employees.provided tat such impmveniems are not intended err 101 — FOUNDATION '
ollered for_'ales If,howcscr•the building or inhprovo ndat is seat within ane year of -. ' 'PIERS
bmplc ion,the owner-liuildet will hae,h
ve harden of proving Inal hcdid non baud or " -A 02
impmve for purpose of out I.)
17 Las ronhe pmm
pe",ae.elusively conductingwhh licensed cmdme,h,no to 103 — UFER '
Linsruse, Ic pmjeet(Sec.7044,Business and Professions Curie:)The'Comruaor'v 1.04-'— REBAR
odo,ic Lowdoo,indapply to on owner ol pralverly so ho builds or improves thereon, L05 '— 'ANCHOR BOLTS
and who contraer
contracts far such pr jes with a n
eunumr
c (s) Ilcciucd pursnunl m.nhc. -
01Couamco'slrcensel.:'w' 106 — SEWER- 9. WATER .
❑1 am oxen, ,under Sec. B&P C for this taxon
Owner Date x 202 = UNDERFLOOR PLUMBING
WORKER'S COMPENSATION DECLARATION ?0_3 - UNDERFLOOR MECHRNICAI_
Ilmrchy off..nnmlor"colt,nr'perjorynne ohne Emowhig dadwrmiell, r 204 UNDERFLOOR FRAME .
iomi havc'aad will-mamtam a Cenificate or Consent ,n sell'-inure for Workcr'x 205 — UNDERFLOOR INSULATION
penmtian, as provided for by Seelion 3700 of the Labor Crile, for the -
perfonnanceof thewotfi,rwhichthisfacrmi,isiss"`d. 301 — ROUGH PLUMBING "
❑I have and will maialmo Workers Compdnsod:1a Insurance,an reyutred by Section
, 302 — TUB ,R -OR SHOWER
3700 mthe Labor Code,lin me pun
fonance of the work Iia which this perm..is
ssued.MyWorkcr,Cot.. no/ti�onlns*urancdcame,andPoncynumber,,1: 303 — ROUGH MECHANICAL'
Carricr fLPolicyN's:I �,_, '304 — ROUGH ELECTRICAL'
CERT IFGVION OF EXEMPTION FROM OR KERS'
CDMPENSATION INSURANCE 305 — FRAME
1'r1h'xsecam need pm be cnmpleial it tha permin is For one hunardd dollars - ' 306 — HOLDOWNS '
(SI WIrnIcxs.)
1 certify shin in tc performance dif,M1e work for which this 307 — INSULATION .
Y M permit is issued.1 -
'hall not employ any person in any manner,o as to become subject to the Workc,.= 308 — SHEETROCK
Corralmo :tion Lawsof Culiforniu.Dole
Applicant 309 —.',EXTERIOR LATH
NUPIC17 1'(I APPLICAN'E:IL after making ihix Cenifemv of Exunhp,ion;you should '
C Obecome subject to the Worke,sCompensation pnwdsonsofthe laborCode.3oumost 310 — INTERIOR' LATH
forthwith comply with such provisions.,,his permit shall be dremcd revoked, ,
z 31'1 — SCRATCH COAT
a Vl CONSTRUCTION LENDING AGENCY s —
1 herchy ntLrm rha„here is a construction lending agency for the performance 313 ROOF. NAIL ^
w o the work Iia which dn'permit is isvued(Sec.3097,Civ,C.) — ,
y q Leader',Name 50L , FINAL ELECTRICAL ENERGY '
U z der'xAhmress '502 FINAL PLUMBING ENERGY
Q II rudity agreetcomplyat I have reedtisityandcountyon adsmtnancesat eabovestatelawsreabominatlanls 503 — FINAL MECHANICAL ENERGY.
w U corneal.build 1 agree to comply with all esti tui county ordinances and stare laws relining
fJ -tub buildingconstruction, JI by Ih rP cv.1 a rats pt ¢r upon
w and n e)ag etos e. Irl y t Pse SQt4 — FINAL' BUILDING ENERGY
`^
,[r a
(We) 8 t nJenin'IY and kccpharmless maCly ofC Pcro n against
i.a4 City in
nQ,ca dexid'thi hihmaymanyw5 c grh,t , '- - 505 - FINRL ELECTRICAL ^
tJ z Cit)m ttmscyON of th grbS ng D las permit. ,
� . APPLICANT ON A'�sS AND WII///,C MPLY WI711 ALL NDy-POI 506- —.GAS ..TESL' .'
I ERECU DNS.. ( _�/ �g P ' Issued by: Date •� �D
/T/ i`kfiJp _
i— ppicaMCnnlrnas'r �— Re-roofs 1 508 — FINAL MECHANICAL '
Will theapples;ZArRfuwrc bIDOUS u icing nccuh nDloCLO eor UNP,haeamdnus matcnal Type ROOF
as defined byte Cupertino Municipal Coda Chapter 9.13,and me Health and Safety YP 509 — FINAL GRADE
Code,Section_a5532(a)7 10 — F NAL PLAN NG
_ovds �o - All roofs shall�gg sect �5 toy �A �y being installed.
Will nhd llppedimt err mmmd hulloing lkclil,am use aluq,mdm nAle.icex wi,''cn 11'a roof insfatled wthbuT lir 1obFar'n�in�g !Yin i Id I a dee to remove
emit hazardous air conmationals its defined by the Bay Area Alr Quality Mmargemdnt - g
Districts' all new materials for inspection. Applicant understands and will comply with
all non-point source regulations.
go have read the t u at dolls materials requirements under Chapter 6.95 of the -
L
d,&Sufcty Code.Seclam,25505,25533 and 25574. undersl:nul Ihm - •-
nes nal aunvndy hnvea mnnnt,ILnl bI'm y rvvpunslhilhy la nmify the
' requiremenne which mush M mei pmiia In issuance of a Cenifcote of • r s
I-„/�' Signature of Applicant Date
�— — . . - — /�_I»Y"V/ All roof coverings to be Class s,B.,or better _
s
•' 'OFFICE l
CITY OF,CUPERTINO
Stem 1 of 2 BUILDING PERMIT RECEIPT OPERATOR: yvonnek
COPY # i 2
;• Sec: Twp: Rng: Sub: Elk: Lot:36211054.00
DATE ISSUED.......: 07/14/2000
RECEIPT M..........: 12796
REFERENCE ID k ...: 000700B0
SITE ADDRESS .....: 1214 BUBB RD
SUBDIVISION ..... -
CITY ........ .....: CUPERTINO
IMPACT AREA . . .. .. . � '
OWNER . ...........: LEWIN
ADDRESS ........... ;
CITY/STATE/ZIP .. CUPERTINO CA, CA 95014-4966
RECEIVED FROM ....: ALAN
CONTRACTOR .......: LIC q
COMPANY ..........:
ADDRESS ..........i
CITY/STATE/ZIP . ..:
TELEPHONE ........i
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW DAL
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
........ ........ } .........
101 FOUNDATION 102 PIERS
103 UFER 104 REBAR
105 ANCHOR BOLTS 106 SEWER & WATER
202 UNDERFLOOR PLUMBING 203 UNDERFLOOR MECHANICAL
UNDERFLOOR FRAME 205 UNDERFLOOR INSULATION
ROUGH PLUMBING 302 TUB & ORI SHOWER ( �
ROUGH MECHANICAL 304 ROUGH ELECTRICAL' ,
305 FRAME 306 HOLDOWNS.. �
307 INSULATION 308 SHEETROCR
309 EXTERIOR LATH 310 INTERIORLATH
311 SCRATCH COAT 313 ROOF NAIL
$01 FINAL ELECTRICAL ENERGY 502 FINAL PLNMBING ENERGY
503 FINAL MECHANICAL ENERGY 504 FINAL BUILDINO ENERGY
505 FINAL ELECTRICAL 506 GAS TEST'
507 FINAL PLUMBING 508 FINAL MECHANICAL
509 FINAL GRADE 510 FINAL PLANNING i
514 FINAL PUBLIC WORKS ; '
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OFFICI COP IBy
DATE:
----A CorulfueU�rLCemeenv�nwelwlbina In Selemic Uoaredee NUMBER:
General Contractor#656840 238 Stanford SIC,#126,Palo Alto,CA 94304
e-mail ckinne(650)324-3 ereadyFax http650)ww•4-24keready.com D
- y-t--�'^1-•�O - `T (650)324-3322 Fax(650)324-2402
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