00060140 (2) t I CITY-OF CUPERTINO'BUILDING DIVISION ,,PERMIT ' CONTRACTOR INFORMATION:
BUILDINCApIff65 CAROL LEE DR WM H FRY ''CONSTRUCT I0 FRCT109`1PPANY00060140"
CWNER'SN8KILLER,"''BELLA 10351`.SAN •FERNANDO APLIcnTkAg�U� L2000 '
PHONE _ R ' _ — SANITARY NO. CONTROL NO. „
" (408)996, 8173
m00 •ARCHU FC DENGINHER - ¢. _ - X « ,BUILDING PERMIT INFO
a iy❑ , '!! BLDG. ELECT PLUMII MEC 'a
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Zy'Z w LICENSED('ONTRAC10It S'DLCLAItAT10N
O Z p I - °'�. lob Description hereby D that I 1 , , p -
H w d 5 G 7110
is refand nrcfee:
RE
PLACEiC
OLLMNS AND FOOTINGS Rl . FRONT'yO
If:. LicensecF:: Lie
u Date cu,lor REPIPEWATER 'LINES' UNDERHOUSE/REPLACE `
3u
1O
HOUSE
1 red,,,band my Plans h.11 he need as public c records
OWNER IBILDLR DECLARATION
uN1 I he ehYaffifuldrat I on,nstunn'torm(he C ntn n Law for the - 1 -
'y'�C
trI]c,,m,hmomust n 703158 ' dPnl ,Code Arty .tier
Sa t�O
-bit
N p t t construct, It p demolish, P Ystructure k C
6 pdn t n uif. q (lie ppl' ,tf r suchpermit t g d.,tenant - ..
'till he ll fauundt (he pimciounmofthContractor s License L (C apter9 Sq. Pt; Floor Area - Valuation [ -
(n, meal ngw lh see
top 7000)of D vi:nn 3 of the Hos,e d Polcevi.nn Code) _ -
or that h i. empt Ih f d tl ba.':f thealleged a pr' A y violation
of5 r 90315 hya y ppl tf p t b) tc the.pfl a uo-..mlpe Ity.
of but man fireImumen dollars(s500) APN_Number I s - Oceu pe
°1 nn p p rty ,r bit pl r thg 1ht. l p .t. }
will d thework, n 1 th dreente.e, or intended or offered for Zadn"(Soc,7044
.B.,inim,end P r Code The C , l Liberal,Law does not apply t o 1 ' quired Inspections
.f DoEttly Whobuilds or'nit,mve m , and who I- .
,such w ,*mul 316L�076.';&
Wthrough his ply .presided that oh improvements are not intended it
- off for.al .If ho.twer,the lauldim,or im,i-ovunind is old wiwithin one year oC
f.lap
uft nth -h Id will have th nude fpmvmgtl tl did tot build ,r �L
nI rpmme nr I ) 101 '— FOUNDATION ®®
°Las owner of,the,mpeny; 4,Bumbes, c.mnnin.with licensed eonb tract t„
102 '— .PIERS
lun, I Y 6
Lice nm me present(s in a B :nest ,,professions' budd,
The Contractor's
ntr s - 1.03 — UFER '
License Law doesno,f I ply t o -of a cony dors) cc rd pursa ed to t -
Co i contracts for such I I Hee,ilF contractors)aands�I J p rm m the ,1,04 —' REBRR -
°11 (�f`�—�� �61'l '' 105. ` ANCHOR. 'BOLTS
Ow Dal ' 106 —. SEWER R• WATER
(E�
ne Hf L/$9TION - — ♦ .
l nercnr ar0rnnt lair Pira y.rrK jt n , tnn�f-nl1/inode'ab.h,ntnn.t:. " 202 UNDERFLOOR RL.UMBING`
203, - UNDERFLOOR MECHANICAL
.0 1 h d I I t ' C d fin to f Consent l o.elf mi r, lot Wo k is •L .�
Gin prrn r Pur
id I f by set 3700 f me 1'n C,ven fo me " 204'. — UNDERFLOOR FRAME
pert - -nl kr twnntnp t ' ,.ua - 205 — UNDERFLOOR' INSULATION .
<:°fn d willmaintainwkr'C p r m. q ''en� t ,"3101. — ROUGH PLUMBING' .
II fN Ln•' Code f Ih f of he kr I'htl' 't'.c
imued.My Worker,Con persmi r Insurance carrier led'Pol cy n nber aro'. . . f
• 302 TUB R• OR. SHOWER
Currier: - , •"" P.Icy N..: if. n -MECHANICAL .
_
CERUFICATION OF EXEMPTION FROM WORKERS" 303 ROUGH .
coMPelvsnTR)N.INSURANCE 304 ROUGH ELECTRICAL
(This ,at,( red (be wrrFluna r me permit',Intone burared dmmm -
1$100) less) 305 — FRAME
I hit ,the nefrnn;a,ceof'te work for wn h this Perot,is ester.l 3&i HOLDOWNS
.hall t t employ troy p ny ba m o a,1 become bj I to the Workers'c. p, id nla fc California.Date
307 —
the, b .,h ` } TNSULA,T .
N
'Applicant
NICUTOAPPLICANIf, ftmakingth Crftct fF u y 11 306 SHEETR
ben n rel ct,mew k Compensation inn L c d 13214k i _
/':
r
� '
O Zforth to py In h P thpt shall he demand revoked ! 309 EXTERT LATH
7-\'
310 " INTER
I hereby
CONS(RUCTION LENDING AGENCY
h .t t n d gage y to,n ped ren W1 2000_..
fI'
.rm work for h thisp rt oned(s 3ai7,neC) 31.1 SCRATC C
Lxnl Nauru e?
313 - ROOF N 'L Ll -
D z Lend neerc r -
' O nymtln ate pr t n ndat to-tm b 501 FINAL : BgCTRICAL ..�E�NYE±\R/�G.Y.
OW €" c.r t 1 g I ply with II cityand ry 1 d ablelaws mitring� - - 502 — F I NAL'''W ITU t):3 J,tV{_-t,'NER&p...y j
'V mit II g .. tine and nerebr damer p . mi,c,f this city to wnm p .. .
�+ Inean t ' o,ac,inde p t p e: 503,. — FINAL- MECHANICAL, ENERGY
�+ a (W) 6 t prfy lkpnrlyin h City ispN Otani, I ,„
Cityi . f quence v this 1 n y �3n ya .cagamt d t 504'1— FINAL BUILDING ENERGY. "
U Z�.
City - quenee of the grantingot misp t i'
APPLICANTUNDERSTANDS AND WILLCOMPLKWITN ALL NON-POINT 505 -
soURCERECULAT1ONs Issued.by: ELECTRICRLDate (J
'stgniume m„Appl,anlc t t.r - Date Re-roofs < �GlT- - - !
HAZARDOUS MATERIALS DISCLOSURE 507• - FINAL PLUMBING 5
'wdmapplicant n n wngoccupantxienofh Beli .b natdal 'Type of Roof ..
osa edbyt c pen M, - paicnde Chapter 9,12 and n HeayhandSafety .508 — FINAL MECHANICAL ; - -
Cod San lan 255390
❑Y ' - .❑No
All roofs shall-MFnsec eJri• tNgtL wpwlin�g�material being installed..r
Will m pPi t 1 t r b Id'ne m' t ,.e egt ata n r I 'c which - If a roof is.lns hlip1 wltI9jt oRApeotion, I agree t6 remove
'nit tr- J sa .oml v cdehred by the Illy Arca Al Quality Mantge .m
Diat
alhnew materr911 ibrins�ekdMhll—A( lkEAnddndbff i53fd�rand will;comply with
1 1,°Y n °N' all non pomCsource regulations.
I lave I th ha d al. y i- ,ns,.nd Cruder 695 t the ,
Cali[ nita Thedb&SaftyCde,se ons250525533 and 255341 understand that -
ifthenuildingd mcurzemly halllae 6lhtnnis my rcspnnvtbtlitymv.ti(y,ihe +.9 -
occ.pant of mann�ents whi lout a met print m issuance of a Ceitifwtc oL r '
mu�an ,y � ,
'., Signature of Applicant Date
own „umonsed aged - - Date - All roof coverings to be Class "B...or better ' '