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01110011 (2) CITY OF CUPERTINO BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS PERMIT NO, 10084 CONGRESS PL BATH ROOM INC, THE 01110011 OWNER'S NAME' APPLIC TIONS B DATE ELEANOR TURMAN 1910 W EL CAMINO REAL 11/02/2001 PHONE: (415) 968-7666 SANITARY NO. CONTROL NO. O O ARCHITF.0 lENGINEER: BUILDING PERMIT INFO U BLDG ELECT PLUMB MECH 5 y i LICENSED CONTRACTOR'S DECLARATION I nercb %irmthalamliccnsea undo rens mrq(«mnmcncin Job Description {z-C ya pmvisionso p g p ,vm�mu wim Section]gp)af D' ion3of the Buzinesse P 'essioa oee.anAmy u<enze BATHRM REMODEL. ;m E� is m inn force a eff s l/ :W..<O License C . Li,.a Dam C nano u O< .HITECT'S DECLq AA 1 undo rand m plans shall be used as public records i a C O Licensed Professional o OWNERBUILDER DECLARATION I-�aNal a ' tRATION 1 hereby affirm In,1 Earn the Co s Law he followingmown. Section 703 1.5 .Business and sions Code:Any,cty or county 00 which q acowst,illr p ve,d,r1'ah p slwctu a32 'Pdwha' e.alw'c9 rethe,applicantwell permit ofile gedstatement. 1'ce rd pars anti fie pmol !Ne C tracwrs L law(Chaps 9 3 fm Badhes andPmsssi.rsc a) I.'d�:' f.t3 ®'. 3;(F?1o9�49�a takI:1_i-I.0}\ • Valuation or Thar he a"eacmpt mhercfmm and the basis for me alleged annptiod.An)violation '� -of 5«uon]031.5 by any applicam fora pe oth subjects theapplicant toe civil penalty' mfnatmaethanfvehundred dollars ls5W1, _. . _ 10JAPN AT ION <'l Occupancy Type _❑Lasowner of be properly«mremploreea with wages in tneirsolecompenmtion. 102 - PIERS will do the o.&, ad the swcmre is nm intandeJ it ii for sale(Sac:7W1 Busihm and Piofessions Code.The Convacmr's License Law does not apply to an 103 - UFER Required Inspections owner of pmycny Win,builds or improves thereon.and who does such work himself 10 4 - REBAR or thin gh h' employees.p did mm m<b improvements n, t intended - offt d f I �If,h the b dd n __"'-'--"' _- - gorimenofprotms Id 'tem not i or I05 – ANCHOR 'BOLTS arprev mon the owner builder will have the burden of proving that he did not build or 106 - SEWER & WATER improve far puryou of salc.2 ❑1,as owner of the-.'"_._......_..chis.. .. .__-chug._it -- _. ._._......-.— _.._ .._....._... __. p(Sec.7.am ex<wsmey«mraaingwimueen:Th Ccmmxotam -02 --UNDERFLOOR`PLUMBING._..__.•.._ :_:__I,__.,,; _.. . r <omwn ms maim(see. .. ..44.Business,oand Professions coeeo The Comaaor'a 203 – UNDERFLOOR MECHANI CAL 1 - License Law does nor apply to an owner of pmpcny who build,or improves I<rean, and.wno.camaense L su h proiens.wiLa coir roar)(men a.puamm tome ..2 04 ..UNDERFLOOR–..FRAME cootractors License Law 205 – UNDERFLOOR' INSULATION ❑1ohn i, mptundcr S,.` ,BRPcf«misreason own r;" "' ata 301 – ROUGH PLUMBING WORKER'S COMPENSATION DECLARATION 302 - TUB & OR SHOWER Ihereby affirm under pegaltyofperjury ol;eothe following aeelaations: 303 – ROUGH MECHANICAL ❑ 1 have and will ,nsid6iaa cenif<nte'of consent to selninmre for Worker's 304 – ROUGH ELECTRICAL \� Compensation, or provided for by Section 37W of be labor Coda, for be p�erronnan/<eormeworkr«wn�<gtnispe�nitisizaoed 305 - FRAME 0'T and will l6diairi Woiker'i Compensation Insurance,ea inquired by Section 306 – HOEDOWNS ]W or I labor Cade r the performance or me work for hien Its smut 3 0 7 INSULATIO.......... ........ ....--_. ._.,.......-----_1--...... __ �(/ (�Od 308 _".'SHEETROCK"..._ .. .._ ...__. _– CamePolicy ....... •,m ,� I RTIFI (TION OF EXEMPTION FR MWOl.ii -d}". ? 73.09 _i_E�fTER�IOR M,:ktHd coMPLNsgnorvlr+suagrvcE-. _—_--31'0-'=--.TNTERIOR'-LATH SI W l m]less j t o need of be«mpi�ied d the perms s for ane hundred do]lots 311 1 SCRATCH COAT m.., I cents but in Ic An, . . • , – I --------313– ---ROOF--NAIL---•– m r a ane or tb rkr ni�nl M � r issues I , - 501 – FINAL EliECTRICAL"''ENERGY enrol e t PI Y Y feali Y robe b n me Workers campe nt L felt of - .._5.02._- FINAL .PLUMBING .ENERGY.. .Appl cat _ z N ; CANT If ft making th sC n f t f Exemption,you should neGimesojecluo mu4, 503 – FINAL MECHANICAL''ENERGY rmeomsuch bsorm pemitshaubeeeee rev led,2 - -- - _ - - ___ 504 .- -FINAL_BUILDING ENERGY 505 - FINAL ELECTRICAL E.4 `; rCONSTRUCTION LENDING AGENCY m > I hereby alrsm m t I <onstm u lend g agency form'peAorrnwae - f ar be weak for which thisPemut is issued(See.30l civ.C.3 5 0 6 - GAS TEST ' W Q Lender's Name�w..:w s,.... _.... �.._..... �:a.. _ .. ._. _ :;):z andersAdd 507 =FINAL` PLUMBING –'— U.,o .Ify th t l ha e I s d sine Iauhe ono I on ms 508 – FINAL MECHANICAL' ' [" coin Iagree to comply with all city.andcounty oneirmarres and sole la srelaing 509 – FINAL GRADE. 0 tobuld g on.w fon pua byre ton rev t t 3ormscrytoenterupon 510 – FINAL PLANNING _ be abo e m t d Dropcnynf .pc fo p rp yW (w<)'gree 10aee.undehandify andkeep hannle s,thie Cty ofC P[rr 'dgemnst 514 – FINAL PUB 'IC WORKS V] City tea dg an r c rs uM a t , h may any way rue gamst,mmd U Z City - on. dames o rth e IL APP( I ER, q. N WIL COMPLY WITH ALL ON SOU -� Issued by: - - Date - i. ,�-`iMo 1 , . . s nt D m m Re-roofs - . HA O MATERIALS DISCLOSURE ' will the apphe ddingocc pent mare«hxndle :raboasrmo in . .Type of Roof-_.. -.. as fi ed by,the C pen Municipal CM Chops 9:13 d I H Im d So per, codes t 8s33a1 , .I ,'+ta.9 .- 4 t;' ' Oa1.1. 1. i`'� a.�.... .J r� m rr�\h t:•.I ❑Yu r �• I -d 1 _All.roofs shall be inspected poor-ro_any roofing.matenal being installed._.-__-_ awnmireapplicant future wf, ng e t qupeens - device,emnt If a roof Is installed without first obtaining an inspection; I agree.to remove mit hvard nu nu def by m B y A 'A Quill ry M agemem °ini all,new materials for inspection. Applicant understands and will comply with \ n' all'no In ourcWuatis. t 1 h ve ne me Safety Coe mai pals req vein t undo Coapt 695 of the C lifo H hh&SeBry Cad Sections 25505 25533 and 21511 1 orders,d that f le'. le g e--m rte t1Y ve a unvmt m t ra Y rcspons bill to oafY le atop t f me q mems c mus t poor rss tit c rag mfineate of / e - Signature.of Applicant . Date o`y.or ons ageat- " ' . 7 0: :<Dan ., All roof coverings to be Class "B"or.better', -OFFICE . . .- - - .. . . .. . .. . _.. __ . . . .... _ N J wo N W> W t7 W 7 O w iw ¢ U J > j Z ¢ t y O N Z m 0906 m ~ ayu3i ¢ 05 wm ¢ f : �Z2 -5w itrr O0 wo F,cc 00 ¢ ru �o [/may 3wj5 JQ w W wZ0 Z N W = J Z¢ 10 F Ow ¢ 77O i— m: W m Q �pw D: m O aw LAZ Fmwl x0 x0 � n S � J ¢ O cc m O a J W x Q fo 2: U-0 Q = 0 ;� U y .2 0 o c g w co Z w = d c c� .o '> Wo a -1C) ' E CL All dimensions 8 slm designations T619 is an original design and must TURMAN Scale:1/4'=1Design: 10/31/10 Dwg no. gWen are subject to"oriflcstlon on nM be released or copied unless Data : 10/31/101 job aIle and adjustment to fit jab applicable fee In.been paid or job ELEANOR TURMAN condlr order pieced. 10084 CONGRESS PLACE Designer CUPERTINO