02040072 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMIT •CON''RAC-lOR'rINF,OZd112XITO''i'�,
BUILDWGADDRESS: PERMIT NO.
7847 rREEKLIEE DR SEARS HOME IMPROVEMENT 02040072
OWNER'S NAME: APPLICATION SUB DATE
CHEW KENNETH AND MARY L 283 E . AIRWAY BLVD. 04/16/2002
PHONE: (925) 245-2000 SANITARY NO. CONTROL NO.
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ARCHITECT/ENGINEER: BUILDWG PERMIT INFO
v- LLOG ELECT PLUMB MECH
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C i LICENSED CONTRACTOR'S DECLARATION Job Description
I f=S I IrcrtbY affirm that I am lienuee under provisions of Chapter 9 kconomei, - '
=I-4 with Senion7(=)ofDivision3oftheBusimaswdProfcssimsCode.wdmylicense INSTALL VINYL SIDING.
ss I Cl is in full force and'c t. 72-t p
s a Liccnu x Lit.x /
3 L, Wa Comrolun
u O"' ARCHITECT'S DECLARA ON �y pct
g I mckrnam!my plans shall E<used n public rccoMs �Ba M 8 _s ®
u. E NDN 1�s
O O Lttnud Profcss,ovl
en�fti OWNER-BUILDER DECLARATION //11 u�)
-m 1 hereby.0im,Ont1 am cscmpt from the Contractor's License Law for the H r-f} 3 O q
t?< following reason.(Section]0313,Business and Professiom Cade:Any city or county < L
xO which requires a permit to construct.alter,improve.demolish.or repair wy awctul OZ $15000
3 -pnmm u u a ,pilo req the pplicant for such peanuuo fk a ai rad statement, - - ,.._.-
t es ctsavlPursuant mrt.7 Provisionsof the Contractors L,ttnu lewfChaprtr9 �yy L�7 p� - "'""'-" .........r°mm< g thScctwomand the i„woofth<Bv,nesaMatia"y v Code) ' L- i'(,3'bl1l/U-�' '.. -�: _.:fMd Valuation
°r thm he isexemptU2rtfromsnd she Per for uthe alkgrd,lica of"yvi
olation -
-°f Secdon]031�by anY aDplicam for a pennlrsubjens-the opplittm..civil pcvlry pp N,,�vII{ly,�e`�
rofnet 6 hanmehunarcdaal. ($500). 101 N-YOLINDATION Occupancy Type
❑L.,owne,of the pmpeny,ser my employ.with wages u their In compcmatim.
will do-sfie work:and the structure is nos intended or oRertd for sdle'(Sec._]�_
,will do
ProfcWma Code:The Cmuselm''s License Law duce not apply tow 10 3 - UFER Required Inspections 0'"
owner of property Who Wilda or improves thereon,and who does such work himself
_Or thou5h his Own employees,provided Out such improvements are not imendgd w" 1.0..4. --.-REBAR-_-. _
,offered ft, 1 It,how r the Wilding onmp,ovemcm is sold ,thin one Yc f "'- ....-" ._._. ..._..
complst n.the mvmr-Wlder will have 0.WrdenofpmvingUahedianotWldor 105 - ANCHOR BOLTS " "` ' Co "
improve far purpose°Ink). 106 SEWER & WATER
has ower of Ue property,u,exclusivclv Busim.a6d tracungwith Code) dmmnnos to 202 - UNDERFLOOR PLUMBING
i construct she proses(app.]060,Bus,nen and Profvsone Code)The ves dee ori - i. =•�'f+
mad law does not apply mnownsofpropertywhoWileaWimpmvuthereon. 203 - UNDERFLOOR MECHANI'CAL```
a,d.wW rwtmcs fa such polrcu.wiO eauracmr(s),Ikwsed purwuu.ro the ._ .:
Contractors License Law .....z.04____._.UNDERFli00R-..FRAME:._ ..._.----
❑lam ' Pr umhr,���'l. . °1'" "B&I'C,faUsrcal. 205 - UNDERFLOOR' 'INSUL`ATION
- Qwoer -'WORKER'S COMPENSATION DECLARATION 301 - ROUGH PLUMBING
1 hertbY alarm u,dn pcvlty of penury one ohhe follovnng dedantiav:'-
302 - TUB & OR SHOWER
❑ lharcwdwiBmmnti,n.c„idrntrof'&oi,d5orelf-ism 303 - ROUGH MECHANICAL
rc for W°rkcr's
.c Compcosation;-no pmvidedLfor-by Section”3700'of-the'Labor"Code.'ford,e 304 - ROUGH ELECTRICAL
peffotmane,of tnn'w for which this permit is hauee...,., 305 - FRAME
`pLIlluve e,M vnll main„ Woek eicumpmnt.ol.00ini .:req and by;5ecsion 306 - HOLDOWNS
/3]00 f the labor Coee for Ue performa to of Uemnk'for which this
pernut s
sprd.M w.I rs C _Pcnntion mann a cam and Polio m, be 307 INSULATION
r�
ca n awtyNnGk4204�oollx9ps2 ,: 3t08i t :SHEET-ROCK, --__ -
�, It CERT ATION OF E%EMPDON MOMW RKERS 369 EXTERIOR--LATH'
,
_ COMPENSATION WSVRANCE;` - ^:rr_•--_».__..__,
- ' - ...;: 310-r;—':;I•NT.$RTOR-`liATH ...... , - -....._.,..._.....
frM1 sect nerd n W IPI ted inhe permitis forme h MrW dpllars
rsloo)wl 1. t.rc�r 311 - SCRATCH COAT .-
1 vfY U t n the performance of the oh for hmM1 thu — __.____..__..._
a t s da 1 373 ROOF' NATli""" - -'---
$hallnot ploy any perm -
C."u,no v y ""` °51O b"ineaub3e°wNe works 501 FINAL ELECTRICAL' ENERGY
ofClfo Dart
NOApplicant - - —_ „ - ---- 502'--"-�FI'NAL—PLUMBING-'ENERGY------
!N emne s DAP.tba w T If N¢ mak ng th Cen f me of Ese
pti n.yw wld 503 - FINAL MECHANICAL ENERGY
bemmc b)emt UeW lets Compe don prd s of the laW Code you'm st
Z o forth th omply-lh tech p o nh Permit hall be dee d ok d
N ...... --5G4 --- --FINAL-BUILDING-.E _
CONSTRUCTION LENDLYO AGE$°Y -ENERGY--..-.
I neuby afrnnthat there s m wct,onl dog gency rot the peRom,a e 505 - FINAL ELECTRICAL..
ofthe okf hcHUspermt nssu d,(See 309] t C) ... (
R
z -
Cmeraro -_ . 5.0,6_=_.GAS _
Lender Adaess 507 - FINAL PLUMBING, --'--
[' O ..�y ]t„ryth�lnw< emsypi�ta anetl�noun boe,nrpmndonfs 508 - FINAL MECHANICAL
O'U coked 1 egrte m comply U all iy aid onry ord n rices risme laws relating
Qf) toWltlmgeon„ flion,and herebyiuNonxertprtnnlhvesofduscitytocmerupon 509 - FINAL GRADE
�” ['•) Oe aWvc ^n ^.ed P;PP<nYf msp<ctioo Ouryous 510 - FINAL PLANNIN� v
[.. a 1 We)ag w save ode o fy end keep humle s N City of Cupertino 'gunxt
liabil t s 3 dgmema.mss e d tape us wh ch may n°y way ace epy.
lost said 514 - F I NA PU I C�W) ' I
V �' Citp nconuq cote ofU granting o(Ui L - `.{ev w /
)+PPL)CA•vT 4'�DERSTA.�"DS Av 4 OMPLYt-TH.LLL\OT)POINT'" (^ 6
5bL'RCE REc(iconoNs , , yl!`lo Issued by: Date
Sig,wmm or ApphcwJCwoncsor f S.l t Dm Re-roofs
� -'HAURDOUS M TERIgIS DISCLOSURE ! + - ,
n:er W,II Ue eppl tent w Tum bu lemg°mpwt score o heMle hvardons m t al
ern<e by m C pen no Muwctpd Code Chaps 9 11 wa Ue x<)th.a sarety ._ ITpe of Roof. _ ._. .... __ _ .
Codd Secsw27532(a L t r f 0. , .f•� 1t ") .f ) a',� , ,. J.
.:.< - '
oa>uwMwa` Allroofsshall.be,inspected nor.io.anyroofing materialbeing.installed.-...e_,_„_„
. WJI .,.ire P Y P y -. p
nt prr m<W Iain art nt n< tern If a roof is installed1without first obtaining an irispec66n I'agree to4ernove
em t hamrdous a timma snd toed b the Ba Arte Air
District y '^e t inspection.
'- ❑Yn ; ) 17N , . .... ail new,matenals.for.ms ectioa, Applicant understands and will comply with
e ,t a non-point source regulations.,,_ - -
..1 ha Bread ih 'M1azW our mat"rials req ,rcmenu under Chapter o.93ef On
Cal lom,l NeaIU k Safety Cade.Sccuons 35505:25733 and 25730.1 undersand that
if the W ld ng does not cu„c sly have a Ivor Nat tis my,responsib lily m notify the
- --
Occup mcof U<n,u' nu high ust W met p ot,o issue tt of i c.mill"te of
CZ„ Signature-of Applicant.. _.._ Date
Own` °`° ”° ' ° ' ' All roof coverings to be Class_`B' or.bette'i
�' -_i.y._ ..
�. a- .._. t ... --OFFICE -.._ _ ._..... . ... _. .. .