01070095 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
7864 CREEKLINE DR SCHAUMANN PLUMBING AND H ATccI��NG0SS��1070095 .
GMWKVARKAR DINESH D AND C 1455 LAURELWOOD RD 07/20/2001
PHONE: (408) 986-9044 SANITARY NO. CONTROL NO.
0,-6 ARCHITECT/ENGINEER: BUILDING PERMIT INFO
s U C BLDG ELECT PLUMB .MECH
LICENSED CONTRACTOR'S DECLARATION
osteo Iherebyaffirmthat lamlicensedunJerpmvisionsoFChap¢r9(commencing lob Description
' wit ction 7000)of Di vision 3 of the Business and Professions Code and my license ADD 5 TON ASC UNIT
full Tome a fe
� < can Glaxo_ `e Li<.a '7 bo3 (60000 BTU)
X0
3 a ta te Contractor
AR=ECT'S DECLARA ON
f'= g I understand my plans shall be used as public retards
i n p Licensed Professional
OWNER-BUILDER DECLARATION
We m 1 hereby affirm that I am exempt from the Cosions Cot
License Law co the
E_ < following rhes a (Section 1O1L5,Businessand Professions Code:Any city or county,
to ❑ which requires ra permit to con(truce t,licimprosu demolish,or repair any structure
n 3 A -'h t t ' sed pursuant rq ' pr pions of for Contra toch rt tLic g d t t tic. _
th the sr en' dto the Division the Contractors L' L (Chapter 9 Sul.Ft F1006,rea -.; •a I Valuation
(c tame cing sasom Section-70100ithe basis o the
leged and Professions Code) $sY D:.V 4 ir.-9,a.-! tl...f`. . Sh'l.f.'�.�:�
or that he is exempt therefrom and the bas s for the allegCd exempimon,Any violation
of Section 7031.5 by any applicanp for a permit subjects the applicant m a civil penalty
!of get mere than Five hundred dollars($500f. APN Number Occupancy Type
C1 I.as owner of he property,or my employees with wages tramair sole compensation, ROUGH MECHANI ALwill _
Business at work.'and'he sttncmhe is not Contractor's
License
offered foessale
no (sec:roaa,' 3 04 - ROUGH ELffigM�3 GiVactions"-
Business a work,and
Cade:The Commnten License Law does not(Spay 1)an
owner of property Who builds or improves thereon,and who does such work himself 505 - FINAL ELECTRICAL
or @rough hos own employees,p d d that such'improvements tintended r _
_off- d for s61e If,h' ei,the bu lding o i Pra ere t is soldwidm be ye r of - -_- __508 ,.-" FINAL`-
completion,the owner-builder will have the burden of proving that he did not bold or - MECHANI CAli
Improve for purpose of sale.).
an I,as owner thof the property,am Business
a contracting with I ensed a Contractor's
oto to _
Licenseantitumor the project(See
appl Ito a,Business and Professions Codeq The Contmntion ; y! m K
License Law dces not apply m an owner of property who builds aro improves
ea..thereon.
and who commens,for such,projects,ith a communists) licensed pursuam to ahe.
Contractor's License Law , _
� ❑Tem exempt unduS I ' _ B&PCfor this rennin ,. )
0"'a I Dan .. _. I IJ
t "a Wrm order
SCadyorPAI ION ofth Following
' I hereby affirm Je[pemhy f p l ry I the f 11 g d I tons
❑ I hawaand will maintain a LCertificatef Consent'ti elf-unsure for Workers V�
Compensation as,p deaf by Section 37001 f [lieLabor Cade.for the i5
po f FlAc w k f r h h his pe t o sol (,
❑1 e and will unannnn Worker's Compensmibn Insuiance,as regJiied by,5mnon '
XEMPTIO k fo h ch th pe t t i.
., � Pobc No. ndP h y robe are '
a r
s Con nsauon �/ ��/
TI FltOh WORKPRS t ,1 .. F t.I,., sso ..- s.
m. CE
h Thus sceti.a need md0 be tom ATt d if he Uarl is
,\a ,\ .....__ ,.._._.
` ( Pee permi isfor une hundred dollars �� ) � .. c t.3:i tat ., ,
s
(EI00)or lest.). fl r
-„ t 7Tcadr f lh i t th pe f rota y Rb t k f h M1 u p t' is tied I r u .,u a
'stint t pl yny Pc Y an s to bec6 r subject to the Workers' "" ,
C tape ton Laws, fC'If rtiia,D tate
..
Applicant,,.. . . __. P you .... _ .... ........._.__. ...,_.. ,.._. .......
NOTICE TO APPLICANT.If,after makingthsCemfyam dEsem inn nadd - u .J
Z O be sobjectithe Work C pens t provisions of the L mi Cole,yo most
'Z onh th comply lh h provisions o th pemm t str II bed d ked.
_ _
f pY
CONSTRUCTION LENDING AGENCY
I h by'ff r tim them ti t t forcing ag ncy for the perimnicance
ofhe for
which thl pont 1,'.Jd(See 3097 C'v.C)
_.,� Lend Add's;' ., tar ,'.'�7 ( ..
V:O
I cedify that,1 have d this appl t d face th uh b forma
ton is
W(Es
correct,I agree to comply with all city and county,ordinances and state lawslacing
to bolding wasvuctignand hereby authorize representatves of this city to enter upon
iymr the b ( - d prope ty for inspection p Hw s
Fy.p,u
(We)aarem,hva' Memnlfy'nJ keep harmle<.theCty fC pct f nst
W liabilities,jud ents cot d expenses which may ;a, 3 ago ant.aid
V.z Cry ncanuquence Tutee gr ung of this P, 4
SP AN UNDERSTANDSAN LCOMPLY WITH ALL NON-P NT ' Issued by: ate
Teo APpf<bnV tar t ;""+:. Date . Re-roofs
HAZARDOUS h1ATERIALS DISCLOSURE r'
.. :; worn app@ t rtrre.b laiga<npatsmie.orn JI haled tat l T eofRoof -..,.ria „xh..'k . ., .=,..:.. -.--.'_. -. ...,:. ._, ..•. --
asdr dby th Cu n bMu c' ICd Ch pt 911, rid th H Ih ad Safety
yp CJs lu
Code S« n 15532(al ` p"c ) �z'., `,�
❑Yea m ❑N , t !. t _ _All roofs.shall be inspected prior.to.any roofing material being installed
Wll the to fur bad is mrd tete r r.
e eq p If a roof is installeH'-without first obtammg an'tiispeetton''Iagree`to remove
p ca t t "d F dby the b y Are A Q 1 ty h1�sag tit
Dian
ht „-"all new materials for inspection. Applicant understands and will comply with
❑Y r oNo, , , ; ,-.p1 ., all non-point-source regulations..•;,
1 have iead�ihp harhNous maters Is-eq iremems'funder Chapter 6.95'of the
d the rola Health&Safety Cade:Sections 25505.255]3 and 2551x:I:unda coot.ten'. _
' if the buildin Joesn tc rrehtl-husti(t Dant.that tris ln� 'blit tp nauf-tfie. '. - .._. .. .... ._.. ._ _._ ..,. ._.. ._. _._ ...:. ..- .... .... _ ._ _
rare r y
p g - 'n Tubi ce rc�prdr mover' t `
Signatme of Applicant..._ ..........._.g.. .. . Date
_
u 9
or utM10 rz, gu the t /._ __.....__
t fh u et h p
ed t
Date All roof coverings to be Class B or`better
Jr