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01060148 (2) CITY OF CUPERTINO BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: . BUILDING ADDRESS: PERMIT NO, 10152 DEEPROSE PL CUPERTINO PLUMBING 01060148 OWNER'S NAME: APPLICATION SUE DATE STEAKLEY BRUCE C AND JOYCE M 10297 S DE ANZA BLV 06/26/2001 PHONE: _ SANITARY NO. CONTROL NO. (408) 283-0618 GWOO ARCHITECT/ENGINEER: BUILDING PERMIT INFO Be m{F BLDG ELECT PLUMB MECH I__7 L=l LICENSED CONTRACTOR'S DECLARATION p z y o 1 hereby affirm that I inn licensed under provisions of Chapter 9(commencing Job Description r_3L with Section 9000)of Division 3ofnh,Ermines,and Professism,Coca,andmylicense REPIPE & WATER SERVICE & rs in full force an �zua uanae Glaxo --lire Lic.k Z WATER HEATER. `e 3 uou.V nate contactor. m ARCHITECTS DECLARATI N undcrvand my plans shall be used as public records or ce O O Licensed PrnPosxiould K. OWNER-BUILDER DECLARATION e w--" I hereby affem that I amempt from the Contractor's License Law for the �?a following reason.(Section 7031.5,exBusiness and Professions Core:Any city or county O Fq loperporr I he, p d , M1 sres,purtaryoractron �2� r y - tactical I I pI - fill-: 'I pe ny l dp Il6iltepr Yla til c terL w ml-I v (c B hS uotofDiv on 3ofIbeBsn and PrnfasOini Code) S9 ,FtF1oorArea uation of that he is interior threfrom and he Bask for the alleged exemption.Any violatin ' of Section 7031.5 by any applicant for a permit subjects the applicant to a civil rafty r Occupancy Type of not mom than five hundred dallars(5500). BmbeC ., 1 011 aso he ork: ad hety,ormy employees amintwimwages eredfsale compe,704,, _ will fit the work;and me Cola' The C not intended a offered far sale(Sec. to � p owner of property Professions Code:The Contractors License Law does not apply ro an 301 - ROUGH P s eetioi3s owner of property Who builds or improves thereon,and who fines such Nod intended or though for n however IN that such' p improvements tmlpd or .,._ 502 - FINAL PLUMBING ENERGY chatted f I If M1owevec dm builNn o --improvement sold lA .. . .._._ .___ .....__.. FINAL _. . ... . ._ .. .. __. _ .. _ ..... _..._._. completion.the owner h,i Ider will have tghe burden of passing that he did not bum or 5 0 7 - F I NAL PLUMBING improve for purpose ofsvk.). , O L as w..fthe ' P csus s ly omrth I sedcoalition.to consumer the project(Sac.7 Business and Professions Cadc:)The Canonical mi L La does not to a f property h b redp th and who contracts,par sueh.prnlecta wnm a commemdq licensed pursueroto theContractors License L � D t :- ❑I am exempt under See Er, FC,fortho,maistat 0 5 2 0 01 OCTI' WORKER'S COMPENSATION DECLARATION R I hereby affirm d pnIty�ofp 3 y on afthef II 'ngdecliatims: j BUILDING ❑ 1 have'toom will maintain is,cartirium, of Consent to salt-insure for Worker's - Compensation, as,provided for by Section 3700 of the Labor Code, for the performance of the work far which this petnhis issued_, 111 have vad will maintain W.d er's Contansunitan Inamaace �required by Section 1 -tCERTIFICATiON OF E orm n of the work which this permit 3700 f the labor Cotte,f th ' is d W ker's C u rtter 'd Policy n bet are: o1 cyN .. X ION INS RANO Is ENSATION INSURANCE ....... ... ._... .... _.,. let d f the 't Is t hundred doll '•` =" rl- j n (SIM) ) oro prat, nP that in the o pent p.limit is is rl 1 .•..._ ,: _ •- . (Tht tl tb ype a tI m ork fn h h th .t 'hal at ni Ip an a n r n .td becom sublet m the Woiker9 ' ComPensat on faun bl Cal Pom aDade ' Ncome subject u j APP the Work lb Compensation s Certificate tf E Labor Code, mind becomeek comply with the such pe Compensation provisions of the Labor Code,you must � Z forth rh Imply with h p 'cions o Ihis p omit shall be deemeit.,club , a=,C4CONSTRUCTION LENDING AGENCY an fffrrr Ih by aiTrm thuh acct ct Ind gu forth,performance i :- P Leders Address'ork for h ch th t ", d.I 3097,Cis'-'9'L ly Perfo n f17 Lend N > p _,,. -'9�. : Z I eemly mat l have read this application and nine that the abo.e information is co pect.I agree m comply with all city and county,ordinnreas.and ser¢laws minting tobui'dla,:onstruction:and fiamby authorizerepr Iti.arives of his city to enter upon �'rs] th h e i dprost rt ' .pod loo, F"Cn (We)tgrc adamantly damntly d ep h role 5 the City f Cupertino ,aumt W!) liabrbue judgments.costsand pence winch may inary pay aa, ,a,rpv;t:uiA U 7J. Cty ansegrene Ftha grml of'hisPermit ' AE E TANOSANDWILL COMPLY WfTH'ALLNON-PONT'• Date sI CE s 2Y C, Issued by: Sts nn,�rnppre t t -r, Data Re-roofs - ' HAZARDOUS MATER IALS DISCLOSURE Will he 5pPlid t or future bandlnsacareer.me,or handle Noncoms all rinl Type of Roof .. .......... ..... _.,.. sidefined by the Calcutta.Municipal Code Chapter 9912,amida,Health and Safely Cod SC]cY 25532(a) f s ( t 1 t 1_ l t s 5. y r' All roofs shall be inspected.prior to-any:roofing material being installed. . . . Will theapplicant future building p t e eq p t d saes which If a roof is installed Without first obtaining an inspection;Pagree`tii ieinove an lhIr d air entan t ndb m B AmeA ,Management 1❑hase read the haeardouenals requirements under chap' p pP d_ will comply,wi(h Y Y Q It all new materials for inspe A licant understands an 1 all non-point source regulations: Chapter 6-95 d the if"be mm Health s Sal®Y Code.Sections 25505;25533 and 25535.I understand that rf th buil dragd tit IYh -t rthtt Y P b1'ryt notify the .__ ... .. .. .. . . .... _ Oc p fth 1 e t h h ostb tP no' f' Cmf t f i '"' " Signature.of.Applicant . Date Owner or cartime,nd'a,cre oto All roof coverings to be Class `B" or better f .. .:., r ... ... r ti OFFICE ..... .. ... .. . ..... ... {.>:I ...