01040003 (2) CITY OF CUPERTINO -
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS PERMIT NO.
10319 DENISON AV CUSTOM CRAFT 01040003
f3WMil2'S NAME. APPLICATION SUB DATE
CHANG MICHAEL_ AND BARB RA . , '. 166 ,KENNEDY AVE 04/02/2001 '.
PHONE. SANITARY NO. CONTROL NO. -
�vc7 zs5"• £.(408) 3E4-4831
WWp m a ARCHITECT/ENGINEER: BUILDING PERMIT INTO
aI❑ �f"': Y BLDG ELECT PLUMB MECH
LICENSED COKfRACI'OR'S DECLARATION
z S z 1 hemp norm that I am licensed ander Job Description -
O _ y a pmvmams of Chuptt')(commencing .
fill
orcewiof Uivi,inn3nf the Businessand Pnda,iom Cwle,a my -
�< Cla::" _' INSTALL 2 SLIDING PATIO DOORS,
.Dam Cnatmctor
ARCHITECT'S I El LARA,—'1 1. GARDEN WINDOW, 1 BAYWINDOW,
1 endersmnd my hor, a
be cud rryblic tern , "
, � 8 Cali LIGHTS:
p Lienn,eJ Pndce.ri„nal - , .
OWNER-BUILDER AI ON
w H 1 h .by tR that
ut In comport tis C L I for the -
tzCqa following (Section715et : s an he Cit s dP .f. Cod ely ny nunry ”
`m wh y apentausw prpp P demolish, y.n nam :"s
C : I. y :a rNtr Chapter
conn licensed p u m p - nn t Central L 1 ons tnro - Sq. FL Floor Area Valuation
(catteeing em Secuono X1anof Deviant Jnnne.Bm'measand precisions Cnde)
or that he is exempt therefrom and me pent for the allege, exeman t it)Any violation _
of Section (hi 5 by any applicant for a permit subjects Be,applicant to a civil penally '
dram mammate bee h:Inernn daw,s(ssxn- _ APN Number Occupancy Type "
I.n,Ione,of tho Pmpny,nu my employees with wages m Meir sale vomansminn.
will do the work,and the shoomm is not intended or o@red for sale(Sec.71/W. - -
,Bmincs,dad Pmfmsinn.Code:'rhe Comneemr.Licemc Law.doe,n u'.,ply a,an Required Inspections
w ro' mp,,Iy Who mild-al mprovn t hereonnnd whu does pa all work himself
n A;mmgh his.,it e,eptayecs.provided that s.inhnpmvmncnr,am not intended or x 3i-E,29035. 06
offered for sale.If.however,the building or improvement is sold within one year of ,
completion,the owner-milder rill have the huNen of proving that Im did ern build
improver p y -FOUNDATION
❑1 I'11 p pay. I ly tract b Ohl t t an
construct the p j ct(See.ANd Business and Pmfiex%iomx Code I Due Contractor's 1 02 — PIERS
Liven e Us,dal ma 11,him aw,mc,of property ho builob,or amps <.Boolean,
and h contralto f such p lea with commnarl,)It.. :ed IF - ut a rte 103 - UFER " O/ '
CoIt exempt:natr1m- v.
�B&l Crar this reason - 104 - REBAR <
Owner Date 105 ANCHOR BOLTS
WORKER'S COMPENSA'f[ON DECLARATION 1.06 —' SEWER &• WATER
ne,«nr:dam icier penalty arperimY ane Crum routwins dtelyraan �.: 202 - UNDERFLOOR PLUMBING
❑ 1 have and will matin.a Certificate of Consent u,self-imam, for Worker's
C I,cir .anion, a, provided for by Sectiale Hou of nee Labor conte, for he 20.3 — UNDERFLOOR MECHANICAL.
performance of he work for which this perch i,is,uc`` 204 UNDERFLOOR 'FRAME
InavLand will maintain Worker':Compensation Insurance,as myuimd by section 205• _ UNDERFLOOR INSLII_ATIOM
3 Xl of the Labor Clad for th of mile of me work for which this permit is
issued.My w tker'x Cam nwm, rndl'nlicy numbcrnm' 301. — . ROUGH'. .PLUMB:INP
crri �FiONY)J.ocyNo:��C6,l'"� 3Qt2 — TUB X OR SHOWER
CERI'IPICATION O FXEM19'ION FROM WORKERS' -
comP1 'snnoNLNsuRANcr: 303- - -R000R MECHANICAL
(This acrdanneed out Aacampineait Impermdisfaranehuolnedd.da', 304 = ROUGH ELECTRICAL
($mmartess.) - -
1 cendy th.n n t f N k fwhichth permit ed,1 e
305-- FRAME
than n t pl CLI�IAN
t ,mnYl„ t n m w skin' 306 — HOI_DOWNS .> .
cat p it D t 307, INSULATION
90AT If It k ,,It'Cerit t fr ii you shnulAz beta : bi aker c t tpm n,of the Toolbar Cade,you..,1 308 — SHEF_TROCK
ZO rani even ly wall suchp Does ens or this prom shall Federated ked
309° — EXTERIOR LATH. "
4 ' .CONSTItI1C'I'ION LENDING AGI?NCY - '
athereby::ford,mat mem is l:canstmcaamm�amgagencyratthe peufn..nee 3.10 — INTERIOR LATH
,
afkrmwmcnmis. qy
Leader',
Nas,ala1 3o97,re.e.I 31. 1. SCRATCH COAT
y Q me ��VHBB�d
p z Leader's naare,s 31.3 — ROQF'. NAIL.. ,
V 1lenity that 1 have read this appl,rsdon,and ante that Inc above information is ' .5
E. car .Iagreetocamplywithallcityandcountrordinancesand.matelw%relating 501 — FINAL ELECTRICAL ENERGY.
Q V menmbuildingcomhuniortmdhereM1y authorize represenmtives of this ciey m<,mer upon
mean,',etaenmmenpm nrrarins ctianpnyses 502 — FINAL PLLIMBIIVU ENF_RGY, :
E. C4 - Iw) 6 t J 'fy ilk h t I .xI tyofC:pcn ongddt ,
iz rn Eablt ; eb toss ,,n de pine n n y'n any way annaa ago nn. d 503 — FTNAL MECHANICAL ENERGY'
V z City n u e eft gam ng f tis s pc t
APP RSANDSA. )WILLCO PLYWITHALL ON-POINT FINAL_ BUILDING ,ELNER
`r Ir �]���,1-- , wt_ Issued by: e .-.0
Se ,rcalApLtnAZARDOUSMATERIALS DISCLOSURF. Onm Re-roofs 506 �— GAS TEST t
Nllm ppavell it Iaeileingceapammumnrhodl haaemmrcmatednl Type of Roof .507 — .FINAL fPLUMB.ING -
nsdefn ldo tis 3 ry:n Manici o ode Ch,pner912 and the H,hh and Safety
,
can s , zsSUl:o. 508 FINAL ME AIiIICAI
_ n° - - All roofs shall be $$�coed { QS,(p,�ny�CQQQQQQ matenal-being installed.
w'um pprnabt r t b ildingac<upuntusccyupmen�orJc,mcswhich of a roof is installeffi`out fir4t18$ta'in1t3 cellon, I agree to remove
emit hit f t tat �dey�dhytbt Dar Area Air Quality Mumgemenn �� r}nIrN1 r, 11 �1.5 ,
Dist .nC1Ye . � .' _ ,t all new materials spec[i phi a FS S )Milds and will comply with
�C all non-point sourSIdgulati(MiNAL 'PUBLIC WORKS
"
ha ma me Imo N atrial. rcy remenu unJ r Chapter A95 of the
-' Califrl H 1 Saf,y d S Liam 25511525531 and 255,Gl ndcrmaneohm _
- illhe hnildia doer. o,cu Ilnlyhmco lennn:dai his illy rexponsibllity wnotifytha -
occupau which matt hd n¢n prior m is,unnce of a Cenifieare of '
y Signature of,Applicant Date
< �nerartmmo...... m. All roof coverings to be Class "B" or better
OFFICE,