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00100065 (2) CITY OF CUPERTINO BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: BUILDINGADDRESS: - - PERMIT NO.' :74-93 RAII___ ONSTRUCTI'OI 001.00065 OWNER'S NAME: - - APPLICATION SUB DATE " Aj DR 10/09/^c000 6A I EL DEN IONS - • — SANITARY NO. CONTROL NO 0,-,7. OO ARCHI'ILCT/ENGINEBR. - BUILDING PERMIT INTO w - - BLDCECP' PLUMB MECH GC I--I - Z m - LICENSED CONTRACI'Ok'S DECLARATION lob DOSCrI Iron QZ__ 1h by"Irmanll I'cenred d p n.ofChapte,9(..„mendng - P ' , 70gB nrD".' 3 fthe Rn ndP densis as 'doandm hcenxe - ' a 6 5 �. °a LL o-v S a r r •� RRTH, REMODEL !� O ARCHITECT'S DECLAR TION 7 ser PublicJ' QOf �^` Y ac I = dP I : 'I , c°�$= OWNER BIM Ill R DECLARATION 7 /� ail I hembyalion That I am esempt for,trip Contract v Law for,he !/ $a toll 6 wow.a d rS , 7011.5,e, d e Profession.,h.o e y an ct re ' ��CO wh ch 9 p of construct, R p eJ I':h p ya credo / 3 m In , ,. .. els q vhepapplicantiarsuchp u file signed teepee v _ thorn exlicensedpurs,4n th p nn,a rm L IT,aa ,L . L onsCod) - S Ft. Floor Area Valuation (cool g 'p sem, oman robin tooth=le:dexemeion.Anyvi Led=) q• or the he is exempt Therefrom nm the hauls for alleged pplmera in Any violation ofseamc 703 n v any dmd d ll o-,r a perms subjects me applivam m a civil Imnwty APN.Number or nn,mare man five nuam,ed souses rs5txn. .. _ Occupancy Type ❑1 a. fah t tY Y PI to g: I - . ill do the k and the structure- not intended e ff d r r sale fSec.9046, + A.5 - g 2 Business z d Plate,. Code:The Contractor's License Law does ,apply to an Required Inspections r of pmpeny Wha bu IJ.T nr'mpro,e.thennn, and who Jnes such work himself orThroughhis own employees.provided Iha,such ithprevemmau are not intended or - offered for sale.If,how,,,,,the building or improvement LT-Told within cane year of 1.01 — FOUNDATION , completion,theowoer-nadder will have the burden of proving thin he diH no,he ld or m ]Bc — PIERS' ip ov purpose cf sale.). ❑1,as owner of property,am exclurmelr contracting wan licensed contractors to 103 LIFER eemtruct be Project(See 9044,Hairiness and Prorcrdmac Cada)The cnmrncam's - 1.04 - REBRR License Law does nu,army to an owner of properly who builds or improves themon , and who contracts for such pmJees with i coutmelor s)rcenTed parsuce m the 1.05 .— ANCHOR BOLTS Conaacmr's License Law. ❑Ianal=xeoapton de,sol. H&Pem,miameento 106 SEWER &T ,WATER °cane °Dia 202 -• UNDERFLOOR 'PLUMBING WORKER'S COMPENSATION DECLARATION Iheren Iran"nee, aran f 203 —'-UNDERFLOOR MECHANICAL ra rocate ifeonsnhernowingde�IforW : 204 — UNDERFLOOR FRAME -C 1 nave and will mvidein a Certificate Sd,e of Gondol m rte Labor Code Worker's compensatmn. as p,obtdea far by semina v,xl nr me Labor code Tor Ilse ^e0S — UNDERFLOOR INSULATION • pehaniance of the work for which this permit is tssa d, 301 — ROUGH PLUMBING ❑Ih' - d 'll "aim ' W ke C p :au mInsurance,a: l dbySet ,n 3710 th n Code,f we of m k fwhich This is Isso=a k scap :-r Insurance ePaiy I ,. `302 — TUB & OR SHOWER 303 ef — ROUGH MECHANICAL Carr CERDFICA 10 EXF.M1IPTION hi'-t�i wo RSVG 304 — ROUGH ELECTRICALCOMPENSATION INSURANCE 305 '— FRAME (This section real not ITT,retrofitted a'he permltisfar be,hundred doliam 'BE — HOEDOWNS (S loo]or less) 3 J - 1 certify teal in he performance of the work fnr'wntel,this permit is cooed,1 307 — INSULATION 'hall ori employ ally parson in say cannon so ars to become super,m the Workers 308 — SHEET ROCK . .Comp=nrmion Laws of Culifarnio.Dote App'[`""' 309 — EXTERIOR LATH NOTICE TO APPLICANT'.If.after making,his Cenificme oPEx=mp,ian,you should - ' hrthre, wounplymewochproviisionsrThisproorttshaofineLonerale.youcans' 31.0 — INTERIOR LATH z Q fmthw'uh comply with such provisions or this permu churl he deemed revoked. _ — f+ Fy h CONSTRUCTION LF.NDINGADIiNCV. 311. SCRATCH COAT > I nerenr selene wet there is a nmsamctlan leading agency for the twelom,ane= 313.— -ROOF NAIL 6.t of the work far which this perch is issued(Sec.3097,Civ,CJ ' , y q Leader'sdd Leader's Adarem ss 501' — FINAL` ELECTRICAL ENERGY E z 502 — FINAL PLUMBING ENERGY o s Ica,doIify ncThav=medals'oydonandsm=the.,anda.emfmmaronis FINAL CHANICAI_ ENERGY 0 w fr emmad 1 agree to comply with all city and county.,itSttives trice.,and sn,e Is.,en erupon V ,hb,dleingnmgrued.....and hereby rop,,liorr representatives of this city ma enter upon - W ,neano(We)earonedpaope,yrerinspmronpurposex. 504 — FINAL IEDING ENERGY y P. (We)agree m Sava indemnify and keep hnmay in the way al Cupertino ognlnn .. m EamhneT.iod use,which m,nY in any way ae«oe clinics,Sam 505 I NAL LECT R I CAL ' U 'L City in co , in, of the smarm",or this permit. . APPLIC UNDRCTnN ND WILL COMPLY WITH ALLNONPOINT St�6' — :ST SOURC;RF.0 .TIONS. Issued by:' — ate L sigcntum p nvn,acrac, �111RDate Re-roofs 5 8 .— 'FINRL 'MECHRNICAL HAZ 8 US MATERI ill the a , Road adding weJ nu,,at Type of Roof 09 — FINAL, GR os def d Caper Municipal Cod Chapter 9.12.and the Health and Safety i Coda f 5532 - ❑Ye EI No 510 -- FIhIAL PI_F]IVNING - Allroofsshall b 1 geted [ �tq, n r t e installed. Wilithea,l'antnrmutrem,nawgoeucpnnosecgwpm=ctnreebi wmm� IfaroofisinstalledwI�houtpfirs�tco6�atnin a�nems ono gee to remove eoil hamrlous wroonauninants as defined hy,he Bay Area Air Quality Management g P °ismea all new mater' for ins ection. Applicant understands and will comply with ayes DNo P PP P Y all non-poi sour a regulations. I nave read,he hazordous materials requiropt nacals under Chaer'h95 of the - =California Health&Sucl,Gde;Sections 25505,25533 and 25534.1 understand that if,hc huildi nm aurzemly huvemm�ant.the i,umy responsibllttymnotify the - a . Dram na= a na=ms winch angst rte ra=t palm m issaacee cal a eedreee or )ceupan y. - :Signature ant Date caner nod ee Da,a All roof coverings to be Class "B"or eater FICE