00030144 (2) CITY OF CUPERTINO ' PERSITT NO.
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: 0 3 0 1 , /
BUILDING A/DDRESS: ` /'/1�.. /��/��tC t�'/f��p c `t
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ARCHIIECI'/FNGhNEER BUIDINC P9LNIT INIOIN
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z O N� LICENSED CONIRACIORS DECI.IRATION
o�_o Ibaebr.Ir NUIatol;aemdmmprarl,;maorchptn9ema�eles Job Description
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r_.(_iy rifh5¢uan"1000)a(Dirlaroo Jof fbe 9uumaW Cam. my i;�!,""^�!' C'_I'�—G
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S Et b J ARCHITECTS DE l ARATgN
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Ont I mn CUBDER DECLARATION
S Z< I busby.(tioNn w n unryl(mm Ne Cmvacwrt I:My O far fb Nc
o fotoOt, poi...(S tim'N3I.d.Ba it., .nd fito u Cam:Any city w amnry
3Q rhiN rit,i tpa .00cam,,the dry,foc° `.h onnin`Q"Pi""'an°`N" S Ft. Floor Area
pilar io ioinw ponnot ogwea Jmapp afortahPe.mif mrae.al$eCinwemew q' aluatlOn
rLnmulin and Pammt b Na pwuim 3 NeCBomn,nftin,j tar(LCI )w '
(lith m.'np mih Sontf.. 0p)of DiviafooJ o 4onMasd Pmfe, Com)w
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mu be u camp Ibaefmm w Ne anis rn Jr ct,ft ,<mPeoto Any.iankn or AP No Occupancy Occupancy TYPe
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M3 1.5 M1Y\nY WPliool fm Pamlf rvhiecu Ne TPfR'+m la.civil Ire+i\RY d 36
ooI maw umt ore hmwea mllan tssaoi. '
❑ Ina.�vNePpv�r•wmr�PlarwariNr.wnmekwk -- Required Inspections '
Will mNc wah W Jr moR h W incedN woHvetl fwaak(Sa.]DM,9ut;eera
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pnopony Wn bMW\or Impvrn ih c and rho doe mcb v In.If a INouph
bo own cmPloycct,pmrided Nn such ibpmxmenu K oil ioxsdrd or ofcmd fa
u1e If.harnc.Ne Wkit,aimpocomw h_ ..wiMin OneyOsod pkaa.Er
mv�LuiNm Mil luw the bvadeo of pmviep Mn M did not bold w irop,mo fm pm-
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a lar dae o'liPn b m weer o[+^Pn7 wbo build.a;omaove Name,aril )�/
w.UW.s fw nrh pmjcGa Will'.cowwbr(O Ocmaed punumt m tK Caeurlora /
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WORRFASCOMPENSATION Ift 15 ATION
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rm Wer PenJIY of Po1nof Jr
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c]Ihew ab viii mtimain\Cotifiv¢WCmm+bvX.iowre farWntnY Cwepem
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My M L �i /1/fA/ PdicYNo.: /I)% jL(1J
EXPIAP'f10N FltOM ORKEAS'
COMPENSATION INSURANCE
M4 mim owed nu becunpin[d Utlr permit n faoa hmNed.(ilio.I$10D)
a ke.1
1 cot4fy ibw in dr perfweune ordr tort fn which Mia Pooh it itapel.i mtiU
cot employ my pcwo;o my mannmu to bccwrc mbjca 1.Na Wo 'Cm .-
aa0m lata of Cai;forel\.D\r
Applrw
NOTICE TO APPI.ICANT:If,ilia moan&Mia Catifkvb of Eamtplioo•Yw moom
become a IiInO b Ne Woof t Capp Rtti puvlabm M Ne tabor Code,ywt mm .
roMwiih mmPIY r th aucb pmNrima as Jut Pe nrii dun be 4rmM revotel
CONS VUCHON LENDING AGENCY
O 1 huebY\Rom Nn Nem is•caanctlon knNnp.penry fat Nc Pmfmnma a
= 'Jr work fw rhich Nb pmnit is itmed lSa.309'/.Cir.CJ
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a 7 ladn'tAmww
!\1 0 I—fy Mn/hate ni,itf Nia.pPliCnian nil onto,lhn tjte mon,iN.000;t .
�•a caoat.I.pme in anPIY TIM W c;ly and roomy OPIRmcea ma o.te It.olan,to
U O tmklinirraiem•rracom.and bamby uulrria rep.xnwive of Jw sin b ton ap®Jr
PaFny In,i tion pmpnwa
OF nabaiu We)-m�W"W.soil at fy and tap b.aMa Jr City areupenlm.pmn .
U Penn wbicb mty in my ray revue apron aml City
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APPIAC TUNDERSST'ANM ANDWM COM PLY WITH A LL NON-POINT
V W) SOURC EGUTAT
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SI HAZARDOUS
HAlARDOUS Wit' ,oi DISCLOSURE
wRy'hoC v%or fulmab'l Coacupen tislz ndk hm wd mti Soil Re-roofs
C ml ned In Ibe Capenino Mwuclpl Cock.Ch.pter 9.11,ab Ne FIe1N W$day
cam.s Y.ns3zply Type of Roof
Cl Y. Y1N0
All roofs shall be inspected prior to many roofing material being
nm.�oa..�me nEa�bythomyAn.AlfQ aityMm ' installed. If a roof is Installed without first obtaining an inspection
❑Yn ImNa I agree to remove all new materials for inspection. Applicant
INve mad dr hawmwa numiale rtgvmma alldrr CLgOr 6'$4dr Cl4 un(I ds and ill comply with all non point source regulations.
NM Hebba nCom,Sea 1SSOd.amyand]%liltlwmLfy dJw ifdr vS—A�"D�
M1uildinp doe ybawe ,MrhumY mtpombil;ry meaify 0e®qw off Ll
arme mn Priorbuvune.(.corner err
3J U�ore Signatur Applicant Date
Dwrrr w
All roof coverin s to be Class`B"or better
OFFICE
INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE
CITY OF CUPERTINO
. BUILDING PERMIT INVOICE OPERATOR: chrlatya
Sec: Tp: Rng: Sub: Blk: Lot:36207029.00
INVOICE DATE... ...: 03/22/2000
REFERENCE ID W ...: 00030144
SITE ADDRESS .....: 7967 FOLKESTONE DR
SUBDIVISION . . . ....
CITY ........... . . : CUPERTINO
IMPACT AREA .. . ....
OWNER ...... . . . . . . : KUMAR, RAVI
ADDRESS .... ... ...:
CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014-4910
CONTRACTOR .. . ....: GILROY, JOHN LIC # 15128
COMPANY .. . . . .....: JUST WATER HEATERS INC
ADDRESS ... . . .....: 1764 NATIONAL AVE
CITY/STATE/ZIP ...: HAYWARD, CA 94545
TELEPHONE ........ : (510)293-9901
FEE DESCRIPTION CHK TOTAL FEE PAID-TO-DATE BALANCE DUE
--------------- ___ --------- ------------ _--___-----
BPWHEATER P 9.99 0.00 9.99
PPERMITFEE P 35.52 0.00 35.52
--------- ------------ ---"'""---
45.51 0.00 45.51
V0
ID ------- DESCRIPTION._---..-- VOICE ID -------
DESCRIPTION
106 SEWER I WATER 202 UNDERFLOOR PLUMBING
301 ROUGH PLUMBING 302 TUB 4 OR SHOWER
502 FINAL PLUMBING ENERGY 506 GPS TEST
507 FINAL PLUMBING