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02020026 (3) ;.CITY OF CUPERTINO. 'BUILDING DIVISION " PERMIT CONTRACTOR INfORMATION is c .w BUILDING ADDRESS PERMIT NO. 10370 _ LINDSAY AV 02020026 A'SiVG JERROLD K AND LOUISE F AULCr I)Ot3 T�UA62 PHONE: SANITARY NO. CONTROL NO. cZ ARCHrMCG ,GINEER:..- BUILDING PERMIT INFO _ ZF BLDG ELECT" PLUMB MECH `v rJ fJ L'-_7 L-_7 rat Z LICENSED CONTRACTOR'S DECLARATION bb DD h0 O=. Ihereby aRmthat Ism licensed under provisiamofChapter 9(commencing KITCHEN & B TH �tjEM� , q& REPIPE. with Sect�io�/1000)of Division3 of the Businers end Profex,iomCd qyy (`�}nary' f-� n� 6 is in full iy(ce enstejf _ tL c(� tl'�tl ld /F"^"g- rc dY 6 License C'h s •� Y�f ro{O� Cons or D ARC HITECI':S D ARATION MAR t] �/ �r1i02 ,7 I understood my plats shall be used u public records t19F1R C Y T aso o Lioenud PmfesrotW ).. a6 q a OWNER-BUILDER DECLARATION I hereby Nf. A AleL ``j /± set that I am lumps from veh Li the Concmcense Law For N �V e 1G $25000 Q Q Q C Z< following resson.(Section 7031.5,Business and Professions Code:My city or county F o which requires a permit o seasoner,ehm,improve,demolish,or head,any uuc.. $ .print Wita bltoa e,Also mqui.theapplicaat for such permit Wfileasigr�swemevs. 3- ,tat h{'HlBccmW punuNJ Wan'proviswm oFthe Covuacmts Limnu Lew(CNper9 Valuation or the, he wish Secuon]Op0)olDivisionJof the Bmgtw and erofeaiom ode) {_i ..s, l ,,,-s,,. y, y- •;s,):A!r..r3,i.I r: i ar,hat he s esemprthemfroM'S5od tW basis for the alleged eiempsle9.anY viohrion lllI,r�., -olsmdo.7030 byanYapplic,8)tfres permit subjects the aWEcros Warnil pe.try� 1Q1�'-n7+P `V ll[YDATION s.:�...'t •� Occu ane e of not more than five hundred doll.($500), p y Typ °1,u owner of the Property,ser my employees with wages as their sole compensation, 102 - PIERS - i 'w111 Vo be work;and the Is not intended or Offered for,ale(Sec.'7044;' - -' - - -' -- - - --- -- - - ------- 'Busbicis and Professions Code:The Contractor's License Law does no,apply to an 103- - UFER Required Inspections >' .1.• "1, ' owner ofpropeny Who builds or improves thereon,end who doessuch work himself 104 - REBAR or through his own employees.provided that such improvements arc not intended or _ _ offered for'mle:If,however,the building or improvement is sold wi,nin'am,year or "_... ._-.. ...,i....__ ..."_..._ _ __ _..._.._..._.. completion,the owner-builder will have the burden of proving thm he did not build or 1'05' -=' ANCHOR BOLTS' �, .. . improve rmpurpmeofsme.A 106 - SEWER & WATER --....... .................__.._. ...:...._...._.__ ..:.... ........__..... _.. --202------UNDERFLOOR.202-- -UNDERFL-OOR--PL-UMB-ING- - - ,hat m owner of the Propertyy,aaxe lusivelY convening with diseased convenors to construct the project(Sec. W.Business and Professions Code:)The Contractors 203 - UNDERFLOOR MECHANICAL License law does not apply W an owner of property who Wilds or improves themon, _end,whas.manacle foomch.pt,jects,with,a conuaoWr(s)licensed pursuant W.the. .._. .._._.204-..�.,UNDERFLOOR---FRAME.-__._._.. ._..- __._.._..._.-..__...._._.. contractor,License law. ._. ❑Iam.esemnouptimSm. ' t B'&PCfmrhi,reawn 205 - UNDERFLOOR`:INSULATION . own< a 301 - ROUGH PLUMBING WORKER'S COMPENSATION DECLARATION 302 - TUB & OR SHOWER llbamlby affirearunaIpnauyarp<t;uryo erd f.1lo.ingdoelarnione 303 - ROUGH MECHANICAL 1 i °'I have and'wLl';numaia a Cenificdte of Conseil as af.ioam for worker', 304 ROUGH ELECTRICAL - Compematian:as,reAded f6r by Section 3700 of Ort-laWr Code, foe Ne pmformancevf tha'wmk for wbirlh tbi.permit is ivued.,., 305 - FRAME [II he. ad will`glainiele,W61ker,Compevaiion lniumi¢e.0 niquiied by Sanson 306 - HOLDOWNS 37W of the libm Code,fdr the performance of the'work for which this permit,i, 307 - INSULATION E Issued My W kers Compo treat Ins ce came and P I,y oumbcr ore: 3'Q8-, ;SHEEri'ROCK- :,.. .,:, I', .. . -'. ....,.__...__. ._. CWbu,.% Lr, i , - t t::.Poficy No.: is �rs,�yy.. a 4 I' CERTIFICATION OF EXEMPTIONFR MWORKS ER$ — +..t. i s ?3 O.J, a .".PaA lER:L.OI4,t+LATHr. f - (Thisim6co'need not k completed if the Permit is for one hundred • COMPENSATION INSURANCE ' INTER-IOR -LATHr I - ) y (SI00)e I p I'< amlat, 311 SCRATCH COAT -,ROOF ROOF_-NAIL_- — n - 1 c Wiry that m th per!rmanc f Nd ork'foI wN h W V i�ued'1 .. - _. -• ... she0 nm employ any pe can to any m r so to b'o e Worke✓A 501 FINAL Eli$CTRI CAL ENERGY`� cempe gtylnlaa,,orCeldopta. _ - 50.2 F,INAL._PLUMB ING...ENERGY-- ._ _._. .. NOTICETOAPPLICAt7T lr'aflet rrssmncmaf Exemjahm,y. should 503 - FINAL MECHANICAL' ENERGY Z become subjecuo the Workets Compenseoon pmvisioni of the Labor Code,you muss z thcomplywit one morthitpmdt,hanWdeemedrevoked. 5-04 - FINAL BUILDING -ENERGY. fonnwi - '..,- 505 - FINAL ELECTRICAL tONSmeis'. ns LENDINGAGENCY "1 herebyrm,ha{there ii a aorriwmion lendivg agetx.'y for the pedormince w 0. G otthewarkforwnen hitpeftnhisits.W(sn.3097,cN.c.) - GAS TEST 506 LenderA rvime'-- . . _..... •,.. _.... ., ...::.. : ._ '. �:..'..: -- - ' 507-- .-.' FINAL- PLUMBING. .._ .... .. Lender's Address _ O 508 - FINAL MECHANICAL 1 unify that I hove need this application and state thauhe above Information is GL (� cbrtect.1 gree m comply with ell eery and aunty a,Ninmca,and,real laws relating 509 - FINAL GRADE O p mbuildingconsimction:and herebyamhonierepresentativesorthis city toenter upon 510 - FINAL PLANNING ^�, (y the above-mentioned property for inspection purposes. [-i�;6 (We)agree to side;Indemnify and keep harmlesi the Oki of Cupertino ugainn 514 - FINAL PUB C WORKS r':lA liabilities,judgments,costs and espmses which may in any way accrue again said -�.�,Z City inconsequence of the granting of this PPtmit. " ' APP ICANTUNDERSTAND9 AND WiLLeCOMPLYNTfHALLNON 01 too c uLATI 'S. -C- f�" Issued by: Date ata o"AIPPIm aaA/vC r .. • Date _ • HAZARDOUS MATERIALS DISCLOSURE ' Re-roofs > "'do 'reWlltheapplicatnorfuture Wilding oecupanua , eorhandle heeudousmatmnd Typeof.Roof. .._. ai ined by the Cupcnino Municipal Code.Chapter 9.1?.oad4he Heolth and Ssfery "- -- _" """ '"" `="" '" Code.S3 yon25531a)7; .n bNo . ...,•.,.?.;�.�l ' '.•f - � •1.a r; i_;...,',. , 13 ye. All`roofs-shall be.inspected prior io any rpofing,material.being installed. case the.ppl natio Potwe buiiemg occnP.ntaa eq ;patent nr devlees wMeh If a roof is installed without first obtaining an inspection;.Lagree to remove • emit hazardous air contaminants es defined by the Bay Man Air Quality Management Dimnn7 all new materials for.inspection., Applicant understands and will comply,with oyes ❑rva --, all non-point source regulations: ., ,,•,; I havercad the hmmdaus materials requirements under Chapter 6.95 of the - C41ifamia Health&Safety Cade,Sections 25505.25577 and 25534.1 understand that ifthe building does ammonally have a tenant,that it ism -' - -" - - -• - - - - - - - y issuance of 4Y to notify f P h must W met poor m tssuanu of a Cenificme of O<cu ant of the requirements hi��rJ� Occupant / g Si nature of- Applicant Date _ _ a t or eZ g�., ate All roof coverings to be Class `B" or better :, -. J. OFFICE - FEB 0 6 2002 URCE COPY KITCHENS ETC. Lic. #750211 0060 Esther Dr. a r San Jose,Ca.95124 w r->= 6 F a Re-model Plan for 91S 9 1 9 I _ John & Louise Keating 10370 Lindsay Ave. v i 41 i O-- - O _ 0 ELECTRICAL PLAN ppPROV ED Install new 200 AMP Service Panel IN ACColl NCE WITH THE CITY Uf, Install new Flourescant lig ht w! switch 1 CUP ERTINOS ND ORDVNAN ES M >-t9 l i Install Undercabinet flour-fights w/switch OATS SIGNED tions MUST Install 2 new circuits for G.F.I. recepticals - ct'S 7'r !�- rnIS Serdt-9r&F h ,. a d it is aa.+ r. lavrtuhto make ar:Y changes or alterations ermisSio0 frolR U) - � _ 'I,^, on a wilhnu: w itiar. P DaPt•. C'tY of CuPe. • cations PLUMBING PLAN N ! The 5itampinO of :h;s p.an snd sPa be all SHA NOT be hed t pe.mit or i.:n of any Yio99 Re-Pipe: Galv. Pipe to Copper n d nor $tate L8 Fr o 6 install new Faucet, Sink, Disp.D.W. LIv/v (LD o oma! SCALE: '/:"= 1 R. Drawn By: David A. Carlson �.. KITCHENS ETC. 5060 ESTHER DR. SAN JOSE, CA 95124 a & � a 'c I \ �( D-T D-N3630 tisc •�� .- �rJ D-WB213410 I � j ! I ( r s w 31� k-4-Tf �c d I � FEg o s 2002 r S ev i -- - QA RfPcd,cR El I � Q � I I Y j ` s