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01020041 (2) CITY OF CUPERTINO BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: BUILDING ADDREt0220 LYNTON CT - MFR CONSTRUCTION PERMUNO. • 01020041 OWNEIfSNAMHi - APPLICAI'IONSUB % KENNEY AUDREY J 114 ROYCE ST Nc/08/2001 RINE: SANp'AItV NO. C(INT ROI.N(s. c408>280-5681 Ma O ARCIIITETE/ENGINEER: - BUILDINO I'ERMI'1'INFO in 0❑❑ IiLI - Elh PLUMB ICC11 1,ad —J -_I C1 1=1 nGa S LICENSED CONTRACTfIR'SDECLARATION Job Descript' n y�G I we nlrunt that 1 an Wed.cd under pr li,kinnn or Chapter')(commencing w lust 'elint It fln;,im ' ,rte Ba.ine,xaltd J xielL a,.nn vtdesa PATIO ENCLOSURE ,Laursce an Ire . r rc R t.iee clan._ Lie.a--J A'O�U Dams _//�J�� Contractor uY13 u.. Zi RC1 TECT'S D[CLARAI'ION a4 in,plvn.v"hull M1e used ua public Innards cal ..O Licensed Pndcssional c t� O n I snot BUIIAER line I...da �(� TION Nemhy"(Gnu on 1 um exempt from the i....Ca Linc,,Law for the r w,>>' followingsio,a(section]IDI 5, t.tdesx and al,dsaion.Cade:Any city or uanty -Fp ,all n, pe tits construct. pa rep J rift Iw l wewm ' n3� pdnh t Mt to wicr tl' ape n 11 g d.vne nem - thenhelicensed r a tl the p ,i lmefl t isLicenseLa riCor9 Sq. Ft. Floor Area Valuuti (cantmhei g ins a ]1x101 fD",i J the D : e. JP I sCsnle) aaa or that he is exempt there applicant and he have for the alleged excent Any ri wary .1 sit ion 7031.5 by any hundred dollars Irs a pertnil nuhjectx the applicum rn n civil penalty of nm mem Inas fee Itundred doua,x asap. APN Number Occupancy Type ED L ax owner of in,pmpeny.n,my employees will wages us their isle rrnupcn.vminn. 3693501.9. 00 will Jit the work.and the structure is nor intended or nRered our sale(Sec.7()41. Bruins,,and professions Cure:The Contractor's License Law docs not apply to an Required InspCCl10I15 rofprope"y Who build,orintpm"cxthcreon.umlwho docssuch work lutnxdf _ 101' — FOUNDATION or firelight his own employees.provided that such itnprovcmems are not Intended ar offered for sole.If,however,the building or in,pnwemcnt is sold within one year of 102 — PIERS nn:pletion,the ownerhuilder will have the buMen of proving that he did not NdId or impose forp.'so,ofnale.h_ - 103 — UFER C 1,a,owner ohne prone",an,exclusively c„aneling with licensed contractors 10 104 — REBA R uel the p J 7(See.7114.Basin... and Pml'a..ion,C.odcy S he Canna ser s Lim,ncenselaw due,noapplyroan.net or property who rads in,nnpmveathercon. 105 — ANCHOR BOLTS and who contents for such put ttt,with u narracmgx)Seemed pursuant to the Coimactorx Liccoxe Less. 106 — SEWER 8• WATER ❑1 all,sx,ren order sec. 'Ifm PC I"r thus reason 202 — UNDERFLOOR PLUMBING ^ 03 UNDERFLOOR MECHANICAL WORKER S COMPENSATION DECI.ARAI ON k- Ioe,chyaBlm,anderpenahyofpcljoryoneonee follow ing declardine", 204 — UNDERFLOOR FRAME I love and will Inaintain a Certificate of Con...I ,,,elein.uro for W..fees 205 — UNDERFLOOR INSULATION pc�mpetootbn. a, provided for by Seen,,. 3700 of he Labor Code. ror the 301 — ROUGH PLUMBING I ne,c:d Ile work he wl t Infix fiction i,issued ❑I have and will ni,inain Worker's Compema(ion Insurance,as required by Section 302 — TUB & OR SHOWER 9]110 al the labor Gale.fur The performancu of tee weak Past whine this permit is 303 — ROUGH MECHANICAL i...I My Worker's Carrie tion Insurance senior and Policy number an: 304 — ROUGH ELECTRICAL .,rr,er. Policy No: cERruacAr¢m Oil ltxrnu" [ON FROM wuRKeus' 305 — FRAME COMPENSATION INSURANCE 306 — HOEDOWNS (rhes section leek hat be muq,IctcJ II Ilw permil is Ibn enc hnndred Aullua align orlex,J � 307 — INSULATION Inerlity lam ht the parrnrnntnc 'llne work lm wheel,tai pemdnn iaaeJ.I 308 — SHEETROCFg. ,Hall na employ soy person ld oar yty� /br'k.tc, Icclt (errs 309 — EXTERIOR LATH C,Imp rCHJOn 12? a TC C:Ilif�/rtiyh.l a/tall hi a �L Aro,ant 12?moi _LL-rfy._relF+— a N(YIICE'10 API'.(. N'I`.Il:after rku n,v'Cn tG it I!acntpuon,you should 310 — INTERIOR T . Neomc whjecuo the Worker',Gm,pe,nmion provisions or the Labor Code,you least O O feel,,itnready with such unit sionxotthis wrmu,hanrtedeentedrevoked. 311 — SCRATCH COAT Z m CONSTRUC9[ON LENDING AGENCY 313 — ROOF NAIL a 7Ihereby af red thin there isoconsuuctionlending agency for the perfom,once 501 — FINAL ELECTRICAL ENERGY of tl:e work lisp which this pe.m it is issued(Sees JIN].Civ.C.) i $ Ir„der tool 502 — FINAL PLUMBING ENERGY U O L.e ri Address I comfy Ill.,I hod readthis appheation uod>da, au d,e above indentation is 503 — FINAL MECHANICAL ENERGY Fcorrect.1 agree to comply with all city and county ordWanece,and state lac,relating — FINAL B I LD I NG ENERGY O V mstudio gc::n.aectioh and thereby:mmon,rtyre,ecalre,of this city to enter.,,a [,a da necahoaalrnh"yln.....peetianpunpoxex. 50s FINAL ECTRICAL F.: 0. (Wel agree to save,indecently and keep harmless the City of Cencnino against (n liabilities,pel"rent,,costs and clpcmus which ally in a y y accme I,aid a — S T T U z City nnwqucnce of the g lull n,of the pcmtih -- A LICAlINDERSTANISANU LI-COMPI•Y ITB ALL )INT Issued 5 PLUMBINGDa[e )URGE RE 1. Tlov L .11 y' -- Si,rec fnpp vcartamor D;,te Re-roofs IIA'JSRDOUS MATENIAIS 50 DISCLOSURE 9 — FI RL GRADE Will the al,pneanlarfa"mludde,gaa,I,aI,I"rcorhandle nuardoo,rai Type of Roof as donned by lite Cupertim,Municipal Code.Ceaptc,'9,12,and mel lealtn ami Safety 510 — FINAL PLANNING Gale.Section 25512hi Cre, 0 No All roofs all be+Neil[ rTrilyWIan)RUB1n j C;iatlelffi7lRKc 'itg installed. \ Will meapdirmorfuture bwldmg«copamuse eauiPmentnrd=,'icevwhich If a roof S installed without first obtaining an inspection, 1 agree to remove emir havrni air contortions as defined by the Bay Arca Air Quality Management Dolricn all ne materials for inspection. Applicant understands and will comply with Cn, 0N all nori-point source regulations. hoc read It,,lcuoudnus acherials requimamns under Chapter 6,95 of he Unreels Bc.10,A,Safety Code,Sections 25505.25533..115538.1 nndc..um sent If the building d«z hat cumnty have a renunl.that a i>re,resparoi h, x'pant of the requirements which nmlt tun prior to licit a C. Ihcare of I/ Signature of Applicant Date Owner or mtmodscJ agent n,na All roof coverings to be Class "B" or better OFFICE ' 4 pv OF OHM c r9 .*'✓ N G .w 7 _. . ` ��roKy / 5rvewe- FEB 8 = 2 o1-.. . - BY min 1 / PLOT PLANS . CHEC - DATE ...__ .... DEPT; � -- � UATE 0 o/ 17 DFPT 1 ?,�'k746 aUa� .. 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