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01030177 (2) CITY OF CUPERTINO BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO. 7934 MC CLELLAN RD # 2 PSG FENCING INC 01.030177 OWNER'S NAME: APPLICATION SUB DATE CAMPBELL ASSOCIATES 1133 N 10TH ST 03/29/2001. UNIT. - SANITARY NO. CONI ROI.NO. 19 4089953397 Oil ARCIH fI loc IIINGINCER: - BUILDING PIBMI f Ul -, Ill ELECT PLUMB MECH ttea- W z N LICENSED mrrrl(nf-roR's DEc,ARnno" Job Description _O 1 hareby allirm that I am licensed under pnwis.ons:d Chapter (commencing ]. rw with Section]1XUIofUrision3oftM liusincnun f Cde.a lmv icena i i.mlull to udrlf _rcda Banes Lic.X —=t 2ND FLOOR BALCONY REPAIRS/RESIDENTIAL o a at, — commc or �3 6 w0 RClII I IiCf'e UEC Fli"'ON jr I � m g I undamm�J ter pinm.hall he mcJ use public rtcoNx , m O O A....M Ponso anal a.S o OWNER-BUILIDER Ac ARATION u7 I hereby uflfr;n that,a;n uroun frn;n the Corur;nnr'.License]-a, Fur(be E_ < bilawing reason.seed 7031.5.Itu.lna,,;:ml 11.oles.ion,Cade:Any coy or eon ly x O whin,mjuires a permit to rnnsmaa,allee improve,demafreh.ser opal,any.ancone ue prior permit o file a signed statement that he is lieo,v•d pursuant 1. be provisions of the Cnmrwnds Liccntt lsw lChapmr') Sq. Ft. Floor Area Valuation (mmnmencing with Section)BBB)ml Division 3 of the Business and Profnaions 6Ne1 nr den he i.exempt,aerefma,and the basis liar the alkgcd eaemption.Any violminn $3500 of Section 7101.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars SM10), APN Number Occupancy Type ❑I,will of the pmpcnn ser my employees with it a Meir sole campeosmion, will do he work,and,he structure is out Intended ser NRred fur .[a(Sec.(S.A." �Sperc.Y p]IrB�4. Inti n and Profession.,code:The Ca.,.rador,Lmea,e La •dh Kyle r� Required Inspections r of),open,who milds or Intpnrvcv mcrcna,and who 1 IIED urhrongl,his own ea,luynes.n,ori l,d la each imirmveme f.,sols. 1 @ 1 — FOUNDATION a1'fcren fol-.Ile 1L however.tie huiloling or inap.ove ncot is sold within r' of tee — PIERS nrie, criers,,, will havn the nndd,olj pro i ng.hat h n I n,p.me'Lmpm,aseafs.led. MAY 0 2001 1@3 — UFER ❑I,strainer nl the property,not esdusce,a corroding with IiccnecJ umbacun.n, 104 — REBRR ,set he proiert(Set.]1uy aasine.a and Pn.mswns tildes', t m' ....... �ictense Lax'does not apply man owner of property who builds o,in and wba control for such pmjeds with Itcommcmrls)licensed �� 105 — ANCHOR BOLTS Clinicals Licrnse Law. 1@6 — SEWER 8 WATER ❑1.m s scan ur uncle,See. .B&P C oar this reason ox.netDac 202 — UNDERFLOOR PLUMBING WORKER'SCOMPI?NSAIIONDECLARNHO" 203 — I.INDERFLOOR MECHANICAL I hereby al ander penalty of Ill title anhe l„nrwing dee hnation.: 204 — UNDERFLOOR FRAME u, have and will ,naimnin a Ceroficale it O.nsnm It, wif-i.wt.o ter Wa.krrs 205 — UNDERFLOOR TNSIJI_AT TON Cnmpen ails, a, provided liar by Scc,ir 3700 if rbc Labor Cale, fir he prnar.nance of ate work mrwhin,this perint is 1VfOed' 301. — ROUGHPLUMBING _)KIhoc and x illnuhusin Worker's Cmnpenmriun btwmence.asrequired by Sec,in 1 302 — TUB & OR SHOWER 1 of the Lahr Cde,for the technical of the work for which this permit is Issued,My Workcrs Com .ohm,Ins.rv,ee Canier,na Policy nua,ber ate: 303 — ROUGH MECHANICAL ca er:(k{ Cil asFel'>'"oa � �— 04 — ROUGH ELECTRICAL C 3 DON OF ILK[NI'I'ION P M1 ORKF.RS' COMPENSATION INSURANCE 305 — FRAME 1'lhis.anion need nuhe completed if the permit is lin Inc hundred dol lays 306 — HOLDOWNS fil"b ar I.11J 307 — INSULATION ],nilly n,a,mthe 1n'ru,r..,:.mema it III lot whentmr1I Ill'he issued. 308 — SHEETROCK nmdl ern c.nplar u.tr pe, any;; ;ao:;.m nnra,ar eon«�;m.nn worked a C.....pen.:man Law"Acni�i...nia.fare '309 — EXTERIOR LATH Applicant NOf10E10 APPLICANT:It,armrnwking mi,CcoifieateaniLaMar.cmmion,ro.should 3]@ — INTERIOR LATHhecome.whjecl to In,Workers Con,prnsaion provi.our,of,he Clark.rom.0 ll n p foahwimcoundywin such prcrimon. it m Dani.pennhall he deeedre,nked. 311 — SCRATCH COAT F r_ CONSTRUCTION LENDING AGENCY I hereby amt died there is aconstruction]coding agency for the performance, — mnce, 31.3 ROOF NAT L i C othe waarkfor xtech,his p.it isI.mled(Site.30I)lCin C.l 501. — FINAL ELECTRICAL ENERGY Lender's Name o y Leal Address 502 — FINAL PLUMBING ENERGY U O 1cenirr that,base rend this appfr:Aonamltime,that he ahere lydbrmmi"II,the 503 — FINAL MECHANICAL ENERGY W t^, c rod.I,gree ,I nnnply with alt rely Old.vn.ny ominous,and state laws relating O U b�hr.ILdin,camlmeran,anti hereby andmriaerr'sc.rntahve.onhis city 11)enter upan 504 — FINAL BUILDING ENERGY al pr pray far impnmon pu,al,rl. E�;Iy (We)ag.lir.oeaverade..a.,ilyand urpla.mnle.. heCity orC,meNma:.gails, 305 -- FINAL ELECTRICAL UIn liabilities,jodgnen,s,clew and reticule''which our in umy way accru „e.gainnuid �- G Cry in consequence of the gmmimil.hispernti,. 55 S TEST APPI.IC UND EmAildi,oco,sund LLC'OMPIA II ALLNON-POIN//T Issued b ate SOUR fe„—GIDE. Oy' —gn rep rear DateRe-roofs 508 — FINAL MECHANICAL_4 RIALS DISCLOSURE Nell the app an, sourcnr handle harmdoos ata l Type of Roof 509 — FINAL GRADE as defined by the cnpenma Munieprl Code Chapter 9.12,sad the Ilcalth and Safety caleSection 25532m) � o 51.0 FINAL FL KING. 05'O' +Y"o' All roofs shall be �IypQcI d ( y� ny,{ yn J ate- �g installed. Will me:.ppli 0Iftnmendldmgo.rrr.pt'clripmemordrvice.wmm If a roof is instal le Ni hoeut fir�tA inC"n IY"N efS I "!`3'gree to remove c.nit hvuNann air come all,,as drlined by,he]fly Arca Air Quality Mamngemmut Dimdmr all new materials for inspection. Applicant understands and will comply with ❑Ye, _,k< all non-point source regulations. I have read.he heiardnus materials mquimnacnte under Chapter It of it,, Calilomw Hcalor&Safety Cade,Section,25505.25533 and 25534.1 understand that iffle Inilrhngdoesn nnuy n:rvr:sea,:,m.eta,hi..ny rny,n,.inai,rmm...yme excell d the re Iant.which.oust M est prim oa i.,aaace of.Certificate of °Cel ' Signature of Applicant Date 2-QI or am arired-a, DateAll roof coverings to be Class"B" or better netOFFICE