00080197 (4) CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRILSS: pl:Rhll r NO.
HWNER'S NANIIH KTTCHENWORKS APPLICA1IONOtoMb 197
7542 RAINBOW DR
.ONE: C<N7 >
48 I_IEBERMAN DBA HOMEWORKS INC SANITARY"0
O 08/20T!Mt
❑z V. ARCHITECDENGINIIBR: BUILDING PERMIT INFO
m
(415) 456-4696 BLDG ELECT PLUMB NiFCll
❑❑
te�U I_I_ 1=1 I_I LI
N LICENSED CONTRACT OR S DECLARATION
05_� -I hereby arm Mint l am li,,.d under Mrovo nx Of Cham
Chair,,9(em,reacing Job Description
ffi
m t-w withSection of UivisimnJnf me Btoinn,anJ Prvfe.oimns G,sc.umd mylicensc
S,E-1 is in full force tend eRca.
x In ce t Licenm Class Lie.M
o i u nmc Comm ba,
G nlechreersrnscLnercnDN REPLACE WINDOW/CUT IN 1 BAY WINDOW
C=°^J 1,mdcrsraml n,Y him, hall he used;e public FIONa
oo Lianxea Pror,„mnOl GAS LINE
o Pey - OWNER-BUH.DER DECLARATION
1 hc,chy afrnor nut I ant exnnm Mom,he Cnmmctor,1 McCrae Law f0,,be
!'< following rearm.(Section 7031.5.Business and Professions GNB:Any city o mmaty
d=m which rcquircs a pmout m cmawct,alrae improve,demolish.or repair tiny souaure
a3_ prior to ne m file s issuancalso requires the applicant for such permit le a signed statement
that he is licensed pursuant to the provOisms of Contractors License Law(Chapter 9 Sq. Ft. Floor Area Valuation
(cmnmeneing wits Section](er))of Division J of rhe eroiaess and Professinm Crile) S O
or that he is exempt therefrom and Bra basis IFC me nllegal ewraptioa,Any,nalaion
Of Se„Ion 70315 by;wy appllcunt lar;;"nail lableerx Inc;f"I'v:a,n,a civil)malty
of ten tome don rive br;O best dNian($5M)). APN Number . Occupancy Type
1,a owner or the ad the y,mr n,y Irvin t in wits wogo,as ed for
sale
Sea.saimn.
buil sot me wPn) and me stmcma i.not intended J Or e Law roe,me(Spey]was Required Inspections
`
Business and Prty W ion,Code:The COmmcanra,cense Law sines nm apply m an I P
owner of properly em Wilds or impmac at such,and who Jct,suchare
wink himself
olkned for
his awn hovevecm. building
that such improvements arc nm inn dedyear or
co mel ionvale.If,howevere the building ter inthoof poo is sold tha h%e
ane year of 3661 1043. 00
nprOve for FO Dost,Or seder will nave mO nnrne„nr proving that ba did nm nmue in
.
completion,
Item O for puipro n,sulci).
❑I.tonwae,Nthemo,M,.amexemxivelyem,:main,with wen,edeun,arlor, a 101 — FOUNDATION
Lmvincer the project(See.7044.Baine,.and Pnne„inn,Codec The Comntrm,, 1 02 — PIERS
icense law does ten apply to an owner nr oo,My who Wild,or improve,thereon,
and who contracts for such project,with a rnmmcton,)licensed pursuaat m the 1.03 — UFER
C m:ncmts Lice se Law. -
de7�.' _ BhpCtor isre m 1.04 — REBAR
ow„thee wull-KII CD Dat�A'I'(nN UI!eLnarcno V 105 — ANCHOR BOLTS
Ine"byaalrmnalerpenahyol perjoryoneofflic fonowingdeelaraion,: 106 — SEWER & WATER
bI have and will maintain a CenfEcae of Consent in .elf-m,ure for worker's 2202 — UNDERFLOOR PLUMBING
Compensation. a, prm;dal for by Section 3701 of the Labor Code. for he 203 — UNDERFLOOR MECHANICAL
performance of the wnd for which this permit is issues.
❑Inaveandwill mamtamwnrkerxCmnl>fin.armnlnvuranre.-riN ardbySection 204 — UNDERFLOOR FRAME
3710 Of the wbor Cede.Tat the petrmmame A the work for which his pe,t61x 205 — UNDERFLOOR INSULATION
'msn,tl.My workcl',Cmulx7rveion Imnnmu uwricr;wd Polivy number are:
301 — ROUGH PLUMBING
Carcr: policy Mi.:
CRo IFICATION OF EKEh1111'[ON FROM WORKERS' 302 — TUB & OR SHOWER
CONIPENSATIUN INSURANCE
303 — ROUGH MECHANICAL
(Thisvvtimn Iced not be completed if the permit is nor one hundred Jollam
(SIIp)Or lem.) 3011 0 — ROUGH ELECTRICAL
I cendy Mbar in roe Merannaree of he wOrk h„which this pconit i,i.,Oed,1 305 — FRAME
amu amt employ any pemon i;,any Ioa;;ne,xo a,It,haOme,,,bja,l m the worker~ 306 — HOEDOWNS
Contpen,ainn Is”Or Culil alas Darr
App,""' should 307 — INSULATION
,,IiaNOTICE TO AI'i'LICAN'I`If after making thin Ccnilica¢of Ene,p,inn,you,um
Z beemmesubject it)she woree,Compensation provision,mathe Labor Cod,you must 308 — SHEETROCK
Q Q fanhwith comply with such provisions or this permit shall be Jamed revokes.
F ^ CONSTRUCTION LENDING AGENCY - 309 — EXTERIOR LATH
xIherehyaffmnthatthereisacnnumctionleadingagencyfrtheperlonmance 310 — INTERIOR LATH
nfmc work for wh'ab this pemit is Ismcd(See.3097,Civ.C.)
i o I nderaa
,N 'e 311 — SCRATCH COAT
.7 Leader',AJdrc,s
U O 1 renny that I have read this application and sae ma the abase iNm„atinn i, 31.3 — ROOF NAIL
ea. P mane'.1 agree to comply with all city and county ordinances card vac law,relating 501 — FINAL ELECTRICAL ENERGY
Q f..] m W
Wilding conuem
imn.and hereby ardowe representatives of this city enter upon
y meabrave-mrationedp,npa,y foriapeclum true 502 — FINAL PLUMBING ENERGY
(We)agree to vve.indemnify and kap M1amdtos he City mf Cuprnmo a,mrs,
(4 Iiahilitie,.juJgmcm,,cnsn and expenses which may in any way aan;ggamst said 503 — FINAL MECHANICAL ENERGY
C.7 City in consequencehcgmming or mix l*',mit.
APPLICANT ' -r Nn LCD 1.l.NON-TVI '.Issucdb 504 — FINAL BUILDING ENERGY
SOURCE Ul. .S.- y'
ignma nr f an�c meter Re-roofs
Will rbc app mamu roWilding'ding oe'mpaLS a zOSURE mmISCmm handle hmaNm
RDOUS tm, aarial Type of Roof 506 — GAS TEST
a,dernedbymaCOperum,ManicipalCodechapter9,12.andheHealthandsarety 507 — FINAL PLUMBING
Calc,Satins 255320)?
Dyes m All roofs shall be{5.(�},S{a�t1ec[ed�Fp'Iq�i1�,4/9'�1{]'aD�('4lTTFi(Mf1VrWtft1ad being installed.
will the upplirna Or frau,,building o"i I um a�yuipment onwvier,whim, If a roof is instalTC!Otithbul IIIlii4H)taiRE?PH(Minspection, t agree to remove
mit ha,anl x ab eooa,minums ax der, by me May Aran Ai,Quality Mamgenam
lZub,n all new materials9'6dinspegf JiWl 'ipplfda(1NNA-NCnds and will comply with
Dyes all no so g egtdatpoPNAL PUBLIC WORKS
1 hate read the hanrdous macrials requirenxm,under Chirpier 6.95 of the
Cnlifnmiu Heahh B Safely Code.Section,25505.25533 and 25534.1 understand that
if the Wilding dm
does not mray have a tenon.mat it is Inn re,poaihilny R.notify the
occupant Of r' teawhich into,be n¢,prior a OIS Cc ti I"are of
me m
Sigil5nature of Applicant Date
—ikat All roof coverings to be Class "D”or better
owmrotamt,oda. gent