15090049CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10257 GLENCOE DR
CONTRACTOR: TRACY HSU
PERMIT NO: 15090049
OWNER'S NAME: TRACY HSU
22333 SANTA PAULA AVE
DATE ISSUED: 09/09/2015
OWNER'S PHONE: 4084645030
CUPERTINO CA, 95014-2835
PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑
DEMO (E) 1008 S.F. SFD WITH 238 S.F. ATTACHED
License Class Lic. #
GARAGE
Contractor Date
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
Sq. Ft Floor Area:
Valuatiou: $11000
I hereby affirm under penalty of perjury one of the following two declarations:
1. I have and will maintain a certificate of consent to self -insure for Worker's
APN Number: 32630016.00
Occupa ncy 'Fy pe:
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
2. I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF P SUANCE OR
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
y INSPEC IO .
correct. I agree to comply with all city and county ordinances and state laws r
to building construction, and hereby authorize representatives of this ci e r
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply with
ROOFS:
all non -point source regulations per the Cupertino Municipal Code, Section 9.18.
All roofs shall be inspected prior to anyy roofing material being installed. If a roof is
Signature Date
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
OWNER -BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
the following two reasons:
t. I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
HAZARDOUS MATERIALS DISCLOSURE
sale (Sec.7044, Business & Professions Code)
I have read the hazardous materials requirements under Chapter 6.95 of the
2. I, as owner of the property, am exclusively contracting with licensed contractors to
California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain
construct the project (Sec.7044, Business & Professions Code).
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(a) should I store or handle hazardous material.
I hereby affirm under penalty of perjury one of the following three declarations:
Additionally, should I use equipment or devices which emit hazardous air
t. I have and will maintain a Certificate of Consent to self -insure for Worker's
contaminants as defined by the Bay Area Air Quality Management District I will
Compensation, as provided for by Section 3700 of the Labor Code, for the
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Sectioas 23505, 25533, and 25534.
performance of the work for which this permit is issued.
2. I have and will maintain Worker's Compensation Insurance, as provided for by
ft.c.Weutho,ized ag t: q
Section 3700 of the Labor Code, for the performance of the work for which this
ate: r
permit is issued.
`
3. I certify that in the performance of the work for which this permit is issued, I shall
CONSTRUCTION LENDING AGENCY
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exemption, Irhereby
affirm that there is a construction lending agency for the performance of work's
become subject to the Worker's Compensation provisions of the Labor Code, I
ch this permit is issued (Sec. 3097, Civ C.)
r's Name
must forthwith comply with such provisions or this permit shall be deemed
revoked.
Lender's Address
APPLICANT CERTIFICATION
ARCHITECT'S DECLARATION
I certify that I have read this application and state that the above information is
I understand my plans shall be used as public records.
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
Licensed Professional
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply with
all non -point source re lations per the rtino Municipal Code, Section 9.18.
M
Signature Date
CUPERTINO
DEMOLITION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(ai)cupertino.org �/j 0 ^ V
PROJECT ADDRESS �j �7 / 1 ,a� {")r.
�(..AV
APN #
OWNER NAME
PHG{-tpONE �
� 3
K- `' -&4- C)
STREET ADDRESS 2 33a __ _ L� �L ..
CITY TATE, Z� �, CA
��-O�s�--�
CONTACT NAME-Trac"1 J/G ��
PHO b ' ��
E
k CZ
STREET ADDRESS � �Tl � /L , rf
C , STATIQ . e �
FAX
`C-❑
❑ OWNER /`j OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHrrECT ❑ ENGINEER ❑ DEVELOPER TENANT
CONTRACTOR NAME
LICENSE NUMBER
LICENSE TYPE
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK
0,t
1 u2i Dogs4eici
RESIDENTIAL
# DWELLING OFFICE USE ONLY
FLOOR AREA
UNITS USE OCC. TYPE
SO. FT. VALUATION
COMMERCIAL
FLOOR AREA
TYPE OF CONSTRUCTION
# STORIES
AQMD JOB NUMBER IV
JOTAL VALUATI :
J #:
OU
By my signature below, I certify to each of the following: I am the property owner or authorized agent to n the rty owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and veri curate. I agree to comply with all applicable local
ordinances and state laws relating to buildi9j construction. orize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: Date: t
SUPPLEMENTAL INFORMATI REQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMIT
OFFICE USE ONLY
PLAN CHECK TYPE
_ Provide Job Number from Bay Area Air Quality Management District www.bmmd.org @ 415-7494762.
❑ EXPRESS
_ Provide three copies of a site plan showing protection for any trees 10" in diameter or more at 3' above grade.
❑ STANDARD
_ Provide letter from PG&E (408-725-3325) stating all gas and electric has been disconnected.
❑ LARGE
_ Provide a letter of inspection, tests, and abatement of any Hazardous Materials. Letter to be initiated by person(s)
certified in asbestos, mercury and/or hazardous material examination.
❑ MAJOR
Planning Dept clearance to verify building is not considered an historical landmark. Allow 10 business days.
Provide letter of clearance of all vermin from a licensed pest control contractor.
_ Applicant shall call the Public Works Department at 408-777-3104 and schedule a "habitable dwelling" inspection.
Provide signed Debris Bin and Recyclable Materials form.
Commercial Buildings Only: Provide Fire Dept clearance for fire suppression / alarm system review.
DemoApp_2011.doc revised 03/16/11
lo
CITY OF CUPERTINO
loml FEE ESTIMATOR - BUILDING DIVISION
191
ADDRESS: 10257 GLENCOE DR
DATE: 09/09/2015
REVIEWED BY: MELISSA
4?ech. Permit Fee:
APN: 326 30 016
BP#:
*VALUATION:
isi1,000
*PERMIT TYPE: Demolition Permit
PLA;v "HECK 1) h1::
PRIMARY SFD or Duplex
USE: P
l:lee. Insp. Fee
PENTAMATION
PERMIT TYPE: 1SFDWL-DE
WORK
DEMO E 1008 S.F. SFD WITH 238 S.F. ATTACHED GARAGE
SCOPE
FEE ID FLR AREA
s. f.
1 DEMORES 1,008
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Pire, Sanitary sewer District, school
nic/rim/ atr 1 Thrace foec aro hacod an tho nroliminary information available and are onlv an estimate. Contact the Dept for addn7 info.
FEE ITEMS (Fee Resolutimn 11-053 Ef. 7/1/13Z
11ech. Plan Check
Plumb. Plan Check
Elec. Plait Check
4?ech. Permit Fee:
Plumb, Permit V,,
Elec. Permit tee•
Other111ech. Insp.
Other Plumb ht.,1,.
Other Elec. lisp.
blech. Insp. Fee:
Plumb. Insp. Fee:
l:lee. Insp. Fee
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Pire, Sanitary sewer District, school
nic/rim/ atr 1 Thrace foec aro hacod an tho nroliminary information available and are onlv an estimate. Contact the Dept for addn7 info.
FEE ITEMS (Fee Resolutimn 11-053 Ef. 7/1/13Z
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
Suppl. PC Fee
Plumb./Mech./Elec
Permit Fee:
$574.00
Suppl. Insp. Fee1q Reg. ® OTFoTlirs
$0.00
Plumb./Mech./Elec
Plumb./Mech./Elec Permit Fee:
Construction Tax:
Administrative Fee:
Work Without Permit?
Advcmced Planning Fees:
Travel Documentation Fees:
Strong Motion Fee: IBSEISMICR
$1.43
Select an Administrative Item
1
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$576.43
$0.00 TOTAL FEE:
$576.43
Revised: 07/02/2015
CUPERTINO
CONTRACTOR / SUBCONTRACTOR LIST
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS: I p G5 Q
PERMIT # 1.S07 UO
OWNER'S NAME:
PHONE #
GENERAL CONTRACTOR:
BUSINESS LICENSE #
ADDRESS:
CITY/ZIPCODE:
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature
Please check applicable subcontractors and complete the following information:
Date
s/
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavationvi�Q.1
ZZ C
��
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Signature
'VI' l)
Date
PROCEDURE CHECKLIST FOR DEMOLITION PERMITS
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERT SALVADOR, P.E.. C.B.O., BUILDING OFFICIAL
' CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 - buildinqacuoertino.orq
PURPOSE L 0 2 51 (' &^t,,oe Pr.
The demolition application should be applied for before or at the same time as the new construction
permit application (these are separate permit applications and fees). Permit fees are due at the time of
the application/plan submittal. The new construction permit will not be issued until the demolition
permit is issued, unless a letter obtained from the Building Department is submitted stating that "The
existing house will not be demolished until the new construction permit is issued". The letter needs to
be signed by both the property owner and general contractor.
REQUIREMENTS
To obtain a demolition permit in the City of Cupertino, please complete a Demolition permit
° application alon each of the following requirements as it applies to your specific project.
1. Three (3) copies of a Site (Demolition) plan for Residential or six (6) copies for
Commercial will be required showing any trees 10 inches in diameter at 3 feet
above grade on the subject property, and what means will be taken to protect
these trees.
2.
3.
5.
PG&E must be contacted AS EARLY AS POSSIBLE prior to demolition to
schedule the abandonment. Contact PG&E at (408) 725-3325. A letter from
PG&E shall be provided to the City, stating that all gas and electric has been
disconnected. (This step can be time consuming, so it is important to begin the
process immediately)
Provide job Number from Bay Area Air Quality Management District
w-ww.baagmd.Qov @ 415-749-4762.
Check to see if the building is considered an historical landmark. Obtain clearance
from the Community Development Planning Department. Allow 10 working
days.
Provide a letter of clearance of all vermin from a licensed pest control contractor.
I ortant: Prior to the issuance of the demolition permit, the applicant must call
the Public Works Department at (408) 777-3104 and arrange a "habitable dwelling"
inspection.
7. Debris bin and Recycling sheet: read, sign and date. The sheet will remain in the
project's building permit file for the duration of the project.
/ 8. Commercial only -prior to issuance of the demolition permit, the Fire Department
must review the plans for fire suppression/ alarm systems that shall remain in
service or be modified during Demolition or that shall be replaced with the new
construction.
DemoProcedure.doc revised 2113113
Pacific Gas and
Electric Company
September 4, 2015
CITY OF CUPERTINO
10300 Torre Ave
Cupertino, CA 95014
SUBJECT: REMOVAL OF GAS SERVICES (METER & REG) ON:
9/4/2015 @ 10257 GLENCOE DR CUPERTINO CA 95014
9/1/2015 SVC WAS CUT AT MAIN
SUBJECT: ELECTRIC SERVICES WAS CUT AT POLE ON :
8Z12/2015 @ 10257 GLENCOE DR CUPERTINO CA 95014
If you have any question contact us at (408) 725-3325
Sincerely,
I
Pfic Gas & Electric Copany
DkA, nza Service Planni e
X00 N Blaney Ave
pertino, CA 95014
10900 No. Blaney Avenue
Cupertino, CA 95014
Wr""""City
^ ��r
of Cupertino
Public works Department
1
Environmental Programs Division
ll
10300 Torre Ave
Cupertino, CA 95014
CUPERTINO GREEN
Program
(408) 777-3354
Construction and Demolition Recycling Diversion
Requirements and Instructions
Covered projects, or all construction, demolition and renovation projects that are 3,000 square feet or more
are required to complete a Waste Management Plan for the City of Cupertino demonstrating that 60% of the
material generated is recycled, in compliance with ordinance CMC 16.72.050. At the conclusionofthe project
a Construction Recycling Report must be filed with the Public Works Department/Environmental Division
showing the tons recycled and disposed by material type. Use tonnage information from weight tags provided
by facilities to quantify total estimated waste and percentages for materials. Weight Tags of all material
recycled and disposed must be submitted with the final report in order to receive a, Final Building
Inspection.
provider franchised to do business in Cupertino.
Debris from a project 3,000 square feet or more in Cupertino can be collected and
disposed by using:
Please check all that apply:
1 I am not using a Recology debris bin, however, the project is less than 3,000 s.f, e.g. buildings, patios,
sidewalks,, driveways.
0 I will use a Recology debris bin. By Agreement with the City, Recology will prepare my required
Waste Management Plan & Recycling Report. Contact Recology: (408) 725-4020.
❑ I am not using a Recology debris bin. I will provide the following submittals to the City's Public
Works Department, showing that I- have recycled at.least_60%. of all construction demolition material:
Ask for the Construction & Demolition Recycling Packet from the Building Department and
complete the following:
✓ Submit a Construction and Demolition Waste Management Plamwith your building permit
application. No fee for this plan. Forms are, available at the Building/Public Works counter and online
at www.cupertino.org/environmental. Report the tonnage recycled and disposed, by material type.
Recycling facilities must be selected from the City's approved list ofRe Recycling Resources.
✓ Submit a Construction Recycling Report form. The report is required before the Building
Department will schedule a final inspection. The report form is available at the Building/Public
Works Counter and online vL mv.cupel;ino.orelenvironmental.
Signature:
Name: (printed) T
Title: E
Phone: 4:0
Project Address: / 6,;?.S17 Ahp-j
U
on
This form to remain in the project's building permit file for the duration of the project.
Revised 317112 1
Date: �
ZEN
CUPERTINO
OWNER -BUILDER DISCLOSURE FORM
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 - buildingaecuoertino.org
Dear Property .Owner(s):
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at:
SITE ADDRES Oy ! r..
APN3 q 6
_3 U _O r �j BP� �U / OU 1
OWNER NAME :..:OWNER
ADDRES :.n_,'
n
61 1
DESCRIPTION OF WORK: C
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of
your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We
will not issue a building permit until you have read, initialed your understanding of each provision, signed, and
returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless
you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
(DIRECTIONS: Please read and initial each statement below to signify you understand or verify this information.)
'r r1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -
Bu Ider" building permit that erroneously implies that the property owner is providing his or her own labor and material
personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by
an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not
provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my
insurance coverage for injuries to workers on my property.
2. 1 understand. building permits are not required to be signed by property owners unless they are responsible for
th construction and are not hiring a licensed Contractor to assume this responsibility.
`TA3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may
prdtect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her
name instead of my own.
77Y4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license
nu bers on permits and contracts.
5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the
to I value of my construction is at least five hundred dollars ($500), including labor and materials, I may be
considered an "employer" under state and federal law.
6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and
e eral government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to
unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject
me to serious financial risk.
7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family
r idential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by
licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work
is performed under contract with a licensed general building Contractor.
8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for
an financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction
defects in the workmanship or materials.
OwnerBuilderForrn 2010.doc revised 04/14/10
9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal
R venue Service, the United States Small Business Administration, the California Department of Benefit Payments,
and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State
License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed
contractors.
10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I
a the party legally and financially responsible for proposed construction activity at the site address listed above.
11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide
by all applicable laws and requirements that govern Owner -Builders as well as employers.
f12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the
mation l have -provided on this form. Licensed contractors are regulated by..laws designed to protect.the public. If
ontract with someone who does not have a license, the Contractors' State License Board may be unable to
assist you with any financial loss you may sustain as a. result of a complaint -Your only remedy against unlicensed
Contractors maybe in civil court. If is also important for you -to understand that if an unlicensed Contractor or
employee of that individual or firm is injured while working on your property, you may be. held liable for damages. If
you'obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not
those Contractors are properly licensed and the status of their workers' compensation insurance coverage.
CONSTRUCTION LENDING AGENCY
(DIRECTIONS: Please complete the following construction lending agency information.)
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued
(Sec 3097 Civ.)
Lender Name:
Lender Address:
Before a building permit can be issued, this form must be completed and signed by the property owner and
returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license,
form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued
to verifv the property owner's signature.
Property Owner's Signature: ��f���«, Date: 'I /ql
---------------------------------------------------------------------------------------------------------------------------------------------
(NOTE: The following Authorization Form is required to be completed by the properly owner only when designating an
agent of the property owner to apply for a construction permit for the Owner -Builder).
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby
authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an
Owner -Builder Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the
above information and certify its accuracy. Note: A copy of the property owner's driver's license, form notarization, or other
verification acceptable to the city may be required to be presented when the pen -nit is issued to verify the property owners
signature.
Property Owner's Signature: Date:
OwnerBuilderForm_2010.doe revised 04/14/10
OWN
' COMPLIANCE &
.h l' fl It f A
ENFORCEMENT
AiRQUAIITY DIVISION
NAA td AC.LNI L
Randazzo Enterprises, Inc
13550 Blackie Road
Castroville, CA 95012
Regulation 11, Rule 2
Acknowledgement of
Notification and
Payment of Fees
9/3/2015
Job No: 4Q221
Invoice No: 3QZ03
The Bay Area Air Quality Management District (BAAQMD) acknowledges receipt of your payment and
your Asbestos Removal or Demolition Plan described as: Demolition
Site address 10257 Glencoe Dr
Cupertino, CA 95014
Start Date September 15, 2015
Completion Date September 17, 2015
Removal amounts of friable ACM 0 linear feet 0 square feet 0 cubic feet
Should it become necessary to revise this plan, please do so in the spaces provided below and immediately
copy the District by fax or -by mail.
REGULATION 11-2 REVISION BAAQMD J# 40221
REVISION # START DATE COMPLETION DATE
1 t ! l t
2
3
4 1 I ! !
5
NOTE. This form is not intended as a verification of either the completeness of your original notification
or of its compliance with BAAQMD Regulation 11-2. Ifyou have any questions about this
acknowledgment, please call our office at (415) 749-4762.
PEST CONTROL & TERMITES
August 11, 2015
To Whom It May Concern:
Inspection for vermin was done at 10257 Glencoe, Cupertino, Ca. 95014 and no
infestation was found.
11% 4611-Z�04
Mike Stadmiller, Licensed Field Representative
SOS Pest Control
214 Cristich Lane #103
Campbell, CA 95008
214 Cristich Lane, Campbell, CA 95008 . Phone: (408) 866-6609 9 Fax: (408) 371-2371 . www.SOSPestControl.com
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COMMUNITY DEVELO• VENrr DEPARTMENT
BUILDING DIVISI• N - CUPERTINO
`a- APPS ,V ED
This set of plan specif! ations MUST be kept at the
job site during c$1struction It is unlawful to m«ke any
changes or mations n : ame, or to deviate
therefrom, withoei�.�ppro�! -' from the Building Official.
S s �-e.0ifications SHALL NOT
Tho sten* of thi pian
be hyld ta`#,-?rmit or t•- ",,-,.;provof vio+et.on
of any or Ic' ce or rate Law.
N wr� T �� 0
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------ -- ---------------.`� �i�,�;�, �----------------- EAST 125.00
,-----
. f1w
N.M.C. ASSCOIATES
12280 S RATOGA-SUNNYVALE RD. #209 %i'`=
SARATOGA, CA 95070
' TEL; 408-446-8418 'e
OFFICE 6,NOF)I O
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