Loading...
01100050i WOC_ Zu C U 11.. pa H 4 0 �v=i7 Z y H C F c :zz< :O yC i3tti iccC C C W-, _ Z � F � M3`• t� f L C C U( W � o as U U� v` CITY OF CUPERTINO CONTRACTOR INFORNIATI N: BUILDING DIVISION P ERMTT BUILDING ADDRESS: PERMIT NO. 7505 HEATHERWOOD DR CUPERTINO KITCHEN DESIGNS 01100050 OWNER'S NAME: LI ERIC H AND APRIL C 10562 S DE ANZA BLV APPLICATION SUB DATE 10/09/2001 PHONE: (408)257 -4900 SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing Job Description with Section 7000) of Division 3 of the Business and Professions Code. an m tense REMODEL & ADD 4 6 S Q . . isinfull force ( (ADD TO DINING & KITCHEN & REMOVE sandeffeEt! License Class N Date - ��..�; -7��- Li,. Contractor WALL IN BEDRM & UPGRADE ELECT SERVICE) ARCHITECT'S DECLA A I understand my plans shall be used as public records Licensed Professional OWNER-BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the, following reason. (Section 7031.5, Business and Professions Code: Any city or county I which requires a permit to construct, alter, improve, demolish, or repair any structure - - - - - •- - -- - - i prior toils issuance, also requires the applicant for such permit to file a signed statement - i eS.q: ;F,t- -Floor Area ': , ' - - c. s_ r r ( t '• t . $ 1 1 0 O nation ' that he R- licensed puisulnhi-to the provisions of the Contractor's License Law (Chapter 9 Division 3 Business Professions Code) (commencing with Section 7000) of of the and or that he is exempt therefrom and the basis for the alleged- e:iemption. Any violation It r / :, n` - : < , ,t : ^ - of Section 7031:5 by any applicanE for a permit subjects the applicant to acvil penalty of not more than five hundred dollars ($500). p�� },,, 3 5 AR g_nitI;10 Occupancy Type O 1, 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 sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an 101 - - - -- -- " FOUNDAT 3;0*ired Inspections' owner of property Who builds or improves thereon, and who does such work himself 10 2 - or through his own employees. provided that such improvements are not intended or _ _ _PIERS offered for sale. If, however, the building or improvement is sold within one year of 103 — UFER completion, the owner - builder will have the burden of proving that he did not build or improve for purpose of sale.). 104 — RE BAR O!, as owner.of the property, am exclusively contracting with licensed contractors to 105 — ANCHOR BOLTS construct the project (Sec. 7044, Business and Professions Code:) The Contractor's 10 6 - SEWER & WATER ' License Law does not apply to an owner of property who builds or improves thereon, and who contracts For such projects with a contracior(s) licensed pursuant to the .. - - 202 - -- UNDERFLOOR PLUMBING - Contractors License Law, ❑ I am exempt under Sec. , B & P C for this reason 203 - UNDERFLOOR MECHANICAL Owner Date 204 - UNDERFLOOR FRAME WORKER'S COMPENSATION DECLARATION 205 - UNDERFLOOR INSULATION I hereby affirm under penalty of perjury one of the following declarations: 301 — ROUGH PLUMBING ❑ I have and will maintain a Certificate of Consent to self - insure for Worker's 302 - TUB & OR SHOWER Compensation, as-pmvided for by Section 3700 of the Labor Code, for the perf° k for which ou permit is issued. 303 - ROUGH MECHANICAL O 1 htain orke Compensation Insurance, as required by Se ction 3 0 4 - ROUGH E LE CTR I CAL 3700 de, fo th' rformance of the work for which this permit is 'ec 3 0 5 Vthe issueampensa n nsu once. an Polic .number are:. O oo' - • •.. 3 0 6 = -HOLDOWNS CarriPolicy No.: 'TION ' II _ OF EXEMPTION FR M WORKERS', = 3 0 7 •'INSULATION COMPENSATION WSURAIyCE _ _ 3 0.8 -,�- SHEE TROCK Mis section need not be completed if the permit is for one hundred dollars 3 0 9 EXTERIOR LATH - ($100) or less.) 310 - - —` I NTER I'OR LATH - • - - - • '- - ' I certify'ihat in the performance of the work for which this perrim is issued, I shall not employ any person in any manner'so as to become subject to the Workers' 311 - SCRATCH COAT Compensation Laws of California. Date Applicant - - - 313 - 501 - ROOF NAIL .- FINAL ELECTRICAL ENERGY NOTICE TO APPLICANT. If, after making this Certificate of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code, you must foithwith comply with such provisions or this permit Shag be deemed revoked. 502 - FINAL PLUMBING ENERGY CONSTRUCTION LENDING AGENCY 503 - FINAL MECHANICAL ENERGY 1 hereby affirm that there is a construction lending agency for the performance t of the'work for which this permit is issued (Sec. 3097, Civ. C.) 504 FINAL BUILDING ENERGY Lender's Name _- 505 - FINAL ELECTRICAL Lender's Address i 506 - GAS, TEST t I certify that I have read this application and state that the above information is t correct- I agree to comply with all city and county ordinances and state laws relating � 5 0 7 — FINAL PLUMBING I to building construction. and hereby authorize representatives of this city to enter upon the above - mentioned property for inspection purposes. 508 - FINAL MECHANICAL (We) agree to save, indemnify and keep harmless the City of Cupertino against ' 509 - FINAL GRA 1 1' ities, judgments, c expenses which may in any way accrue against said Ci ' consequence of rig of this permit. t 510 r NA NG 0 CE IN TONS S AND %�nF CONIPLY lNTTH ALL NON -POL \T Issued � _ Date Signal u o Applicant/Contractor Dam ' Re -roofs HAZARDOUS MATERIALS DISCLOSURE ' WiI the applicant or future building occupant store or handle haiardous material Type of Roof - as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety . Code, Section 25532(a)? - - . - . . , El Yes ° No All roofs shall be inspected prior to any roofing. material. being installed, . Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove emit hazardous air contaminants as defined by the Bay Area Air Quality Management District? all new m terials for ins ction. Applicant understands and will comply with ❑Yes ° No all non -po t source re ' I have read the hazardous maierials requirements under Chapter 6.95 of the C ifomia Health & Code, Sections 25505, 25533 and 25534. 1 understand that if building does n cu Vy have a tenant, that it is my responsibility to notify the 7�L ' 'u an[ of the require wh' mmi met prior to issuance of a Certificate of Signature o ppli6 nt Date All roof coverings to be Class tB" or better - own or authorized agent - Date OFFICE CI HUILDOI G DIVISSIIONVO PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO. 7505 HEATHERWOOD DR CUPERTINO KITCHEN DESIGNS 01100050 OWNER'S NAME: LI ERIC H AND APRIL C 10562 S DE ANZA BLV APPLICATION SUB DATE 10/09/2001 HONE: (408)257 -4900 SANITARY NO. CONTROL NO. I ARCHITECTlENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH i u o u u ' LICENSED CONTRACTOR'S DECLARATION 1 hereby affmt that 1 am licensed under provisions of Chapter 9 (commencing 'cense lob Description i wim Section 7000) of Division 3of,he Business and fessions Code. an my REMODEL & ADD 4 6 SQ . FT . i is in full forceand ef( License Class I.ic.M (ADD TO DINING & KITCHEN & REMOVE ' Date 11!(" -1. Commamr _ WALL IN BEDRM & UPGRADE ELECT SERVICE) ARCHITECT'S DECLA A t I understand my plans shall he used as public records i Licensed Professional j OWNER- rxim,o.RDE DECLARATION 1 hereby a0imt on 1 nm exempt from Inc Convns License Law for the FINALED following rtasaa(Section ](131.5, Co and Professions Code: Any city or county 1 which requires a permit s. alter, maamc0 alter, improve, demolish, any re fi..goods aterie $ -prwrtoiu iswat.e. alw rrquiru the applicam for CaM1nical T �rI i3 $1100 ° .[ion Licer. aw(Chtatncm• (commencing ng wis pSectiot tdjhc pmxaons of me Contactors License fTs (Chapter ) (c throne ills Semion17000)ofhe builtohe allgad a lard Prpfganycli Code) y or too he i703 Ihc'rcfmm send the .Psis for the slllged e4em..t us - L5 by st l pennon o(Senion ]031:5 by oby opplicam for o permit subjttu the applimnt m a civil penalty - iafnotmomthvnOvehuntlrtddollars (530(,). -_ .Occupancy Type ❑1, as ownerork; progeny,rumyemployees withwagesastheirsolele smadon. -wilreo'me work; rsims Coda: The C nofimende t... Lrw does, Out (Sec: 7UW; and ' His and Prof m an Code: The Convector's License Lew does not ork 101 - FOUNDAT Ired Ins ections �0 " .1 D d P - r Who b (if nude, nr improve. and won sacs work himself wdor rf pr 'd 102 - PIERS_ Me mch. M, e. mx d tom ach tmprnvemems ore not omen - d or erect fo his own a ply ; p nded o .-consplemralelr:hoee me bussed p' wimp one we _ _ - - •- =103- -- --LIFER of poll is me owncr na mar will nave me wme or pmwine mat he did oat Wild ar `amplaunn mpmva ran parpone of sole.). 104 - REBAR - Ol;mownen cenTh mofessins 10'5 - ANCHOR BOLTS armwclthe project (See. Convors. rojeep.penyam Business and Co apply'a a easiness and Professions License Law does not apply m an owner of property who builds or improves thereon, who bilode:)Theves thereon, 106 --.SEWER &.- rLl.�'1 a..is - � � - ' _and who contracts for.such.pecill with commelods ).licensed- puraaant.m.mo- ._ . ______2'02-- -- UNDER' FLOOR — PLUMBING-----= -- --- --- - --- ulaw.. .,.:. -. ❑nnvaaors Umndpr sec, .s ' " ",B'APCfonhis reason 1 em exempt un....: ..,. ... .. ......- 203 - UNDERFLOOR'= MECHANICAL o "� ".• °:,sa.l.,pa�a 204 - UNDERFLOOR FRAME '___WORKEWS COMPENSATION DECLARATION 205 - UNDERFLOOR INSULATION I hereby affirm anderpetaltyoI PM.yane of ill -:,a following laationa: 301 - ROUGH PLUMBING I 7 1 have and will maintain a &ertIRWle or CORert In RIGIaN. far Worker's 302 - TUB & OR SHOWER Cash motion, as- provided for by Section 3700 of the labor Code, for the perfo ' nceo( iheworkfnrwhicluhispe `mitisissueJ.. 303 - ROUGH MECHANICAL 01h. in Of will ma ml n ke C'ompc sat In umnc< .i eq d by Sector 304 ROUGH ELECTRICAL 3700'o La.pr coda r< K ... - r me pr for wn h'th p a l s issued 305 FRAME o et Co pe n c e- Pal -M. berarc ^ 'O t/ OOOO' ., _ a -_. " HOEDOWNS Cam C! fall o ' I RTfPI T)ONOFHXEMPTION FROM WORK }3'06 �' �3:0'7 `' gl`1 NSULATION -, COMPENSATIONINSURANCE- - --- - -- ^n" 1 „• ' Cl3aaasema uaaeeaanthecrmple .e- amepermaiamronenunarcaaun.rs ".1' "� >T,a. 309µr EXTERIOR LATH' (SlW)orlees) t 4 w J I I rest that in the pe f an of she k m l i n this hall any In _310 -- ....,INTERIOR- -LATH 'COAT ' not employ per on any manner so as td beemi yggct to the Workers _APpl ant. nEdws pr cal neon Dap., _ .:_:. _; ._... �_ 311 - SCRATCH „ -._ -. - 313..-- ROOF_NAI L. W6.hQG)'O APPLICANT.I Ccommakillim his mCbima. of Labor iod.youmad become sbbjeci temp Worker's Compensation proviaiom of the IsMr Code, you muv 501 - FINAL ELECTRICAL ENERGY fans thamplywith uchp ions or this permit shall b deemed m invoked 502 PLUMBING 1'CONSTRUCTIONLENDBWAGENCY' .. "ENERGY I -____ 503 - FINAL MECHANICAL ENERGY( "' ` I hereby aRrm that mcm is a cbdsvumton lending aieney (or me perroim.nce' oftnewmkmrwltien this perairn issued Emc .J097, Cis. C.) _ " ,.�.... _ 504 FINAL BUILDING ENERGY. .. Lenders Name -,... -- ....,.,..._.0 ,.. Ltnemanaere:n' r ,.. '-,. ,. ,.•. ... _ 505 - -FINAL ELECTRICAli— n, '.heabo, is ,r::,. .;5 I,❑ 506 - GAS-TEST ramify that verify that 1 have rcae this application and stare that the shove information is r.,,, information aI IIl ill city and county sae lawserlating _._... -. -rj O7___- __g_I -NAL— PLUMBING so building g contrcom:brid sepgorJimncesand th, elvare- mentionadda :pertyfctiyaumodu.p.sentntives of ihii city to corer upon the ebo(We)aglonud, pmppnyfminspection 508 - FINAL MECHANICAL kephahmb,. ,,,, -n." hamyin the Oty (Cnce ass tntlersexpens (W) gnorls - - 5 O 9 --` F INAIL' 'GRA I B i s 3, dg ems, c n expenses ,which may any ay cme.gamv neap s,whi against Ci q eh «an g gortm peat " AP CANT WELL WITH "'' S 1 O„ N NG U.NDERSTA AND COMPLY ALL YON POINT 8bu Gf11iATI0NS .. _ ,. Issued Date Sign. of APpliwnJCantracmr ,'•..'r "p' /..:•.,: 1: -Y ? ". Ua. -; is° __.._.. -Re =roofs HAZARDOUS MATERIALS DISCLOSURE -:' W II the t a f b I Co Kcupeni t handle h Halt n m led _ -'gyps Of ROOF, - a Cupp m l Si i. to 320.D o Municipal Cone Ch pt 9 II and the Halt and Safety CadeSCtnn255]3 ±e) q .. _ - -'- �P�lyd 55JLA ((..N v Y;1fcYsLe�i Troy , :.'is..:. ., Phi t4 -.. .a ❑YS 1 ON tl ,. 1� \ar 1 „' I� 1 _ ,t. i�4 .'C. _.- All.roofs.shall be inspected pnor.to: any material. being,mstalled. ; , Will she applicant o f . buildin g scup tuuegmpril do � il` Pam - hmad it iy ,roofing, _ _ _ If a roof is insialledwithout first obtaining n ins ection,-Pa ree,to Fe'move g P B tat s contaminants defined b the B Area Air Qual Management Iyiat m] , y r 1 '� - all new m terlals for insp chon. Applicant understands and will comply with,,,,, ^, t PYe" „ , ONO . a, nT � _ .. . . all non -po F­— source re Lons: have read the hazardous maiedals requ rermnts under Chapter 695 of the ' C If ch ash"& Code Sudons 25505 25513 end 25534 I demand mat 'if bold ng docsn c 0y ha eem o t moots my, esponstbthty to modify the " - 'tad "- ' u em of th req it t w met pour to isauam of 6 Cemfiwc of Signature o ppli nt._ Date . All roof coverings to be Class. "B" or'bettere' g ' Own or amhorizad .gent ; lr Date . r ,w. I t t, 1 , .OFFICE --.