050902251
1
02
zC
OF CUPERTINO
UILDING DIVISION PERMIT
�a 0NTRACT0M4NF0RMATIOM*'
NG ADDRESS:
FY
NOVO CONSTRUCTION
PFRMfr NO'05090225
381 BANDLEY DR
'S NAME
PERN7T ISSUE DATE
.APPLE COMPUTER
1042 HAMILTON COURT
12/13/2005
FE:
SANITARY NO. CONTROL NO.
(650)701-1500
ARCHITECT/ENGINEER:
BUILDING PERMIT INTO
BLDG ELECT PLUMB MECH
(� 0
LICENSED CONTRACfORS DECLARATION T
IMmbyzWimi) Po'ilkwaf- 9(oms
Job Descriptiontion
1401
mth$tt1pn70W)o(oidoon7athBsi.nFred.C.&,Nmylc—Ii
in rare r«a.w<rrea
ADD 3 A/C UNITS ON ROOF &
I�
cam kinkLh
CTS DECLARATION
As
MINOR MECH. CHANGES /�q 0
��
1 lu my Plans null uscd u patio rtcordm
«gcroasudl be=
2/
4k
Ilmucd Pmfauonu
OWNEns BUIuc DPA DECO Cort ON
I la eby.fRrmWt I am ucmP1 tram to Caauutari Liam Lav for the
t0ZA
cdY«manlyWhkh
rctluL . permit m cm IOWCL.Ila, miprmc. mmdub. m n:pao NY •gym
A
Mor bili iSW.Oa. No Rqui+3 Bt.pplMNL for Wel pMMiL m f k..ILned 4.Iemenl
Sq. Ft. Floor Area
V6
Ibuo 1. ti. a pmW. to the powisl«„ a me coot; .'I icc— Law (a,.pm,9
%00
(canmclmlog vial Scmon 7") a Di.ivan J alt 8 - nos -area Praoduau CMc) «
V' � Q
dust o U eump10a mean and de basis re, the alkged eaemphon Any vlolbt o of
VSA'
ppb Ny
Occupancy Type
Sealon 70'1.5byany •pOML fm. pamit.ubjecv the.ppt�.,u m. civil PrnulY of
mole IhN BK Iwnarcd adl.n (:sm).
32633 U�19r 00
❑ Lu owerathe toopmxtumU emybycc.. ofTioguusk mk canpButd .
Required Inspections
m to vork ud the U Out Imma for Buurcu
s(Scc.'o a/,
awillnd
Na PmreWaa cam: Th Canu.ldm'm Lleeme I.W tba a«apply o N awns or
he Cont ss Law
pmpenywhoboldsaimproseoa Nome.Wwho0oumchw hiwelf «IbWugh AI.
bMY emp fM OIG If.
IhYl9ell11npAsul
d wlidis 00 os, offdv LCUW
ft buildingOrUdaut WIthm are Yesr of camp4uour Ile tost,of
bavevv,dtbtulamg«vop
of
will name dt bIDaN a went um ti< ala IW edw «'vnprwe four paryom a
sak.).
ukl.
❑ 1, u avna a Io property, am adWlvely coma ' with lkmud mnuNud m
caanma the pmjea /Sec 7W. d, BIW an Na Profc.uoed Com:) The Ceovaaors LL
aue Lw does not.pply on N DWnor of ploserry who lalilds or loomm th nono. all
vw mlluw-ta for much mt)ecn with. comr.eml(.) IUfntd pulW.nl on the Cmiu.aor.
❑I.m uunpl «ua Sec. ,Bh PC fm odd wan
U rcr Dat
WORI(PRS COMPENSATION DECLARATION
I beteby affirm oMer Pe1n111Y a perju, me of the folbwiDL daluuimu:
I hart esu w01 mamoso accniO ofCunt m selr-invurt for WalGda Campem
utlaa, u poyv d for by Sectdm'700 of Ne Labor Code, f« the perfannucc a dt
work f« which on, permll is idwcl
❑ 1 bane and w01 muouin WortrYd Compeunwn InR.anm, u rt,urtd by Semmn
'700 attic Lab«Code, f« the paformNcc of Iht w f«W NU P;Imi1 U"a .
My W Cmnpmntion Intvance unin W Pal)cy number art:
Gnicr. ,W�1 Policy No. y
CE FICA OF IXEMPIION FROM W ERS'
COMPENSATION INSURANCE
(Min=im reed Dobe c«npk d if dt perms, U fmane hulled dollen(SIM)
m ksc)
I anify Nm N to pc,( .nmathe v«kf«.hkh NU pmmil is isWrd. I Shall not
=play any pClion in my mlbtr tl.f to bf2ane dubJ%I In Bt Worlst rz r:CTpeniWW
Laura a CalUamla Dao,
Alto esm
NOTICE TO APPLICANT: U. after making IhU Ctnlruac of E ropdur, you mould
hudrc mubJm m Ilt Wo , Campclution pmv Wou a the Inbar Code, ynu mut
' foMwithmmply with much provisions or this rconit shulw dmmru to mkcQ
1 CONSTRUCTION LPIYDINGAGENCY
1hertb Ihaltortii• MW«thm •Lmn'fa the ltrfarmana of
.Civ.
' to vino for vhlch Ihlm permit U i.W W (Sam ]091, Civ. C)
hkht1s
I=nm/d N.
, Lenmbi Addfesi
1 m y boat I lust rad this appliadm and mum thu otic aovc inf«muiun U
' c«ncc l agnt to ..Ply viih all city and cowry on insoms and .0 a laws waning m
bddint cpuuunion. all hemby W ulmin rcptescnwiva of tnat city to colt upon the
aose.(W'i.,nxto
xsyf«Inmpccuond VT tis.
allkap the city of
(Wc)g mane, and
.yin anauronbas,
gamorsid City
eau all eapwvuwhkh maydNyw.y.cax aLsiuta.ia Coy
j O,t
ist
n COdu,jW Of ft gounRSTAN S AND hnO rWI
' APPLICANT UNDERSTANDS AND WILL COMPLY WITH All NON -POINT
APPLICueT UNDERSTANDS
7nn
Issued by: Date Z.
SOURcc��R�ggGULATIONS. I�a �-1 v—
( _Z;, J"A.Ak') Z lhY
Re -roofs
Type Roof
Signaurt of AppllcaMCHAZARDOUS
MATERIALS DISCLOSURE
of
Will dt tpplkanl« fume bdldint amp.nt alum Or b handou materia
as tklltec! by the Cuputitm Municipal Com. Chtpmr 9.12. all the halon and Stfmy
.
atk.Seaian25532(o7 �1....CC
u 1
Ej Na
All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtaining an inspection, I agree to remove
Will the tppliaot «forum wilding tmmpam use gdpmemar device which
atily Mmcni
.tit h.vnhwa sir mm.mian mfinca by lit Bay Arta Air QMT
all new materials for inspection.
D Kl?
❑Yes Nu
aro Cuif«.
Ih& realtheha.S
25505.m33rt 25munmrCh.ger6
So'vau25t uumurd tEtifut
romng
I,is n5 'ort15W.1
doo,,nt "iutm,
dun Iwl a.rcmly Woe • maul, thn It 4 mY tespaWibilhy mratify the aaupNl of dt
mquir tltRee i.Wanad.cwrt,toram��atlq�
Signature of Applicant Date
pp.��'«
"`"^ " f h' I�
All roof coverings to be Class "B" or better
Ovar«. TDd.Lcn1 Ilan