06050001 CITY OF CUPERTINO . w�• '.;a.�.
BUILDING DIVISION PERIMT e�CONTRACr01 INFORMATt l INN-
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BUILDING ADDRESS: HUTCHINGS CO. /HARMONEY SO IT NO.06050001
18970 BARNHART
R'S NAME: PERAQrISSUEDATE
LEE, SANDY 4754 DENEVI DR. 05/18/2006
NE SANITARY N0, CONTROL NO
(408) 966-6676
ARCHITECT/ENGINEFA: BUILDING PERMIT INFO
BIRO ELECT PLUMB MFCN
0 0
;per LICENSED CONTRACTORS DECLARATION - Job Description
I h by aakm ft,1 m Ike undur Pta„.:.....or CLP-9(mmmcotlnt
�i mA Satin 7U1)0)or Diii.A3ofNe Busiow and Pra"Mrtt Cade,,mtl mY Baitmu
±� mrwlraaMw - SOLAR PANELS
Dm¢ f.RdDYECLlmf
ARCHRECTS ARATION FWALE
4 ` 1,vbmaanJ my p Ws sMll be ord u puhlk taord,
> U
c Isctued Pmremoml ,„
OWNER-BUILDER DECLARATION
I&.by,ffirm AM I,m a 11 from 0,c Coro m a Ll=-Ur far We
a folbring inn.(Salim 701.5,Bun,m "Pmfe Code:MY City am Y
IS K rhmh rcquuu a pcmlt m—ttroM Mer,meow.E dim R-pair my mtaame Q g o R wA 3.7000
_Zy MR N It,itruMla.Mta nYPdm3 nIC,PpI t fm LCh ptfnit to fic a Mgmd uMmnM
< AM he ulia,teci Pmu,nl io NC Ptovuiou dNC Caar,cml Lia,uc law(Oorw 9 Sq.Ft. Floor Area BLValtilitidfiy�
t�$ ff
(rna
Rrd,ttWith Sed.7000)of Du
vbfh<n 3orBomtca mi Profmlotu co&) U V
— riot M it uwpt N froa and&ba,i,for tfr MI 14—Pim.ABY vldrtim of
SMUM 701A by u0.PP=for,Penh mbjca,ft apgbcmt b a ci.il PeubY of r Occupancy Type
oro,tmm tibm fiw kum "Im,ISM
0 L u Duna of tM FW..Y,or mY.*Y.vvhh r+N u thou m4 eempcvv0em,
.�wmtk .,k.M,am u^,urn I..Inu°ddor0 mfR„``(S�`7Bff'Bom RequiredInspections
mol Por.ill Code Tic Coon IJemte Ir doe rot-WY to u or.'ic of q
Property who ho,,,a bop.theman,mnd rho lou MCb w himselfor Lb..Shhit
are oo'ioc prouWed thu,ab improwm....mnot imeodcd-bffrt for ale It.
borCwr,the WWint R mPowment is SW ronin tQ Nm of=*E1 .Ae�
WiWur mu haw tae bRden of Parent tMt be rtW m brill R ira r for pvprx of
ulc).
❑L u owe N Ae property.mm achitlwlY 00tt m14t rbh lu n.•A carurctae to
attrouct tb<Pvjcm(Sec 7014.Huilnes+aod Prafeumu Code:)The Cmunar,lJ�
Ceue I�w dm en gply b an oww of proPny.bo buik,m u^P,oA thorn.red.
rho mntautSfa sLCb Pojeeu mAamntnmm(,)Btatxd pmmauntm Ne emR„nar,
nor L,w.
❑Iron,u®P rode See .B&PC for dds ream
me
WORKERS COMPENSATION DECLARATION
I b o by,film m Pwuy of perjury me of the Wm mt J ImKio=
❑IMwaad wiR mcnWa aCw .Coro WvJf- fa WRFef,Canpeo- .
Rmoo,u po fR by Seam.3Tf10 of the Ubor Code%fa the pefforoo.of We
Work for rhicb Uri,pmoit u im—I
0 1 Mw W will mmmam Worker,C,mpenwjan InRR,OO:.u tcquir by Sa
370 of the labor Calc,for AC PafarmaRef the Work for W this pemit is land
keM1 ,
MYWarCimpe um mnd Palicyouota c
CMria: - k'Ntn/a e3 S'
CERTIFICATE OFD MPdON FROM WOR%ERS
COMPENSATION INSURANCE a
OT maim sW got be rnnpb 01h Pm u foram bonAW Atom(3100)
or leu)
I R,tify NM N the prafatn.a Itr work fm vhlch Au pmnit is Itaucd,1 MW I not
wplvy arty perms ioany more,to u b bacme rubjat m t Wark='C.9.=tim
Llr of GHfaNL Doc
Appli am
NOTICE TO APPLICANT:If.Mer mWnt Au Catinoc of Eu Ptim you rhmkl
becooc mbjm m tbo WO z Compenudm pmridew a Ac Ua Code you roo
.JO foMmA comply mih,uch Po.:tiau o,tnu Pcmbt,b,n beamed mwlxd
z CONSrRUcnoN LENDING AGENCY
1-.H I bmcby,0mm thin them u,rooW.W.Imdi-S- x for Oe perfarmma or .
f5'> Nc work for mdch this permit is ivRA(Sm 3097,Civ.C.)
0.— lenders Nu,,
.7 z I<Mcr,Addma
U0 I Certify W,t 1 Mw read tbu wplietioo and rate dw the,bow IN...u /
!+.E cartat 1 aya m cm,PIY W bh Ml city and county orJltuma,od mu Imre Natini w
OU buildlnt canswctian,amtl l.mMY mtharmae rtprtssnuti.rs of 0mu city menu,upon the
r a .hove-corn d proputy for iorpcctim purpoci
(We)mPa to uw,indemnify mod kap MmleM the City of Cuperti,w.tairut
HN liabihtiu,pmdtmcou,cmu mM capcnz,which mmy m my vy.apm.w city
U z In PLICA UfOER�STti NDS AND WI OMP Wrllr ALL NON-POINT Issued by: Date
oua a uuno
Re-roofs
Si�nuurt `14'
NAI;.s MA DISCLOSURE Type of Roof
WIB Ac o C.,tR Muni bpI Cook.
Ch, 9.1 mmci haurdwud S rMY
u deflrcd by Ne Cupettlm Mumrip,l Code.bmPur 9.1;MW the HoIA.red Shay
ScNm;5533(O7All roofs shall be inspected prior to any roofing material being installed.
0y. / �a
Win tete wpli R ratan ImIdint aa„p.m Nuipmmt or dcvlaa wbien If a roof is installed without firs[obtaining an inspection,]agree to remove
emu wmdoxtt mr m moinmu u mnmtl by 0c Bay Am Air Quality Ma owa all new materials for inspection.
D R t7
❑Ye /
1 haw mad the haraNmsmmteri,u tequiremcou mxkr Cmptor&95 orLk wrm-
olaHeatA&WetyCah.Sectioro 2550.VID3 and MIX)uo&otu AMmrAC buil l
M'Mw Aatu.m W ymoodrythtoaupmtofdo
me mkl met m ,Cuti&,cofOav�R7. Signa ture of Applicant Date
All roof coverings to be Class"B” or better
o.,c,R <a.peR mc-