06010151 CITY OF CUPERTINO ? �
BUILDING DIVISION PERMITCONTRAQTWINFQRMATION !,
BUILDING ADDRESS: PER"'a NO06010151
110195 BONNY DR
R'S NAME: PERMIT�l1E DATE
DEEPAK VISNAASTH 02/06/2006
NE SANTfARY NO. CONTROL N0,
ARCHRECTYPNGINEER: BUILDING PMMTT INFO
BLDG ELECT PLUMB MECH
atop LICENSED CONfRARS DECLARATION
eE9 I bachtly mm Ghm xf�•tim.at I alicensed.n . of Ch.pta 9(eummendty Job Description
Cm
< " 'th Scntwn7")or Di.tim 3 of We Butinur.rd No"siou Code.and my dkcnxb
infallfntaarde m REVISION- -REVISE INTERIOR LAYOUT
a qZ_q
Dart Cbn Uc.to
t W
Dart—ARCF[ECTS DECLARATION
3< I understand my Print Nal be osd at public rccorN
Laaucd Pm(ewowl
OWNEA-BUILDER DECLARATION
af I rc,,r ,Inco Wu I.1- usin from Na.Convmal.L��for tk
p O fel n rc, • a (Stttlm 7031-5,B,91cr. and Pmfauau Cock:MY city at muntY V
$ which ncquiru.pvmit to cowrucL Yla.impow,daadbh.a mpuU my atramm s o
iy print W its iawrcx,.lu nywm thcrt'li-.nt for sah famit at Uk.ait"elLemOmt
< ,aticitlicrn¢dpuswnttoUcpro atoawatheContractor'sLocateLawcht cr9 Sq.Ft.Floor Area -o
z $ (commsncla:with Salim TODU)of Di .Sof tho Budncu.nd Profeniow COde)or
Um h is aanpt tEe¢ftan anl Uc baila fa the alk:ed eamtptim MY vmhtifm a
Schon M31.5 by M applicant fa.Permitmbjecu Iic.pplfcmt W a civB Pmaty Of r U U Occupancy Type
nwt more titan five buatred dupery.(5%10).
❑Lnawocr of Ute pmperty.amy wpb)eat wiN waTuuthe'u mac compettvtba
veld do Ucstcoa andd:ib.co nu neseeLW aoRud faak(See.on in,Builnm Required Inspections
cool Pmfetaou cede:ib.Cmuctor.I n.."'Lav doer oat apply m.n ower or eq P
ptoPertywhobullsahnfama Wcmnn. nwho doe mchwit h.^"rathnia3c Eft
cower anWoYaA•lding or i Nat such ImPmwmeau in nc ycar dee w oRrnd one. If,
ba+cver,theboldin:abapmwroentumid did meyearacomp)erlm,Wearna-
hulldcr wiB Mw Ue beArn of pmrioC Uut tr die not htiW or impmw for pogo¢of
u�l
1,u mvrcr of t4 Property,w achuiwly coalrcUn{wish 1;»,,..n.mtracrars to
canoat Ute f rojea(Sec]O:d,Bu.ina.cool laoff iou Code)The CmvctorY U-
ccnic Law da,om.pply Ib an ewna aProperty.wW htild.or)mpmc.Wc¢m,and.
what cvnU.eLs for such projecu NW.emocta(s)Ilmaed pasuaat to the Cmocro's
M�W.
❑lam pLm Sec .Bb.PCf
Du
2-11 AV G
MPENSA ECIARATION
_ IM�eby Wer pcwLLy of pvj y aero or tc folbvint
❑ILwandv Mai an.Ca rf WaCouentto¢)f-Insmra Wa SCanpca-
atlon u Iewided for by S Ilan 3tt of tk Mbar Code.for Ih P-rfmm.of Lino
wit for ,blch Ihu pc mit u iuuN.
❑1 haw std will maintain Water's Canpenaban Irwr.rta.as Laluhed by Se
37M of ea.Mbar code,fa We Pafomunce a uhe aat fa which that PeraU u issued.
My Water.canpauuion Inwnrcs c.mr W Paficy nu racr>2
Carrier: Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
m,ia uNm aM ooL becaoPkrcd if We Pmolt m forone hundred doll.(STUD)
or ba)
I aaUfy ling In Lhc prof o the w fa whicb Nit Pvmit is i-Fd,I Nal not
mpicy mY Pr¢n in an mors b e¢bjMt e36 e L Pcrtwlon
Lisa a californl..
Applba L
NOTICE TO APPUCANT:If,,fix Makin:LN.Ce Ifkano a Eacmptim,you Mould
become¢bjea m the Wa s cmoPn otim Provision a Na.Labor coda.you moat
.,O forthwith comply witb sch provitima Or that permit Nal be decrad m+vkad.
z— CONMUC`nON LENDING AGENCY
[r, Ibaoby iaim tbusc,cI,.mnwrualm kMln:a:eay for th paformaaea
a> Lho wit for which this N.It Is luucd(Sa.3 .Civ.C.)
{it Q Lcoil Num
Z lender'.AdAca
U0 i certify Nat 1 lave rub Ihia,w1k.tim and mat,that IM above infomuUat is
V.- amecr,1,:rte b comply Mth al city and CounlY adln.nas and.we lavt rc).bn:b
O CCJ^ Wildin:rmvrucUm,and hccby mNorlu rtptcgota u a Nu city n only uqm lite
fdl ,bow mcmim d propcnY fa inspmim puna a
to ave.indanmfy cad keep b•nnIci•Ne City Of C.Pnino.:aimt
tAR.bilita,jud:mcnn. which n.y In any w.y.4aIW aid City
Uz Incan¢9ucxcaNecnnua W
n: it N.11
A NDERSTAND§AND WILL COMPLY WRH ALL N- INT Issued by: Date 2��G
RCE R ono
Re-roofs
rt o lion AZIRDOUs MATERIALS DISCLOSURE oat Type of Roof
Will W vidian or futum builGn:=.Pmt smrc a haMk hvsdow mato i.) .
as OcUrnod by Uno CLpeNtat M I co",
Chaldu 9.11¢td Lha HuIW and wdy
.S0y.25531(87 All roofs shall be inspected prior to any roofing material being installed.
Yu No
If a roof is installed without first obtaining an inspection,I agree to remove
W311 Wc.ppliamt a mLu¢building amp..a¢Wml>'omt a tt-A�,womb
emlL hvudan ar mn d
cmlvnim � cM by Wme Bay A Air Crudity MCOL all new materials for inspection.
DLn l
❑Ya No
1 Mc road dte hazW ow materiabrWui¢memt mdx C1lb.piah95 ache Caifa-
nuFig IN Cade,Snvau 25505.25.13 ua2553e.IUMcmud WUUWe boldin:
J cam ulY `c.tcnaw.Nu It'v my rc,�pwalbllity n mlifY UIS acLga°L of dno
ul¢mmnw hmus MCL PriDr WP..of.Coattla0.YvpmcY Signature of Applicant Date
:ent
All roof coverings to be Class "B"or better