05120041 CITY OF CUPERTINO ==
BUILDING DIVISION PERMIT ro.C,O1RA� i'OR IrNFORM ATIOAi, s
BUILDING ADDRESS: ICOM MECHANICAL INC ""05120041
10131 B B
OWNER'S NAME PERMrr ISSUE DATE
AdIfilk APPLE COMPUTER 477 BURKE STREET 12 /n9/2oos
SANOARY NO. CONTROL NO.
(408) 792-2292
ARCHITFCT/FllGINEFR: BUILDING PERMrr INFO
Z BLDG F1ECr PLUMB NECH
10p LICENSED CONTRACTORS DECLARATION O O O O
1 hcmb,Wirm Wu I w B 1 under Pm—of Cf—9(memrainp Job Description
N Snuon]OW)dDIrW=3 of Ne Bbin WRofemov Cade.ud my Ikx.Is
.n. murnRe.nd n h y REPAIR SEWER LINES/RECONFIGURE
nsCC LLConua,v 2281 NEW SEWER
�W< ARCHRE D ON
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OWNER-BUILDER.11ammPI7DECLARATION
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i 00 follnwinp tumor(Scrum 1B7I S,Basica.nd Tho.&mmn Code: *,an a muuy
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'i.In iauuac.amort toirts Pnmk.a r«wbT ..mrk.e(Carmen
< W.,mulfeeOa 6S .nt7000)ptDib 3tonCatmrt«'.LI¢.r,,j CSapa9 Sq.Ft. Floor Area VaIUa�Ifi15000
p2�S (oa,,he
nB ,Ktb=m7000)d hub n,primeged rmpu r An Imu 96Md
tlut m u a.w0p WveBorri aM Ion baUa r«Ion alleged vempum Any vldatim d
SeC,j=MLSbyany.pplk.mIna.pemRmjK the&W1XInlm aawpnaRyaf APN Number Occupancy Type
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35720004 . 00
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will dofes3i=.andthehe Co moms I10 adroved(male tY0 an Ba d
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owoemployes pwided thn RrhImptOsmoenuart o0tinrMraar ff Wws.l�If.
how .the haO j«impmsemem maold.idwt.)e+ofompmue0.meo.or-
bdlda.N hae th bunkn d Pr nt that m did rot bond v imp f«puapoe d
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O.mr Due
WORKERS COMPEL Xr ON DECLARA
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CERTIFICATE OF ON FROM WORKERS —�
COMPENSATION INSURANCE
(Thuaedlm.eM oat m cumpkrd itthe p nm1,mf«mc ha doBus(SIM
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1 a.Nh Wm in We prrfmnaeo d Ne tort fa which dda pem i,m i d.1 UW I ea
employ any xmn in any mat vao a bbee«0e subject In We Wortai Canpwu.mo .
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NOTI n,
NOnCE h APPLICANT:IL am matins Nis vi,i ar d Exemption.rma mm m
bnmmr bbjml m the W cin K C "t1tas pmv,A'a[d the Ijmar CML roe mux
.J O (arlh.uh ompy with a«h p.asvl«u a Wis pnmit ahUl m damcd¢mtari
z CONSTRUCTION LENDING AGENCY
[-. 4 170 ,.Ir Wa .ia.� fendinS.pmy r«We pM«murcd
Cli> dr oart f«.hick Nix p=it m Ivucd(Sa.3097.Civ.C.)
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z LeMef.Addmn .
U O 1«mfy that I bac rod t5ia.phot.v mr W am.mse id—ti-m
U.^' cartol I U=m cmnplY.vh UI city and ceuditur¢a and sr inrem
nry« un uIn
�f"" budding conmuniay.aM hwcby a aWoum rtprtrow dNu city to cones upon We
r W amsc matdomd ptaputy r«WPcnim Pury
(We).S b sac,i0dem4ufy orad kery homes We CRY d Caperuno ap i u
Taj) lial>iliues.j"m'w Coes and eapmv.hkh may u any.,y amm.painat a aid City
Uz i0cmrq¢rcc of lh Wml 11.
^'+ APPLIC U D AND WILL COMPLY WITH ALL NON-POINT Issued by: Dale
SOUR REG
y° Re-roofs
sigm of AKI=ftlCmia Oar
HAZARDOUS MATEn1A1S DISCLOSURE Type Of Roof
WIO Cpm.
hullI Co0nupaaatacac husWc Kw Il,ua mSeny
u dcOmL by mr Cupmim Madci I Coh.Chaps 9.11.W dr F7wlW aM Sdnr
me.sorb.2553$+)1 All roofs shall be inspected prior to any roofing material being installed.
❑Yn
If a roof is installed without first obtaining an inspection,I agree to remove
Win dr appliraR«rumrt bwldinp o 'Pw=cwipn a d Much
i,haiydou.at,mmmnirunu as de0tcd by Ion Bay Arta Au QlWiIy MaO.pcmcm all new materials for inspection.
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Ih.mrt lM haaNua maalUa rtgahcmrma o Ctap 697dlmCaptor-
Ma
Health d:Sdwy 255W 25533 and 2U)C.IuMcntuU WalTWc m^Idi^S
jt_U.T'�
it m my teapm WnR an Hour'mr aaupm.rSignature ofApplicant Date
462 4-22All roof coverings to be Class"B"or better
. nt Date