06070195 CITY OF CUPERTINO ...>. ....
BUILDING DIVISION PERMIT zCONTRACTQR INFORMATIOtV.x
B UILDING ADDRESS: ` SOUTH BAY CONSTRUCTION CO ViN006070195
0300 BUBB RT)
OWNER'S NAME: PE1L5ffI SUE DATE
APPLE COMPUTER 170 KNOWLES DRIYE. ST E 120 07/27/2006
SANITARY NO. CONTROL.NO.
(408) 379-5500
ARCHITECrfENGINEER: BUILDING PERMrrI
BLDG ELECT PLUMB MECH
loo
LICENSED CONTRACTORS DECLARATION
Job Description
EY 1 b�eby scar&col l un limn aMh poivon ar(Sepler 9(mmmcffemg
ams«liaf]odmdD,.i.>;oa��rureud�.ndlhw�ncm..wmyua�b
: � Grnllfoavd mADD EXTERIOR FENCE AT EXISTING COMMERCIAL SPACE
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F Mn Caolr.cw
ARCHTfECTSD
ON
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OWNER-..,If DECLARATION
)C C I ICRb)' M.col I M CBt1nP1 an w C«IV.[i C/,LICCOC Lin,ro,co mC
.pO falocb qW .ponnit to IS, i,s .svd Pb(dc.l h. lc:Any myonufay
9�i which faN]b,.Iermll rc m.ft poi knprob.h itt m bpair cd w¢,«e $10000
?Iy prior&tla ivuu,¢.LLw rtgfVma mc,Pplium f.such pcmawEk,ilLnm,uamw
:�< dultr blian.cd purmnlbde pvviLov of NcCmuacm(,IJlzn law(Chapia9 Sq. F[. Floor Area Valuation
( ll,W idng am ScNm]Ondlb,noion3 i idBuxbau.ndon.Myvi Cohn«
my be b e.emb ml Y."li LAM de Lase it me m thud hcm�d In Any•Plum a(
not ]0315inmododlihnl fa,phmi,vljcas me appEom m.dvil pvuhy of Occupancy Type
not mate con nw hundmd dolls(g5D01
❑I,uavler of di propmtY,or my wPlolm collo�Lo uthe"u mlccmipenvdoq
willhfcwcm CW lm Cco:bn,Lkioda affucd rs Wply IBu,Bud of Required Inspections
,rW Rofcvlau Cade.,Cmm ,Lim,&law doh.n hoop tf of°coma of q P
w,nc ylobundsaimptnre, hh pn t,hh,fsxnwork hi 0ficnododmrmgh hb
awn anpbycWipmihA pnoutt im1.mid enkxotno ycldedmpktin.for vIe B,
nVwhII.&flim, TIL Or bGPb1 ooO I,h,Id Amir.OR W or hormc for IbC OM a
buildh wW L.e Ile Gativf of poling fMl he dui na GVW a Improve for pwpo¢of
vld.
❑I.n awaer of de poperly on cmn vdy mmeting wlh licanwd conoaum b
.noct me PmIaS(Sec ft .Banc,mid Pxalhdou Code:)The Cmtaaor.Li.
c.law doh no,,apply it,N mnh of prapeny vlo build!«Impm.h Uereaa.mc.
who con.r.nel pony:&,am xeanvanaf,)B[umd pavut b me Cmuaaof,
IJuaz law.
❑Iw comp afdu Sa. ,BkPC fa dU,ruxm �� �
Due
WORKERS COMPENSATION DECLARATION
1 booby rQrm oder penalty of pujmy coo of the following daluadonx
.c aM mllm imin,CW/lhm ar Cafant in scl(-iawrt for worts,Canpen- y�'+�- j� (�
n pm rind fa by Sttthn)ftp a me Labor Code.for me Perfam,na of WCt
e 3-
20011
weft fa wbicb mus pami,is
D I haw W ail munuin WMcls Compensubn InRfor rcbl u hici d by Scaion fq.
Mywodelaba Coh,fur tladmni rnwrc a(Ue wakfa whkn Wx)embtxlard ��� �r� ■�
MyWartC.Gompematlm Wwm,¢artfu Policy number.b: ��pWWnpl
o,ai��ur �t� ��eaJp.tHf ry.n.: F��71ZZ2—1
CERTIFICATEOFE%EMPTION FROM WORKERS
COMPENSATION INSURANCE
(Ti nerd.lImmpked ifIh p tlbf«arc boMtcd dNlm(SIO)
«leu,
I m fy mu in w pufmmaoce of the work fa w)bi W mus perm],It Lme0.I LAM not
employ my pen&inmymoerso u Inbhaoo smjatm me Workcn'Cboftt doo
Taw,of Cilifomia Due
Applihm
NOTICE TO APPLICANT:If.,f,u mxting dds Cudficue of FsmipJnn,yen shad
baome,ubjm to de we tr s comfcnvtion prorluou of We Lobar Code,yon oma
,JZ foMaln comply with loch pr ..or w.pc.it a [h dmrcni rtwkcd.
z•O CONSfRUCnON LENDING AGENCY
E' 1 nucby,rfirm mu mem b.co.,,iclion kdi
nng, ofgmcY for IeHormm,¢
lY > t with fa which flus p inbL urn(Six.3071,Ch.C)
0.0 undesNuns .
7 Z U.&esAddmaa
U0 1 anvy on,I nuc mad W..pplicuim vd,u,c mu Inc above inforwfiun b
Lt.r- cofrtu l,gbe b comply.nm ill clly and comlY Ixdlnuec„fd,we lova rtlaing b
OU WMing con tion,u,d hobby.ud,anm mpm mfiv of mb city to cm«upnn de
W ahmc mcworcd I opcny f«inspect]&purp xs
a
(Wc).gra to v.n,i nify.nd kap hunk ft City of Co rtino,gi.,
V1 Iiahilitia,hkgmeou frith fd e,pmx.,whin my In my w.y.a ve.P Wdafy
UZ A uenfeordegrvNngaf"m I.
AP AM UNDERSTANDS A ILA,CONIPLY ALL oNPOINr Issued by: Dale
so(rRCE REcuuno"s. ',�
7 2 Re-roofs
of Appl HAZARDOUS MATERIALS DISCLOSURE D.e Type of Roof
VAU ft applicant a fume Wlldlvg oaupmt swe a handle bavNms m ic"
u deflrcd by me Cupenina Mmdelpal Cock,Chapter 9.13.LAW the FLalm and SLIUY
CAW.Seulan2553z(a)] All roofs shall be inspected prior to any roofing material being installed.
DYh (
Win de spplkaa«fto m Wilding oavp of axupdpmml or&.rant which If a roof is installed without first obtaining an inspection,I agree to remove
W,udom air contooU .u Refined by tk B.y Arta Ai,Qo,ity M.vgcncn all new materials for inspection.
T
DYh R Nu
I M.road mel aNm.TTTmabrub rtWvcmcou undo Ch"w6.95 ofine C,lifor
n' dik WclYCode Saxiau 25505,25533 and 25534.1 u,.f..amd!ma lfmc building
aafcnUY Lm•um,m Nu b my mspaatlGlilY b mify th oavp.nt of do
rtau' whchmuabc ivamfaaf.cvtireear Signature of Applicant Date
All roof coverings to be Class "B" or better
owrcr«,umor'vr9 a ml m