B-2016-1683CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE & CUPERTINO, CA 95014-3255
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CUP ERTINO (408) 777-3228 - FAX (408) 777-3333 - bulldingdeuverfino.org
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PLAMINGAPPLH No PLAWMO APPROVAL LETTER
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By mysignaturebelow, I certify to each of the following: have read this
application and the information I have provided is coiteot.. I Have read file bescriptton of Work and verify i urate. I agree to comply with all applicable local
ordinances and state laws relating to bui ingeonsttruotton. tlfled for inspection purposes.
Signature ofApplicantlAftent.
SUPPLEMENTAL. INFORMATION REQUIRED
PLAN CIINXTYPE
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eWBUILDINGPLAN REVIEW
New SFD or Multifamily dwellings: Apply for demolition Permit for
existing building(s), Demolition permit is required prior to issuance of building
.
permit for now building.
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Commercial, Bldgs: Provide a completed Hazardous Materials Disclosure
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WORKS
Tor -m if any Ila zardous Materials are being used as pall of this prof c ot.
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Copy of Planning Approval Letter or Meeting with Planning prior to
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submittal of Building Permit application.
❑ RN*WRONMMTALHFALTH---
BldgApp__2011,docrev&ed 06121111
9-wwr-1