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13100103CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20400 MARIANI AVE CONTRACTOR: XL CONSTRUCTION PERMIT NO: 13100103 OWNER'S NAME: MISSION WEST PROPERTIES 851 BUCKEYE CT DATE ISSUED: 10/15/2013 OWNER'S PHONE: 4157103063 MILPITAS, CA 95035 PHONE NO: (408) 240-6000 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class Lie. # Ca'�� L+ ?,<7 APPLE- COMM. T.1400 SQ FT INTERIOR IMPROVEMENTS %L 1 1 M,E, Contractor _A cyt nt_) Date I hereby affirm that I am licensed: under, the provisions,of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I hav and will maintain a certificate of consent to self-insure for Worker's C pensation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $70000 erformance of the work for which this permit is issued. have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 31622018.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAY ROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Issued granting of this permit. Additionally, the applicant understands and will comply by: Date: with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. ( RE-ROOFS: Signature All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business &, Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should 1 store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued, will maintain compliance with the Cupertino Municipal Code, Chapter 9.12-and ' I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sec s 25505, 2 533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this ate4 Owner or authorized agent: : permit is issued. .l I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18, Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20400 MARIAM AVE CONTRACTOR: XL CONSTRUCTION PERMIT NO: 13100103 OWNER'S NAME: MISSION WEST PROPERTIES 851 BUCKEYE CT DATE ISSUED: 10/15/2013 OWNER'S PHONE: 4157103063 MILPITAS, CA 95035 PHONE NO: (408) 240-6000 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL License Class /9 Lic. # 6g �7 jJ,60 APPLE- COMM. T.I 400 SQ FT INTERIOR IMPROVEMENTS Contractor :e L Cor. f� utf .;Date AM M,E, I hereby affirm that I am licensed under the provisions of Chapter 9 DEFERRED # I - Site accessibility- ISSD OTC (commencing with Section 7000) of Division 3 of the Business & Professions 11/19/2013 Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's 1 Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance, as pr`�� q. F or Area: Valuation: $70000 Section 3700 of the Labor Code, for the performance of the work wet permit is issued. v��® APN Number: 31622018.00 Occupancy Type: APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 1 DAYS OF PERMIT ISSUANCE OR building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAY M LAST CALLED INSPECTION, indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Issued granting of this permit. Additionally, the applicant understands and will comply by: Date: 6 with all non-point source regulations per the Cupert o Municipal Code, Section 9.18. Signature Date S> / RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BET'T'ER I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(x) should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 2553 nd 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: I permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CONSTRUCTION PERMIT APPLICATION 1u� COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION \� 10300 TORRE AVENUE - CUPERTINO, CA 9x014-3255 CUPERTINO (408) 777-3228 > FAX (408) 777-3333. buifding@cuoertinp.ogq ❑ NEW CONSTRUCTION ❑ ADDITIONX❑ ALTERATION / 71 ® RmioN / DEPBRRF.D owowAL PERMIT # PawECrAOORFss 20400 Mariani Ave. =AM6-22-018 OWNER NAME. Apple Inc. 510 vv sone 415.710.3063 E-mAE. Jacks®apple.com MEET ADDRESS 1 Intlnite Loop My. STATE. ZIP Cupertino, CA 95014 FAX CONrACr NAw Jason Holleb PMOM 650.365.0600 x 11 a -bum )holleb@thehayesgroup.cDm ST?-WrA1DDWm 2657 Spring Street cny• BTATe' r'P Redwood City, CA 94063 PAX 650.365.0670 13 omm O owNER- mma 17 owmAOENT O CONTEAaroa 13omn"-=Aaw W ABmn= I7 ENDeam ❑ DEVELOPER [3 mvTYfi cumv.sc.m NAm Chad HamiltonNu1�8R I.FCHMSE i11 t tcENSE TYPE 13U& UC A cWANY NAMB XL Construction, Inc. B4" chamibn@)doonstuodon.com FAX S1RwAnnusS 651 Buckeye Court WY. Milpitas, CA 95035 PHONE 408240.6322 ARt9EIRMA WEERNAME Ken Hayes UC9= Numm C-15562 EUS. UC a mra'AwNAME Hayes Group Architects, Inc. E41Aa. khayes@thehayesgroup.com FAx 650.365.0670 snmT ADDBeSS 2657 Spring St. crry' STATE. z" Redwood City, CA 94 NE 650.365.0600 Dr TroTIOF wORK Interior Tenant Improvements with associated mechanical and electrical work. I) I(tMS�p NO change of use, NO landscape work; NO rooftop equipment work. NO work In the public right of way EKtnM USE OIBoe Q�3 PROPOSED USE Office - No Change I coNsm TYPE V -B I s mm 1 INLY Was. WOW Am1 ,564 SF NEW FLOOR AREA 0 SF DIDdO A 0 SF TOTAL p�A A�u,► 0 SF RMDSt.AR&1 0 SF OMAREA 0 SF FORCHAREA NA I DOOKMEA =ALD=1PO=AREA I OAMOEARE& 13 Dmun NA NA NA 13 ATTACH ID1eumtom NA ®Aearaaa•DNR DY® REMADDIDr IBI NO artetmateaY CITO Anout r COND "W*j" TW O Yea RL RAMM76Ae IN m IPYa "mmeco"m PLmom ArnovALuTm nmemaswimTOYALVALVA=: NA ® CD . 0(0 By my 4natu re below, I certify tD each of the followiDw 1 em the property owner or Duffiwiaed toed outheproperiyowner'sb&dE I have reed this application and the information I have provided is correct I have read the Deartip = of Work and verify it is accorete. I agree to comply with all applicable local ordina r and stela laws relating to building co rdi I mph ygrP uvea of Cupertino to elder ft above-® or bq=don purposes. Sipahve ofAppfic=Mgmt: Date. SUPPLEMENTAL INFO TION PUNCI=I PE exisft building(s). Demolition permit is required prior to issuance of building permit fi w new building. ® WWOM 11srARMW form_ if any Hazardous Materials are being used as part of this project. ❑ rAV= -em of t4smft*pro-siExttc: a. matin with Phuningriot submittal of Building Permit application. ❑ swOR ROtrrnrc" etm�nnte P[ AN ❑ er.AmmG vLm nvmw 11 ptMaicWOMW E" ®aANrrARY sstvRR Dffi ® ENVDWNM "ALBEALTH BldgApp 2011.docrev1sed03/16IJI oAs L'-�s-SZ-aq coms`l'RUCTl®N Pl=RMT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 ' CUPERTIN0 (408) 777-3228 o FAX (408) 777-3333 ^ build in cu pertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TIREVISIO / DEFERRED ORIGINAL PERMIT # 1310010—? PROJECT ADDRESS Z/JVWile- �I��1�.+. fY =APNaya� OWNER NAME ?�G PHONE L1dr. g9� E-MAIL STREET ADDRESS ate :H CITY, STATE, ZIP , C,4 04( FAX ^ a , CONTACT NAME �O✓/d �t� /l PHONEI/Or. 2�0'.J 6O& � E-MAIL �fC ,/e/ � k/�h r!• STREET ADDRESS , CoY/ CITY, STATE, ZI �� , f fJ `� G FAX ❑ OWNER. ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME i'G 1 _ , J n� LICENSE NUMBER & z1_7z1DO LICENSE TYPE 3 / BUS. LIC # � v • �J 7 / O o COMPANY NAMEX / _ ColX-11-11f, � fvG J Bn EMAIL ffG /9/ /.% ( p,� J� GeJl+r j� (' FAX / STREET ADDRESS 9.5-/ ELL �� v/7 CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME tq,114 11� D' 11A''e ju LICENSE NUMBER 16 p-5 Z BUS. LIC # E-MAIL � /d J1- 1J e /)Jlr.)I,p. G�ydj COMPANY NAME G!A ye if [3j/Oti� 6' I Y 7 FAX STREET ADDRESS CITY, STATE,, ZIP/le PHONE DESCRIPTION OF WORK / L`` %W SQ )r_1 I M 7`)) e, )61 JK f.✓t Y �i+.t rG✓C�D+1�7 _/ �t�z so 6 J, Ju�rrrj EXISTING USE PROPOSESED USE CONSTR. TYPE STORIES r3 1 7 USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG AREA Lfp O NEW FLOOR AREA DEMOTOTAL AREA 0" NET AREA cyoc) BATHROOM REMODEL AREA �� KITCHEN OTHER REMODEL AREA 1v,4 REMODEL AREA yjQ PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH �A A��l ,v W A/� . /l [3 ATTACH # DWELLING UNITS: IS A SECOND MT ❑ YES SECON/D�STORY [ YES ..14 BEING ADDED? JrO ADDITION? _;k3NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑YES rR1rCEIVE .� ,. � TOTALV is PLANNING APPL #X NO PLANNING APPROVAL LETTER EICHLER HOME? eNO ,� ,�` � �� . ` •r i �� By my signature below, I certify to each of the following: I am the property owner or authorized jgent to act on the property owner's behalf. ave read this application and the infomration I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply ith aII applicable local ordinances and state Iaws relating to building construction. I authoriz se tives u rtino to enter the above -identified property for inspection purposes. Signature of AppIicant/Agent: Date: % f/l3 SUPPLEMENTAL INFORMATION REQUIREDCKTIPE, �iotrrlxcsiiv >x. .ka ❑ BUILoING PLAJV REVT6W New SFD or Multifamily dwellings: Apply for demolition permit for c THE-QOUxTER _ OA'ER � existing-building(s). Demolition pennit is required prior to issuance of builds pennit for new building.❑ ExPREss ❑ PI A SxINGYLAN REQ IEW , Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ sTANDARD ®Pt BLIC �axxs Y _ form if any Hazardous Materials are being used as part of this project. R ❑ cE x Y•'d,'. F °?S FIRE 17�EPT 1,,h; = Copy of Planning Approval Letter or Meeting with Planning prior to ❑MAJOR ' `"' t;1 .r, submittal of Building Permit application. r❑ SANITARY SE�i ER DISTRICT F%' , �' : �: ; �.. �� b ,.a?. � _ ❑ � EN1'IR01131$ENTAL HE GTH�� ' r' BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ES'TIMA'TOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on -the oreliminary information available and are onlv an estimate Contact the Dent for addh 7 info. FEE ITEMS (Fee Resolution 11-053 Ef. 7/1/13) 20400 mariani ave DATE: 19/99%2013 REVIEWED BY: Mendez IlaADDRESS: APN: BP#: WALiUATIION: $0 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building P171011. hisp, Fee: PIENTAMATION PERMIT TYPE: 1GENCOM WORK deferred #1 -Site accessibilit SCOPE NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on -the oreliminary information available and are onlv an estimate Contact the Dent for addh 7 info. FEE ITEMS (Fee Resolution 11-053 Ef. 7/1/13) Xlech. Plan ('heck Plrirvn. Plan (heck Elec. Plan ('heck -VII-11. pel-ow Fee: /'bimi). Permit Fee. Elec. Permit Fee: 01her AIL,ch, lrur).Lj Other Plu:nb Insp, Other F,lec. Irsp. Dlech. Insp, Fere P171011. hisp, Fee: Elec. Imp. Fee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on -the oreliminary information available and are onlv an estimate Contact the Dent for addh 7 info. FEE ITEMS (Fee Resolution 11-053 Ef. 7/1/13) FEE QTY/FELE MIISC =MS Plan Check Fee: $0.00 1 # $278.00 Deferred Submittal IDEFSUBM Suppl. PC Fee: (j) Reg. () OT 0,0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? ()Yes 0 No $0.00 Suppl. Insp. Feer Reg. Q OT p;p hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction T aav: Adinin istral i ve .Fees: 0 E) Work Without Permit? Yes (j) No $0.00 Advanced PlanninL Fee: $0.00 Select a Non -Residential or Structure 0 d Travel l)ncart>�entrr�an Pees:Building Strong Motion Fee: $0.00 F 4.0 1 hs $556.00 Inspections ISTINSP Inspection, Hourly Blda Stds Commission Fee: $0.001 SUBTOTALS:" $0.00 $834.00 TOTAL FEE: $834.00 Revised: 10/01/2013 CITY OF CUPERTINO ,,S FEE ESTIMATOR — BUILDING DIVISION OCCUPANCY TYPE: 20400 mariani ave FLR AREA s.f. DATE: 10/15/2013 REVIEWED BY: mendez JimADDRESS: APN: BP#: 3 1 b� *VALUATION: 1$70,000 *PERMIT TYPE: Building Permit $2,041.11 PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: IBTIINSP PENTAMATION 1B TI PERMIT TYPE: WORK awe comm t.i 400 sq ft 0 0 SCOPE $0.00 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE IID BP FEES BP FEE IIID B (Tenant Improvements) II-B,111-B,IV,V-B 400 $2,041.11 IBTIPLNCK $637.37 IBTIINSP Elee, Insp. Fee: $637.37 Suppl. Insp. Fee,0 Reg. Q OT 0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax. - ,I din in istrative Fern: 0 Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: TOTALS: 400 $2,041.11 $537.37 $14.70 MECH, HOURLY ® Yes 0 No PLUMB, HOURLY ® Yes Q No ELEC, DOURLY d Yes (D No ;,tech. b lan Check 111u ib. Nun Cheek F7 Elec. Ilan Cheek fc>r,ft. Permit Fee: Plumb. Permil Pec: li(ec. Permit f c:e: Uihcr Uech. Insp. Usher Plumb Insp. Uiher Elec. Insp. Alech. Insp_Fcc: Pluib. hisp. I've: Elee, Insp. Fee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Elf.' 7/1/13) FEE QTYIFEE MISC ITEMS Plan Check Fee: $2,041.11 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. 0 OT 0.0 hls $0.00 PME Plan Check: $0.00 Permit Fee: $637.37 Suppl. Insp. Fee,0 Reg. Q OT 0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax. - ,I din in istrative Fern: 0 Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure Trcrnel Documentation Fees•: Stroniz Motion Fee: IBSEISMICO $14.70 Select an Administrative Item Bldg_Stds Commission .Fee: IBCBSC $3.00 SUBTOTALS: $2,696.16 $0.00 TOTAL FEE: $2,696.16 Revised: 10/01/2013 CUPS TEND CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: Z-01/00 -,°a i" A"-- PERMIT # 13100103 OWNER'S NAME: Le. PHONE # 90 S a ,;�y0— 6000 GENERAL CONTRACTOR: xc r�rv1 �o.f BUSINESS LICENSE # (,q74/8'0 ADDRESS: ?S/ Af-oke ..' CITY/ZIPCODE: /r%/ . Y,503� *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING (FINAL OR (FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITE' OF CUPIERTINO BUSINESS LICENSE. ' I am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: (Date d Owner / Con actor Kure Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting /�� 4�0�• e ft/24 Linoleum / Wood Glass / Glazing jje,� f/�/ ' 7,-'6a/ Heating , � �pN�Gp/ c. 2-1961 Insulation Landscaping Lathing Masonry Painting / Wallpaper 2 S/ 41; Paving Plastering ' Plumbing Roofing Septic Tank Sheet, Metal Sheet Rock Tile Owner / Con actor Kure Date