12030071CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20650 VALLEY GREEN DR
CONTRACTOR: DEVCON
PE NO: 12030 1
CONSTRUCTION INC
` a
OWNER'S NAME: SI 50 LLC
690 GIBRALTAR DR
1,
E ISSUED: 05/18/2012
OWNER'S PHONE: 4089961010
MILPITAS, CA 95035
PHONE NO: (408)942-8200
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL
❑ LICENSED CONTRACTOR'S DECLARATION
License Class �� Li.. # 3 c1 n
APPLE-PRASE 10-COMMERCIAL TENANT
IMPROVEMENT
ContractorDate _
(3112SQFT)INTERIOR AND EXTERIOR WORK, INTERIOR
Jr'
I hereby affirm that I am licensed corder the provisions of Chapter 9
DEMOLITON WORK IS UNDER PERMIT #12020013.SCOPE
(commencing with Section 7000) of Division 3 of the Business & Professions
OF
Code and that my license is in full force and effect.
REV #1- T.I. TO INCLUDE NEW LOAD BEARING PARTITIONS,
CEILING AND ASSOCIATED FINISHES ON A PORTION OF THE
I hereby affirm under penalty of perjury one of the following two declarations:
IST FLOOR OF (E) OFFICE- ISSD 7/13/12
I have and will maintain a certificate of consent to self-insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:
Valuation: $400000
performance of the work for which this permit is issued.
I 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: 32610053.00
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
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAYS FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may.�crue against said City in consequence of the
Issued by: Date:
granting of this permit. A djt'oi nally, the applicant understands and will comply
with all non-point sour regulations per the Cupertino Municipal Code, Section
9.18.
RE-ROOFS:
Signature Date /
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
1, 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)
1, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
constrict 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(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 2550 5533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent: " Date:
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
CONST UCTION 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
3
CONSTRUCTION PE IT ;APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDI -
-(
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
1� I (408) 777-3228 • FAX (408) 777-3333 • buildingAcupertino.org
CUPERTINO
FJ NFw rnNrcTR I IrTmN n ADDITION ALTERATION/ TI /REVISION / DEFERRED ORIGINAL PERMIT # L- �3��1�, ✓ 71
PROJECT ADDRESS � to srh �• - 0* ,
V (sem
APN # I) / • (®• 3
G• f/
OWNER NAME
PHONE
E-MAIL
STREET ADDRESS ' t�J�r�
CI
FAX
CONTACT NAMES' _+,
i/z�o
G.®(•
PHON ab • Z'7 - f27 y
E-MAIL
CCO ��N /� ree n6,µ aN
STREET ADDRESS
CITY, STATE, ZIP 1®�f� 1 1
f
FAO, A ��
!/ 4
,016, N SI�CgJ
pj J
•
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTO NAME
LICENSE NUMBER
LICENSE TYPE
BUS. LJ #
COMPANY AME
CP
E-MAIL
V*W 6VK tw- W`Y,Co N `®C9Asf*,
1*,j
FAX —if dogs n
STREET ADDRJSOLO &1 L 1 lr.� PR+f Vim"
Y, S
CIT�A,TOT
�Y� S
PH E • / j !i • �SPV
ARCHITECT/ENGINEERNAIvfE
LICENSE NUMBER
BUS. LIC#
COMPANY NAME
E N
0
11Sroi &01.1
FA t08 ZV V. o09
74!F(e
,
STREET �SS N. i1 /p ��-
CITYS,`TATE, ZIPI..rF S119
CA
PHONE
• -' .
DESCRIPTION Of
k WORK Vrm P TO I M- WN f1. ChO11 OFofj O)
G -'1N VIS ACC A -a
L*0 Su*.
EXISTING USE
�I?(A
PROPOSED USE CONSTR.
�co
TYPE
# STORIES
USE
TYPE
OCC.
SQ.FT.
VALUATION($)
EXISTG
AREA „�
NEW FLOOR
AREA
DEMO
AREA
TOTAL
NET AREA
BATHROOM
REMODEL AREA. •
KITCHEN
REMODEL AREA ` )•.i ,
IKIPPORR�CH
OTHER
REMODEL AREA
PORCH AREA
N.h
DECK AREA
P. A,
TOTAL DEC AREA
u1•
GARAGE AREA: DETACH
❑
U ATTACH
# DWELLING UNITS:
`' A- •
IS A SECOND UNIT ❑ YES
BEINGADDED? []NO
SECOND STORY ❑ YES
ADDITION? [:]NOPRE-APPLICATION
El YES IF YES, PROVIDE COPY OF
PLANNING APPL # RNO PLANNING APPROVAL LETTER
IS THE BLDG AN ❑ YES
EICHLER HONIE? ANO
RECEI BY:
�-":: e v ('.
�to
TOTAL V N:
By my signature below, I certify to each of the following: I am the property owner or authorized agent act on the property owner's behalf. I have read this
-rrect. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
application and the information I have rovid5.uction.
ordinances and state laws relating to a 'n I authorize representatives of Cupertino to enter the above -I ri i d prope for inspection purposes.
Signature of Applicant/Agent: Date: p
SUPPLEMENTAL INFORMATION REQUIRED
PLAN c$ECIi TYPE
ROUTING SLIP
❑ OVER-THE-COUNTER
�/�. BUILDING PLAN 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 new building.
❑ EXPRESS
❑ PLANNING PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
STANDARD
❑ PUBLIC WORKS
_
form if any Hazardous Materials are being used as part of this project.
/❑. LARGE
EIRE DEPT
Copy of Planning Approval Letter or Meeting with Planning prior to
❑ DZAJOR
❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BidgApp 201 Ldoc revised 06121111
ON
__ _ CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
Vd,ADDRESS:
20650 Valley Green Dr
DATE: 06/01/2012
REVIEWED BY: Sean
AXlech. Permit Fee:
APN: 326-10-053
BP#: 12030071
*VALUATION: Iso
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY
USE: Commercial Building
Tlrrmh. lay, F'ec:
PENTAMATION
PERMIT TYPE: 1GENC0 i
WORK
#1: Construction of n non load bearingpartitions, ceilingand associated finished on portion
SCOPE
Ovission
firt floor of (e) office/lab building.
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
nictrirt_ ntr_)_ Those fao.c are haced nn the nreliminary information availahle and are on[v an estimate. Contact the Dent for addn'l into.
FEE ITEMS (Fee Resohition 11-053 &.. 7/1/11)
"Voll, Plmr CYrce%
Plumb, Plcnr Check
Dec. Platt Che,%
AXlech. Permit Fee:
P/rnnh. Pelmit Ecce:
EYec, P13711it FCC.
other Alo 'h. 117s r.
Other Phimb 17sh.
Usher Elec. [resp,
Mcch, lmp. Fcc:
Tlrrmh. lay, F'ec:
Elec. Insp, Fee:
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
nictrirt_ ntr_)_ Those fao.c are haced nn the nreliminary information availahle and are on[v an estimate. Contact the Dent for addn'l into.
FEE ITEMS (Fee Resohition 11-053 &.. 7/1/11)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
Select a Misc Bldg/Structure
or Element of a Building
i
Suppl. PC Fee: Q Reg. 0 OT
O,Q Ihrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:Q Reg. 0 OT
0,0
his
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
COilSIOIC60i7 /41l':
11dini17tsU'_r' ih, Fec"
0
Work Without Permit? 0 Yes 0 No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
0
0
i
Travc l Docitincitloticm 1{rtes:
Strong Motion Fee:
$0.00
#
$783.00
Revision
IREVCOMTI Tenant Improvement
Bldg Stds Commission Fee:
$0.00
SUBTOTALS:
$0.00
$783.00
TOTAL FEE:
$783.00
Revised: 05/01/2012
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20650 VALLEY GREEN DR
CONTRACTOR: DEVCON
PERMIT NO: 12030071
CONSTRUCTION INC
OWNER'S NAME: SI 50 LLC
690 GIBRALTAR DR
DATE ISSUED: 05/18/2012
OWNER'S PHONE: 4089961010
MILPITAS, CA 95035
PHONE NO: (408)942-8200
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIALE]
❑ LICENSED CONTRACTOR'S DECLARATION
License Class_ Lic. #
APPLE -PHASE 10 -COMMERCIAL TENANT
IMPROVEMENT
Contractor tri �,� ) (fC- A 1�jf _ Date
(3112SQFT)INTERIOR AND EXTERIOR WORK, INTERIOR
I hereby affirm that I am licensed under the provisions of Chapter 9
DEMOLITON WORK IS UNDER PERMIT #12020013.SCOPE
(commencing with Section 7000) of Division 3 of the Business & Professions
OF
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
Compensation, as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:
Valuation: $400000
performance of the work for which this permit is issued.
I 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: 32610053.00
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
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAYS FROM 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/°�
� s l
Issued byi_ 41 Date:
granting of this permit. Additionally, the applicant understands and will comply
f <
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
RE -ROOFS:
Signature Date `—
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 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 whichthis 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
Section 3700 of the Labor Code, for the performance of the work for which this
the Health & Safety Code, Sections 25W, 25533, and 25534.
�j
Owner Da
permit is issued.te
or authorized agent
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
CON UCTION 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
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(o-)cupertino.org
n tJPAV (nNCTRT IC'TInN n ADDITION 15 ALTERATION/TT n REVISION /DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS OZ06 5 V L --Y 6? e
�.I
APN# � m ��y .- 4153, ,J -
OWNER NAME
Em 4�
PHONY j�.-r
,. MAIL
STREET ADDRESS
CITY, STATE, ZIP
FAX
CONTACT NAME pp
PHONE } r� �7
E-MAIL
STREET ADDRESS _
7
CITY, STATE, ZIP
o� 1
FAX
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAMEt
LICENSE NUMBER
LICENSE TYPE
BUS. LIC #
COMPANY NAME f �' , p
E-MAIL (_ULM g -.,/,e V 4 m
E
FAX
STREET ADDRESS
CITY, STATE, ZIP
®,
PHONE
/+ -6 40 -6506
ARCHITECT/HNGINEER NAME
X40 "(-7' C�
LICENSE NUMBER
BUS. LIC #
COMPANX NAME
&MAIL
FAX
STREET DRESS _
b Z S 7
CITY, STATE, ZIP ,�yl
1t1 S j
PHONE
f
DESCRIPTION OF WORK
t F .. C�- L' f I A%C/A) " 4 t P s I
-(c-i2-(o A 1`2,10 �v' O/-.4
EXISTING USE -
PROPOSED USE CONSTR
TYPE
# STORIES
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
.-
EXISTG i
NEW FLOOR
DEMO
TOTAL
AREA 3 € 1 7 $
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA r
REMODEL AREA ,. LL
REMODEL AREA
PORCH AREA
i_
DECK AREA
TOTAL DECK/PORCH AREA
e 1'¢
GARAGE AREA: DETACH
p p dq ❑ AT
A
.
dSTORYl7
# DWELLING UNITS:
IS A SECOND UNIT LYES
SECOND []YES
BEING ADDED? []NO
ADDITION? []NO
PRE -APPLICATION []YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
RECEIVED BY:
TOTAL VALUATION:
PLANNING ADPL# 13NO PLANNING APPROVAL LETTER
EICHLERHODIE? ;NO
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to buildin construction. I authorize, representatives of Cupertino to enter the above -identified property for inspection purposes.
i4 /A! Date: �1 6
Signature of Applicant/Agent:
SUPPLEMENTAL INFORMATION REQUIRED
PLAN CHECK TYPE
ROUTING SLIP
❑ OVER-THE-COUNTER
❑ BUILDING PLAN 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 new building.
❑EXPRESS.
❑ PLANNING PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
ZSTANDARD
❑ PUBLIC WORKS
_
form if any Hazardous Materials are being used as part of this project.
❑ LARGE
❑ FIRE DEPT
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑ MAJOR
❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
B1dgApp 2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 20650 valley green drive DATE: 03/15/2012 REATIEWED BY: larry s
ME INE BP#:
`-PERMIT TYPE: Building Permit PLANCRECKTYPE: Tenant Improvement
PRIMARY Cmmercial Bulding PENTAMATION
oi• 113T
USE: PERMITTYPE:
atennant improvement 3112 sq. ft. interior and exterior work. interior demolition work is under permit
ll, 12020013. scope of this permit includes interior non bearing partition walls, finishes and exterior patio
— ---------
AREA TYPE OF FLR A
OCCUPANCY TYPE: PC FEES PC F BP FEES BP FEE ID
CONSTR. s.f.
. ...... ....
B (Tenant Improvements) 11-B,111-B,IV,V-B 3,112 -$2,174.601 IBTIPLNCK $2,532.48 IBTIINSP
NOTE. This estinude does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
hhi�wi ora i Thavo fave imo havad n" 410 filml."Padn" alyfli'llyh1pand are nn1v aii pvtimalp. Cawarithe Dow for addn'linfo.
FEE ITEMS Fee Resohetion 11-053 & 7/1/11)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$2,174.60
L
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: 0 Reg. 0 OT
0.0
his
$0.00
PME Plan Check:
$0.00
Permit Fee:
$2,532.48
Suppl. Insp, Feer Reg,
C OT
O,Q
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
0
0
Work Without Permit? 0 Yes No
$0.00
Adyance,d Planning le—',$0.00
Select a Non -Residential
Building or Structure
G
0
S t iLo �a _jvlo I tp i Fee,,
IBSEISAffCO
$84.00
Select an Administrative Item
Bldg Stds Conimissjon Fe.e: IBCBSC
$16.00
SUIBTOTALS:
$4,807.+08
$0.00
TOTAL 1
$4,807.08
Revised: 1/19/2012
511, 1 ' . 1 • 1 1
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS: �(� [ •� ""(-
PERMIT #
OWNER'S NAME:
PHONE #
GENERAL CONTRACTOR: / `'
BUSINESS LICENSE #
ADDRESS:
CITY/ZIPCODE: '
'Our municipal code requires all businesses vrorking 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 CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
/ Contractor Signature
/ate
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
p� - c� • �._
„-
Cement Finishing
,� �
- 1 �%
�,)Z 2, l A� �4
-11
Electrical
l
Excavation
Fencing
Flooring / Carpeting��
Linoleum / Wood
Glass / Glazing
Heating(
-
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
12, Zp"�2��,A
Paving
Plastering
Plumbing
,
Roofing
"
Septic Tank
Sheet Metal
Sheet Rock
Tile
/ Contractor Signature
/ate