02070097 (2) CITY of CUPERTINO CONTRACTOR INFORMATION:
BUILDING DIVISION PERMIT _
BUILDING ADDRESS: (PERMIT'82070097
II 22575 ALCALDE RD
SHELLEY GUO IAPPLICAT1 XSI l UBDjT$2002
rHONE: IViSANITARYl1NO./ / CONTROL NO
I
a z ARCHITECffENGINTER: BUILDING PERh31T INFO
C C BLDG ELECT PLUMB MECH
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S v i LICENSED CONTRACTOR'S DECLARATION
I he ff nNal
reby al¢m licensed underpruv,mm.f Chapter 9(commencing REMODEL BATHRORY?�fI T2EROOF/WINDOW.
'y_� with Salot.7000)ofDrcision 3 oflhe Bmutoo,and Pr.fe,,msCode.and my license
is in full force and effect
�a s< License Cl...
: r
O i u Date C onw tractor Fa N,A ,E®
3 a G ARCHITECT 5 DECLARATION
0, 1 undentand my plans shall To used a,public records 1
'wY AUG 0 5 2002
i C n Lensed I'mo,sianm
c OWNER-BUILDER DECLARATION $10000
=' 1 thereby affirm that 1 am exempt from the Contractor's Licenx Law for the
F=z roll..ing xamn(Section 7031.5,Business and profession,Code:Any city or county ;
BUILDING O
2 O wbich requires a perms to mnurvn,alter,Improve,demolish or repair any structure
a q ,.,pna to Its isuurce,ahmnniuias lheappl¢am for such permit To file¢signed statement - ---- •------
\\"'�ytt�r'' _..__.—......_..._...
3— (hat he'is,babsed pdisuhhtwthe prososions of the Conwcmrs Licenx Law lChaper9 ,,,�.. _,..r3BA���'����,,,`{ s.t_., .N S, _- Varuatlon
komr«srcmg w,Us Session
"or t lie is de frioQrroi Oa)nad
the basis fort he alleged esas ancd P so.r Any%i de
of se«Jon 3"by liny dll for.pemin sub3ms Thc apalicam o n dull pCeroamdlse,
iorrwtimore thaii five hundred don,:asoo) )
.. _.'., (.,'.:yS_/ U, c_\1_ va1.• _:'.-5 s,-
10 YiPN tZ4AIAT'DATION Occupancy Type
_❑Las owner of property.or my employees with wages as their sale compensation, 102 - PIERS
will"Lo the work;and the slrvcmre is not intended or offered for sale-(Sec"Taw. L U-i - U r ate
'Business and Pmfessl.ns Code The Conuam.r a License Low does not apply to an Required Inspections' :
owner of mapenY Who Wilds onmpmves thereon,and who does such work lllmxlf 104 - REBAR
or remit h hos own employees provided-Thal such Improvements ax not mtmded or ._-__ ___-._.
'orteadsalau,na,:ever.meWaamga,mpdos<mnm;samdw„n;da,><yearor .._..'_.105-`-- ANCHOR-BOLTS -_ ___ _. __... _____.. __ .t,
complcton,the owner builder will have the burden of proving that he did not build or _ f \t
improve for pupic'e.f sale.) --106 SEWER & WATER
.__._UNDERF-LOOR—PLUMBING----, ,,-- --------
°1;as net of the property.am eaclusrvcly comrxting with Teemed conua<mrs Ire !s L+N'^f
- - com till Ise project sex.Tga,Business and Pmreaames Cade:)The Compactor's 2 0 3 - UNDERFLOOR MECHANICAL-
8i _License law d i«,not apply to an owner of p o.
Pe Y who ho Wilds or omprovu a
and c on cu r .such.subjects w1 N con ac se pusumt to The
204_ UNDERFLOOR _FRAME.._.
o Lccnse _.. _.-._ ._
(ameem tl e''' '''' B'sPCforthisreason 205 - UNDERFLOOR: (INSULATION
o.,,- pile 7117 10--z- . 301 - ROUGH PLUMBING
W R 'S COMP ENS/ NDECLARATION 302 - TUB & OR SHOWER
1l I hereby aRrm under penalty or pci rryry,oiae of Tire following dedaraboas 3 03 - ROUGH MECHANICAL
° 1 hive add will mmmiin'a cem Beam or Consed ti;xB-mome for winker: 3 04 - ROUGH ELECTRICAL
Comprnsmionr res provided for by Section 37W of me Tabor, credo. for the 3 05 - FRAME
performance of The work for which It, permit is issued
306 - HOLDOWNS
0 h¢veand will irivniiin Wacc x%Co m'pe^sauon Imsuame,as rectum by, mit 1s Snctio^ 307 - INSULATION
370D of the Labor Code,for the performance of Ni work'for which this per
Work y_. nsuancecameaMPohcy,aurn are x. ,:n1. -,- _ ... .--308- S TROCK - ......._...._
308-.. HEE
.. Carrie r1, ) P 1 Nn '- ''•..,
j. lssued1 ^.' nation l,.,
My a< s ore
d,,,CER.,,- TIONOF ^Icy ;,.••I. , o-, . � . -,!;E ER'I:OR'SLATH, Graoe
\ g'3'�'9 i , a XT -
,MPENSnnory msuaANCE',;;'.:°:' - 3.10_—.INTERIOR_.LATH___.-........
_.
CERTIFICATION OF EX PI'10 FRO R i
n^1 m�a�mpletedirmepem ors for on^Wndreddonaa 311"1- SCRATCH COAT l - .,' "• :?:;r,j'. . ('�'pe
snip no.employ ROOF-,NAIL-__......i._....:.-,._
- ,
,.�C,•,I cenrfyrharn'he 'rru' a`nxe of,he:do.k rdr wn�En m�:p<m;d�r ls�a�a.''i _ 501 - FINAL ELECTRICAL:iENERGY—
p y,any_pers m any mannct soo gr'��63�ra to me wortea' 5 0 2 - FINAL PLUMBING ENERGY
s a not Lavi a.Dace�.
-Applinnl' ..' - I ._.. . _ ._.
Ni T APPLCA, a¢rm'"`kola°1gf11:em:Realeof�emgmn.yushould 503 - FINAL MECHANICAL,
Z sobjcct t. he Worke searipensaoom provism co fmc=11cedayoumost
00 toxamplyw,NSUCnpm;siam«,Msprmnshnllbedeemedmoked 504 - FINAL BUILDING ENERGY
- -- T- - _
�_;� �,:.l,;d.,-r '..c,':c6rvsTxucnoNLENDINCncENCV . ..;'. .j.�'.'" . _ ._ _ 505 � =� FINAli�-ELECTRICAL_..___
lherebyaRino bill a s•ro ctionlendingagencyfo p dmu« 506 - GAS TEST -
k1.wr of me wad:for which
Nt?,int issued(Scc.3097,Cie C)„ -7 -- . FINAL -PLUMBI NG -
-------— --- ----------—
P' ---- - -- -p LensNam% � 50
Z f�gaer.�ada�a; . , . , `, 508 - FINAL MECHANICAL-'0
U'O .q.I agree Ihel 1 have and IMs oil,amillaa 0nd 310¢Ntl the d ruin Initwi t llu la 509 - FINAL GRADE
W:U .bon i 1 agree to comply withal Lcly and county.mmancu and stns laws alaong
O;W wWdrv.ind imused n.pan,fobyaumonurcposenubvuofmischytorntttupon 510 - FINAL PLANNING
�Z�) theabove-judgme os property for inspection mass -�
(WC)rt P!ve'todemnifyandkeephaaNeulhCiiy61Cpninoigumt 514 - FINAL PUBLIC WORKS
e+ W Iiabibliu,judgments,rosts W expemcs which may in wy way accrue ngunu said
V,^ Cily in c.mcquentt rm—iry'.,'- /Sl I
Wilt iAc i '14H AI.C'F N.PO NT n APPLICMT con rP Issued by' Date
SOURupant s - hand J LYN y1 Si rcoIT W ' 1M "' `LL 's.:, °.m`: =:,., Reproofs ALS DISCLOSURE�;,t,� ,
-. T
toe a ie Mavdws mnerial
y e.of Roof
m defined by-Ne CUpeaivo Municipal Coda Chapter 9.12.arW me Health and Safely r,: I,1 :P, r \.:� s w .• ','ai 112',^I'
L,1w
2s3x.)....,,:; :....:'.,..,. i�y�•r, .).. , - __ _AlLroo, '. .'. t
Gsdefac011an 4", - •.
mhawdou•,.i .:.-u1 rvo , sq Ii.,i::c'tIti '
fsshall be,inspectedpriorto.any_roofingmat erial-being,installed..___.__._.. ,.
WJI Ne applinnt or Pomre Wildm{«cupant-ux egmpmem or dcv¢es wh¢h If a roof is installed Without first obtaining an inspection;I agree'to'iemove
cohturnmantf u defined by the Bay Area Air Quality MansEerncn
Zama all new materials for inspection._Applicant understands and will comply,with , -,-
1 all non-point source ream/g u]y/[ions 1, nn
1 M1:e road me
Illy matcfiils nqu,amenu ndc Chap rto no I 7tl% `
N&S fet Cda sections 75503 25533 and 2553d 1 ndealand Nn
must,I" � r responsibility ,m ni . ... ,�.
I m.rmis,anme.r.cwc� atureofApplicant � Date
y
fill,e building d«s as trendy vee¢ba l that it is o . to
..
r, xn Daie, , ,', Al roof coverings to be Class"B" of better
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