01020116 CITY OF-CUPERTINO
HUtt,01NG DIVISION PERMIT CONTRACTOR INFORMATION:
IIUILUING AUDItE55:. - 1'EIRMI'I'NO. -
7 BOLLINGER RD ROCK SOLID CONSTRUCTION,: 01020116
UWNIiR'ti NAME: AI'I'LICA'I'ION SUB DA'Z'E
AWN HOWARD &KYJNG 3372 CREIGHTON PL 02/21./2001
ONE: ., - SANITARY NO. CONTROL NO..
8)249-7625
OreOO ARCHI'rECI'/ENGINEER: BUILDING PERMIT INFO '
kL"U,C BLDO ELECT PLUMB MECH
Z I
OZ< LICENSED CONTRACTOR'S 0ECLARA'1'ION
C Iherebyaffim,mal 1 amh,coxed under,00kions ofchapter 9(comn,cnting Job Description
p_Cm with Section 70101 of Division Sof the Business and Profcaiona Gale,and my license -
< s� i.imm�romeande " - (g KITCHN REMODEL, ELECT AND PLUMBING
Licen+e Clens - - 'w ri_ _
3 w O Dam V- .Q,� Colmcmr �VI(� Sr
V/ 4RCHITECfSo MRA ON
t= S e I understandc,im my plans shall be used.,public recoNs
z O O
Licensed 1'rnfes.ional
°'o OWNER-BUILDER OF,CLARATION
= 1 hereby Blinn ma I am exempt from the Commune's License Law for the -
t?G following to m.(Section 7031.5,Business and Pmfe,,ious Calc:Any city lir manly
c,F C wnich requires a pmadit to conswa,alter,improve,demolish,nr repair any xwetum
i3°oO patheisscense pursuant
the pmvppiodxmfor Contractors
ficusel,n nchaluenl
Rmono,s licensed pSeldo tame pmvu,W,m 3be la,Bran,, Haeme Laosion,Nnr9 S Ft. Floor Area
or that
eelonmoraudfhe maionoof theleencsam,dion.Any aGHlc) +. q' /
or Ihm he i+31,5 b (any applicant
li and the basis for object,
ct, he
eppicia to Any vlohnion
ul'Section 7fll 15 by any epplitnm for a mill mnjects the upplicum to s civilpenalty ,
of a,,,more man the hundred dollen($501)). APN Number ce7a cy Type
DI.......rofinc prepeny,onny employees w,inwages„flo,"'uleamg,ensminn,
will do Ih,v, IS,;aid the mmcome Is act imeaWl o ulrrrrd for dole(Set.7w4, - Required Inspections
Rosined,ann
d P.fc,dons Code:The Cotnmator's License Law doe,mal apply ,,nn
,,wnar or pmpeny Who build,or improv„thereon,and who docs such wak nor,elf
re,,..„.g1,his owncond,aea.pmahlcd itmsun,lmprovcmcmaair it...me jet - d 101 - FOUNDATION
'orfemd for sd,.If,hnwcvcu the budding or It„glove ear,,old will....ane year of
,.pm
le , wnliniment `' 102 - PIERS. .
ennptova
Cl I,as owner of the ,r,am excmxwai lmena,will I'v....ed enmmrmr, � .103 — UFER -
proparra,n g 104 — REBAR'
nxen- ,he pro]ecl(Sec Ito a, owner o mW property
Who
h Gxlo:)'I'hc Ccn lice is
ndwhLamoccaurn:,such proJwneTorprapmrwno,mm+a, ,..lIn(b. 105 - ANCHOR BOLTS
and our commes ror such pm]ecta with u cnntmctorLvl IlcmiwA Pur uenl m U,o
Cn1 a n,exur Licence Law.
❑lace axe„pl aIle,,grt. .B&rcfor this,cuann 106 — SEWER R WATER .
-Owner Date 202 — UNDERFLOOR PLUMBING
WORKER'S COMPENSATION DECLARATION 203 — UNDERFLOOR MECHANICAL
”by,afrrmungerpenalty offerjuryone othe following deduction, 204 - UNDERFLOOR FRAME
c eavot�o as o,wided,Bonny Sevu f 3700 notflthe Labor cbc.µokma 205 - UNDERFLOOR INSULATION
pcnsa as pmaii y
petionclaceof me work for which this petmd is issued. 301. — ROUGH PLUMBING
0 l have and will maintain Worker's Comperixoton Insurance.as requited by Section 302 — TUB 8 OR SHOWER
37M write Labts Cale,for the p,rl6nn.nce of the work fur which this permit is _ '
issued. WorkrC.Compa...... ... pnr,mniefandroll ynomberam: 303 — ROUGH MECHANICAL.
fCmer. FEXEMyNa:_iMWOR�♦J S, S
��� OFE%EM rIONFROMWORKLRS' - 304 — ROUGH ELECTRICAL
'
COMPENSATION INSURANCE 305 — FRAME .
ISlgll o
,This Becton need not be eompmmd Irene Eamon is ler one handfed dollar. 306' — HOLDOWNS
r lcsn.J _
Icranylost mthe pel6tmammorthe workrotwhich mi.Eco„n isnauad.1 - 307 - INSULATION
.nut nm com,any p...on in any on,,ao as 1e,become.abject to the W..sax308 : SHEETROCK
Compennmom Laws of California.Date
Ap :fir°I - 309 — EXTERIOR' LATH
NOI ICE FO APPLICANT:IlL ft,,,oukrn,dm,Critififl,at,ni Ex"alplion.You.ht uld
Z Imco,asubjor 1, p2W k C n :I p : e,1 t,1 Ode,y ,oast 310 — INTERIOR LATH .
O Q font w'11 comply x%th+rah pr wi,dor a 1h+pe It shall bale lid 'cvuk"I .
1Z, 311. — SCRATCH COAT'
F 4 , CONSTRUCTION L1iNDINC AGENCY' ,
utalyoffli sten i. taaxlm, nlnrnguge,yr d 1eHninal"co 313' '. ROOF NAIL
W0. 3 ort.. nthp r ".aardfs 097 Cr,c1 501” — FINAL .ELECTRICAL ENERGY.
Q Lenl N
LLgVU z L`"d" dfe"`nd502 — F.INAL PLUMBING ENERGY
1 cenify that I nave mud moa ity and and tame that he above Ina s relai lx
w E for I I g t p1a m B 'ty d county d " a ,"t I g 5031. — .FINAL MECHANICAL ENERGY
O U tobuilding I t dh hr ec a pre. I I e. nb city ler poo 504 ti FINAL BUILDING' ENERG�
the M of niproperty r ry t prp,.e
moi lanfreWlgtt Jd rysexw cn I is way teN %gid 505 FINAL ELECTRICAL '
judgments. R Y , ,Y Y gamy
U z City q,once°t tths
APPLICANT UNI TANDS AND WILL COMPLY WITH ALL NO POIN 506 -� GAS' TEST
souR� rn i . Issued by: Date
' ,�.-'�-�
Sign: urco ApphicHAZAR NATC:RIALSDISChOSURF, zO� Re-roofs 508 - FINAL MECHANICAL
Will the applicant or fuwre Willing acupanl eltac mhmallehm:INomlwmnal Type of Roof 509 — FINAL GRADE
mdefnedbythe Cupcnim, nmipa1 Code.Chapter9"12,°nJthe Health and Safely -
Cole,Seeion25532wjT 10 FINAL PL HNIN
OP`s' at, N° All roofs shall be�Qacted p INA an + ,tea n installed.
-
WiBtheappBcantor future building occupant use equipmeotordeviaxwhich If a roof isinstallCtl'Y�sthout$t'sf'6b49i r h '.CpeC'[T61oggreetoremove
mit hawdooa air nmtami I itr,neit by the Buy Area Air Quality Management
i"re", all new materials for inspection. Applicant understands and will comply with
Dyes "° _ all non-point source regulations.
1 have read the hazmNoas malarial,mlmicments made,Chnptar 6.95 at the
Cartoon.Health&Safe,,Cale,Sections 25505,25533 and 25534 1 understand that t
it tire building dues not currently have a tenant,that it is my rexpnnaibil it,to oleo ly the
occupanl of the a crommem whish nom be met prior m luuance o u Cenifcure nr
keupa ' / - Signature of Applicant - Date
—Z�
All,roof g
f coverin s to be Class `B"or better I
lean a,u,oras aEem Ie
OFFICE ,. .