00070050 CITY'OF CUPERTINO .. "
nudnmc nrvlsloN PERMIT CONTRACTOR INFORMATION: t
.• 'BulwlNGm@Rs1;46 DEAN 'CT"�• - PERMULN0.00070050' .
OWN,
NA�LSON JAMES E - - APPLICATIO07V+1/2000
CIA-Y-41 ,;luecyeH ':oma
+ - A I f . SANITARY NO. CONTROL NO.
ZONE: -
OO ARCHIrrCT/E:NGINF.ER: - I F ' t'• - - BUILDING PERMIT INFO-, -
/� / BLDG — I--LECr h •'PLUMP MECH
Z Z LICENSED CONTRACTORS Ill CI AIIATION' - Job DOSUIptlnn 4
O Z 1 N force ff Ih EI n I e:'d d p " : CCh pt J( mma g
Q tx•u, wms r 9000) rn 3,r me Ban dP f cd allyl ns REMODEL
CxZ� is II Il _nd effect.. /2j, S7 J�J/� •
k O�O DmLictp'a Cl� I /� Gmwcu r r..
pe w�� T S DECLAR
� � I J :I d_Ypl haIIM1 d 'p 11' d. y��`�
LoO LicensedP f ul - r i - /—Ic• J/ / —_— y•.
OWNER BicarTt on the C DECLARATION /T - /
I h by ff tl I I n pl l nth C tr I L L -ler the 1, - fel-
t:Z G tolmavir,heaven.(Scormn 7031.5,Business and Proessiolov Core.Ani,miy'm county - . . -
Sa'i❑ nlcb '
wyp 'u .tIII pdemolish,' reB' any steae
- .
a,3$ pr t :. I y ' .th pll U hP 'n file , J mI nl ''L "+ '•
o dmn ea p '. I I In"P n1 c - I cc Lo (ch pt 9 Sq:Ft.=Floor Area - .. VANL 0 .
(w mmenc mg with Se l 90(10) rD" 3 ort B nd P I..' C le) _
'nr Ih rhe'is c.ma,I
y lamoroon and
rthe basis
e ['t:theall,cal even
:plr 1 p,n Anb,vl p,enId'otnr _ 1 , , t 00 - Otto ane TyPetaf t e Iran five hundred nnlmr,($100) ApB], �0^9
'
°I,ae uwner;h the prope Iy,nr my cmployccr milk wages a,Ihelr sol,eme,mnsm'mn, +�
will do jaoork,and he loolloneI uncured or offood for saleIS 9094
Biner,s,andI fie:, CJ .The C Irm I' ,e
el , 1oes nI apply mut — eCtIOnS -
of prnpen>Whobinds or mprnu r he im and whodoes such work himself -1lD 1 FOU�ESF9 fIhfiP
orthrough 1' ply provided tht such'improverseartsm,not intended or c .101'x.' PIERS a
,fedl .al Ifhowerthb- Ib improvement I it ' y f
'n 103 UFER :
t
improver p «: r
.,,
104 REBAR
�...
°la ar fthe p PtYa1 cla ly I tg thl d t,u "t pw'
tm p-hc1(Sw.9094 Bus . rtP,messnaaCode.)The c , t 10-9 '-ANCHOR SOLT-
consumer
lame does a supply"t n fproperty 1 b 'Id p demos . . ..
. Sad h counsel,c f r such protect,A'B tmemGs> n d pu:num t me ' 1.06 SEWER. &• WATER `
. �a .r I . I cn; L. " 2-02 — UNDERFLQOR PLUMBING, .
C r mrs e&Pc1' m.. I I=
Diane,� 21D3 UNUERF;LQQR MECHANICAL
aRKLR's coMPENsanolvD cLAI ATIo 204 .— .UNDERFLOOR 'FRAME s
I .. ..
Ihereby
,affirm ,ad,,penalty'.1 iuho.1 efalowingdrait,
X05 UNDERFLOOR INSL
LA,
TIOf
N
jll h...and ,d] n Cana lr a m I,,W nkcr's
Compensation, ax p 'd for by Section 3700 of'the Labor Code for the "301•. — ROUGH. PLUMPING"
Perform of,haw kr haint,p t sshepR SHOWER— TUB O
'oEnaJI tnt' wk :c ,< nl ' a Jbys
3 303 ROUGH MECHANICAL
]Ot
of the Naber Code,far Iho p rfor mee of(he work for which this permit s - „
av d M W�er',Cnn metfon'loom c 'nicra dNdyma be,on,'
a i. t y I� Y X04 — " ROUGH ELECTRICAL-.
cati er1 5 R.N�( Pont,No.', - - - - ?05 y FRRME .t - _ -
CERPIFICATION OF LxEMNPION PROM WORKCRS'.e I ., `
COMPENSATION INSURANCE •N,e .306 H01.-60WNS
0Th" section need In completed ithepermit isf handeddollara - 307, - ?INSULATION ,
IsrnBl n .s1 a`'i . 30FS SHEETROCK. . .
Icentify,thra in flue p f,)...imice Udic workf 1 h qI4 penni,I,mmod,I al
Pool I employ- ,person I.am,e Z an son,toheaan, heclln he Workers , 309 • EXTERIOR LATH
Compensation Laws of California,Dater310 INTERIOR LATH
NOT TO If,after making his ETC ratenfant Eanphan youshould
hw oo D,W k e u,s ;t nn
r 3.
nhewou-Cde.Yoprenl 311 SCRATCH- COAT
'Q flaboa1h loardy with. h 11111.1.11alIs this permit shall be'd,ormd revoked.
313 :- ROOF NAIL
17 m noNLLrvmNcncENCY - — , ' ELECTRICAL'ENERGY.. +
CONSTRUCTION I he hypil I t N N 1 I td G as n v r me eerrnrtnonee 501 FINAL
�'i
ofIhe kf h'cl this erml's'ssuel(Se 309], o, ) —
y p Lad N p 'CC
SO2 , ' FINAL -PLUMBING ENERGY
� 0 ;Lend a
o ". 503 — "FINAL MECHANICAL •ENERGY
IcertifythatIh mad this application and let,this,theshow,inl imimp"
0y [Vr .cIno M1 Wt I floor II 'I py JiM1th 1h)Y',IYth d pty: Indicate,
red
I d, t I a eng -
504 FINAL BUILDING ENERGY
ILentcrupony
W4 the b ,e eilnmdpemptilyr ' den I purposes 505
FINAL ELECTRICAL'. t
F p, ". r g t as "pouand keep n y m Cty rep Inn b sI Issued b Date- - r
APPLICANTUNDERSTANDSANO WILL COMPLY and y e butt id' �"I0F — GAS TEST
Po linh ue. v);,m m I J put. ban only ..,.
m.c UNDERSTANDS
R the grant ng D W L 1
U � car FINAL PLUMBING
W ITH ALL NON POINT
SOURCE REGULATIONS , " Y -
signawreufAppucandennnaatur Date Re-roofs 509 — AFINAL GRADE .
HAZARDOUS MATERIALS DISCLOSURE I. _
t Will ppral rI cn 11,g p l,, alehaxadhm,onl 1 . 'r e'ofRoof X10 '= FINIAL PLANN aslf dbytheCap l M P tde,Chapter 9,12,in1 the Health ands Safety •.,.
Core s r,n2553z(l ` 911.4 FINAL PUBLIfCgWORKIS
°Y !°"•° -All roofs shall`be•inspected prior to any room mat ena being installed. -
a
wu In ppl t r t Id' g -eequipment e a n en If a.roof is instMle out first obtaining art inspection, I agree toremovemit h lusarwm t d nethylh day Area A earthly Management
-
��"` ove. - all new m5[ -s fo r coon. Applicant understands and will comply with.all Bob- t so Mations..
1 h d the h d tat rlaI ey e'I d Carter 695 Pll e
C Cwt t Health&Sal d user' 25505 25533 125533 J .r J drat
I,th b11J' bd ih- arc tlhtt .
ecapanl I'In quireI, mutM1 tpr+rme a eora Cenifct f.
°e pa°`y ore o A"pplicant Date
ow nran ,m_tg.tlt \ Date All roof coverings•to be Class',"B"`or better ,
r
u-