00050219 ... CITY OF CUPERTINO - - " ' - -
BULIANG•u1vlStoN - PERMIT.; CONTRACTOR INFORMATION: ,
4
BUILDING ADDRESS: PERMII'NO.a
•OWNS SNAM1p0467 MANZANITA CT 3/L:T4 - - -;' APPLICATION
HONE: —THE OBRIEN GROUP „ < SANTT IARY No CD ROIINO
"er100 ARCHITECT/ENGINEER: $UILDING PERMIT INFO
RUDG- f ELECT . PhUMB MECH
e�°� I"�''I CI r
CCLARATION • 1
NTRACIORs '
o watts cl 7from r , -Job Description
CEN DCO
h by ff , 11 h,B aw p fChaplha i ieonm call., z
gOZSy� n Cihc Bu n.cand YI -
EYK¢ Is in fullf IffYY[[//" I .N [:!5;,,
omusy ..
Dile,
� cHITECr s DrcE
�o 0016 LIVING''SP 694 GARAGE"
�.� a 1 'l' i YPI lall be usW a:phicre ads_, ,.
O O
Licensed P occalaral
m
OWNERBUILDER ULCLARATION (,
- �ab Iherby efllm her am elemp"finallthe Coal l Unable Law sh,the
�+Z d, following . Semirm 7031.5.B . a nd P f - C tde A Y LY IY _ S 2
wh l airplanes p I, , t all 'mp Ilds cp' any e l Y
�3�
priarto itsq ,h ppl ant for such perhat toflea signed doembent, r
maln Ice :ap ,leap rel c , 1p Lcen I icnvlr9 -'
� (en WealSed ]Wf D". 7 fel ❑ , d f :Cndq - - Sq. Ft: � Valuation
'1 or that Ile
's exempt,h f and tile hi for the 11gd exereptionay Pf
of Section 7031.5 by '
-
'
any th'ap ,: hJ 1.,h appl eon �' Ip by
of hen more man Use ht nand dollars(S500) APN Number Oc$p3[tpy,'IVRe
El Los n RI P I lY mYamployth wagesa Ifirairalli compensation, It
,'. .
will do Ile mls,and the merchant,is nor hatemled or offeredf I (Sea 7194
Hdamw,and Pratcoloon,Code Tire c l cl r Lacemse Lmv,dw,act apply, n sl' ' Required Inspection~ ,r
r of properly Wh old members ama , es nod who dooh work h'meelf
,bar
his own employees persisted th,lack h1powernent., ,intended or -
alI'ercd for sale.11 however,the building improvement is Nd within o,e year of S - r - '
l - meow will have lh h 1 f '
enpelm e pruvingenalleddnelbu'''"r 1,01'-'— FOUNDATI^ON' 4 '
improve for purpose of side.), �
°I aa ,bar ofth property,am w.cloolely marectinj ,it,It,,ca d labralmani h' 102 PIERS -
n
conam l m p I t(Sar.7844 R d Profession,Cada.)Th Contractor', , 103 — "LIFER
Licensel d apply to n e rproperty l h II d, re 104. ' RE$AR '
and m .."tract,t such p-leds wlh contractors)de)I d p muvm l he - "
- -
Ceremonies License 1 u -i '
°I nexempt order 5 R&PCfor this r e 105 ."RNCHOR BOLTS '•
.Owner I ` , Daleo 106 = SEWER'.' R'' uIATER,
Iwc" ,•,WORKER'S COMPENSA9'ION DECLARATION -
202 - UNDERFLOOR PLUMBING
11 hI ff d penalty fp I y e M1h fII ,decimations: '
( 203 UNDERFLOOR MECHANICAL
"OIhtr 1 Will ,al aCrifal fConsent , If' f Wok : I .. _ - -•
Cmapen.al poo,cled bar by Seclimn 1700 al the'1 her Cade m the ' . ' 204 — 'UNDERFLOOR' FRAME
pert Rh k l 'h eh lh':pe , d. u t
205 ,— UNDERFLOOR `INSULATION.'
EJ I base ad b maintainor ker'C _ p l Win: erelatedhpermit
Slimier
- .,301 '`ROUGH PLUMING ..
J)Ilfl(if Libor Cod f the f f the work h Nes erm e "'
Issnel My\ iaroc earl le, men l� - itPol yn �. .30E — TUB" & OR SHOWER
'fir `r l -EX IRDM BO Rs ' 303:1- ROUGH ,MECHANICALt -
COMPENSATION INSURANCE l ,I. ✓ m
304 — 'ROUGH ELECTRICAL-
lrhselei ,a:anmbece"Imel nneperdllsrn n n:iraanlhrc 'x'09 '�-.FRAME "'
(sulnl less ^axe3 ,
I nf,NsYith p r foe..,k for n b(h:p , e l - - '30r�.6 — :H6LDOWNS:' - d '
shall nm employ ant p any manneras m hecnn,c,unlee,le lheWorkers �YJ7 ,;I NSLILAT I ON
Compensali%Lows of Calf Data xo .a —
Applle e, - a 308 ,—:-SHEETROCK
NOTICE TO APPLICAN I' If B makingthi C nl al fExemption.- y h old
Ween . h�e,l thew k e op n,ora,eLnComql 309- -- EXTERIOR LATH_
-Q 0 fnnhw th ply with h P .. s or this permit sh;al bed coed revoked.
CONS rRUCTION I ENDING AGENCY
310 —. INTERIOR LATH
'a 'Iherebvafrrnt lore construction leading agenvf thepermnn '^31-1. — ^SCRATCH COAT.' �'. .
W.r' of the work for whbh,h pontis slued(See 3(197 C'v.C)
o. p Leader v Name - 313 ROOF..•NAIL r:" ..
.,D,Z Leader'sAddress - . , -
u o500 .-- FINA ELECTRICAL ENERGY
I '
n'ryth 111 read ppl e d state n f el '
W try
correct.I a8 t ply with II city d chancy ordinances 1 start I totaling :r 02 — FINAL PLUM$INGENERGY
'
Q V huddle, .l i dh by ,h p cool fit lyl e, p _
w ''heabdpnp ric m 03 FINAL MECHANICRL ENERGY :
fry, (W) grc , i 'fa. y ekeep h .IheCry IC per g nl t`Y :
rn ihm,ll g l: l J p h n yinany y r , d ' '-504 FINAL .BUILDING ENERGY ,
Uz AiP JNDERSbgDSngi�C'ILLCOMPLYWITHAL a �l
y ;505 - '.FINAL. ELECTRICRL
•so RRICu TI s t7ZL 1 I bDate
.S gn R'ifAppf a Dwe
' : Re-roofs
HAZARDOUS MATERIALS DISCLOSURE
Wudm appzanl It dlang ' p 1sales er ha dl md soar al 507 FINR_ '`PLUNBING
def d by theC p n M pal CdChp9nthe Health Sfly, cl p , 508 FINAL MECFRNIC...
R °
-
Curl Section 25532(sn _ a
-�
09
` All roofs shat' sec to
,�(� }��]' n material being Installed_
O'a,1 ppl, l m, n k g c pa , se cNir int le I' h If a roof is inst N�t9 N742, �P3�o I y echon I agree to remove
an Ih dosm,coven l .afired by lh 6y Area A' Q I,y Mavgen nl .-- y.
tric-7 all new.materix5l� fbr`insA(1lWi.LXR1&ntlt(tndAN l4 t d will comply with
°Y` H all non point fib&®ult 6W,. <PI_Y.WO.OD NAIL ,
r I hou,tad he'ha rL a1 r q nle nha Chip,,,e 95 erm 603 '-= ROOF BATTENS :,
CaliforniaH leh&Safety Cade Sections 2550525533 and 25534.1„denland that
feheh Id' g _ not dybo humanit ll,': y sp .el if,y, notify'[Ile 'p . h, t — _ n -
"604, ;ROOF IN�PROGRESS r
uup e ry remens winch my�l el p nen ssu nee f n Ceri Bole f ' -
occl an r - t '! Signature of Applicant
Own odpe agent f ',Bale All-roof coverings to be Class or,better -
.. . .
-OFFICE