99080086 CITY OF CUPERTINO
BUILDING DIVISION PERMIT. CONTRACTOR INFORMATION:,µ
' BUILDING ADDRESS: I PERMIT NO - •`
10531 MANZANITA CT LT40' 99080086
OWNER'S NAME: " ' . 1 1. 1 " APPLICATION SUB DATE -
THE OBRIEN GROUP 08/12/1999
• PHONE: — ` _ ,/I/I 9V NITARY NO. CONTROL NO. ,
J
O Q Z[ARCHITEC717ENG191.1. BUILDING PERMIT INFO
µwk {,�-,{ 'BLDG ELECT PLUMB
. .PLUMB _ • M SCI
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LICENSED CONTRACTOR'S DECLARATION
'z5„3 Inercn frim Iiorlccll,eanmlar rchamr9r nen . - - JobDeseription
��Gan with Section 9ign)nr ' 3 Of rho Im p dP niv uu p nnniYlcemnve
srec ti Lhrenxiurl canJc L a BMR: 1421 CONDITIONED, 330 GARh6E
p Oma• c , ,
tLL y ARCHI'I I CT.S DI CI A
w re j I e my plans shun,he used m pub,¢rccnNs
sec Y�
-W p O License)I'ruressinnul
p' a�' OWNER-ii IJILDER DT:CLARA'nON. .• ,
I hereby affirm that 1 men exempt frour the C t 1 ' Law for,he
t Z Q
folicesing reason.(Section 7031y.Business and Promassiom.Code:Any city or county r
FOw wh h R uis comarect, br.improve.d ^hrepairysomeone .
S3gG p : ti t In G n ,pr , hn ti filOa,i,mobd,lermnr
a.
[It.,he is licensed pas tit ,n p n:oil it,,c tractor Liortra,Use Clualue,9 'SqFL Floor Area Valuation '
(commencing with Seen.9001pof Division 9 of the Bas ties,a ad Prolbeninne Come) . $14e^950 '
or that he is exempt therefrom and the basis for the alleged exemption.Any violation
of5ecrion 9031.5 by tiny np,licam far a pemutsubject,,the applicon us a civil penultr
stn.1nomthanFivehnndreddnlmr,S5tth APN Number Occupancy Type.
0 h as owner ordie pmpcny.or my employecLwith wages m their ade compenwtion,
ill
wdo the work,and,he structure is not intended or nRered for sale(Sec.90W,
Rueincsa and Prom,uinnv Cnlc:'Ihe Carl mmor'n Llrcnec Law doors no,apply I.an " Required Inspections
rr of hmpeny who builds nr improve,tImmon,and wire does finch work hinmself - '
through 1d,own employees.provided that such improvements are nor intended or - 1.01. — FOUNDATION-
nRered far sale.If.however,the building or improvement is sold within one year of 1,17)2 — PIERS
completion,the owner-builder will have the burden of proving,hat he did not build or
lmprova lin p.")a,otrade.).
103 — UFER
01.as owner ollhe property.nm exclusively contracting with licensed contractors it) 104 — REBAR
onswet the forgoer(S .94,Easiness tun
ess and Professions Code:)the Camrap,
License Low does not apply man comer(1r prupeny who build,or improves deacon, 105 -- ANCHOR BOLTS
and who comliwit
mes fit such IF jees h a.ontmaor(s)licensed pursu.m m .
the - '
Cingracme,Lice.iOLow% 1.06 — SEWER ' & WATER
0l am am-PI under Sec. ,B&P C for this mann
Owner Date 202, —' UNDERFLOOR PLUMBING
WORKI3R'S COMPENSATION DECLARATION _ 203 — '"UNDF_RFLOOR MECHANICAL.
• I hereby afmhnnaer Penaltyor riinryOne othe following aeemmtimms' 204 UNDERFLOOR FRAME.
❑ I have and"will It...min a Ca,9Eeue of Chosen( no self-Insane fm Workcr's 205 UNDERFLOOR I INSUL PT I ON
Compensation. as prnvidM for by-Seadon 3700 or ,he Labs, Code For the
perro,mance ante»ink riot wman this retinal is isa.ea. 301 — ROUGH PLUMBING
D I larvar und will'no;of Waika,-:cunt , I m abySt I'so 30r' TUB & OR SHOWER r -
3)W f theLab Ctrl 1 r til e f lin f the sorksf which this permit is s
Isfaed.K mscmpe. - ancec a oil Path Itap. 303 — ROUGH. MECHANICAL
Gad - 304 — ROUGH ELECTRICAL„
XZn
FR 1 tKLRS 305 — FRAME
mothecompleeaitmepeardtisFuturehm daollars 306 — HOLDOWNS
exr - -3l'�7 — INSULATION -
1 oxdify,hre halite peopern ee Of the work for which,his permit is i...cvh I
shun rpt employ tiny person in any nornae„o as 1.Ince.me s.bjcct I. be Warkca 308 — SHEET ROCK .
A,hc.....tion laws of cwano�'tII "°t` 309 '— EXTERIOR 'LATH
AP o"Out
NOTICETO APPLICANT.If,a net making this Cerdficme or Exemption. is.should - .310 — INTERIOR LATH
subject to the Workers Compensation provisions Orme Labor Gyle,you must
z 0 ronmvime...rid,with,,orhpmv..Ian,OrInk permil hell bedeomedm...kcd' 311 SCRATCH COAT
CONSTRUCTION LENDING AD]:NCYF -
I hereby afnmh that mem i,a construction lending agency for the performance 313 — ROOF NAIL
nnnework for wnichthi„pernatisi,spedrse..3o9zem.c.) 501 FINAL ELECTRICAL ENERGY
q Lender',."are L. PLUMBING ENERGY
V z Iwnder'x Address 1 502 FINA ' .
1 certify that I have mail his application and state the,In,above iNormatan i, 503 — FINAL MECHANICAL ENERGY
W H' ....cc,.I thyme,.comply wire all city and=numy ordinances and alae lows rchear, "
o e� ,building cismrroh and erebyauthorwareprcs=ntahve,,armi,cdymran,r,m 504 — FINAL BUILDING ENERGY
the admbc-memioned pm,ri for in,pectinn purposes.
CL. he"011ul
agree t indemnify ndk ph lessthecty fCpe,fanagainst 505 — ' FINAL ELECTRICAL s
Um hant: .r d arctic h n try 4”, against aid 506 -- GRS TES'
y Cimaterial f yrantig rani,
APN LCOMPLY , ON ' INTsoLi1,1 Issued by: _ Date
n to Re-roofs 508 — FINAL.. MECHANICAL,
IIA7ARDOUS MATERIALS DISCLOS :
wdme.pphcom or r.mre huddingexec.pan,.urm 4 handle ha,:wau,na,mrial Type of Roof 509 — FINAL GRADE
as defined by the Correction Municipal Coale.Chapter 9.12,sad the Health and Safety
Cade,Section 25532(x)o - 5111 — FINAL. PLANNING '
0Y All roofs shall!Dg ipspeclptt 4gl gLtolaliyfWqfjgg"Mil installed.
.wu ai ire coat f t oho Id g pa t a. q p t - de which If a roof is insFl�l�.d withiT f3pt gbEaij�gGQinpBggtjon, 1 agree4o'remove
.emit M1a rd t tit' d f Jbym Bay”' A rm dev 'gement
• DUI lett all new materi fpr Ieg. , AMQl"Ertl\Mderstands and will comply with
0Y "` all non-point
I have read,he narardnns noeria1,regmremenu under chapter 695 of the - `t' IN—PROGRESS
C.lif.rnin Health&Stray Code,Sections 25.905,25533 and 255)4.1 undcrotanA that - r
ifthe hu' mg dues no cuhrcmly havcdmnan6 tbm it is my rcspan.,i jl by to 9off die
recti r tithe requirements which r a he me,prior w is,vun c f a Cen' calm of
o` a Signature of Applicant Date
t aayt a,a All roof coverings to be Class "B•• or better
OFFICE