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CITY OF CUPERTINO
CONTRACTORINFORMATION:
BUILDING DIVISIONPERMIT
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BUILDING ADDRESS:
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PERM[ I'NO.
(IWNBR'S NAMP
1054E MANZANITA CT I_T35
U3 /'� �� ��
APPLICATIONS
91MA0073 '—
%
(,HONE:
THE OBRIEN GROUP,
SANITARY NO. CONTROL NO
08/,1,1/1999 -
ARCHITECTIENGINEER:
- BUILDING PERMIT INFO
-
.BLDG FLECr PLUMB, MECH
LICENSED COMfRACfOR S DECLARATION
P•f "'
lob Description ill
0 1 her by lira that I I c ns dJ d te v .Ions of Chapter 9 (mmmencmg
.
ahs i 7010) d'U fth Bu Irl nd u tu'li'moe
11 It r u r
Dal /{r�yl}J/[py/ft
IunJvmanJ my plARCHITECT S DId, used as pnh aIIL�.anrae
SFDWL
3719CONDITIONED, 481' GARAGE SPAC
'
i Licensed Pml'a,ionel-
OWNER -BUILDER DECLARATION
1 herehy aflimh that 1 am eaempn from she Comb car'. License Ww far the
' hollowing « aeon seed 17031.5. Business and Ve.ficssiens Cede: Any city nr eoumy
l which mien . a rennll to eonmrun, alto. improve, delmli,n o, repair any enamors
prior m is inu:mre, aho requires the npplicam for such penniun Blu a signal ktalemem
Sq. Ft. Floor Area
Valuation
dwl he is rcened bormam to thepmvi,innn none Contractor's License low(Cibiber9
(commencing with Section 7") of Division 3 of the Hi sines and Professiom Code?
nr (hat he is entomb herenfnne and did ib, a for the alleged csempliom'Any violation
-
of Section 7131.5 by any applicant for;i rynnil suhiecls the applicwn m a Civil Icnmly
ofnot mom than ivehundreadolfer„S5ooj. '.
-
- APN Number
..
OccuS ancy12ype
❑I . owner oh pr pc ty y ply 'th..'re,.. theirpe . f ,
.
will do the wits, I tire I l o I, no, uncented offered for -fe (See. 70TL
13 a d P 1 .,i : C J: The Connector's Uvribe Law dec, not I ly t t,
'Ids
- 't•
-
Required Inspections .. '
caner of property Who h or infictive, thriven, and who d e, such work himself
or through his own employees. provided that such improvements are not intended or
-
offered for sale. If, however, the building m bar searenl is sold within nue year of
iompleli.n, Iho owner.hnader will have the bunlen Lir pmving than he did ran mild or.
mprm•er...... erm'ewe.).'
1.01 —.FOUNDATION
-
..
01, as ow her of the Property. too eselmn,ely enameling with licensed coamcmdm
- 102'—
PIERS '
construct the project (Sec. 7041. Baroness and Professions Cnde:) The Camrenor's
1.e0�,,3 —
UFER
Cleric Lawdoes notappfy to arolumel oprny who hmIdeor improve, theroid,
tend who contracts for such projects with a vmttracter(s) licensed pursuam to the
1 —
REBAR .
Com
memrs License Law.
❑1amesemplorder See . B@PCrmthiereason
'
¢n4
105.—
ANCHOR BOLTS
Owner - nate
WORKER'S COMI'IiNSA'I'ION DECLARAI'10&
106 -
SEWER & .WATER
I hereby affirm under penalty of Perjury one or the fonnwing-derlamuon::
202 —
UNDERFLOOR PLUMBING'
CI I have Yell well moimuin a con,rm to sed-iti m f worker',
01 haeaann.:a,
203,. —
UNDERFLOOR MECHANICAL
prpvnwi lotCerin,.ed.r
seelmn 3700 of the Cann, a.le, for the
.204 -
UNDERFLOOR FRAME
Petermann, of the work far which this .it Is issued.
20S —
'UNDERFLOOR INS(-ILRTION
❑Ihave and will maintain Worker'sCompeneationlnsmanfe.asregnirednysreinn
3700 or the labor Eta -t fp ran Id,wink r can fhdne pm out
301, —
ROUGH PLUMBING.' '
issufd.M ersC Iince r and Pnl yy rob rhe:
p
302 —
TUB. &'OR SHOWER
Carrier _
.Plc to of I PRo
303 —
ROUGH MECHANICAL
'O GNSA'I'ION IN JRA .E
f
1 ' 304 '—
ROUGH 'ELECTRICAL
(Thi>eee mored nal be eomplemJ if fhe Permit i,bi_�=h nJred dollars
(SINTArlea,.)
305 —
,
FRAME
I ennlry that in the perforne ner (if wad, for which las permit is issued, 1
306 —
-,HOLDOWNS ..
shall nu mopltly any person in any manner so m to become subject to the Workers'
Compenealin.LawsofCelifimi..Dale
307 —
INSULATION
ica
NOTICE 10 APPLICANT If .0m ,ki 0th': C rnmemeoft xmnlo n you should
1 308 .—
SHEETROCK -
becomehIelmthe W kr.c pileal p cord In C yonsuet
forthwith .ugly wish u h p i nr th p .hall he I ane nkcJ.
309 —
EXTERIOR LATH -
CONSTRUCUN LENDING AGENCY
3110 —
,J
INTERIOR LATH '
I hereby affimhlhuuhere kacoadmetion lending agency hnthe Performance
for
¢�\J
'a' / 311.
SCRATCH COAT
orlhe work whleh In, retort is iesuvd (Sec. Jan, Civ. C.)
.rw N
_r _
(�.-/r'i
313
ROOF NAIL'
Leal Ad l
I ceril, he, Ihave d his re,hernodthin the above mlrma,one
. 1. —
FINAL ELECTRICAL' ENERGY
correct, g t _ comply d elf city and ly'iordinancesand ml r uponFINAL`F'i_UMBING
.
ENERGY
lot buildingdh elmm�e,(if lh' city to upon
me nn f for furrows.
prude inspection prat.
3 —
FINRL MECHANICAL ENERGY
o. rC p ndn age id
(s, bid” et sue indemnify d keep lnrmlei the City way
.ludg con, I,vs which ty'h�ny y error fbi tet raid
C7,PInabi
Cit In cons a oldn'
g n p
y tl'thc granlin 111 Ie (rams Y'
- ._
-'' •a
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APPLIC I'DERSTAN AG ILL COMPLYWITH ALLN%`�Nf- )1�q
souR RE .A ` ID/H��iJ
m
Issu d by:
Date ,
signmury 1'MtRm, r - - )ala
HAZA SMATERIALSDISCLosuRE'- ''
- ReOOfS 504" —
.
FINAL -BUILDING, ENERGY
Will the applicant or future halding oecuryal slum or handle Enterable., arsenal
us defined hythe Cupertino Municipal Code. Chapter 9.12, unit the Health and Safely
Type of Roof
505 —
FINIAL ELECTRICAL
Cotte, section 255320)^
ElYes ��(Inn/ ''
` All roofs shall,b'e�Fs ecl'et,C�t�d�
tT9ATroofin�*material being installed.
Will the eppliczm ar fuurchuilding mention use equipmenim der ices which
hazardom,
If a roof is insta� iffiotff TIiNRbttt6ititi�MRf i4$; etion, l agree.to remove
emir air coaamiwms as defined by the Bay Area Air Quality Managemem
Distort? I
Dyes -'
all new material$tUinspeEtibhtAAppMEarni'ifrl[iHft AHs and will comply with
"all
1 have mad the hamulms materials mquimarems'under Chapter 6,95 of the
non -point sogp0s9egul
Itig IgAL .GRADE
'-
California neaIth&Safety Code. Sections e505. 25533 and 25534,1dndersandthat
- 510 —
FINAL PLANNING '' r .
if the bpildin lues not minimaly hioda creed,fto it is my m' bit i nu.fy life
requbetmrlhlewn_Ichmu,
—
FINAL PUBLIC WORKS .
oMeupait ohmpntdmis„a,fmv.� ars dnemenr
ecap-
•`314
ycr}' ..
Signatlfre of Applicant
Date
- All roof coverings.to be Class "B".or better
Ovine annmirdi..t Lure
is ' ' _ OFFICE