00070118 CITY OF CUPERTINO
ouu,nr};VIN ISION mrlmq:nmIT CONTRACTOR INFORMATION:
rq BUILD]NO ADDRESSPERMIT NO.
SCHERPER FREDERICK 1-1 AND TOANN 0:7 /PL'A 2000
OWNER'S NAME: APPLICATION SUR DATE
PHONE: SANITARY NO. CON I Rol.NO.
Z
II
ARCIIEC'1',17MCNICER: BUILDING PERMIT INFO
BLDGIp,liCl' PIAMIS NIECI
<z IJ
LICENSED CONI'RACI OR'S DF,CLARN'ION rel llOn
.o o,c 1 hereby atrrm IT:,,1 am Lo msed..,do,powlsioas of chndc.9 m,mnmaei„g REMODEL K I fLi11-�L9dc P
oz- with Section 7(X%111 Divi,inn3of,he RusinessanJ Punfessiun,CoJgend my license
in Lill fmcv and effca.
ps < Liceme Class Lic.IT
se O Wi o Dam Cnnman..r
au is to s- ARCiII'IEC,"S DECLARATION FI'NALED
i=O G I understand my plans shall W used as public mcoNs
w r-
w u=p Licensed l'micssional es
e� (Ind I ald EU1LDER DECIARAIConli ct( MAY O y 2001
c =m hereby rema .(Sec,lis 1 1. cxcmp,lion the Cnnour,Cu Any c Law fur Tic -
t-Z 0 which
fallowing tuics a )Section 0011.5, t,adeor, and ,' .dcsinns h,o, Any city nreoumy
el ee which its issuance.
s n Permit re c..res the,applicant
nt or such
h ferm,M1,nr repair any lamcere
el prior i„issuance,also requires the mpplicum for much pcnninn Tile u signed mu,emcm
-- ,wt he i.hcensedpursuan,othe provisinn.or the Contractors Licenwww(Cheater 9 Sy. FL Floor Area alum Ion
(comnwneing wish Seclinn IIXXII of Ulvi.inn 3 df tle ilusine,,and I'mfns,ions Code)
or that he is exempt therefrom and The basis for The alleged exemption.Any violation
oo'did Than
e ahundred dollars(a$500). wn eats ihvupplioa-m macivil penalty AP t
Occupancy Type .
O Ion wneronhe propcny,orany employes wlm wag,,as ihvinole conpenv pion.
will do the work,and,he mmnure is no,intended or offered for sale(Seo.7044,
Bsuincss and profn..inna Cod,,'The Commumr',lJoebw Law Joe,not apply to an i e .pections
r of property Who Wild,o,improve dicmnn,and who utas such work himself 102 — P I E
,,,.through disown empbyccn.provided That such improvements arc nut intended or
offered Lar do.It,m,w...I.The Foaming n,iinin+wemu t is sold wind„dna Tea,of 1.03 — UFER -
completion,the,woushuimerwill have the burden ofpmvmg That he did do,build or 7.04 — REBAR
impasse hd purpaw of sale.).
etnl Tunpny,ainc,cm,ively cm,...in,with Blauvelt manometers to 105 — ANCHOR BOLTS
no.......lie pr„ien(See.nwa,Romees.door Pmfe,+ion.en,m:)TM1e Contmcmr. 106 — SEWER & WATER
License Law dons not apply IT an owner of property lobo build'or improves Thailand,
:rod who contract,for such project,with a comracdow licensed unsound m me 202 — UNDERFLOOR PLUMBING
C,mdddo res Licen,e law.
0 l am exempt�under�S�ec�.�� .n x P C rM this mason 203 — UNDERFLOOR MECHANICAL
r woGMrENsnTIGN DECLARATION204 — UNDERFLOOR FRAME
wee Ihereby af(m,underPenaltyofperjarrnneofthefollowingdeelartiorm: 205 — UNDERFLOOR INSULATION
0 l have and win mammin a Cenineare of Convent it,self-inure for Workers 301 — ROUGH PLUMBING
Con,peneatinn,
;is provided for by Sectio 3700 of ,he Labor Cale, for the 302 — TUB & OR SHOWER
perlornance of The wnrk now hich,his permit is issunl.
D haves If vill maiumin Worker.Columalind h„mance,a,unlimited by Section 303 _ ROUGH MECHANICAL
3700 of The 1alvar Code,for the performance of the rok lar which,his Penni,is 304 ROUGH ELECTRICAL
.and,Fly Worker,Co..No,.aid Insurance carrier and Pohey minister am 305 — FRAME
Carton Policy Nn.: L�
Ci!RT7pICYI'ION OFEXEMI'lKIN FRONT WORKERS' 306 — HOLDOWNS
COMPENSATION INSURANCE 307 — INSULATION
IThi„enindTendno(neeomplonal I I,epemdtisEll due hood1edacE°r, 308 — SHEETROCK
SHM)or to,,)
I comity in.,I,,lb,permanen c offle work fm wldch,hi,Permit i......d.1 309 EXTERIOR LATH
OAT not employ any person in any ma ren:is to become subject to the Workers 31.0 — INTERIOR LATH
cm.rov n law,dfcmihndia.U. �”
Applicant
NOIICETOAPPLICANT.1Lneermmkn,gthiseemhcamofe,emp6on.Toa,nnuld 311 — SCRATCH COAT
Isoclinic subject,,,heW..kers Cmnpenarod pmvi,dod'of,in Labor Cale.yddida, 313 — ROOF NAIL
forthwith comply ,in such mAkiun or this permit xhall he blamed revoked.
F ^ CONSTRUCT ION LENDING AGENCY 501 _ FINAL ELECTRICAL ENERGY
> the,eby:dnnnmmthem iva nm
nochm,lnddmge
gamyforthelarfnmame 50^e FINAL PLUMBING ENERGY
W of The work for whicb this panni,is issued(Sec.3(X)7,Civ.C.)
o q Lender,Name 503 — FINAL MECHANICAL ENERGY
= Z 1<nder's Add—,
U O 1oeraymalIha,ereadthisdpprenaonaddaidedortheabovehih,rrmati,eris 504 — FINAL BUILDING ENERGY
e F cones.I ogre ,,comply win,all city and coumy ordindoees and care lows rlatmg 505 — FINAL ELECT R I C
O U u,building conimesion.and hereby authorize representative,of,M,city m enter upon
aur ehove.menhnded proplo,)ku tnpeclinn pM�owv 506 — GAS TE,.
F P.
(Wo)agree m save,indemnify and keep h.)c,,the Ci,y of Cupertino agmina —
m Iinhihae,,jadgmem,,come add e,pease,which d,ay m any way acme.,mint said 507 F I NAL PL B N 'f �^—�
U Z City in ourobtuenec of The grnming of this pco nit. 20
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON.POIM' Issued by: 508 — FINAL LDate
OURCE REGULATIONS. � —
Sigrid n of AppleuntlCuiu..r Dasa Re-roofs _.
aAZARDOUSnmNINTER1A1s DISCLOSURE 510 FINAL LANNING
I Wdithe applicant orfuture Wilding occnpantumeorhandle hm:,rdnosmenerial Type of Root' 514 — FINAL PUBLIC WORKS
a,dcllnd eby the Cuponinn Munirlpal Cads Com,,,1).12.and the[]-I'll and Safety
Clark,Section
25532!x)'! 0 N
All roofs shall be inspected prior to any roofing material being installed.
Will The arplirtmq,fume lwdding<xeopar.use eyaipmem ur device,whitl, If a roof is installed without first obtaining an inspection, I agree to remove
end,banana.....fur r....a i "ill idmM by In,)fay Aeea Air Q,ul'uy.Mam,genme
Di,mv,7 all new materials for inspection. Applicanfunderstands and will comply with
/ o5'e, 0 N all non-point source regulations.
I have cad,he Safari ma,ariuls requirements under Chapter 6.95 of the
California licadh,4 Surely Cbdq Sev,ians 25505,25533umJ 25534,1 understand tial
if,he building dries not currently have a tenant,that it is my rnplanoldli,y to nasity the
occupant of the requircmcros which must he,met prior to issuance of a Certificate of
Ocrumbio, Signature of Applicant Date
Owner otnuriredag� Den All roof coverings to be Class"B"or better
OFFICE