02010074 (2) CI suOF
c Dpv S
BUILDING CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
22044 BAXLEY CT ARGONAUT WINDOW & DOOR 99 ssyy 02010074
OVGsNARANDY T AND EVA S 10624 S DEANZA BLVD ASPcj17r2002
PHONE:
(408) 996-9670 SANITARY NO. CONTROL NO.
gO O ARCHITECT/ENGINEER: BUILDING PERMIT INFO
Q U BLDG ELECT PLUMB MECH
�Hi LICE. hotIDCONTRACrder p DECLARATION � �" �� �'KYLIGHT
Z I hercb affirm mm I am licensed under f Chapter 91<ommencin C 1 IIO
O Z'-°o Y Provisions o per g
p_Fu, withSenion]000)ofDivisionlofmcBusincs aP�re..innscJe_aaamyn«nte OPEN SUNROOM &
m 5 is in mu Omer,
re at 6 7�
R 0-do U License C os -/j�+9�-- Lica tl tl
e4 'iG Contra FINALED
E: ARCHITECT'S DEC ..C��((
io 1 oadc tend my plans shall be and as public rccoNs
goo Li<ensedProfeasmna' APR 2 4 2002
n-vi OWNER-BUILDER DECLARATION
I hereby atormasthat 1 am ea<mpt from the Contractor's License Law for the $36950
t•?a following moss n.(Section]031.5,Busineand Professions Code:Any city or county,
ccF o which requires a permit to construct.alter,improve,demolish,or mpir any swcmrt p
n3� Prior w its issuance.also requires the applicator far suchpermfd
it to statement. U1111 nihin _
that he is licerced pavapm toil,;provisions of the Contractors License Law(Chapter 9
(commencing with Swtymi.l0(10)pf Division 3 ofthe Business and Professions Code) �.;{_r".;"3 S®OF9 MC&C-9C�a"":]] • ,; , Valuation
or that Ne is exempt mcnfmm and the basis for me i l<Sed'4 mPli o.Any violation •' 'i3'I'"51''Y I`
-of Section 7031:5 by ony,Mlica n fora remit subjects the applicant to a civil penalty"
,of nut mom than rise hundred dollars P1500). 10 1APN NVWNDAT I ON Occupancy Type
❑h as owner of me Property.Lir my employees with wages as their sole compensation, 102 - PIERS
..w 11 do the ork a a thu-stracturne'is-not intended or offered for sale(Sec'](yW ._
Ba <. and Professions Coy The comoodors License Law does not apply to an 103 UFER Required Inspections
owner propeny who builds or Improves thereon and who does such work himself 104 - REBAR
or through h'. employee, provided that sucM1 vrammeme t t sanded or
offered- 'fu rl--If,h e th building- - - ' '--'- -ANCHOR
orimen of Prov .slat mid one yam or 105 = 'BOOTS
improvisurriplee an the owner sa(der sv 11 have the burden of proving that he did nut build or 10 6 - SEWER & WATER
improve for purpose of sale.). '
: . oi:unwnerennepmPenr.om x<i i yean tTn'gwinii ea danna<bRoo - - 202--- "UNDERFLOOR PLUMBING-"
lo
me Projmr(see.]B.w,Baseness and Proreaamna Cnae:)The Contractor 203 - UNDERFLOOR MECHANI'CAli:e;.:' A%t
License Law doe not apply m an owner of Property who builds or improves thereon,
..and who comm, mr_such.pmjcns,with a cnmmnortJ licensed pnrsunor m - --
me ._._ _..... 2 04-- -- UNDERFLOOR-FRAME ----" --- -
- Comranors Lire
nsc Law. -
❑Iamesempiuneersee. ' ,B&PC
for this mason 205 - UNDERFLOOR��sINSUliATION
_ ow ' ' Da '•"r 301 - ROUGH PLUMBING
WORKER'S COMPENSATION DECLARATION _ .302 - TUB & OR SHOWER
Ihembyafrmiund«penaltyorp<rrvrroneafinefollowing declarations: 303 - ROUGH MECHANICAL
❑ 1 have and will'maimain a CeniBcate 0 Conseni to self-insure for Worker's 3 04 - ROUGH ELECTRICAL
Compensation, as provided ror by Section 3]00"of the Labor Code, for the
Perfrrmance of the work for which this pemut i,issued. 305 - FRAME
- - ❑l have and will maintiiri Worker's Comport Insurance,as required by Section 306 - HOLDOWNS
noo r in<Wror cw r -rhe perrumi or m-work r tern m.periodic;- 307 INSULATION
iso d My er's'C top t 1 su J Pol Y mhc e: -
,(ro P Pol yam/ 7/3 rJ/ O //�l' 3.08' - rSHEFTROCK—....
t CFRTIPICATION OF EXEMPTION FROM WORKERS R.p.11 ! ,3,09,' i-..;.!EXTERIOR
:SLATH\; f
COMIO
PENSATN INSURANCE a`'-Toa'( I -
�... ..... ._.„, . ._ .. . _., .. .._,..;.._,.,_. _ ..:....>. ..............3..L0:••--INTER'SOR--LATH---_.._.....__—__._.._...-- ___...._
°•(1Tii
Fair need not be cnmpletM if me permit is for one hundred dollars ' „--
(sioo)q�ies.) 31T '- SCRATCH COAT
-..:: -313."-:_:ROOF.,NAIL-=4,.-..
_.
„ 1 'n'fy'hot thepe ro meofth kr whichen perm'('. is J'I- � --"' -'
sn Jet pl,y any peo yuan a,to be.nm objet to theW Workers' 501 - FINAL ELECTRICAL'i'ENERGY
Compe tOnLawaO.; - Date " -_ 5"02 - FINAL PLUMBING ENERGY
APT .E .e. _._ __._."." ... .._ ._.._
NOTICETOctto me A\Tlf Co mak gm Cn'tiw¢ rEa rapt on.yOu shume� 503 - FINAL MECHANICAL''ENERGY -"
Z 6tt Lib) twith
kers Compensation oftop ^
ns of th Lobo Code,you must
,OL rurtn imcomply wim tip provisions
m permtshu0bee ma akin' _ 504 - FINAL BUILDING ENERGY
CT . .
* .coNSTRucrloruLElaolNcAGENCY '' 505 FINAL ELECTRICAL ”-�
W_. I h by mach a oust f I nJ ng ug ncY for th<performank'
. arm; k.m -
hwh hien m. Pe i aua(s's10506 - GAS TEST ..`. .
y.G -LenaerrNanie'-' ..__�.t .-.. . ._.,�.. .......9],cm.c).:.... . ......... . ._.r . . „ .
tater.Addass'....: _ . . . - - 507 FINAL-' PLUMBING__ ..._...---._-..._ . . ". .....--- --.._.--'-
o:z 508 - FINAL MECHANICAL
i,I ccnifymal hmve read this,application and state that the above information is
'contesk'I agree to comply with all city and county ordinances and stoic lows relating 509 - FINAL GRADE
C:V to building conuructian:and he.ebymnhorim'reprcmnmdves of this city,cmcrapon
W men negp p tyf i.,,, p ri 510 - FINAL PLANNING
.G. fW"Yg etoa indemnify andkeep har I .i FieCty' fC perdno against '
VI liabltesjdg encs. st ne xpenses n n yin any y against so it 514 - FINAL PUB IC WORKS
VZ City in smosequemoi ofdiegrant
S)OR N DF 0; Y i$Ag OMPLY WITH ACL V N- INT °
S 3Ua, 1 wnym Issued by: Date
Gel d �
'• gAa(yl /I pl cHAZ ntDOU lM' pai.. Re-roofs
HAZARDOUS MATERIALS DISCLOSURE '
he appbcant-1 r tare bulamg occupant insure Or n nal hazardous anterai T e of Roof
as deFined by,i] Cupertino hl nicipp/l Codes Ch pmr91 dm Ncalma dSaf tY yP - _ ....... . ... ..._._ ,." .. _ .. .. ._,.,____ .•
Coo 'S coon 255P(a) a -1• • 1 ! .; a, -
Will m
All a roof roofsf Is shall be inspected poor to_any_roofing material being Installed,. .
w ppl'ant f(e b '10 ng p t - qu pm t oe <:,'which If installed without first obtaining afrinspection;1 agree to remove
emih J sa cum t. .defined by thea yA aA Q ryM ag t
District? all new materials for inspection Applicant understands and 0071 comyplwith
❑Ye all-non-pointsource-regulations - -
-L16fc1dingdoesnoteu
ha rtaa the hhmrd mnak q ircmen¢made Chapter 6.95 of thea H Ito&Sarety Code S tions 25505 5533 and 25534 1-undenund mat
dY Limn tthtnmy respo ibiltyt otify the ” ' - -- ---- __ .- _ . . _fm q : t ,ch List be metpr to issua 'ofCmficteof ..� Signature ofApplicant Date
to a;ed ag t_ D to All roof coverings to be Class "B" orb etter
"OFFICE '