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02030218 (4) CITY OF CUPERTINO - a ` � IFORMATIBtotutNc ornstaN PERMIT Co'' 11JILDINCI ADDRESS: PERMIT NO. 22742 MAJESTIC OAK WY MICHAEL BODO & ERNA WENTIS 02030218 OWNER'S NAME: APPLICATION SUB DATE �^ MICHAEL BODO & ERNA WENUS 03/29/2002 r• )�' SANITARY NO. CONTROL NO. C 0 ARCHITECT/ENfiUJEER: BUILDING PERMIT WO ELECT PLUMB MECH nim 1."I 1- 1 L7 LICENSED CONTRACTOR'S DECLARATION iJob Description 1 hcrtby affirm that 1 am licensed under provision ter Chapter 9(commencing - l2with Section7000)ofDivisionSoftheBusinentuidProfessimisCode,andmylicense DECK IN BACKYARD. is in full forte and effect. atKU License Class Lic.g FaNALE.® 3 K Date Contractor y Orn ARCHITECT'S DECLARATION 0 5 1 understand my plans small be used as public records �} SEF 112002 ip O Licensed Professional R OWNER-BUILDER DECLARATION p� Z�G 1 hereby eBrnn that 7 em exempt from the Contractor's License law for the BUILDING $5000 whichingreasort(Seeitt 7onstr Business edove.deoli Code:Anycity stcounry that � quiet � P t p demolish,or mpe'v any structure ' $ ..pat tia rtstrsedp pursuant dnepplid of she for sucnpcursLicense Law or Nat he hi exempt Nertfrom`and the basis for the ell�mrs License law(Chaeta) (comrdnna�`dhgeuiian.7000 aDivision3bf the Bu}irrtt pd Pr9f ions Code) d '! 1•', } %'i3�{'Llpt�']'ylW'AVU'Z �4G ._ .C'p's Valuation p. B p ) 55ssss '+r gad exemption,Myviolatlty A—i' - • ',of not mart.of Section O31.5 Narfive hundredimat d doll.(MOO).°sub)ate the epplinnemacivil penalty PNN OCCU and e 10`1` N�t'fNDATION P YTYP ❑I,as owner of she property,or my employees with wages as their able compensation, 1 02 _ DTFRS will do the workd-i the structure 1£not mledded"or'oRered for'sele'(See.7044," 'Busidas and Professions Code:The Conwcmr'a License law does nm apply to an 10 3 - UFER Required Inspections owner of property Who wilds or improves thereon,and who dose such work himself or flu so h his own employ..proAdd Net such improvements am rwt imendd or 104 - REBAR _ -alrae or Weow wwe.ai, he wutlm or ret - g prosomem rte aaM within arta year or 10 5 - '-ANCHOR BOLTS " 'completion,the owner-builder will have the burden of proving Net he did now build or imprnvaforpnrpoaeofaac.). 106 - SEWER & WATER m °1,a owna of the propenY.em exdusivelY contracting with licensd convaaon t° 202 ' -' UNDERFLOOR"PLUMBING" . . cols,the project(Ste.7044,Business and iom CCode:)The Contractor's ' _ - - License law does not apply to an Owner of propertyerty whwho wilds or improves Norton, 203 — UNDERFLOOR MECHANICAL''' ' ' i J ...end who contract.for.suc projects.wiN a conextbor(s)licensed pmsnnt to.the. . ...... -•...2'04' "-' UNDERFLOOR-- FRAME waor 'cc p Lew. - C ' pIn"'; tun Sec. B&P C for this reason 205 - UNDERFLOOR 'INSUliATION ° ` J9 Data S 301 - ROUGH PLUMBING •> ;. �l'';' r ORRER'S COMPENSATION DECLARATION 302 — TUB & OR SHOWER 1 hereby affirm under Pcvlty of perjury ane of the followiry declarations: 303 - ROUGH MECHANICAL 1 neVsti n,will maintain•.Cby Sete ser 37W o a aeLabor a for work he 3 04 — ROUGH ELECTRICAL Compensation, he pmvidd for by Section 3700 d. dm labor Cade, for the perfomance of the wish for which this permit is trod. 3 O 5 — FRAME °Ihn•5arid will'tnaintein.Woiker'aCompetisetims nsurence,asrtquired'bySection 306 - HOLDOWNS 3700 a the Labor Code:for the perfamantt of We wart,for which Nis permit it •=', iseud.My Wohefs Compdsation Insurance wrier end Polity number arc: 307 — INSULATION .. AAAA.. .» _...e. . ,_..".."_•.._-.._ "• _ .. v. _ 3.98. SHEETRQCK- _...._... ....- . -. .- PolM No n"CERTIFICATIONEPxPPMPPONP gMWga eRs 1'' .',3091 I-EXTERIOR--LATH ,COMPENSATIgN INSuawcE , 3'10•-=',INTERT-OR"-.LATH...__."_ ::'.. :'r,:,--" -' -- -' - - ''�" l}us seefi n rias riot bi compleid tr Ne pemut is for one hundred dollen 1 v (s100)or leu.) 311 - SCRATCH COAT r ' _ . 3"1"3...=...ROOF., 1 t. leeaifjthiinmeoerforetanc ser the work f' hich'Wepemut ti Vuud'I NAIL - - - ••^' ,.•. '.hall*n'p em ploy any'' .. aarty rnsn r soasto becomesb)ect to the Workers 501 - FINAL EI,ECTRICAli ENERGY Cotiryenuoon Iowa of CWfomn.Dart ... "ApW°'°'' " "'" 502. _-....FINAL PLUMBING ENERGY..... (NOTICE TO APPLICANT-ef on.a long this Certificate of Labor ode,youhouls, 503 - FINAL MECHANICAL" ENERGY 7 0 become tubjen to the Workefs Compensation provisions of the lana Code,ydu'mun tonhwiN comply with I h provisions or this pemtit shall be deemd revoked - — � „ ...-. .- . ... _...._._ . . .- _" ." _...- . 50.4_.. - FINAL .BUILDING .ENERGYI _ '" I hereby affirm cthoNNthsrenRuiscanIoNLENDING AGENCY 505 — FINAL ELECTRICAL !n the perfonnanee �r of the work(or which this permit is issued(Sec.3097 Cv.C.) , ��_„ 506 — GAS TEST QLender's Nerr�prr we, -°- -.- PCS Lender's '.nu — 50'7 - FINAL PLUMBING•." p — I«artily that I have red this applicauon ad auto Out the ewve formation is 5 O 8 FINAL MECHANICAL•' l coirect 1 agree 1.omaply,with all city and county ordimnw end nate lee misting 509 - FINAL GRADE 7 j) to wilding c° cacti and hereby suNbnie r pre iiiii of this city,to enter upon the ewve menu rad pproroperty,form petition purposes 510 — FINAL PLANNING y Iii (W)agreeie lavetudenwfy and keep humleu the ChiofCuperunokjainn y tiabifiti. 'udgmea costs aapensa wNcn may m my way accrue against said 514 - FINA P IC WORKS i LV 7^. Cl n eque fthe ungof Ni£'pernu6 - ' ' ADPL IIND ST S AND WL"LCOMPLYWRH�ALL N,p'INT"" clh.' s: '' Y•O Issued by: Date p iyuammol'APpuc •'-.. :"; ate.,�: Re-roofs WL IrAlAADOUS MATERIALS DISCLOSURE' the applicant or tuove w Idtg oc ypant seas orharrAe hamdau muenJ _ its defind by the CuProgri Mume eel Code.Clepier 913 and theHealth and Safi ry �'Pe of Roof_. - , ,, ,_, .. _:�_ . CdZ','sdn n]s533(sI7 °Y" All"roofs shall be Ipspectedzprior to_any roofing rpaterial being to&tolled. bull the applicant a funmWilding occupied Our eq tpmcnt Or devices which If a roof is installed without first obtaining an inspection';Iagree to'remove ha>mdousat coati u'rsnu u defined bythe Bey Ares Air Quality Management g P x °t' all new materials for inspection. Applicant understands and will comply with " °Ye l °, all non-point'source'regulations I Moe ted the'ety Code. ectionsls nqo 25533 and C,1 understand the talifowe FIee1N R Sarety Code.Sections 35503,t it ad 15534,1 udonod that -ifphe;, ildin tloa aot n0y have a tenant Net i1 ie my mpom3ility,to notify the D up t L mguir emu which must be met pnoyn bsuencs of'.Canifiate of Signa " _ tore of Applicant Date _ `" wwpr.uthaud.gant All roof coverings to be Class"B"orbetter' t L, ,.k`<... - Sld.?N"•Fc ,�: . . -. AAAA_ __. ._.; _ "-. _ . .__ ' __ ._ '-. - .;_, - . - . CITY OF CUPERTINO • • CUPEf�TINO PERMIT APPLICATION FORM APN# Date: Building Address: 22742 d7/+ �S7/C d /� Owner's Name: Phone#: - tftcCk CL 90®0 S t2NA WEN()s 61-o (PA Contractor: ;E. E. C License#: N d A10 Contact: © tJ v W Phone#: Applicant/Contractor: D Fax#: 'ild lemiit Info: Bld Elect Plumb Mech Job De ption: ntial: Q L (L (IAVr K Ae D mmercial: Sq.Ft. Floor Area: Sq.Ft.: ro20 Architect/Bngineen N Valuation: S� r Type of Construction: �JQB� A BOO D Occupancy Group: �rcPoSr �� Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax—Resi/Mobile BUILDING BELEC1000 Elec 600V<= 1000A ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec Svcs 600V<=200A ELECTRICAL ENERGY Energy BUILDING BENERGYADD I Energy Add Multi . BUILDING BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housin Mit. 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C;r.•o°:.J+p...Fo d•:. � •:,4. vd«4� I`4'�'�S?'�:•'a•. v >J,`; 'e I,'•';''�:J 4d4+J+^°4�«C�3 d;'•' vq�; •; ;fit` , 4i'��i'''••' •�' � °o° •—ar:f�+ai`r`'�1i:FrJ.j ...•.•St; ,•Z> 4:F.vdn n'S.�A.4•::'3k>'•`�,,.!�..±'p�,?«`,:�3 6;•>4 v:4�� +�:•L'`•'•„'• 'C.:��:�.. :prc.;(catians ry1US1 •a ;�'�,,. be kept on aj:b : cin:;cs<ntlitisun °4°°. •:• 'fl :• •. . . . . . . . . . . lawful to rr iF,9 or::,, or alteration! i ;•44vJ� on same " ihwu, w lt'�n ro mission from "F°og : :::.:. the buildint Ucpt., ,;y , {,no. ?ef '.'. . . :': : : : : :': MAR 2 9 2002 The stamph g c thu p.n r. .perifiration: :4.. 1111 14 SHALL NOl bz ;,a a { ;itiAy r t) be an �F`• .. ' ' < . .'.'.'. BY: _ approval of tho 1, aa.jn Li on) provision, Qw0 of uny ON Ordinance rr �i-t«. law h,.6 CJf. . OFFICE OUT. k[y1��1�� F,�+F`. .'.:.'.'c.'.:.:.:.' 8Z _ _ lm . K. ' oF . O F°m:4+oJ . . tlZ+ ,•,•,•,• °��.F�` .4I. . . . . . . . . . . .: Izz Izz 10,10 1 I X1 :1101Y t:IS.1Nl 2;�EJE� ��'•r•.•.+4°F� 4+6;6o,�d FE' ,Are . . . . . .5 + °as <91 = A a[EoS I i 77 1 p RE C FIVER MAR 2 9 2002 Frf � a APeROVEI.0 ,, atl'f ;li' .w ACCORDANCE WITH THE CITY Ui r3ifTCUPERTINO PODES ND ORDINANCES ATE_ da' ,CNED_ _.. ,,� ais set a n , �:,acations M151 dPti' a'=r Y ' u iceP eu ;..e ' 1l t ^cs end it is in „eer.....t. "as. r'� i ,. � ,nmful to ma.•° r r ,egos m alferaffn: same w-fll' t� i 'Fn pr, mission firm ,..•... ".;1— '' � b0i olng Ce,:­ fupe,tino. n- sump ng r,` .'ts a=n ;no specificati lns. „y 'LL N0i ba ned is pe.mit or to be an �Froval of the violation of any provisiins f uny City Ordinance of State Lath. _ I F C V