02060075 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: - PERMIT NO.
10388 LOZANO LN R & Z DEVELOPMENT 02060075
OWNER'S NAME: PPLICATION SUB DATE
CAMPO DE LOZANO L. P. 21771 STEVENS CRK BL #10(, 2/28/2002
PHONE: SANITARY NO. CONTROL N0.
(408) 252-1101
O O ARCHITECT/ENGINEER: BUILDING PERMIT INFO
pp BLDG ELECT PLUMB MECH
Z 5 w= LICENSED CONTRACTOR'S DECLARATION Job Description
O Z—G 1 hereby of red that 1 am licensed under provisions of Chapter 9(coed nemg
aytvy with senion9 ion3of1mlociin`�P e m license TOWNHOUSE-LOT 9 #A
sew Daau1 once Lit.If LIVING SPACE 2 , 023 ' GARAGE 441 '
3v-� ECT, C SEE ORIG PERMIT 02020115 FOR FEES
F E oi
O g understa y plum shall be used n u t c x
p O Licensed Professional C
OWNER-BUILDER DECLARATION rs
m 1 hereby afford that 1 am exempt from the Convector's License Law for the
?< following reason.(Section 7031.5,Business end Professions Cade:Any city orcnunty •I 4 t� p 9
ESO which requires a permmit construct,alter,Intrusive.demolish,mot any structure, MAY y LOO.1
t1i63$ ..prior to iu issuwce.elsu requves the applicant for su:h permiuoBleazigrad smtemem. - --died he Iimnied pufsupnt tp she po visiotu of the Connote, 's License law(Chaptar 9 S F[ Floor ea•, ' V luation
(cotrunencing whh Seaipd.tio0) fDivisionJo(the Business a ad pmRou.na Code, {"_�!{ Ti, A_';',,)Bis t GI, :f5 'y•
or Mai he is eiem t mcrtftom and the basis for the alt•N eiem tion.An �' ` S d' _ "� 1"R t '
P f6 b y violation
—of Section 70)1:5 by any applicant fur a permit subj_""a.
cts the opplican.m a civil penalty
:of not mum"..Ove hundred donan(SSBo) N m e 1 '1 Occupancy Type
369 0 i
❑1,d owner work,land the s or niy employees 19hot
Wende wages as ed for sal (See.
aoma7N4,
-'will do the work.'und the structure Isnot Wended or offemd-forsale(Sec.70)3; -
--
Business'andProfessions Code:The Contractor's License Lew does not apply to an 101 - FOUNDATIFjl@uiredlnspections':'t' ^tt
owner of pmpcny Who builds or improves thereon,and who does such work himself
or through his own employee..provided that such improvements art act intended or ....10 2_.-. PIERS_
re Tor sole.IL Eoweilde me building o1 improvement of Prot is sold within one yeas of — ----
'completion,the owner-builJer will have the burden of proving that he did not build or 103 - UFER
nt p m rva1e) 104 - , REBAR
_.
he f the pr pony exclus' eIY co t fe i th h en.ode t ncturs to - '" "
construct the project(S oM Basin s ad Profesamn. Code)Th Commcmh � 105 — ANCHOR BOLTS � I
Lm uLdw doea .for-s roan ow ath onywhobai,emed.pmviont I.do, 106 - SEWER & WATER ,who c et:.Tar-s ch Pmiect. with v<ommcmrD licenud.pursmm m the .._._. .. . .202 - -UNDERFLOORI.PLIUMBING.._-
o e
'm " S.n 203 - UNDERFLOOR MECHANICAL
'SC PENS=ATIOND 'LA RAT] N( 204 - UNDERFLOOR FRAME
by affirm under Penalty or perjury a of,tn=following declarations: 205 - UNDERFLOOR INSULATION
. ' 301 - ROUGH PLUMBING
a
• � ❑ 1 have and will maintain C<nificaie of Consent to salf-insum for Worker's —
l Compensation. as pmemed for by Section 37M of the Labor Code, for the 302 TUB & OR SHOWER
perfortarmance of work for'which this,peirpit is issued
303 - ROUGH MECHANICAL
❑Ihav'and'will Vhniumin Work6's Compensation lneumma,as required by Section 304 - ROUGH ELECTRICAL
t. 37x1 pr`md Labor Cdde,For the performance of the work I'or which this Persue is _ 305 - FRAME_
y penaa y are:
issued M W I_ C, mon Insu once c cr and P 1 c n robe
. .. Cams ICCRTIPICATI!Nll' PlicyNONFROMWORKERS -..' - ( �1�\�,�•3;06-,.. AHOLD_OWNSL�-��� ..�i...� ��,T,.,,
COMPENSATION INSURANCE. INSULATION
I':+::•rrni.dae2tmd'medact be'dumiatedifth< 308 't-',SHEETROCK ., �:. f`e.'� •t:tr�
(5100)or Ices) P Permit is for ane hundred dollars
309 - EXTERIOR LATH ; i
%�Fiiie.oal 310 --INTERIOR- LATH _..,.
�c� . Ic t ". 'n ce ..one'arN o f fl'f 6eJtt5
-ns5� of in any g na<r -� t , rken' 311 - SCRATCH COAT . .
--ApPI<mt - _ _
NOTICE 0 P .C.. t t e tp e fExemptiony h le - 313 'ROOF-"NAIli--- "— (/ :, .d; --
Z necom object I e a utonp ' mit.fmaLb Cod y ammo 501 - FINAL ELECTRICAL ENERGY
Zfonh th nipy pov nso th. p t:h91h Je d vnkcd
Z � '
CONSTRUCTION LENDING AGENCY- - -502 - -FINAL -PLUMBING- ENERGY .,:' -- ---
-'; ' - -
1 hereby uRrm that there p a construct on lending agency fortheperformance 503 — F I NAL MECHANICAL ENERGY:
6f It work for whichthis permit si mooed fs« lm7Civ.c1 -
Leader's Name
_ . ,504. FINAL _BUILDING_.ENERGY.... .._...
V.Z Lcdr Addms• - - 505 - FINAL ELECTRICAL t �Q�
0 1 can fy,th.n I have rend this application and state that the above' formation is 506 — GAS TEST 1%
W i,F., c6rreci.1 agree m comply with an city oral county ordinances and state laws rela6ny -
m building constmnidn:and hart random representatives or this city 10 enter upon 507 FINAL PLUMBING
k: mea vWe)ilroneu,aupepyf m.pcnioa mrpo s. 508 - FINAL MECHANICAL
5Po)agi' a d nify dnJ kc harmcai the Cuy of Cupcnitio ugvmst
!, hJ t too at t. expenses ch ma, n any y me ag'not said 5 0 9 - F NAL
U. sty a ee fth 'ng it.
APP C v I D'RS 'AN' I DMPLY N y�
7` Issued '0 (� F rPla I G Date
n t 'n pi A r ter.MATERIALS :d Darr � Re-rojso;' _ ROOF PLYWOOD NAIL
u
HAZARDOUS Dome URE
1 pl_' t ftrebaildCM8 . p trate handle narSNousmt 'm .TypeLdEti3of- ROOF—BATTENS._. ...-.•.- - _ .
deft ed im the 3 pen m aP Cad Ch pt 9 I d th H althand Safest t -'—
Cna -s tonz353 t I s i ! e 'y-t-y + 6041— ROOF'i IN_;PROGRESS `
°Y All roofs shall.be.mspected,prior to-any.roofing.material being,Installed
wu m_fps^ t r rare n ie' g pant usoalo nsmnt dev e s wn c1 If a roof is installed without fi st obtaining an inspection; Ilagree to remove
•emtharN t' naminntsa clod by theP,Awa�, QT'ty hfangelen
District all ne materials for nspecti n, Applicant understands and will cornply with
(�
°Ye all poi `Dune egulati ns.,
have the hazer o ..,anal requirements made Chapter 6.95 of the
Cali He 5....0 Section 505 5533and2553a Iundemtandthat y/
v) 1, v
Y et IY have at n.thaustsmymspe sihdity tfythe"
Oc h re w n xhch coat at of
.1 1
e ct prim t t
« tau ry�ijf� Sin r f p Icant ate
enface
Oate All roof coverings to be Class "B"or'better"
. ..vt..:....,.. _ . . . . . -' - OFFICE- . . .. . . .