00070160 CITY OF CUPERTINO
F-BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS; PERMIT NO.
OWNER'S NAME APPLICATION SUB DAI'1:
1,0201 N DE ANZA BLVD 00070160
PHONE: SANITARY NO. CONI ROL NO.
SUN MICROSYSTEMS. 07/25/22000
t' ,
'17C'17ENGINEI?R: - BUILDING PERbIl I INFO
ce BLDG CL ECT PLUMB MIiCH
IJ I_l C.I 1-1
uceNssoaNrxnclOR's DEcl.nlxnllo" Job Description
hereby affirm into 1 am licensed under provisions ofChapter 9 Ramat ning ion 9UBUl of Uivisintt}of the Bu,inessaml PmfCsENn, ,N se lime and efli f//o CI. __ Cnmmanr
IIIiLT'S UIiCLARA' )N
°$ 1„-Cr ,yman..n�nwJn,public record., TENANT IMPROVEMENT/B-1 OCCUPANCY
I.Icen,rd Proficomor.d
Lox_ OWNER BUILDER DECLARATION
1 hereby alEn l that 1 am exempt lion,the Contractor's License Law for the
C%¢ haluxing n t.(Section AD1 S,Ilur and Pn, ........Cndu:Any city n umy
m
ad
ad S O which oils ilio,u pmmh re earliness al¢q i applicant forsu h ,mat t nr seams ed tatement
n ic 'hat heilissuance tdw„eyuithe shusisiofor Conrcrmiuolilnse LawJmmemem
thane irca,with naam7(KX)pn,vi,iom of the do,[Elmacs License Lalmoul Ccr9 Sq. Ft. Floor Area Valuation
trommcne,,ewith Snn'nm 9tXXq ol'he has, J of she Bgedes,soul ionfArt, i CM2)
or that ha Is 31.5 b zany applicant
and he bmsis or the alleged exemption.Any l penalty
of not molip In sty anyydred amserapermit subjects the applicant macivil penalty
ornmmorcthanB.emmndmddollars(ss(x). APN Number Occupancy Type'
❑La,owner nnhe pn,pen,or my cmploysas with wage,a,(heir sale mmper,itimn, $90720
will do the work.and the smmmre is not intendedor offered or sale(Sec 7014. Required Ins ectlOns
Business and Professions CMIh
e:' e Contractor's License Law doer not apply to an q p
orr of progeny who builds or improves thereon,and who des such work himself 322634070. 00
Onnuglt hie awn entpinycc..provided slat weniou,no,manh are nut inn•ndeJ nr
olt d f 1 If a th M1 Id y p t I ah' •y d `
wmpl hetbu Id II M1 th burden f p vi g that h did t Wild r _
improver p rpf.e of-le,), 1.01 — FOUNDATION /
[j 1, if I yan R an I Iy t gMI tan -to 102 — PIERS
a, wP�
ith p j t(S ] professions mh 1 I )The Contractor s o
License Law does not apply, an owner fp perry n oldimproveslin n. 103 — UFER
and who cmnm=t,lir such pn,jeet.�r.n all a contraaort.o licensed pm,eI m the
C 1 04 — REBRR �fl
nntramo ,License Law.
❑Luse exa,tpt aMa sec. .BArcmr this anason 105 — ANCHOR BOLTS
Owner Date
WORRIiR'S ComPBNSMION DECL.ARAIION 106 — SEWER & WATER
I hereby affirm under penalty of perjury one of the following declarations: 202 — UNDERFLOOR PLUMBING
❑ I have and will tmtmuin a Cenineate of Camera n,.all-iosme e,r work,,•. 203 — UNDERFLOOR MECHANICAL
Co.o,ca,aion, as pmvidcd Lai by Section 3700 of We.Labn, CMe. I the
,mmwnceol vakmrxhiehthis Final,isi...ed. 204 — UNDERFLOOR FRAME
N1It a ad will mamuinwork,r,Compen,, Iy
nmenre.a,oairedbySee, 205 — UNDERFLOOR -INSULATION
1 of it,Lubar Cade,for the perl'onnunm of the work for Much this pamdt is
cd.Mywo,kerr Cotii,ti,ntion mmunce carrier and policy molder aro: - 301 — ROUGH PLUMBING
can r: �reybm,: �[(_�L� 302 — TUB & OR SHOWER '
CEItTIIIC COMPENSATION'INSURA(NCE UltKrtS 303 — ROUGH MECHANICAL
(This section need not the completed it the emit is for one hundred dollars 304 — ROUGH ELECTRICAL_
(Mal)t,rl...) 305 — FRAME
1 cedify that in he petri mance of the work for which J,i,peman i,issued.I 306 — HOEDOWNS
,hall not employ any person in any manner so as to bau,me subject to the workers' -
compen,,aiiLaw,nfCalimmia.Dare 307 — INSULATION
nppli=am
NOT ICE TO APPLIGMJT:If.after making tui,Cenificute of Eveninum.you should 308 — SHEETROCK
Become suhbat to the simLet's Compenwmion provisions of the L,bm CMe,you mum
O p but=amply with such pro.i.ion.or this pert%hall be deemed revoked, 309 — EXTERIOR LATH
'L
con teRucnonsutNuwnnceacr 310 — INTERIOR LATH
'FY — Ihemby wRch thus thereiss construction lending aSenp'firthe perR,nnanm
none work m,which this pemut is issued(See.B(nz Civ.c.) 311 — SCRATCH COAT
10. ❑ Lander',Nane
� z I.an,ler'.AJdress 313' —. ROOF NAIL
IOU ct,m�iailii�I agree��acom�lyill,allr Pro�d.cnpYtrvneances11'l sit,
,y Iocnmrupob 502 — FINAL_ PLUMBINGRENERGY
O I have read he, he
ENERGYav
} �] meabove-mentioned pnryenv for in",taa'a"'s.
— a (Nve)togs=,tn,ti,indemnify and keepha,mle„theCayofcaperrinoaganm 503 — FINRL MECHANICAL ENERGY
Uh city Ries,.. ,u,rnt,,coma and ,of th - may in any way a=cme against said
z eitymann,eynerao'onto ting onnir er�,t . _504 -- FINAL BIJII_DING ENERGY
APPLICAN ERST SANy�D/�v/j{pL ALL ppQQ��yf�rr
soulxc EcJ_ I V" Ld by. SOS — FINAL ELECTRICALDate
sviol, rco vcolua=tor D.�e I/� Re-roofs - 506 — GAS TEST
.fld,«Iext : ulnnwill the appcamsidaWio ,aSordie ha.wntt,nuteaal Type of Roof 507 — FINAL PLUMBING
m defined by she Cupenimn Municipal CM,Chapter 9,12,and the Health and Safety
Cod,Seclmn 2553200' 508 — FINAL MECHANICAL
Dyes 0 N All roofs Shall I90f3peeteItpNALo43RAqDLrtg material being installed.
Will the applicant or mute building occupant use equipment or devices%hick If a roof is instajf,(twit}IofIt ftgApbtolj iM N,1�lq(3ection. I agree to remove
aril haeardon,air cranial rant,a,deleted by the Bay Arca Air Quality Management
Di,t�a^ all new materia 0'fW ilytp t{c�lALAp 'Uc'��t tir�der ld will comply with
❑Yu ❑No all non-point soTTllffCCe regul ti
I have read the W,iodous arterial,rcyuiremenu made,C1Wpte,6,95 of the '
Cal IIanom Ilealth&Sale,,Coda Sudmns 25505,25533 aW 2553;1 undemuad thus
it she building does not cnrea,have a worm.that it finny,oe,mr,Bahty to notify the
,ecupam of the reyuircmanss which must Be met prior to issuance of a Cenifcae of
Occupancy.
i Signature of Applicant Date
Owner oramhitelagen, Date All roof coverings to be Class "B•' or better