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00120139 CITY OF CUPERTINO -- BUILDING DIVISION PERMIT CONTRAC'T'OR INFORMATION: BUILDING ADDRESS' - PERMIT NO. 7635 ELDERWOOD CT ROCK SOLID CONSTRUCTION 0012011.39 OWNER'S NAME: APPLICATION SUB DATE SAT'T'ERLEE CHRISTOPHER Y QND CA 3372 CREIGHTON F`L J212112000 PHONE: SANITARY NO.- CONTROL NO.' (408) 249-7625 .µchi O❑O❑ ARCHITECT/ENGINEER: BUILDING PERMIT INFO U U _ BLDG F ECT LUMB MECH Z O H Z LICENSED CONTRACT'OR'S DECLARATION ' o z-e 1 heab,of ino that 1 an,Betsed under pnwksions of Chapter9(erawadng Job Description P,gym wi lh 5octlon 9fNNp of Di,i' Jnr,nn Buainese anJ Pmfessionw Cud dmylicense - q >y of furca aaJe � ,� � KITCHEN REMODEL S O 0,J ens 3 v. Date_ Cnntrnnnr ARCHIT'ECT'S DECLARATION $ O, 1 and .handa,,Pl :hall bJ a,p.hire nevo, y�001-wernsedP I.: - _ ed OWNER-BUILDER DECLARATION I hereby H I ny halt l e pte front the C t d I,serne Law for the G C "shoo gSa .(See' 9oJur Buvinu P ons Code: 1 eqn,earth,earth,my - FO whir' requires p nit, ,sm t her, ppree.d1e Lh repair any structure ' i 3C3 Q Prio , n su q pr applicant that he licensed p pursuant In p ran Contractor's iLt le .chapter) S Ft. Floor Area Valuation .eon e lh Section un a I D' ,tri l flea Btu ,cs and Poll oss ares Code) q' - - ef thaSer nn In 31.5 bt ahy applli ane ur mars rnr me et,thalleged e.enpnon.Any v nlaam' $1.0000 of Scninn 90l L5 by any npplicnm I'or a pernn'I suhjecd the applicant m u civil penally ' fit.,nano,than eve hundo d dnEarx S50or. . APN Number Occupancy Type 01,uvownereffle properly,onany mnple,ee,with wnges a,Ilei,vile compensa,ion, 35929026?1., .,?I;?I oil do,he work,and,he Structure is ns,Iron ll or offered for sale(Seo.7044, Business and Professions Cale:The,Connector's License Law dues not apply to an Required Inspections ow rref Orel Who huildsar impramn,he.um.land who dots such work nursed r thoi his ew.I empbyeses.Provided,hat Suet in,pm,nali as not Intrafed an 101. — FOUNDATION - - offered for Sale.If,however,,he building or improvement o sold within one Year of 1 1]I,^-' PIERS P,S omdv ion,the n,net sudder will hove the harden of psving that he did nil mild or — - In"nwe for erpoeofsale.). . 1.03 — UFER E]1,a,wevar,nliev pmpenY,nn,exdmivdy d Prac.ing wire licensed w norms to 1 ll — REBAR Intense,me polnes van (Sec 9114,Buwineo one&trout ha dies In The e,davene. Llem,wl Law docs not apply n,an owner with pr to try who Hailes ted la vos moat, nae wen',Liaaers for warn proteins with n Ieatantarcs)berated pursaant to me 105 — ANCHOR BOLTS 01 all,nse license Sec. 106; - SEWER & WATER. , ❑lure oxumpt under Sec. ,HSPC(or this reason - ' owner Date 20i= - UNDERFLOOR PLUMSING - WORKER'S COMPF:NSA'I'IONDECLARATION 203 - .UNDERFLOOR MECHANICAL IIndenrrnrm ander penalty nfpari ogle of the following deaanmt.: 204 — UNDERFLOOR FRAME ° 1 have and 'Ill maiamin a Cendfiene of Consent m self-insaa fur worker. 217 1 - UNDERFLOOR I NISULAT T ON Conpenewon, aS provided for by seetion.97M of the Lahr Cade, fin ,he performaneeefineworkrorwmenfidpanutSissued. 301 - ROUGH PLUMBING ❑ibase fthedwinrCode, wonkeperfunpnealtheworkbut regalndtrySnnit ikh2 — TIJD R• OR SHOWER 3700 nr the Labor Cole,fngthe perfonntncc of the work but wind,thls permit is ' issued.My worker.rCompensatirmmsurancecarrierandPelYnamerare: 303 - ROUGH MECHANICAL Ri`' ']_c,'C '_ N,,.: 7357 304 - ROUGH ELECTRICAL, CHRfiPICACO MPEI 'ATION INSURANCE URKERS' 305 — FRAME - 0his sweet need int becou,pletedifthe ,rnitisbar one hundred dollars 30 — HOLDOISINS (s�1Hl)I re"if, ' 307 — INSULATION . 1 miry mann me Person in any Insurer wink rnr whim id,,,toil is issued,I 308 — SHEET'RO .hall am employ any'if California in any matnwn as m necn,ne sail«t m see wnrtiens fa . goer t I nfL1I ' .°, 309 - EXTERIOR LATH NOUCTTDAPPLICAN511 If,,ari C,nifiererol Exenpfnnynu shoal. 1121 —• INTERIOR1 ATH z heronartier,t me Workers epe i pftun Labor Code you nnst .t Z � forinwm ell wall.anis~e,l,athis peroad their beall revoked 31:.1 — SCRATCH COAT . F CONSTRUCT ION LENDING AGENCY eat ,:, — R©OF NA 1I_ 1 hereby affirm ma,,here is a construction lending agency for the i,erfonnance yp Lead, ,°N,,f„ewmehthis pennirsis,Ilncs .3om,civ.c.3 501 - FINAL ELECTRICAL_ ENERGY U z lenge Sae `102 - FINAL Pl_l.liyl9TNe. ENE GY ' 's n I rr maul dm' r ' �itls 5th•"`,, - FINAL M17CHANIICAI_ ENERGY Q Y 'ppr t Jal ihoun n F., ,re Pink PIT thereby bll ci yhl ri any J Said late la . Loan O u ,obit Id g nstmerun. dnerenythor'x p n,n,vesol,h tyt ,rapt ;504 - FTITIAI- allTl_DING EIIIERGY' ' y W the nb o f d Prean ry f n.p cion p p esti(WeL t save I an�rY a keepis a l�in any vy rein tgara.,t _16715 . FI NRI E4ECTP T CAL V] liabilities,J Ig ,'ft a expenses which aY in way w'Y 'g ,st said U �Z, City in a .,nn internalnniw pe 't � inti F• GA4--•' f IST '- API' IC NDERSTANDS AND WILL COMPLY WITH AIL NON-POINT7 �ULAtgfONs. ,�„ /zTAV_ Issued by: Rr 4 ISin' D1 1 nTN 7 Date & Lai Vv . ,moot App ucanVContruc,or Date Re-roofs '.d'J8- FTIdAL.• IyIECI-IHIVTC'AI HAZARDOUS MATERIALS DISCLOSURE Will the S,dieamafuture bulmitgna'upanls(nmorhandle ha�.amts.na,eti°' ected TypeofR f '-i09 — FINAL GRAPE us defincJ by the Cupertino Municipal Code,Chapter 9.12,and me Health and Safety ' Cade,Setting 25532h)? -= F Ihh-d F'1_.ARIialItkIG en El yes °"° All roofs shallrbe ins p IplIlt to[an}Imofing lnaizgigl being installed. Will mtappuetlammrenaEdini;n«r.pan,lSeeyuip,,,enterdevices wninn If a roof is installed without first obtaining aft ins ection, I agree to remove emit hazardous air centenarians as friend by the Bay Arta Atr Crary Managonen, g p g Di"rim' °Yea °N" all new materials for inspection. Applicant understands and will comply with all non-point source regulations. I hove read Satiefety ety C..us interns myui21533p under Chapter 6.95 of the Culiforniv Heath&Safety Cndq Seminns 25505,25533 and 25534.1 unde,,tund,hat if tire building ices no,ennead,have a dranl,that I its my respeadnility to notify the ' Stipa Guineari which must he mot prier to issuance of n Cenificmn of Oc y c _ Signature of Applicant Date ere umetoOlagetu Dole All roof coverings to be Class "B" or better OFFICE