02040106 CITY OF CUPERTINO ••- `a.n;t•• .. -• �-
BUILDING DIVISION PERMIT CONTRAC'TOR-'Il_NF,ORMATION
BUILDING ADDRESS: PERMIT N0.
HAMMOND WAY 02040106
ONWER'S NAME: APPLICATION BUB DATE
LEN & ELIZABETH FOSTER 04/19/2002 ,
ONE: SANITARY NO. CONTROL NO.
C
pce1v LI of ARCHITECDENGINEER: BUILDING PERMIT INFO
" BLDG ELECT PLUMB MEMCH
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16
i LICENSED CONTRACTOR'S DECLARATION �0��J, �7e�f�g,,`r^�eption
^ I hereby oflirm,het 1 oat licensed under provisions of Chapter 9(commencing ,'y�;`T'T�
=C withBenion7000)ofDivisionJoftheBusinessendProfessionsCode.andmylicense FENCE/RETAINING WI' _ S
I,in full force and'affect.
3 � License Class
Gate AUG 3 0 2002u. A0.CHITECrSDECLA DECLARATION
1 understand my plans shell the used as public rtcoNs
Licensed Professional BUILDING
Sao
6 (r OWNER-BUILDER DECLARATION
us 1 bemby aRrm that I am exempt from the Contractors License Low for the
L:2 following moon,JSatien 70313.Business and Professlam Code:Any city or county $10000
F 2 O which"ares a permit m cuou c.,ohm imprm'e.demolish,or repair wy swaurt
3$ -prior yo its i.......1.regyirn dit.eFplic..,for wch pemutm fl.a,gwd narcmem•Lbi
' Inensof the Convenors Law.Chaptercorm eniASarons70(A3 oDi,ao3ofthe Buy andP,nRuoniCode)
ortSect he r . ,aertfrom and the aper for the allegedasimpmAny on
`c'E•s�,.�`` ... Valuation
,uf e031.5 bvany applicant o subjects the applicant o e civil penalty
rarnotmorRan�afiaananarcaaa11th(s5W). 101"`PNLaC3NDATION ....-.
--
.'' '�'+T="� Occupancy Type
Olt as owner of the property.w my employees with wages as their sole compensation, _
:,rill Eo'ihe;o&k.-end'the s rimum is not Imendedbr oRfad for a.),(Sm.70da.-
PTRpq
'll.d6e'ss and Professions Code:The Convector's License Lew does nes apply to no 103 - UFER Required Inspections'''`".3 7^''
owner of propeny Who build.or improves thereon,and who time such work himself
or through,his own employees.provided that such improvements art not intended or 104 - REBAR
.offered or sole,If.however,the building or improvement is sold within one yea of —"''-,"' " -"- "' '- ' _k -----__ ._-.
edmpleuon,the owner-builder will have the burden of proving that he did ria Wild ,1 105 ANCHOR BOLTS ';ANATIIp`r,Q C.11'_:-t'•.;•r
improve for parpomarsale.3. 106 - SEWER & WATER
I:eso the pfthe property,sat exclusively contracting with licensedconlrumnm 2O3 UNDERFLOOR MECHBING
onswct the projen(Bee.70x4,Business and Professions Codc,)The Contractor'. 202 UNDERFLdOR PLUM
License Low does not apply m en owner of property who Guilds or ins rove.thereon, - ANI CAL'o,cpm
w
end '-
: .. . hrccu.(w auch.pojau.with the
e.cwwnods).hcenvA.pursuant-m .._.-...___-.. .. _ .. a�_...
and ors License Law.
20'4 --UNDERFLOOR';FRAME"`"--' --
❑lam cmpt ader$a' yr^,_` ' _'•^' :•.B@PCfothureuon 205 - UNDERFLOOR—INSULATION
caner I)eie / O 71'"""+
RKF SCOMPENSATI DECLMA`IDN 301 — ROUGH PLUMBING
_.... _ .... ..... 302 - TUB & OR SHOWER
- .hereby aRrm undo pe Ity. Ipa,ury vete ofthe lohowmg declarations:.._.'. 303 - ROUGH MECHANICAL
1, ❑ I have arW Ill;no um i'Cenifim of Consent to self n,..for Worker's
t Compevetlon.,xx7ovuW fw-by'Samm�"3700'or the'LAbor'Cole:-for the 304 - ROUGH ELECTRICAL
performance ofthe'work for which thisp"bliuued.. :�' 305 - FRAME
O I h ve and w 11 oio,nm n Wo$c'a Compcnuuon Im'ipna as requ,ied bySen do
306 - HOLDOWNS
0..d e�)oronIw1t'uttrhe.momnmross,pids(lye)olaEyAARlnwooTnniui.y+in-on.e.pf,Cc.tJeChJrsAe WcTno+poanI.f,cO.o.M.AmmbuN:ot_eLra.OaEmcn.NoF'yaD.e,;nEuclnp.Jelleinw,e,Enoan":oMof ryde_NtrPh�feseNfl,INowM1Ossse Nh urp'�tenFo fRnobOraurMcorsAemoWf=we'haD,y,otRuh.bnr,c,am_hpuen.sraWmo.r d s.sghedaeec.-
WlIluo�;.uI,r.ek,Ee-
nI
_ 307`T:3 +';�RINSULATION
308:^ .SHEETROCKL•"
.
"PKI
g0'9' - `'EXTERIORATH
3`TO << ;INTERIOR liATHi1_ _
s10p
dollars 311 .SCRATCH COAT
fio1n
trope
501 FINAL ELE,CTRICAL-,:...-:`t•-_E_...N.-_,
_�E-'_RGt.`.YC
+.—..
�3•�`.y
— 502 --- FI'NAL'-PLUMBING
NO&hj6fjAPPLICANT Ifphermklpgths[enlfcomo(Eempdonyoushould 503 - FINAL MECHANICAENERGY `
Z becowithco nm the WpdaYCompeasail npW Talons of the Labor Cod ypd mon
L"
C man MmplYwthsrcnp tmmorthpermit hell bedamed revoked.
,_..504......- .FRINAL__BUILDING_,ENERGx.
,3� rnnl )t'i'CONSIRUC7IONLENDMGAGENCY ' " 505 - FINAL ELECTRICAL "' -
�,' eprorcd thspermunu ed lieeip97 iv e3 m- ntt
WQ iry ......._5_06 - GAS TEST t
Lenders Name '"
Lrna rrndamee ;, , 507 - FINAL PLUMBING,
z 508 - FINAL MECHANICAL !
V 'w I ccmfY thou ha rad th s liatwn e d rine thauhe ebwc m/onnrt ti is /)
W edrrtm 1 e rc m eons I th VI as and county ord n apo ad natrlvwr relating
enterupon 5 0 9 - FINAL GRADE 4N/c
510 - FINAL PLANNING
ass raid 514 - FI NA PI-I IC WORKS
zCQ\{PLY WITH ALL\0NnPO:JT'r' Issued by: Date
_.- e
,Ipso n(APpiir o- to+ s ::� .`ry+: Dat :, Re-roofs
p Y F� RDOUS MATERIALS DISCLOSURE(11( 'I cr t
I 1' w acupamsuite orhamileharudousmatend .TypeofRoof.-
-des•Will the hart w hurt bu7dmg
❑Yes 1' 0.
d she Health and Safety
Code Banpn 5p32(a) st 8x P 9'r A n Dil
u e t etl b the Cupertino Mwul el Code CMptn 9 12 anA
' fl .� r 1 vl
' _AMroofs shall.beinspected prior to any roofing material being Installed
WiII Nee hsint w future buddin ac am u W e proem o device,which V °
rat holixdo sur cn aminants u defined b)the Bay Area AirQ Quality Maagimem If a roof Is installed without firs I I agii5
t obtaining ng an Inspection o to remove
°iftr 'oyes rte " _all new materials for,inspection Applicant understands and will comply_vith
all non-poit source re ulations
Iiban read the huaidous,mnesitis mgehemeau mtder)Chipter 6.95 of Ne g L 7. :..
ICalifi6id}teelth d:Safety-Coda Sections 25505:25533'and 25554;.,understand that
f the bolding does ria correndy Moe a Waxer,the It lam res yonoufy the "--"" --'-- -"' - """"
Y Pmribint t -
7 wcvRant of Sec rcget marts whmh mutt oe met ono .1smissuancelY•CmtfaW of
vt,,` ` ....Signature-of Applicant . ... _.._ . . .., Date_:
ow a ro thnrt: agwtf „e ,. All roof coverings to be Class`B or,be[t r