02030159 CITY OF CUPERTINO -
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10108 IMPERIAL AVE TAYLOR WOODROW HOMES 02030159
OWNER'S NAME: APPLICATION.yl1B DATE
TAYLOR' ,WOODROW HOMES 2300 CAMINO RAMON, 03/26/2002
IS HONE: SANITARY NO. CONTROL NO.
(925) 365-3100
�ZZ ARCHITE=NGINEER: BUILDING PERMIT INTO
BLDG ELECT PLUMB MECH
ss..HLICENSED CONTRACTOR'S DECLARATION
ZO z u•�Q 1 hereby affirm that 1 nm licensed under provisions of Chaptee 9l commencing .lob Description
it
Fit,W with Section 70007 ofDivisianJarm<BusinexsnnJProfessionsCode.anJylicense NEW TOWNHOME CONSTRUCTION
Y F'7u is in full force and effect.
_mz.a Date License ueg 1456 SQ. FT.' LIVING SPACE ��E®
l_Nd °"` Contraetoe 469 SQ. FT. GARAGE : $12
i 0 ARCHITECT'S DECLARATION -
g 1 undcrs,nnd my plans shall be used as public oemdz
as
LicensedP,nfoownal APR 2 3 2003
g OWNER-BUILDER DECLARATION
v 1 hereby mlion too I am exempt room the Cono.o.,'s License law for the
F?a
oilman,reason.(Section 7031.5.Business and Ptnrenum,Code:Any city or cony
which requires a permit to construct,alter,improve,demolish,or repair any arocturc.
w3 m .•prion.its isuanca.also re runs the appl'sam for such permit to Ilea signed wtemem
that he isli¢nsd pursuant Wine pot sionsoftha Consols License Law(Chopter9 tt S .-Et..Floor Area uation
(cnmmkmg with Section 700)of Division 3ofdre Business a ad Professions Cwle) t,�s,3:'�•J 1. rIt... FL.Floor ('Al,%I,h 1J nf1'y'ii.;i'• $1540��
or that he is exempt din,from and me basis for the alliie c-i-loud.Any I whown s
of Section 7031.5 by any applicant for a parmiii subjects the applicant to a civil penalty
of not mare than five hundred collars(S500). 3 JC 71F 115318T*0 .,: r'. . Occupancy Type
El 1.as owner of the proper[,,or my empl cynee wi ih wages as their ooc oo,em,pfon.
'
Business
theand
professions
'W Code The s not intended ice a Law doe sale(Sec. to an - - - -
„Bus;ncss an picity s hoer Code:The Contractors Imn.License Lew docs not apply m an 101 - FOUNDATI�uired Inspections: '
r ow6qugh his own employees.
ploy es:or impend!that such,
andimprovements
ve eces such work himsneed or 102 - PIERS
or'sough his own howe,eees.providin that such improvements arc not;mended or _
comple for sale.R however:tder w'bu avec a urden oemmt n sold hed-within one yell of 10'3 UFER '
uppo nn,the owner-b-le).willhave the burden of provingsnah<dWnotbuildor 104 - REBAR
impro for puryose of sale.l.
,: propnyam exclusively comma ng w th 1 c nsed c t itis lo' - - ""10 5 ----ANCHOR 'BOLTS"
Lent of the Pres nt(Sep moa,Busters s and Proveon. il e 1 Th c ter s
1: Iv106 - SEWER & WATER
License a goes not m an owner of property who builds or improves thereon,n, - "
and who contracts for such.proiect wish,contractor(s)licensed punuxmt.to the. ..._ - 202 -- UNDERFLOOR--PLUMBING'__L.. ........ ._...._ -.....__.._. ... ..
p; Comme ols License Law.
m
exempt under See' ^;B&PCfar this renwn 203 - UNDERFLOOR'iMEGHANi CAL
Owne Date 7 '3 �Z_ 204 - UNDERFLOOR FRAME
WOR :R'S .1PENSATIONDECLARATION 205 - UNDERFLOOR INSULATION
Inercbyarfirm tsar pe�mtr,orper�ury one of me rmlowmg eenlaratmns: 301 - ROUGH PLUMBING
, C 1 have and win maimah, a Cehificate of Consent to self-insure for Worker: 3 02 - TUB & OR SHOWER
Compensation,its provided for by Section 3700 or the Labor Code, for the
Performance of the work for which this peonh is issued. 303 - ROUGH MECHANICAL
❑I have nod will maintain Worker's Compensation Insurance,as requited by Section 304 - ROUGH ELECTRICAL
3700 of the laboreode,for the performance of the work for which this pemnivis 305 - FRAME
issued.My Worker's Compensation Insurance carrier and Policy number are:
306 '. HOLDOWNSA .___.
caro i ONOFEXEM!PolicP IO t - ei ''T307."'. f+TNSUliATION(�fit•l:
CER_..,.ATIONOFEXEMYi'IONFROM W'.- S' A.
,r COMPENSATION INSURANCE -....-._3.O^- --S HEETROCK......
- . . • r... it . . ..
Cons nation need not be completed if me permit is for one hundred,mhan EXTERIOR LATH
f5100)or less)
31-0 ' - ' INTERIOR,'•LATH ' ,-,
f 1 certify that i thepe f mance of the week for whs h this Ferro,a issued,1
, "
'shallnotemploy any person nany'manner soastaJsasa �
m b)br �rkers 311 - SCRATCH COAT' '
i [Com yi,oCC hfn 0. r ._
3.13..-_ROOF- NAIL.-_._._-...__.._'.`_ ..----.-_----
NOTICE TO APPLIC MP If alt mala gthis C mifczt x peon you should
Z be msubjecuotheW ktCnpcnzuonpr sero boCod,You mun 501 - FINAL ELECTRICAL
''ENERGY
O O Tom th ply with I provisions m this l s allb deem d revoked . 502' „- _ FINAL ,PLUMBING _ENERGY
_ _ .... _.
'CONS em is a coNoncton nAGCNCY" 503 - FINAL MECHANICAL ENERGY', '
a 1 h ny which thi t them c ( t di Cog Icy for performance
4; Lenewodfoe- -thisp mnt,smssue.. e. 3M7, m.C.l 504 - FINAL BUILDING ENERGY
° ii,dd«:AAndre - 505 - 'FINAL' ELECTRICAL": ._ --.._._..._...-._-- .__..__..
O 506 - GAS TEST
I nfy th tin arc dth appy , Jimtha the bo forma on is
In Imil I genet co nptywlin autad c unt5odmapae a ti lawser upon 507 - FINAL PLUMBING
O([) run Id g t ,d n ehereby amh p move. rte city to ewer upon
Y'W me b e)al tip ptyr zpnci nprp 508 - FINAL MECHANICAL
O.t (we)alone u,' rif -spuand
e,oh,6 ,et,an(:,, fCup Lino ga net
m Iib 1 t e )Cog ns ov d ,pyre, wnn ) , :rnr v a gang send 509 - FINAL GRAD
V'Z City q c ER T gradingAND
Lpermit. a V V
APPLICANT UNDERSTANDS A\'D\S ILL COMPLY\VITH ALL NON:POINT SIONG
� Issued Date
Si Wrcof plienou umoaao, --Dme, Re-ro ds - ROOF PLYWOOD NAIL
HAZARDOUS NA DISCLOSURE , (,p
id Will mepplic to !erre gwcupantstmorhandlhamardpusmaenal ...Type C)fk of.- ,ROOF BATTENS ,_ .
aidfedbydm Cupn Mu palC ,Chupmr912 un1the Heehh and Saf ty 604• - ROOF-. IN PR.OGRESS••T -- "` '- -'• '- ••__...
Cade 5 ct 25512W1 n 'f ) -
❑Y. " ' SGL t # ). . t.. .
„AlLroofs shall be inspected prior..to.any roofing,material.bei ng installed.
Will the applicant or houre building uccmpant use equipment rdevi«.which If a roof is installed without first obtainingan ins ection;I agree to remove
emit hazard it contaminants c defined by the Bay A&=,N Quality Management P g
Disco° all new materials for inspection. Applicant.understands and will comply with.
t oras all non-point source regulations.
i
s; :1 have react the hozardous materials requirement under Chapter 6.95 of Ne
P g q i e - 25505,25533 and 255341 understand that
California1Health&Saf Safety d have
tions 7
"if theb de' docs note rtentl ha eauam then t s nY 'P iway in-nm;fyme - .. - - /
tic , fine me nircm i which moa be met pnnr to is a of CbnificaW or '
i• ata panar Signature of Applicant -- Date
. . _ .... _ ... ._..
Ownernr tbo gevt •• —3 04'2" All root verings [o be Class `B or better _
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OFFICE-
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