02060016..'.;�. '.,. .. .....OFFICE ... ... -
CITY OF CUPERTINO
BUILDING DIVISION PERMIT
CONTRACTOR INFORMATION:
BUILDING ADDRESS'.
PERMIT NO.
23595 OAK VALLEY RD.
SWAN POOLS
02060016
OWNER'S NAME:
APPLICATION SUB DATE
KIRK LAW
1495 S WINCHESTER BLV
06/04/2002
PHONE:
SANITARY NO. CONTROL NO.
(408)866-6893 -•
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
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BLDG ELECT PLUMB MECH
LJ C..7 LJ
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LICENSED CONTRACTOR'S DECLARATION
Description
1 hereby altirm that 1 am licensed under provisions of Chapter 9lcommetming
NCS
Buvg�ssaadProfessionsCode.andmylicense
INSTALLATION OF 595 SQ. FT. POOL
eepk
ua° sec.. 574/SB
[ N'���Otl��
i
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FINALED
1� /� ® �r�qamana
SEP 1 8 2002
ARChI1lEbeu d rcT�S
YP' `,,..
o0LicensedPof s
H+fin f� OF,. sr.'- m._ -BUILDER DECLARATION
1 hereby air. thin I am exempt from the Contractor's License Law for the
F = < following reason. (Section 7031.5. Business and Professions Cade: Any city m county'
1 1
NG
o which requires a permit momm
ctct, vImr, improve, demolish. or repair any vete re
BUILDING S
UIJ 1 LD1
WF
a3� prior to its isoarime.alsorequires the applicant for such permit file v signed sencmcnt
S(L EL oC ea-,
•d �, 13!4 G 7.0'V ��•• r �:
Valuation
that he is licenud pursorte, Ne provisions of Ne Cmundcmrs License law(Chapter 9
(commencing with Section 700) of Division 3 of the Bufiness aed Professions Code)
orderhe is exempt Ncrefrom'nnd the basis for the alleged eximWtop, Any violation
'
of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty
of not mare man rye hundred dollars ($500).
103 APNyer
.. .. Occupancy Type
❑ 1, vs owner of the pm,roy. or my employees with wages as their sole compensation,
104 RE—R-AR
--- 107 - POOL/BON dInspections'
wdlnesan Prk,arta m<'ode Fit Contractor's Lice <rrLawdoe see (See to u:
Bus eros end ons Code The Co tract License law dao not apply to
property W if
owner of property employees, h ' p v tit d s encs seen work 1f ed or
' orthd,forssownhe provided improvementsmehiltMmmedor
-
,offillm`comple for sale s sold w that one Year or
_ _ _3.01 _ROUGH -,PLUMBING._
304 ROUGH ELECTRICAL '"
timprovement_
w erhowever,the will have
completion, me ownm na mer wal M1av<m burden of proving that nedid hnt ba hot
-
improve far Pairs. ale.).
502 - FINAL PLUMBING' ENERGY
_._ . .. ... _.._ _. ..._ .. _ _._..
cooniwet ma m her iaia, Busin ssand � cmc::) co�tetacem's
.. .. - —' --
5 0 3 - FINAL MECHANICAL ENERGY' ' "' �`'""I"
- (See Professions The
License a«n
nu' L. . i 1 't
nota to an owner of property ho builds or ins memon,
Law apply pc y w proves
506 - GAS TEST
rod who convam for such.prol<na wiN a.contrunor(al IicenseJ Pursuam m teat
= .'
___. _. .. ... ..._ .... .... ......_._ .. __._.., .__........ ____-...._.._..
ST0 - FINAL PLANNING'
< enmact., Li<ep Lw.
❑ltom exempt underSec. .B& PC forth is reason
'S .�:•': `Is'IJu
511 - FINAL POOL
Owner 1 ' Dam "'
516 - FINAL BUILDING
WORKER'S COMPENSATION DECLARATION
t I hereby ithion unqcr penatty of perjury oric. of the following d 1 m ions ,
❑ 1 tkohl andwiffirmiumain.C nificate of Con eat to If for Worker's
�Co pen oto �oa,p d d f, by Section Mon 3700 -of the Latin' Cod,. for the
. perfermateon of the,work be which Nisipermit is hsoeit .'
... ..- n•
i
❑ 1 have and will maint:or Workcr'sCompensaime Iniumnce, as required by. Section
3700 of the labor Cade, for the perfomm nt, of Ne work' for which this permit is
- - Insurance career and Policy be am
e4ed, M s Compensation pe t m
py
C 'ppucy f,3YA•�/IrivrT4�
,,._., ,' .., , t...,,.,_; ..._..,. Art 0 1
I t IY
G77cFv.uo.
RTIFICATION OF E%EMFCj19N FROM WORKERS
+. " J 1' - •'.'
COMPENSATION SURANCC t+
111777NNNNNN
YE t rlh d sect on'necd not be cnnmleled f the patot is for one hundred dollars
c " \'' .1 •' ' _,1A t .: :! I. Pit",
(S100)orlcss.)
-"I scndy that in the performance of tl k tor which this fetter icsued.I
Shall not employ any most in any and ai to become sub Tit io the Worken
..d
Compenshfice Laws or Coherres. Date�h
•'
Applicant
NOTICE TO APPLICANT.' If:°flet making this Cen ilcmf
'
sirkers Cnm.,orinn'pmvisions ofthelabor Cale, you mtiit
the Labor ledd
forthwith comply with such provisions or this permit shall be dcemW revoked,
Z_ Qbacdmeh comfy it
- .-------
__. _.t"!'
p . 1 j' TT "! `^•''' ('CONSTRUCTION LENDING AGENCY ^ ' '
�ne'perftirmancc
1 hereby wR this there is v construction lending agency for
"
cthis t slieJd ('. perm 1$ 3097, Civ. C.)
hf the rk for which
CLI' Lcodcrs Address
V' I omd�ythat I n c maill J"'aret thathe bf ration
1 gmet comply with aityand pry ordinancesd.t t I ng
-
1.building nnu dhereby auih cp t tive ril acuywememupon
V/_�•0l�
_
the oho eticdpcnY n pea Purposes
City of Ctiparfin. agmen
G (W) g to, dri an Jkeep ilo ml sthe
tq liabilitieslud6 tttm c J peau h h Y,nany -y gain" sad
/ -
Ci Z n< W f to gm i g of tit I.c t o
r
,tPf LleANTU YDS A\D WIL[COAIPLY lV1THALL,NON p01NT
A
1- 1
i//ZIw/
Issued by: ' Date
NS
�.
Re -roofs
,. iFpmdrt of Avflicandcnma¢m1..' ..' ,r�'.'.' '.. oat<,'y,'
HAZARDOUS MATER1AI5 DISCLOSURE -
_
Will Lh pphi t futumbeldingeso,opkinssi - anal ha:aradns amrial
.Type.ofRoof ... ... ............. _. _- ..,.-
aidfadbytit Cupri" i/fiICed Cop 912 and Health dSf y
Cak S t 255721 1 l- L. 1 -
�No' t t
•� .` „ ', 1
- ' • s ,• i .. r s, ! ..e.
Luxe
Will Site ppm g p equipment s when
All roofs shall be inspected priOr,to,any roofing material being lnstalleli ........__
If a roof is installed without first obtaining an inspection; I agree'to remove
Management m� defined d h5 the Bay Arc A Q I ty
emit h cotdno, .6 Ines by t Quality
'o t <t
all new materials For inspection. Applicant understands and will comply with.... .
1 ❑Ya CIN.all
non -point sourceregulanonst,
t' 1 M1a:e mad rite haxuIcm
dous hem.' c.imments idem Chapter 6.95 of the
Calif6he, Health & Safety Code. Sections 25505, 25533 and 25534, 1 understand that
if u ty to the
h is mYssuance
nm currently havwhich
the
-" "-•
res
must be, met of i fico
' axuphsit of the requirements which man rte tact prior to issuance of a Cenifcate of
ccupieil of
Si nature of Applicant - Date'
_ ..
All roof coverings to be Class "B" or better
nnriaed ago„ .' me -
..'.;�. '.,. .. .....OFFICE ... ... -