01010073 CITY OF CUPERTINO -
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
TWO RESULTS WY alalaa73
OWNER'S NAME.MEASUREX CORP IO APPLICAMON SUtLU)T[18/2001
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WONE: SANITARY NO CONTROL NO. ..
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opz, ARC]II TEC17FiNGINHEIR'. BUILDING PERMII'INI'O
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/t =O hnyullLICENSN CONTRACTORS DECLARATION 106 DESCrIp Ol
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I Int 14cnwA Infer Pnrviviun,nl'CM1apmr Y(coinnencing
F of F'J nSedinnelNMq of Uivi.,ion3of ma Bminaz,onA lhofevvnn,Cak.and my licence t -�
nu nmeea Ir ,. —TENANT IMPROV --.
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w 1 undcman,]mY Plain,hull M oval as public n,rNs
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nal 1N1Ba1r,UER..I he C,\TION i V U W LA 1_.�I ,
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E!,, I hcmby;;Din„OW 1 um raamtpa Iran,me Commcan',hiccn,e Law for me
F y following¢awn(Station 7031.5.Business and 1'm1aI,ionv GJc:Any city nr roomy
F o which aconites a crani,to consumer, lII c injans,demolikh,or repairy:micmre
Sm n AriaM1 s Ia y tileIIBc ,t recruitl 6 ba
d,unI ll
e. mar be is licensed Narwt In thepmakininsoftheContractors LChapala - Sq. Ft. Floor Area Valuat
pot y it Smt 7(h)OI II ',i n td B ' Il t :: nCodcl9000
or mat rte i,aaon,pl menrmm amu me naoi,n,r dm anragm c,en,pm,n.Afr viom,ino
out Semina eon S a dnrnr a 500)2,suhjan,Iha aPPlicam m a civil penahy
ornm mom mon lice nambee ea dodi nl„(s50)). APN Number Occupancy Type ,
❑I,' nwae,ofther,"parer,n,nycmplo)„,wildwaga%a,mehonmaompcn,miou, 35720042. 00
will do the%ork.and he wroattim , J J B (S 7144
I,ui nJP r:. , C Th C I t 1 yJ : iT,Iprb to un Required Inspections
w fp ,ceehon Id. r mm J a „III 101 — FOU�DATICJN
ooh ,h h: employees.1 'Jdtht 1 ' p I t Jm
oBar .u,hex ,.ma n. IJ„ ,nr,ven , i3w,n n one 5`,r of 102 — PIERS
icompletion,the omner-builder will have the burden I in g ma,hSW not my dor
mprove rte payuvanl rl,). V, 103 — UFER
01.aso„ncrafthe pmperay.um escluskel,amlrac - roal m[toa,In 104 — REBAR
Lm..met int proso(Sec.7044.Bn,im,an ata DIP. ntmnm'e
iee ,e lrx.doe on applym an comer of ��na� I sa,meraon. 105 — ANCHOR BOLTS
and who commes for such projects wild mtmat scric romant to the
Gmnamor,Lwanw Law, 106 — SEWER R• WATER
❑I am aaampt andar Sae. I CI this mown 2022 — UNDERFLOOR PLUMBING
Owner Dam
WORKER'S co. ' T :a 'ION 203 — UNDERFLOOR MECHANICAL
I hereby arf under It, on of par; eof m.in,dec]aamison: 204 — UNDERFLOOR FRAME
I nage and will mentur Cc, f eon,em to,all-insure IJr worker', 2205 — UNDERFLOOR INSULATION
73700
nmpensalion. a, pmelded by S. Ina) of the Wbar code. for the 301 — ROUGH PLUMBING
dommuct ill Ie wok lin,sub bi,rain ora .n,:,,a amu will n,:,n ,In n, r.- ' nln,amn<a a,mymimd by seer„n 302 — TUB & OR SHOWER
of ],a Ludy f me pC the woe for wl,iel,dia parny� 303 — ROUGH MECHANICAL
,urd.M541v C' it lift Innn ”,anlnr:An e ' . P , Na.: aoAawceb,.77 Z 304 — ROUGH ELECTRICAL
CERTI OVQ IP110NFRONIWORKERS' - 305 — FRAME
'IiNON INSURANCIi
(I In, npla,a,urn,a nern,Il i,ror Dna hnnaraI dollen 30E — HOEDOWNS
ts00)anra,sl 307 — INSULATION
]early n,a,in n,e pil..innocent the wo,k or which this pernat i,toned,1 308 — SHEET ROCK
,M1ldl not employ any person in any manner m a,In Mcmne subject to the`A'crken'
n,t,yet,ahm.Laws of calmlmia.Data 309 — EXTERIOR LATH
Aprlicant �1a — INTERIOR LATH
NOI'IC17 IO AI'1'LICANI':IL atter build.,this Ctnilicac It Encmptim,you should „ -
z Mann,amnjcminmawmke6Con.”metlonrrovieiml,ofthei.anaCode,yIuacu„ '11 — SCRATCH COAT
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fnnbwith comply wits such pouskinns or this peri,shall M deemed m,nked.
] CONS'rRUCE'(ON LENDING AGENCY 313 — ROOF NAIL.
? 1 hcrehy alliin mm,Mre i.,a construction traffic,agency for the perromenwil
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ofll
work for which�hi,renna,1I,ed(Sec..wv7.Cc.C.) 501 FINAL ELECTRICAL ENERGY
tip Under,Name 5022 — FINAL PLUMBING ENERGY
Z ],later,Addell
V Q 1acuity that lhaveread this application and state that the above informal is 503 — FINAL MECHANICAL ENERGY
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ma agree cct.I aI mmp]y wl,h nty Ill city rout counolumma, I I,sum law,afoul, X�-
O v buildingam,suction.:mJherah>'nomadic re,rnun
amvit—fln0'm
i,cianerupnn 04 — FINAL BUILDING ENERGY
n,e�ho, mananavd propcny for intellection pnrnnao. 5 — NAL ELECTRICAL
rS (We)aytea to save.Indemnify and keep hunnlc,s the city of Cupertino against
Z Iiahilitic,,jud,neres,coos Ind capennc%which may in any way warm against said p, — RS TEST
V Z City in cnnoeyaance of the gmn,ing'If Nsal
lout pecil.
API'1 ANTU'�7F:R�pST�AgNDS�AND WjI. COMPLY WII'B ALLNON-POINT Issuedb I AL PLUMBING ate o
I,�.I:Rr1'CJ /✓�-(/V' ,per/�^O� y _
sgnamrapfnrpfaanvcontmamr Da,= Re-roofs
nn�ARouusMmgnatatSDlscLosuRE 509 FINAL GRADE
N1R meapplicant or future i,al otccupm„nna2,handle Heath famaterial Type of R(lof
ode.SeJhn15512mmmNwmaip;dcodra.cnamero.Iz,land mauaahnandsaray 510 — FINAL PLANNING
Code.saadnn 2sSa-'(a)e _
Q Ya, C]No All roofs shall be iFi deted pit cd-NAlay RJdV4LGatMQF g installed.
Will the 1ppliaant or comas bnadi„g«auranryu
l uw ipmemo,dcvica,which If a roof is installed without first obtaining an inspection. 1 agree to remove
nig hannJou,ai conwmifanam dcfnM by the Ray Arca Air Quality Management
AMi;,biae all new materials for inspection. Applicant understands and will comply with
�Ye, 13No all non-point source regulations.
I here read the ba,makim%twrariah reym,mnenu under Chapter 695 of the
Culirarria,
teeth&Safety Code.Sea,in 1,25505,25533 ad 25534.1 undersmnd the
if the building does not currently have a tenant,that it is my e%,ozo biIny m notify the
,itinpint of the r�tuy cmem,which M at prior m issuance of a caniticme of
°It ' ` 2// _. ILaLt6j �^,"�/ Signature of Applicant Date
owntrmamnoaaeJ agem Dam! All roof coverings to be Class "B"or better
OFFICE