00090074CITY OF CUPERTINO
BUILDING DIVISION PERMIT
CONTRACTOR INFORMATION:
HIJ I LDING AUDI,ESS,
PERMIT NO.
1 q744 STEVENS CREEK RIVD
JEAN _ F
00090074
OWNER'S NAME.
APPLICATION Still DN'I:
F
09/1.3/2000
PHONE:
SAN]IARY NO. CONTROL NO.
ARCHITIiCIIEN(IIN ER:
-
BU ILDINGPERMITINTO
BLDG ELI!C'r Pl Ai MB MIKE
u u I-1 u
LICENSED CUNTRAC li DIiCLARA']10N
Description
I hcmhy affirm that 1 am licensed under provisions of Chapter 9 (commencing
.lob
Dl nW
with Scca ne 7fhn00 visiun 1 or the Bho n,ss and 1' ,rensiu Code, and'ny Ilec
,in fou h„me and `yep` lin `�e S
is in ice Circe _V,
TENANT
IMPROVEMENT
Unm-/..0 f cn:,ltncmr,i -
ANCIIITEf. 'S't;l
I undcotand my plans shall be acrd as punhr, rte,
Licensed Puddsinnal
OWNER-BUILDER DECLARATION
I la rchy abin,'hut I ma annap, I'm ,the Cnn hour's Licence Low In the
following moon. (Section 703115. moiness and Professions Loci Any city or county
which maryims a permit to ennstmet. alter. improve, d,nrolish, or repair any .structure
,:msec its ionone,, alio marine, lie applicant to''such ".it m the a signed other en'
Sq. Ft. Floor Areaa
'tion
that he is licensed pneationorhe pmoismstf,he Comme,o/, License low(Chapter 9
(rnmmencing with Section 700Xr of Division 3 of the Business and Profcssimrs Gine(
n an . Any viola
now he is on pi b... I it d the basis for the alleged excnmtiontion
7
or Section 7031.5 by any applicant for a permit .subjects the applicant to a civil ,cruor,
APN Number
Oc Type
maria more than rise mmnred dollars 6nan.
panty
01. as nxner of tin pml,cny, ar in, cnWbyeev with rages as heir sol, compensation,
al
_ -
- y Required Inspections
will do the work. and he structure is not intended or olf�red for sale (Sec. '7044,
Bus and Prnres s Cnde: rhe Cnmraewr's License I.aw ants not apply In an
Who
mune. nI property build., or improves thereon, and who does such work himself
or through his own employees. provided that such nnprovcme,m am net )mermen of
101. —
FOUNDATION
nffemd Ins all. 11, how,ver, the building m''mpmvc:n,nt Ice sold whnin one year of
ompledim. the my 1,builder will have he Nordin of proving hal he did not Huila or
_ 1,02 —
PIERS
In,pmvu fur pnrDsc of sale(. -
103 —
UFER -
01.as anerol he property, mil exclusively contracting with beloved commehtsm
namc he project (sec. -7044. Im and Prnrcns n, Codc;)'Me Con rail.,
104 —
RERA R
, it
for wch prnjens with a a,mnanrtv) IicenxJ punuent ws the
and who contracts tracts f r Such torn nw'�:, ter a coneemenri d Bono i'npmuent t the
and who
105 —
ANCHOR BOLTS
rt, Laces
❑loot ss rept and,. se,. ,n&rc his min rees„n
01 con cr m unde Set
106 —
SEWER R. WATER
O'ru D:uc
202 —
UNDERFLOOR PLUMBING
WORKIR S COMPENSATION DI AARAI ION
203 —
UNDERFLOOR hIECHANICRL
t hereby nfbm, notice pa'nnty of m,rianyoureof the following declambnnv:
204 —
UNDERFLOOR FRAME
I D ]have and will ...)main r Ccnilicmt or ,o sdfaborrt for Worker'stiro
205 —
UNDERFLOOR INSI-ILATION
3700ConsentA
trio"pct"saran, an ptns'.d11a 1br ny statin" rnln or n., Labor coat, for Bit
perfon'nnce of the work for Which this intend is issued.
301 —
ROUGH PLUMBING
❑1 have ami ,It mainnain Wmktr. C.... carafi i msmamle, a, m,nimd by S,mma
�m =' —
TUB R OR SHOWER
3700 ill the lamor Colic. fnr the vrknor on or the work tin which thin permit is
J ar
issued, MyWiCon,pensaannInsurance career and Policy nun,xram:
303 —
ROUGH MECHANICAL
1'eli`yNo: (,IfC?CJ/
canis°—AC—of2—P
304 —
ROUGH ELECTRICAL
CERTIFICATION Or EXEMIll ION PROnf 15KI_JIS� Qt
COMI'L'NSA'I'IONINSUItAN C7C.J (f
�
305 —
FRAME
(Un,—,Iinnnhard rad M ourdemdifthepemor i,an he hundred dollars
- 306 —
HOLDf.IWNS
61081 or 1,,,.l
307 —
INSULATION
I clam y thin in he peru,rmanu, of he work for which his perm issued, 1
shall ren employ any is,asm, in an, mnnmr outs ,, seen ".e subject In'iLE .. kers
308 —
SHEETROCK
Cone'r sadner wxs or California. [)all
Applicant
309 —
EXTERIOR LATH
NQrICIJ TO AI'PIACANI: M user u:aking this Cerliltcarc of l'annption, yin' ,bait
WameembjeamheWorker.Comptnsmltmpravwom,ofheiniora,de.you mmt
310 —
INTERIOR LATH
forthwith comply with ,rich hoiont's ur Ili, permit shall be decme,l mvolod.
311 —
SCRATCH COAT
CONSTRUC] ION LGNUING AGENCY
I hcmhy attlnn,hw them is a eno m Blind lending agency far the aerfmmema,
313 —
ROOF NAIL
of he work 1'or which thin unit is Iomal (See. 31„17, Cm C.)
lae„Name
m
501 —
FINAL ELECTRICAL ENERGY
I,eodc,'n Addhe,,
502 —
FINAL PLUMBING ENERGY
I certify that I have mad this apphcanon and slam hot the shave inmrmmlon is
ca'rcm. I ngma u, co"sty'int all city and catmty ardournes and slam laws relating
503 —
FINAL MECHANICAL ENERGY
to bolding entnuunion, radhereby molliz, represenurivex of hi, city,, enter upon
he aW,ve-mentioned property rot inspemon pa post,.
504 —
FINAL BUILDING ENERGY
W111))agree os:rve.' nl"noify updess the City of Cupertino a&airs,
liabilities.] al, mors, casts and raptors may in a,ny way nam, against said
505 —
FINAL ELECT R I CRI_
City in consequence ill ,he granting ill t . Penn",
is IhLCOMI
51%1 Fs —
s
GAS TEST 0
-SAPPLICAsoOURCERIa1NAlZONA
Issued by:
Date ' L96
Re-roofs 508 —
FINAL_ MECHANICAL
T,LYWII,FI�LNON
.'ignanuac nrApplicaUA/AR000S NIA'IERIAIS DISCLOSURl! Ddl,
Will the aMlicant or room Wilding occupant %lore or handle hazahm mmedal
Type of Roof
;is delinal by lieCupc,ino MunieiPal Cau, Chapter 9, 12, and he Headh and Sale y
509 —
FINAL GRADE
Gds Section 2553200!
O ye, C1 No
All roofs shall hbl i�ispect�
II
oto Eby r%bftil�g"Paterial being installed.
Will he applicant or more Wilding occupant use equipm,m or devices Which
}i'
If a roof is instaiIlbtwiilic UtaORIOlit,5ni{{yI,{i�-a�l{inslj���kFi11Sl agree to remove
emit hazardous air contaminants a, debned by he Ray Area Air Quality Management
Pure,,
all new materials for inspection. Applicant understands and will comply with
O Yes 0N
all non-point source regulations.
1 hove mall thu numado onaerlal, rtgnirenand under Chapter 6.95 ill the
Culilirmia Health&Safety e. Sections25505, 25533 and 25534.] understand, It.,
ifhe holding hila nor c ca meant. that i, is my respomibilitym notify the
-
acupnm ol'Ihumcntx whirl"nuns be ho PJur It, iauunue it u Ccnlbnec of
Occupancy.
Signature Applicant
Date
/
of
v
All roof coverings to be Class "B" or better
j Yi,
lPre,oramW,ri,edu'ra
OFFICE