02030072 CITY.OF CUPERTINO' -
BUILDING DIVISION1. PERMIT. '.';, CONTRACTOR INFORMATION:
PERMIT NO. -
20300. HOWARD"WRIGHT CONSTRUCTION CO: 02030072 .
- 'VNER'S NAME: .. �, � �,' "' � APPLICATION SUB DATE
'YMANTEC - ----- ' " ' PI-ER--:9,' THE EMBARCADERO"'_'03/'1'4/2:002'
11 PHONE: SANITARY NO CON ROh NO.
(206) 447-7672
C z�zO ARCHITEC 'ENGI,NEER: BUILDING PERMIT INFO
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z m',C BLDG ELECT PLUMB hfECH
y a tt6su _ �I I-1 L_7 I__I
LICEM1'SEU CONTRACTOR'S DECLARATION
I hereby affirm that 1 am liccnscd calm provisions or Chapter 9(commencing Job Description
with Section 7M)ofDivision 3 ofthe Business and Professions Cod,add my license TENANT IMPROVEMENT -
;y,<= isln'fullforcc and cf 1. - :'/ •�� <—"f� ,
ce za License Cl s Lic.p_ J
134G
Date , .7_ SDECLor IION C F1A9 .A LCD
ABGHITECuse UECLARA cord Y/Y G
ias
1 understand my plans shall he used as public records e
ixn Licensed Professional . APR 2.4 2002'
e d, OWNER BUILDER DECLARATION
.n1 hereby affirm that I am exempt from the Contractor's License Law for the
3 Q following.....Section 7031.5.Business and Professions Code.Any city or county , . ..... _, .
which 9 cit m r construct.n It improve,demolish,or repair anY structure ' '
6 � 'norm 'm c Iso q th _'plc ,f insight permn to rleasie,ed stammer '.' '' - OOO -that he licensed $35 _ -
pu von thbpro Division fth t uxtorslattnulnw( Coord p 1 p{Q�g� , - Valuation
(cmm ,ncngwmt then4fglr)d thbuss3 lith Bucine xcemp Profession,AnystCode) 1,-• (3
or that be i5 esfmpi many aibm6nt the bans for the subjects
t tl plican bn.Any l Penagn -
o4Setmo a than
F.5 by any doll farit permit subjects the applicam ro a civil Penalty
I „rnnfmnrcd,anrsenunareemJars(gsou). - PN'
1015ATION - �' -.�n, Occupancy Type-
'.,.
01.asovoicrofffic p perry urrayeroployces with Wages 3S their sole corriproggion, < _
will d thework:gild the arucmrc is atintended-- 'offered forI (Sec:'IIt4 Re 4 iii,e Ins fetlo05
Bun c and Pmfccs ons Code The Contract r License La doesor apply to im _ - 103 .: UFER., 9. p_
ownc
rof F,.,ey Who bolds of improves mbeaim,5nd whodow such workhimsdf
's bi through his own employees.provided n tote such improvement'
sol are nom decoded year of .104 —'_REBAR
' , -,oB<rearorale.B,e,bolethe buave ormilim fm<nnsdap-hrd,donegaldnr— - _105 - ANCHOR BOLTS
' umpleminn,the owner-builder will have the Horden of proving that M1e did nm buil)nr ,
improve for pdrlamots ode.).. - 106 - _ SEWER & WATER
❑I:-n rdi ibrl;rdperry'ame:clusively 6,nGaeiing with lie.eased contracting . 202 - UNDERFLOOR- PLUMBING.- -_
contract project(Sec.70L1.Business and Professions Cade.The Contractor's 2 0 3 - UNDERFLOOR MECHANICAL
License Law does not apply to an owner of property who builds or improves thereon,
.S, and who commitsforsuch
w projecos,whn.a.<nmatnds)licensed paadant to the 204 - -UNDERFLOOR -FRAME -
Contractors License Law.
❑l amcgempt under sec.' ' ;B&PLC for his reason 205 - UNDERFLOOR •I-NSUEATION
owner, Date 301 - ROUGH PLUMBING
WORKER'S COMPENSATION DECLARATION
•, ,Ihcmb from order It,or 302 - TUB H OR SHOWER
yes pens y perjd;ynmennnernlmwingx<laarngs: 303 — ROUGH MECHANICAL
O I Ade and w)11,, a Cenmcate of consent to self-insure for workers 3 04 — ROUGH ELECTRICAL
Compensation, .s provided for by Section 37W of the Labor Code, for he
performance ofine work forwhichthis permit is issued.' 305 — FRAME '
le - rcydi r 306 - HOLDOWNS
❑I have and will Code: Worker's Com ne of dInsurance,as reds Section
3100 f the Waddles
end f the performance,ante sir the work, which mh s pertnim s 3 0 7 INSULATION '
issued MyW kers ComPe. i I once came and Poheg umne rc "' '
cam Lt Pou<YNo 308 SHEETROCK ,. :
N-
.1-CE FICATION OF EXEMPTION FROM WORKERS'I t )h ) 30'9-`-- EXTERIOR- LATH
at t COMPENSATION INSURANCE ' t -
_ ..__. 3T0'.`=;INTERIOR7LATH_. :-- - ---
- pT,s sdtion Iced not b<co,nplcied if the permit is for one hundred dollars 311-• SCRATCH COAT
(EI00)or less) '
` I eifythm.inthepcd fih ki whichtlt lK t .sex) I -. .31-3 . _ROOE'�NAIL..
cold',° r olo,'aocurpmaoratecounter es to become hjedmtheWmkeK 501 - FINAL ELECT_RICAITENERGY-- '
Apples,at - - - - - 502- - FINAL PLUMBING.'.ENERGY' .. .-
NOTICE TOAPPLICANT:If,after making this CerircmcprExemption,you should 503 - FINAL MECHANICAli"ENERGY
b<coma subject mo the Workers Cmo,rsauen isi
provons of,tie Labor Code,you must
Zforthwith comply With sdsnProvisions nrthis Permit shall xaeemearevoked. 504 7. FINAL .BUILDING 'ENERGY .. .. .. -
''n 't'" t... .1. CONSTRUCTION LENDING AGENCY SOS — FINAL ELECTRICAL ENERGY
1 hereby drand that is o construction lending agency for the perfnm,ance ..
W' of me work for which thisPermit isaided(See.3091,CO.C.) 506 - GAS TEST
UnlcrsName .u._.1 . _ - .... _
z UndersAddmes 507 - FINAL PLUMBING,
U OIceddythamlhase;cad this application anL.amematthe above information is 508 - FINAL MECHANICAL
fi''F. comet.Iagree to,comply with all city and county ordinances addstate laws reImng 509 - FINAL GRADE
to building considering,and hereby authorize represbmarives of this city m enter upon
y'm
the glint emcnti.led prop<nyfor inspectinnpuryoses. 510 — FINAL PLANNING
I-„ L (We)agree to save,indemnify and keep hamlesi rM City of Clikh oo against
h liabilities,flight costs and cxcenses which may in any way accrue against said 514 - F INA PU I C WORKS
U APPLICANT UND .me a COMPLY WITH :• .
Y 9 g iege,mlr.; .
S' '_ILC AL �y' " Issued by: r Date
SOURCE REG
Signature fA1p,.can ongmcmr'�" '•+ -" ^" ",Date Re-roofs
1. 1{gZARDOGSMATERIALS DISCLOSURE'
Wdlihe3pplicanrso under building occupantstore orhandle heurdousmaterial Type of.Roof-... -
- as defined by the CuIcatind Municipal Code,Chapter 9.12.and theHealth d Safety r
Code Secy 25532(.) 1 ' •' a ,1. , r. . ;,• .. i )' :'r s sl. s 4,I'i i i
es
All roofs shall.be in6ected,pnor to any roofing material being installed.
Will the applicant or future bolding Occupant use equipment odevices which If a roof Is installed without first obtaining an inspection-I1 agree'to remove
emit hazardous air mea monis as defined by the Bay Arca Air Quality Management
Districid ' ... .. all new materials for inspection. Applicant understands and will comply with_
ave. •❑ n all non-point source'regulattons, ' -
:I ha se lmad9hrhamrdoud'materials rcyuiramen¢'undei Chopmr G.9Sof the -
'Califmad.Health&Safe,,Code,Sections 25505,-25533 and 25534.1 undemmrd that
ifthebnilJing Jaeanotcutrcndyhavea I l that it is my re pamibilimy to notify the
occupant of m:re9mrem <h must be met priory e ya Certificate of '
°""p � - a L Signature of Applicant Date
Owner or apmnna<a agent Date All roof coverings to be Class"B" or better
. .OFFICE