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011200980 OFFICE. _ .... .... .... .._ . ...,t . _... . .. ... .. ... .. .. .. CITY OF CUPERTINO CONTRACTOR INFORMATION: BUILDING DIVISION PERMIT BUILDING ADDRESS, PERMIT NO. .18731,T2-LSON AVENUE MR. & MRS. PHIL BOYLE 01120098 'OWNER'S NAME:" 'R. & MRS. PHIL BOYLE - -' - APPLICATION SUB DATE 12/27/2001` ONE: SANITARY NO. CONTROL NO. �.0 ARCHITECTENGINEER: - BUILDING PERMIT INFO u BLDG ELECT PLUMB MECH I, •,I .' .,. LICENSEDCONTRACTOR'S DECLARATION Job Description 1 ti re70 affirm th t 1 d p ons of Chapin 9 mmetmnse IJ _ wuh5<ci n 3licensed tD ision]oRheB. dProfessions Coee:andmyliccnu and NEW SINGLE- FAMILY 'DW,E,nLLING' i V emus nlr e ml'Mms 2220 SQ. FT. HOUS���yk0a0�SQ. FT. GARAGE Date Contractor < - ARCHITECT'S DECLARATION �D n I understand my plans shall be used as public recards Licensed Professional �,k MAY 1 O o OWNER-BUILDERDECLARATION1 �oo� I heathy .(Seat that 11. exempt from the Cammnm's Law far themy Any ' Z a : fallowing mama. (Section ]OJLA Business and Professions Code: Any city or county' c Z a which requires conswa, altar, improve, demolish, orerepairsig any I m ,trio n e, also re its ismm¢galsontto the for such statement statement. a that he is•IianuJ pu{Saentmmc provisions of me Comracmr's License lsw (CM1apter9 ovisio sti r, CormorantOoicense Law (mmmenung wimSmion]00,0)of DivisionJof the Busines<pnd Professions Code) -Ft; ,S Ft: Floor Area t r a nation Sq. (e',Jf�tt •('e; %ii;�,\'I ;Y3, or ffim he Is exempt mercfrom end the basis far the alliged <uciala ob. Any violation -' - ot Secrsw 703 L5 by wy applicun foeu permit sugec¢ ate applieom tva civil penalty- ' of oot,more than five hundred dollars (S50m, - Tribe Occupancy Typo O L as owner of Ne popeny, or my employees with wages as their sole compensation, ' w 11 do he work: and then t e, lino, intended "or'offered for sale (See. 7000.' 'B a es 'and 'Profesa o Code: Th Contractor's License - law does not apply tow 10 2 - PIERS Required Inspections - ' owner of progeny Whobuilds or improves thereon,and who does such work himself or tho gh h' own employees. provided th t such improvementst intended or 103 - UFER_- ' - ,offered f I If. Meea, the building or tmpro t Id dr ' one year of 'eompledon the owner-bu lder will have the baNan of that he did not build or -` " -- -" ""'--' -.. _ ...... .... _ _._ ., .. _ ... ..-. _. ..... _ ._.- 104 - REBAR ' - proving improvefarpurposeofsme). 105 - ANCHOR BOLTS - 1 owner of me property. am exe sIa contracting with to 106 - SEWER & WATER L:' �,'1'•I Business conLicense aw impact (see ]u , Baatn and Professions coee) The cam times The Contractor's i Lic s lA d t pply t ww, of progeny who b Id improves thereon. 2 02 - UNDERFLOOR PLUMBING .and hoc tinct ( such projects wnb,a con[rnetons). licensed. pmcmm m the C tat' 1 p Lo pyder Se f rdL p(l ame on _ - UNIDE FL OR MECH �. ANI CAL iT UNDERFLOOR �°'"" t �Fr ER O ,ENS NDECLARATION UNDERFPOUMBINNSUCATION _ -_ 301 ROUGH 1ne by rfirm eerce ny or peB 7 rte Di mern wing declarations: . 3 02 TUB & OR SHOWER ❑ 1 haveand'-di mamiain a cenmbatd of&i to self.insare for Worker's Compen[ion, �as provided for by Section �J]W of the Labor Code; for the the 303 - ROUGH MECHANICAL perfomtaiieafinework for which this permit isissued., 304 - ROUGH ELECTRICAL O 1 by d'will 'm.W n W rk 's Cd pent o 1 s ran a required by 5 tion 305 - FRAME POB of the Labor cod f r the perfa f the work f which his permit is d M W, k fsCompensation Insurance arse d Policynumber arc Y 3 0 6 - HOEDOWNS .'tss caner rPol,cyNo. -:.., .. .. .... ..-.., ..^ :.... •. -„ .. ..„ .. ^.- - ........ 307., INSUt.�AT.ION... j CFRTIFICATIONOF EXEMPTION FROM WORKERS',, r ' ! t'� d•308 'rISSHEETROCK"'[r 3NI COMPENSATION INSURANCE-t " t . (3'0'9': It ,-(Thtdseahon ueW nai be coltpletcJ fate tenon is for one ht ndred dollars -;r ERTERIOR "LATH ...�'._..___ _.._._ ._...---............ ISIOq)ar l«a.). '' 310 - INTERIOR LATH, ,,,., , •,,,,, ,,;, _:.,. 1'e oily )hzi in th peel im"c of thew k'f hthmts perm ns is eel ....- -311"-'SCRATCH ,C,OAT ,. ' sh B t splay . n n n . t' _ eae)u� Woke". oat 'r ' 313 - ROOF NAIL' t t �?.. �f. co pp u I � t I 501 - F-INAL'-ELECTRICAL ENERGY---'- Z. CE TO AP LICANT aft g Cen fate of Es pt o , you should hecom ubJ a tha work Ca pe. t prol as Drat hba m<yaum s[ C— 'ply 502 - FINAL PLUMBING ENERGY 0 forthwith c with such provisions or thisperout shall bed tateresided. -503 _ -FINAL.. MECHANICAL CONSem is.'IONLENDINGACENCY that m g,. y r nh peer rata e -ENERGY. i 504 - FINAL BUILDING ENERGY . _ . , o or which issued (Sec.3end Limb`wo n n_ x t .,TET". Jin]cn.c) - Name �. _.. ._ - 505 -_FINAL,ELECTRICAL z ra a .t. .... ._. Ixld nm _ , .._ ....n ...... _.__ . .. .. _ .. 506 - GAS TEST o,:... t,a l cenfy tri yha< sadm application and statethat iwv<inaw tion is 507 - FINAL PLUMBING E+!c)buil U nag t comply with IIcityand e myoNin oandstareto luting building micro dh by thowe p rive fth'.acrymen¢rupon 508 - FINAL MECHANICAL (/ — m A' 'he me he's .»egeedpin far_,nyandkgphomjtsi (We)hgmc m'save. ' d -oily andk eph less meCity 'fCtipen �idegbinn isolates, ryd,wema n and e.p<nae which m) in may 'ay a< gams, said 'yuenceof -' 509 - FINAL GRADE 510 - FINAL L ING rn .Z., ... City o tM1 grant ng of thispe n - A PUC U'DERS AND WILLCOUPLY\4ITHALCN N:POIM"° 4 r N C WORKS SifiURCI _c Aii' t Issued •' Date % ratu aof Ppp cHAZAtract °a" '� Re-rooCsoS - ROOF BATTENS ArER1ALsl lscLos B , the pPPliranlo f'i b',Iding oc'panistpre or handle M1azaNd smaienal ,.. .. -Type. o6R&Jf.-... ROOF_. IN -,PROGRESS ...:. usdf d¢ytiheCp twMun nip lCd Ch jt 912 nl,h H hh +nd5fety ........... .........:..:.... ............. � Cod Scto 2553x11 a sl .�, t'� - `• '. s ,1 ` 1' prior. � i0. any,r0 fin material being installed. All roofs shall be inspected p Q g. W,Il the ,ppl t future b ildi g pat a cq p t r ticvma, which t h -' is 'Boy , If a roof is installed without first obtaining an ins ecttdTiyq agree to remove g p � g em zardo conmmma ai defined by th Arcv Av Qual ty Manegcmcm all-new materials for inspection. _ Applicant understands and will comply with , .. "regulationst} `- '"' - a117non-point ource _•. -- - ,h ae'the h zaN ,nmcri rcqu me is under Chapter 695- f tha Ih c Calf nm He hh&S f ty Code'S nitins 25505 25533 end 25flY I d rtmnd that tf me bu ldnB Das note rtendyhavca¢sant thttls yresponsbl'ry,n tify theoi- Occup the equirem<nts h ch must be el p r m issua c f C nifica - f _ ora p a - . Signa, re of Ap licant r -v Date All roof coverings to be Class B or better xn roruathariz oate.� ., ,. . tf 0 OFFICE. _ .... .... .... .._ . ...,t . _... . .. ... .. ... .. .. BUILDING DIVISIONPE IT l.11l� 1KPll..1 Un JuNIV VluylaI]LyV: BU11-DING ADDRESS: 18731 TILSON AVENUE OWNER'S NAME: MR. & MRS. PHIL BOYLE PHONE PERMIT NO. MR. & MRS. PHIL B -.--E 0 APPLICATION SUB DATE 12/27/2001 1120098 SANITARY NO. CONTROL NO. ARCHTrECUENGINEER:I BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 1-3 L-1 L-_7 L-_] LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with S&uoa 700U) af,t5ivision 3 of the Business rind Professions Code, and my license is in frill force and We& License Class Lic. 0 Dare Contractor ARCHCCECr•S DECLARATION f understand my plans shall be used as public records Licensed Professional OWNER -BUILDER DECLARATION I bereby affirm that 1 am exempt from the Contractor's License Law for the following reason. (Section 70315, Business and Professions Cade: Any city or county' which requires a permit to construcr. after, improve, demolish, or repair any structure . prior to its issuance -also requires the applicant for such pemru to file a signedstatement. that ire isticensed Qu(suant td The provisions of the Conn nxwes License Law (Chapter 9 (comme4clog9vi€hSectjon 7000) of Division 3 of the Busutess pd Professions Code) or that he is cxcmpt thererrom•and the basis for the allFged exetnbtiah. pry violation of Sectroa703 1:111 any appli Cora permit subjects the applicant to a civil penalty of oot more than five hundred de.0 (5500). Job Description NEW SINGLE FAMILY DWELLING 2220 SQ. FT. HOUSE, 400 SQ. FT. GARAGE i , � • .�q. Ft..Floor Area; _ r ❑ 1, as awner orthe property, err my amptoyees with wages a3 tbeir sole camper sation, will dothework, and the structure is not intended or offered For Sale (See. 7044.- Business end Professions Code: The Contractor's license Law does not apply to an 102 owner of property Who builds or improves thereon, and who dors such work himself or through his awn employees- improvements intended 103 provided that such are not or Offered fbCsale. If, ha4evet the bml&ng or improvement is sold Within one year of eompicrion, the owner -builder will have the burden of proving that he did not build or 104 improve for purpose of sale.), 105 ❑ I, sts•owEcr of the property, am exclusively contracting with licensed cantracrors to 1'0-6 construct the project (Sec. 7044, Business and Profusions Code:) The Contractor's License Law does not apply to an owner builds or improves thereon, 202 of property who .and, who coriu=ts for.=lxptajects with. a.contracror(s) licensed..putsuant,to th& ueerLSe 2 03 �C =ernes LAW. , aso ex ur}der Sec: B & P =or this reason , 204 O D` .. 205 w R• G P1Js N nECLARATLDN 301 I hereby affirm under, penalty• of perju] one of the following declarations: 302 Cl 1' bave and will maintain a Certificate or-Cmtwu to self -Insure for worker's 303 3 Campeas.ation. as provided for by Seetton 3700 of the Labor Code, for the perCarmanec orthe work for whiciltthis permit is issued. 304 ❑ I have end'nill hralattia•Warkees Compcnsadtm Insurance, as regdimd by Section 305 3700 of the Labor Code, Tor the performance of the work for which this pefmrt is issued. My Workers CompensatInsurance tamer and Polity number itre;3] 6 •ion IPolicy r 6:: _ •. .• , . • • Carrier." �'� l l .. • 1 - •r-�-`+.7. n0 1 CER•TIF gATION OF EXEMPTION FROM WPR 5' � 8 3 0 8 COMPENSATION'1NSURANC•6 _ • . --3 O 9 flh)s sectiaa need Oat be completed irthc permit is for one hundred dollars (SID.) or less. 310 •' 1 certify that in the pear" peimit is issued, I 311 steal) not employ crass in an;sas P sttb;et5 to the workers U kX5xQ17—A 313 Ca persation f Kam! twat5- 5 01 CETO LICANT:, afier rg is CertiFcate of Exemption, you should became subject tothe War s Compeasati 'provisions of the Labor Code, must 502 you fo(thwith comply with such provisions or this permit shall be deemed revoked. -503. ' 'CONSTRUCTIONLENDINOAGFNCY 5 4 I hereby affirm that there is aconsbuctian lending agency for the performance of pre work for which this permit is;issued.(See. 3097, Civ. C.) 505 Leader's Name - - L.cpder s Address • ' 506 • I certify that I have read this application and state that the above information is 507 torr`en't. I agree tq comply with al,ciq dhd county ordinancep and state Laws relating 508 to building construction. and herehy authoriie'repmsentatives ofthis city roamer upon the above-memloned property for inspection purposes. 509 (We) agree tb save• indemnify and keep harmless'the City of &pander against linhilides, judgments, casts and expenses which may in any way accrue against said 510 City' to equence of rhe granting of this permit. APPLi, Uy 1DERS'�r AND Wtt:L COa4IPLY WITH ALL N N•POl`"I' souRc GtVL d$ O. , �_qs .n 4 Issued natuk of AppSe[ntlCon[mctor Date HAZARD0 . brATERIALS DISCLOS Will the applicant or future building occupant stare or handle hazardous material as defined hy.,the Cupertino hfunicipal Code. Chapter 9.12, and the Health and Safety ❑Yes. �No . Wilt the applicant or future building occupant ase equipment or devices which emit bazardouswr contaminants as defined by the Bay ArenAir quality Management District? 13 Yes Na 1 have read the hazardous materials requirements under Chapter 6.95 of the CafiforriaHealth & Sarety Code, Secti6as 25505, 25533 and 25534.1 understand thn if the building does not currn dy have a tenanr•that it IS toy responsibility to notify, the otter the requirements which must be met prior to issuance of a Certificate of Qccup c . _ Awn r or autho ' d vent . - ❑Ore PIERS Required Inspections UFER- REBAR ANCHOR BOLTS - SEWER & WATER i UNDERFLOOR PLUMBING -- UNDERFLOOR'tMECHANICAL - UNDERFLOOR` 'FRAME •' ' - UNDERFLOOR INSULATION - ROUGH PLUMBING - TUB & OR SHOWER - ROUGH MECHANICAL - ROUGH ELECTRICAL -- FRAME - HOLDOWNS .r. INSUQZiT-r0 - - =.-EXTERIIJR-•LATH--.___.._w.._r.____.-.. ..._ _ ... ....... - INTERIOR LATH t - SCRATCH;COAT - - - ROOF NAIL' - FINAL ELECTRICAL ENERGY - FINAL PLUMBING ENERGY FINAL MECHANICAL ENERGY - FINAL BUILDING ENERGY - FINAL ELECTRICAL - GAS TEST - FINAL PLUMBING FINAL MECHANICAL FINAL GRADE FINAL ING Re-roo&o � - ROOF Type oSl@&f - ROOF a�!• tWORKS �• narrra—iiu` rr►i%=-- �r� Date BATTENS IN -:PROGRESS All roof$ shall be inspected prior to. any roofing material -being installed. If a roof is installed without first obtaining an inspection; i agree to remove all new materials for inspection. Applicant understands and will comply with all non -point source regulations. 6"r- �—Q ?— Signathre of Ap licant Date All roof coverings to be Class "B" or better OFFICE CITY OF CUPERTINO CITY OF UTERTINO NEW SINGLE FAMILY DWELLING PERMIT APPLICATION FORM l 0 l APN # ` S .7 J5—/ � 6 � 9 Date: /0 Building Address: S `� 3 —�l I SO Irl\,Ie—. Owner's Name: �'�� l �o �� Phone #: Contractor: JAJf License #: c — 2112 � Contact: RaIx Phone #: Applicant/Contr ctor: Square Fee Building enrit Info: Bid Elect Plumb Mech ✓ Job Description: Residential: • ✓ �5 /� R Commercial: Sq.Ft. Floor Area: 2/Zo �'-/ O o � $/Sq.Ft.: Architect/Engineer: ,, QX `Pe L Valuation: k S foo Type of Construction: -ST Occupancy Group: V, Qty. if Applicable Fee ID Fee Description Fee Group BCONSTAX Construction Tax BUILIDNG BENERGY Energy BUILIDNG BMTTIGAT Housing Mitigation Fee BUILIDNG BNEWSF&2F Square Fee BUILIDNG BNUSFD Square Fee BUILIDNG BPERMFEE BldgPermit Fees BUILIDNG BPLANCHK Plan Check Fee BUILIDNG BSEISMICRE Seismic Fee Res BUILIDNG BSF&2FAM Square Fee BUILIDNG EPERMITFEE Elect Permit Issuance ELECTRICAL MPERMITFEE Mech Permit Issuance MECHANICAL / PPERMTTFEE Plumbing Permit Issuance PLUMBING BSWiM Swimn-dng Pool BUILIDNG BUSLIC Business License BUILIDNG