99090173 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
HU11.13INGpn11R94 PENNINGTON LA PERMITN"090173
OWNER'S URN LI CHEN APPucA'f`���13 y 1999
PHONE: SANITARY NO. CONTROL NO
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ARCHITECT/INGIN ER: BUILDINGPERMI I'INF(1
,..`" BLDG ELECT PLUMB MF.CH
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I.IrENS II CONrRAC fuR'S DECLARATION Job Description
O1 hcrcbY nit it that 1 an,licensed under provision..of Chapter 9(commencing .
�_1_m »;m sectional(gnniDcoint341heRu.me..andPar„re..mn.Code.orndmrrrens 2228 LIVING SPACES 462 GARAGE SPACE
a4is in full force and effort.
e S (Lunn,Class I.ic,n
3r Due Cemme,m
Lot
ARCEIH Cr'S DECLARATION
t_a I understand mY Plan,shall be used as public mean,
f 1,
iL S O�O Littns,d Pmfcnsiowl
OWNP.H BUILDER DECLARATION
N I levelly al'lirn,hm I an,uxeanp,Tenn the Comremra Urenw Law for the
Hollowing reason.(Section 1031.5.Business and Poe evoom Code:Any city or county
F❑ which requirc%ailaarnaii toversomet.altar, p dernalish.ormpearYstructura
W 3= prior it), I. ofluires the pplica t for suchpermit file a signed:t, rot
'but he is 1w,rosed,lonmorn,,,,he I n..of t Cattail Lce 1' (Chapter 9 Sq. Ft. Floor Area
(un angw'h Seen,IlgU) D µoB
I 'v' ,3 ,1'he wi,m,1 lI'lfas. ms Code) �GLG
nr,M1m he is exempt liberation,and he basis ha the alleged ewmptioa.Any !,,Italian
of Section 7011.5 by any up,li...i for a prtmit object,dwapphran,,m a civil penalty {�
of nntmnre,har rive hundred Jollas(SAMn. A3C N�It Vk9 00 ccupancy Type.
❑1,rte owner of the pn,perY,onny rn,ploycrn Lath wagnssmr,,oficn life ism, O^�IQ�+IO �-
will do the work,and the structure is nut wended or ut't'ered roe sale(Sec.7014 11S Cctions
ownerofpraerty Who Wld%o.imp Con,theren,and whloa s such work himself 101 — FOUN�H p
ormmugn n°`n:a employees.provided d ma,such improvemen,are not intended our
outrcd fill.ale.If.ho»Burr. he building o,in,prevmnm„is slid ovulations,rear or 1.02 — PIERS
a.nplmien,the owne,.hhmrr will to the ba..fin final that hr dol mot bald ur 103 — UFER
improv,lin purinnc of sulci.
1.:. renh,paeprry.ante.em.i.'ser«,ntmrhngw;tnhrenxaeulrtrrmrs,u 104 — REBAR
al,struet tn�rmiect aur.n 44.Business and Pmh:Ftora Code:)The Counselors 105 — ANCHOR BOLTS
I ice o,Law duct nm apply no un uwnc,of pn�per,y who h,dlds or nnpmve,thereon,
a J Iwl,carries lot such porects with a,untrara,r(.) liaa.cd pursuant ,,he 106 — SEWER & WATER
C ntmcmrs Licerw Law.
❑lam encmIs ule,Sec._,./� B&P C for this reason 202 — UNDERFLOOR PLUMBING
OL:m'r-ILk ��' ^�'"i,{�, � 203 —, UNDERFLOOR MECHANICAL
.{
W 0 R 'SCOM PIa.NSA'I'10 A )N 1
Ihereby official ander frnmryatperjury one othe follow ingdemomiens, 204 — UNDERFLOOR FRAME
C 1 tool,and will ,maintain a Certificate ur Couscnt m.elf-inmr four Worker. 205 _ UNDERFLOOR INSULATION
Co....sa ...,, a, pmvdad 0,r by S„tina1 3700 our the Labor Code, cur he 301 ROUGH PLUMBING
Pere,m,anceerd,rwerktY„»Mm,nmaPrrn;ti,sissued. 302 — TUB & OR SHOWER
01 hove and»ill maintain"o ker's Comparl Insurance,us required by Section
300(1 of he Laser Code,ro, he performance of he weak for which his rorria i. 303 — ROUGH MECHANICAL
i.,v..1.M,Weke, CempenvaliIloumncecarrier am1Pehrylanann`rore' 304 — ROUGH ELECTRICAL
Carries: Policy No
CERT HFICATION Dr•ESEMP1ION FROM WORKERS305 — FRAME
CONII'ENSATION INSURANCE -,306 — HOLDOWNS
('rhi,vent aecd ren be.......tried itmepenouR,Inc elle h,lll tied dollars 307 — INSULATION
ISIIN)1 ur lcxsJ
1 renin tem h me performance of he work far which his pe,.if i.i...ed.1 3013 — SHEETROCK
`boll und employan,l” asinine:object mm W°ak" 309 — EXTERIOR LATH
n„p 'r i ,Ic 11 Data
oil CE TO APPLICANT If. u k' gnhi,Certificate ofE Pt n
yon 310 — INTERIOR LATH
Z hit, b) u alWorkers,rmt pe: r nh Lobo cd »u inns, 3i1 — SCRATCH COAT
O O forthwith ve npy n.:oe,with such peour hre
,.pm,-hall W d d ked.
Z h
CONS'1'NI1CI'ION LENDING AGENCY0'06
ROOF NAIL
I herebyamnn that them e a Colonial lcnd'mg ageecy fm doe wrfmmnar, FINAL ELECTRICAL ENERGY
C of,he work for which,hispenio is i..ucd ace.31)97.Civ.C.)
i e landcr.Name FINAL PLUMBING ENERGY
7 Z Lcndcr'.Addre.s
U O 1¢r in,hmLhavamust 0.i.apphcadonaid',.,ahmlheabove iN'ennationisFINAL MECHANICAL ENERGY
I,. F. d..rect.1 agree to comply with all city and am,ny ordinances and state laws relating FINAL BUILDING ENERGY
V to building cungm,9ion,and hereby au,hairz representatives of this city to enter upon
y
105
he amne-menhoaed pmpcn,air inspection pmpn.e.. FINAL ELECTRICAL
ti0. (Welagnx tons,indenmlly and keep harmless the City of Cupcnino againstrte hamnaee,indg,nane eeln ami rspemc,whm,ma, a a,,,way accom ng:dn.,saidGAS TF_ST
Z City in consequence of he granting of hi,partial.APPLICANT UNDERSTANDS AND WILL COMPLY WITH AI NON-POINT FINAL PLUMBING pale
GULAyqNS
So g atw,o�iaren' 1C "it
Re-roofs .
Hnzneoous MArERhus Dlscuuuala 509 — FINAL GRADE
heappbcadormmreWildingoccupant.toreorhandleholovil arutadal Type ofRDof510 — FINAL PLANNING
.1dclinedto the Cuwnino Municipal Code.Chapter 9.12,and the Health and Safety
Code,Section 2553260?
Oyes 0 N All roofs shalFAftnspecFer3VFll;r tcPMP6;&hNfi NISI being installed.
Will the applicant orfuture building oceupant use eghpmentto,devicowhdch If roof is installed without first obtaining an inspection. I agree to remove
esni,nacuNous air conuminam,s'Jdincd b>'thc Nay Arte Air Quality Nlunugcmcm
D;snm;l all new materials for inspection. Applicant understands and will comply with
C yes ElNo all non-point source regulations.
1 have mad he ha.aNau.mmedalk req,Jremceth under chapter'695 of he
California Health&Safety Code.Sections 25505,25533 and 25534.1 understand that
if ho,Wilding dunot morally lava a tenant,that it i,any responsibility n,notify the
nu<upam of,M1r reyuiremcntn»Lich mull M Ilial pri1'r Inkmvn Cc Hcae of
//ry Signature'of Applicant Date
n neda,., r' u� All roof coverings to be Class `B” or better