01030070 »I CITY OF CUPERTINO
BUILDING otvISION . PERMIT CONTRACTOR'INFORMATION:
BUILDING ADDRESS a PERMIT NO al
10349 AINSWORTH DR' - CLAYT.ON'-'NELSON & AR30C ' . 01030070
l OWNER'S NAME - mail - - ' APPLICATION SUB DATE
ED- BRENNAN• 540` N SANTA CRUT .AVh:' ##25403%13/2001
r PHONE: a SANITARY NO -CONTROLNO,
(408) 559-7424
H q0q ARCIETECTIENGINEFR; - •" BUILDING PERMIT INFO
vi , E.L .'ELLC-F— .. PLUhJA, AIECH F.
H
z y z LICENSED CONTRACTOR'S DECLARATION +, ;'Jo b Description
-
O Z OO I heahy:dfinn 1M1a am hcenseJ undo p c la +nf ChaPler 9(,,,mnsion,g. ..r ' . -
m(-W with fen inn]IN fn Ldlhe Nuvnes,unJ Podium L,ensn' -
"�m IALoolo lies / 3 �Y � BATH- REMODEL- .
K,a Daanm Clu,+ C� Lu a -
y O a F Umc ss�� S DEC1lt J ✓ ^ ' -
m 3 u,a, //� 1T+ECT'S as'. i,recom, n I
u e�,mJ m>Plan,+hell he auJ.o puM1ll,.recuN,
N-
W p C
Licensed Protesmo.J - •f • , -
!'J O Oat I un cUIIDLR.in, RAI'IUN
u"7 I he,ehy uffnm tale i fen ewmnl Ilnm the Cnm.."'C c Lmenw Law for the `ryi,t iMw
nfollow ra re II aroma](13LS,Bu+ and Pmlmaom Cu de'epourayor coonre,
D which an, mIa,obp r,r(c applicant a hefuahsh o r mry stnaurc
I rc,a Imr ,pro, r mcpa
Er thanhe n,ceased mal,arey,vee inaw"pnaof for such permit nlue,m.Low chains, t q4C1 /
Er 3•— fle, - •- Sq. Ft. Floor Area, NQV„� 6 lua[ion
Icmm�,enamb wm SCUmnn ion.of llrvn.m 3 o lee B,of os:mJ rudAn, , far n �>
nr Sec he m7031 5 b Ihaelrbm and Ina basis film the ols the pph,ouun AnY vwoolly - $20006
of Seam,9H 5 b c any
hundoPh,nnf tom a Perin schools the uPPlmwm a a avml Penalty .
Wafu+n.rc than r,oe M1naamad J,,ua,.(SSOm APN Number
- ' Impancy Type.
❑L as owner of the pmp,:r I,,,mupl„goes with wage,as their sole croaprr,auan,
will in the work,and the simulate w nnennmded or offered far safe(See ]IGa,
Bnoncis dad Pnid,w.ns Code The Contractor's License Law Jae+nil(apply 1,an Required Inspections
,,w r of foil Who hullJs of nnpowe+t hereon,and who does n.on work hmm+elf 1
t Faubh b,.,a emfmyees provided leaf su,h mmpmeeneau are not amended ou '1.01 •—' FOUNDAT ION
offered for sale IL hm,e+e,,the hudJmng or mmpm,ement is sold within one year of
completion,the owner-mower will fate the burden of proem,thin he did not hard or 102 PIERS ,.
ouprovcloepwp-rofuale) - 103 — LIFER
°L as a,setoff the',mmrf am euimrvelr,ennue,hng wan,tinted connaaoc+to
nwnct the onto m(see 7(94.Business and Pmurea,m..a,code)'(be connector, 104 � REBAR, >_
License Law doe,rte,apply man owner of noway who build,or,mproves(hereon,
and who nannaas far amnf pnaienf+wnM1.nannapam)licensed pursuant(a flat 105 — -ANCHOR BOLTS;H_...ne
Comou"a',Lmon+c Law. . ' — I ,
—
.
❑lad,e.etnp(order Sea. xtiiclatha:rea<on _ 10E SEWER & WATER '
.. 'owrm D:mtn 202' IINDERFL00R PLUMING
r
WORKER'S COMPENSATION DIeCLARAI[ON 203 UNDERFLOOR MECHANICAL
ra hereby alnrmagaer penanratpommy oneoftne following declarI' 204- UNDERFLOOR* FRAME -.
.
Cl I nave.;n,will rieude nodmon d cby Soca nr Con,enf t :Laborrc our War kshe 205 — UNDERFLOOR' I NSUI_AT'ION
Campcnsauon, he pmkWed fur Fy Stt al ow nl fhe Labor Cndc, Inn the f
ammenco of,M1e wnrk'Inr whicM1 this ” '
pe Peale(m,awed. .:
- - � 301 — ROUGH PLUMBING"'
. °Ifine''I'd will maintain Worker's'Concenal ion m.unnc'h,rerpmeJbySee,mn `'': 302 .r�JUB & -,OR SHOWER' l .
i](NI of(he Lana Cole,Ian th"lat"Imunare of he wail 1nr which tic,pemmn is ' I,
,,sued NI, ,aI,Ima aean� �n�m%�J`�^eon 3,03 —' ROUGH--MECHANICAL.
;ca�ar<
Policy 304 — ROUGH ,ELECTRICAL "
CERTIFICATION OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE. 1 305 -- FRAME. (
rrna"colion need data be rumple end it Ina perms(G our i;ne hundred dinar, 306 — HOLDOWhIS -
,alauoneasl L' ..
^ ' 307 INSULATION'
1,croft' hill n the Fe,it suareorthnwork far wham,Ileptiai(i,,mail,I 308 ..INSULATION'
shall not couple,any pennn in any fusion,+n as m wcoae Nm,,c(m the Workers '' '
Con,pcmoti.i Luca"a Calin'sual e I n
AFFlmamnt 1 - 3,09 . EXTERIOR- LATH a` '
NOTICE To APPLICANT 11-Jan making flu,Certificate of Exemption,loo should
r z heeoaesabjcaa the worke.,stompen,anon now...art.of the Lemon coJe,youn„st 310 —. ,INTERIOR LATH
Q O forthwith comply wnh ouch Pavuans or this penn.I,hall be dceaed cooked - ,
z 311. 't—..SCRATCH COAT '
CONS ere is a 10N LENDING AGIagenc .
I hereby arrrmn,silt mere ma a construction leading agency for m:pnnramm�ann 313 ROOF NAIL
a•, of the"(Irk for which dim,Farina mfm,s,cd lSee 3007,On C.m .
v� q Leader',Name 501 '— FINAL ELECTRICAL ,ENERGY ,
,•� z Lena"`Aileris 502 r FINAL PLUMBING ENERGY
" V•G ' ladrlmlyJ, In.,ee}eaatma:m„pneananan.IUmeilia,ine.a,nycinE,rn,ao""'+ 503 — FINAL MECHANICRL ,ENERGY'
...let t.1.brae nn cnmplr with all sip and enuny ordinances and safe laws"fair, +
O,U Iobmwmbtonavueaan,amwfercny:,,mmo,anrcprc,nn.,fmyesnfllnsnmfylonnor.am
the u r 504 —` FINAL, BUILDING' ENERGY
y bove-aeatnned pmopn p our mspemmon purpose,
' o. IWe,agree ma,vy ,mpandkeephanW.„IIIfitCapedirv,ammw . 505 FINAL ELECTRICAL- '
F-1 V] muhmboea,ludgn,entc en expersca xhmf m.p fen any way ittme againa+wJ
y z4 o(r lc''adlnce ,r, ice Penh, .,:506 — CRS' TEST
/
APPLICA SAND WILL COM1iP1.Y WI'rHA DINT Issued by: _ 'FiYJ(d1 BI IIGt^ThIF Date '
sou ,reel- apnndrthmer,,, fen Re-roofs 508 — FINAI_',MEChIAhIiCAL '
- HAZARDOUS MATF,ItIA1,5 LOSURF. ' ^• ..
me appf.anl or mmum nm,damnb,xeupaa atone om handle nil:a ea,ms fuatnJal Type of Roof 509 — F I NAL GRADE .
y cxneJ hl the Cnpemnn M1lunatpal Cale.Chapmr 4 12,nnA IM1C Hcal,h and S.Imy
coda,S,,nan 255am.n" '51'0 ' INAL PLATING i`,.
El yo, °N" All roofs shall bA�11J�l�pec[e ar �I�tm fiF' mg,installed.
,� cot Will...app.... or lulu,a huddles nuup.nl mccyumpinenl am•Jevmncs xhmch If a roof i$ install'Ic wlthriti, UUtalnmg an mspec ion, to remove
ot hn.dnlnun aim unttammnanHmAexned by the B:ry Aaa Nr Quality Atnnagnnum
Deaus,I all new mate dals,for-h ection. Applicant understands and'will comply with
°Vas �°lN” all non-point-sou?� �Ions.
I base read,tic maardp,r+,ne(enalveyunemamf,more Chapmr 6.95 nl(he L
Culdornm Health&Sat-r e Jc,Setuo,n 25505,25533 and 29534,I understood that
mI lot budding inn nffy hit nits but im„n,y anpom,mhp'm nnhry,nc., / Z
p:n„r afuJh ucmenl+ 111,horror poor m issuance nl Cen ;sate of '
atmp +
„'� (71 S' a o pplicant a Date
" err �•. e -
Date -All roof coverings to be'Class'"B" or Better.
: OFFICE "