01110063CITY OF CUPERTINO
BUILDING DIVISION ". pERMIT ;` • , ^ CONTRACTOR INFORMATION:"
ILDING '•^]�::, ''I PERMIT NO. ;";D•
F-•I;
xZ020,6,,,AVOCADO PL A PERFECT CLIMATE.. ,;(, _t,,;,01110063
t:GER'S NAME: ".., '. •:.{• -.-'_r.. -.+.. ..... ..... ..___. ...__.__..-...-_. __._,... _. .-___.. _._�__.,.. APPLICATION SUB DATE-.-___-_.__-..___.___
!OODr,CHESTER G AND CAROLE S 10570'S DEANZA BLVD 11/14/2001
-
.HONE: SANITARY NO. CONTROL NO.
' (408) 861-9545
Jp ARCH1TECf/-N'GINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
�
i I—I I_) L. L_J
-J
i LICENSED CON RACTOWS DECLARATION ..
111em,y arum mad am n=,hied under provisions of Chapter tcnmm,n<Ing Job Description
u with Sec,toss 7lN10)ofD usinn Jrl the Business and ProtbssionsC rimy liccnu INSTALL FURNACE IN "EXISTING" LOCAITON -"
Dmrnn rnree an r= AND "
„Loc a b ADD A/C
U ate.
Dar
v R HITECT'S DECLA I N
4 1 unaarsmnJ my plans'snbll he used a, puhlic rccurd:•..
C Licensed Pmfe"iunal
OWNER -BUILDER - J '.. .
a DECLARATION 1' .' ... It'•''" ':
I hereby aim, that 1 am exempt from the Contractor's License law for the
.followingreason, (Section 7031.5..Buuness and Professions Code: Any city or county �' I .. " •''"
-.. -
C which requires a Permit consomiother,improve, demolish. or motor any summon, .'!' , ,J)' •JJ:J, :.
vo •'
'pro t t issuance. Is q thef hie 'n fl signal statement
- math' I,stoodpu u t1 their iomofifteContractor,- Lics,La (ehipu,9
(com g '1h s 1 7000) of D' s 3 ofthe Bi ness and Prof s Code) '� / Sq., Ft F]OOrACea•e -� .. Valuation
;4 s ,� „ "
militia he's ekcmpl the efm n and the bass for the alleged eaeniphon. Ahv stratan . - ,
"o(S't' 7E31.5 by any spit ca ifo-ipc^n, bJdcis th, Sppl'annOacivil pc -- ----- -- - ----------- —
oftotemthan livehandled dollars ($500). _ rlry
,,, JAFN.Number '•Occupancy Type
❑'Lao it fm property my eInploy m g" cher sole compensation.' - ,1" ��.• '
-will do !he: drk d the.I t, 1 d d r opened f I (S! 7044
''Boa s d NoSexx iiCode. Tri c n, L tt rise Loa t ppiy to an --' ---3'0'1 "-- 'ROUGH --P 1RTddd}4ERMspections
owner of pr.,0, Who builds or improves thereon, and who does such work himself -- -
~ m mr°ugb his own employ¢., pmvided 111,11 wc11 inilml,mcnis arc not initialled or 303 __ — ROUGH MECHANICAL
".offered for ihle. IC riowever, the buildingor im "ement is sold wi,hin one "- --- "- - _ _
p°" _
ompletion, the owncrbuilJcr will have the burden of proving that he build or 304 ROUGH ELECTRICAL
did nO1 build
improvermprrpneeorsgle.).:' 505 — FINAL ELECTRICAL
7 - FINAL PLUMB ING___.....—
coma'°w�e.°nheprSassy0N,LHlmes,lydProfssion, ds:)noCenammsm
l he (se=. Bramea and code:) The
- ive-- Law— •.t ..
Licenu ria
does 0 1.
owes i pan ownerof..c.mYwho 508 -,�'
orty hi. builds improves flo FINAL MECHANI
oroeimproves lnerton. CAL
apply mi. , "
..and who contracts rrr such pmj«u.wdn.a.=nmmmnrts) Bcen a prrsn ,.m rte. _ - . _ -..514 "--FINAL--PUBLIC-WORKS -- ----=
Contractor'slice La "
r 0 am exempt underS - .,B &P C forthis rens - .. yt`; - )
�;c,t ,
D to
- WORKERS COMPENSATION DECLARATION '
Ih by Ir^n de pe hy. fie) ry'on< fth folio 'ng dedarat ons: - -
I' ❑ I h ❑ TI , C ri f ,e f C t to .elf norm for Wotk
Con pc t -provided f by Section 3700 f th Labor Cod r the
f 11,
performanceofthe ' d far which 1A permit ed
❑ 1 11 d 'll i n W k C sic t 1' req ed by Se uon 1
3700 ) the Labs Code for the performs f m - -
k'f which ,h pain, ,s
tad MY WPkee 'Cn pe to 1. roc oreirlandd P.I.tylismadiel.re 'i- - t '� I,'
♦ _. .. -- - ._ _.
Jv't�JU
t CrRTIF AION OF BK EMPI'IUN FROM WORKER S? ytil<� 14 '. y's b 1 °1"'
° 5 f S '" _
r , ""'COMPENSATION INSURANCE'-' _:"' ' •' _ __ _ _ _
It----"-
(Th. rid ac 'lot completed if the Permit is for one hundred dollars - I,• > a• "t ••3 ,I '• �..t... i'
(SIw!o.Ies.)-
) 1
'• 1' nfyln(in the pct duce oI the which __... _
okf his t is .. _. -
-.......
" pc 1' -.. .. _- -- .... r ..... - "--- -
shall of employ person ,n any mann so as to become sublet 1n the Workers ,a,. t%f • ' " —"
' Compe .ref Laws ofC 11 - -
nLaws Date ' -' '
Applicant.' - .. ,_'.. .. .. _
NOTICE TO APPLICANT If, ft m k, g thisai n r re Exempt... you should
I h<cO' a Subject to the Worker's C6mpensm p ovs onr of the Labor Cale, you most '
forthwith comply wilhsuch provisions or this permit Dull be damM mvrokcd. ,
�
CONSTRUCTION LENDING AGENCY " '•" ;,
1 rreby r th
il�' wran [Nem sae sw i 1 dingagency for the perfom,anee
which this per -di -sued ($ '' '•"" -
..-: "..u..., n.:o.1. '-1,'Civ.C)
Lfm Name.._...... a... :....:...... .. ... .
L,rder'i -hr
r Lend Add s' 'r. • ,... ...
I certify Nm 1 have mad mrs application and state that above information is -
lameerOl agme to comply with all city and counry,ordiro nces and stale laws roLo,
J to building mnstNaion. and hertny ami represemmives of this city 10 curer upon
,he those mentioned property f in. pc do p rp u. ' ,
(W)agreemsae denofy andk phirnl sthe C ty f&,poio5gamst
D' res 1 1 costa and pen s which in a way ace ost said
y y ge
c n -q --
Cory q.c c of me m 1
tit g f thi> pc t rr
APPLICA UNDERSYs DS AND WILLCOMPLY WITHqLL II.'Tt `' I' I
ON�i -
'-" - Issued by: Date f7/
n�- 61 G1 /
5' at am of A 1¢a� ut-marector, ,. : .Date.'—
- - '- HAiUiRDOUS MATERIALS Re -COOTS -
„DISCLOSURE , .•,., ,_
11ihc pp!icant f w building occupant'm o handleh dour marshal T of s'N
az - yP e ROOf •�'
todW
defned by Ne C pen M I Cade Chapt 9 12 ❑ th H hh and safety ' . -- -. - .. .
Code Seco 8 32 - -
I r.�,
l .. -4r': t•"
❑ve r N y'' roofs, shall .be
be -inspected poor to any roofing matenal.being.installed.
,nitWil ,he applicant oft h g p t quip t nt If
-devicesem
h tl a c num, 1 a roof is installed,aithout
irc fi first
ince b) the ear A A Quality Man gem m obtaining an ins ecnon; l agree.to remove
g p
Di`m"all new materials for inspection. "A ][cant understatids and will comply with
alI non -poi source"regulatwns:
I h ad'the ,h rad mater e1 11 lemena .ode Chapmt 6.95 of the _
Califorma He51tti & Sum1Y CW . Sections 25505 25533 and 25534. 1 uMets,and that
ifthe buildingdoes not currently have a tenant; that it is my responsibility tonoify the - -
Occupant 1F mquimr 1 h us1 he t p t issuance of d [erotical, of
r _
rep
,
fol
.Signature of Applicant Date
°rap'^°^aedage^!
- -
Date
_
All roof coveri
...-OFFICE-.
ngs to be Class "B" or better " '
CITY OF CUPERTINO
BUILDING DIVISION ". pERMIT ;` • , ^ CONTRACTOR INFORMATION:"
ILDING '•^]�::, ''I PERMIT NO. ;";D•
F-•I;
xZ020,6,,,AVOCADO PL A PERFECT CLIMATE.. ,;(, _t,,;,01110063
t:GER'S NAME: ".., '. •:.{• -.-'_r.. -.+.. ..... ..... ..___. ...__.__..-...-_. __._,... _. .-___.. _._�__.,.. APPLICATION SUB DATE-.-___-_.__-..___.___
!OODr,CHESTER G AND CAROLE S 10570'S DEANZA BLVD 11/14/2001
-
.HONE: SANITARY NO. CONTROL NO.
' (408) 861-9545
Jp ARCH1TECf/-N'GINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
�
i I—I I_) L. L_J
-J
i LICENSED CON RACTOWS DECLARATION ..
111em,y arum mad am n=,hied under provisions of Chapter tcnmm,n<Ing Job Description
u with Sec,toss 7lN10)ofD usinn Jrl the Business and ProtbssionsC rimy liccnu INSTALL FURNACE IN "EXISTING" LOCAITON -"
Dmrnn rnree an r= AND "
„Loc a b ADD A/C
U ate.
Dar
v R HITECT'S DECLA I N
4 1 unaarsmnJ my plans'snbll he used a, puhlic rccurd:•..
C Licensed Pmfe"iunal
OWNER -BUILDER - J '.. .
a DECLARATION 1' .' ... It'•''" ':
I hereby aim, that 1 am exempt from the Contractor's License law for the
.followingreason, (Section 7031.5..Buuness and Professions Code: Any city or county �' I .. " •''"
-.. -
C which requires a Permit consomiother,improve, demolish. or motor any summon, .'!' , ,J)' •JJ:J, :.
vo •'
'pro t t issuance. Is q thef hie 'n fl signal statement
- math' I,stoodpu u t1 their iomofifteContractor,- Lics,La (ehipu,9
(com g '1h s 1 7000) of D' s 3 ofthe Bi ness and Prof s Code) '� / Sq., Ft F]OOrACea•e -� .. Valuation
;4 s ,� „ "
militia he's ekcmpl the efm n and the bass for the alleged eaeniphon. Ahv stratan . - ,
"o(S't' 7E31.5 by any spit ca ifo-ipc^n, bJdcis th, Sppl'annOacivil pc -- ----- -- - ----------- —
oftotemthan livehandled dollars ($500). _ rlry
,,, JAFN.Number '•Occupancy Type
❑'Lao it fm property my eInploy m g" cher sole compensation.' - ,1" ��.• '
-will do !he: drk d the.I t, 1 d d r opened f I (S! 7044
''Boa s d NoSexx iiCode. Tri c n, L tt rise Loa t ppiy to an --' ---3'0'1 "-- 'ROUGH --P 1RTddd}4ERMspections
owner of pr.,0, Who builds or improves thereon, and who does such work himself -- -
~ m mr°ugb his own employ¢., pmvided 111,11 wc11 inilml,mcnis arc not initialled or 303 __ — ROUGH MECHANICAL
".offered for ihle. IC riowever, the buildingor im "ement is sold wi,hin one "- --- "- - _ _
p°" _
ompletion, the owncrbuilJcr will have the burden of proving that he build or 304 ROUGH ELECTRICAL
did nO1 build
improvermprrpneeorsgle.).:' 505 — FINAL ELECTRICAL
7 - FINAL PLUMB ING___.....—
coma'°w�e.°nheprSassy0N,LHlmes,lydProfssion, ds:)noCenammsm
l he (se=. Bramea and code:) The
- ive-- Law— •.t ..
Licenu ria
does 0 1.
owes i pan ownerof..c.mYwho 508 -,�'
orty hi. builds improves flo FINAL MECHANI
oroeimproves lnerton. CAL
apply mi. , "
..and who contracts rrr such pmj«u.wdn.a.=nmmmnrts) Bcen a prrsn ,.m rte. _ - . _ -..514 "--FINAL--PUBLIC-WORKS -- ----=
Contractor'slice La "
r 0 am exempt underS - .,B &P C forthis rens - .. yt`; - )
�;c,t ,
D to
- WORKERS COMPENSATION DECLARATION '
Ih by Ir^n de pe hy. fie) ry'on< fth folio 'ng dedarat ons: - -
I' ❑ I h ❑ TI , C ri f ,e f C t to .elf norm for Wotk
Con pc t -provided f by Section 3700 f th Labor Cod r the
f 11,
performanceofthe ' d far which 1A permit ed
❑ 1 11 d 'll i n W k C sic t 1' req ed by Se uon 1
3700 ) the Labs Code for the performs f m - -
k'f which ,h pain, ,s
tad MY WPkee 'Cn pe to 1. roc oreirlandd P.I.tylismadiel.re 'i- - t '� I,'
♦ _. .. -- - ._ _.
Jv't�JU
t CrRTIF AION OF BK EMPI'IUN FROM WORKER S? ytil<� 14 '. y's b 1 °1"'
° 5 f S '" _
r , ""'COMPENSATION INSURANCE'-' _:"' ' •' _ __ _ _ _
It----"-
(Th. rid ac 'lot completed if the Permit is for one hundred dollars - I,• > a• "t ••3 ,I '• �..t... i'
(SIw!o.Ies.)-
) 1
'• 1' nfyln(in the pct duce oI the which __... _
okf his t is .. _. -
-.......
" pc 1' -.. .. _- -- .... r ..... - "--- -
shall of employ person ,n any mann so as to become sublet 1n the Workers ,a,. t%f • ' " —"
' Compe .ref Laws ofC 11 - -
nLaws Date ' -' '
Applicant.' - .. ,_'.. .. .. _
NOTICE TO APPLICANT If, ft m k, g thisai n r re Exempt... you should
I h<cO' a Subject to the Worker's C6mpensm p ovs onr of the Labor Cale, you most '
forthwith comply wilhsuch provisions or this permit Dull be damM mvrokcd. ,
�
CONSTRUCTION LENDING AGENCY " '•" ;,
1 rreby r th
il�' wran [Nem sae sw i 1 dingagency for the perfom,anee
which this per -di -sued ($ '' '•"" -
..-: "..u..., n.:o.1. '-1,'Civ.C)
Lfm Name.._...... a... :....:...... .. ... .
L,rder'i -hr
r Lend Add s' 'r. • ,... ...
I certify Nm 1 have mad mrs application and state that above information is -
lameerOl agme to comply with all city and counry,ordiro nces and stale laws roLo,
J to building mnstNaion. and hertny ami represemmives of this city 10 curer upon
,he those mentioned property f in. pc do p rp u. ' ,
(W)agreemsae denofy andk phirnl sthe C ty f&,poio5gamst
D' res 1 1 costa and pen s which in a way ace ost said
y y ge
c n -q --
Cory q.c c of me m 1
tit g f thi> pc t rr
APPLICA UNDERSYs DS AND WILLCOMPLY WITHqLL II.'Tt `' I' I
ON�i -
'-" - Issued by: Date f7/
n�- 61 G1 /
5' at am of A 1¢a� ut-marector, ,. : .Date.'—
- - '- HAiUiRDOUS MATERIALS Re -COOTS -
„DISCLOSURE , .•,., ,_
11ihc pp!icant f w building occupant'm o handleh dour marshal T of s'N
az - yP e ROOf •�'
todW
defned by Ne C pen M I Cade Chapt 9 12 ❑ th H hh and safety ' . -- -. - .. .
Code Seco 8 32 - -
I r.�,
l .. -4r': t•"
❑ve r N y'' roofs, shall .be
be -inspected poor to any roofing matenal.being.installed.
,nitWil ,he applicant oft h g p t quip t nt If
-devicesem
h tl a c num, 1 a roof is installed,aithout
irc fi first
ince b) the ear A A Quality Man gem m obtaining an ins ecnon; l agree.to remove
g p
Di`m"all new materials for inspection. "A ][cant understatids and will comply with
alI non -poi source"regulatwns:
I h ad'the ,h rad mater e1 11 lemena .ode Chapmt 6.95 of the _
Califorma He51tti & Sum1Y CW . Sections 25505 25533 and 25534. 1 uMets,and that
ifthe buildingdoes not currently have a tenant; that it is my responsibility tonoify the - -
Occupant 1F mquimr 1 h us1 he t p t issuance of d [erotical, of
r _
rep
,
fol
.Signature of Applicant Date
°rap'^°^aedage^!
- -
Date
_
All roof coveri
...-OFFICE-.