02040090CITY OF CUPERTINO
. • ' I- - - . a
BUILDING DMSIONpp, "Rn'YIT
CONT'RAC'TOR'rINFORMATIONS';'
r
BUILDIJGADDRESS:
PERMIT NO.
CUPERTINO ELECTRIC INC
02040090
OWNER'S NAME:
APPLE COMPUTER
1132 NORTH 7TH ST
APPLICATION SUB DATE
04/17/2002
PHONE:
SANITARY NO. CONTROL NO.
(408)991-1000
t ARCHITECTIENGINEER:
BUILDING PERMIT INFO
3
BLDG ELECT PLUMB MECH
u r
LICENSED CONTRACTOR'S DECLARATION
1 hereby aRrm Ihet Ion licensed under pmom of Chapter 9 Imom,orc ng'
oviai
Job Description
with Section 7000)of Division Sof the Rttsircta!y Professions Code. and my license
is in full f��`��`ggqqqqeeeeee a d'effect//sr 7
REPLACE 4 TON A/C UNITS
Lic[qu Lion -C-10
o Com •I/N
6...
ARCHITECT'S DELLA ON
5 I understand my plans shall be used u public records
DLicensed Professional
i OWNER -BUILDER DECLARATION
I hereby aRrtr that I am exempt from the Contractors License Law far the
< following motor, tSection 7031.5. Business and Professions Code: Any city or county
> which requires a Permit to mnswet. -1111. inquaw. demolish, or repair any stmnurt
$3700
$ - Prior to its issuance. -Iso requires the applicant for such Permit o file a signed statement.--
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Ina Mu httnsM pursuam so she pr«isbns of the ContrxmisLttnse Law (Chaprvr9
(commencing with Section ]000) of Oilman 3 of the Bus neo and Profnvo« Code
car that he is exempt therefrom and the buts for the alleged oemyhon. Any v olation
_
_
? .'i 1q t r a• .,; C j 1, \ . Valuation
` 1 ( 2'tl-1� Y' / ' `V V `v"
of Section ]031 Jby any applicant for apermit subjects the applicant an a civil Penalty
-
�nfnetonfirethinfivehundreddollars(s5o0t
APN :: >':: Occupancy Type
304 Y8I ELECTRI
s ow
❑1, her of the property. ur my employees with wagauNeir solemmpcnsedon.
- Ali
wdl Bolfiq work, eM Ihe'strvaure"is hoi imm�eed or dffEred'fn� ale -(Sec. ]B4f;'
'Bbsi.asss and Professions Cods: The Contractor's License Law does
'QENTERGY
'
not apply to an
owner of property Who builds or improves therms, and who does such work himself
505 - FINAL EI�tPI�� l".Y L4Cf10RS'r0y' Sit ' Ue.; `-
or through his own employ provided shut suchimprovements a of intended
off Mfo sal If hcnW the boldin «m Y -- or
Wilding plercmt t i sold within n one ear of
____._ .. _----- -... _.___ __.-.. _.. .._ .._.-_...
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completion,Ihi
improve pt ownerWld will bare the bub of proving lWl he Aid n«Wild «
improve Torp ry«e r- 1 .)
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Leg
... .. _.____..._..._...._......_.._..._.__.__.._._._....._.___._..._.__._._.-.._._,._.___.._.__.
❑I:u'owner Ofahe Properly. am udusively contmoing with licensed mnuacmrsls
_. _ _
__._.._._._ _ _._.._."'il
_ ematono the project (Sec. 7oaa. Business and Professions Cadc:) The Coomcm's
License Low does not aPPly to an ma nor of property who builds «improves thereon,
_
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fist fi roe .yo Ors
MAY b _.._
_ -and .wM.contmcu.f«s«h.pojxu.with.-. comucs«(s),Iiccmd.puuumt.to Ne_
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' Co Iractoh L case law
❑lamaw p o;lo5« a'f '' '.'. BkPCf«this mason
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'rpt. lam-
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Qb'-sr �D,ie
t .. u.:ii
BUILDING
WORKER'S COMPENSATION DECORATION
•._:.'thereby
aRrm uMerpendyof _...-______.._.._.._._.
' perjury`oirt of the following dmlwtions:'-'
0 1 hire^ilia"willmainuin"i'Cmificeic'of Comcni oto ulGinsure for Worker's
C"Forsnionc solpmvided- for by Section -37M of the Labor - Code, for the
'
_ pelforource of Jc avorlt f« which mia or, u iuuel.. I.
❑ 1 base nW wdl motnwn Wahn's Lampe satwn Insurance• is onfutaed bj Section
3700'of the Labor Coo foi. the piesimance of Network for which this permit it
'
d My Workeh Comps sauon I«um«e orris and PoficyWnnbcrstm w I
" CIWC
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eFpfe,mnNr .g..= n R000 Cd-
PoIeYN 8/
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CERTIFICATION OF EXEMPTIpN PROM':WORI(ER$ V. rl.
.• • ',:. _ .t COMPENSATION INSURANCE;[
_ s"L 1' , 1 "a i t. t, t, - y, I; p, . _.a.
I>Ti
Ifihn sectionneed not bi tom Incl if the
p permit is for hutMred dollars
.. .. .' •"., '�,yP:'+'�•rT:<: ..�iir �^r"�I t
ISI00 los.)
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_. I I e m( Ih I,in the pert tinct- of the rk f h ch Ihu
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permttrtsW ssed 1
cwt mDloy Any person t ny man cr u t 6eco s 63cct Ib the Wa'keia
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Com
Co n nsauon Iswi Af Cal (omia. Dine
APpI cant __ ..... .... .c__.
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"N came aTO APPLICANT 1 , aftU making N s C ntfbme of E e p0ou you ihmld
b7comesubjed to the Woaeii Cbnipensauon prbvmonsaf the labor Code,
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you muni
fongwishi comply witti suhA provisions or Nis permit shall be dttmed invoked.
_............
A; sr�l. 41;CONSTRVCTION LENDING AGENCY
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herebY.oRsin th t there h • conasnsct a lend eg ncy f« d¢ p2rfortiinnce'
of de work fo -rich Ihu pcnnins sassed (S - 3097 C J C)
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Lenders Neme ..•.'. .:.•.'.. _: '_._, _......«_,. sa..._u
lind«aAddress
t
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I certify @ t I M read N s application d etas that the aboveinformationIs
corten
toi vg t comply with ill county ordinances ndst s laws ng
so and hereby iuNon
m wod
:Uri
-shad
a representatives of Jus c ry to enter upon
. m - er u
the abo met sed proper,
pr n'Peni npurpos s
r
IWej agree iii save, mdemfufy and lo,
liabilities. harmless she City of Cupertino egunn
liabtl ues, ludgntents: cgsu and ,parses h any
Sh Y Y accrue agilrtss said
Airy n s q nc ER Ne IIra t got Mlspermts. -
\'I'LUL ERSTA. A,\'p t\T LLg9\fFLYUTTHALL\ N. INT[ r
SOP RC
Issued by:
y_p Z
Date
s m o I c I V. Din
P HATARDOUS ATA ��'D13ClO3lIRE _ s
I' i
Re -roofs '
YA
Will the 1 cant er furvm W 0di
asDP g--pontstoteorhandl hailx u material
r Mcutuet
u defined b 'h Cu PsI Code Chapt r 9 12 and d¢ Health
. Type of Roof •- -
"' -
and Safe
Code Scctv 25532(a)1� ry r sz a ry
❑Pest I't s Nom..........All-roofs
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a•1 4 t l '. f ^. _. ':, d _.
Wld Ne applicantorfmure building meB use A .a fit«Ala e. who
e n harueous e c umsrunu u defined b3 the Bay Arta a Quality Management
shall be inspected prior to any roofing.matenal being installed..
If a roof is installed without first obtaining an irispecuon-h'agree to ieTnove �W -•-•
m"
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all new materia]s,for ins ection., A licant understand
P AP S and will comply with
2 I
s 1 ha read IAA s malidals req mutons' and r Chapter 6.95 of
all non -point source regulations: , ,,, Cu t r ,;,;r r
safety c
the California Health k 3afny Cod-, Secdons 25505: 25513 and 25536 I understand that
the WJd gd«snote nJY hawavo ant. Wl it
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my rtsponsiblty to notify the
. u q
-pant o rt u !Amaro hmh tat be sect pro t s sir ro of a Ceti, is I of
- .. .. .. __.
-' -"
..Signature,of Applicant _ _ Date-----
_ -.. .._
All roof coverings to be Class,' B" or better
n o onxW agw f a ,
r,. 'i 'I, -fir