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01050084 CITY OF CUPERTINO BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: - BUILDING ADDRF�L275 CANYON VIEW RD PFRMII NO 01.050084 OWNER STE NAMEARTER ' WILI_Y AND NAOKO—T . _ APPucnnONsuBDA 05/09/2001 • PHONE: SANITARY NO. COST ROL NO, MseQ ARCHI I ECUENGINEF;k: BUILDING PERMIT INFO F- BLDG ELECT PLUMB MECH ¢U(i 1-1 I—I IJ CI I I:1 8 LICENSEDCONTRACrOR'S DECLARATION 5�= 1 hcren aloe that 1 ata frter"d ad f Chapter 9 g Job Description Z_ y o line 11offx o p (commencing _ r5t J Matadi allnivi,aen3ormexa.one>xandrn:n..am,.e„de.mwmrrecne REMODEL. i e fol l tutee nnJ afootp ` t 0 < Data x Cla, P Lie.»� 0 489 3LL Date_S_Slzaaf conlmctor Jf ,10 eoakPA REMOVE EXIST FOLDING DOORS 8 ARCHITIiCF'S DECLARATION t=°g Iunderstand myplans shall be used aspublic neords REPLACE 141 PKT DOORS. twit c p p Li¢nxcJ 11..le,ional OWNER-RUILDGR DECLARATION O 6'd I hcrc by amen tha 1 vm exempt from este Commaemr,License Law for the t Q rollowinp n rt(Se,ian 7031,5,13none,and Po fc,simw C:xle:Any city of county D which requires a randit to con lowt,alter,improve,denmloh,or repair any structure r a 3 prior to its iswence,aka requites the applkont fur c n le 6 J autement tna,nei,hanssnl pat.nantmtne pm.;>innr artltee Ic Sq. Ft. Floor Area Valuation (cnmmcncing with Section]qM),of Uivi,ion S of t alluvia ss of that he is exempt therefrom and the leis for the alleged exemption.Any violation oorrstroect nand than nnh,ansfinvye anyapphrfomG,rfopena„snnjecolhgysan11malviLyptnUUlL[y APN Number Occupancy Type °L as owner orthe limitedly,or my employees with wages a,their sole compnnw,ion, $7000 will do the work,and the,fracture is not intended or a dor rale(Sec.nun, Required Inspections Busineu,and Pm(c,sion,Call, rhe Commnm's ueen{rpt�tl�1e�•.�1Agp�nn orr of property Who build%or impro.es mercan.and If 36641 008. 00 net his own employms,provided that such improvements are not intended or ' offered for ode.Il howe,cr,ate building or nnprovemen,is sold within one year of �vaplalon.,hr own,f-ilder will have the Wodcn of pmving,hat he and nn,hand nr t„pm"eo"In,,,.eor,.ale.) 101 — FOUNDATION °1,as owner orthe property.am exclusively contracting with licensed com ucturs to 102 — PIERS construct the project(Sen.70,14,Budnns and Professions CWe:)The Contractor's License Lawflocs not apply man owner of pmtrny who builds or improves thereon 103 — LIFER and who cnntrans for such pa tx with a contrai licensed punvma to the ' Contra.,,l.marwLaw' 104 — REBAR O l �ffimundcrpcn dSB&PC for min rwam ��ccJJ// �, 1.05 — ANCHOR BOLTS O��Ihcraby �(�rjuOo NULC'LrR40NN� 106 — SEWER R WATER aoneof\hefollowingdelararon 202 — UNDERFLOOR PLUMBING ❑ I have and will amirmm a Certificate of Consent ,o self-if,me far Wittier', 203 _ UNDERFLOOR MECHANICAL_ ' Com,asanon, a, provided lot by Section 37M it one Labor Coda. for ,he �p'edfonmmaaortheworkIn hidtthi,mami „oad 204 UNDERFLOOR FRAME 9l have andwill maintain Worker's compensation Insurance,m required by Section 205 — UNDERFLOOR INSULATION 37W of he Lahey C„Ic.far he performance Uf the work for which this permi,i,s 301 — ROUGH PLUMBING ued.My Workefs Compenemion�aI� ce mmoue carrm ier and Police number art: CoforeS"7Z r /VPolicy No: /5 (05=-Sq —cc) 302 — TUB & OR SHOWER cERnFIc CEsiNOIURccokKERs' MPNNNSAN - 303 — ROUGH MECHANICAL ('rnisseeaon need not M cmnplmed if,lrc lkmdrs far one hundred dollars 304 — ROUGH ELECTRICAL (stall,of le,,.) 305--- FRAME 1 certify,let in,he Io fomarrcc of the wml,far which this Penni,is issued,I 306 — H 01_DOIJ ,hall nm anpluy any person in any manner so as to become sobject to,he Workers' n hIG cmar,ertenon lLov—d Cfffoti O01e Apthcanl 307 — INSULATION NDTICE TOAPrI.ICANT:It,.nar making this cerrmaae of Exempaoo,you shoule 308 — SHEET ROCK Z hewn,sunjcc,m the Work,,,Cn nNo,anal pdavkionsonhe Labor Codet you most ZO ronhw'i,hcomply withsuch pravi,knoor,hispc.if shall hedeemed raveled. 309 ..— EXTERIOR LATH ECONSTRUCTION LENDING AGENCY 310 — INTERIOR. ,_ATH I nearby difmn that them is a conumchis.lending agency for be performance of bewal,if,, hichthis prm,i(isi„md(Set.3097.Ci,C.) ''311 . —. SCRATCH COAT Pr Q Lender',Name D z Lender,Add,a,, 313 — ROOF NAIL a Iconey mmihave mad thi::nppfca,ianand state matmaabove inrormafonts 501- --FINAL. ELECTRICAL ENERGY ect. '�. I agree,o comply with all city and county onlitmnces and state laws miming e O U toWilding constmaion.and Nearby authorize rcprtscnmtieesofthisday menter upon — ENERGY y m he move-menfonal pmpanr for Impcet an 02 FINAL hl Rl_ F I_UM B I NG a. Wc)t tosmo.indemtdf dkaphar'iesstheCi, fC. ninon t 503 — FINAL MECHAN ngrce ens p ny pe gain, ENERGY I) Cihila.......taco,,f If, and ex prose,which cony in any way arcme against Suit citylusot„egoeneeolTANUSrA DrmiIIro ,. 04 — INAL BUILD NERGY APPLICA "r UNUhikSTANDS ANUW WI'rHALLNON-POINT L So - FOULAT Ns Issued by: — Du[e � z TEST antrt orAtphefM ontma° to Re-roofs ` — HAZARD( SNIATERIAIS DISCLOSURE wllmeappncantmramrc ildmg .pam.mrcornaaalen don.mntedal TYpeofRoof 507 — FINAL PLUMBING ac Jef bed by,he Cupanino Municipal Cude,Chfopmr 9.12,unJ,he tleuhh vnd Snfe,y Code,5,66a253 + e 08 — FINAL MECHANICAL- °Vc` rd / All roots shall t551WBpeeteB'0,dNtQ;0RRDLmg material being installed. Will the applicant orfuture building result u,requipment ordevices which If a roof isinstffllfrywinho♦3t jgjgLb[}iQpgpq�glpFction, [ agree [oremove emit hmnNnos air contaminants as defined by the Bay Arco Air Quality Management Dohict] �� all new materiab f4 inspVj,gQAL4P I �typder d will comply with °Yes all non-point source regulations.` I have read the hmardon,material,rcyulremcnu order Cnan,e,6.95 of enc California Haidh&Safety GOdr,Section,25505.25533 fond 35534.I understand ma, if the huilding Jaen no,currently have if tenant,that i,is my responsibility to notify the eventful of the requirement,which Il�fy_bawne knee of a Certificate of r thup cy. / Signature of Applicant Date r vin or uuthunued agent it, .,a All roof coverings to be Class "B” or better OFFICE