00050151 CITY OF CUPERTINO
BUILDING DIVISIONPERMIT, , CONTRACTOR.INFORMATION: -
DE ANZA
BUILDING - S.: N. PERMIT NO
• 'OWNF,R'S 51C JJOSEPH LOWER OrH* f APPLICATION SUB DATE
se
PHONE: SANHARYNO.,, CONTROL NO,
a ee z ARCH I[ECGENGINt LR.. ',, 1BUILDpVC PLRSII'FINFO
i G 'BLDC PLLCI PLUMBMECH
y 2,tua�c -1 nil "I� CI
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LICENSED CONrRACfOR S DECLARATION'of CION ,. .., ..
oX�- II dy a mII rete d p reo-pt yf license
_ SEISMIC UPG 4I senption
t+ wlh5 i ]00111 fe t na of the Bu iP fss' :Cd ,d myl an.
en Ilt dBet 'I
I z z U Dat Class Lie. I '
I°vj c u Um ,' Contractor
W O an ARCHITECT'S DECLARATION
I andebaniial ra,par,Noll he used a,p hl odds
�j
OWNERBUILDERDFCIARNHON
m—m 1 at Eiff that 1 pt 1 , (he C I I License Less dor the
toll g .(Section 70315cthasme's and Profession,Code Any
an runty '
from
,M a I l l p 1 I h p ystructure
{p3 te pia l 1 9 pr ilio tl hp II is 6 dCh nl
L mina is k I I In provisions nn c I n l L 1 (Chapter S4.�Ft.Floor Area - a uatlon
- ('m is
lambasts
an fD' 3ftoo B ' m IP .Le) - :t
orthahe 7 31.5 b an),ap and the ba rs for Inc ctLgW momprean,
in Any vtpen on
of not it.70q.5 e a learned dollar,
for t period'c M1J<Ia the applicanto n civil penalty
or not node man fee nannrea doimra(s5do).- - I A , .• Oceupaney'Type _.
FJ 1,divasintreflad property,or mY employees with wages asthro,dr,nam,nal'an, •.
will J theA i the structure not intended I
rf to,:al (9 7044
Rus neperror's License Few SPCCt10n5 e P fo Code Th C t y to an
owner lmerp nywh builds p e ,e h I 1
102 — PIERS
or through his men enTlOyceS.provided that such arpruvernmen,am not intended nr IT I
offered(Or sale,Iff the null i 16 in improvement is sold within one year of10'3 — UFER
io,pli ,,Frowner bulderwilboe theadditional .enal neer,that nedid not build , > ,
mprove for purpose ar sale). 's ;',I 104 — REHAB . . .-
•o l a. f n property, e I :v [y lis with licensedr t cto sto .. � _1051 -ANCHOR BOLTS _
wal l ucl the project(Sec 71,44,Business td Professions Code)The Co aro dr s
Ife L a tap,],, , nrof,adarywlabllaimprovesthereon, '106 — SEWER .& WATER' . ,
and who emnbrcf f - 'Inch project,with o'mntuvters)licensed p vaunt.! the .
Coblst sLicense L 202 — UNDERFLOOR PLUMBING'-'
lic
❑1 ptmade,See H&Pcfrthis reason , 203 _ UNDERFLOOR ME.CHANICAL- >. .
Ow a Date
WORKER'S COMPENSATION DECLARATION 204 —: UNDERFLOOR' FRAME
I helebyaffrm Ended Panalty,offcrjmy,mbe nfdre follnwingl declamtionc 205 —` UNDERFLOOR INSI_.ILRT30N's. 7^,
El I have.,,it will I»ainbrin a Caracole of Cement to.elf-m.nre far wofkeir's 301 —•' ROUGH 'PLUMBING
Cmaina.cwiem an provided to, by Scelion 3700 of the Labor Gale, rn.' the ,• -
,i nuanccarthewnrkmrwhlchtnis eiaissued. 302 ' TUB -d• OR SHOWER ,
pen ,
0lhere andwm ma Ind worker's cod2
mp nsonln.urnno I,kre nimd ysufCLIn ' 303 — ,ROUGH MECHANICAL.
3700 of he L nor Cod f theperformance I thework f h 0's farm I s +'. 3
issued wkersc pe fIs�ar;; ^- IPol' y n - .,04 - ROUGH ELECTRICALI-,"
' ctlnie T-NOral7ey N,.: � 305 - FRAME
CERTIFICATION OF EKEMI'I'IGN OM mW
3 , — HOLDOWNS
• COMPENSATION INSURANCE. ,, - _
(I his evil bit( -307 — INSULATFOW .
p perm t s fortune hundred ealmra
($100).rho") -,, '; " -. - ,30H '— :SHEETROCK ,
Iarmy thin i p f ce Ithe gkf IF hln 'brit . d l
m ' 3$9' — 'EXTERIOR LATH
'sh:nlnt p1
by
ysubjectI In Workers < 31P1..— INTERIOR LATH'
G,mp fC f Date
? ,
iso
lcem0 c r I k gd cel. t rLna nyade,you II ,-•,, 311 — SCRATCH"COAT'
CbaconsubjectatheW 1, C po_ t p fihdcLabor i Code,you t
rarde m comply with. n p s ons efm permit sban be seemed«vokea. `3l3 — 'ROOF NAIL
"CONSTRUCTIONLFNDIN CY 501 — FINAL "ELECTRICAL_ ENERGY'
-H > n I hereby II Int the,, mour 1 6,gen y far the prm
erfom ` ` - '
c4 ? — FINAL PLUMBING ENERGY
ofd orkfor..htentn perntrsmsae c)4 502'
y o Leader's Name
Z Leadef,Address 503 `— FINAL MECHANICAL ENERGYry. t
p.
e504 NAL BUILDING. ENERGY
I I fY Itr l l h d this application I:1 1 th nh an f ( t is
mIord 11 agere
st pr 'Ih II' tv andrordinances- d ,amto g _-' 505 —,'FINAL 'ELECTRICALholengaae(bn ]aaebyalda fp senti,esofhascity"'me,upou f
+:
�y the above mentioned property f speed, purposes.
-
p (w) g t bdk pn 1 t Cy(dCupen ,oagaind 506 GAS TEST '. "
rn II biit d is.c d p n ay intiny way:cemeag=nst. id 507 — 'FINK PLUMBING .
V zi' C!dyb n' ofI g g of ba,, I i
w' APPLI y1' AND WILL COMPLY WITH LLqN��N-�INT ��J ,..�
lova i' ' -�I0 Issued by, 506" - FIN Y[{CL rlAN I CALDate �—l�--O CA
sign t fA,id enVc i t Dole Re=roofs "ItZ
HAZARDOUS MATERIALS DISCLOSU E 5.10 F I NAL PLANNING
will the applicant Theme
), bldginvariantwere handle
I I TY
us del eby eupen' Islam pe Of Roof
Code,Section 25532(xvital Co-plr>12anda Druid, 514 FINAL PUBLICWORKS
` .
All roofs shall be inspected prior to any roofing material beings installed. )•
)
Will the apfdeantarruturcladmin,tw:nprtt nee e9ldpmomordmir,s wn(n Ifaroof is.installed withodt'first obtaining'an inspection, l"agree"tdramove:
N
e nitha cont I a'delinedbylhe B•ty Arco Nr Qtaldy Mlxage,ata Distort? all new materials for inspection. 'Applicant understands and'will comply with
°Y all n"on-point source regulations. y
1 h 'o.cad the Initiation,mnariela xqu mmems and Chapter h95 of the
CaliforniaHhadth&SafetyCod S tons 2550525539 and 25534 I demand that
'
ifthe hutId'-gI nate rtem rand all y pn.ihll'yt hfy the s '• y�� ,
Perin
suirc= hi mustb r,pnor, m's o aG cmm�f(
Occu 1 '
• ) SignatoreofApplicantfan Date' _
ow g t D up •P All*roof coverings to be Class "B':.or better
It
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