00110062CITY OF CUPERTINO
CONTRACTOR INFORMATION:
BUILDING DIVISION PERMIT
BUILDING ADDRESS:
FERMI "I NO.
10164 MINF_R PL
001 10062
OWNEWS NAME
APPLICATION SUB DATE
LANGEMRK JAMES G AND SUSAN
A
1.1/13/2000
PHONE:
SANITARY NO. CONTROL NO,
ARCHI I ECTIENGINHER:
Bu ILIANG PERMIT IN 1-0 -
RLOG ELECT PLUMB MECH
f-1
(o
I er i
Job DOSCrIpllOn
nsofChAI
I hcabyalfrrmthmlll.... roved undON
q+mr 9 (commencing
pmol s
wish Section 7000),d Division 3 of the Bu.,inca and Profession, CIA ,alit my license
it in pulls"wr )feel. �J 2'`
,e Cas, Lic. -743
REPLACE WINDOW
Date Comrvcun
AR(.'Bi rLcT's DEC'LARAI'[ON
I uode"k d my pram.hull be cad as p+mlie rmmV,
/
Licensed Pole.,innal
OWNER -BUILDER DECLARATION
'aaa'sI
1 hereby orfinn that I am exempt from the Comosemr's License La, far the
following mason. (Section 7131.5, Business and Pult,dr , Code: Any coy or county
,vhich rcntarc, a remain h, construct, after. improve, demolish. or repair any srmcmre
priortoa, a.uance,;d... rcqul;w the appli, Ifor each permit m Flea signed"I'mnunt
,has he i, licensed par..ant m lie provi,:ants is me Coatmemr, License low (Color, 9
Sy. Ft. Ploor Area
Vanua
leummencing with Section 71(X1) of Division 3 of the business anti Isofcsslons Codes
$1.1000
or that he is exempt therefrom and the basis for the alleged exemption. Any violation
of Section 7031.5 by any apps icam for a Mndit subjects the applies., It, v cis it penalty
APN Number
ane
Occupancy Type
or not mine than Eve hundred dollars Sign.
P Y
❑1.usuwner I the prose,, orrery employe,, will, wopc,"thein'xule "on+pa;sulinn+,
31.6 X6076. 00
Required Inspections
will do the work. and the associate is Oat intended or offered for sale (See. 7044.
Business and Protestant Cole: Tl+e Contmetnr's License law Err, not apply ,, an
y
salver of property who builds ate improves thereon. and rhe does such work hinrtelf
ur
101 —
FOUNDATION
through his own employees. provided that such improvements are not intended nr
oBcred f,r sale H. bourver. the building or improvement i, sold within one year of
1.02 —
PIERS
ltti I, rbc owner -hander will have the hmdmn of proving limit be did not hand or
am,nmpo
elite pnrpase sir„de.).
103 —
LIFER
❑ 1, a, owner of he pmpcn, inn exclusively eommedag wish licensed commcn,n to
104 —
REBR R
ones the impact (sec. Ji. Business and I'r)fc,sions cA,) Me,comor,
T,trv70,14.mnian.eIzocut,nmapplymanownerofpropertywhobuildsora+prove,theretm.
105 —
ANCHOR BOLTS
and who commas for such projects with a contractors) licensed Pursuant to the
Can a"no"I.ieen,elaw.
un
1.06 —
SEWER 8 WATER
El exa syn ander Sec. . B h P lin ot this rc;ooa
202 —
UNDERFLOOR PLUMBING
Owner Date
WORKER'S COMPENSA[ON DECLARAr[ON
203 —
UNDERFLOOR MECHANICAL
Ihereby afirtnunder family ofperjury )no sit the follow ingdeemmaons:
204 —
UNDERFLOOR FRAME ”
e of (s ,aeia.a« rte work"„
❑ u:aae anal will n linnain a Cerdfeacarm
205 205 —
UNDERFLOOR INSULATION
Cotnpen,atln+I, as provided rte by section: antro of the Lubar Code, lot the
perfarounce ntlie work for whish this noil in issued.
301 —
ROUGH PLUMBING
❑ 1 base and will maintain Worker's Compensation Insurance, a, "aired by Section
302 —
TUB & OR SHOWER
3700 of the Labor Cm1e, for me performance of the work for which this permit it
policy
303 —
ROUGH MECHANICAL
issued. Mywarker.0mnpeno:dalInsarancecarrier and
+n�u/t�mberare:
VI I�1W PolicyNaQ`5 OGSjG
—
ROUGH ELECTRICAL_
V I 'OF EXEMPTFROM
SUrK^'LiiJW�'1'JOIN EN ATION INS RANO WORKERS'
,304
s05 —
FRAME
mid, satiat s not be completed if me permh is ror one hundred denary
306 —
HOEDOWNS
(S1abo'le".)
307 —
INSULATION
I itaily that In the ped unnince or me work tar which this perait i, issued, I
Minket:
308 —
GHEETROCK
aer so m m as become subject the
,hall Oat employ any person in ant, mnn
Cnmpenado.Lea, nfcalifamia.Date
309 —
EXTERIOR LATH
Applicaun
NCMCL'l0 APPLICAN'1':If, after nuking this Certificate of Exemption. you,houlJ
310 —
INTERIOR LATH
Cpen,minis Pre iof the Labor ,,.,tCade. you u,t
e hjc,l to the Wndertamms
tsco.nsu
f mvith=amply winds ... hpmvi,i... I,alIn, nerndtu.ball hedeented evoked
311 311 —
SCRATCH COAT
CONS] RUM [ON LENDING AGENCY
313 —
ROOF NAIL
I hereby whorl Etat there is a construction lending agency for she performance
onstock .is isi.,aed(Site.uya7,Ci,C.)
501 —
FINAL_ ELECTRICAL ENERGY
Lender's Name
Address
502 —
FINAL PLUMBING ENERGY
I rdulyfor lhas, vadlhis asplicationand sumthinslie adsw=imfar:nunions M
503 —
FINAL MECHANICAL ENERGY
correct, i agree to comply wall city and county ordinances;%ad ,tate laws relating
cur ith
of Ni,ciry mercer upon
mBu auve.eonamaluaandbembyaatcts.".
-
504 —
FINAL BI-III_DING ENERGY
uposentmives
the aM (Wc) agree to Property for inspersion proposes.
(\ve)agrocmsave, indemnify and kuThammesn
505 —
FINAL ELECTRICAL
an waya..apc,moagwrof
City ides. iadgmcats. arms :rod it, which may in tory way n"cmc nguinnt ,aid
his
50E. —
GAS TEST
CityL .T U Ifffic of
APPLICANT UNDERSTANDS AND WILL COMPLY WITIIALL NON-IH)IM'
Issued by:
fill IIMOThIG Date
p;L47 —
FTNIII
Re -roofs 508 —
FINAL MECHANICAL
—_ title atAppmmis out r - - Date
HA"LA US MATERIALS DISCLOSURE
Will the applicant nr hmtre buildiagoccupant Imre or handle huuudous martial
Type of Roof 509 —
FINAL GRADE
, defined "the Ca Peru MI cipel Code. Ch;:pler 9.12, and rhe IImdth mrd S'nlcly
acane. -
51.0 —
FINAL PLANNING
Seed.... 255321u)1
Cl vet El Na
All roofs shall igspek;t9d
rrd, to V821PL� I�,kU)eing installed.
Will rhe applicant or furore building oceupant uw eyuipmcnt or tic, art
If a roof is installed without
first obtaining an Inspection, 1 agree to remove
mit so -ohm, air Gorman rtes as defined by the Ray Arca Air Quality Manager em
District?❑Nn
all new materials for inspection.
Applicant understands and will comply with
` C yes
all non -point source regulation".
I hmo read the miardous materials rewiw;nem, ander Chapter 6.95 of the
c th cit Safety Code, Sections 255115.25533 and 25534. 1 undrsmund that
iltbebuildnng oe net currently have a tenant. that it is my responsibility to notify the
uccupam of the rcyulmmmoe which must h met prior to issuance of a Cenifeme of
CutCut p"ncy'
fl �- —�/ —� 7
Signature of Applicant-
All r
Date
iof coverings to be Class `B" or better
Ownerar amount Jspent Dom
OFFICE