00050049 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERM I No,
OWN'ER'S NIM66 PUMPKIN DR APPLICAT10Yf,14\W6049
PHONE: CHU PAUL C AND GRACE A SANI'rARY'd5/09 Ar—Mb&D
YJ IBUILDING ITRMI I'INFO
o c a ARCHITECT'/IiNGINEER:
�OOw� Il IiLECr 111.111,114MECII
s'c.i u�i IJ 1=1 CJ 'f-1
LICENSEDCOMIRACrOR'SEd -ARA'I'ION - fob Description
p¢:Y— n SeuIhioerenbyamrmfti.a11n.3l.icf ethnssEdwuninders parondvilsMiodness,oifoCn,hCupadmre,9anlcdnmmymlicense
is lull forccand erect.
))
tiz 6 License Clain I,ic,p .
o Date Cnnuumor
F LL c a ARcurrecr's DECLnunrl°N ADDITION /
1 undcmm�J my pions shall he used a.public moN,
—�r— /
LiecnncJ Prnlexviun:J .
Oat I and EUILDHR DECLARATION ^
tail= I masa affirm that 11. exempt Imtn the Contractor's Professions
Linme taw lin me V J
F>-n which ng reason.(Nihon FDI 5, t,ami, of Pmfensions C or Any city m county
cF- which re4uirex I1 permit to construct,alter.im for r ,perni>h.lir repair any ewemm
.'2 ,tritonslicensedfar,uld ,,she nopi.licunl toe men Permil mlilmuignedauamem
m:nhci.ueenwithSe am mute pro E nin.lir he the limin—
an,sela,,ion, ode) Sq. FL Floor Area Valuation
Ienm Ging with Seclinn,. ad
fbe basis 3 of the 0usines and I'Yoiort.Any U Cadet
or that he is exempt Iany tip li ant the basis forme allege)applicant
in Any vidmi.n
n1 Section 703 h 5by anyupslicanlfor a.9h)). euM1jvcrc the applicant 4,acivil penally
oraol mor.man five nandret dralnra a5fgq. - APN Number OccfiNT63e
of the property,o,my employees with wage,a, her, da c..pe...lim. O
J,tbeework,and the,haeme is not imended or oRewd h,sale(See.]614,
vital and larnficown,cads:The Contractor.License Ww doe..not apNY to an g�quired Inspections
r of properly Who milk lir improvex Ihne:m,and who doe,ouch work himself 35203003. ¢IIZt
owner
his own cmploye—provided that rad,in:pmvmnemx arc not ime¢I¢I lir
uttered foe all.IL humsc en the Iwddiny rat improvement i,sold within one rear of
completion.the owinoWilder will have the Morden of serving that he did not builds 1.01 — FOUNDATION '
improve for purryrse of mic.b
woes Orme vrrpetr,:m:�snosroely e.ntraad,g win uemo,edemnrncmssl„ 102 — PIERS
merhe the prvjecl(Sec.]IHJ,Bu,ine„Inti ProR,vri.n,Cule:)The co„m,nors 103 — UFE R
'now law does not apply to an owner or property..f.build,or improves them...
and who contracts for such projects xith a commictorfrl licensed pwsuanl.o the 104 — REBAR-
Conuactor's License Lnw,
❑1 a der lice R r Eur dais rcesr't 105 — ANCHOR BOLTS
73��a-00 106 — SEWER !F WATER
N't C :NSA'r10N Dr:C'ARAI 0
I wrel,y mfrm under penalty I fcpivinia or the rouowingdedarznionr, 202 — UNDERFLOOR PLUMBING
❑ 1 have and will maintain .Cemante of Consent to sit-intim for Worker'. 203 — UNDERFLOOR MECHANICAL
Cmnpensaarn, as provided me by Section 3](b of he Lan, Cwe, ro, he 204 — UNDERFLOOR FRAME
petform:uce nrthe work for which this pencil is issued.
205 — UNDERFLOOR INSULRTION
01 havore and will maimain Worker's Compcnsainn Lowrance,as reduind by Section
3]Ikl the Cann Cole.for the pedwrinann lir the work far which this permit is 301 — ROUGH PLUMBING
.sued.My Worker's Compensation Insurance carrier and Policy number are:
302 — TUB & OR SHOWER
Curt ice'. policy Na:
cnaTlncn'ru)N opl!sL[MPnoN 1.RUM WOR RHRs' 303 — ROUGH' MECHANICAL
COMPENSATION INSURANCE 304 — ROUGH ELECTRICAL
(Tui,section need not the completed it the perodt is for line hundred dollar. 305 — FRAME
talon)lir ienr.l
L cenil'v that in the penormance raffle work for which this Permit is issued,1 306 — HOLDOWNS
shall not employ any permit in any manner so as to become,ubjeen I.the Workers
Onnpc307 — INSULATION
mntion Laws al Cliff..ana.Dam
Applie"n'
NOTICETO APPLICANT:F afternuking Ihi,Ccnlliene lit Rxwnptim,, ou should 308 — SHEETROCK
y
Zbecnmesubject tolhewonsar'sCompensation provisions'IftheLaMmCodryoumaa 309 — EXTERIOR LATH
O forthwith cosuh p
,imply with .Ill or this permit vbull be banned revoAcd.
Z
CONSTRUCI ION LENDING AGENCY 310 -- INTERIOR LATH
� > Ihomhy amid,mw there is a ammmcuon lending agency lar the perliounoce 311 — SCRATCH COAT
a[,he work far which this permit is issued(Sec 309].Civ.C.) —
n c I.emlName 313 ROOF NAIL
5 z Linda's Addrcna
U O 1 certify that mace read this opphcaamm
on and state that e above ioh, ,adnn is 501. — FINAL ELECTRICAL ENERGY
com.11 ,reel mp1, mall t,and cammy ordin.....and lI law,chnin, , 02 — FINAL PLUMBING ENERGY
Q V u,Wilding construction,and hereby notharize representatives of this city to t at upon
he alboventunlimedPrlxryf pecu prpu 03 — FINAL MECHANICAL ENERGY
> y
(Willrd' I,. l nkvpn 1 ., a wa if pit' gMid 504 — FINAL BUILDING ENERGY
m lith t '1 I6 I,. I. J caflan— 1 DIY ,any Y 'vruv:gi rcI said
U z city in"
or,-Ise grand I Ihi.perr,it. 05 — FINAL ELECTR I CALDate
APPL .ANT "or,_ ,n WILL COMPLY WyIZAI�- '^� SS :
BAS TEST
Stgnam, ofApph.ao : rack,, Date .Re-rool�s
AM the applicant m ratio,boldin Ml�v�DISCLOSURE cmlia le flotations buderial Type of Roof 507 — FINAL PLUMBING .
a,1.11 ed by the Cupertino Munwisal Calc.Chapter 9.12.and the Hethf and Safety 508 — FINAL MECHANICAL
Cade.Seclinn 2553200''
.Yes ❑No All roofs shall @'AspectFdlIWMk-lol'RA�RP91ing material being installed.
Will the applicant or future building oecuppul use cipipnm.m or devices which If a roof is ins5iil AA %lV A1-obRlrAN JWection, I agree to remove
-mit htnNon,an communal 41 defined by the Ray Area Air Quality Management
ir,ict't all new matel-01144tir inslieINALAR1.18InitmdddIDfiiKand will comply with
❑Yes 0N all non-point source regulations.
1 have read the hriard.m memtian mquirenwuls ands,Chill 6.95.f the
Cabral Health&Safely Cade,Sections 25505,25533 and 25534.I understand In.,
Ifile building does not eoureml,huvu a Ienanl,that it is my m,11almilily ,,noliry the
euponl of the reybu ts mm� whim on,I he ami ni r m i,la nce of u C,,fifceu of
OCeaP"1ey' Signature of Applicant Date
owanm:let odaed agent Date All roof coverings to be Class `Ba' or better