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02120043 CITY OF CUPERTINO -•,• r,:-••_ x. BUILDING DIVISION PERINT CONTRACTOR�INFOR PION: BUILDING ADDRESS: TAYLOR WOODROW HOMES PERMITNO. RESULTS WAY WNER's NAME: 2300 CAMINO RAMON APPLICATION SUB DATE TAYLOR WOODROW 12/11/2002 PHONE: (925) 365-3100 SANITARY NO. CONTROL NO. ARCHITECTAENGINEER: BUILDING PERMIT INFO BLDG EIPR PLUMB MECH On. LICENSED CONTRACTOR'S DECLARATION lb Description 1 hereby aBirm Nat 1 provisions Ann licensed under prov ons of Chapter 9(commencing with ScedbrO7000)of Division sof the Business and Pseressimu Code,and my licemc is cs � L�I��eAndafect. g 6 ELECTROCIERS 017 Dae Contractor ARCHITECTS DECLARATION �� 1 uMeuuM my puns shell be used as public reenms R , Licensed Pmfeuional - I��g.yr^y,O OWNER-BUILDER DECLARATION a 6 E 1 hereby Affirm that 1 atn exempt from 01e Contractors Lic for tbe 0 0 following rtuon.(Section 7031.5,Business and Prukssioln C,k: c ty or coup ` y�$2 which requires a Permit m cmtsure4 Aller.Impsew,dem Tum.or re r any mac �Se poor its issuance,Also requires the applicant for such permit in file Il< that he 18 licensed purulent to the psevisiom of the Contractor'Alia 9 .FI r sea $1690otion $ (coonto ingwiNSecOn7")of Diviaion)oflhe Bmimman Professiom Cme)or that ho 18 exempt therefrom and debuts for the Alleged exemption.Any viobdon of Section 7031.5 by any applicant fee a permit tubjecrs the Applicants,to a civil penalty ofOccupancy Type not more than flue hundred dollen(5300} C,1,as owner of the property,or my employees with wages As their seta c,npensation, ,will do the woh,aM Ne.rructure o no inelndm oroRertd fa ssle(Sa.7Md,Buelless Ind Prornelom Code:The Conusemr.Lt..law dee,mol apply a An owner or 102 — PIERS egwred Inspections property who builds or Improv.thereon,and ww dos such work hi mself or duough his ownemployees.provided that such Improvements me Out inumides!orruffered for We.If, 103 — UFER havmer,the building or Improwment Is sold within one year of completion,the Owner. wlwcr wile haw the wreca of proving that be did rot wild,impose for paMose of 104 — REBAR Me.). 105 — ANCHOR BOLTS I,a owrcr of tie property,am uci a my conn ng wise Hamm moncun a 10 6 - SEWER & WATER a w,lee pmkct(Sec.70".llmlrc and Prolmen,code:)He Comacmra Li- amelawdoesn,apply to anowrcrofproperty who wihis,Improves therem,and. 202 — UNDERFLOOR PLUMBING who cenrAcufor such projects with A cummismr(a)licensed pursuant to the Contractor's License Law. 203 - UNDERFLOOR MECHANICAL LI lam mem sunder ,B&PC for this auin 204 - UNDERFLOOR FRAME woRRER'sco S o 205 - UNDERFLOOR INSULATION 1 hereby aahm under penalty ury me of 01e'Mcif if declaration: 301 - ROUGH PLUMBING ❑Thew And willmunuinaCerullauof Consen,malf-imam fm WorkeraCanpen• 302 — TUB & OR SHOWER unseat,As provided for by Sectile 3700 or the lab,Circle,for the performanee of the 303 — ROUGH MECHANICAL week: 304 — ROUGH ELECTRICAL ❑I ha and will mamum Woken.Conpemnlon Imurwe,As required by Section 305 — FRAME 5700 clubs labor Code.fart a performance of The wok for which this permit is issued. My Worker.Compensation Insurance carrier AM Policy number are: 306 — HOLDOWNS Cariert Policy No.; 307 - INSULATION ceRTIPIcPESIISANWORKERS'COMNATONNURRCEE308 - SHEETROCK India 309 - EXTERIOR LATH O 310 - INTERIOR LATH 1 usually that in the p,formance of the work f,which us.permit I.issued,I Pull sem, 311 — SCRATCH COAT employ Any person In any manner m u to become subject to the Worker'Compenu,ion LAw.ofC.lifemu Data 313 - ROOF NAIL N,PUCE TO APPLICAND It.of er making this Cenifeate of Exemption,you swZ 501 - FINAL ELECTRI CAL ENERGY Uecmme subject in the Worl[er.C,rpemAtion provision of me LAW Code,you must 5 0 2 - FINAL PLUMBING ENERGY 0Z forthwith comply with such PMVIEON or this permit shelf Ise dans re mvoked. O Affirm 503 - FINAL MECHANICAL ENERGY 14 is. LENDING AGENCY Thereby. uwtiere18.e,mnlcdmnlemm�g.gelwyfmruePerrmmmAnamf 504 — FINAL BUILDING ENERGY it the work for which this permit Isissued(Sec.3W7,Ch,C.) 505 - FINAL ELECTRICAL Q� Linder's Name landrt AdcesAddrere ss 506 - GAS TEST z UO Lanifythin IMcread this applmationAnd SUM that the awwinfmmuimnB 507 - FINAL PLUMBING !+ come[.1 Agra m comply withal]city and county ordinance.and NIC lawn relating m Wilding calurmction.and hereby sethonw rtprtaenwiwa of thuciry mentor upon tie 5 FINAL MECHANICAL o f Awding cr ssoctioAd n.and erbypectiorize mpese 9 — FIN 1 (We)agree ro saw,indemnify aM kap harmku the City of Cupertino against 5 G !1 / Cat Il Wtlitles,jmgmenu,costs and expenses which may in Any way accrue AgaimtWd City �� ✓✓ tj In conschence of the granting of 0118 permit. APPLICANT UNDERSTA S AND WILL COMPLY WITH ALL NON-POINT Issued by51 - WORKS Date / EGULATIONS. 1[// le IM Re-roofs I ,C OfA IKN omlrCmr D HAZARDOUS MA DISCLOSURE Type of Roof Will the Applicant,future wilding Occupant more or hAMle hazardous maeriel As de0led by the Cupertino Municipal Cork,Chapter 9.13.AM the Health and Safety Ode.Section 25552(.)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yon I2riT.— Will the applicant or future wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit hraamon air conuminanu As deMM by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yon 206 Ihawread the h.Swd=Nnel.equimmenuunhrCWpkr6 ifuehlimu �,v • II� nu Heald&Saeed Cm d0.Sariau3teria1,mgimmnmu0.1 unhamMdnlfinewlld dos rot currem1 mw lenanx that it 1.my rupondNil to rctify tic occtrpan,of tie uwhknm nota is I c Signature of Applicant Date Our,anthoirma vDate All roof segs to be Class mBw Or better CITY OF CUPERTINO BUILDING DIVISION PERMIT CQNTRA'CTOR INFORMATION: BU ILDING ADDRESS: TAYLOR WOODROW HOMES PERMITNO. RESULTS WAY 02120043 VER'S NAME: 2300 CAMINO RAMON APPLICATION SUB DATE TAYLOR WOODROW 12/11/2002 PHONE: (925) 365-3100 SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERM IT INFO .� ELFCr PLUMB0 MECH 0 0 pOC LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing SO U �2V with Section 7000)of Division 3 oftho Business and Professions Code,and my license is <KK in full force and effect. 6 E O R� Liceme Clava Lie.M O F, Date Contractor q ARCHITECTS DECLARATION yaS @ 1 understand my plans shall be used as public records , O U a xxa Licensed Professional t"t=0 OWNER-BUILDER DECLARATION sE I hereby affirm that I am exempt from the Convector's License Law for the or 00 following reassm.(Section 7031.5.Bear..and Productions Code:Any cityor county n $ which reclaims a permit to construct,aper.improve,demolish,or repair any ntnmum oi prior m its issuance,also requires the applicant for such Permit o file a signed stateroom q�qmZm< thatheishcensed pursuant it)the provisions of the Commctor's License Law(Chaper9 Sq. Ft. Floor Area $16y4oation gf-$ (commencing with Section 7(kXq of Division 3 of Ne Business and Profemions Code)or .. that he u m exempt therefroand be bazu for 0e alleged exemption.Any violation of Section 7031.5 by any applicant for o permit subject the applicant to acted penalty of 3bxlwlq 0 Occupancy Type not mora than five hundred dollars(1500). ❑L as owner of Ne propeny,or my employees with wages ns their sale compensation. will do die woh,and dle alfleee is not intended or ffered for We(Sm.7W.Business a cared Ins ections and Professions Code:Tho Contractor's License Law does not apply to an owner of 10 2 - PIERS q p property who builds mimproves thereon,and who deesauch work himself or through his own employees,provided that such improvements art not intended or offered for sale.If. 103 — UFER however,the building or improvement is sold within one year of completion.are owner- builder will have the burden of proving that M did not Wild or improve for purpose of 104 - REBAR wale). 105 - ANCHOR BOLTS 1,as owner of the property,am exclusively contracting with licensed convectors to 106 - SEWER & WATER co wet one proper(Sec.70,44,Ber in.and Professions Code:)The Contractor's LF cense Law does net apply m an net of properly who hailds or improves thereon,and 202 — UNDERFLOOR PLUMBING whose L..for such projectwith ecamnctor(sllicenmd pursuant Ne Contractor's 203 - UNDERFLOOR MECHANICAL License Law. I em exam Lander c .B&P C for this reason 204 - UNDERFLOOR FRAME D/ u a 205 - UNDERFLOOR INSULATION WORKER'S CO ENS L DN 301 - ROUGH PLUMBING I hereby efr,, under penalty Bury oto of thef gdedantinns: 302 — TUB & OR SHOWER ❑In.ve.ndw0lmeinun.eem0e.earcnnmmtouH.inaareR,rwnrkracnmPn 303 - ROUGH MECHANICAL attar u provided for by Section 3700 of the labor GWe.0,r the performance of the work for which this permit is issued. 304 — ROUGH ELECTRICAL ❑ I have and will maintain Workefs Compensation Insurance,a required by Section 305 - FRAME 3700 of the labor Code,for the Performance of the work for which this permit is issued. My Worker's Compensation Insurance carrier and Policy number are: 306 — HOLDOWNS Carrier: Policy No.: 307 - INSULATION CERTIFICATECOMPENSATION 7INSURANCE ON FROM ORKERS' 308 — SHEETROCK (Thissectionneed notMcompleed iftM Nonnitisfrronehandred Collars(5100) 309 - EXTERIOR LATH Of1ear.) 310 - INTERIOR LATH 1 mnify that in the performance of the work for which this permit is issued,I shall not 311 - SCRATCH COAT employ any permm in any manner sO as to become subject m the Waders'Compemmion Laws of Califtimis.Date 313 - ROOF NAIL Applicant Nfi'r10E TO APPLICANT:ILafter making this Certificate of Exemption.you should 501 - FINAL ELECTRICAL ENERGY become subject o the Worker's Compensation provisions of the Labor Code.you must 502 - FINAL PLUMBING ENERGY `Z forthwith comply with such provisions or this permit shall he deemed revoked. z0 503 - FINAL MECHANICAL ENERGY CONSTRUCTION is a Construction ON LENDING AGENCY [.. ti Ihereby forwhihthiNetthereire . 007.lending agency for the Performance of 504 - FINAL BUILDING ENERGY IYa the work for which thisPermit isissucJ(Sec.3(197,Civ.CJ 505 - FINAL ELECTRICAL W Q Lender's Name a Undoes Address 506 - GAS TEST U O 1 cenoy Nat I have read this application and state that the above information is 507 - FINAL PLUMBING W F menet.1 agree h)comply with all city and county Ordinances and store laws rotating to 5 FINAL MECHANICAL O building convection,and hereby authorim represcnutives of Nis city to enter uprm Ne {U ahow-cremioned property for inspection purposes. 5 O 9 — FF I N (WC)agree to save,indemnify and keep harmless the City of Cupcnin.against L4) liabilities,judgment,costs and expenses which may in any way accrue against mid City -5N G in consequence of the granting of this Permit. U APPLICANT UNDERSTANDS AND WILL COMPLY W ro &LL NON.POINr Issued by51 - WORKS Date EGULATIONS. 12 Re-roofs I tumofAp lican omnctor D c HAZARDOUS MA DISCLOSURE Type of Roof Will de applicead Of future building occupant store or handle to vallous material definetl by the Cupertino Municipal Code.Chapmr 9.11,and the Health and Safety de.Section 15532od? All roofs shall be inspected prior to any roofing material being installed. �Ycs rl�a Will the applicant or fatum Occupant use equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove emit hamNous air cnmaminnnt as delined by the Buy Area Air Quality Monageroem all new materials for inspection. District? r]Yes pHs In I maiSafety Code,Sednons255talsrequi eireconi and 25534, 1 u deaper695ofthn Golding rata Heuhh&Safe GJc,means, hat it11an,m1gd15534.10 early oc, pi'm at' does not currently bass:a anent,Nat it is my respomihility to nadfy Ibe occupant of the which Us ...is in e r Taency. Signatureo Applicant Date wneror aumod.eda ,Date All roof togs to be Class"B"or better •CITY OF CUPERTINO b Z z o 0 • CUP TYOF O PERMIT APPLICATION FORM APN# G'7 o Date: . Building Add ldessLkb: Owner's Name: Phone#: fn Ent 1 2is 36S 3 �� Contra or: License#: Contact: Phone#: t$ Q z a— 3 — 1 )10 A UContractor: Fax#: iqzs73Tf -07 Buildin P rmit Info: t'Bld Elect Plumb Mech escription: e Residential: e i Sq.Ft. Floor Area: $/Sq.Ft.: Architect/Engineer: Valua IML 4 ype of Construction: Occupancy Grou : Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax—Resi/Mobile BUILDING BELEC1000 Elec 600V <- 1000A ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec Svcs 600V <=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BMITIGATR Res. Housing Mit Fee BUILDING BMNEWMULTI New Multi-Family Res MECHANICAL BNEWMULTI New Multi-family Res ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING 1 of 3 �� - � , - � , � 103 �� .,