02060152 (2) OF
CI BUILD NG DIVISION M CONTRACTOR INFORM& ON:
BUILDING ADDRESS: PERMIT NO.
22781 STEVENS CREEK BLVD 020601752
L7h"h ING
APPLICATIUB ON
PHONE: SANITARY NO. CONTROL NO.
O O ARCHT ECTIENGINEER: a BUILDING PERMIT INFO
WEC BLDG ELECT PLUMB MECH
UE
LICENSED CONTRACTOR'S DECLARATION
z 5„= Job Description
I hereby alRrm Nal I am licensed under provisions or Chapter 9lrommeaing DEMO.
li:MA with force
effect, on3of the Business anJ Prrskssiuns Cede,and mylicense
is in full force and effect.
z, u License Claes Lic.a
usi 3 Date Commeror
u.tz. ARCHITECT'S DECLARATION
1 undersand my plans snail be used m public rtcaNs
wa4
S o O Licensed Professional '
c OWNER-BUILDER DECLARATION
1 hereby a1Bmt that 1 mm exempt from the ConvucuWs License Law for the
F 2 following mason.(Section 7031.5.Business and Professions Cod,,:Any city or county $8000
which requires a pcanit to commucn alter,improve,demolish,or repair any structure
nam peat t aww.” req the pplicaa fa.wch permnwflevngned sutemwt - - - ......_ _
th'mhe it - J mhl to the v -_.. ...__.___....... .
Q port p ons ofNcComrvcmrsLtecnsclaw(Chapter9 ,.13 F�tOF�gorQ.�a-a Valuation
(wmme g '�hsectrs-7aoo)rsrD'.;anrsa3armeBasnwrspedPrpre�nrsnacrsam C,{}"� I• .,,, }, t_3. _fat:ta:�• •�d)��'
or Nal he is eiempl therefrom and the basis for the alleged armption.Any violation
-of tonion'311 6y rnyCrop
dred ahtfa 500), ubjmslnc vpplicanno acivil penalty NO AMN INSPECT .ONS '' P Y YP
of not morethan five hundred dogars 15500. r 'i OCCD anC T e
❑1,as owner or the pmpeay,or my employees with wages as their sale co n,ansaion,
-will do the work;'aad the structure is not intended'or"offered for sale(Sec.7D , - Required Ins ectioiJs""
Business end'P7ofcsions Cade:The Contractor's Lice.Law does nm ot apply an q p
owner of propeny Who builds or improves thereon,and who does such work himself
or Through his own employees,provided Na such improvements ssol wi via intended or
"dHffcicd foi salelL however,the buildin - '-r-"-' t s sold within oma�earof- -- ---�'----'—�";--.-',,., o_._-'-----�------�---'----'---'
ie
completion,far the owner-builder will have the buMen of proving that he tliJ via build or
improve for purpose of wlc.). -
' ._.. ___.-. .u _.._--_.._.-_..—____dcont... _._. -s> _...��wn�of the Property,am exclusively contracting with licensed wmr:u�wnm � -- - -- --- -.I � � - ��!jL -tae- 'T'4 rn
n t t thep J t(Sec 7MJ Business and Professions Code')The Convect ,
Lice La d of apply to ofp Koy who builds rmpomeatherc <.L: IE .�`C..and-who contracts for.. h.p 1 t. with tract r(a)I tt d Pursuant I .N
Con e V V .
❑1 pl nd'r5 t - 1B@P for Nn rtmon
, 1 4 3 0 y dVl�
WOR ER C isa"T10N DCCLARATION
t 1h by Rom J pc Yof,ee I',nine•of�the following dlamations-❑ 1 have and will maintain a'Cemlicau of Conant to a f-morre for Worker's O/
Cam
t provided-f by Section 3700 f N LaborCwt r the
Caforma a of th k frorwhich,likefmikis issued
❑I have and will rc num Wo kers Cmapeu�mion 1 civ q red by Sec, O
3ZW of the Lalro Code f theomea
pert n of Nthis o k for which Permit is
sxb J My W k :Compensation In sum c carrier andPolicy number am:- _
Come s rpt J t' 11 .'.Poi xy Nm - t__ .}- .y,•-. }�/i"f.'♦ tt� 1 gia'las�: M- �F 1e• Ytll'L :.f Lt
ICER_TIFiCAT1ONOFTIOOR6E,RSt
COMPENSA]IONINSURANCE ^- -"-
W.f (Thosucliod needrim be completed of the perm's for one hundred dollars
($1001orles.) . .,. .. ...: ....,,.. _
P.lc fy Nei nibe Pert enf the wukf hhlh *pernut is t. d 1 - -._ - lUl!' II1t IJ 'II• lU I t jr - -
all t emPl Y an P< a n y man c S,gI hp— r�ubJe t m N'W k -
C mPcn al n w o1 I - D I -Ifl
O Col t
p6yT111:sTO PP NT m If INS Cnnfrmof 1h. pt you.M1 Id
Z bcL6me blew to cWorkehC rope t P .ofth l.bo Cal y 11
N
forthwith Py uh such or this pe.it sholl be dremed revoked.
}-J r ail CONSTRUCTION LENDINGAGENCY '
h ny R that therecon.Immo n leading agency fo theperform vice
'> 'orN ak( h ch NpeI i f's.u d(Sec J(Yl7 C C)
'W f. kende N m u - - _ _. .— ___ _ ..____._. .-.._ - .._..._.- _ _ ..__ ......
ldoder Addre
a Z I„ _ .'
Ic sfy that Ih mail this dsum that N bo f aloe is
'tz'.F wmcl I ogre tr comply,with II City of ty nt J m laws enter
upon
po Wddngwnsructio,and hereby amhonurtpmanuti esofthsarylo enarupon
the aMwe-mendaned t for ins eaten
�.p, 'es.j dgrcemsave.intlemoifyan,Fcephamayinthe way aof ccrue
salt
yrA liabilities,judgments,ensu and expcna.rwhich may in any way uccrve against said
i V.Z City in consequence of'he ming orchis pemut. , "
'A I IC M!UNDERS"fAS.I'>SANDWILLCOMPV-YWITHALL )N-P rte'' Issuedby� Date
- � ; UL
:&n t < r ppbeanv t _ - ole• - Re-roofs
HAZ RDQUS TERIALS DISCLOSURE
WII c applaia t t f Inldin,occi,am,tom rh ndlehuallo namotel Type.of Roof... - _. ._-
''' as defined by the cultivators Municipal Cod Chapter 9.12.and Nc Health y
road Safer t , 1 '` - `v -•-'_.._+ -. ...,1 :: -- -
CodeSao 25321 '. P -+ ' •.: ll r f14ES1 (jJt't':.J ' f 14113w . ✓. .I,L-11 .
_ ` i :' b '. AlI roofs shall be_Inspected prior_to.any roofing.material being installed__-- _ .__
w u,�q ppI t r p b Id nB oc'9upam ua equip e t a ,�e.�mrn If a roof is installed"without first obtainingan:ins ecti6n; I,a rive to remove
earn b nt - t definedbythBay Area Air QualityManagementI P g
Dia t / all new materials for inspection Applicant understands and will comply.with_
❑Yes 4{]No all non-point source regulations,-
;I have iead�Ne hazardous frommils requimmems under Chapai 6.95 of the
Cahlomiu Health&Safety Gide,Sectiom 15505,25533 and 2 534.1 undcomad Nnt' __ „-
ifthe bitildingdoes not currently have a tenant,that it is m5'responsibility to notify the --� - -""' _.. .. _. .. . . ..... ... _.. .... .. . .. ..... .
«eiipa ofmcmquumamms hich mon No met prior to ivsuanic ofa Cen:ficate of
g PPIicAll roof coverings to e as Date
r omprpa cy d' Signature of A
r
neo m pg m f ibCl
;. Dam S"B" OC better „
. _, ... .. ...
-- OFFICE*
0
TO'd -iuioi
• Pacific rias and 10900 North Blaney Avenue
Electric 11 a" Cupertino. CA 95014
1 � Company
1 Q
�oh IL �Jr a ' OZ
City of Cupertino
10300 Torre Ave. f� f2 D
Cupertino, Ca 95014 DIS L�
P 0 3 2002
To Whom It May Concern:
Vay
Subject: Removal of Gas and/or Electric Facilities
Theas and electric facilit' hav been removed and/or aba on at
o27t] � cSY2V a; .IFPy� on 0
If you have any further questions, please contact me at (408) 725-2024.
Sincer
•
Service PI ning
•
TO/TO'd 2 b3dd CZNC 3Q 380d GV:2,0 ZOOZ-£0-d3S
'07/08/02 _12:36 FAX 1 408 87344 FNT-SARATOGA • (1 001
RECORDING REQUESTED BY:
Fidelity National Title Company - Saratoga ;FnTIFIED TO BEA TRUE AND
Eocrow No. 6001464-DT
• Title Order No.06001464 OChIRECT COPY OF THE ORIGII� e� �
When Recorded Mail Document pp%IJiJ° 'T REr-ORDED `
and Tax Statement To: S^ vt n r —/C9UNTY
Mr. and Mrs. Lynn M. Ching c,EgIES P!UMBER (�
22781 Stevens Creek Boulevard
Cupertino, CA 95014 FI'�EL!'T'i C!:ai:Oid�LT[[LCINSURANCE
342-12-037 GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE
The undersigned grantor(s) declare(s)
Documentary transfer tax is $602.80
[ X 1 computed on full value of property conveyed, or
[ 1 computed on full value less value of liens or encumbrances remaining at time of sale,
[ 1 Unincorporated Area City of Cupertino
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ziaddin Jamali,An Unmarried Man
hereby GRANTS) to Lynn M. Ching An Unmarried Woman
the following described real property in the City of Cupertino
County of Santa Clara, State of California: —c -
SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF
JUL 0 � Z002 ��
• BY: J
DATED: May 15, 2002
STATE OF CALIFORNIA
COUNTY OF C-nn PSS
ON 2 before me, Maddin Jamali
•e ersonally appeared
pefaarraffy-knowntor me (or proved to me on the basis
of satisfactory evidence) to be the person(p/whose
neWis/aresubscribed to the within instrument and
a nowledged to me that he/sheftMr executed the
s e in his/heNtheir authorized capacitylies),and that
by his/herhtreir signature(y1 on the instrument the
person(f), or the entity upon behalf of which the ° °sDEEWIGtir
person(sA acted, executed the instrument. Cor mrn slop#1215517
iy N01M Public-Con C'M
Witness my-hand-and-official seal. Los Angeles County
My Cr.mm.b4�'res Apr t 0.3XKi
Signature
• MAIL TAX STATEMENTS AS DIRECTED ABOVE
FD-21313ov 7196) GRANT DEED
`'07/08/02 12:36 FAX 1 408 87344 FNT-SARATOCA • fQ 002
//
L.W No. 6001464-DT
Title Ordor No.06001464
• EXHIBIT ONE
Beginning at a point in the Northerly line of Stevens Creek Boulevard, formerly Permanente Road as said line was
established by deed from Phillip Lombardo, at ux, to County of Santa Clara, dated June 10, 1949, recorded June 15,
1949 in Book 1803 of Official Records, page 240, Santa Clara County Records, distant thereon North 890 39' West
900.00 feet from the point of intersection thereof with the Westerly line of that certain tract of land described in the
deed from Phillip Lombardo, at ux, to W.L. Stapp, at al, dated March 18, 1948, recorded March 18, 1948 in book
1587 of Official Records, page 272, Santa Clara County Records; thence from said point of beginning due North and
parallel with the said Westerly line of land so described in the deed to said Stapp, 140.00 feet; thence North 890 39'
West and parallel with the said Northerly line of Stevens Creek Boulevard, 50.54 feet to an iron bar set at the point
of intersection thereof with the Easterly line of that certain 0.55 acre tract of land described in the deed from Phillip
Lombardo, et ux, to Pacific Gas and Electric Company, a California corporation, dated May 31, 1946, recorded June
11, 1946, in book 1350 of Official Records, page 485, Santa Clara County Records;thence South 000 16'West along
the Easterly line of said 0.55 acre tract, for a distance of 140.00 feet to the point of intersection thereof with the said
Northerly line of Stevens Creek Boulevard; thence South 890 39' East along said last mentioned line, 51.19 feet to
the point of beginning,and being shown upon that certain Map entitled, "Record of Survey of Phillip Lombardo", which
Map was filed for record in the office of the Recorder of the County of Santa Clara, State of California, on June 20,
1949 in book 23 of Maps, at page 22.
JUL 0 S 2002