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0309003918z IU� LL i �gqw fay e WyC eLL tQ; tac 5se -2� 2�C r L CITY OF CUPERTINO '''� TNFC7RMATION BUILDING DIVISION PERMIT t,4CONT1lACTOR BUILDING ADDRESS: RILL CONSTRUCTION COMPANY PERMITND03090039 R NAM,: 45973 WARM SPRINGS PERMIT ISSUE DAM HONE: (510)353-0588 SANITARY MOL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION lob Description I hereby Arm Oat I am licensed under provisions of Chapter 9 (commencing P with Section 70M) of Division 3 or rite Business and Profcssime, Code. and my license is in full force and effect Lmanw Clam Lis., _ TEMPORARY POWER DamCunumiClor ' ARCHITECTS DECLARATION I understand my plans shall ha used as punt, recarda SEP 6 9. 2003 Ce.r sed Pnrfeaionai OWNER -BUILDER DECLARATION p 1 hereby affirm that 1 Am exempt from the Contractor's License Law for the �1� BUILDING D following mason, (Section 7031.5, Business and Professions Code: Any city m county ,Yf Which reunites A Permit to construct Aller, improve, dcmnlish, or repair any structure prior In its issuance, also requires the applicant far such Permit to file a signed stawmcnl Sq. Ft. Floor Area Valuatio that he is licensed pursuant w the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 Of the Business And Professions Code) of ,bar he Is esempt therefrom and the buts for the alleged exemption. Any violation of - - APN Number Occupancy Type .-- - Section 7031.5 by any applicant for a peril subjects On Applicant o a civil penalty of -' - Ad, mart than firs hundred dollars (M). OI.n Ownerof Nepmpmy,mmyemployeswithwal oNebwlecompenudon, 103 - UFER Required Inspections 9 P willdo the work. and thestneme isnot intended oroRCred far,ele(see. 70". Busimus Professions and Pions Code: The Commerce, Lt.. Law does not apply w an owner of propenywho build, orimprova daemon, and who dmauch work himselfor through his 304 - ROUGH ELECTRICAL own employees, provided that such improvements tie not intended oroRered for sale. It. however, Ne building or improvement Is mid within one year of completion. the owner. builder will hive the burden of proving Nat M did not build or improve for purpose of E)l I, as owner of the property, am exclusively connoting with licensed conductors to ....rout the project (See. 7044, Busmen and prefailans code:) The contractor, Li- cense law does Out apply lA m Awner of property who builds or improves Ih annum, rod, who Contracts for such projects with a contractoKs) IlcenCod pursuant w the Commcufa License Law. ❑ 1 am esempt utter Sec. . B g: P C for this rtawn te D ERS COM ISATION DECLA TION 1 hominy air. under panni f perjury aro or the following decladdons: I ban and will maintain aCenificate of Cormat to selfJnsart for WmacesComped- ,ation, As provided for by Section 3700 of the Labor Code. for NA performance of the work for which this permit is iuued. ❑ 1 have and will maintain Workers Compensation Insurance, As required by Section ' 3700 of the labor Code, for the performance or Ne work for which this Permit is issued. My Workers CamPemation Insurance carder and Policy number art: Cartier: Policy No.: CERTIFICATE OF EXEM IS ION FROM WORKERS' COMPENSATION INSURANCE (Ibis Section need ant x completed RISC, Permit is Troon humerCddonan (SIM) or all I certify Nal in Ne performance of du work fm which this Permit is issued. l shall not employ any co ort in any mane, m u to become subje t to tha Worker: CumpenCoOo. Laws of California. Data Applicant NOTICE TO APPLICANT: IL after making this CeniOcsu of Exemption, you should become subject to the Worker's Compensation provisions of On Lahor Code, you must forthwith comply with Such provisions or Nis Perot Shall w doomed mocked. CONSTRUCTION LENDING AGENCY 1 hor hy Netis lending agency sur Ne Performance of which Ota mit I s ed (See ' Na work (ter which Nis permit is issued (See. 3097. Civ. C.) Leaders Name Leader. Address 1 certify Ne I have rad this application and sou to., the above informNun is wilds I qme to comply with all city and county ordinances and sou laws noting he mpraenutivu of Nis city to tour upon Nc construction, and f forherebyimp ctionm Ahoving ( shove -mentioned to ertySave for im indemnifyAd keep hs. (We) agree to Cove, and and kap harmless the City Cupcnst against accrue oapenmawhtch may in anyway eccnc agalnsl aid City i expenses / in mWeaj.menueewtsang A cPLICANT of the RSTA grunting of this Permit. I APPLICANT UNDERSTANDS A14D WILL COMPLY WITH ALL NON -P Issued by: Date SOURCE REGULATIONS Re -roofs Type of Roof — S' lure Of Andra' ter a HAZARDOUS M RIALS DISCLOSURE Will Ne applicant ter future buil g occupantewre or handle meardoa material AS defined by the Cupertino Municipal Code. Chapter 9.12, and the HSM and Safety Saedan 25533(a)7 ❑Ya ANo All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove Will the epplicantorfuture building occupant use cyuipmentoidevices which cmlt ha--ardou, air contaminants AS defined by tha Bay Area Air Quality Management all new materials for inspection. DiWiCl7 / ❑ Yes W Nu I have mad Ne hue dlostss materials reyuircments under Chapter 6.95 of dim Collier. rat, Health A Safety Code. Sections 25505,35533 odd 25534.1 understand Net if the building , due, nm currently hero A uta rpAt itis my naPonslhility w notify tad mcupmt Of Nc AI' mquiyforwhichmus' saoracemEeamaraea p%��z Signature of Applicant Date All roof coverings to be Class "B" or better Owner or authmived agent Dau 1 GOCUPEkTWO rJ CITY OF CUPERTINO TEMP POWER PERMIT APPLICATION FORM 0317 T�a3y' APN# Temporary Power Date: Building Address: 2o�99 ELECTRICAL BUSLIC Business License Owner's Name: J Phone #: Contractor: RTL Phone: / License #: 2v Contact: 12nN Phone: ; S—/ " Cupertino Business License #: Z3 ?,6e. BuildingPermitInfo: Elect 56. Job Description: Residential ommercial ❑ Cost of Project: QtY. . A is ble Fee ID I Fee Description Fee Grou BTEMP Temporary Power ELECTRICAL PERMITFEE Elect. Permit Issuance ELECTRICAL BUSLIC Business License BUILDING CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 32630002.00 DATE ISSUED.......: 09/04/2003 RECEIPT #.........: 23030 REFERENCE ID # ...: 03090039 SITE ADDRESS .....: 20899 ALVES DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: suem COPY # : 3 OWNER ............: KAI-KUNG GUANG ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014-1825 RECEIVED FROM ....: KAI-PING KUANG al of 1 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 32630002.00 DATE ISSUED.......: 09/04/2003 RECEIPT #.........: 23030 REFERENCE ID # ...: 03090039 SITE ADDRESS .....: 20899 ALVES DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: suem COPY # : 3 OWNER ............: KAI-KUNG GUANG ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014-1825 RECEIVED FROM ....: KAI-PING KUANG CONTRACTOR .......: ALLEN WU LIC # 23968 COMPANY ..........: RJL CONSTRUCTION COMPANY ADDRESS .......... : 45973 WARM SPRINGS CITY/STATE/ZIP ...: FREMONT, CA 94539 TELEPHONE ........: (510)353-0588 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW HAL __________ BTEMP _____________ __________ FLAT RATE 1.00 ____________________ 57.50 0.00 __________ __________ 57.50 0.00 EPERMITFEE FLAT RATE 1.00 35.52 0.00, 35.52 0.00 TOTAL PERMIT __________ __________ 93.02 0.00 __________ ---------- 93.02 0.00 METHOD OF PAYMENT AMOUNT NUMBER _________________ CHECK ------------ 93.02 _--_________-_-_-_ 129 TOTAL RECEIPT 93.02 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 103 UFER 304 ROUGH ELECTRICAL