08040048 CITY OF CUPERTINO �qs.-. '
BUILDING DIVISION PEEMT %CONTRAGTOR�IM. MATI = N
BUILry�r �gD�Es�EEKMAN PL ARGONAUT WINDOW & DOOR, INC PERMIT
08040048
OWNER'S NAME: PERMIrf ISSUEDATE
SUMEDHA MANISH VICHARE 1901 S BASCOM .AVE STE 800 04/08/2008
110
ONE: SANITARY NO. CONTROL NO.
(408) 378-4016
BUILDING PERMTTINFO
BLDO ELECT PLUMB MECH
t LICENSED CONTRACTOR'S DECLARATIONIOb D0SCr1 UOn
1 hembyaffirm Nal1sm lk nwdunderpmviumuofChapter9(mmmcminr p Section?0M)ofDivision 7 ofthe Business and Profcaalnm Cade,and my license u RPLC EXSTNG PATIO DRS IN LVNG&MSTR BDRM&WNDWS IN
I: nll=umdalfece Lc.9 BDRMSI&2,NON—STRUCTRL
Dau Comraur
y ARCHGECPS DECLARATION
I mule sund my plana shall W used as public retards
yr. Liamed Pmfevi...I
OWNER-BUILDER DECLARATION
gm 1 hereby affirm,that 1 am m empt from be Contractors Ucense law for the
O 9 following mann.(Section 703 13,Business and Profession Cod(:Any tlty,or county
'�3 G which requires a Permit on construct,alter.improve,demnl'uh,nr repair any sWdum
_Z'SI prior m its issuance,also requires the Applicant for such permit to file a signed summem
{FF< thuheinRansedpuraanttathepmaishen,ofumCanuamr.lxenseLaw(chapter9 Sq.Ft. Floor AreaValuation
th Srni
Lag (eommenNngwian 7000)nf OivutW mssion7afBusianal Professiom Cade)or $12000 .
that he is eumpt therefrom and one Wsia for the alleged assumption Any violation of
Section 107IS by any applicant for a permit MbjcCU the applicant u a civil penalty of
nut ream Jan ftro hundred dancers($5M. 316 3 012 6 Aff Number Occupancy P y T'pe
I,as owner of the property,a my employees with wagon a Neo=to compenadan,
wnldo the work.ane the.tmcam snothmodedorortered mrwc(Sec.?Doa,euaaa Required Inspections
and Professions,Code The Contractors Lieene Law does not apply u m
an owr of 9 P
property who Wilda orimpmws thercon.and whodoessueh wort himundfor through his
awn employees,provided most such Improvements am not intended oroRered for ales If.
however,the Wilding orimpre. .cut bald within ecru year off3 m d u.n.see owns,-
builder will have W burden of proving out W did not build or impmw for purpose of
sale.).
❑I,as owner of the property am exclusively contracting with licensed contraton in
cmuvun tho project(See 1014,Business and Profevdoos Cade:)?1e Coouaur's U. .
cense law does not apply he an owner of progeny who Wilds or improv thereon,ad
who contracu for such pmjeeu with a eanuactogs711ansed portion,to me Condactoh
LRem t Law.
❑tun exempt un1. Rh� ��
P,Cfo�r%�,iow
�mo���n
Owmr V Dau�-'-=s'-f'i
ORKER;% PENSATION DECLARATION
I hereby aDltm under Fertility o(pmjmy OK of Iht follawing declaaJOM:
I Mw and will maintain a Ceninate of Consent to alf-Imam fm Wmkces Compen-
,a pmvi&d for by Section STOP of the Labor Code.for the perfaimanm of the
for which this permit is issued.
❑1 have and will maintain Worker's Compensation InstuatRx,u rryuired by Section
7700 of the labor Code,for the performance of tht work for which this Permit is issued
My Worker's Compensation Irsanme tuner and Policy number am:
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
rlhls actin seed at W completed Ifine pennh is forma hundred duan.(SIM) '
or tau)
1 amity Not in the perform aneo of see wwk fm which tele Permit I issued,l shall not
employ any person in say¢ r ubccama abkmo the Wm1ke�Campenadon
Laws or Ct lifomia.Disc L,.
Applicant /Y/ t. V /j7y7/i'�'J/]�
NOTICE TO APPL I .I JJ Ceninau of Essington.,you should
,acme subject u be Workers Com=Idon provisions of Nr.labor Cade you most
wJ O fonlawith comply with such provision or Nu permit shall be damctl rewkcd.
CONSTRUCTION LENDING AGENCY
F' 4 I touchy afarm dict Nem is a oomumthm moth.,agency for the performamx of
Ix > the work for which this permit Is Issued(Sm 7091,Civ.C)
0 Lenders Name
z Lenders Address
V Q 1 astify that I baro mad this application and suis that Ne slow Information is
Uy U torten.I spa in comply with all city and county oNlances and sum law,relating m
.p building construction,and Mousy authodu MmenenWlvca of NU City an enter upon ale
W .love-mentiaad Property for Wpection purposes
Ly, a (We)ague to ave,indemnify and kap harmless the City of Cupertuo,gaunt
t y liabilities,judgments,Costs not expenses which may In Any soy accrue against said City '
fJ Z in consequence of Ne granting of this Permit.
ti APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: &aza Date
SOURCE REG l.A NS, 4 m
Re-roofs
signature orAppuesD
HAZARDOO D.te
HAZAUS MATERIALS mutat=OSURE Type of Roof
WilltheCupertinr futureoMuni WalCodeaupantnoreorand handle huudommaunat
ss&Meal by Nr.Cupertino Municipal Code.Chapter 9.13,and Nr.HnIN anal Safety
ca&,sat Zs255324)1Y. ❑Na
All roofs shall be inspected prior to any roofing material being installed.
Y.
Will be applicant or future Wilding Occupant use equipment or devim which If a roof is installed without first obtaining an inspection,I agree to remove
It humdrum air...tanumants as&Bad by one,Bay Amo Air Quality M.......t all new materials for inspection.
uicl?
❑Yon ON.
I haw real the hvsAm s materials regoiremenss mulcts upmr 6.95 ofthe Caliror.
Enu HcaIN h SafmyCodc,Secrimu UM.25533 au V!5 .1 understand!thati(the building
doee not come'o lY .tr a ICnNI Ila It 1.my miponflMiliny m notify JC necYpat of Ne
q.. w' .2bomelptiormissuancaof.Certienotof ¢Fancy. Signature of Applicant Date
� -'Dow All roof coverings to be Class'W'or better
'6wn aulh�ud.gem �— g R