01100005CITY OF CUPERTINO
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� CONTRACTOR INFORMATION:
BUILDING DIVISION PERMIT
BUILDING ADDRESS:
PERMIT NO.
10839 BROOKWELL DR
READY ROOTER PLUMBING CO
01100005
OWNER'S NAME:
YU CHENG LEE
P 0 BOX 5853
APPLICATION S B DATE
10/01%2001
PHONE:
(408)252-9252
SANITARY NO. CONTROL NO.
z ARCHITECDENGINEER:
BUILDI GPERMITI
BLDG ELECT U MECH
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LICENSED CONTRACTOR'S DECLARATION
3
Job Description
nemby I`T1Nmlamhaenaedanderprnv oaf erater9mom; rein
w e<Iinn7000)aDivision flhe Bmmarsards dm e
W�,n
REPLACE SEWER LINE.
full force ael,
a cense Lic.M
a Carol. r
AR HITECT'S DEC R
I nnacrsund mr "air shall be used as pu ¢recons
cLicensed Professional
OWNER -BUILDER DECLARATION
v. 1 hereby affirm that 1 am exempt from the Contractor's License Law for the
G following reason leaden 7031 .5, Bus e d Professions Code Any city county
$2000
l s
C which res a Permit to construct alter. P demolish. fi repair any shuaure
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m ..pt'. va lestalso e9 Tres theappfc tf r
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ooperate, Licenfile.se awdsmmmem
tho 1 hoses pdiwanl to the prbvsron f theCpmpaors L cense Law (Chopp 9
bar
Valuation
R mntang with Section 70(0) of Divi' ] ftbe Barineef and Professions Code)
or thei he is exempt therefrom and the basis for the alai exemppbn. Any violation
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-af Section 70313 by any applicant fare permit subjects the applicant a civil Penalty
'.fuelpotethanevehundreddollars($50m.
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lO6kPN�LfP�7EIR & WATER ""' Occupancy Type
❑ h as owner of the propenyl or my employees with wages rt their sole c6mpenptipn,
_
will`do'Ihe'wbrk,nnd9M1e'swcwre is nofimended prnrzercd'rnr .me'(sea: 7844."
'Business -and Professions Code: The Compiler's License Law does not apply to an
301 — ROUGH P)1ddtYIH� sp"elaions `%r :, i In
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owner efficiently Who builds or lmpmves themoo, and who does such work himrelf
302 — TUB & OR SHOWER;
or through h employees, p d d that himprovementsre not intended or
,
,ort df I Ifo the bidding, improvement lewhh"nnne year
'completion,improve
502 — FINAL PLUMBING ENERGY
the will have the tureen of proving that he did not buil) or
build
improve for puryose of sale:).
purpose of sale.).
5 0 6 — GAS TEST i -
QI asawneroftheproprrtriumexclus dreantpamg ..Intl naeacnntpemr:m.
_._....507... -.. "FINAL...PLUMBING P ... .-._. ..__._..__. .._ ..
pa
- the (San. 7D44, Busowner
Professions Code) The Gpmmreon.
License does of pro
j License Lvw does not apply m an owner of property who builds or improves Hereon
appl
._and h contracts, f h u w Ih t acmrts licensed num
Pmt ) P .m.the
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Cot t License La 1
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v 0 t nderS .... .- '-.B&PCf this reason
P'
FINALE®
Ory r ., Dot .. ...
WORKER'S COMPENSATION DECLARATION
ff e7 L
OCT (1 x)o o1
11 by affirmmolarpenalty of pea y f the following declarmnns:'
❑ 1 ha a and Willema t n caddicate of C rwai�na self room for Walker',
C m,a to -as.p dedi bySection3700 ofthe Labor Code, for the
pll��
BUILDING
'performance of the work for which Nis pitmen iv issued .Cit
❑Ih antlwll ma m Wok sCtimpe mo'In q dby Semon
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37 of the LaborCode for the pnfoQn of t e rk f which this perm t s
i ^ d M4y t II(1�r� B Policy n Mr drc
dpi
cYNo _•'
a s h Fr si it{.,, ', l
�. a d n 'M 'i oily i 1 ��'s
.r 1 NOF CXEMPTION KBR
� , „r sn
�, COMPENSATION INSURANCE i'^
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(Th'dseation ncA abe'conplet difthe penmtsfor one hundred dollors
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SUgn les+.), r
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;; s I cm7Fy Ih t in the performanceof the oM II hich Ih p t is rs tied 1
'
mall not ply any pe o ,n any manner a t beco nen subject t the Wousers'
Co p tion Lews of C I f Date:
Applcam.. ..... ,: 'f:` �:-c ,. :.,. .,.. ..:
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NOTICE TOAPPLICANT: If, afermak 6th„ Cinificalebf Exemptlon:y9ushould
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become subject io the Woikets Compensat on pmviiions of the tenor Code; you most
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fonhwnh wmply with such provisions or the permit shall be deemed revoked.
1
_,;ILCONSTRUCTION LENDING AGENCY
affnn @m thereto nwct onl d'g"g yf th prfd'rmane
it
of0 &J, fo{ hch tirapermt s,ved (Sea3097 C C)
i Lenders Name .:.
' L'ender s Addm - t
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I ttg ee that i have read this appli tion and stile that the oho format pons
sate laws relating
coireaa acme er comply whereb
and coumoesent
u
m building consvuaioi grid hereby eotfioriie rtpresematives of this city to enter upon
siva of
Ih to bone p perryf r" Pectpnp ryC ,.
(Wej encs sv dmn fy ao k I I SVheCty fC pin no ag Toot
liabilities,l d s, c su o e pen �yi , y one y gain t ,aid
City s aeoft t go y rot
aP A ER SAN COMPLY WITH ALL NON'POfN pP
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Issued by:
A' cxovaumreanr.,, m-,.yi.
Re -roofs
/;-, t (, A2ARDOU9 MATERIALS DISCLOSURE
,: WII the applicant o rot re bu Id ng pan spm or handle Harare' t I
-d
..:. Type of Roof, ,. - ...
es deft d by N Cupen rm Mum ,pent Cod CT pier 9 12 and the Health Safe,,
Cod Sea on 255321sT ; -. t
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1 f t
eves
"-;All
fade
I
l.be ms ed
P ,p Y ng,spe'c
;f. WJlth<applo torfua b Id g arta gp,pmmorde ca which
g.
isfirst obtaining
talled'withoutfirs[obtazmn an ms action I -a reeto'i•8move
a 1 ih;- a ree.t ,rem
g p g
Iflla�
area p ant bMjb m Ba APeaA
nth b Y Y Q Iry Manac
Dlypst
wfin
materials for i
inspection. understands
❑Yeti"; ❑No �'
p - _Applicant and will comply with
all non -point source regu]ations. � -
n l ha a readjN hazardws m veneris underfChepmr 6 95'of the
C"' q
alf a H alth ffiS ry Code Si 5 5533 end25534 1 undersand that
<
ift vilding doesn urps tai ns myrcpen hbty iordetry
ythe
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pan of.the eau w t " ei V r to is ante f e Cenifcete.1
Signature of Applicant Date
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All roof coverings to be Class B orbe'tt'er
D a t oem.
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