08090226 ;,,ONE:
ITY OF CUPERTINO
BUILDING DIVISION PERNIIT 'Ca1�ITRt"'CT'C1R�I1V 0RMt1.TI¢ ,s
Tx
ILDING ADDRESS: PERMIT NO.
10260 BUBB RD LANDMARK BUILDERS 08090226
NER'S NAME: FERMI T ISSUE DATE
DURECT CORPORATION 352 PIERCY RD 09/30/2008
(408) 779-9888 SANTARY NO. CONTROL NO.
ARCH=fENGINEER: BUDDING PERMyr INFO
BLDr ELECT PLUMB MECH
0 0 0 0
X00 LICENSED CONTRACTOR'S DECLARATION
U Rrm that 1 sm licensed under provisians of Chapter 9(am
mencing Job Description
ZZ withSeeuon7M)ofDivision3oflheBusinessandProfcssionsCode.andmylkenseis COMM'L TI (N) SOFFIT IN (E) LAB,NEW
^?H in full fora and.fiat
;MS Lkenanw Lk:g EQUPMNT,OVN&WEIGH HOODS (U.L LSTD)REVISE LIGHT
F Dek Candaeraf
ARCHDECI-S DECLARATION LOC' S&ADD HEPA FLTRS
;n
U 1 understand my plans shall he must u public records
oLicensed Profess
In Liional -
3 OWNER-BUILDER DECLARATION
gm I hemby aRrm that I am exempt from the Comactofs License Law for the
E o O following moon.(Section 7031.5,Business and Psoksm..Code:Any city or Monty
$ff which requims a permit to cormnet.after.Improv.demol'uh.Or repair any swctum
zi prior b its issuance.Aw aquina the applicant for such Permit to File a signed suoment
g � that he is licensed pkamnt to the provisions of the Contractor's Llc,uom Law(Chapter 9 Sq.Ft. Floor Area Valuation
99 (commencing with Session 7000)of Division 3 of the Business and Professions Code)or 10350
$ Nat he u cssmpl therefrom and bust
d t e fm the alkW gexemption.Any violation of
Section 7031.5 by any applicant for a Permit ubjects the applicant to a civil penalty of ane APN Number Occu Type
nut more than ftw hundred dollars(M). 35720021 P Y YP
01,uosn,ofthepopmy,mmyempl y=withwagsuthenantecom don,
will de the soh,and the he Con is ret intendeds Law does
in 04,owner
o.
and Professions cad.The Contrxmh Liana lea duo Out e appy lf rt awns is _ Required Inspections
mens yvW buildsmimpaws h imprendwho adoce mmo chwM himulfolMugb his
ownemployes,providedthat suchimPmwmenuarcnot intendedm hshm.ro own s-
bawds,.Nebuildingaimpmwmentishat edidnoeWearoramPkuoortheowe,-
build,With have the burden of proving that he did not Muk o impaw for purpue of
uk.).
0 1.as awmr of the Property,and mucks. connecting with fatveA anuanos to
contract the projcer(Sec.haw,Business and Prortssioru Code:)The CaOwtort U. .
cense law dote not apply to an now of progeny who builds or improves thereon,and,
who ommala for such Pmjem with eeMV sem fa)licensed ptnanaal On Ibe CanaaetoYa
l icamse Law.
O lamuemptutuar Set ,B&PCf.,mi. son
Dau
WORKER'S COMFENSAIION DECLARATION
I hereby aim under penalty of perjury one:of the fallowing declarations:
01hawaMWIImalnWn•[china¢of Conant Ioulf-insurefar Woh sCompen-
action,an provided for by Section 3/W or the Labor Code,fan,the pmforauta of the
weir for which this Permit a brad.
0 1 haw and will maintain WmIde,Compensation hes .,at required by Secure
37Wa1'the labor Code,for the perfomanenofdm wort fm wbich this pe mit is issued. '
MY Workers Compensation bawama ani,end Policy numtr are:
Cartier. Polity NO.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This session teed Out be completed if the permit Is two=hundred debt(SIM)
or lets.)
1 certify that in the performance of the work for which this permit is added,I shall not
employ any Peron in wy menarw as In b,ame.dbject to de Wod¢ss'Compeuauan
Laws of California.Dm
Applicant
NOTICE TO APPLICANT:If,after nothing this Certificate of Exemption.you Amid
become subject m the Workers Co rNmenion provisions of the Iabo Code,you mop
,Z fodswith comply with such PmviGotu Or Nu permit shall be d,mod mwked.
z O CONSTRUCTION LENDING AGENCY
F I hereby halm that Nem is a cotutruNnn tousling agency for de perkmatuee of
C4 Ne wort for which this permit is issued(Sec.3097,Ci,C.)
QLender's Name
Z)
Z Lender's Address ,
V 0 1¢tory Nat I haw tied mus application and suss toss the abow information is
LG core."I 811a in amply with all city and county arimanaa and tote laws testing in
0 building construction.and hereby authorial mpusentatim ofthis city in emmupon the
ahovcmcnuanedpropmyfor inspection which ma
F y (We)agsa to sew,indcmNfy and kap hamhss de City of Cupertino age=
to Iia consequence f ite.On grsoad of this
which may In wy myamue agalnstsaiCity
U z in consequence of Ne granting of Nis permit.
^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REGULATIONS.
Sigtwoe of ApphanUCantracwr Data Re-roofs
HAZARDOUS MATERIALS DISCLOSURE Type Of Roof
Will the appliant or future Wilding accmp ed amrc orlu idle has rdou material
as defined by the Cupertino Municipal Code.Chapte,9.12 and the Health and Safety41
.
ode.Section 25533(U!
El Yen 0N All roofs shall be inspected prior to any roofing material being installed.
Will the s been,or rut..building oatr nt ma equipment If a roof is installed without first obtaining an inspection,I agree to remove
pv L e ea pr Qu at dMna which g
emit ha'rardnd air contaminants u defined by the Bay Area Air Quality Management all new materials for inspection.
DistrictT
DYa [3 No
I haw mad the heratWuatamerials requirements under Chamm6.95 of the Gaiter-
Me We] &SdmYCMe,Sectiau 255W.25533 anal 75534.1 makencnd Jut ifde Wilding
doss ret cumndy haw•taw"Nat it b my responsibility to notify the oaupent of the
requirements which noun be mel prior to issuance of a Conifiaw of Occupancy.
Signature of Applicant Date
ownsaranthari<d¢seni Dote All roof coverings to be Class'A!'or better