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CITY OF CUPERTINO
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i CO RA0TOR-1NF0IOPERMIT
BUILDING DIVISION PERMIT
BUILI�II�c,faQOR3UBB RD
ARGONAUT WINDOW & DOOR, INC
NO>
08070075
NER'S NAME:
PERMrf LSUE DATE
CRAIG LITTLE
1901 S BASCOM AVE STE 800
08/05/2008
PHONE:
SANITARY NO. CONTROL NO.
(408)378-4018
ARCHITECTrENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
LICENSED CONTRACTOR'S DECLARATION
Job Description
licensed unr Provisions of Chapter 9 (commencing
1 hereby affirm WI I w de
with Secon. 70M)of Division 3a1' the Businm and Pmfetiom Code. was my license is
REPLAC THREE WINDOWS AND TWO SLIDING GLASS DOORS
in full fora and effect
License Class Lu. at
Dam Contractor
ARCHITECTS DECLARATION
1 usldentand my plans shall be used as public retards
Licensed Prefevi... I
OWNER -BUILDER DECLARATION
I hmchy aRnn that 1 am escmpt from the Com 0e. license Law for the
following mamn. (Section 7031.5. Business and Profmons Code: Any city or county
which requires a permit to consmmL slur. improve. dcmnlish, nr repair any sweture
prior 0 its issuance. alm rcquircs the applicant for such permit to file a signN statement
he is licensed to the or the Contractor's LIah.a Law (Chapter 9
Sq. Ft. Floor Area3896
Valuation
that Person, provisions
(commencing with Section 7000) of Division 3af ecu Business and Profutsi... Code) or
Net M In exempt deertfrom and dee basis for the alleged exemption. Any violation of
6 2110 5 6 Number
Occupancy Type
Section 70315 by MY applicant for a permit subjects the applicant to a civil Penalty of
not moa Nish five hundred dollars ISM3
.'�
0 1, u owner of the Property, or my employes with wages at their sole compensation,
will do thewe& and hhesrucmm is not Mended oronered (orsam (Sec. 70th, Business
Required Inspections
and Pnefesstov Codc The Coa uncmr's Ursom Law don cal apply to an. of
property who buiidsorimpmvex Nunn, andwhe doe.mclewo k hlntulfor through his
Own employes. Provided that such improvements are not intended aro@roti forale. If,
however. the building or improvement is sold within one year of completion. dee owner -
builder will bane tm more. of proving that he did oot build or improve for purpasc of
sale.).
1, as owner of the property. am exclusively cnmreeting wide IlcemW conuactou to
F
£ovtract the project (See. 7614, Busmen and Profcadav Cade:) The Commeter's U.
ave Law does cot apply to an owner of property who holds or improv thermn, and,
who co .. for such pinums with a comraum(s) tissued puMMt to thee Co traitors
Limen Law.
0 lameaemplunderSm ,B&P/C�forthisresson
��s � �Jf��
,O (.COMA, A/(A.f� a S OO
rho Dau
WORKER'SCOMPEN On OECLARAT70N
1 hereby affirm under penalty ofof perju rn of the following declantiov:
du
0 I hare ahW will maintain a Cutificau of Covcm m mlf-ivurt fa WorkeNCompen-
sation, u provided for by Section 3700 of the Labor Code, for the performance of the
work (or which this permit is issued.
0 I have and will maintain Worker's Compensation Insurance, as required by Section
3700 of dee I- Code. for Ne per(ormma ofdu work for which this permit is Ismael.
'
My Warker's Compensation Insurance carrier and Policy number art:
Carrier. Policy No.:
CERTIFICATE OF EP(EMP ION FROM WORKERS
COMPENSATION INSURANCE
(Thissection need sum be completed if fro permit Is form hundred dollar ($100)
or lean)
1 certify that in the pulermarace of Ute work for which this permit is issued, l shall am
employ any person in any manner soas Itothe Workees orepensauon
'
Lawsof Cali(amiL Dam
Applicant
NOTICE TD APPLICANT. If, of cr making this Certificate of at.
become subject to to worker's Compensation provision of dhaGbor Codc, you mute
foMwith comply with such provisions or this permit shall be seemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there ice. coeswcuna lem imil agmaT for the performance of
the .,it fur which this permit Is issued (Sec. 3(197, Cl, C.)
lender's Name
leMeh Md.
1 tenuity Nu I have reW this application and sou this the above mfornmid. is
correct. 1 agree to comply with all city and county mdinancv and ata¢ laws relating to
building construction, and hereby anNon. rep esenutiv of this city to tour, upon dee
above-menuneddimm Propns.c nY for ie pe homnses purposes
(We) agree to save, indemnify and kcp hamdeas the City of Cupertino against
li and expense which may in any way accnu egalvlsald City
cmedca.macn.fnts,coats
of th ND WILL
APPLICANT of UNDERSTANDS
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
Issued by:.3
SOURCE REGULATION
Date Y
.
Re -roofs
shgnuure PDscanf2onuamor Date
HAZARDOUS ATERIAISDISCLOSURE
Type of Roof
Will du applicant or forum building occupentuorn or handle havrdov material
v defined by tier Cupertino Municipal Code, Chapter 9.12, and the Health and Safety
. Section 255324)T
❑Tas pa NJ o
All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building occupam use equipment or devices which
If a roof is installed without first obtaining an inspection, I agree to remove
emit harsNov air crntsmmuct as dcfncd by the Bay Ams Air Quality Management
all new materials for inspection.
D v
vier]
❑Yv )�Nu
I have read the hvaNwe materials mquimmems mule,C7upter 6.95.1' the Califon
rasa Health k Safety Cade. Suriav 2550.5, 25533 Mail 2534.1 understood tvifthe building
docs not currently hove • tenana met it u my mapovibility to notify, Ur oaupart or the
requimmcnts which mist be met priorm issuance ofa Comrc,, or Oc$ er.
Signature of Applicant Date
AA d1�' 0�
All roof coverings to be Class'W'
g or better
Owner car aatharie<a. D,m'