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02050067t'1 CIBUILDING DIIV��ISSIONNO PERMIT CONTRACTOR INFORMATION: 0802G CDANDLEWOOD DR RUDD STEPHEN S AND BARBA PERMIT 0 02050067 ': T%BA"§TEPHEN S AND BARBARA O 'X)C DOff '02 PHONE: SANITARY NO. CONTROL NO. Z0 ARCHITECrIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH - I- u u 2� i Z LICENSED CONTRACTOR'S DECLARATION lnemby affirm that am licensed under pro.isions of Chapter (commencing with Section 7") of Division 3 of the Business and Professions Coda and my license ��ht,DDE�Gq CIOn GARAGE ELECT FIXT19n Sp 's in full force and effect. ULicense Class Lie. X . F Dam Contractor ARCHITECT'S DECLARATION I understand my plans shall M used as public records j O Licensed Professional 2 a. OWNER -BUILDER DECLARATION -ot a 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following mason (Section 7031.5, Business and Professions Code: Any city or county $1100 = o which requires a permit to contact, alter, improve, demolish, or minor Dray structure pnor to its iouance.al,nmmimcdh. applicant l irionf, permini file aligned stacmam ' - that be is I tttacd pursuant Ib ale provisions of the Contractors License Wrn (Chapter(co) thSecu IDW) fD mon ndP 3 1I9.TJ&r fl1@a •-- ,• - / ! 4`. � 1'. .,k ? 1 j; Valuation ort thin he uitheBasnes or that hes1exempt5 and that basis for the A.,sehitim Any violamn t \ r. btaercfrom of Section 703 P.5 by any applicant for a pemrir suhjeas the applicenuo o civiPpenalty- subjects the applicant OfnormmethanrvehundreddoBars(a5oo) 304APNR00BH ELECTRICAL •... Occupancy Type ol, as owner Of he propeny,., my cmpinyccx with wages as alehsde cmnpensmion, 501 — FINAL ELECTRICAL —5-0 ENERGY will do the work: and the swore Is not intended or offered for sale (Sea 7oaJ; Business arid Professioa, Code: The Contmotnr's Limma, Law docs or apply to an F NAL EIT1� pp 77 5 - 'iCe felt PblCCtions ' • . or, r of propeny Who builds or improves thereon, and who does such work himself or through hissal own employees, provided that such verve @mrnla are not intended Or for -offered forsale: If, however, the building-"� tis solJwithin one - year or - all '"""'"' completion, the ower -builder will have the buNen of proving that he did not build or e of improve for putpnse of salt.). .ac t epropeny,am exclusively _ , hefa canswn the project (Sec. dPme"nwithlicensedcontractor's Business anJ Code:) The Contractor's - " a, an e.y who License Law does not apply to a" owner of propeny wM10 builds orneimproves thereon. and who contracts for such licensed. 1 .... F 166 8 Ap E ® l _ Protects with a comractor(sl pursuent.m the. the Contractor's License 1 -ma. ats ptunderSccl'" "' ,B &PCfonhisrcasan . .... ....... .. 9—IIPii 71.E �`•- =�'I'.-•j.td . e D /,� � s z .WORKER'S RKE MAY 3 0 2002 SCe COMPENOH DECLA ATION I hereby offred under pcnnhy of peri a, -a, of the following declamtimc:�UILDING In I have and will maintain a Ccnificlm' of Consent to self -insure for Worker'smpensation, as providd fr by Seaton 3]00 of the Labor Code, for the formance ofthe work furwhich Ihi.s permitis issued. haveand will maintain Worker's Cmdpraminon Insurance, as required by Section W of the Labor'Cmce for the performance of the work for which Ibis permit i.ed. My Workers Compensation Insurance drier and Policy number art:; Cam - Policy NO: .. ". _.. ._.. CLRTIPICATION OF EXEMPTION FNOM.WORKERS ^ COMPENSATION INSURANCE''-'"" fn's sc t n d t be Bnmpleied f the perm t is for one M1undred dollar - ($100) als".) I' t. - I' nfymal nth pnrfo f h or for which this pc ti shall - ....... .-.__.-. _ - -- --- - - pl y anY pe y t he b) t t rhe, Workers Come qI lew. nfC 1'f Data 1 NOTIC O APPLICANT 1f ft k g th s C n fc i f Estarmum,you,imuld neem ahjen mlhe0. kri Compunsvum pr vsOnsaf th Wbor COJe, on nor ' forthwith comply with such provisions or this Permit shall be deemed avokc 1, ` '"' a CONSTRUCTION LENDING AGENCY r' 1 hereby affrn that there us'a construction lending agency f the performan2< which this permit rs issued (Se- 309]; Civ. C.) Danes - G -Lender's Name �. _.: _..-_._... ,_- Name zrad er's Address' I coir h,. ... .. •,,_ .. Ty that 1 have mad this application and intin that thabove above moon is ,,. ..rat,,. - [� I agree to comply with all and county ordinances and state laws relating laws :.1 to Ful to buJJing consbucti'n'm herebyuwhouecrimate nmtivec of this city to cram, upon ;ajthe propeny for i abo(We) tree Z a m fy saaion , noses. ge save, indemnify and k hi harmless the C a Cupertino against liabilities, es. judgment, costs and expenses which may in any way accede against said ay Z Z City in muliof the granting of his - Consumes APPCICAM1T NDERSTANDS AND WELL OMFLY WITHAL ''NONPOINT' L cO URCE NS Issued by: . Date Signa 0 C Of Appir"ouCommaor C °� / Re -roofs HAZARDOUS MATERIALS DISCLOSURE' t;.',- Wlltheapplirvm' flrebuiltlingoccupantFrom orhandle haiallousmvenal " def T e.ofRoof yp as Y• P pal Co ed b the Cu en o M de, Chapter 9 12 and the Health and Safety .. , ....., . CoJ Section 2553N"1 - f ;. i , ... _ r All roofs shall be inspected prior to, any, roofing materia] being n t i t Wilding e p I reequipment li a ai which Fo J s. I,constraints mit hamrd cantata -t Jcfncd by th Bay Arca Air Quality Man gement _installed. If a roof is installed without first obtaining an inspection, I agree' to'remove g P Daniel? Dyesall all new materials for inspection. Applicant understands and will comply with F ., 'I I have read the hatuardous mamrial non -point source regulations. requirements under Ch q per 6.950! the 8534 and that mil Health& Safely Code: Sections 25505:25533tit11t, d the have v In r responsibility my rcepocaibf w F nmifY the "If cupant of the requirem rats w cupam of the requirements which must be'mct prior to issuance of a Cenifcam of W MCI Prior a Ce OF, cupSn .. ..YQ o �✓2"�'f%' h r f�/ z " Si na sere of Signature t _.ApplicantD_ at e _ All roof coverings to be Class "B" ortlietfer w"er.a, aathonam agedt .'`:�� -' CITY OF CUPERTINO"- BUILDINGDI"SION �CONTRACTOR'INFO"LAWV: PER B802G CANDLEWOOD DR RUDD STEPHEN S AND BARBA PERMOIT NG 02050067 NE9 i, 'A STEPHEN S AND BARBARA O 'R't d" 02 PHOINJf' SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION 1hereby .arm that 1am licensed under provisions rap P ELECT FIAT UKJ IIOn `Ll�� with Section ]1100)of Division of the Business end Professions Code. and mylicens ndpfeofnsChapter Code. Tend is in full force and effect. AZO-5 License Clxsx LiaR Date Conuaaor ARCHITECT'S DECLARATION 1 understand be MAY 3 0 2002 my plans shall lard as public records Licensed Professional 1 heaby Oar I am aUILDER m the CATION on 1 aurin from the Cessions is License law far the WILDING followingmason. (Seen 1, 7031,5,Business and Professions Code: Any city or county $1100 which requires permit permit re construct, aper, improve, demolish. fifile pair any swment primtoits issuance,also n the appin for such signed natemem that pe es licensed pursuant so Neprovisbnsof the fla ntto The o Compactors ice s Liana Law(ChapterCosf9 ESA1F3.0'.bnbe.�d8a Valuation Business or that a is exempt wish Section om anof Division 3 of the Business and ion, An vi Code? li and the basis for she alleged exemption, Any violation or teas he is315 ,3 , ` of genion ?03 LS by any applicant fore permit subjmsrtbe applicant too evil penalty bsang alt to of not mom than five hundred dollars(seoo). 304ARN iRLHII@H ELECTRICAL Occupancy Type • o i, as owner of the Parisi Or my employees with wages as their sols compensation, 501 - FINAL ELECTRICAL ENERGY will do the work, and she structure is not intended or offered for sale (Sec: 7094, Business and Professions Code: The Contractor's License Law does not apply to an 5 0 - L ETA ctions owner of propeny Who builds or improves themon, and who does such work himself or through his own employees. provided that such improvements are not intended 01 offered for sale. If, however, the building or improvement is sold within'One year of - complmion. she owner -builder will have the burden of proving that he did not Wild or improve for purpose of sale ). (�Kowncr of the property am exclusively consuming with licensed contractors to omwes de:) the project (Sec. 7099, Business and Professions CoThe Contractor's License Law does not apply to an owner of property who builds or improves themon, and who contracts for such projects with a contursor(9 licensed pursuant a she Contractors License law. " To a IPP, under Sec. , B R P C for this amort /pzes— " .. wncP Dat .S/r.v/GZ' WORKER'S COMPENSSSSSSAAAA�fTDNNIIION DECL, ATION 1 hereby affirm under penalty of Perjury one of the following declarations: ❑ 1 have and will maintain is Certificate of Consent to self-insua for Worker's Compensation, as provided for by Section 3700 of the labor Code, for The pcAmmuce of The work for which This permit is issued. O 1 have and will maintain Workers Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which Nis Permit is hooted. My Workers Compensation insurance miser and Policy number am,: Carver: ... ,. r . Policy No.: / .. -.. [..: ... _. .. CERTIPICATION OF E)CEMPr10N FROMWORRERS';' .. . ." COMPENSATION INSURANCE LI,, (This senion need not be completed if the permit is for one hundred dollars " (1100)or lass) I certify that in the roff.mmirce of he work for which this permit is issued, I shall not employ any Person in anyas to be subject to the Workers Com sy €- - prccyns/{,tion 1®,a nfrnlifom' De _ r+�o ' NOTIC 0APPLICANT.If,afar making in,, Cmifcate of Exemption, you should boom subjectto she Workers Compensation provisions of The Labor Cade, you muss fonhwit i comply wish such provisions or This permit shall be dimmed revoked. CONSTRUCTION LENDING AGENCY' I hereby wRrn Nat is a cON i s conswnion097.lending for Clic performance fel of Ne work for which This permit is issued (Sec. 309], Civ. C.) i s, C.) Lender's Name ' Lender's Address' 1 unify Nat 1 have read this application and slate that he above information is " core'. 1 agree to comply with ell city and county ordinances and state laws relating To Wilding aomwetion, and hereby auliorire apersenlmivu of This city to enter upon she above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs and expenses which may in any way accre all sad City in conxquevae of ting pcmt.^t0l: TAND D WI APPLICANTquINDofThe gooSANDNTLL COMPLY WITH NON -POINT SOURCE RHGIILATtONg�J 1t Issued by: /e� S/r / z Date ,/RSti6nawa'..1 AppplicanVCommnor .Date Re -roofs HAZARDOUS MATERIALS DISCLOSURE Will she applicant m furua Wilding occapint.... ar handle harard. matadal m deftnad by me Cupertino Municipal Code, Chapter 9.12, and shs The Hagnd Safety Type Of Roof ' e Section 35533(.)? ❑ Yes t➢' 'lode, Will All roofs shall be inspected prior to any roofing material being installed. ch she air contaminacant or s future Wilding by the nt useBay A mAi,Coosent Costly emit M1uaMous en contaminants as defined by the Bey Area Air Quality Management Miillogro m If a roof is installed without first obtaining an inspection, I agree to remove Diaa;y E) res DK' all new materials for inspection. Applicant understands and will comply with all non -point source regulations. 1 have read Ne em mearials requirements under Chapter 6.95 of Nc Code. California pliWilding di l itis and 25534.1 undersand That if The Wtidingdoesnot do & safety Cody. Sections Tamar, yhave ameant. Natitis my responsibilityofa to notify the rnmes occupant of she requiremenu which muss W met prior to issuance of a Certificate of Oc[YPan r fid Z ) / Signature of Applicant Date All roof coverings to be Class "B" or better /• rnr authan:ed agent "-T'] F.—Tl.. _ .. ...... MAY 10 2002 -i — I MAY 1 0 2002: COO> y t, : MR..__.._.. _..---- 9 to '# b i - 'f} G I i : VLA 1. Y 09 KP , . tiIPEATIN A INA01 MATE �V / Th s sal of 'aas eclfications MUSTOFFTrqp y t•3t kep on the j- t a l times and it is ung MAY 10 2002 \ lawful to make any changes or alterations -t i on same witheut written permission from s i 777` Gi the bu':d:ng Dapt, City of Cupertino. _� t��r!%+T r✓G >lr T e stamping of this plan and specifications I �l i '.LL NCT be held to permit or to be an / n !/ t - -- -.. .. ,_.. � ' � ; oval of the violation of any prgvisianA .f any Cit Ordinance or State /l / y � � 4 I I Abe vo�� lI�