08020014 CITY OF CUPERTINO /� r• y:-----------------
BUILDING DIVISION PERMIT
BUILDING ADDRESS: PERMIT NO.
20377 CLAY ST ARGONAUT WINDOW & DOOR, INC 08020014
low A'S NAME: PERMIT ISSUE DATE
ELLER MARTIN J AND DEBRA A 1901 S BASCOM AVE STE 800 02/22/2008
PHONE: SANITARY NO. CONTROL NO.
(408) 378-4018
ARCHIEC rENGINEER: BUILDING PERMIT INFO
-BLDG ELECT PLUMB MECH
0 0 0 0
o p LICENSED CONTRACTOR'S DECLARATION IOU DeSCrI IIOn
rd F 1 Mmby affirm Nn I am licensed under provisions of Chapter 9(commencing p
withSoction70111BofDivision3oftheBusinessandPmfessiomCada,andanyIiccnmi, REPLC 2 EXSTNG WINDWS & 1 EXSTNG 6 FT SLIDR W/8
iin full force and o t
Lima.Clan, Lic.• FT
,3 Dale Contractor
ARCHITECT'S DECLARATION .SLIDER
;a
I undlemund my plana shall be used as Public records
u
5 sed
Licensed Professional
OWNER-BUILDER DECLARATION
<2 I hereby affirm that 11. exempt from the Contractors License Law for the
O O following m¢ba.(Soden 703 er LS,Business op Pm,dcar ll h,or Any city or county
animism$Sn which its i s u n Poontt re cones the alter.impmw,do permit
t ai e a sir ed taNcam
I�, thior m its i licensed
pursuant
the thProvisions of for such permit m cense L W(Cha mem
g O (commincingwdpunuanlmth)ofDvision aftheBdate lsinesandPrselaw(Code)or Sq.F[. Floor Area 7000 Valuation
9�� (commencing exem it thecdon s and t f Division r of al Business and on.Anyavi Code)w
Q
that io u campy therefrom and the Esu fm the alleged exemption.to Any it penalty of
not in th 1.5 by any red dollars
a permit Subjects the applicant m a dwLi pen.hY of Number Occupancy Type
not more then faun hundred aollm(5500). 36938022 ��
❑I,as owner of Ne property,or my employees with wages as their ante wmpenudon,
will do the work,and dea,wcmm is notinuended oranered Wattle(Sec.7014.Busiws ns Required Inspections
and Profte alum se Cade:The Cenci License Law dotot apply m an owner or 9 p
properly who bulldsorimprovesthemon,andwho does suchwerkhimself or through his
own employees,provided thatsuch improvements art not imeMed or offered for We.If.
however.the building or improvement la Sold within ane year of completion.the owner-
builder will have the burden of poving that be did not build or improve for pumnse of
sou.),
�.as awrser of the property,am exclusively connecting with Licensed contractors to
tutmet d e P*a(Sec.7(114.Business and Profusions Code:)The Conuanur's LI-
cona taw does not apply In an owner of Property who builds or improves themun.and
who contracts for such pmjecu with a enntnmm rllareed pumant an the Contnmars
License L.W.
01. S e
a ntlB k PS for Ni mason
Dald
WORKERSCOMPENSATION DEC TION
I hereby Same under penally of perjury ono of the following declarations:
❑I haw and will maintain aCerdBen e ulConxm to self-Wure for WariaesCompen-
ation,as provided for by Section 3700 of the labor Cade,for the performance of the
work for which this Permit is issued.
❑T have and will maintain Workers Compensation Insurance,as required by Section
3700 of the Tabor Code,for Ne performance ofthe work forwhich this permit is issued '
My Workers Compemadon hm ccuum contused Policy number see:
Cartier. Policy No.:
CER71FICATE OF EXEMPTION FROM WORKERS'
COMPENSA77ON INSURANCE
(7hu section need not be camploted if the permit Is fmowe hundred dollars($I00)
or sea.)
I cerifv that in the performance of the work for which this permit is ioaed,l shall not
employ any person in any mannec;S74 z so,sbh aaubyetla the Worken'Compenm0on
Lawn of California.Da !//✓✓..fD�
Appliant �
NO ICE TO APPLICANVIL after making this Cemifitute of Exemption,you should
become subject m Om Workers Compensation provisions of the tabor Code,you must
O forthwith comply with such provisions o this permit Shall W domed revoked.
'Z
r~�.tCONSTRUCTION LENDING AGENCY
[-w 1 bemhy anion Net them Is a coorwcHnn lending agency for the performance of
W' 7 the work for which ties permit is bound(Sec.3097,Civ.C.)
Qlenders Name
] z LendersAddies,
C)Q I certify that 1 have mad this application and sum that the above information is
Iy F coons l agme in comply with all city and county ordinances and sure lave missing m
DU building commuction,and hereby authorise representatives of this city mentor upon the
` W shove-mentioned property for inspection purposes.
tF^y gyt (We)agree to aw,indemnify and keep harmless the City of Cupertino against
yr N liabilities,judgments.costs ad capacities which may in any way accrue against said City
()Z in conaquenec of dm gmnung of this permit �7
APPLICANT UNDERST NDSOMPLY WITH ALL NON-POINT Issued by: Date
R GATIO AND L�
SOU
se
1W Re-roofs
signatrco plian✓Conuxor Dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building aaupont store or handle hmeemus material
defined by the Cupertino Municipal Code,Chapter 9.13,and dun HcaW and Safety
.
Sectiony.25532(a)?
❑Yo All roofs shall be inspected prior to any roofing material being installed.
�yo
Will see applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit haardous air conuminanu defied by the Bay Am Air Quality Management all new materials for inspection.
District?
❑Ys u
I haw mad the hausdtws materials mquimmonts under Chapter 6.95 of the Califor-
niaHealth@ SafetyCode,Sued.75505.25533 and 25J34.T undermxnd that lfthe building
dna mo moemly haw a lenwo, t Il u my res ivy m notify the acupaa of that
mquionmeos wlp�kjy m<t he Lam nrtirwale of Gea ry. Signature of Applicant Date
Owner or authasn engem D,te All roof coverings to be Class nBn or better