06040032 ["ILDING
ITY OF CUPERTINO
BUILDING DIVISION PERMITC'ONTRACTOI2INFORMA.TIQN
ADDRESS: ALL SEASONS REMODELING PERMrTNO.O 6040032
188 CRESTLINE DR
VNER'S NAME: PERMIT ISSUE DATE
UDAY AND SEVITA MANDLEKAR 219 DEMPSE
ONE: SANITARY NO. CONTROL NO.
(408) 946-4744
BUILDING PERMIT INFO
ARCHITECTIENGINEER: BELECT PLUMS OOMECH
O
Ipp LICENSED CONTRACTOR'S DECLARATION Job Description
1 I hemby affirm that I am licensed ed under p inof Chi 9(commencing
' wuhSmdan 7000)ofl)Ntion 3 of the Business and Professkm Code.uW my license is
'pi Inkm�umeand effec s u. a ` DROPOSED 129 'N ICBG . PATIO ENCLOSURE W1 ELECTRIC
vr.r IN A CONCRETE PAD NON-HABITABLE SPACE
pqqq Date Co.a—
3''ty ARCHITECTS DECLARATION IF
4 7 1 understand my plans tlull he held or,public melds
U
y G t; Licensed Professional
3 OWNER-BUILDER DECLARATION
I I hereby eRrm Nat 1 am mempt from the Conuacrors License Law for the
D O following moon.(Section 7031.3,Business and Profrsaiurs Cade:Any city Or early
S$ which man.a perms,u construct,aimr.hnpmw,demolish.or rapid,any stmemo
-xi prior m its issuance,shunquires the applicant fornch permitto rile a signed statemem
that he u licensed purulent to the provisions of the Commi License law(Chapter 9 Sq.Ft. Floor Area Valuati�fi273
(commeadng with ScNOn 7000)of Dividxm 3 of the Band.and Purfesskm Cod.)or
$ that he t,aempl therefrom and den but,for the alleged so¢mptiwm Any violation of
Sedan 7031.7 by any applicant for a permit subjects the applicant to a civil Penalty of pp N Number Occupancy Type
Ire,mom than R.hundred dollars($5001, - 36 24038 . 00
❑1,u owner of the Property,or my employee,with wages u their sole compemadon,
will W the work.and thaatr.mmt,ret intended a offered farssm(Sm.704K Business Required Inspections
and Profcaelaos code:The Connemara License Taw does ret apply Or an owner Of q P
property who Wi Ids err improves themem,end who dos such walk himml r car thmugh his
own employees,provided that such Improvements art mtlnueded oroRmed funk.IL
however•the building at impmvement is mid within arm year of completim,du owner-
builder will haves the burden of proving that he did not build err Improve for pmpOse of V
sole.).
❑1,as owns of the property,son collusively controlling with licensed comacmrs an
co n uml the Places(See.7041.Bum.and Proresdom Code:)The Cmtraaors U.
ole law dos not apply to an owns of property who bullas Or billows thrown,and,
who contracts for such projects;with a eonuscmds)licensed pur nom to the Committees
License law.
Q l am exemp,made,See .B A PC for No mum
Fast
Dau
WORKERS COMPENSATION DECLARATION
I hereby alarm under pemlty,of perjury mte of the fallowing declensions:
❑Ileswaed will mainWna C.rtifcaus CocaentieselylnsaefaWafkersComsm-
setian,as provided for by Section 3700 of the Label Code,for the performance of the
work for which this permit Is Wood.
1 haw and will maintain Workers Compensation Wallace,u mquired by Section
3 clubs Labor Cod.,for the performance aftha work far which this permute issued.
My Work% Co-mpewdm artier a d Policy n m am:
Cartier." r AA /(/.� Policy Na:
CERTIFICATE OF EXEMPTION mom WORKERS'
COMPENSATION INSURANCE
I
(Tht,.ucdm mod nohe<anpleted if the permit Is faro.hun&ed dollen($100)
or leu)
1 certify that in the performance of the work for which thea rami k Inmd.I mail nes
employ any person in any mmmeroro as he become subject to du Worked Compemado
Laws of California.Date
Applicant
NOTICE TO APPLICANT:IL after maung this Cerdnmte of Emmption,you amok
become subject to the Worker's Compensation provisions of the Labs Cede,you must
.,O forthwith comply with such provistom or this permit shall be rimmed remised.
� CONSMUC ION LENDING AGENCY
-
f" 1 hereby affirm that then Us comutrNnn land.,agency let the Performance of
Cr,> the work for which hall permit t,issued(Sm.3(191,Civ.C.)
0.Q Lenders Name
Z)z lenders Addrep
L)Q I caNTy that I haw read this application end stem Nn the above information is
1L " correct.1 agree to comply with all city and county ordinances and!tate laws relating to
O Fm�U Wilding construction,and herebyauthorim reprtxnuiwa of Nu city to enter upon do
Li
!d1 above-mentioned property rot inspection puMmas.t,E (We)agree to taw.indemnify and keep beamkss Ota City of Cupertino against
f..'i cA liabilities,jWgmenu.cam and expenses which may In my my amue agdost said Clry
C.).Zin. APPLconsequence
C m GUN Sterling
AiNDrmit, COMPLY WITH ALL NON-POINT Issued by: Date
SOUR 0. GULAj1ON
Re-roofs
SI rt
HAppliaq cmr Dam
XARor= MATERIALS DISCLOSURE Type of Roof
WIII the applicantt or future Municipal
Cg e.Chapter
9.1 err handle Health asd Sariai
ss
defined DY Ota Cuperuna MuMdWI Cade.Chapter 9.12,and sits Heath and sally
ode.Section 23532(x)7 All roofs shall be inspected prior to any roofing material being installed.
[:]Y. t
Will the applicant or future building Occupant use equipment or desires which
If a roof is installed without first obtaining an inspection,I agree to remove
emit hmardous air canmminanu u de0.d by the Bay Area Air Quality Management all new materials for inspection.
Dtauiati
❑Ym f]Mu
I hew read the herard..Mdaismquimmuuhnd.,CMp.&95afdu Caiifa-
me Health&Safety Cade,Sectors 25505,23533 am125534.1 understood thatifthc building
dao net eurtently hew a tenant,that It k my spamlhili,y m nmll'y the amupant Of the
require hkhm Dc met m oft.C_Rcam of Oc/ymp cE�
w-+r� 7v7/GJ// Signature of Applicant Date
Owner
an.hthadoeda cent Dam All roof coverings to be Class "B"or better
["ILDING
ITY OF CUPERTINO
BUILDING DIVISION PERMITC'ONTRACTOI2INFORMA.TIQN
ADDRESS: ALL SEASONS REMODELING PERMrTNO.O 6040032
188 CRESTLINE DR
VNER'S NAME: PERMIT ISSUE DATE
UDAY AND SEVITA MANDLEKAR 219 DEMPSE
ONE: SANITARY NO. CONTROL NO.
(408) 946-4744
BUILDING PERMIT INFO
ARCHITECTIENGINEER: BELECT PLUMS OOMECH
O
Ipp LICENSED CONTRACTOR'S DECLARATION Job Description
1 I hemby affirm that I am licensed ed under p inof Chi 9(commencing
' wuhSmdan 7000)ofl)Ntion 3 of the Business and Professkm Code.uW my license is
'pi Inkm�umeand effec s u. a ` DROPOSED 129 'N ICBG . PATIO ENCLOSURE W1 ELECTRIC
vr.r IN A CONCRETE PAD NON-HABITABLE SPACE
pqqq Date Co.a—
3''ty ARCHITECTS DECLARATION IF
4 7 1 understand my plans tlull he held or,public melds
U
y G t; Licensed Professional
3 OWNER-BUILDER DECLARATION
I I hereby eRrm Nat 1 am mempt from the Conuacrors License Law for the
D O following moon.(Section 7031.3,Business and Profrsaiurs Cade:Any city Or early
S$ which man.a perms,u construct,aimr.hnpmw,demolish.or rapid,any stmemo
-xi prior m its issuance,shunquires the applicant fornch permitto rile a signed statemem
that he u licensed purulent to the provisions of the Commi License law(Chapter 9 Sq.Ft. Floor Area Valuati�fi273
(commeadng with ScNOn 7000)of Dividxm 3 of the Band.and Purfesskm Cod.)or
$ that he t,aempl therefrom and den but,for the alleged so¢mptiwm Any violation of
Sedan 7031.7 by any applicant for a permit subjects the applicant to a civil Penalty of pp N Number Occupancy Type
Ire,mom than R.hundred dollars($5001, - 36 24038 . 00
❑1,u owner of the Property,or my employee,with wages u their sole compemadon,
will W the work.and thaatr.mmt,ret intended a offered farssm(Sm.704K Business Required Inspections
and Profcaelaos code:The Connemara License Taw does ret apply Or an owner Of q P
property who Wi Ids err improves themem,end who dos such walk himml r car thmugh his
own employees,provided that such Improvements art mtlnueded oroRmed funk.IL
however•the building at impmvement is mid within arm year of completim,du owner-
builder will haves the burden of proving that he did not build err Improve for pmpOse of V
sole.).
❑1,as owns of the property,son collusively controlling with licensed comacmrs an
co n uml the Places(See.7041.Bum.and Proresdom Code:)The Cmtraaors U.
ole law dos not apply to an owns of property who bullas Or billows thrown,and,
who contracts for such projects;with a eonuscmds)licensed pur nom to the Committees
License law.
Q l am exemp,made,See .B A PC for No mum
Fast
Dau
WORKERS COMPENSATION DECLARATION
I hereby alarm under pemlty,of perjury mte of the fallowing declensions:
❑Ileswaed will mainWna C.rtifcaus CocaentieselylnsaefaWafkersComsm-
setian,as provided for by Section 3700 of the Label Code,for the performance of the
work for which this permit Is Wood.
1 haw and will maintain Workers Compensation Wallace,u mquired by Section
3 clubs Labor Cod.,for the performance aftha work far which this permute issued.
My Work% Co-mpewdm artier a d Policy n m am:
Cartier." r AA /(/.� Policy Na:
CERTIFICATE OF EXEMPTION mom WORKERS'
COMPENSATION INSURANCE
I
(Tht,.ucdm mod nohe<anpleted if the permit Is faro.hun&ed dollen($100)
or leu)
1 certify that in the performance of the work for which thea rami k Inmd.I mail nes
employ any person in any mmmeroro as he become subject to du Worked Compemado
Laws of California.Date
Applicant
NOTICE TO APPLICANT:IL after maung this Cerdnmte of Emmption,you amok
become subject to the Worker's Compensation provisions of the Labs Cede,you must
.,O forthwith comply with such provistom or this permit shall be rimmed remised.
� CONSMUC ION LENDING AGENCY
-
f" 1 hereby affirm that then Us comutrNnn land.,agency let the Performance of
Cr,> the work for which hall permit t,issued(Sm.3(191,Civ.C.)
0.Q Lenders Name
Z)z lenders Addrep
L)Q I caNTy that I haw read this application end stem Nn the above information is
1L " correct.1 agree to comply with all city and county ordinances and!tate laws relating to
O Fm�U Wilding construction,and herebyauthorim reprtxnuiwa of Nu city to enter upon do
Li
!d1 above-mentioned property rot inspection puMmas.t,E (We)agree to taw.indemnify and keep beamkss Ota City of Cupertino against
f..'i cA liabilities,jWgmenu.cam and expenses which may In my my amue agdost said Clry
C.).Zin. APPLconsequence
C m GUN Sterling
AiNDrmit, COMPLY WITH ALL NON-POINT Issued by: Date
SOUR 0. GULAj1ON
Re-roofs
SI rt
HAppliaq cmr Dam
XARor= MATERIALS DISCLOSURE Type of Roof
WIII the applicantt or future Municipal
Cg e.Chapter
9.1 err handle Health asd Sariai
ss
defined DY Ota Cuperuna MuMdWI Cade.Chapter 9.12,and sits Heath and sally
ode.Section 23532(x)7 All roofs shall be inspected prior to any roofing material being installed.
[:]Y. t
Will the applicant or future building Occupant use equipment or desires which
If a roof is installed without first obtaining an inspection,I agree to remove
emit hmardous air canmminanu u de0.d by the Bay Area Air Quality Management all new materials for inspection.
Dtauiati
❑Ym f]Mu
I hew read the herard..Mdaismquimmuuhnd.,CMp.&95afdu Caiifa-
me Health&Safety Cade,Sectors 25505,23533 am125534.1 understood thatifthc building
dao net eurtently hew a tenant,that It k my spamlhili,y m nmll'y the amupant Of the
require hkhm Dc met m oft.C_Rcam of Oc/ymp cE�
w-+r� 7v7/GJ// Signature of Applicant Date
Owner
an.hthadoeda cent Dam All roof coverings to be Class "B"or better