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08020015CITY OF CUPERTINO *�T � ��,yy���.v ©kY'J.1RAIS�tYA4a BUILDING DIVISION PT.IvR1YJ.lT BUIL 01ClG�apl�REs DE ANZA BLVD - CPS SIGNS 0802PERMIT 0015 , - WNEA'S NAME: PERMIT ISSUR DATE R. ALLARIO 7730 ENTERPRISE DR. 03/14/2008 PHONE: SANITARY NO. CONTROL NO. (510)793-2471' ARCHI'IECTMNGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMEMECH o o l= LICENSED CONTRACTOR'S DECLARATION IOU Description hereby affirm dont 1 am 14enaed under provisions or Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prufeasiom Cede,md mylicmds REPLACE SIGNAGE,I.INT ILLM SIGN 30"X168", 1INT ILLM c. full forcead If _ Lk.N �0 'Y SIGN 30"122"& 1PLEX SIGN PNL 8 3/4"X62" ON POLE Dam —Cosumer ARCHITECTS DECLARATION 1 undersand my plants shall he used u Public records Licensed Profcuianal OWNER-BUILDER DECLARATION 1 bcrcby sullen Nat 1 am exempt from Ne Contractor's License Taw for the following reason. (Section 7(D 1.5, Business and Professions Cade: Any city or county which requires a Permit to construct, alma improve, demolish, or repair my umnum prior to its human., also requires the applicant for such permit to file a signed sammern to the of the Contractor's License Taw Sq. Ft. Floor Area Valuation that he is licensed puauant provisions (Chapter9 $ 4 5 0 0 with Section 70D0) dDivision 3 of rhe [Intimated Professions Code) or that he Is exempt thetofrom and the bub for that Waged axcmption. Any violation of Occas Occupancy y Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty orNumber am more thea five hundred dollars (5500). 3 5 917 0 01 tJG ` 1, u owner of the property, or my employcas with "gas as their mle compensation,. e ns Required Inspections will do the weds. and the strocttm Is not Intended or offered for sale (Sm. 7014. Bmineas and Profemdarts Cade: The Committees License Law dean not apply to an owner of q p property who build. or improves dancem, and who docs tech work himsedf orthrough his own employees, provided the tech improvements are not intended oroffemd Iterate IL however, Ne building or improvement b mid within one year of completion, the never- Wilder will have the burde0 of proving that he did tet MW or Improve far purpose of ask.). 1, as Omer of tie property. not exclusively contracting with licensed mnmaema to construct the project (Sec. 7044. Business and Professions Code:) The Canmroor's Li. crouse law does not apply to m owner of property who builds or Imp over demon, and, who contracts for such projects with a conumtartU licensed Wauant he the Conuactoes Lice. Law. ❑ Iamexemptunder Se, ,B&PCfar Nisrcuan r - Data WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of penury one of less following declarWocme ❑ I Mve and will maintain a Certificate orcotuentto self-Tome for WmIxx`&Compe cation, u provided for by Section 3700 of the labor Code, for the Performance of the wart for which this permit is Wood. ❑ I have and will maintain Worker's Compenution IMWanm, u required by Schon 3700 ofmhe Labor Code, for the performance ofde work ferwhwh this permit is instead. ' My Worker's Compenamlm Insurand, carrier and Policy number are: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thtsrection need notbecompleted trust permit Is resume hundred dollars (SIM) or leas) 1 certify that in the performance of the work for which this permit is Wood, l shall net elAamppplloicaamnyWmniomymancrmumbcwmel rlvnCompensauon "ufC&life tTn —a-ith'7eX rNb NOTICE TO A P/LICACenlnwm of Exemption, you should became subject to use Worriers Compensation provbims of the Labor Code, you most forthwith comply with such pmvbions or this permit shall m deemed molted. I CONSTRUCTION LENDING AGENCY 1 hereby afRrm dant dere is a coestmcuon bending agemy, for the perfmmmca of the work for which this permit is issued (Sec. 300'l. Civ. C.) ' Lenders Name Lemices Address I eerily tan I have read this application and scam the the above information is ' ' correct. I agree to comply with all city and county ardinara is and state laws relsung to building convection. and hereby authorize representatives of this city to enter upon the I .hove-mentioned property for inspection pucpmea (We) agree to save, indemnify and keep humleu de City of Cupertino against j Iiabilidea,judgments, eons and expenses which may in my my accrue against said City in cocmegucnce of the granting of this permit. I APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date _ C?I v6 SOURCE REGULATI S. ��� ? /i�'� Re-roofs Type of Roof Signuum of Applitm���,y/n ser Data HAZARDOU MATERTALSDISCLOSURE Will the applicant or (alum building occupamtstom or handle havcdaas material as defined by the Cupertino Municipal Code, Chapter 9.11, and the Health and Safely Section 15531(a)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yo yne P/' If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future building occupant use equipment of devices which emit hmudaus air contaminants u defined by the Bay Amo Air Quality Management all new materials for inspection. Dist ❑Yes Nu I have mad the Waudtme materials requirements under Chapter 6.95 of de Califor. niaHmlth&Safety Cade.Sectiorts25505.25533md25534.luntkmmdthuifthe building does net currently how, a Woods, that it is my respocuihility W redly the occupmt of the requimtmm which mull at br W.mxa oft coedle. of OccuPmmcy Signature of Applicant Date All roof coverings to be Class '%¢" or better Dam Owner c r authorized agen