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06040033 CITY OF CUPERTINO * BUILDING DIVISION PERMIT {p QNTVAC PR 1�'kt©RMATIQN BUILDNGADDRESS: BAY AREA HAULING & BOBCAT 9 VO.06040033 7570 ERIN WY OWNER'S NAME: PERMIT ISSUE DATE BOTTING STANLEY B 1151 SPENCER AVE. 04/06/2006 ONE: SANITARY NO. CONTROL NO. (408) 592-9755 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH O O O D i p C LICENSED CONTRACTOR'S DECLARATION ❑ LIOn 1 V 1 bureby aMme that 1 am IIavN under.provisions of Chapter 9(Commencing with Ston 7")of Dl akm 3 orOm Business and Professions Code.ural my license is , N in full few and street. REMOVE DEMO POOL AT j un 2 Lkonx Class LIc.N f Dem ContractorDECLARATION rl`t ARCHITECTS DECLARATION < I undemmnd my plant shall W used As public records G Licensed Professional OWNER-BUILDER DEtho Cor I to <g I hereby.(Sero on 1 1. exempt from rte COsions o License Lew for the 3p o following mason. (Salt cower,Business and Profthmuns Code:Any city or county $�rr $O which xquireaa Patois reeores the stmtimpmw,deermitI ore I sig mystructurey45 (] _i y prior m its iAsns d purse nt to ft titevision of farmch permit In Lkc=Law uammem tag< that heulicenscdpurtuantmtheproviaonsorthe Contracmr'slicsttselaw(Chepter9 Sq.Ft. Floor Area Valuation . (cmnmendns with SectiOa7000)of DNikm3oftte Buan.tand Proussions CadC)m Q .. that be,ts exempt therefrom and Ute basis fm tha Alleged eanmp loo Any violation of Section 70313 by any applicant for a permit subject the applicant no a civil penalty of 3 XPR Mai6er U U Occupancy Type not roam than five buttdmd dollars ISM 0 I,.awrmr of tx property.our my employees with wag.as drir sole Compmearawn, waft at the wa*and the auucturt is not intended of offered for sak(Sec.7OµBusiness Required Inspections and Proremdans Code The Coouacmh License law does rot apply m an owns e of q P property who builds ar ins pores thereon.and who da.ouch wart himwl f or Lhmtb his own employes,Provided that such improvements art mtinteMW"offerM fmsale B. howew,the balding Or hopmvement Is mid within one)ear afCompletim,the owner. build"MB live tm hurden of proving Nat k did not haat"improve for puryose of Asia.). 1,at owner of that property.am emlWvely contracting with licensed conuacmm m ..estrum the project(Sec.7044.Business and Profaaans Code)The Cmuwoafa U• ranee Law doos act apply m an Owner of preparty who Wilds or impmw theman.and, who contracts for such projects with s conuacmKs)licensed pa mans the the CoMrsuReS License Law. ❑I am eempt under See—/_ ^ ,B&P C for this reamn Owner // 1/'✓ ` Dwel O L W ORKER'94DMPENSA�DECLARATION 41 1 hereby affirm under penalty or perjury one of the following d"Iautions: ❑I have Ond will manWn aCeNOate ofCensem m self-insure f"WarluYsCompen- >vlun,As provided for by Section 3700 of the tabor Code.for W peao ear a of the wort for which this permit is issued. 0 I have and will maintain Wortefs Compensation Insurance.as required by Section 3700ef the labor Code.far the peRonnwmeafthe work for which this parent,is Issued. ' My Wertees Cmnpermadon b,mmna artier and Policy number are: Cam": Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE s (nasectiew need mt W canpmn:d U use permit is i.one hunmed mum(SIM) or less) 1 cereify all in the performance of the wart for which this Permit is Wood.I shall Out employ any person in my man nt X5 ty bjccvto Ne Worteri Campen.tian Laws of Califamit Dam �Y-<o it-O Appli NOTICE NOTICE TO APPLICANT 2 mucin{013 Certificate or Exemption,you should , became subject m the Wursefa Compc.ation provisions of the labor Code,you most C)O forthwith comply with such provisions Of this permit shall W deemed ucmkcd. z tiCONSTRUCTION LENDING AGENCY F" I hereby aRLm that them its construction lending agency for tat performance of 0.! r>.t the work for which this permit is issued(Sec.3097,Civ.C.) �W Q Lenders Name z Lentice Address ` U Q 1 canify that I have read this apliemlon and sate that tha above information Is LI.H cone".1 agree m comply with all city and county ordinances and slate laws relating lo DU building conswNon,and hereby authoda mpmeanlativns ofthis city to enter upon the W ahove-mentioned property for inspection purposes. Lir (We)agree to saw,indemnify and kap hurmksa the City of Cupertino agatnat T/) liabilita,jodgmenu.com and.penxs which may in any My acerae agatrutsad City U x in consequence of the gaanting of this permit el"(l "-' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date (l/ SOURCEREc�yL� ;N b��(�/ Re-roofs �— Signmurt of Appli uComxtar Oak HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will ton Ppliant or future building actmpant store"handle havrdous mateaal as deflned by the Cupeatina Municipal Cade.Chapter 9.12.and the Health and Safety Code.Secdo.25532(x)7 - All roofs shall be inspected prior to any roofing material being installed. ❑Ya Rano Will the applicant or forum building aceupan,use equipment our devious which If a roof is installed without first obtaining an inspection,I agree to remove ' emit hazardous air concomitants a deened by ton Bay Ar.Air Quality Management all new materials for inspection. I miclT Dyes '�Nu I haw mW the hvardo' materials requimmena under Chapter 6.95ofNeCalifar- niaHealth&Safety Code,Satatu 25505.25533 and 21334.1 ondcmurd thm ifte building docs rot currently hone a team,that it a my respensiNih,m ratify the occupmt of the mluisemenuw be met prior musumwafaCenifcaakofO,cfa SignatureofApplicant Date L ofmthorize a ens ate All roof coverings to be Class"B"or better CITY OF CUPERTINO m 1 of 1 PERMIT RECEIPT. OPERATOR: amY w COPY # : 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 35921027 . 00 DATE ISSUED. . . . . . . : 04/06/2006 RECEIPT # • • • • • • . . . : 33880 REFERENCE ID # . . . : 06040033 SITE ADDRESS . . . . . : 7570 ERIN WY SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : BOTTING STANLEY B ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4321 RECEIVED FROM . . . . : YUNG CHEN LI CONTRACTOR . . . . . . . : ROBERT ARRIGHI LIC # 24175 COMPANY . . . . . . . . . . : BAY AREA HAULING & BOBCAT SERV ADDRESS . . . . . . . . . . : 1151 SPENCER AVE. CITY/STATE/ZIP . . . : SAN JOSE, CA 95158 TELEPHONE . . . . . . . . : ' (408) 592-9755 •FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 5, 000 . 00 115 . 56 0 . 00 115 . 56 0 . 00 BSEISMICRE VALUATION 4 , 500 . 00 0 . 500 . 00 0 . 50 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 116 . 06 0 . 00 116 . 06 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------ ----------- OTHER 116 . 06 VISA , TOTAL RECEIPT 116 . 06 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 704 DEMO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 SCUPE(�TINO Building Department JOB ADDRESS: PERMIT # S7 0 'Er=In (."t; Q'4'00 -3 � OWNER'S NAME: C�YI ha L', PHONE # S7 — S 79S GENERAL CONTRACTO t r`; ah,, FAX # I am not using any subcontractors: L /�. Sienature Date Please check applicable subcontractors and complete the following information: ' SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting • Linoleum/ Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile 0 '611 Owner/Contract o ignature Date MOM, CITE' OF CUPERTINO . ADEM® CITY OF CUPERnNo PERMIT APPLICATI®N FORM • APN# 2 Gn�T'� ' � Date: J- vl l VOa Building Address:7� Owner's Name: \/ Phone#: Contractor: - T License#: 6 9'3 3 koberC C Contact: // Phone#: /2 L I woe— 13 — O Applicant/Contra 15 Building Permit Info: _ ' Ir BldgElectPlum 1vIech Job Description: � Q°� e CQ-aa -t:r&+ Residential: Commercial: Sq.Ft. Floor Area: $/Sq.Ft.: J` D Architect/Engineer: Valuation: • Type of Construction: Occupan Group: Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE Bldg Permit Fees BUILIDNG BSEISMICOM Seismic Commercial BUILIDNG BSEISMICRE Seismic Residential BUILIDNG BPLANCHK Plan Check Fee BUILIDNG BUSLIC Business License BUILIDNG