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BUILDING DIVISION PERMIT
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BUILDING ADDRESS:
COB T POWER SYSTEMS, INC
PERMITNO.
06060238
10360 E ESTATES DR
OWNER'S NAME:
PERMIT ISSUE DATE
MOK SAMMY
770 LINDEN AVE,
06/28/2006
ONE:
SANITARY NO. CONTROL NO.
(650)948-9574
ARCHTfECT/ENGINEER:
BUILDING PERMIT INFO
SLOG EO PLUMB -
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LICENSED CONrRAC1OR'S DECLARATION
Job Description
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1 he cby arOfm that 1 un licensed under provisions of Chapter 9 (commencing
with Sectile7000)of Div on3ofthe Buri sand Prafeumm Cadaandmy Scans
e6
In finI eaC O
INSTALL ROOF MOUNTED PHOTOVOLTAIC SYSTEM
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i tac,g
Dam contractor.
NO BATTERY BACKUP
ARCHITECTS DEC 1
I understand my plans shall t used u puhlic mcotm
Licensed Pmfeasmml
OWNER -BUILDER DECLARATION
I hereby alum that I am exempt from due Conbsao's License Law for mo
following mason. (Section 703 1.5, Business and Proficiat Code: My city or county
which requires a permit to construct, alma impmw, demalare or repair any someone
prior in its issuance. also requires do spplionl for such palmi(m file a signed moment
Ft. Floor Area
Valuz$&5366
them t is licensed parmanl an dx provi,wm of that Conucmrt Liam law(Chaplo 9
S q.
(commencing with Secdon700(1) of Division 3 of the Businevawd Predilection, Cade) lir
on. he hs exempt the shmm and she basis for the alleged exemption. Any violation of
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Occupancy Type
Section 7031.5 by any applicant for a permit mbjecv the appllant a a civil penalty of
not mart than Ow hundred dollars (5500).
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p Lasawasafdle property, or myemployeawith Voges u thekmletompemdhn,
Required Inspections
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will do to work sM mesuucem is notinmMelmofixted(orum(Sec. 70th. Business
Nd Pmfesdons Cade: The Contractors Liam law dam nal apply e N awns or
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property who Wilds, or Ire prow s emon, and who dna such work himself ar duaugh his
awn employes, provided that such impexmmu art anthin nded oroRered fiat If.
-
macros, the building or impmwment is sold within aro yam of completion, the owner-
buslda will haw the burden of proving that k did ml Adb or impmw for purple of
cote.).
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1. Owner the property am aclualwly conkandng wismas h licensed mnmto
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moue the pmka The Cmuxut,
70th. Bainca and Profmcdproperty
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ds or:)
nd
who Wilds ar Impurities discCo mat, ane.
a of proper( who
Coro Law dos not apply e m
apply
sed p
LhaemLaw for such pmJecu withaconvacmrtU IlanxdpmeuamaIt Conlneeb
with a
Liam law.
1006
[3 ]I= exempt under Sec ,B&PCfor thtte lesson
Owns Data
Ulf
WORKER'S COMPENSATION DECI.aRATON
hereby a1Rrse under penalty of perjury arc of the following datersdoxim
I I
I haw and will malnuin a CerdiRcemof Camel to self-inmm forWorkces Carni
v
an, a pmvidcd far by Section 3700 of thm labor Cade, for me performance of de
rk for which leis Permit is road.
1301100
.
1 haw and will mainum Workers Compematlon Insmnce. a acquired by Section
of tie labs Code, fur me performance of that work far which mis permit b Issued.
Workers Comps ud'w lresme a�t/r)'e and Policy num-b�•er art:
eier. 3 V V Policy Na.:170'd/7/3
C RTIFI TE OF mEMPl30N FROM WORKERS'
COMPENSATION INSURANCE
(Thb sectiare need not t<ampleted list permit i, foram hundred dalun (5100)
or less)
I certify that In the performance of me work fa which this permit is Lxad. I ,hall am
employ any patient in my manncran as b become sobjccl in de Worked Compensation
Laws of California. DM
Applicant
NOTICE TO APPLICANT: If. after mating thds Ccnifsam of Exemption. you should
become subjm in the Workers Compenudon provisions of the labor Cade, you muss
• faMwith comply with such provisions or this permitandl t domed mwkc0.
CONSTRUCTION LENDINGding
apCY
1herebyichm metmemgs lending agcmT for she performance of
issued
' me wort far which cols permit 4 road (Sec. 7091. Civ. C)
Landers Name
Lenders Addie•.•
j I modify that I luso wail We implication orb sum this the above inf.u. h
' Corea 1 agree in comply with all city and county ordinances and state lawn rclNng to
building consuuction, and hereby amhorire repraenunim of this city to enter upon that
I slave-menmiexd properly fm impecuan purples.
(We) agree a eve, indemnify and keep harmless the city of Cupertino against
liabilities, Jadgmcnls. costs and expemes which may in my way acerae agaWt aid City
in consequence of the granting of this permit.
' APPLICANT UNDERSTANDS AND WILL COMPLY W ALL NON -POINT
Issued by: Date ,2 r1-1
SOU'DON ,.p
Re -roofs
Type of Roof
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ice!//�M, e5J _ / L J'9.4
StipacatfindApplicananConsurroactor a Data
HAZARDOUS KTATERIALMSCLOSURE
Will Use applicant or fmum building occupant role or handle haardoa mame1
as deBand by the Cupertino Municipal Code, Chapter 9.13, and the Health and Safety
Cade, Section 25533(a)7
❑Yon
All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtaining an inspection, I agree t0 remove
Will the applicant of future building acupans um, equipment ar dcvuces which
I hrabna air conbmimnu ss dclined by thea Bay Area Air Quality Managament
all new materials for inspection.
YlrlGl7 _ /
❑Yen
1 haw read It harafdmumateeals myulmmene under Chopmrd.95 of Ue Califor-
niaHulm&SafctyCode.Sccdosu75505,25533na125534.1undc thuifex building
dao net coamntiy tat a mmnL dual it u my respoal ility an codify the oaupenl of me
mqui ata which met eorefxumaa ccoilaamaroccupincy.
Signature of Applicant Date
All roof coverings to be Class "B" or better
owmr at mmarived ascot D„D'