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01060149 CITY OF CUPERTINO BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO, 926 FT BAKER DR CUPERTINO PLUMBING 01060149 OWNER'S NAME: APPLICATION SUB DATE PAIK MOON AND SUK 10297 S DE ANZA BLV 06/26/2001 PHONE: SANITARY NO. CONTROL NO. (408) 283-0618 .00 reeITIT z ARCHECTIENGINEER: BUILDING PERMINFO — BLDG ELECT PLUMB MECH Hoc I I I � LJ Cl z�_ LICENSED CONTRACTOR'S DECLARATION Job Descri tion =� I hereby M.me,l am licensed under provisions of Chapter 9(emancncing P Fire F with Section 7")ofDivisiam 3 ofthe Business onal PreffeasionsCride.and my license REPIPEF-M ATISM SETSCE & <m q Is in full msec r C •� c-,r 'od oyer cm.a Le. 10 WATER HEATER. 3LL. Dine mor MAY U 7 F m O n ARCHITECTS DECLARATI N 2002 1..&,,.ad my,plans shall W used as public records C y i'Y OC Lensed Professional e.re OWNER-BUILDER DECLARATION BUILDING 1 hereby of rm raa rthat 1 am exempt from the Comor's License Law for the s-Z following reason.(Section 70315.Business and Professions Code:Any city or county rwhich ragaires.,nernit ro<°nwrocl.mmr,improve,nemm'�en.°r repro say wanner �— sia to itss I 'V ' ilppf LI Inchpe ett 11 'g d 'renem _.-._.... re: mgtn I h dl tm]Wp nl c t 'r.L L wap erg S Ft. Floor Area, _.__.. . m' me«ingwthSecton7lkM)ofDmn°a3ofmaBasinssmadProa,im,Code) 1 - .9� ' aluatlon or that he is exempt thderro7n and she basis for the allege,d eaemp'lan.Any violation - •' '' ' ' of Section 703 1 5 by sea,up,]avian far a .it subjects the appl'eam ma civil penally of nm marc than five haadrcd fosters S500). urn er Occupancy Type ❑Las owner or the norm i,�,.e and th y y,is o t intended or offered for sal (S ensaaan, will do the work,anJ the mm�urc is not amended or oRcmd for sale(Sec.]tM,, 'Business arid Professions Cade The Contractor's Licenza Law does,not apply t°un 301 — ROUGH PLIF'949 W(Inspections' ' owner of propeny Who Wild.or improves thercer.and who dres such work himself or through his own employees.provided that such improvements are not intended or 502 — FINAL PLUMBING ENERGY ,offered for same:If,howcvcm the builds -- i 'is sold within lrc year of ---- - -'� - -' - - - 'PLUMBING- '- - - - - -- - campledoa,me awoerWoder win have rte Waders of proving mm he did n°t wild nr 507 - FINAL improve f«purports,or sale.). ❑1,as owner ofthe Property,am es stress a convicting with licensed,carucmrs toLicense consumer,rte oejen ram.]Bt,,Busters and Professions Cade:)The ves the eon, , License Law does not apply to of owner of propeny who builds se pars ant to the and who convaase Le such Projects with a commercials)licensed pursuant m the _ 111 am exempt License Law. - ❑lumexemptundertieE - ;B&PCfonhis reason Owner m. . WORKER'S COMPENSATION DECLARATION 1 hereby affirm under Penally of perjury one of be following declarations. ❑ I have and will maintain�n Ccooleate br Cm,cot in self-imure, for Worker's Compensation, as provided far by Section 37W of the Labor Code. for he performance oftne work for winch this permit is issued. : ❑1 have and Will'mainmin Worker',C°mpar,sai°n Insurance,as rcquircd by Section 3700 of the Labor Code:for the performance of the work for which this permit is ,,,.cd. Y rollers mpensmiggqqqq^^^^^^In m enter, sad Fein, ber are `QCzMpe Y!1Epsink e) cYV . 1 3 ('+J' . .. - I .. CERTIFICATION EN ATION I S RANO WORKPRS. Ot/ 'COMPENSATION INSURANCE - _ (Th.:nein'need not be compincJ'f the ,air is tax one hundrtJ dollars ] 131001 rless) - .:_. -. awocd I cc.stifytoy an in Person P in any ma nee as k for which thprint 1_. orke 1 shall not ply any pc.11 any mph t becomesubject m the Warkerd Compensation Laws of Calilomiu:Dale Applicant NOTICE TO APPLICANT If,after makingthis Cisions f he Lavar Co,youu me,, Z bmome sabjcnro'he Work<r's Compensmiahpmvisions of lM1e WWs Code.you must ' ZQ fonhviith comply with.Inch provisions or this pemeit shall he donned revoked. CONSTRUCTION LENDING AGENCY" a 1 htneby art!.ch this I the -cora i n leading agency for me peAonna«eof the ry Q .,. 09],Civ.C.' : Lender�°Nark mexfi¢h,h xpesmnss issued($cc;3_ _, -_,, .•V_ ,. ,._ - _ . _ .._ - �,z Lander's Addrns - - - Q 1 certify that 1 have read this application and stale that the above inforampon is [�. comen 1 agree to comply with al]city and cmmry,fort...cx and one laws clznng 0 V mbuildiagennanuctlun.mid hercbyaumarizereprcseemovesnf lois city to enter upon W the ah se manlioned Property for inspection purposes. 4 rWA befall(w )agree'Dios d try and keep l less the C , f C per °ago ns. U'Z c judg ¢. J pe zit h h Y,in any > Sarna said PP] A�fJnon LN Le �.Tlittl USAVD WILL COMPLY WITHALL VON PO VT C AT .6 �9 „} Issued Slgnzmre of Appf' m aLmU mar Dole1 Re-roofs Will the app�lic{=RDs US MATERIALS DISCLOSURE ae' r c rfarm Wildiagaeapa It..rhaameha wammaterial Type of Roof del Oyes the Cu nim,Municipml Code.Chapter 9.r'',and the Health and Safely - Cod S ' 25532m) It �'P All roofs shall.be inspected prior-to-any TOofing.materiai being.installed.., Will th jVpl' r! Wilding' occupant se equipment ae . mien if a roof is installed without first obtaining an inspection;[agree'to remove emit h z bcoronationcos as dyfneJ ny the Bny Area An Qumliry A1anngemem o r D'a""' oras all new materials for inspection. Applicant understands and will comply with, • e �. � .'; .. all non-point source regulations.. ' 1 have'rmd the hazardous maiemals requirements under Chirper 695'of the California Wilding d n s Safety Cody.ave'ioav5505e'itis and 1553,,I uodemand shin ir,ne building does i orearscurrenyhh. ,outnemetmrior mysesponsiofaCcinotary the «cu loft req arc emu wM1ich nwzt be met prior m isswmce af,a Cmciflcum ofsa - Y f Signature of Applicant Date won,.1..'a I =ant ' Dila All roof coverings to be Class "B" or better •"1 .. t 7 - .. OFFICE - -