06050170 CITY OF CUPERTINO ' r
BUILDING DIVISION PERMIT COl�1"=.CR.4,CTOR I�II''D x1%
BUILDING ADDRESS: CK WONG & TIM LUI PERMRN0.06050170
20960 GARDEN GATE DR
OWNER'S NAME: PERMIT ISSUE DATE
CK WONG & TIM LUI 09/26/2006
SANITARY NO. CONTROL N0,
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BO EO PLUMB
MECH
O
op LICENSED CONTRACTOR'S DECLARATION Job Description
i u I homey affirm Nei I am Oceased under provision of Chapter 9(Commencing p
with Seem.7IXM1)of Division 3 of the Business and Profead as Code,and my lit.—is
in full farce and effect NEW SFDWL 3657 ' GARAGE 5201
j ? License Clan Lm.M
Datecoanste,
3 ARCHITECTS DECLARATION
I 1 understand my plans shall be used as public record
Licensed Professionu
y
OWNER-BUILDER DECORATION
I herby affirm 1exempt from Ne Contractors Incense law for the
a o fallowing mssan.(section
an R1.n 1.5,Business and w,de its=Cade:My can at manly
S$ which requires a permit re enreWee.alw4 W for see demolish,ri repair any structure
-z�
prior wiulsswncaelm requires the thovishouof for such permit to fit.Lawdsutemem
—Q
that he is licensed pursuant to the proviuo=Of the Canuacwra License Uw(Chapter 9 Sq.Ft.Floor Area Valuation
(co mmencingwlNmli
Son7000)o(Divuiom3ofihe Busim and Profeninu Cod.)or $813269
ERI thm he is exempt Ihemefrom and the basis fro Ne alleged assumption.My violation of
Section 7031.5 by any appliuntfar a permit subjects use SPPlia1L o a Civil penalty of APN Number Occupancy Type
not roam than five hundred dollars(SM
I,asawwr of Ute propmy,mmy wploYeoo with waguu Novolo eampertsation,
will do the work and Ne swctum is net intended or offered far saie(Sm.7014.Business Required Inspections
and Professions Cade:The Contractor's License Law does not apply o an owam of q p -
propenywhobuild,or improves thermn,end whodoesnrchworkhimselror through his
awn employmn,provided thalnch improvements ars notimmnded or Offered forsele.If.
however,the building or Impnevemut is mid within am year of completion.the Owner.
builder will have um burden of proving Nat he did Cot build Or improve fro purpose of
tale).
13/a unser of the praRny am uduvvely Contracting with licensed mnuamou w
,mix mct the project(Sec.7044,Basin and Prefusua=Code:)The CaAtramara U-
came law does not apply to an owner of property who Wilda or imposes thereon,and.
who Contracts for such pmkcm with acontractods)Iiansed Pursuant o the Contractor's
License Law.
❑tom excmV �der1S-o BA PPCfom
thismas
owner r—.�` Data / /D
WORKERS COMPENSATION DECLARATION
1 herby aflhm under peredly of perjuryaneof the following declarWans:
I hem.M will mainuin a Cerinmm of Cansene to self-imam for Worlt esCompen-
notion,u provided fro by Secdon 3700 of the Leber Code,for the performance of tW
work for which this permll is issued.
Q 1 have and will maintain Workers Compensation Insurance.u mqulmd by Seeim
37W of Use labor Cod.,for,the performance of dm wart fowhwh Nu permit is im ed.
MY town Compensuiw hmsurame crier and Policy mumbo am:
Cartier Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thu section wed mtbocomplemd If the permit Is foram hundred ampere($100)
or less.)
1 Unify that In time performance of use work for which this Permit Ie bound,i"I Cot
employ any person in mymanwrsvuwbecama objecim Wmkcur Compass e
Laws of California. etc
AppRant
to
NOTICE TO APPLICAIr<`f.'IL Rrumehrg this Certificateof Exemption,you Mould
become subject to the Workers Compensation provisions of the Labor Coda you mum
.J O forthwith comply with such provisions or this permit shall be deemed invoked.
Z-a CONSTRUCTION LENDING AGENCY
(—r4 I bercby grim Nm Nem is a conduction lending agency for the performan¢of
a> the weak for which this permit is ism.d(Sec.3091.Ch.C.)
Win~. Lenders Name
7 z Landers Address
U O 1 certify that I have rood this application and sum that the above infmmatun is
W correct.I agree to comply with all city and county ordinances and auto laws relating to
OU building construction,and hemby authorize npresenutiws of Nis city to cnmr upon the
W above-mcnduncd property for i=pecdon purposes.
(We)agree w save,indemufy and keep harmless the City of Cupcnino Against
E'y liabilitiesjudgmenu.cou and"fames which may In any wry acerae&SRI=t said City
U Z in caasegwrsee ofthe grandng of this Permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REG ONS
/ b _A
tia/��De Re-roofs
Signature offApplicauddContraclar Dam 'Type of Roof
HAZARDOUS MATERIALS DISCLOSURE
Will tins appllam art future Wilding occupant mom m handle basardo=mareriu
as defined by the Cupertino Municipal Cod..Chapter 9.12.and the Health and Safely
Code.See am 25532(,)7 ��r All roofs shall be inspected prior to any roofing material being installed.
I Ely. I}rna
Will the applicant or fume building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
II hayardous air contaminants as denned by the Bay Arca All Quality Management all new materials for inspection.
Distncl7
❑Yes ►!^O
1 Ww rand the haasrduu mucrials mquiremcw under Chapter 6.95 of the Califor.
nia Health&SafclyCode,Sunda=25505,25533 and 25534.1 undcnund due ifdme Wilding
docs not currently have a=nam,do,It is my responsibility,to nutty the OccuPWI of Ne
require nuwhm must bemjlpiorbeissuawcofaccNw.1aorOc4 Signature Of Applicant Date
bet
"Iy a All roof coverings to be Class"B" or better
Ownerun oriud&gcm
Data