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02020118"'- Bueihesi'SndProfessions CMB: The Contractor's License Law does not apply to nn "r! ' ' e,- - ' ..•-.10 3-- .-..UFER- ' Re Ul-red Ins e.. ct_lo. n$' ow (Whods or;top v Jerand h doe h work himself orh his own e ployce pit dad lht -chimprovements'smented or -104.. .. REBAR -offered _....ompleuinn the owner -builder will have she harden of proving that hedidnobu'Idoi 105 - ANCHOR BOLTS . ... ` _. _... ' improve ror Purpose or sale.), 106_ - SEWER & WATER ❑Lauctthowner prjthe property, Sec.7,.m Business andmalumfingProfessions with lisen:ede Contractor's License 202 - UNDERFLOOR PLUMBING ._ Licens construct the project (Sec. to a Business and Professions CMB:) The improves Other., is , License Lewd«snot applyfor,suc lo.nowner MWith pmpemywho builds oed,mrsusthon the 203 - UNDERFLOOR MECHANICAL'..I ..'r and who contracts for, projecti With x commnw(s) liccbscd,pursmm to the c ., ._... _.... ,. comractnra 'cescLvw ,. , � .., � 20.4.. - UNDERFLOOR'FRAME-` ___....._.,....._....._. .._. ...... _----- ❑lamexmpt. p', " B&PCm(mis,(eaon' 205 - UNDERFLOOR -INSULATION merit' ORKEn' COMPGot ND€Cu�'aPi'Id� 301 - ROUGH PLUMBING hv 1 302 - TUB & OR SHOWER Ihereby ffmyund pnahya1pa,Itryoneofthefanowngpwmmtons:° 303 - ROUGH 'MECHANICAL' ,( 0 1 hnbepnd will mroutio.a Cenificmc of Consent to self-inmre for Worker's 3 04, - ROUGH ELECTRICAL Compensation. a provided Yoe by Section 37W of-tha Labor Code, for the pmfierrnance or the work rue which this persons is isu'ed. - 1 305 - FRAME .. + - GIn d li ait'w k c p l;xtimm, as m4a hatl by Sraoimi .306., HOEDOWNS �,.. .I. . 37M of she Labor Cod thepert f thek for whmh +his permits ' +-rsroed'M»Worker's Campion ... to. Insurance carrier and Policy number xre +,,307 :INSULATION' " (.time r 'CJs` ) Policy No.: a..SHEETR OCK x'ft' }CERTIFICATION. OF EXEMPTION MOM WYRKERS COMPENSATION INSURANCE, 1 4, Ili 11 ,-• _., - 3T0`:- -,.INTERIOR` LATH 1;4 ° (this section need not be completed if the permit is for one hundred dollun + S ($1W)nnera) 311 ;''SCRATCH COAT l cemify that in the performance bf work fo which this permu+s lssed l -313'='ROOF'-NAilit.; - -;•+ 4. +� - Com crop ploy'eyPemont any I. mt,benan sub)ef mdI,Wwlord, `-'SO1 - 'FINAL'�ELECTRICAL ENERGY o pen au n xof .leen. .Appl cni - - -' - - UI"1'Y'0F CUFEKF1N0 n aulcutr c nivistor.PERMIT:: ; "' INFORMATION: ... .. ,can duWarlI bac uothe Wok sCompensmion pro ro so(0 LaborCM ydum t J ,'; ,,:.CONTRACTOR --....•.^., fo with reply with such P ions or th permit shall be deemed ked. 504--- 'BUILDINGADDRESS •� '. .-' .'' .• _..; _ ......... .. ...'- PERMIT NO -. .. .. ..• __. _.. _.. __... FINAL ELECTRICAL 7536.'HOLLANDERRY. PL.: ., .._ .. RICHARD '&r `GRACE CHING - 02020118 . Jy )' 'OWNER '$ ? APPLICATION SUB DATE " RICHARD & GRACE CHING;--; •--. -... ... �.. __.._........._..�. .... - ... _._._.. 02/28%2002 FINAL GRADE the _shove.martionedpomemy forto,eadon moxea... We) agree to save; indemnify and keep hamnless the City of Cupenh6.j.mx, - ks....r,_;-, -- U PHONE:" 514 - r SANITARY NO. CONTROL NO. rr u9 O O ' ARCHITF.CIENGINEER: - BUILDING PERMIT INFO • BLDG ELECT PLUMB MECH eS z I:� ts--LICENSED CONTRACTOR'S DECLARATION - 'lob Description IyeS'wbh ". 1 hereby arHmt that I am licensed under Provisions of Chaprer9 (commencing Seaien t303)atDHisionlotthe Business and PmfmrionrCMe. and mylicense CHANGE -WINDOW & 4 SLIDER. --•'- "' t x y , is in full force and effect. ss as a O•n a License Class Lic. N ' S a u0 Y<n Dmc' '� Contractor f ARCHITECT'S DECLARATION ' ' - w, A Y E®" - ALED - J , undrntantl my Plam .hall be used as public oce rdx �' ,tl oLicensed " xxOOq •IA Pmfersion.l ' .- e = . OWNER -BUILDER DECLARATION ' '& t} f1 L L ' m E I hereby .stem that 1 n tont from the Contractor :cense Law for the follow Ig saran (Sen "111115 B d Professions Code: Any city w c atnty - - O O O - which r q p m u t c t I her, onp _ c d m I'sh or rc0a y sou t • } - • .,, -' � - , '• "':' .' ton alto rtquir the aiPPlc ml sch peimiuoNmsg diose m f� 1 }"'�( "a 2r'30LL1i �13 g "7 -Valuation - tl (lie sedforum,.0lh Pro on. f'he C ntmctor-Le uli (Ch'ape 9. mewithse t fovi. Professors Code) Sof the Bred ort t inand or Into noir ekemps mons an is exempdoo Any violation and the basis forthesubjects [�f?Ut?.. is Ai I - - - - - ,':o 0 a',p i the Se Y n ,b31�an by n y ppl cavi rw a pemm suM1ledts the applicant io a civil pcnnitY" rnw m �nq r handrail aoljars P$ 00) . _ ... .. PN - r Occupancy Type 1.0 : , ; 8 DATION 01 as owner of she pmpemy, or my cmployce with wages as their sole compeosat on, '- will "do'the 'work, and the•swctute'is hot intended or offered for'sal.( . "'- Bueihesi'SndProfessions CMB: The Contractor's License Law does not apply to nn "r! ' ' e,- - ' ..•-.10 3-- .-..UFER- ' Re Ul-red Ins e.. ct_lo. n$' ow (Whods or;top v Jerand h doe h work himself orh his own e ployce pit dad lht -chimprovements'smented or -104.. .. REBAR -offered _....ompleuinn the owner -builder will have she harden of proving that hedidnobu'Idoi 105 - ANCHOR BOLTS . ... ` _. _... ' improve ror Purpose or sale.), 106_ - SEWER & WATER ❑Lauctthowner prjthe property, Sec.7,.m Business andmalumfingProfessions with lisen:ede Contractor's License 202 - UNDERFLOOR PLUMBING ._ Licens construct the project (Sec. to a Business and Professions CMB:) The improves Other., is , License Lewd«snot applyfor,suc lo.nowner MWith pmpemywho builds oed,mrsusthon the 203 - UNDERFLOOR MECHANICAL'..I ..'r and who contracts for, projecti With x commnw(s) liccbscd,pursmm to the c ., ._... _.... ,. comractnra 'cescLvw ,. , � .., � 20.4.. - UNDERFLOOR'FRAME-` ___....._.,....._....._. .._. ...... _----- ❑lamexmpt. p', " B&PCm(mis,(eaon' 205 - UNDERFLOOR -INSULATION merit' ORKEn' COMPGot ND€Cu�'aPi'Id� 301 - ROUGH PLUMBING hv 1 302 - TUB & OR SHOWER Ihereby ffmyund pnahya1pa,Itryoneofthefanowngpwmmtons:° 303 - ROUGH 'MECHANICAL' ,( 0 1 hnbepnd will mroutio.a Cenificmc of Consent to self-inmre for Worker's 3 04, - ROUGH ELECTRICAL Compensation. a provided Yoe by Section 37W of-tha Labor Code, for the pmfierrnance or the work rue which this persons is isu'ed. - 1 305 - FRAME .. + - GIn d li ait'w k c p l;xtimm, as m4a hatl by Sraoimi .306., HOEDOWNS �,.. .I. . 37M of she Labor Cod thepert f thek for whmh +his permits ' +-rsroed'M»Worker's Campion ... to. Insurance carrier and Policy number xre +,,307 :INSULATION' " (.time r 'CJs` ) Policy No.: a..SHEETR OCK x'ft' }CERTIFICATION. OF EXEMPTION MOM WYRKERS COMPENSATION INSURANCE, 1 4, Ili 11 ,-• _., - 3T0`:- -,.INTERIOR` LATH 1;4 ° (this section need not be completed if the permit is for one hundred dollun + S ($1W)nnera) 311 ;''SCRATCH COAT l cemify that in the performance bf work fo which this permu+s lssed l -313'='ROOF'-NAilit.; - -;•+ 4. +� - Com crop ploy'eyPemont any I. mt,benan sub)ef mdI,Wwlord, `-'SO1 - 'FINAL'�ELECTRICAL ENERGY o pen au n xof .leen. .Appl cni - - -' - - .. - �• - 502' -'-FINAL "'PLUMB'ING--ENENU=RGY' r; Tsar kIgshsCcmEcmeolExempunyoushould ,can duWarlI bac uothe Wok sCompensmion pro ro so(0 LaborCM ydum t 503 - FINAL MECHANICAL ENERGY fo with reply with such P ions or th permit shall be deemed ked. 504--- .FINAL-BUI-LDING .ENERGY - CONSTRUCTION LENDING AGENCY I hereby off. Ih I there oust non lending .,ercy for thperfannuree . 505 - FINAL ELECTRICAL anh kfowhchthispemtis sud(sc3097cs.c) '- Lcbder i Name •" _. + _, .. u.. c .., .: ... - LimadirsApgresa' • . ,_,506..-.GAS-TES.T.. 507 - FINAL PLUMBING 1-1- yr;.,_ I certify that l have mad this application and sum that the above information is 508 ...' FINAL MECHANICAL - nen. I agree to comply with all city and county ordinances and state laws hitting t to holding mmona. ionl and hereby autho6o, eep coematives of this any to amer upon 509 - FINAL GRADE the _shove.martionedpomemy forto,eadon moxea... We) agree to save; indemnify and keep hamnless the City of Cupenh6.j.mx, '510 - FINAL PLANNING' U liabilities, judgments, costs and expenses which may in any way accrve against said City in conm9uenceof the gondol, of this nom - '" (APrLICANT UNDERSTANDS AND WILL COMPLY WITH AL�ON-POINT 514 - r FI NA P C WORKS , . . , RCEREGuI,ATIQys. 'i_� _; 7/ r-,/ �Occup6ncp• ' d. I d gen CIN, Chapter 9,12,not Health and Safety t capons s reAir a m de ices which by the Bay Area Quality Management rcquirtmedts under Chapin 6.95 of the 5505, 25533 and 25534.• 1 undinatood that of Issued by. Date, Re -roofs Type oERoof i_,.. j All roofs shall be inspected pilor,(o.any, roofing,material tieing installed.--.... _ If a roof is installed without first obtain iii g'an inspeclions 'I agree tei'reinove all new materials for inspection„ Applicant understands and will comply with 'all non=put nt source r'egulation`s. " Signature of Applicant ,Date All roof coverings to be Class lva or better .._ OFFICE...-- BUILDING DIVISION PERMIT .. BUILDING ADDRESS: 7536 HOLLANDERRY PL 'OWNER'S NAME: A& RICHARD & GRACE CHING Op aQ U'C WW OE V.ZI rr LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full forte and effect. License Class Lic. N Data Coram ar ARCHITECTS DECLARATION 1 undemmrd my plans shall be used as public records Licensed Professional OWNER.BUILDER DECLARATION 1 hereby affirm that Iain exempt from the Contractor's License Low for the fallowing reason. (Section 7031.5, Business and Professions Cade: Any city or county ;which requires a permit to construct, alter, improve, demolish, or repair any structure poor to its issuance, also requires the applicant for such permit o file a signed statement that he is licenud Punuant to the provisions of the Contractors Liame law (Chapter 9 (commencing with Section ]000) of Division 3 of the BuIaoss aM Professions Code) or the. he is escmpt therefrom and Ne basis for the alleged exemptiod. Any i91.d.. of Section 7031.5 by any applicant for a pemdt subjects Ne applimm m a civil penalty ` of not more than rive hundred dollars ($500). O 1. as owner Of the propcny, ur my employees with wages estheir sole compensation, will do the work. and the'stmcture is not intended or offered for sole (Seb. 7000,' Business and Professions Code: The Contractor's License Law does not apply to an owner of property NTo Guilds or impmvca thereon, odd who docs such work himself or through his own employees. provided that such improvememe ate era intended or sulfated for sate. IL however, the building or improvement is sold wi0ln one year of completion. Ne owner Wildcr will have the burden of proving that he did not build or improve for p.,.0 of sale.). 01, es owner of the propmy, am exclusively corm ctin{ with licensed contractors to convect the project (Sec. 7044, Business and Professions CWc:) The Convector's License Law does not apply to an owner of property who builds or improves thereon, und.who contacts for such projects with a contnmor(s) licensed pursuant to the Contractors License Law. ❑ 1 am exempt under Sec. , B & P C for this mason Owner Date WORKER'S COMPENSATION DECLARATION 1 1 hcrcby aRrm under penalty of pery on rjue of rhe following declare6cm: !D 1 hav end will maintain a Ccnificea of Conant to sof-insure for Works,'. Compensation, as provided for by Section 3700 of the Labor Code, for the performance of she work for which this permit is issued. ❑ 1 have and will maintain Worker's Compensation Insunnce, as required by Section 3700 of the Lakf Code, for the perfomunce of Ne work for which this Farad, is issued. My Worker's Compensation Insurance carrier and Policy number are: Canine - ='� 4 't Policy No.: _. CERTIFICATION OF EXEMPTION FROM WORKERS'; COMPENSATION INSURANCE '(This section need not W completed if the permit is for one hundred dollars (6100) or leu.) 1 cmify that in the performance of the work far which this peardt is issued, l and) not employ any period in any damom w ex 19 become subject 19 the Work. Compensation taws of California. Data Applicant. NOTICE TO APPLICANT. If, after making this Certificate of Exemption, you should hecotm subject to the Workers Compensation provisions of the labor Code, you must forthwith comply with such provisions or this permit shall be damW revoked. CONSTRUCTION LENDING AGENCY' ' I hereby effind that there is a convection lending agency for the performance sof the work for which this permit is issued (Sec. 3097, Civ. C.) Landers Name" Lender's Address I=% that 1 have read this application and state that the above information is carm, I agate m comply with all city and county ordinances and sum laws reWing 10 Wilding co auuction, and hereby authorise representatives of Nis city to enter upon the above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless Ne City of Capcnic. against liabilities, judgments, costs end expenses which may in any way accrue against said City in consequence of the granting of this permit. ' ' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT SOURCE REGULATIONS. Signature of Applrcwt/Contractor Data . HAZARDOUS MATERIALS DISCLOSURE W01 y t e Cupar. or Mmi btuldmo occupant r9,1 2, handle Health a maim,, C delated i the Cupertino Mutdcip I Code, Chapter 9.11, and the Nuldr end Safety Coda Section 15532(al? 'Gees-ONo �•°. t`,, Will the applicant or future Wilding Occupant use equipment or devices which tett Y [1? hrdair contaminants a defined by the Bay Aru Air Quality Management ageent aaaom minan • ❑Yes ❑No I have reed the haralloos materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505. M533 and 8534. 1 undersand that if the Wilding does not cumently have a tenant, that it is my responsibility to notify the okupant of she requirements which must k met prior to issuance of a Ceniflcate of Occupancy. ' ,1 CONTRACTOR ii[�I':i:1ittZ+J NO. APPLICATION SUB DATE 02/28/2002 SANITARY NO, CONTROL NO. BUILDING PERMIT INFO BLDG ELECT PLUMB MECH Job Description CHANGE �IWIIN��DjOWW & 4 SLIDER. I� Y 011 V/ateLE MAR 18 2002 BUILDING $2500 ,3valuation 10 �pN I�DATI ON Occupancy T 103 - UFER Required Inspections 104 - REBAR 105 - ANCHOR BOLTS 106 - SEWER & WATER 202 - UNDERFLOOR PLUMBING 203 - UNDERFLOOR MECHANICAL 204'- UNDERFLOOR FRAME 205 - UNDERFLOOR INSULATION 301 - ROUGH PLUMBING 302 - TUB & OR SHOWER 303 - ROUGH MECHANICAL 304 - ROUGH ELECTRICAL 305 - FRAME 306 - HOLDOWNS 307 - INSULATION C.308..,-; SHETJTROCK.t 3091'= �EXTERIOR''LATH -310`='INTER IOR'LATH" 311 - SCRATCH COAT 313 _ ROOF NAIL ' 501 - FINAL ELECTRICAL ENERGY 502'- FINAL PLUMBING ENERGY 503 - FINAL MECHANICAL ENERGY 504 - FINAL BUILDING ENERGIE 505 - FINAL ELECTRICAL 506 - GAS TEST 507 - FINAL PLUMBING . 508 - FINAL MECHANICAL 509 - FINAL GRADE 510 - FINAL PLANNING 514 - (F�INA P C WORKS Issued by: � JS'l^ Date ' Re -roofs 'Type of Roof r a' All roofs shall be inspected.prior to any roofing material,being installed. - - If a roof is installed without first obtaining an inspection, I' agree to remove all new materials for inspection. Applicant understands and will comply with all non -point source regulations. Signature of Applicant Date All roof coverings to be Class "B" or better .. - OFFICE • L �"• � K i rev �® IN ACCORDANCE WITH THE Wy On S3NED -. T its set of piandications MUS t ; kept on the mes and it is u r�w,,aoten + aisl to make changes or alteration r same w�rhorpermission Prot I her.Cupe.tino. .r i --s _n . rid specifications p: niit er to be an n -.,f any .provisions _.. i Siatp I aw too� SLIDIN 1 "—!� 1/14"7 'DO"oR -TX1 - - - I .-. Fk -828 i �6ICT T^' <-I� A' - E -: i 1� I a,cg CITY Of CUPERTINO A�Y OF CUPERTINO PERMIT APPLICATION FORM APN # 25 e2- Date: Building Address: f L. Other Appliances Owner's Name: 0 Phone #: 408 6- W& Contractor: BBOILERI License : ,Contact: BBOILER2 Phone #: Applicant/Con actor: j BBOILER3 Fax #: m ermit Info: Bldg I Elect Plumb Mech ob Des ption: Re-s—icTential: / /v omr#rcial: Sq.Ft. Floor Area: BCONSTAX $/Sq, t.: Architect/Engineer: BCONSTAX Valuatio • ��eFz Type of Construction: BCONSTAXBQ Occupanou Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler > 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL ' BBOILER5 Boiler > 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone" BUILDING. BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax — Resi/Mobile BUILDING BELEC1000 Elec 600V <=1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL ELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING r BMITIGATC Comm. Housing Mit. Fee BUILDING 17V 1 of