06040141 CITY OF CUPERTINO 'r �tg� A" e
BUILDING DIVISION PERMIT0 �- �RgT,N'k'bATIO
U rKzni •.rt tWUN ",4"' s3^„
BUILDING ADDRESS: WARREN CONSTRUCTION PERMIT N°'06040141
22350 HOMESTEAD
la NER'S NAME: A PERMrf ISSUE DATE
HARRINGTON PROPERTIES 3707 EL CAMINO 006
E: SANITARY NO. CONTROL NO.
(650) 494-3288
ARCHRECUL'NOINEER: BUILDING PERMIT INFO
BLDG ELECT
PLUMS� O
,top LICENSED CONTRACTOR'S DECLARATION lob Description
m 1 harcby arm Nat 1 am licensed under pmvlaioas or Chapter 9(comrocncing P
(u with Section 70(10)of Division 3 ofhe Business and Professions Cade,and my license is
in full fmceanderiecl REMODEL STOREFRONT/RECONFIGURE PARKING/RESTRIPE
Licence Clw Lk.g REMAINDER REPLACE SIDEWALK/ADD DEMISING WALL
Data ARCHITECTS DECLARATION COVERS 22350-22382 HOMESTEAD RD
i"3561 I undcnunal my plans shall be used u public records
Licensed Pmransional
s OWNER—BUILDER m the CATION
I hereby.Iiia an I 1 uempt from the leanum,Co :Any c Law for tits
o o (allowing moan.(Saban 7117 sur Business and owe.datum Cade:Any city m county
%$ which rtqutm a permit re ennetruct dile,hnprom,h parnos t or repair ed suumurt
htornttsesedIssuance.erso sInlUse Ntaapplkant for mmhparmt"Liu mLaw(Chap=9
e` NatheolicomodPumantntieprovisienso(NeConuaaeeikcmaw(ChaPm9 statement
Sq.Ft. FloorArea Valuation
1� (commencing with Sudan 70110)of Division 3 of the Business and Profusions Cade)or $265000
9 that he is aumpt Iho armro and the basis fm the alleged camption.Any violadan of
Section 7031.5by.try applkmt rum a Permit subjects the appgeant he a civil Penalty of APN Number Occupancy Type
ret mom Nan Bw hundred dollars(5.300).
O 1,ua ofgnwepmy.mmymploymwithwageuEnvinkcompenssdon, A4 A
wise do thewark.and Neswnurt 4mrknndndmaRertd formale(Sa.70M,HusitumRe uired Inspections
and Pmfeulons Code:The Communes License Law does ant apply to an awmr of q P
property who bundsm ireproms theon,and who does such wart himself or Nroagh he
awn mPloym,provided out such improvements m no intended oroarf W for sale.H,
however.the building Or bmp comer is mid within ons Year urearoPktion,gds owmr-
builder B have the burden of proving that he did ret build or improve far purpose of
uk.).
u m
awr of the p.P ny,aro ac lusively comment,with licensed contractor n
wnsuum the project(Sec.7094.Business aha Professions Cade:)The Contrauses Li-
mns,taw does not apply to an Owner of property who builds or hnprow themen,and,
who comer for such pmjecu with a contra s r(s)licensed pursuant at dee Conuames
License Law.
❑Ice este oder .B&PC famous mason
Dm 64Z�
KRR'S COMPENSATION DECLARATION
I hereby a under penury of pedury am of the following dalmtireaL
0 Iha+e and ImsinWn a CeNOesmof Camenttoself-i corm Worker's Campco-
suntan,u Satiprovided run by on 3100 of dee Labor Cade,for cm performance of the
work for which this permit ts heated.
❑I have and will maintain Wmaces Comptoumm foursome,at required by Sudan
3700 of the LaEer Code,far the pecfarma ou of the work fm which thts Permit is home.
My Worker's Compensation Inmrame canter and Polley number m:
Cartier, Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE -
(ThksaUm reed mtbecampicud Hobe permit a fame hundred da0m($100)
or less.)
I Wnify Net in the performance of the were for which this Permit is hawed.I siWl an,
employ any pamnina manors nbecome subject to/de�or�/�t�Compenndm
Laws of California. —. mrsf
ApPliunt
NOTICE TO e P ,a tar matlng thts Certtfon of EaemP6an,you Nauta
become aubjmt tot M1 Compensation provisions of the tabor Code.you meet
.JO forthwith comply wins Provinces or Nu Permit Mail he doomed revoked.
,Z,t tiCONSTRUCTION LENDING AGENCY
(~ 1 hereby aRirm that diem la a constmctam lending agency far are part...of
a> the work fan which this Permit is Issued(Sm.3097,Civ.C.)
aQ Lualm s Name
z Ludees Address
U O 1 epNfy that I have mad this application aha fun that ge above information ts
IL f^ contact.I ago as comply with all city and county onairemees and sou laws relating in
�U building construction.and hereby authome mproMoUtivu of this City n color upon the
O7 above-mentioned pmpefty for inspection purposes.
0. (We)agree to save,iodcmnify and kmp hamkss the City or Cupcftino against
aE•+•i TL4] Itabiliale&judgments.came and espusea which may to my my come alt said City
U Z to consequence of the g an' g of this permit. C 3 QV
^ APPLICA UND NDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOUR U S. /
AO Re-roofs
of 1 Dan Type of Roof
HAZARDOUS MATERIALS DISCLOSURE
WW plkant orfuture building occupant cert or handle havNms mamnl
as de0nnd by the Cupertino Municipal Code.Chapter 9.11.and the Health and Safety
Sudan 25531(a)? All roofs shall be inspected prior to any roofing material being installed.
r]You 93Na
Will Na applicant or future building occupant um equipment or device which If a roof is installed without first obtaining an inspection,I agree to remove
emit hmndoua air contmhumas u Joined by the Bay Arca Air Quality Management all new materials for inspection.
District?
❑Yes Nu
1 ham mad thehuaNansmenriats requirements under Chopnrd.95 ofthe Califor-
nia Hu1N&Safety Code,$atime 35305,2S5J3 and75534.1 understand NRifNc building
Jce of cum ly a cant,Nub aponsibtlity un cotth occupant of Nc
uiren
msm melnorniuummafaCcrdfmazol'Zu Signature of Applicant Date
/�/O b All roof coverings to be Class"13 or better
Ownerh i Ewe col Dan'