06060035 CITY OF CUPERTINO I�,FTaY'1Y�ea,{��3 may"
BUILDING DIVISION PER +z �Lt`.I.RACTQR 11tA4�A- -IV,
ala ,
BUILDING ADDRESS: ALL SEASONS REMODELING Pm.,TND.06060035
10475 IMPERIAL AV
'S NAME: I PERMIT ISSUE DATE
TSUN STEPHEN N AND GINGER 219 DEMPSEY RD 06/05/2006
PHONE: SANITARY NO. CONTROL NO.
(408) 946-4744
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG EISCT PLUMB MECH
O
o0 LICENSED CONTRACTOR'S DECLARATION lob Description
u 1 homby affirm that 1 am licemod Order previsions of Chapter 9(commencing P
wide Secdno 70110)of Division 3 afthc Busincts and Pmfaaamns code,and my]Icense is
lsfull rnmya+a�n�dyef.r�ael. y-- ` B PROPOSED 242 ' ICBD PATIO ENCLOSURE W/ ELECTRICA
5'`5``'x-�seder ON A NEW CONCRETE PAD
Aacx 1Ecrs DEcuannoN CALCULATED AS GARAGE: 242 ' X 56 . 38 = $13639 . 12
it a I understood my plane chap be used as public mcaWe
i 1!U
c Licensed Pafcuionel
y OWNER-BUILDER DECLARATION
I I hereby&Rrm that I em exempt from IM Cenracues License Law for the
a following moon.(Section 703 1.5,Business and Prefesdom Code:Any city m county .
:22 whreh men.•permit to cru aw0.elm,.improve.demnluh,or repair my strualurt
z P, prior m its issuance.also requires the applicant for such permit to 0te asignrd eutemmni
a�<
that he is licensed pursuant retie provisions of the Conu¢tues license Law(Charter 9 Sq.Ft. FloorArea Valuation
(commencing with Secdon 7000)of Division 3 of the Busiwa and Pmfnuians Code)or $13640
that he ls exempt Nemfrom and the buss for the alleged conscription.Any [.led an of
Section 7031.5 by Ory applicant(or a permit subjects the applicant to a civil penally of APN Number Occupancy Type
not more Nan Rw hundred dollars(55001
❑I.aawner o(Ne prepuy,ormY wployma wide vngcau Nedale compensation,
willdIthea.k.ardlhesmanlutelsnotdtendedaoRerrA for We(Sec.1044,Budxv - Required Inspections
and Professions Cade:The Con rwush Laura Law docs ani apply m an mew of q P
property who Wlldearimprotes tMmhand whodeassuchwak himsel(ar through his
own employees,provided deatemh impreveroenu tee not intended oroffered(orale.If.
however,the building a imprewntem is sold within arc year of ccmpledoo,the owner-
builder will bum Ne burden of proving that he did not ddb or improve(a purpose of ��
ate.). NALE
[11.u owner of the property.w cadusively conuaning with Becned conoactars in
comeacam Laest Nees not (Sec.7014,Busiener of sham(who
Code:)The Coauamon.oe3 nd
cense law does not apply m m owner of property who builds rn imprevea Neaxn.red,
who mntmcufor such projects wiNaeanuacmr(a)Ikcued pununtmtk Canuactorl _ . fj'a 0
License Law. V eV
C]IA.escmpt under Be, ,B BPC for this mover
Data
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury we of the folkwln{declarations: rLi
NG
❑I hart and will maintain a Certificates of Consent he self-insure(a WadmYSCompen-
ation,Is provided for by Section 3700 of the labs Code,fa de perrarmanm of the
work for which this permit is issued.
❑1 haw:and will inainuin Workm s Compensuan Tuurm e.as required by Senior,
3700 of Ne Labe Cade.for one performanaaf the work fa which Nu Permit IS laved.
My Workm/es Compensation Insurance carrier ad Policy are:
Gsdert/' r�L O Polley No.: j SOD
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
(Thlssectio t wed notbecompleed Odee permit is forow hundred dollars($100)
or leu)
1 certify that In the performance of the work for which this Permit is Wood.I shall not "
employ any person in my manner so u m became mbj=t to Ne Worker'Compensation
Laws a(Cali(omia Dam
Appliwu
NOTICE TO APPLICANT:If.o(mr making this Gn10cae of Examinant.you shauld
become subject as dee Worken's Compensation previsions of the labor Code,you must
O O forthwith comply with Inch provisions or Nu Permit Nall be decreso
ed aked.
? CONSTRUCTION LENDING AGENCY
[� Ihemby LM.deo dart tea construction lending agency for performance perfoue of
C> Ne work for which this pemtit ls issued(See.3097,Or.C.)
R7 Q Lcndces Nuns
Lender's Add.
nz
U O 1 certify that I haw mad Nis application end sum this the above infomudon Is
IL.F conncL I a{me to comply with all city and county ordinances and sum laws rtutiag to
0 building convection,and hereby euthomm repremnutivu or Nis city to enter upon the
W ahove-mentioned property for iupecuon purposes
(We)agree to save,indemnify and keep harmlmu Ne City of Cupertino aseiut
liabilities,judgments.coca and expenses,which may in any way&cane against said City
()Z in consequence of the granting of Nis per3mit. /
^� APPLICA UNDERSTANDS/AryryANN//D//3//WWL//L{{COMPLY WITH ALL NON-POINT Issued by: Date 6/ J-4--61
SOUR ULAT]ONS.��j� — 6�
/3Ywc.s4r"�
Re-roofs - -----1----�
Si naurt of Appll HAZA aa—
US MATERIALS DISCLOSURE Type of Roof
Will Ne applmant a future buildins Oecapmtmae m handle haardous material
d by the Cupertino Municipal Code.Chapter 9.13,and flue Hedth and Safety
.wSection 23532(a)7 All roofs shall be inspected prior to any roofing material being installed.
❑Ycs a<
Will the applicant at futum building Occupant use equipment or dcviaa which If a roof is installed without first obtaining an inspection,I agree to remove
emll haurdous air conuuinu s u dcRmd by the Bay Area Air Quality Management all new materials for inspection.
District?
0 Y0 ErN6
I hew mW the harudous materiels requirements under Chapter 6.95 of the Califon.
nla Hcalth At Sa(clyCodo,Sections 25505,25533 and 25534.1 undcnund thin lrdec Wilding
docs an,curmndy haw•anent.that it u my respaaibilhy m ready Ne Occupant of one
nummw ,pmIt,mkc ria mancemirs onnificano Oroccup9q Signature of Applicant Date
ad — l' �6 All roof coverings to be Class"B"or better
Ownmr or audeommd sten Oate