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CITY OF CUPERTINO�
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BUILDING DIVISION PE
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BUILDING ADDRESS:
RICHARD KIM CONSTRUCTION
PERMIT NOO 6 0 5 0 2 2 9
10094 JUDY AVE
R'S NAME:
PERM17ISSUE DATE
DONG CHUL CHO
2340 MONACO DR
09/11/2006
PHONE:
SANITARY NO. CONTROL NO.
(408)206-8369
ARCHITECT/ENGINEER:
BUIIAING PERMIT INFO
_
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
Job Description
I Wreby air,. that lam lictmed under provtsirm of CAapmr 9 (commentlng
with Section 701)(B of Division 3 of No Business ad Prrfeaduts Code, and my license is
infull force anddirea
SFDWL: 2 STORY 41041./GARAGE 6531
Licence claw Le.d
Dam Lt..Co-bruclos'
SANITARY IS SUNNYVALE'S JURISDICTION
ARCH LEC S DECLARATION
I understand my plana shall W used a public records
Licensed Professional
OWNER -BUILDER DECLARATION
I hereby aRnn that 1 am exempt from the Conuacwrs License law for the
following reason. (Section 7(131.5, Business and Profession, Code: Any city or county
which mquira a permit to cmutrucL altar. W prove, demolish. or minor My swerure
prior b its issuamd, also requires the applicant for such pc mitto file a signed sulement
Us.. law9
Sq. Ft. Floor Area
Valuation
the he is licensed punuanuo de provision of No Contractor's (Chapter
Section 70(0) Division 3 of the Business and Pro@ssirn, Code) or
$916591
(commencing with of
that he in exempt Nesefmm soul the basis far de alleged exmpdon. Any violation of
Section 7031.5 by any applicant for a permit subjects the applic uL to a civil penalty of
APN Number Occupancy Type
not mom than five hundmd dollars ($5007.
0 1, u owner of the property, Or my employcm with wages ss their Win eompemedon,
3:1514:010 60
willds NewnA. andtheawnnmisnntinmMeim.f(rtd roraam(Sec.70a4,Bmmms
Required Inspections
q P
and Preed.. Code: The Commodes License law dam sol apply w an owner of
property who builds or i mpmwa thereon, and who does such work himsel f or through his
mvn employon, provided NmacA Improvements art not inmsMW oroRead torsade If,
however, the building or imp owmant is sold within can Year of crmPlamm. Nc owner -
builder will have the human of proving that W did not Wild or improve for purpose of
a J.
1, as an, or Ne property, am esdusively eructing with licensed commomrs to
tomtmcl Ne pmjea (See. 7014, Businea and Profession, Code) Th Cot ,'S Li.
come law dos not apply w an owner of property who Wild or Improves Noreen, ad,
who contracts rat such projects with a contwcwr(0 licensed punwnt On the Contractor's
License Law.
I. efts mdersec.B&PCF do n
ec Dam, I
W(IdUKER'SCOMPENSATIONDECLARNHON
I Wrtby affirm under penalty at perjury can of the following declarations:
of
sa 1 Aave and rill mainby for far Worker's Co
dic Laborof the
Ss bo n 3700 of de Tabor Cede. for Ne petfotmume of Nt
worn, provided for Section37M Code.
mi
work far whish Nu permit is issued.
r
,
0 1 have and will maintain Worke(a Compen,men Insurance, as required by Section
3700.1' Ne Labor Code, for Ne performance of Ne wedc for which this permit Is issued.
My Wmkce. Compeosatio Inset. artierend Policy number am:
,
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
ffhts section need nothecrmpked Ifth permit is foram hundred dollars ($100)
or les:)
1 cenih Not in Ne pmrrrmamc ort . r w Nis pedal ) isseed. I Null ort
,
creployanypermninanYma s A(�S c permN 'rkeri Compen,atirn
laws of California. On
APPlianl
NOTICE TO APPUCANT.W. Nmr fling this eni0am or Escmp lm. you should
Women wbim a the Werkces Compensation provisions of the lahos Cede, you must
' forthwith comply with such provisions or NU Permit Nall W deemed revoked.
3
CONSTRUCTION LENDING AGENCY
I W Nat Vert us tt Caney for Nc perlormame of
r which (Son. 3 . Civ,
' theLe work for whicA tills permit u (coed (See. 7097. Civ, C)
Leaftes Name
lendefs Add.
1 cuddly that 1 have read this application and sum Nat the above intonnadun lu
' cmmct 1 agree to comply with all city and county ordinances and sue laws totaling to
Wilding eoneuuction. and hereby amhrnve mpresenwivcs or this city w enter drum the
.levo-memiuned propeny for incKcdom rt rpone.
(Wo) agree to san. indemnify and keep hwmless the City or Cupertino against
I liabilities. judgments. casts and expenses which may in any way scene against said City
' inconsequence of the grntimg of Its permit
N POIWT
G>/
Issued by: Date r�
APPLICANT UNDERSTANDS AND WIguefc LL Cy/MPLY WITH ALL
/
SOURCE ATIONS. l (/� Qv�// a
(�' � l
Re -roofs ��—
Type Of Roof
sign ApplicastAC;4fieur Who
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HAZ DOUS MATERIALS DISCLOSURE
Will the applicant or future Wilding aceupwtsmre er handle lodsom os man is
u de0ncul by Use CutIno Munici al Code. Charter 9.13. and ft Health and Safety
Section 25532(a77
All roofs shall be inspected prior to any roofing material being installed.
0y. e
If a roof is installed without first obtaining an inspection, I agree to remove
Will dm applicant at future building occupu tusecquipmentordevices which
cmithaeaddnmaircoumivnu rmanedbyOeBayAreaAJrQmdityManagement
all new materials for inspection.
District?
❑Yes Nu
I have mad Ne bawtdous mamrials requirements under Clap tar 6.95 Of the Cali fon
nu Health&SafctyCodc, Sections 25505.25533 and 25534.1 undersand Natirthe building
tify the cupwt n Ne
does not curren0y haw • enwl that it IS my'hiiity m oec
mqulremena hmouWact Pd mind CcnlreamrtA
Signature of Applicant Date
// p
All roof coverings to be Class "B" or better
Ownerer atha± rat Dam