Loading...
08030042 'TY OF CUPERTINO �, z " u•,:; s = -"� a:, na„, + BUILDING DIVISION PEPJVHT UNCI2AC'1'4R T�TF©RMA IUk�.w hed'5eu}&+��a „a BUILDTA MAR DR MICHAEL A SALADINO P� TMT 08030042 EER`'SS 2N5A4MEE: PERMrr ISSUE DAM ICHAEL A SALADINO 19840 LA MAR DR 03/21/2008 SNE: SANITARY NO. CONTROL NO. AacHLTEcrrarvclNEER: REMODEL BATHROOMS, KITCHEN, BLDG BELieCT PLUMING PERMIT B MECH 0 0 0 0 300 LICENSED fanatical under F I hereby ))mf dw 1 am IiauW under d Pisiam of t Code, 9(commencing Job Description xx`uj with SccrceandU)afDivislan Sof Nc gumnca and Profeuioru Code,and my license is n p H in full force and effecr. Z License Class Lk.Y Dam. DE Contractor HITECTS DEC ARCLARATION I untlenunJ my pias Nall be used as public records " g Licensed Professional Sy OWNER-BUILDER DECLARATION <� I hereby a1Bm that I am toren t from die Contractor's License Law for the Eel O following recon.(Section 703 1.5,Business and Pmfawast Coda:Any city or county 11� which mqulma a permit to ennslruct alta,impmw,demolish,Or repair any s racism zy prior to its issuance.also requires the epplicaal for such permit to file a signed suement �D Man he is limned purmanl in the pmviskns of du Cmumur.License taw(Chsptm 9 Sq.Ft.Floor Area Valuation $ (eomenndngwith Sewon70 )of Division3of Oe Businruand Pmfmiom Cmfe)w — that he u eumt therefrom and the buss for the alleged csempdon.Any violation of Section 7031.5 by any applicam for a permit subjects the applicmt to•dull penally of APN Number Occupancy y�, e cot mare Nm I.hundred dollar(5500). P y ' p ❑1,u owwr of the popaty,m my=ployew with mges u Neirmk eomperoa0on, will do die work,and theshunvm k nmiam ded woffered foraale(Sec.7044,Bwiwaa and Pmfeuktn Code:Tho Cwhminr's Licosa Law does not apply to an owner of Required Inspections Property who brei ld or improma thermn,and who daea sash work himsef ar through his ownemployees,provided thnmch imFrowmenu art=linunded woQemd forsale.IL how wr,the building or improvement is mid within au year of completion,tie owner. Wilder will haw the burden of poling Nu he did at bdk w Improve for purpose of TARY mild) kj'I,u owner a the Property,am uclvaively caurneung with licensed co urnmew as �,'"c constocl the prolmn(Sec.7044,Baskm mal Pmfaassoro Code)TIC Contractors U. case Law does not apply to an owner of property who builds or imposer thereon,and L wM convects[w sucltpoleeu widw conwcmt{a)Ikensetlpmwntmttr Canoacor's, ,:^' License Law., ❑Ismu pt vada Sec Bk PC far this mason a' Dau WORKER'SCOMJj SATIONDECLARATION I hemby aiBm under penslty of perjuryoro of the fallowing dedarWwts: haw and will mssnWn a Cto iEwu of Conserv m self-Insure far Wwkce.Compen- 1307YOO n.u provided fu by Section PW of the Labor Cade.for the performance of the far which this permit is issued. have and will maintain Worker's Compensation Inmuulce,u required by Section of the labor Coda,for tie performance of the work for which this permit Is seems, ' orker's Compensation Wasurace tarda ens Policy number am: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thissec0an wad at be completed if the permit Is forum:hundred dollar($100) or kat) I certify that in the performance of the work for which this permit is imus d,l ssW I nor, employ any permnin any;:;am ro, 'beta m subject an Workers Compensa0on Laws of CalifDau APPO=n APP)ICAN1w NOTICE APPLICANT:IL Commaking n Lef m Later Code. you ushould am become subject to the Workers Comp:nsdtion previsionsimai of tie Lader Cade,you mute .J O forthwith comply with such provisions a the permit Nell be dcemcd mmkcs. .E-m y CONSTRUCTION LENDING AGENCY F+ 'I hereby affirm that Marc is a contraction lending agency far the performance of 6!> the wail fur which this permit is issued(Sec.3097,Civ,C.) WM Q lender's Name Z) z Lender's Address V Q 1 certify dust 1 haw reW Ods appllutien and sou dust the abow information is ty =nem I agree k=reply with all city and county a llomeu and auk Ism missing to Wilding construction.sad hereby suthodre mpremnutiws of this city to enter upon the (ld show-menudg property for le penies puryoset (We)atm.to taw,indemnify tad hep harmless the City of Cupertino against y liabilities,Judgment,of the trading expenses which may in my myac=C agssnsluid City t..)2 APPLI ANT UNDERSTANDS RSTANDSg Of thiND WILL Date' Z( ^ APPLICANT UNDERS7AND5 AND WILL CO PLY WITH ALL NON-POINT Issued by: SOU�C R,E�GU,[,.QATIGNS. k `"""v' Z — uQ l't0 30/ Or Re-roofs i�at? ase of ApplicumfOontnctar Dau HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will duo applicant or 0tuuc Wilding occu nimrtore arlssnde hetrdow materiel nted by the Cupertino Municipal Cade.Chapter 9.15,and the Health and Safely .section sss3x(a)] All roofs shall be inspected prior to any rooting material being installed. ❑Yes (}}ttla If a roof is installed without first obtaining an inspection,.I agree to remove Will the applicant in factum dafineg by ft Bt use equipment or devices which g hvaNnua air cruminants u daOmA by the Bay Area Air Quality Management all new materials for inspection. / P pvca M.efu I haw read the heraNnurmmesalsrequirernmusad C'hapter6.95ofile(Slifor. ria Health Safety Cada.Sectoman505,x5533ssMx5534. and thssif tie building Jess=1 ndy haw a tenant dm IImy reip)nsill' 'to notify dC aceupanl of the require which a=besum isuanceara Ra or mpaay, Signature of Applicant Date Z Owner Or authorized ager Draw All roof coverings to be Cl 'na'or better � g Class'W