06080123 ------------
CITY OF CUPERTINO . � a 'a�� '� '"�'^� '
BUILDING DIVISION PERMIT CU�ITRACTOORINF'ORMATIOf11,41
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BUILDING ADDRESS: BRIGHT SOLAR HEATING PERMITND.O608O123
20187 LAS ONDAS WY
R'S NAME: PERMIT ISSUE DATE
RANDLE STEVEN 1372 VIA DE LQS--RFYFS QR/17/2Q.0_6
PHONE: SANITARY NO. CONTROL NO.
(408) 723-0181
ARCHITECT/ENGINEER: BUILDING PERMIT INTO
HLDO ELECT PLUMB MECH
0
�oo LICENSED CONTRACTOR'S DECLARATION Job Des6T18n
1 bereby affirm that 1 un licensed under provisions of Chapter 9(commencing N
with Smtion70flyof Division3afthiBuarcsaand rafassium Code.aMmylicenmH
m ALED
orwlrqVAICf;Z=�FS
INSTALL SOLAR ELECTRIC SYSTEM
ice B /08amDEC µI(� g OECLAcAT1O nal my plans Nbe ureal u public rtcn m
?a
'Q 97
Licensed Professional Ikµ'7 Im'y��PysI I{JQ
OWNER BUILDER DECLARATION �f/ '1. 1
I hereby aRrm mal I em exempt from the RATIOlofs Uttnm Lew for the
LLLttt���❑�J
p O (allowing reason.(Section 7031.5,Business and Professions Cade:Any city or county
i$ which requrro a permit to convect,Aller.improve.demolish.or repair my swnune
_iti prior wiuiensedPalm rc to the on,applicantof for mehpemumu Tilere Law(ned Nmmem
Nmhe is licensed Purwantloue provisions ant the Cohtmctaf+Umnmlae summed Sq.Ft. Floor Area Valuation
�$ (commencing with Section 7000)of Division 3 of do Business and Professions Coma or $25250
.. Net he is exempt therefrom and me I ssis for the alleged exemption.Any violation of
Section 7051,5 by any applicant for a permit mbkcts the applicant to•civil penalty of APN Number Occupancy Type
.at mare than five hundred dollen(5300).
❑I.uownerefthepmpmy,mmyemplaycuwith.mureekanleco num do.,
w1I1dONewmk,md Neth umitmlirmMd MaRORdfal k(Sm.7W.BuehmH ns Required Inspections
and Professions atu
Code:The Cactafs ....e row Owher Lew does t apply an lOf 9 P
Property who Wildtmimprovo Nermn,+nd wbodesemhwmkhim+wfmWaugh his
own employes,provided that such improvements are mthdaded oroRered for seta IL
however,the Wilding or Improvement is sold within ane year orcomplanon.the owner.
builder will have dre Wwce of proving that he did ani Wild Or improw for purpom of
❑I,as owner of the property.am exclusively convecting with limned==am to
caowct Ne project(Sec.7044.Business and Profeoiao Cade:)The Coaumtor's U.
cense law does nal apply to an owmr of property who W IW or immuno Iktmn.and,
wW Nevem far such molests NN a mnuxtah(s)Ocensed purnunt m the Canastoh
LIR lm law.
Ilam exempt under See ,BAPCfor Nu tomo
Date
WORKER'S COMPENSATION DECLARATION
I hereby alarm under penalty of perjury ane of the(allowing declarations:
❑I have and will maintain a Certificate of Coonan to selM1mrore for Wmkefs Compen.
watch,as Provided fm by Section 3700 of the labor Cade.for Ne perfomtanre of tie
work for which this permit is round.
❑1 have and will maintain Workeei Compensation Insurer=,as required by Section
3700 of he labor Coda,for the peRarthence of Ne work for which this pamit u issued.
My Wary�a+f Compenntion nom center and Policy n m '
Grtier: \ �•t PoHey No.: V
CER ITICATEOP EMPTON FROM WORKERS'
COMPENSATION INSURANCE
(Ibis suaim head act he completed irthe permit H foram hundred down(SI00)
or Ins.)
I certify that in the performance of the work for which this Permit is issmd,I shall act
employ any pecan In any counter an as In become subject to the Workeri Companallam
Laws of California.Dam
Applicant
NOTICE TO APPLICANT:If,after making this Ccni0cate of Exemption,you should
become subject in the Worker's Compensation provbiam of one labor Cade,you mut
O forthwith comply with such provisions Or Nu permit shall be dressed rtwkcd.
z� CONSTRUCTION LENDING AGENCY
F' I harbywrum that there u a convected lending agency rot the performance of
cG > the work for which this Permit Is mood(See 3097.Cly.C.)
l:4 Q Isndef+Namc
z Landers Addreo
U O 1 certify the,I have road this application and rota that the above information I+
LL F coma.l agree to comply with all city and county ordinances and sole laws misting to
OU building construction.and hereby auNmim¢pmxcnutir or Nie city to enter upon the
[t7 aWw.menutmd property for inspection purposes.
(We)agree to save,indemnify and keep hamdee,tie City Of Cupcnina'iiiiincit
ti y liabilams,judgmcnu,coNendexpeoe+which may in anywiyacnue agalnstmid City
U Z in eooegmnee of the granting of this permit.
^' APPLICANT UNDERSTANDS ANp WL WITH OMPLY WILL N NPOINT Issued by: �6& Date
SOU Ra . 7a
GU
I 010 Re-roofs C7
Signaffifia 0f Appli aCanuacwr ate l
HAZ RDous A ALS DISCLOSURE Type of Roof
Will Ort applicant m future Wi oavpmt start or hawk Wvhdaus material
dcOmd by tieCupertino Municipal Code.Chapter 9.12.was ort HpIN and Safety
.
Section
xss3x(.)? �
Yes All roofs shall be inspected prior to any roofing material being installed.
IF ❑
Will tie applicant or future Wilding occupant tau equipment or Jevico which If a roof is installed without first obtaining an inspection,I agree to remove
emir ha'rudnis air cor mmionn as defined by me Bay Area Air Quality Management all new materials for inspection.
District?
❑Yea vLC
1 haw mad the hvarNws motorists requirements underChaPter6.950f dm Califon
nuH.]Lh&SafnyCaM,Swd=25505,25533vW 25534.Iwwcumnd OwifNc Wilding
docs Out currently have a Waste,that It it my responsibility in misty the occupant of the
mliAnsrgjn k apriorwis enaIsCerRcs y Signature of Applicant Date
Owner wauNodmdagc I aim 6 All roof coverings to be Class"B"or better