08030126 CTTY OF CUPERTINO
BUILDING DIVISION PERNIIT .COITRrLTOR INFO,RMt1.TIQ-- moi:
PERMfr NO.
eU"TT1TIESEEOLA CT # 1 L&L FURNITURE AND CARPETS 08030126
SWSS.N5AM1E: PERMIT ISSUE DATE
TSAI—FENG & MIKE C WU 6940 MISSION STREET 03/24/2008
PHONE SANITARY NO. CONTROL NO.
(650) 756-8100
ARCHITECTIENGINEER: " BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
30 p LICENSED CONTRACTOR'S DECLARATION lob Descrt tion
1 hereby Arm Nu 1 am licensed under provtsionm of Chapter 9(commencing p
with Nation 70M)of Division 3ofW Busineas and ProfeWans Code.and my lkcnu is KTCHN & BTH REMDL;NO STRCTRL & INCL
m in full porn and V
5�— uaaeclw Lic.• ELCTCL, PLMB,MECH
v, Dem Co'Wer
CHITECI'S DECLARATION
I mulcom nd my plans Nall be used A public loo
k c In CEmea d Profeumnal
ah�
OWNER-BUILDER DECLARATION
�N I homier alum that I un exempt from the Contractor!License law for the
OO following wan.(section 70315,Business and Pmfeasiou Cade:Any city or county
S$ which mqulra A permit to comrua,alum,impraw,demur W,or mpalr try Amu?.
zot prior AS its isaunce.aaOmluim theappliemt per Such permit to rile a signed Statement
�ti dust It,it licensed personnel m me provisions of the Comments's Loan Law(Chapter 9 Sq.Ft.Floor Area Valuation
e (commencing with Section 700M of Division 3 of the Bushuxs and Plofcssiaru Cade)or $15000
Must he
e3 3 dusI.exempt therefrom And the bullthan
for alleged gumptiAn
on. y Nuluian of
Sad.70315 by arty applicants roar.permit subjects the applicul m A civil penalty of Oe
Lal mon roan rim hundred dallam(S300). MIGOOOOOG�Z�l�umber Occupancy YTYP
I,uowncr oftha propery,"my wplayces with wA{cau Neirmk compewtion,
will do Mewafk,and that muclum is mulmended"offered forsam(Sec.7044,Business
And Prorewau Cade:The Canmemn!Liana taw does net apply to An Owner or Required Inspections
property who builds or improseatMeon.aM who do sluchworkhimselfor Waugh his
man employees,prosided that Such improvements meet mounded"offered far We.IL
bonder willMe
nden owmmtbMid within on year ofcompletion,the purowmr-
builder wiB hew the buNuu of proving that he did not build or impfow for puryoa of
sale.).
❑m a ower of the See.704,B emdusi And
contming wire licensed mntrAcmr i- 1 1
.La the es our Apply
so rt Bn r a and Profession Code:)That Commons Li-
.
F 11u11
cense law does col appy m m owns er property who Wilde sv Co
or unpromore,and,
contracts WaN
ts("iueh N with, conuxmf(!)licensed pnt a the Contrnah
a
Li AAA..•.
IJctnY law.
❑Tun exempt aurin Sa ,Bl PC f"thts won
Dau
WORKERS COMPENSATION DMUFATION '
I hereby aEm under pmdty of perjury as offlue following dabnHmsc
❑Ihawand will msimumACeNriou of Comemmself-imme for Waftes Compere
mire,As provided Ire by Secuan 3700 of tie tab"Cade.for the performance of tie
were for which this permit is issued
❑I new and will maintain Workers Compensation IUWana,u?guired by Section
3700 of the label Codc,fer the perfammce of the Arms for which this permit Is Mussed. '
My Worker's Compensation huusana carom and Policy,mortsbe/r!?' rya
CA"im CERTIRCA�0'S ON N..;AROM ORK���D `
COMPENSATION INSURANCE
mels section need mal becompleed lithe permit is("amahundmAdoBN(SI007
"less)
1 nnih that in the perfomann Of the work f"which this pmol,is issued,I Nall nm
employ any person In my mannerse AS an become mbjret in the Wad?rf Compensation
Laws of California.Due
APpficanl
NOTICE TO APPLICAND If,after making this Cutiriau of Exemption,you NouW
become subject m the Wortent COMMMdon provisions of the Law Code,you most
O forsbwith comply with Such prursha u o this Semi,Nall be domre
ed mised.
'�
,y= CONSTRUCTION LENDING AGENCY
[-s Ihe?by aflim Gus there is a construction lending agency for the perfomaax of
pG > the work:for which this Permit M issued(Sec.3097,Civ.C.)
aQ Landers Name
=z Lander!Address
V(7 I"reify inn I ban Mad this Application Arad Nu that the ebow infomatian is
n.E comet.I a{fct a comply with all city and county ordinmas and sue laws relating So
0 building construction.and hereby authorise reprexnudsn of this city m Omer upon the
W aMw•mentianed popery f"inspectionpuspues
fy�,py (Wc)aguce to sass.indemnify and teep homeless,Use City of Cupertino against
"IA Ilebllities,judgmenu.cosu and expenses which may in my way acrna Against mud City
V',Z in consequence of the{ranting of this permit
o--u APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:. Date 2 4
SOURCE REGULATIONS.
Re-roofs
Sitasture of ApplionVCaNor
u ATER A S DlsttosuRE Type of Roof
Will Wappli "put Ildingaxvpanl So?"haedlchesardaumatffw
defined by the CopeNma Mu Mips]Cos.Chapter 9.12 atm the Hu1N and Safety
.Seedan:553uaD All roofs shall be inspected prior to any roofing material being installed.
❑Yes QAO
Will Ne applicant or future building ocaYnt use equipment at devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit hvaNnas Sir cmumd.ants As defined by She Bay A.Ail Quality Management all new materials for inspection.
DManicG
❑Ya QNa
I haw mad be huamaus materials requirements under Chapm6.95 of sou Cafilm.
ma Hc4IMSLfetyCede.Scedoni25M5,25533md25534.1umkrstsndthuffW building
does not co?ndy new A un m.that it u my responsibility to notify Me occupant of the
requlremetawhichm"be tpdarm Mummctofscwill, of0c Signature of Applicant Date
owmr afanma' .gem � a D All roof coverings to be Class'{."or better