08070061 CITY OF CUPERTh 7" 7•.Pxo.5w `°"
BUILDING DIVISION PERMIT COMTRACTWINFORMATION
BUILDING ADDRESS: PERMIT NO.
877 LONNA LN SMART WINDOWS, &.,DOORS 08070061
R'S NAME: - PERMIT ISSUE DAIS
PETER ZHU 21615 HESPERIAN BLVD 07/10/2008
PHONE: SANITARY NO, CONTROL NO.
(510) 887-6010
ARCHIIECTYENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
w0, LICENSED CONrRAf=R'S DECLARATION IObDCSCrIIOn
u F 1 hereby alarm Nu I am licensed under provisions of CMIpmr 9(commencing P
`uj withsmile.7")ofDivision7ofdkBusinessandProressiamCWO,anamy[iee—u RTRO FT WNDWS LIR4LIR, CTDWN 3 WNDWS FOR
^ N tafullforaan cf(
5qz Llceme 1^ 7 C)- 4io.I ✓� EGRESS N BDRMS, 1 PATIO DR NEW CONSTRCTN
;gip D.Ie a ConorL
e ARCHITECTS DECLARATION
U 1 understood my plans shall W used as public mcoNr
ed
L D r^ Licchhmd professional '
5OWNER-BUILDER DECLARATION
i 1 hereby aPrm Nat I am exempt from the Cantrauoes Uccnm Law for the
❑O following nesse.(Scetien 70713,Business and Prefecsimu Cade:Any city or county
3$ which ngnims a permit m aumtrw.,her.improve.&omlah,or¢pair my awetum
zi prior to its issuance. ]an lCquires the applicant rorsuch permit in file a signedstatement
<
that heullcemcdpunuenttotheprovisionsoftheContrecmr'sUcceseLaw(Chaper9 Sq.Ft.Floor Area Valuation
y�$ (commencing with Section 7000)of Division).(the Butlrcv and Pofeuioa,Code)or $7500
f — dust he is exempt darefrory and the hour for fie alleged ezempuon.Any violation of
Section 7071.5 by any applicant for a permit subjects use applicanuo a civil penalty ofNumber Occupancy Type
rot mare woo five hundred dollars(5500). 3 5 919 0 3 0.,l7'V
❑Luownerk.tie property,fir myamployces wive cagesrthe(sole c ,Busivan,
will da the liar,and thestmmme nnos,I—ed or pew do rnrrole(Sec.7W,B.of
and enywhans cane The improves
decor, nd who law uch or apply f an mvtc fir Required Inspections
Own enywho Wilds or e d that such
who aansuch ward tholl f orI mugE his
own employees,provided that,uch improvements art oat intended aoRered forsale.lr.
however.the tared e, fir i ere ovpmatg mid within of hoar improve
m roe for we owrcr-
Wilder ri0luve the borders of proving Wt he did not bhtiW or improve(or purpose of
isle.). - .
❑1,to owner of tie PropenY•w uclusively...anon,with Bansed anvoctma in
counteract the Pmlcm(See.7064.Business and Pafessions Cade:)The Contractor's U. .
chose Law does not apply to an owner of property who Wilds or Improves thereon,and,
who contracts for such projects with aconuacm(s)licensed pursuant to we Grottoes
License law.
lam uemptunaer Sec ,B&PCforthishmen
Data
WORKERS COMPENSATION DECLARATION
I Earthy affirm center penalty of perjury one of de following dedaratiaru
I ham and will maintain,Cenifials of Consehn he self-insure forWorker'sCompen-
urian,o Providefpe Scctian)700 of we Labor Code.far the performance of the
work,for which this permit is isuscd.
❑1 ban and will maintain Worteh Compensation louranre,as no mmd by Section
57W.fdm Labor Code.for the Ndormerueofma work for which this .it alcuM '
My We pe �an Who curia aM Policy number art:
Cartier Q Policy No.:
CERTIR TE •EXEMMONFROMWORKERS'
COMPENSATION INSURANCE
(Thur sectio aced mtbeeanpleed if tie permit urfmoa hundred dollen($1001
aleu)
1 certify that in we Performance of the work for which this Permit is issued.I shall not
employ any penan in any matter so as in became subject in the Wortera'Compensation
Laws of California.Dam
Applicant
NOTICE TO APPLICANT:If,after making this Cenifiae of Exemption,you should
become mbjat in the Wahefs CanRn+auon prosiaiehta of de labor Code,you mons
.0 O forthwith comply with such provisions,a this permit ahold be deemed rooked.
ZN CONSTRUCTION LENDING AGENCY
Cri we vmhhereby 'Wsthat
Nem is.comtroninn lending agency for the performance of
Qfor pe'r'mit is Issued(Sao J097,Civ.C.)
Lender's Name
z IaMer's Address
U O I emir,that I have read this application W shote that the aWve intmmada Is
IL ^ came I'.m Comply with all city and county adi.am a=Ire Naung in
0 Wilding construction.mad Wreby mtharia rtpmaanuuves ofthis city to enter upon the
a Wve-menudgm property for impaction uon puryoes
F y (WO agree to nose,indemnify and top hemless the City or Cupektine almost
fn Iiabmuccon..of me
and tape••...which may wanysvay,cmuc,goiotsaid City
U ',� A APPLICANT
U the Brantin8 it
�-o APPLICANT UNDFA 5 AN WILL COMPLY WITH ALL NON-POINT Issued by: Date
50 EGUt.ATI S. j")y zlif
�1_ Re-roofs
un of Apphon tn
anmor Data
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will
Rapplicant mfuture buildingeaupant share Orhandle allow material
etl y the Cu,scrtno Municipal Code.Chapter 9.13,and theHealth W Safety
Section 25532(.)7
❑Yes $No All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or ffutu_re Wilding axupmt use equiperat or t cA=which If a roof is installed without first obtaining an inspection,I agree to remove
emit harardna air contaminants as defined by the Bay Area Air Quality Mutagcment all new materials for inspection.
DisuictP P
❑Yes
I have mal de ha arwvu maeriaurmquiremcrnsuncerCheperA.95 of de Califon
nu Health&SaretYCade,Scevorho 25505,25571 3 I undcrsund thatifde building
does rot canto eve•enane Chet it u m pomihili m notify the occupant or the
rtquimmc lilt' »bcmet orwi ofaCcnfirae ayy.ncy. Signature of Applicant Date
LG ��
Owner or All roof coverings to be Class'%¢."or better
out .nod agent Dau