08010156CITY OF CUPERTINO
•�,77777-, `'�'"` •'
CONTRAGTOR7NEFUitMATIf�1 "*
BUILDING DIVISION PERMIT
,
BUILDING ADDRESS:
10649 MORENGO DR
JOSEPH LIANG
PERMIT NO.
08010156
W NEWS NAME:
PERMIT ISSUE DATE
10649 MORENGO DR
01/28/2008
PHONE:
SANITARY NO. CONTROL NO,
ARCHI'rECTIENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0
LICENSED CONTRACTOR'S DECLARATION
Chapter
Ib Description
OeSCrIp
Provisions of 9 (comencing
1 hereby AM. Nal I am Pretend underm
with Section 70M) or Division 3.fh, Businw and Professions Code, and my license is
REPLC TOILET FIXTURE,ADD 1 GFI PROTECTD 20AM
in full rota and affect.
wcenseclaae Lie.
CIRCT, REPLLC SNK, ADD MECH EXHAUST FAN & ADD
Dem_ Contractor
ARCHITECTS DECLARATION
1 / 2BTH'
I undcssand my plans shall M used As public records
-
Licensed Professional
OWNER -BUILDER DECLARATION
1 hereby otirm that I am exempt from Ne Contranaes License Law far the
following mann. (Section 7031.5, Business and Professions Code: Any city or county
which requires a permit to conewet alter. torrent, demolish, or repair my structure
prior an its issuance, also requires the applicant for such permit to file asigned stammem
be is icensed to the of the Comment's ccnsc LAW (Chapter 9
Sq. Ft. Floor Area
Valuation
that pursuant provisions
1000
(commencing with Section 7000) of Division 3 of Ne Business and Professions Code) or
that he Is exempt therefrom and the bass for the slicked exemption. Any violation of
Occupancy Type
Section 7031.5 by any applicant for a permit sobjecu the applicant to a civil penalty ofNumber
not more In five hundred dollars (5500).
3 7 5 3 4 012 :q(
❑ 1, ss owner of Ne property, a my employees with wage as Net sole compensation,
Required Inspections
will do the wars, and Nestructure is vottmumded orvRered fm We (Sec. 7044, Business
and Prufess est Cade: The o ntrsamrs Lice= Law does not apply in an Owner of
pmpWy wM bui ld s or im proves thereon. and who does ouch work bimsel f or through his
own amplayecS, provided thatmeh imposomments ma not intended Inflated formic. If,
however, the building or improvement is sold within one year of ompleoan. Ne owner.
builder will have the burden of pouring Nat he did of build or improve for purpose of
safile.).
X1, as owner of the property, em exclusively contracting with Bcansed conuxmrs An
construct the project (Sec. 7044, Burow and Professions code:) The Cmisactnrs U -
come Law does not apply an an owner of property who builds or improves Nemon, and,
who conows for such Fee MlN a conuacto licensed partner to Um Canaactors
License L.w.
declssaUaus:
❑ l have and will maintain a Cenifiamof Conant be self-ineum fm WaM1ersCompen-
antion, a provided for by Section 37W of thin Labor Code, for Lha performance of Is
week for which this permit is issued,
❑ 1 Mw and will maintain Workers Campemetlon Insurance, as required by Section
3700 of the Labor Code. for the performance ofthe work for which this Permit is issued.
'
My Workers Confining.. Ins... carrier and Polity number art:
Cartier. Policy No.:
-
CERTIFICATE OF EXEMPTION FROM WORKERS'
,
COMPENSATION INSURANCE
(This switch need mthecompleted If the perreft Is formic hundred dollars (5100)
m mss)
1 artifv Nat In In pertwnana of the work for which It. Permit is owned. l shall not
employ my pemon in myoerso aambCLame sobject in the 'C Sad
or Cai
I.A.r
iferna.
Applicant
rriate
NOTICE TO APPUCA , after making s of Exemption, you should
become subject m the oftes CmnPcrwdon prounion. of the Labor Cede, you mus
forthwith comply with such Provisions or this Permit hall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby tint Utert is lending agency for the performance of
chem
sed(Beconstruction0
Use work for which Ns permit s slued (Sea 309'4 Ci, C.)
Lenders Name
,
LendetS Add=
1 notify that I haw mad this application and saw that the show ofteni is
corrttt I agree in comply with all city and county entrances and Sas laws relating m
building construction, and hereby aumadse expresentstim of this city in entre upon the
'
show -mentioned Property for inpecUon Purpnea
(We) agree to save. indemnify and ka¢p harmless the City of Cupertino against
j liabilidea,judgments, costs and expanses which may In my Way Account against said City
I. extent ... of the granting or this it
APPL NT UNDERSTANDS A ILL COMPLY WITH ALL NON -MINT
Issued by: Date
SOU
am
HABARDOUSM AIS DISCLOSURE
WIIl tie applicant or futma bulldr accupmtstore arhandle t urdous material
Ax delimit by the Cupertino Municipal Code, Chapter 9.12, and tie Health and Safety
Section 15532(a)?
❑Yes �J Na
All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtaining an inspection,agree to remove
Will the applicant or future building weepant use equipment or devices which
.1
emit haaemnus air contaminants as Ikfrncd by Na Bay Area Air Quality Management
all new materials for inspection.
District?
❑YesNu
1 haw real the hmaNnusmemras requimmenu undcrChapmr6.95 of Ne Califor-
niaHealth &SafctyCode, Secdou25505,25533 and 25534. lunderssnd thatifft building
does t currently have a wean( Net it y responibllity m Ivory the woww t of Na
Z I Dam
NUT