01040018 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
RUILDING ADDRESS; StRMTr NO.
7728 OAK MEADOW CT HOMEGUARD INC 01040018
OWNER'S NAh117: - APPLICATION SOD DATE
RAINER 8 SUE KUNZ 510 MADERA AVE 04✓04/2001
PHONIii SANITARY NO. . CONTROL.NO.
(408)993-1900
ARCHITEC'DENGINEER: BUILDING PHR1,41I INFO
HLDG ELECT PLUMB MECH
Ha
= aril th l l a t licenIUCade, DECLARATION - 106 Description
=m I botchy shits,the, nm licensed J under prov prole of n,Cade.l(cunnnunn se
t_� with Sceti.,,r,andrf lJivisinn lorrM1C Rminca and profession,CMc.and my license
in full forte and ef4n.
oas< Lice„se Class I.w.x REPAIRS
IfJ 0 e Dam Comracu,r
F c G ARCM RCT'S DIiCLARATION
wj I uadorstard my dans shall be bled as public mesan
_ce _
a a O Li<cnud professional
Gin I..,es I1,Dr:1(DECLARATION /
at m 1 masa.(lien the 1 1. .Benne from the Co%ions is License Law for,he
C>.r following sumo.(Section]Ip L5.Rosiness and Pmfessians Gak:Any city or county
5 p which,alants a Penni,m corolruc,,aIle,,improve,demolish,o,repair any stmemm
i3= radial.its i...are'rils.equireuleapnlicanl buster penurI
nio r. ,ud,tmctacd
that be is licensed prrundattire pmvis,ons.ftheCoraW: res License Use cnaprer9 Sq. Ft. Floor Area Valuation
(c� ;ng wit Section 7(X)1))of lul n 3 of the Hasibaxs and Prnfcsdnns Calc)
or tl,w hesis exemia Internal,and,Ito basis for,hc Alcged exemption.Any violation
.f Sweden 7031.5 by any applicant far a .it subjects the applicant I..thud penally
of ma more man live hundred dollar,($5b)). A PN Number Occupancy Type
❑L as net of the Pmrets,or my c,upi.,cc,with wages as their mit nnnpcosatiort. ? r
will do the work and the%fo cere is not nended or o1'fcmJ for sale(Sec.044,
Badness aad Vuffc,tan.C no [he Cotareta',Licenw Uvs d:as nal apply to an Required Inspections
r of pmneny Who builds or imposes them.,,.add who does such work himself
e 11......h his own c,n,o,m..,roamed ma,such impromerents are not intended or 101 — FOUNDATION
orfened for suit.If,hnweve,,the nuNdlny or improvc,ncnt Is sold wrbi„m,e teat o!
impletion,the owner-m,imer.iR tire Widen of proving that he did not Wild or 102 — PIERS
completion,
for nurture of%weds
1.03 — UFER
❑1,as owner of the pro edy,am exclusively contracting wish licensed contractors In
instruct the project(sec.7144,Business and Pma%sions Cnde:)'Me Contractors 1.04 — REBA R
Llano,Lew docs en a,ply ,,an sn'waA ,,ep,o,why nnild,n,haprnvcs fare...
and who contracts for such projects with a contractons)licensed pursuant t.to 105 — ANCHOR BOLTS
o'iuni rile N`oole,Sw.
ee ,B&FIC to,tm.teas.,, 106 — SEWER A• WATER
Ow net Date 202 — UNDERFLOOR PLUMBING
WORKER'S CumpENSATION DECLARATION 203 — UNDERFLOOR MECHANICAL
I hereby effort under penalty of perjury one of fallowing declainlinns: 204 — UNDERFLOOR FRAME
❑ 1 hail,and will netat es Cerarcmc of Causer, a selrnsum list worker. 205 — UNDERFLOOR INSULATION
Cnnpenw,ino, as nrovided f.. by Section 37(X1 of the LuNur Cale. for the
hnn,m,ance ar hit work r,r wnith this per,„a is)sums 301 — ROUGH PLUMBING -
Ah.,y add will nedi din wnrkeri Compenseinn Instrance.as rryuiled by Seclion 302
issued M Wor — TUB & OR SHOWER
r. he hi ear Code.for the ar,h r e i,of,he work for which this pcm,it is
,ke' C.,npen.arnnlnsummcetnneramlPm
nlicyann3
erare: 30 . — ROUGH MECHANICAL
r,:rner: IIyy((\\J �/L�/) PAie,Nu,: —-7 _ 304 — ROUGH ELECTRICAL
Clail'l ilCAI ON Oil EXEMPTION FROM WOkKIiRs'
COMPENSATION INSURANCE. 305 — FRAME
(Thi: enonnec:)mafee comploedif'he ler,misormmhanarnldell'^ 306 — HOLDOWNS
($100)or less.)
1 ec,nty,mil in to performance�a'to work nor which this i,cnnir is issued,1 3@7 INSULATION
shall not a,,ably any Person;n any manner so as to beCane%affect a the Workers 308 — SHEET ROCK
Cmnpcnscion Laws of CuIfibar .Dam
A„Bean, 309 — EXTERIOR LATH
N(d ICE-10 APPLICANT.If,alter making this Cenircam of Esem,lim),you should
become subject a me Worker's Con,pcaafan provisions orthe WMr Cade,you past 31.0 — INTERIOR LATH
Q O hmLw;l,c.....y wall omit Pnrvki,I nr this P,n as shall be dcc sd Tuvoked
Z 311 — SCRATCH COAT
F' ^ CONSTRUCTION LENUI NGAGENCY —
C > herebyalliin,mistmereissi...ed ec. 097,gagencyfarthe Peli,m,m,ce 313 ROOF NAIL
:e: of the work lire whitM1 this 1x'm,it is issuaJ(gee.inn.civ.cd
'p ,<,mcr.Name 501 — FINRL ELECTRICAL ENERGY
5 z l.naltr"Address 502 —. FINAL PLUMBING ENERGY
UO 1ecnirythat Iface ad this appland..and%twethatheanweinrnm,aranis — FINAL MECHANICAL ENERGY
4. F., corrcc,.I agree,,comply whh all Aly and county ordinances and zone laws relating S0'v
OU Io Wild;i,sairire0ion.and hcrcby aulho.iceiacscnm'nesnffit,cioymcntcrupon 504 — FINAL BUILDING ENERGY
the.Noe-mentioned pmpedy for ins,cnion nam
tis 6s P4'el agree ill nane,Indnnnifyand keep hassles%the City of Culserino agnns, v tv —
z hand;de.,indgmtmts,easts and cxnow,,which,nay in any way re...c::g:dpx.1
s,said 05 FINAL ELECTRICAL
U Z Cay in consequence of the granting of iris pemil. 506 EST
APPLIL'AN" DP 1NDSAND 11 OM1'PLYWITHAI_LN N. 1M' Issued by: — fill Dale ^y—C7
s;y, rt 1pfc nticintmen Date Re-roofs 508 — FINAL MECHANICAL
iA%ARUOUS IIiRIA S DISCLOSIAKII
Wi tea icantafuture Wilding moorla,rstore or handle farwoulandedal Type of Roof 509 — FINAL GRADE
ns Jclued Cr,,fiao Municipal Code,Chapter 9.12,and the Health and Safety
n C
cm sapid„z.s.x.n7 10 — FIN I_ PLVN pI�
ores ° All roofs shall be'�nr1,spp.ectcd pp��''��oo��rr�� an�, m di�Brial being installed.
Wi11 rile unplica,„nr tine b.1 Id seers„a tae equipnte,n.r duvia.which Ifaroof is inE[all,'_Ui�s thoutrfi 5S i1G� a�t' eW�,Kl^3gree to remove
noir haeallom air nannimana as defined by the Has Arca Air Quality Monogenic.)
all new materials for inspection. _Applicant understands and will comply with
W— ❑Yes all non-point source regulations.
I have read the hatamoue antlered,requirements under Chapter 6.95 of the
Cul lfumie Ilcubh F Safely Code,Mentons 25505,25533 and 25534.1 undcmtand,hat
if rhe building die.sol currently h:ne a faun,tbe'n May rcgwnslbilhy m nn,it,,he
oc ipant nr,he gtu:nens which mal W me p' In issuance of a 'hale of
enmntey
Signature of Applicant Date
uw, , soil—rirt agent Dae — All roof coverings to be Class 'B's or better
OFFICE