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02050049 (2) CITY OF CUPERTINO BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS'. PERMIT NO. 8056 PARK VILLA CL CHEN ' S CONSTRUCTION CO 02050049 OWNER'S NAME: APPLICATION SUB DATE MARIA CHAU 1271 WASHINGTON AVE 05/08/2002 PHONF-: SANITARY NO. CONTROL N0. r (510) 639-0853 M77 O O ARCHmiGT/ENGINEER: BUILDING PERMIT INFO U E 1 J LE PLUMB MECH 82 Ste= LICENSED COST'RACnS DECLARATION Job Description1 hctxhy affirm thatI am licensed under provisions of Chapter 9(commencing „ 5 with Section 7")ofDivision3of,hcBuxinesswalPmlessions d angor I���C WINDOW/KITCHEN REMODEL/ tnmIIrarce and`f o Lic,a �� CIRCUITS UPGRADE Li«nu' f 3 Dam Cry"."a' oG ARCHITECT'S DECLARA cards Jug 0 rSQo� g I dencid my plans shall he used as publi cL ,nye t ts 1 i 3 O Licensed Pmessiowl OWNER BUILDER DECLARATION u 1 hereby affirm that 1 am exempt from the Contractor's license U.for the BUILDING FZQ following reason.(Servion]0315,Business and Professions CAny city or county 5 5 M which requires a permit it,mnsme6 alter,improve,demolish,or repair any smatore d3m prionnits issuance,also requiresthe upplicam for recti perminofileasigned nemmrnl - --- i --- -that he Is II«nYd RYNt le tri[ f the Contravenes License Law Gna ter 9 _ pus pofDi Division n ( p .,.t, ,Sq:Ft: FloorArea, 1 [r.• aluation (commencing wish Sermon]fNp)of Division J of the Business arm Prorgsions Code) `{f,� r h:4 C" L 9.f s4 t.'s[ l!i� t.> or that he is exempt Ncr=frnm and the basis loathe"IltgaU emmptii,b.Any violation of Secuon 0031.5 by any appli.el for a Permit subjects the andionl m anvil penalty of not more than five hundred dolllum($500). A um er Occupancy Type OI,as owner of the properly,or my employees with wages as their sole compensation, will do the work,and the simulate is not intended or'olfered'for sale(Sec.704A1. Buamexs and Professions Code:The Contractors License Law does not apply to an 102 — PIERS Required Inspections' ' owner of property Who builds or improves,b=rcon,and who J«s such work himself or through his own employees.Provided that such improvements are not intended or ---- ':bffc-df I ILhm th buildln em is sold within one carol - - ' " -'- --""" completion,to owner-balmy illhaveh hard.. fp vingthatbedidnotWildor 104 — REBAR improve for purpose of sale.). 105 - ANCHOR BOLTS OLasown=r of Ne properly,am Business a nonlraassmew liIThe omrayo,rsm 106" SEWER--&- WATER '"-- " 7, -" - --- construct tire pro;ecl(S«.]aw.BasmexsartaProosamnsCade:)The Contractor 202 — UNDERFLOOR PLUMBING License Law does not apply loan owner of properly who builds or improves thereon, and who mmmn fnr.auch po.j.,will,munava,O).fiecmed.p—taunt m.dre .. ..- ---_— -- _ 2 03 — UNDERFLOORMECHANICAL conornmrs License law., .. .- . ❑lam exemp,under Sec. ,B&PC far his mason 204 — UNDERFLOOR FRAME '- Owner Date205 — UNDERFLOOR INSULATION WORKER'S COMPENSATION DECLARATION 301 - ROUGH PLUMBING I hereby amtm under Penalty or ar;ury one or the following declarations: 302 — TUB & OR SHOWER ❑ 1 nave and will maintain a Certificate of consent to self-insure for Workers 303 — ROUGH MECHANICAL Compensation,-as provided for by Section 37W of the Labor Cade. for the performancemf,mworlNrwhighthispwrytisissued. 304 - ROUGH ELECTRICAL ❑I have and will maintain Worker's Compensation Insurance,as required by Seclion 305 - FRAME T!W the Labor Code.for the Niform e f thework f m ch Nis pert,;t is 306 — HOLDOWNS Italics,My,Worke'x Comperm [n[us... dpof�cy be can C✓Tb� PacrN fSOBIj—O/ 307-, --<INSULATION — COMP_LNEXEMPfIONFROMWORKERS.- ( 4 ^•308 • `SHEETROCK' ' (IT s�umon need not h compin ON INSURANCE_s _ CERTIFICATI OF E%E _ _ . .-..._...309-, EXTERIOR....LATH-­­---­ I - ed if the Pamir s for one hundred dollars : alWwrless.) 310 — INTERIOR LATH . _ 3Tl...e_..SCRATCH: COAT certify man io the performance bl,he work for wM1ich Nei permit is isuid;I .s Wali no,Employ any Pcr•an in any manner xa as la'come s�nj«,lathe workers. 313 — ROOF NAIL; Compcosarion Uws of Cahfomia.Dam' AppOcen, 501 ----FINAL- ELECTRICAL ENERGY — - 'NOTICE TO APPLICANT:Ir,after mawml,mi,cevNcme mf Exemp�ian,you snamC 502 — FINAL PLUMBING ENERGY become sub;eer to the Work"s Campeomoun provisions of the Labor Code,you must Obash..;Ncomplywith sackpmvislars«"is 'mm,'hall hedeemedreraked _. . _ . .-503 . - FINAL_ MECHANICAL ENERGY - 0 7 - 411._,111 "CONSTRUCTION LENDING AGENCY 504 — FINAL BUILDING ENERGY 1 hereby affirm that Neto is a construction lending agency for the performance - uf,hework for which this pem,itisixsumesee3W7.Gi,C.) _ 505 FINAL ELECTRICAL Q Lender's Name'- - _. :,_ _S66"' -_ .._ .._. .. a Under'sAddresx' - _.. 506 - GAS TEST U-O . Isandy that l hartm.sidd,upsicalion and smmthm the.1ho,o nfunowion is507 - FINAL PLUMBING W F 'wined.1 time to comply with all city and county ordinances and state laws relating 508 — FINAL MECHANICAL Q V m Wilding constructiwand hereby authorize mpmscnmlives of this city to enter upon F� 'he abu. tnenOmmdpropertyformspeceenpwiav,,. 509 - FINAL GRADE y' nharm (We)agrcosave,indemnifyandkeeplessthriCity;I Cupertino against - UV) liabilities 'udgmente,cosy and expenses which may in any way accrue against said S10 FINAL P N rp �/ .7� city' n' quenee of the glom: fhis LLCOL 5140— N R J t7 V sA 'ICANTUNDERSTAN i'D WILL IP ON ALLNON- OINT'" URCER. v. _ Issued by: D to tc Sis t A pl a 1 t D to Re-roofs HA2IARDOU MATFRIAIS DISCLOSURE mine pp team f m Wilding« pant am r n dl ba:atdo material Type of Roof. -.. -. - as d fnW by the 3201) n M b pal Cod Chapl 9 12 a d tit I{ hit d Sofay Cod Sen on 25SR(el - = l (. . . ' oY ' .Q" _ All roofs shall be inspected.prior to any roofing-material being installed. w'u N appf tart N;la g p t as=e9:i p n cels wM1icn - If a roof is installed without first obtaining an inspection;'llagree to remove emit hazardous Ir cont m rants as defined by Ne Bay Ama A' Quality Management Dist' t a all new materials for m ulati n Applicant understands,and'will comply ❑Y ❑No all non-point source regulations, ` . ;. 'I have .ad the h do i 'els requ ren is and Chapter 695 of he California Health&Safety Code.'Sections 25505 25533 and 25534.1understand that . 'f theW gdoes not currentlyh - a tenant.Neldismy sponatDfyt ufy Nc "" - - �.` occu t of Nc,requirements x must ba met poor to Iona Or °'"`y' _J`Z Signature of Applicant Dale 'sera, Nndz en. _ >at All roof coverings to be Class "B" or better-�• .OFFICE — .. __.