02050062 CITY OF CUPERTINO
BUILDING DIVISIONPERMITCONTRACTORIWORMATION: '
B UILDWG ADDRESS: PERMIT N
7593 PEACH BLOSSOM DR KWOK LEUNG WONG 82050062
o XIMEN 1714 POLK ST APPLICATffY Ir Tf2002
ONE:
i (41S) 279-5238 SANITARY N0. CONTROL N0.
'r0'+O O ARCHITECr/ENGINEER: BUILDING PERMIT INFO
&U BLDG ELECT PLUMB MECH
y< I I C=1 L."J LL
Z y z LICENSED CO.NnRd under$DECLARATION Job Descri ti /R B
Z': I hemby aRmn Incl 1 am licensed under provisions of Chapter 9lcommencing ADD 7 2 0 S FT. P se O 11 411 Bs`s1 mea
,,2 is infllron]ODolofe".taton3oftheEusinsseneProfessionsCme.andmyliccnu 4'
is in full(lace nN eRect.
,OVData Class Lie.. JUN 2 3 2003
O a.w Data Comtacmr
u O< ARCHITECTS DECLARATION
I understand my plans shall be used as public records
�`i BUILDING
R 0 O Licensed Professional
R00 n Oat I am exempt
from
DECLARATION
L-w 1 remain.
that 1exempt from the Contractor's License law for He $100000
C? whichire rcsson.permit
to
7031.5.Business andProfessionsvetdeli Cade:Any city st county �
E ig O which its inn a permit m ro es the el¢n improve,1,Permit t file
repair any structure
�3$ pdw Tiis iuuantt,alw.rcquirts the applicant fwsah pertain.fileasignrd statement t�:�at]�vv��11 �y�.[� _ __ -_ _ __--__-__ __ __ _
2arT;licemld punuann.Jia prajdsbns of the Comramr}Littn¢e law(Chega9 ,e„ ,,.,.,}-36 vg-0.i�L1SImL•lll Cfi tY „^s Valuation
(vammeneimg with 5enlon,7")of Division 3 of the Business and Professions Code) f;_pyv -1 it ra.�: .,5,z(\..'tfr..l l� "
.,,bui 6e ii exempt Ihirtfr6m•orid He basis for the alleged exemption.Any violation
-of Secdon'f(X31'.5 by any applicant for.permit subjectsthe applicant to a civil Penalty `7p
foto.,mote than five M1oadrcdd011ns(55D0). 10lAPN ��cLNII Occupancye
.es owner.f the property,or my employees with wages as their sole compensation. 102 - PIERS
-- o Ina worK and the mmcmm is not intended ofdlfercd'for sale'(Sec:']Dla," ;i,}
ines mall P,dfcssmm Cart:The Contractor's License law does a.,apply to.a - Required Inspections°'
owner a(property who builds or improves thereon,wJ%he does such work himself 104 - REBAR
or thm.p5i his own employees.pmviLe 1 Nu such improvements am not intended or__..,_.___,-- _.....__. ..-__. _ -..__-.__.....___.-..-.._._..
,offered for rude.If, the building or improvement is sold within one year of -1'05' - ANCHOR--BOLTS---r,v;,. r-e ---.
impoveafopurpose sale.)rw;nnave bollen povingmm,hedid notbslew 106 - SEWER & WATER '
-' - ' - - - --'--- 202 ---UNDERFLOOR-PLUMBING
,0 owner of psany, exclusively romratngwiHl d contractors to
203 - UNDERFLOOR MECHANICAL 'I
roost ct the doe.,
project Iapp ]0W B ass mrd property
who
Coale!)TM1 improves
ton
License la dos nm apply to an owner th property who)odds or Improves Hereon,
.one wh auwm or tach pv)ecn W e.comrat r(:>.bcensed.punuwl m Ho-. .. __._____Z.0.4._- -UNDERFLOOR....FRAME,
Co
oars la 205 - UNDERFLOOR. -INSULATION
❑lata tap ar M:.I ' e sB&P for mi awn
I' 7 Z b2. 301 - ROUGH PLUMBING '
0 a Date
OR RSCOMPENSIV DECLARATIO 302 - TUB & OR .SHOWER
I hereby alrmt under penalty,al'pc,jury noe.f time following declastoom: 303 - ROUGH MECHANICAL
x ..- 1 her 'nod will'maimain'e'Ccmfiaoie of Conuni`to nlGinsurc tar worker's 304 - ROUGH ELECTRICAL
Cam I.. as provided forby'Section 3700 of the Ism, Cade, fiar He 305 - FRAME
Petromunce of He work(w Inch His Permit s t .ad
❑1 h ,W will tiuin, n Workers Compensauan Instin,Ke es required by,Section 306 - HOEDOWNS
3]00 of Ha Labor code for me perform c 'ar Ihe'work'r r hien mss permit is 307 - INSULATION
iasvd MyWkq(iea`r"maDbn lmaran<e came lad Policy nu tar ve:..;.w ' ,i .308-:---.. SHEETROCK,,.. ,
eemei-, ,
r CEIjTIFI
CATION OF,ExEMPnoN FROM.woRlcEns ;'309_:;tet"EXTER'IOR,+yliATH,
i_ s sa.I,- COMPENSATION INSURANCE t
r
Th to am,,wt mboihpletM tithe permit is for one hulWrte dollen 311'''= -'SCRATCH COAT
APPhcP ., _..._. _..v,�._...�.___. ._
z�' Icenl(y mel in Heperf,mw off<wadfr n'anms issued, 501 FINAL ELECTRIICAL ,ENERGY-".'
y perwn y oto bee . I HC- � _ 502 _FINAL _PLUMBING ENERGY
Com costa a Laws
a sof Cal f D
a
a tem
p
Y
,NOTICE APPLICA If afro mgthis CnlficeteofEa Exemption. should - 503 - FINAL MECHANICAL','ENERGY'-. --
z become )ct to the Work rs Compensation pro,.ions of the Labor CW.you mu¢i
OO ftnhwHcamply'Withwchpmvso en this Permit shall bedeemed rcokea 504 - FINAL BUILDING ENERGY(
_ .
5f sq <coNSTRucnoeLENDmcncENcr - '505' FINAL`ELECTRICAL- --"' -
a, °f 'I hereby sRrm that He s e aoniwwon lene'ng egenry fo tlm performa,ice 506 - GAS TEST - ' r-
W.Q of The ork fo mon ml permlui tuuee(Sec 909] Cw.C.)-. ': . .• ,, ,
6. LepensN me LL+•- .... _' ... •.-------507' `-FINAL--PLUMBING -`-
pz L��eraAaera: 508 - FINAL MECHANICAL'!�i
U 0 ;pi,I enJythmlheve admnepplicnionend¢umthanheemvemfolmniunls
O(rr:Ey c.irta.Iagrce to comlwiH oil ciantl countordid ry lceining
509 - FINAL GRADE
taxation
510 - FINAL PLANNING
vjy,[� theabon�mcmioncd property(op inspersion purposes.,-.• . ,-
Ty,�.o, fWe)epee to utt,'indemni(y anti keds hemJedlhe Ciiy'of Npeitilio;pins 514 - FINAL PUBLIC WORKS
4 to liabilities,judgmenu.emu sM expenses xHich meY in any gaY�accme.ageima Wd
U City n wnsequcnee of g ng of His permit . "- ' '
APPLICANT UNDER 5 AND}>,7LL�'0\1PLY N- NiPG 7"
r soURCB'REG u :;.t- Issued by: Date
b.
i6nanfe e(Appii nJC nwcto - -i+::: ">' D Re-roofs
L HAZARDOUS MATERIALS OISCCOS I'- t ",'!I'
r Will site appOmnt a(alum W Id nB acdpent non er handle harerdou memnel Type of ROOF -
esde0redbyH C peters.h c Code Chapter912 me me Hee1H and Sefny
Cade OYn 25532)) , (}t
_All.roofs shall be mspected.pnor to.any roofing.material being Installed.-. .
W 11 HeaPPlicem
W. ildingoccopsm useaquipme tordevmes which If a roof is installed w' hoot first obtaining an ins ectlon,I a ree tolramove -
ut hazardous nr contormnants as defined by the Bay Arca Air Quality Ma,fsgement g P g
-amt
a new mater ala r ns echoes Applicant understands and will comply wi h
. ..
1.
CJifomeNeelHBSift�zCd ea Sect ond,neg58533snd2553hspm, ;,5enam all non point so egulahons t ;.
,a g N. V" F
1 ! to .1'
es q p the
01
acupantof Her u nm ay have i,anent,that n Limy mapom+nilny to notify the
'JH b Jdm dos not
urrtn
` 'which muni b5mci snares.iuuance of s Cinifl to of '
...
r r 7. o ignature of Applicant _ . . .._ .__ Date
All roof coverings to be Class"B"or better
Owner monzcd,ogen t a I Dae J,
4` V t I It I '� '
'. ::,� .- ... OFFICE ....._.- . ._