08040047 CTTY OF CUPERTINO g
BUILDING
DIVISION PERMIT OEM
aADORES,:
...S,
ti. PERMIT No.
7933 RAINBOW DR AMERICAN VISION WINDOWS INC 08040047
OWNER'S NAME; PERMIT ISSUE DAM
W
ANTONELLA SACCANI 1050 E DUANE AVE #H 04/08/2008
PHONE: SANITARY NO. CONTROL NO.
p1(
(408) 617-0901
CHITECrIENGINBER: BUILDING PERMITINFO
BLDa MSCH
;, . tf t!?
z LICENSED CONTRACTOWS DECLARATION
Sop
I lourby affirm that I am luccumd Or&,provisions of Chapter 9(commencing Job Description
with Section 70M)of Division 3 of the Business and Prefousimes Code,and my Uccome is RPLC 15 WNDWS, 3 PATIO DRS, 1 ENTRY DR,ALL WNDWS
n fu II f d IF IZ(O
men an C LJC.# PATIO DRS
L'...c,.— WILL BE VINYL ENTR DR WOOD LIKE4LIKE
Dow Lj- Command,A
ARCHITECTS DECLARATION
I undamusand my plans thJl he mud as public recorlis
g aid Licensed Professional
OWNER-BUILDER DECLARATION
I bere".'re
0.1 1.m excoup,from the Contractors License Law for the
a 0following Mason.(Section 703 I.S.Business and ftlessi..Cods:Any city or county
which requires a permit to cnnsucct,.1cor,mpmw.demolish,or roper any structure
prior u,its issuance,also cultures be applicant forsuch permit to file aligned matutooll(comm Valuation
mf g cingwinLhSec�on7ODO)ofDivision3of�Busi�ndftr=iomC�)or $22898
C. pt therefrom and not basis for ft alleged excomption.Any isolation of Sq.Ft. Floor Area
that he is licensed pummel to the Provisions Of But COO=Wel Liecom Law(Chapter 9
that ha� mr.
Section 7031.5 by my applicant for a permit subicces the mpfiClmL 10 2 Civil penalty Of
not roc than five hurafted dollars(S500), 36210011 )ff Number Occupancy Type
0 1,as ownsO of the property,or my complo,coo;with wages as fthr=in Compensation,
will do that week and We stracturn is not Intended or offered for ale(Sec.7044.Busness
and Poofloodons Cade Th.Comountor's Lumoss:Las,does but apply In se.1 of Required Inspections
property who Wild,caimpmves,therece.md whodoessuch stars birrovelfor through his
oweemploymost,provided ft such improvements am not Intoodhol orofferall for sah,11,
however,tho Wilding or improvement insold Millie one yon.fountopi.tion,the
owons-
W win have the burdmodproving Nat W did rot build orlmamm fm purpose of
"Ie.).
(:3 1,a amour of the Property,am exclusively contracting wills Become commuces in
construct the project(St..7014.Business am fticai..Cede)The Cmenumbes U.
come Law does not WI,to an ouncer of property who Wilds Or brimmeni duencom red,
.he contracts for ouch projects with a comosabor(s)licensed personal to Isc,Contractors
License Law.
[j larnexcumpturdersec. _,B&pCfmrt1ds..
0. Date
WORKER1 COMPENSATION DECLARATION
I Inumby alarm under penalty of perjury,man of the following
IkI lesw send will mu usin.Cerdficam of Co..,to scif-humm for Wariver.Compon.
Ern,as provided for by Section 3700 of thus Labor Code.for the performance of the
1111015ric for which this launch is immund.
n I hue and will maintain Workers Compensation insurance,u required!by Section
3700017 the labor Code.for Once performance of Ne work for which this permit Is Issued.
My Worlmor's Compensation lummuce clurver and policy num art: erc
C.nh.zvaK Dfdt�4 Policy No.: -boL-0,411TI-Oct
CERTIFICATE OF MEM ON FROM WORIKEIS,
COMPENSATION INSURANCE
(This section mudi net laccompicund If the permit is i.e.hen drooddollars(SIM)
or lose.)
I Certify that in the performance a the wark 1w which this permit is intent,I"I not
employ any poname in any amener 0 U to beenme subject to the Worlim".corepubcon,st
Laws ofCaliforria.Dam
Applicant
NOTICE TO APPLICANT.If.after making this Ocnificaut of Exemption,yen should
become subject u,the WorIau's Compensation prosrsieux,of the Labor Cothe,you most
Z forthwith comply with such provisions or Nu permit mail In dcloundi revoked.
z 0
CONSTRUCTION LENDING AGENCY
L4 I iscraby affirre done them is a construction looding.pecy for pact performance,of
Pi> the work for which this permit I%issued(Son.3097,Cit.C.)
GLanders Name
z Lenders Addecat,
J 0 1 certify chat I have read In,application and soon that ft show,isirearem..Is
I,L can sec I agree in Imply with all city and county abdomens and same laws relating to
Wilding construction.and hereby authoriar mpecdconativel,of Nu city to concrupo"ft
Omm-noombunad property for inspection purposes.
(We)sipme to saft,indemnity and leap tombless,the City of Cuperdno 4lialma
cA flibilitics.judgmedus,costs and expenses which may in any my amm against mid City
U Z in consequence of the& IQrA 5 P ZL(�CMPLY WITH ALL NON-POINT Issued
APPLIGAkT UNDERSTANDSU8 ="W by: Date
SOXCER%GULATICN
S, Y"(?.Oo Re-roofs
,zo Sign=A&I 11ra, eirfictor Date
0 HPDOUS MATERIALS DISCLOSURE Type of Roof
in 1.f
Wi I as appi I or putem,building occumalL store or handle hassonlous material
"don d4rc.perti..Municipal Colle.ChapW9.12,and the Health and Safety
Code 5
scam 5532(.)?
All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future Wilding Occupant um equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
It haxamlous air contaminants a Jelled by the Bay Ama Air Quality ManaZeMCnL all new materials for inspection.
Viet?
0yes 4N.
In—mad!the Weandousmaterial&requirements undsrClopher 6.95 oftho Califor.
..a H.Ith&SdciyCdc,&.D.�51)5.M33.d�5N.I.nde.mdOaifft Wilding
notComently ham
ne F��.tormol,that ILLAIRY maxonabilky 0 notify ft occupant I the
which musu In of a. oy.
Signature of Applicant Date
Dow All roof coverings to be Class'na'or better