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CONTRACTOR INFORMATION:
BUILDING DIVISION PERMIT
BUILDING APIARIHSS:
PER611'INO,
1 546 RED FIR CT
01.040080
OWNIHR'S NAME:
LING—WEN &I JYH—YUNG LI
I
APPLICATION SUB DATE.
PHONE:
SAN] ARY NO. CONTROL NO.
/J
ARC) I' I'ECr/ENGINEER:
BUILDING PERM] I' INTO
'
VIA; ELECT ' PLUMB MP.CH
J
LICENSED CONTRAC-ORN DECLARATION
,lob Des Cfl Ian
I hereby alfimr that 1 um licensed under provisions of Chapter 9 (Commencing
whh ScOion]WO)af Dlvisim, Sot t M Bud ties, rnd Prof ,ions Cndc, arri lieeroe
Lipso'ci�te n°d`rr"�' Lie.»
WINDOWS
CHANGE OUT (10)
Dam Colmar,
nucurrecrs OEC LARAnGN
2 SMALL
WINDOWS, — STANDARD WINDOWS,
1 understand my plans shall Inclosed a, public minds FIII
��E.O 8 6 WINDOWS.
Qcersal 11.oI... oual
OWNER -BUILDER DECLARATION
nraor's License Law fm th
I hereby of sin that I am exempt ban the Cmn
O Q �oo�
v
following reason. (Section 703 1.5, Bueinecs and Professions Coli Any city of count
which r gnims a perad, to coastal alae,. impalas, demnlisn, -repair any mmcmm
prior to itsud, acquiresd pylic t for suchpc t to tile b d.tfinen
U I . Fl. Floor Area
Valuation
that he I Ip vii n In, prol,loal of the C t'r, l Cit ptOV
(cnnmraming will Sect; ..7flSi of DA'sil t 3 of the Bur m and P. fmw.'onsC a1r4
{f/
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or that he i, exempt therefrom Told the ha,is lot the alleged exe,npdan. Any violation
of Section 7031.5 by Only applicant fir a remain subjects the applicant m u civil penalty
APN Number
Occupancy Type
of not mom man Eve handred dollars ($500).
01,ux..wacrofthe Prnpa ty,oamy entpllo es with wages as their sola am,pelloaum.
It gig
'
Required Inspections
will do the work, and The uracnnc is not 'mended un of and fns hale (See. 7144,
Bu,ines, and Paim,sions Code urn Contractor's License Int arcs not apply a) an
timer of property Who builds or improve, menton, and who arcs such work himself
m through his own emplovee, provided that such improvements um not intended or
35905001
00
altered for sale If, however, the nuildlng or Improvement is sold within one year of
the nw nunnud,r w,It have ;hc huNea TO proving thin he did not build or
I,m.pletion•
it vette pamrs,nl.ala.1. '
101 —
FOUNDATION
owner of the property. 7senexdiness and Profession, liccnudeammcmnu,
n bo'he project ,Sea. ]PW. Business and Rnfersion, c,aEa Ilecantm,tar,
1.02 -
PIERS
Lica,.ve Law does nal apply to an owner of propcny who build, or improves thereon,
and who comaacu fir such projects with a ontmcrorts) licenses pursuant ha the
1.03 —
UFER
Cmnrae;m'.v sc Lnw.
❑lase,, `���easee. __ .RKPCf..his reason
104 -
REBAR
Owner
105 -
ANCHOR BOLTS
_
URK , DMI :NSnvoN nrcLnennoN
106 —
SEWER & WATER
I ireifhmtunder pawlfy til laQuD Cor of he l ollawing declinations,
202 —
UNDERFLOOR PLUMBING
0 1 have and will n ntain a Cenili,me of Consent n, ,eli-insum for Worker',
knifensadrn,
203 —
UNDERFLOOR MECHANICAL
a, presided for by Sectio 3701 rf he Labor Code. far ore
performance othe wmkfor which this Kanitisissued,
204 —
UNDERFLOOR FRAME
❑Ileo, slid wdl mdnudnW..I,',Camper.alial nt,or:mea e, rerlaired by Seen....
205 '—
UNDERFLOOR
in rmit is
3700 of in, Labor CmE. nor 'Ile Ixdnrnance at the work for which mpe
.INSULATION
issued MyWorker',CrmpenarnnInsurancecarrieratdPnbeymormeram:
301 —
ROUGH PLUMBING
carie^ P,44Na.
302 —
TUB & OR SHOWER
CER'f[nCATION OP I7x]7NI ION FROM WORKERS'
COMPENSATION INSURANCE
303 —
ROUGH MECHANICAL
('hiss section need not be completed if the prnnit is for one hundred dollars
304 —
ROUGH ELECTRICAL
(SIt1(OIm]cs.)
305 —
FRAME
1 certify tom in the Ircrfornamcc of the work for which this permit is issued, ]
Saadi rot employ any per.,ort in ratty It r,I, a, It, become,rhjcet to the Worker.
306 —
HOLDOWNS
Crn,:nion [,.,,,t California. ume
mja
Applicant
307----TNSULATION
NOTICE TO APPLICANT: If. ane, making tai, Cenilieam of Exemption. you abauld
become subject to the Worker's Compensation provNions of the Labor Crale. You rpsuel
308 -
SHEETROCK
fnnhwim comply with such provisions or this pemtil Mull M deemed revoked.
309 -
. EXTERIOR LATH
CONST RUCION LCNDINO AOENCY
T
I hereby affirm that t]¢n, is a um,tmctinn landing agency lin the performanae
.310 —
INTERIOR LATH
Leadr,Nfor n6ich this rennin i<is,ueJ lSea. 31M77. Civ. C.)
COAT
me
311 —
SCRATCH
Lenders. Addfess,
3.1.3 —
ROOF NAIL
IaifI,, now,mad .11 I"Oh'a atim,dm;r,matmrat rhaima
n. entre d ,Imply wise all dry and county nal, fail end smlU laws miming
- 501 —
FINAL ELECTRICAL ENERGY
,°huildingconstrvcdrn. and hereby atiahmaempmxmmd,e,ofthiscity toenter up,n
02 —
FINRI_ PLUMBING ENERGY
the above-mentioned p.,, y for impectinn purpo»o.
(Wel agree msave, Indemnify and keep heartless the City til Cupertino apors,
.
a —
FINAL MECHANICAL ERGY
EOut lin,, jadgmcm,. er,l,and „,suns,, wren, may it ;my way acmu, agdn,t „dd
Ci( y 'I luras, ranee r1 ate grating TO '[as p,mtiL
FINAL BU I LD T N -d
APPLIc 1' AGUErRS'fANDS A%'D WIL COMPLYNON POINT
URC Sy'
ISstledb
✓,+`c��/S
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GRS TEST
ppli
iyare tilAppli- CrmraenmDan,Rc-roofs506
IA/'.ARDOUS MAI'I:RIAhS
wdl tine roam aIcI lding«aperl 41m or m,rnw sur:mora, lmvcriil
Type of of 507 —
FINAL PLUMBING
a, Jdincd by t , L'upenino Municip;J Calc. Cbapmr 9.1 z. and the Iladfh and Sntety
Code. SecBnn25532(ar.
508
FINAL ME-HAN�CA+,
O Ye, 0 N
All fs shall be i��n'],s ,ted
to na lana blain a installed.
Will the applicmn or future buildrngoccalrn use equipment ardevice, which
c it ka, Iou,aiIn,nfamin:nusn,dotmed by fhc flay Arca Air caulks Mi wnemmnt
If it roof Is installeU outptlfl-1
ff7]��
{[-fQ[ft�i
QUA ection, I agree to remove
``,. p p��p� hh��fG��
Dillf
all new materials 1g1i RSpecti
nI �II(ln l'VtIT1C :18n(1S and WIII comply WIII7
Y,s ❑Nn
all non-pointsourc5"ulutloFisINAL PUBLIC WORKS
I have mail the harerdou, amenia, requiremenu under Chapter 6.95 of the
Cali mrnla lleanb 10 Satety Code, Sections 25505.25533 and 25534 1 undersnmd 1h u
it lie nuilJ do„nnset aurmndy huveun:nunL mwif rauspnndi bf l dymani l Y(he
ncup�mf , re4niiremam, wnhc amt prior vent of a Ccnilicva al'
Signature of Applicant
Date
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All roof coverings
to be Class ••B” or better
up, "I ed—gent Dam
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OFFICE