00070163 CITY OF CUPERTINO
BUILDINGDIVISION PERMIT CONTRACTOR INFORMATION:
HU I LONG ADDRESS PERMIT NO. '
OWNER'SNARIDGE VIEW CT KOOL 105100 METAL API'LICA1000017ID163
HON. o FER RD SANITARY r@7/25/. &'n.
O C z ARCHI MCIIIiNGl NEER', (408)245-6597 BUILDING PERNIn'INFO
O O❑ BLDG ELI_CT FLUME MLCH
Qufm 1.I CI 1=1 IJ -
2a
S u LICENSED1,tCONTRd under
Dr:CI.ARA PION '
horny damn that I h3rcensod ommr noldi1 lc,,i ehapme 9 ndnmendng Job Description
��'� with$cclinn]INXB nI UivhinnJnf lM1e Businns:nW l'n,fmsinns Coalc.ImJ my license
x Is in hill li,rec son-i l`ccl /'
c a Limme Class JJ_CG_! Lic.N_�(1 J��
C ante'�=7 S=G�= c°^'^°"'r—�/1mC—MA .�uE COMMERCIAL 15' X 20' AWNING/300 SQ. FT.
AR HITECI"S DECLARAFE A
j 1 un,lemm�J my plans shall h u.e,l m public¢mond.
4. C95
i p 6 Liccnv Professional
L o thatOWNER m-BUILDER DECLARATION
1 heresy.(Ron the 1 1. emmpt frau the Cessions Cor Licence law fur tbm
t-za followingaimna peenion]1131.5.Business nto Pmfewlnmlb ,,Any city nrcouray
rm,mm -
`F p which 4 e. milt ' I LLr: f h int p Y:I aunt
n3= Prot t 6u, y m inions 1 bre ill 11signed.Illncm
man Ip n, u a e n,of thec I ou'v License Law Chapterode) Sy. Pt. Floor Area Valuation
or hat he is a with bccrtheref therefrom
7000)orDivision tot Inc alleged
,s:mJ o.Ah Ona Gds)
o,r mal by IX exempt Inemlmm and the lysin or the ct,'hel yph'ation,any l amann
f not hau]than$by any applicant Iia cannot nub,lale aha npplleum W u civil penhlty
of not mita than live hundred doiw,x(ss(g). APN Number Occupyrf�(ZT@pc
❑1,as owner of the property.or mY employees wnh wages u.Meir nolo eon,pensotinn. '
will dm the work.;aid the structure is not intended a tore,I for.ole tsn>]ora. 31606047. @�4 P
4. re,,and P I ..iom Cale:The Contractor's Lianw Law does nota I't„an uired Inspections
�wvne,of pn,peny Who Wild, improve,demon.and who does.wdn work orat
o
r
"
or through his own employees,provided that such in,prrvencuts ort not intended or
offered for wle.If,however,the building or improvemoa is sold within one year of
completion.be miner-builder will have the harden ofmoving that he did not build or 101 — FOUNDATION
improve folpmys- nr amm.k \ 102 — PIERS
❑h as owner of the property.am exclusively contracting with limmscd contractors to \\ 103 — UFER
Lconstruct the project(lia.]1144.Business and Professions CcsJe:)*Ew Contractors
ice se Law toes not apply to an owner ofmatfarty who buildv or improve%mcreon. 104 — REBA R
and who contracts lir such projects with a contractor(%)licensed porwaa, to the
Comm=tm Lio,.ocLaw. 105 — ANCHOR BOLTS
❑1 ton ocalpl under Sala .Ilk P C for this nw ?C
owner ].OEs — SEWER A• WATER
Dole
WORKIiR'S comprNSArION DECLARAI ION20�2 —
UNDERFLOOR PLUMPING
Ihereby mp,,tlmle.potdry of perjury true nlthe li,uowing federation, 203 — UNDERFLOOR MECHANICAL
I have and will act ain a alerihcac mf convent to self houre for W'orker's 204 — UNDERFLOOR FRAME
73700
prionimn, ns provided for by Section J](X) al the Lh,r Code. lir the
ormance of work for which this writ o,issuel. 205 — UNDERFLOOR INSULATION ,
have and will maintain Worker s Cmnpem lion Insurance.as required by Search 301 — ROUGH PLUMB I NG
of the Luton Cade,for the performance of the work fm which ibis permit i.sed.Aly Worker',Com taInsurance carrier and Pliy,namler am: 302 — TUB & OR SHOWER
-AcOR nw raueyNo./Q1.Cz 303 — ROUGH MECHANICAL
CERTIFICATION OF EXEMPTION PROs IIR KERS'
COMPENSATION INSURANCE 304 — ROUGH ELECTRICAL
(This moven need note compete
he if the permit is for one hundred dollars 305 — FRAME
IaRXno'le...) 306 — H01_DOWNS
I civility that'In the pem...amm of the work I'll which dhi,p=orno in i.wed.1 07 — INSULATION,
'ball nal employ any let ally n r a,u,Int om
he xab,im, ,,Inc Waken' r
con) r l oral t , Date308 — SHEETROCK
Apl I
NOI ICE n)AIIIICANI Iffirrosikoh,tn Cliolfilacout 17slal"am.> should 309 — EXTERIOR LATH
hem, c objectI the Worker,C P p l he Labor Civic,yo.mud
p forply
nwaneoarwithsuchpersen,or his gconalahmac
fall be 310 — INTERIOR LATH
FCONSTRUCTION LENDING AGENCY 311 — SCRATCH COAT
I hereby affirm that mem is a construction lending agency fm the vamonenre
of the work for which this permit is issued(Sec 3(N!].Civ.C.) 313 — ROOF NAIL
L Q
Leader)'Nome
z L=nder:Adl 501 — FINAL ELECTRICAL ENERGY
U O 1 certify that 1 have read this apphcmion and ame that the above information is 502 — FINAL PLUMBING ENERGY
G. F., correct.I agree to comply with all city and county Onlinaaces and sure laws miming
O U moW,ki' mai,
mgcanmm.aadherebyaumo ,rmpm,.mBvesor his citymrate,upon 503 — FINAL MECHANICAL ENERGY
E� ythe alarvcnnc'mionnl pormy for itopmam partitives
(We)egrccif,'a,.,idenmdyand kcpharalm,the cily^fcupeoar,,,ia,t 504 — FINAL BUILDING ENERGY
VI liabilttlu.judgtnens,cost,and cxpcnnc,which ,my in any way accrue f,einsl said
V 5 City
yANT aNDERSTAgit ago thisLobMWILPIYWITHALI.NON-POINT 505 — FINAL ELECTRICAL
SOL CB nal n.AT1oN . Issued by: Dale
'sigoa nnpbeanucmmmem Data Re-roofs 507 — FINRL PLUMBING
HAZARDOUS MP.TERIAIS UISCL(,hath
win theCl,mmalmamnuudmgcea,panutommrhandlenealthan,nafe,, TYPeofRool'S08 — FINAL MECHANICAL
av deliSect by the Cupertino Municipal Cade.Chapter 9.11,wJ the Health and Safcny
c,desaaonzssJan)'; 509 — FINAL GRADE
❑Ym ON. All roofs shal.'�-�I}�,ospec�c��pyJ'f1p�r np�nA�ljiWpaterial being installed.
Will lheapplicunt or future Wilding occupant use reciprocal or device,which If a roof Is inSkiU led witltQLLl r'rSt °l I+�jUgYln In$ Tye' 1 agree to remove
emit hwardous air contaminants a defined by the Ray Area Air pualip'.\lanagement 71'[t r 1tYFiL r�LILL W r};i+
District; all new materials or inspection. App Icon under an and will comply with
OYe, ON. all non-point source regulations.
I have mail the haard^us nmmrials smajomenm under Chapter 6.95 or the
Caliform
rnia Health 6 Safety C dc.Sections 2550.E 25533 and 25534.l understand that
,fine building dies oat currently have a Iananl.mat it is my responsibility to notify the
occupant of the rcyuirenenp which most he mot prier to issutmm ora Condiment Of
0"u'e^ay Signature of Applicant Date
111nm'It ttuhooimil ago,,, Date All roof coverings to he Class •B" or better