06070211 CITY OF CUPERTINO =t '-*
BUILDING DIVISION PERMIT G` k •: '12 . QR IIU,��MA' I
BUILDING ADDRESS: M-TRADE CONSTRUCTION, INC PERMIT"06070211
18641 RUNO CT
ER'S NAME: PERMIT ISSUE DATE
MY-NGA DO 348 SURBE
NE: SANITARY N0. CONTROL NO.
(650) 996-6099
ABUILDING PERMIT INFO
RCHITELT/ENGINEER:
BLDG ELECT ELECT PLT MEOCH
�o9 LICENSED CONTRACTOR'S DECLARATION ,lob Description
I hereby affirm that I am licensed under provisions of Chapter 9(commencing
with Section 7011D)o(Division 3 ofthe Business and Prefessium Code,and my license is
hN mfull mneand Affect. ADD 712 ' KITCHEN AND LIVING ROOM. ADD 1561 GARA
{ Z License Cl a Lic.g Zy+c 11
DamLate, REMODELn rasa PaYr[utyr REMODEL 1048 ' THE ENTIRE EXISTING HOUSE & 264 '
ARCHITECrSDECLARATII N— GARAGE
i 2 6 I undcntand my plans shall he used u public mcords
5y0
(' Licensed Professional
t3 OWNER-BUILDER DECLARATION
I hereby mires that I em exempt from the Contractor's License Law for the
:p o fallowing mason.(Section 703 1.5,Business and Professions Codc:Any city Of county
i$ which require;a permit ....truct,Star imporve,demolish,nr repair any McWor
prior to its issuance.else requires the applicant for such permit to file a signed suement
€o
i1m,be is licensed pursuant w the provisions of doe Contractar's Licance LAW fCAAPMF 9 Sq.Ft.Floor Area Valuation
(commencing with Section 7000)of Division 3 of t e Business and Professions Omen)at $276836
that he 0 exempt therefrom and the buts for tae alleged exemption.Any violation of
Section 7031.5 by any applicant for a Permit subjects the applicant to a civil Penalty of APN Number Occupancy Type
not mare than five hundred dollars($500).
❑1,As owner of the property,or my employees with wages AS their sole eompensnian,
BE7525025 66
will do the weds and the structure A;rot lnunded or Offered for.=(ASS.Rosa,Bmimss Required Inspections
and Professions Code:The Contncior's Licetue Law does not apply to an owner of q P
Property who buildsorimprot thereon.and whodoessuchwarkhimself or through his
..employ=,provided tel such Improvements are notinended araRered forsale.IL
however.the building urimprovemant is Sold within one year of completion,the owner-
builder will have the burden of proving that he did net build a Improve for puryme of - -
ole.).
❑1,AS Owner of the property.am exclusively contracting with licensed cOnwnors So
const act the project(sec.7044.Business and Professions Cade:)The CoatracSofs U.
chime Law does oat apply no an owner of property who builds or import thereon,and,
who contracts for such projects with a concomitants)licensed punmm an the Conuaemes
License law.
❑I am exempt under See ,B d:P C for this roman
Ambler Data
WORKER'S COMPENSATION DECLARATION
I hereby aff on under penalty of perjury ore of tae following declarations:
F1 I have and will maintain a Certificate of Consent to ulFinsum fur Worker'sCompere
amion,as provided for by section 3700 of the labor Code,for the performance Of the
work for which this permit is issued.
❑1 have and will maintain Worlo rf Compensation Insurance,As required by Section
3700 of Ne Luba Code,for the performance of the work for which this permit is issued.
My Worker's Compemamon Insurance carrier and Policy number art: y�
Came., 5'rPaliry No.;
CERTIFICATE OF EXEMPTION FROM ORKERS'
COMPENSATION INSURANCE
(rnm section need notes completed if the permit Is reform hundred dollen($1001
or less.)
1 certify that in the performance of the work for which Nis Vomit is Wood.I shall not
employ any person in any manneran as m become subject to Ne Worters'Compensston
Laws or California.Dam
Applicant
NOTICE TO APPLICANT:If,after making this Ceniricae of Exemption,you should
become subject to the Workes Compensation previsions of the Luba Code you mum
.J O forthwith comply with such provisions a this permit shall be deemed rewked.
,Z„h� CONSTRUCTION LENDING AGENCY
F I hereby alrnm that them is a construction lending agency for the performance of
ai > the work for which this Permit IS issued(Sec.3097,Civ.C.) '-
W�Q Lender's Name
z Lemi en Address
U Q 1 esrtify that I have nod this application and sum that the above information I-
V. f"' corer.l ague to comply with all city and county ordinances and sue laws elating to
0 V building construction,and hereby authorim nprennLaives of this City to enter upon the
W shove-mentioned progeny for im cutin pmpasca
W WA)agree to save,indemnify and keep harmless One City of Cupertino against
liebilitietjudgmenu,cosu andexpen,whichmayin anywayacerm agaimtsaid City
V z in consequence of the granting of Nis
^+ APPLICANT UNDERSTANDS D WILL PLY WITH ALL NON POINT Issued by: Date
SOURCE REGULATIONS, ,
9 _�/��G Re-roofs
Signalum of
AppljolatConnowtor
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building occupantgam"handle huudsus material
AS defined by the Cupertino Municipal Code.Chapter 9,12,and the Health and Safety
Section 15532(.)7 All roofs shall be inspected prior to any roofing material being installed.
C]Yo
Will the applicant or(utun building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emb W.Wrols air contaminants u de0md by the Bay Area Air Quality Management all new materials for inspection.
Disuict7
❑Yes V2No
I have mad the hazardous matcdelsnquircments under Chapter6.95 orthe Cslifoo-
nix Heal &SaktyCode,Sectors 35505,25533 and 25534.1understand thatiftm building
dors nal.tomenly ha a meant. auj'.my responsibility At..dry the onni ant of Na
req !tomo 'hes metpna Soh 0ofacerlficgwof 09cupycy. Signature of Applicant Date
98 dG All roof coverings to be Class "B" or better
Owner authorized agent Dau