The URL can be used to link to this page

03020082CFry— OFCUPERTINO. RTION BUILDING DIVISION PERMIT G0'NTItA6T'6kANF0 . BUILDING ADDRESS: HENRY LITTLE TRACTOR SERV CRheTNO' 21831 SAN FERNANDO AVE 03020082 R'S NAME: 14632 COLE DR PERMTTISSUBDATS CHAO YUE LIU 03/05/2003 NE:7717-0b04 SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: _ BUILDING PERMIT HIM BLDO ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Descrl 1 kmby affirm Net 1 am licensed under provisions of Chapter 9 (commencing PF41NIALED with Section 7").f Divides 3.f W Buslnwand Profesiom Code. and my license is - infuOmrtewdeffeM Ltemso Class Lied �y DEMO LOOJq - MAR 1-.yg Date Cotoasmr - ' ARCHITECTS DECLARATION 1 understand my plain dull he used as public records BUILDING Licensed Professional OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Cornnnors License Low for the ' following mason. (Section 703 L5, Business and Pmfessiom Code: Any city or county which requires a permit to construct, alter. Improve, demulish, or repair any stmCmm poor to its issuance, also require the applicant far such permit to Ole, signed statement Comracmrs License Law 9 Sq. Ft. Floor Area $'JV 09ion that he Is licensed pursuant to the Provisions of the (Chapter (commencing with Section 70(10) N Division 3 of the Business and Pro(esstoru Cnde) m Nat he is exempt therefrom and the basis for the alleged exemption. Any violadon of ' JAVR 99WWTUD Occupancy Type Section 7031.5 by any applicant for a Permit subjects the applicant o a civil penalty of not more than five hundred dollen ($500). - - ❑ I,uawtmroftMpropwy,mmympioymwlth ntuuthebwlec=Mmgm. Ulr nsecn ons will do the work„ and the structure is nota mrded araneced forulc Hice. 7014, BusinessC rings apply to an owof sod Profeuioru Code: The C.Orecur, Liceme Lew des wns q P property who builds or i mpreves thumn, a nd who does s mh work himself o r through his awn employees, provided that such Improvements m not Intended moQered (meek. B. ' however, the building or improvement Is sold within one year of completion. Ne owner- builder will have Ne burden of proving that he did not Wild or Improve for purpose of - ukJ 1. as owner of the property, am exclusively contracting with licensed contractor to construct the project (Sec. 7014, Business and Profesiana Code:) The Contrutoh I.A. rouse Taw doss not apply to an owner or propeny who Wilds or impmves liemen. and. who comncu W such pmjsN with a wntrutm(s) licensed pumum to the Canuamrs License law. ❑1m use on r ea .B&PCIorthismuon - (•�� 3 % Dem r ORI EFi9A 0 IARATION_C 1 hereby a1nYn under penalty of perjury one of the following declasdiom: I have and will maintain a CeNncatu of Consent mself-Insum for Worker',Compeer. utlon, as provided for by Section 3700 of the labor Code, rex the performance of the work for wblch this permit is issued. 1 here and will maintain Workers Compensation Insurance, as requimd by Section . 3700 of the labor Cade, for the performance of Ne work fmwhlch this permit Is issoed, - My Workers ComMmW on Insurance carrier and Policy number me: Caller. Policy No.: CERTIFICATE OF E%EMMON FROM WORKERS' . ., COMPENSATION INSURANCE (This section need not kcomplemd lftk permit is foram hundred dollar ($100) 1 sundry Net In the performance of the work for which this permit is Issued. I shall not employ any it=. In soy...,w as to became subject to the Worlmw Campmention Laws of CaliforeW Dam - Applicant NOTICE 70 APPLICANT: IL aper making this Certificate of Exemption, you should become wbjca to the Workers Compewtion provision, of the Lakr Code, you must foMwlth =reply with such provisions or this permit aNll In dcemed mvoked. I CONSTRUCTION LENDING AGENCY I hemby affirm Nat Ncrt is a mnstmnion lending agency for the Perfomenm of - •. the work for which this permit Is Issued (Sec. 3077. Civ. C.) Lenders Name Lender's AGdmas I eendfy that 1 have read this application and seem Nu the above information Is - correct. I agree to comply with all city and county ordinances and tum laws relating In - building convection, and hereby nuNodse representatives or this city to enter upon Ne aWn-mentioned property for inspection purposes. (we) ague to este, indemnify and keep hamlet, the City or Cupertino ,gains j liabilities, judgments. cress and expenses which may In soy way same against old City - in consequence of Ne grwting of this permit, APPLICA N STANDS AND WILL LY WITH ALL NON-POINT - Issued by: Date SOUR EG NS. a} Re-roofs Type Of ROOF Signsureof Applin. manor Dam ARDOUS MATERIALS DISCLOSURE Will the appmwt m future Wilding ocuramsom or handle bacmdoos material .. _ dcOned by the Cupemm Municipal Code. Chapter 9,12. and tis Heald sod Safety Section M5324)? All shall be inspected to any roofing material being installed. Oyes ONo roofs prior If a roof is installed without first obtaining an inspection, I agree to remove Will the millkwt or future Wilding occupant use equlpmenl or devices which mit heerdous air contaminants as defined by the Bay Arca Air Quality Management all new materials for inspection. District? ❑Yes ON. - - I hevc mal the hvardoua mateoaII requirements under Chapier 6.95 of the Caldfor. rale Health & Safety Code, Sectiem 255115125533 and 255 .I understand that if the Wilding does nm e ti Onmk Nm it k my res try m nodry the oceupsot of the requi cnu mh ftkmel nor Ininu ACersneteofUtupwcy. Signature of Applicant Date 3 All roof coverings to be Class "B" or better wmror golorvad &Or Dam CITY OF C:UPEKFINO BUILDING DIVISION PERMIT BUILDING ADDRESS: 21831 SAN FERNANDO AVE OWNER'S NAME: CHAO YUE LIU PHONE: ARCHITEC (ENGINEER: TRACTOR SER 14632 COLE DR EO O LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing Z with Section 7000) of Division 3 of the Business and Professions Code, and my license is �< y in full form and effect. DEMO z Ucensc Class Lk. N aDate Contractor ARCHrMCTS DECLARATION I understand my plans shall be used as public records �,u It p In Licensed Professional N 3 OWNER -BUILDER DECLARATION .� < i 1 hereby affirm that I am exempt from the Contractor's License Law for the %p O following reason. (Section 7031.5, Business and Professions Code: Any city or county k $ i which requires a permit to construct, alter, improve, demolish, or repair any structure prior to its Issuance, also requires the applicant for such permit to file a signed stsemenl s < that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 t- $ (commencing with Section 70110) of Division 3 of the Business and Professions Code) or .. that he is exempt therefrom and the basis for the alleged umptlon. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)_ ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure Is not Intended or offered for We (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements arc not Intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner. builder will have the burden of proving that he did not build or improve for purpose of tale.). f, as owner of the property, am exclusively contracting with licensed contractors to construct the pmject (Sec. 7044, Business and Professions Code:) The Contractors Li- cense Law does not apply to an owner of property who builds or Improve thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors License Law. ❑ I em exe pl-un 6r cc. B & P C for this season Owner Date 2%� 2,I -(—i3 OR'S CWPTWAl10TT13ErIARATION'7�"- 1 hereby afn76 under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a Certificate of Consent to self -Insure for Workers Compcn- sation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain Workers Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers Compensation Insurance carrier and Policy number are: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (]Tris section need not be completed if the permit Is for one hundred dollars ($100) or less.) 1 aNfy that In the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensadon Laws of Callfomis. Date Applicant NOTICE TO APPLICANT. If, after making this Certificate of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code. you must z forthwith comply with such provisions or this permit shall be deemed revoked. .z.e V) CONSTRUCTION LENDING AGENCY j - I hereby affirm that there Is a contraction lending agency for the performance of the work for which this permit is lasted (Sec. 3097. Civ. C.) aQ Lender's Name r) z Lender's Address U 0 1 certify that I have read this application and state that the above information is Ly '-" correct. I agree to comply with all city and county ordinances and state laws relating to 0U building construction, and hereby authorise representatives of this city to enter upon the above-mentioned property for Inspection purposes. pW (We) agree to save, indemnify and keep harmless the City of Cupertino against V) liabilities, judgments, costs and expenses which may in any way accrue against said City L) Z in consequence of the granting of this permit. '-' APPLICAVGNS. STANDS AND WILL PLY WITH ALL NON -POINT SOUR Signature of Applicant/ mraclor Date ARGOLIS MATERIALS DISCLOSURE Will the app tans or four building occupant store or handle harsrdous material as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety Code. Section 25532(a)? C]Yes ❑No Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as deftncd by the Bay Arca Air Quality Management District? C] Yes C] No I have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health & Safety Code, Sections 25505.�Ly .1 understand that if the building infer �orauthOriZCd tl tenant, that h 4 to notify the occupant of the ch t be mel 'or to tifiate of Occupancy.. t Date Sq. Ft. Floor Area Cri(wrrt NU. L 030' PERMIT ISSUE DATE 0 SANITARY NO. BLDG Job Description MWA I Issued by. Re -roofs Type of Roof 3/05/2003 CONTROL NO. BUILDING PERMIT INFO ELECT PLUMB MECH N Type All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant Date All roof coverings to be Class "B" or better a. CITY OF CUPEkTINO CITY OF CUPERTIN6 DEMO PERMIT APPLICATION FORM 0 3 o 2 °-oJz- APN # _ C) ? BUILIDNG Date: Building Address: —2A A�� tZ- 1�\�-c`� . C o C Owner's Name: Phone_ #: Contractor: Seismic Residential BUILIDNG License #: Contact: BPLANCHK Phone #: Applicant/ ontractor: l/ uil ng Permit Info: Bld Elect Plumb Mech ob Description: Residential Sq.Ft. Floor Area: $/Sq.Ft.: Architect/Engineer: Valuatio Type of Construction: V O upancy 49ups9 Qty. -\ App cane I Fee ID Fee Description Fee Group BPERMFEE Bldg Permit Fees BUILIDNG BSEISMICOM Seismic Commercial BUILIDNG BSEISMICRE Seismic Residential BUILIDNG BPLANCHK Plan Check Fee BUILIDNG BUSLIC Business License BUILIDNG 08:31 PG&E D' 4ZA AREA 3 Pacific Gas and Electric Company City of Mountain View Public Works Department Mountain View, Ca 94039 To Whom It May Concern: Subject: Removal of Gas and/or Electric Facilities P.01/01 10900 North Blaney Avenue Cupertino, CA 95094 The as and electric facilities have been removed and/or aban oned at all 3) spa QW JJ hQ.0O Ct)PGVAr_ AX on 3 oaf o 3 If you have any further questions, please contact me at (408) 725-2024. Sincerely, Service Planning TOTAL P.01