08030143 )"14FORK'Al
SION PERNUT 4R
BUILDING OTO I�QN
BUILDING PERMIT NO.
7635 SQUIREWOOD WAY ARGONAUT WINDOW & DOOR, INC 08030143
OWNER'S NAME: PERMIT ISSUE DAM
KRUSE DEVIN F AND PATRICIA L 1901 S BASCOM AVE STE 800 03/25/2008
NE; SANITARY NO. CONTROL NO.
(408) 378-4018
A C"scrm, NEE,
ICHITECTIENGINEER: BUILDING PERMIT INFO
BLDG ELECTPLUMB MFCH
.sego. LICENSED CONTRACT'OR'S DECLARATION Job Description
ffiI thereby aM.lind I.m licensed under provisions of Clupter 9(commencing
with section 70M)of Divides 3 cruse Bonuses soul PeflIcssions Code.arod my Ikerns,1. REPLC SLIDR W/NEW OUTSWNG FRENCH DR,NON—STRUCTL
I.full fewe aoc.lffi�
uce.a.—I-se.f W/LANDING & REPLC LIGHT FIXTURE
Dow—Contractor
ARCHITECI'S
DECLARATION
I understand my ph..sh.11 W used.public records
Licensed Professional
OWNER-BUILDER DECLARATION
I hereby afinme that I am exempt from the Conumema's License Law for the
following resume.(section 7031.5.Business;and Proficashon,Code:Any city or county
9 tai which requires.permit to...L sher.my..,demolish.or reped,any structme
pnorto its issuance,also mquires,the applicant for,such Permit to rile a signed 11111CIFICTIL
that he Is licensed pursuant mem prevision of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area Valuation
In with Scetimr,7000)of Division 3 of the Business and I'micarims,codc)or $6000
that he a asternp,therefrom and the Was;for the alleged!catemption.Any vWhdcmrtf
Section 10313 by.my applicam ror.permit subjects;the applicants to.civil Penalty of
Number Occupancy Type
1...dun Iva hundred dollars(&M 36227010 ,
.V64
.
1,ast owner of Die property,or my employees with"gas as their sole compensation,
will do the work.&.4 the structure I.out intended or offered for sale(Sec.7044.Bunnues,
and Profmahons Cods:The Coustracemes License Law dura net apply to an comer of Required Inspections
im,peny who Wilds and wWdoer swh work himself milontrujil,his
name employees,provided that such imptmvttecou arce not intended broffered for cade.If.
bowew,site Wilding or improweecurt is sold within cow year ofecomplatme.dw emose,
Imiker will haw the burden of proving that W did ran bel or Wittman for purpose of
sale.).
[34.as owner of the mupcoly.son suclusiocly summering with ficamosed controseenst an
construct the projecti tees 7044.Business and ftlerefous,Coals:)The Conteacter's U-
excess Law does WL Andy to an owner of property who Wilds or imperees thersom.and,
wito contrach forwscis projects with a comostetens)licensed purawarul to the Courartar.
I
www Law.
rept under ser—
Owner 01 sonB A,P C for this mason
WORKER'S COMPENSATION DECLARATION
4 I hereby&Mms under persally of perjury on:of the following dalW Won.
mandwillmalmatnaCcrdflmmofC�nloulf.inumfwW�iCompco,k�u� �
idfwbysd..37M.fdw labra Code,far the Ndomanmofthe
work for which this permit is waste.
0 1 luom and will nothosm Wmiker.Compensation houtmence,ad required by Scc%m.
3700.1'the labor Cole.for the cr(ornmeaccfthe work,foramih this permit is Issued.
My Workers Compensation Icon ace curie:and Policy number
Carrier. Policy No,;
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
mus needon modl act taccompleted ffthc pertnf Is foranc hundred collars($100)
or leau.)
I ctudly that in the Mr.,=of the work for which this permit is bound.I"I not
emplo .Y --m:Y rwso
bjectmueWbolacdCommeamtkn
Laws ofApplicant 6. n
wti
arica PPLICANT�.If.%net making this ccouncesm or ascomption,you should
Zbetmen,subject 0 ft Workers Compensalon provisions or ft LaWr Code.you muss
forthwith comply with such previsions or this permit 0,11 W dcccwt!nwolool. . . .
zy CONSTRUCTION LENDING AGENCY
Thereby air.nm than ft.I...onstruction lending Apncy for the performance of
Di the.,it for which this permit I.Issued(S..3097.Ci,.C.)
Lenders Nsrrm
D z
U(3 1 ounify that I Mw road this agpicamon wed.wc that the saw.information I.
Is.E .I agree w comply with all city and county arim.and suis laws missing to
0 Wilding construction,and hereby amilsomm,orpmematives ofthis city to cntcrupmo ft
fel shove-mentioned PrOKaY for inspection famPuseeL :
(We)agree to saw.indemnify and Imem barrel.the City of Capardco against
n liabilities,judgments,enter,and exxonce,which may in any way accrue,against said City
U Z in consequence of the grouting of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SSORCE REGULATIONS. Re-roofs
i me onAPPHcU;=i_.lor
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the appliast or future Wilding ocop metsoure.handle hotaudono,material
as deffned by ft Cupertino Municipal Code.Chapter 9.17.and the Health and Safety
Code.Section 25532(.)7 All roofs shall be inspected prior to any roofing material being installed.
Over
Will ft applicaust or future[a^building occupant use equipment or devices which If a roof is.installed without first obtaining an inspection,I agree to remove
R*Wardens air commorinarm,an defined by the Bay Area Air Quality Management all new materials for inspection.
.t7
I haw mad the hatchroccrus materials requirements under Chapter 6.95 ofthe Califon
nia Health S
& .I.1yCede,Somere,25505,25533 and 25534.1 understand the ifft Wilding
dens not currently haw a umam,must it is my reetwouldlity to notify the occupant of site
require. h h W mel prior W hearten oft Ocrificase of army. Signature of Applicant Date
021=2
Ownelo." mu= gam'omad agcm ��
All roof coverings to be Class'W'or better