06050103 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATICINu
sr> . t¢r�
BUILDING ADDRESS: x LISA ZENG PERMIT NO.06050103
1342 S STELLING RD
'ER'S NAME: PERMIT ISSUE DATE
LISA ZENG 08 /11 /2006
HONE:
SANITARY NO. CONTROL NO.
ARCHITEC,ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 C= o
Qa LICENSED CONTRACTOR'S DECLARATION lob Description
1 bemby affrn Out 1 i m lianned under provisions of Chaprer 9(commencing
w
with Section 7O(ks)of Division 3 of de Busmen and Professions Code.and my license is
!may InmuCliand err L HOUSE DEMO SINGLE STORY
Z oCLss rase.A
D. e
;-p a€ C' ,AR CHITECTS DECLARATION
i m< I unMrstanJ my plans shall W used as public rccnrds
•OtjIA
U, road Pmfasaional
g the lam exempt
m DECLARATION
1 hereby alum dim 1 am accept Imre dte RATIO bis License Law for dm \\\
A o following mason.(Sa6un 7W 1.3,Business and Profeasinns Cade:Any oily or county
i 29 which requires a Permit no control almr,improve,demolish,or¢pair any swnume 15 0 0 0
,�iprior m in issuance.also squires the applicant for such permit to file a signed statement
that M uliecnsed poaaam in the provisions of lW Conuacrra Liana Law(Chapmr9 Sq.Ft. Floor Area Valuation
11-o (commencing with Secuon 7000)of Division 3 of the Business and Prormions Centel or
$ that he is eumpt Omcfrom and Ne bassi for one alleged eumpOon.Any violation of
Section 7031.5 by any applicant for a permit subjects Nc applicant to a civil penally of r u u Occupancy Type
out mom than five hundred dollars(SSW).
O 1,as owner or the property,or my employees with wages as their able eampevauon,
will do the work,and Ne stmaum u not intended or offered forsale(Sas.70th,Bowness
and Profession Code The Conuxbrs License Law dm oat apply W an awnu of Required Inspections
property who builds or improves thereon,and whodeassuch work himselfor Waugh his
Own employees,provided Nm such improvements arc not intended oraRered for ule.If
howeveq the building or improvement is said within as year o(compleuon,the owner-
builder will have the Writes of proving Nat he did set Wild or improve for purpose of
salt).
BI 1,as owner of the propcny,am exclusively concocting with licensed anuacars to
convect one pmjen(Sec.7W.Business and Pmf cumeas Cadc:)The,Carnal U
cave raw does sot apply to in owner of property who Wilds or improves IW mon,and
who concocts for such projects with a coma mu(s)licensed pursvnt in the Canmltors
Lim.Law.
❑l am exempt underSP'- - ^Y/ .Bh PCrui Numean
L/�W"Y
D - Due d r O
WOREPER'SCOMPENSATIONDECLAILkTION
140111 1 thereby Nno under panty or perjury now or the following declarations:
❑1 have and will maintain a Carufiam of Covent in self-intim for Woulwes Compen-
saaian,as provided fm by Seeman 37W or de labor Cade,fm dse Nrformaa of one
wok far which this permit is issued.
❑1 have and will maintain Worker's Compensation Insurance.as mquimd by Section
37W of the labor Cade,for dm peAormance of the work fa which this permit is issued. '
My Workers Comp maromm haarana artier and Policy number art:
Cartier: Policy No.: _
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
(Mis section need not W completed if the permit is fm otic hundred dollars($1 011)
cur Ieir)
I certify that in the performance of the work for which this Permit is issued.I shall not
employ any person in any manner rev m a(rfame subject a dw Workcri mpensation
Laws of California.Dase9r,y-
Applic cit
NOTICE TO APPLICANT:IL after mA4 this Cenifcam of Exemption,you should
become abject a the Wokers Compevation previsions of the labor Code,you must
.J 0 forthwith comply with such provisions or this permit shall W deemed reveled.
aN CONSTRUCTION LENDING AGENCY
(•+ I hereby oRrm that Ncm is a construction lending agency for lW performance of
C' the work fur which Nis permit Is issued(Scc.3W7,Ci,Q
ALenders plastic
r7- z Landers Add.
V Q 1 certify that 1 have rad this application and sate Na we above information is
L, E^ carat-1 agree a comply with LI city and county ordinances and sate laws relating to
Z V Wilding eonswnian,and hereby authorize Mpmammives of this city to enter upon the
shove-mcmiuncdproperty for ex;pction purPowhich may
F 1 (We)agree m save,indemnify and kap hamnless Ne City or Cupenina against
Z in
or
granms,crom and of this Pewhich maylday wayacarol against said City
V z in eonxequance of the granting of this permit.
^^ APPLICANT UNDERSTANDS NO WILL COMPLY M1 ALL NON-POINT Issued by: Date �� ( �-0'e
SOURCE REGULATIONS.
°d Re-roofs
Signature cur ApIrlicanuCanuacs Data
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the appliant or final Wilding oaupantSWM or dandle hanodous material
klncd by Ne Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Swoon 255324)? All roofs shall be inspected prior to an roofing material beim
El Y. tlNa P P Y g being installed.
If a roof is installed without first obtaining an inspection,I
Will the applicant or furore building occupant Lia cyuipmcnl or devices which g agree to remove P
,not hamrdmv air emiaminana as defmcd by Ne Bay Area Air Quality Management all new materials for inspection.
District?
QYes (1]No
I have rend Ne hauNov materials requirements unit,Chapter 6.95 of the Calif.,
25505.25577 am12553a.iurdcrswld Nmif the Wilding
does not currently have a tenet.Ow it h my rapavibility,to.61,the occupant of the
requirement whit buslWmet priormissuance oft niflaw of Occupancy. Signature of Applicant Date
3/11/04 All roof coverings to be Class"B"or better
Owner or authorized agent Da¢'
CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATICINu
sr> . t¢r�
BUILDING ADDRESS: x LISA ZENG PERMIT NO.06050103
1342 S STELLING RD
'ER'S NAME: PERMIT ISSUE DATE
LISA ZENG 08 /11 /2006
HONE:
SANITARY NO. CONTROL NO.
ARCHITEC,ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 C= o
Qa LICENSED CONTRACTOR'S DECLARATION lob Description
1 bemby affrn Out 1 i m lianned under provisions of Chaprer 9(commencing
w
with Section 7O(ks)of Division 3 of de Busmen and Professions Code.and my license is
!may InmuCliand err L HOUSE DEMO SINGLE STORY
Z oCLss rase.A
D. e
;—p a€ C' ,AR CHITECTS DECLARATION
i m< I unMrstanJ my plans shall W used as public rccnrds
•OtjIA
U, road Pmfasaional
g the lam exempt
m DECLARATION
1 hereby alum dim 1 am accept Imre dte RATIO bis License Law for dm \\\
A o following mason.(Sa6un 7W 1.3,Business and Profeasinns Cade:Any oily or county
i 29 which requires a Permit no control almr,improve,demolish,or¢pair any swnume 15 0 0 0
,�iprior m in issuance.also squires the applicant for such permit to file a signed statement
that M uliecnsed poaaam in the provisions of lW Conuacrra Liana Law(Chapmr9 Sq.Ft. Floor Area Valuation
11—o (commencing with Secuon 7000)of Division 3 of the Business and Prormions Centel or
$ that he is eumpt Omcfrom and Ne bassi for one alleged eumpOon.Any violation of
Section 7031.5 by any applicant for a permit subjects Nc applicant to a civil penally of r u u Occupancy Type
out mom than five hundred dollars(SSW).
O 1,as owner or the property,or my employees with wages as their able eampevauon,
will do the work,and Ne stmaum u not intended or offered forsale(Sas.70th,Bowness
and Profession Code The Conuxbrs License Law dm oat apply W an awnu of Required Inspections
property who builds or improves thereon,and whodeassuch work himselfor Waugh his
Own employees,provided Nm such improvements arc not intended oraRered for ule.If
howeveq the building or improvement is said within as year o(compleuon,the owner-
builder will have the Writes of proving Nat he did set Wild or improve for purpose of
salt).
BI 1,as owner of the propcny,am exclusively concocting with licensed anuacars to
convect one pmjen(Sec.7W.Business and Pmf cumeas Cadc:)The,Carnal U
cave raw does sot apply to in owner of property who Wilds or improves IW mon,and
who concocts for such projects with a coma mu(s)licensed pursvnt in the Canmltors
Lim.Law.
❑l am exempt underSP'- - ^Y/ .Bh PCrui Numean
L/�W"Y
D - Due d r O
WOREPER'SCOMPENSATIONDECLAILkTION
140111 1 thereby Nno under panty or perjury now or the following declarations:
❑1 have and will maintain a Carufiam of Covent in self-intim for Woulwes Compen-
saaian,as provided fm by Seeman 37W or de labor Cade,fm dse Nrformaa of one
wok far which this permit is issued.
❑1 have and will maintain Worker's Compensation Insurance.as mquimd by Section
37W of the labor Cade,for dm peAormance of the work fa which this permit is issued. '
My Workers Comp maromm haaramc artier and Policy number art:
Cartier: Policy No.: _
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
(Mis section need not W completed if the permit is fm otic hundred dollars($1 011)
cur Ieir)
I certify that in the performance of the work for which this Permit is issued.I shall not
employ any person in any manner rev m a(rfame subject a dw Workcri mpensation
Laws of California.Dase9r,��
Applic cit
NOTICE TO APPLICANT:IL after mA4 this Cenifcam of Exemption,you should
become abject a the Wokers Compevation previsions of the labor Code,you must
.J 0 forthwith comply with such provisions or this permit shall W deemed reveled.
aN CONSTRUCTION LENDING AGENCY
(•+ I hereby oRrm that Ncm is a construction lending agency for lW performance of
C' the work fur which Nis permit Is issued(Scc.3W7,Ci,Q
ALenders plastic
r7- z Landers Add.
V Q 1 certify that 1 have rad this application and sate Na we above information is
L, E^ carat-1 agree a comply with LI city and county ordinances and sate laws relating to
Z V Wilding eonswnian,and hereby authorize Mpmammives of this city to enter upon the
shove-mcmiuncdproperty for ex;pction purPowhich may
F 1 (We)agree m save,indemnify and kap hamnless Ne City or Cupenina against
Z in
or
granms,crom and of this Pewhich maylday wayacarol against said City
V z in eonxequance of the granting of this permit.
^^ APPLICANT UNDERSTANDS NO WILL COMPLY M1 ALL NON-POINT Issued by: Date �� ( �-0'e
SOURCE REGULATIONS.
°d Re-roofs
Signature cur ApIrlicanuCanuacs Data
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the appliant or final Wilding oaupantSWM or dandle hanodous material
klncd by Ne Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Swoon 255324)? All roofs shall be inspected prior to an roofing material beim
El Y. tlNa P P Y g being installed.
If a roof is installed without first obtaining an inspection,I
Will the applicant or furore building occupant Lia cyuipmcnl or devices which g agree to remove P
,not hamrdmv air emiaminana as defmcd by Ne Bay Area Air Quality Management all new materials for inspection.
District?
QYes (1]No
I have rend Ne hauNov materials requirements unit,Chapter 6.95 of the Calif.,
25505.25577 am12553a.iurdcrswld Nmif the Wilding
does not currently have a tenet.Ow it h my rapavibility,to.61,the occupant of the
requirement whit buslWmet priormissuance oft niflaw of Occupancy. Signature of Applicant Date
3/11/04 All roof coverings to be Class"B"or better
Owner or authorized agent Da¢'