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05080180ITY OF CUPERTINO BUILDING DIVISION p�5 RN[I'r CCSI2rCTURINI'UTtMA"Ipia` a �i"1kTi^ sNE3 ..-c7 Twi`:+.a7" Y.:d�%'"„ LDING ADDRESS: FI BROTHERS CONSTRUCTIO URMITNO.0508O18O STEVENS CRK 201 J210128 ER'S NAME: PERMIT ISSUE DATE FINN BROTHERS 1475 SARATOGA AVE 01/20/2006 NE: SANITARY NO. CONTROL NO. (408)252-9131 ARCHIEC rENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description 1 hereby afnrm Nat I Am licensed under provisions of Chapter 9 (commencing p with Section 7") of Division 3 of the Business and Professions Code. and my license is in ren mWe and effect.y -� I� NEW CONDO -9221 License Clara Lie. g ' Dam Comrscmr� ARCHITECTS DEt.' 10 1 understand my plans shall M used As public records Licensed Professional OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractors License Law for the following reason. (Section 7031.5, Business and Profession Cole: Any city or county $197649 which requires a permit to ennuvcn, altar, imporw, demolish. co repair my urectum prior m its issuance. atm requires the applicant for such permit to file a signed statement Ft. Floor Area Valuation Nat he is licensed pursuant in the provision of the Contractor's License Law (Chapter 9 Sq. (commencing with Section 700)) of Division 3 of the Businasamd Proreuimn Crude) Or tun he Is exempt therefrom and the basis for the alleged exemption. Any violation or r Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not mom than five huMred dollars ($500) ❑ 1, As owner of the property, or my employees with miss As their sole compeeudon, Required Inspections will do the work and the worm. loot intended oroffemd for aak(See. 7W. Business and Pmfesstun Code: The C.rormwe, Lt.Law don ml apply m an .. of q p property who buIldamimproves thereon, and who duessuch work him alforthmugh his own employees, provided Nat such improvements tae not intended completed for no. if. however, the building or improvement is sold within one year of completion. the owner builder will have An burden of proving that he did ret build or Improve for purpose of Witt.). ❑ 1. as owner of the property am eW luively consigning with licensed cremations in construct the pmject (Sec. 7014, Business and Professions Code:) The Comtractor'a Li- cense law does not apply m an ownar of propenywho builds or improso Ihemon, and who contracts for such projects with a contramor(s) licensed pursuant m the Contractors License Law. ❑ lamexemplunder Sec. ,Bk PCforthhxnon One WORKER'S COMPENSATION DECLARATION I hereby affirm usher pemlly of perjury And of Use following declarations: I haw and Will maintain A CerdOcese ofConxnl to self-inum for WorkersCompen- As' .. u provided for by Section 3700 of the Labor Code, for the performance of Bre' work for which this permit is Issued. 01 1 have and will maintain Workers ColmpenWllon Imossu ce, W ngnlred by Section 3700 of the Labor Code, for one performance of Ne work for which this permit is Issued. My Worker o pensation Insurance carrier and Policy //qq//ymX�m�nher��ar' �; �� Grtiet. IQGt'L kZ tL� PolityNo.:•n CERTIFICATE OF EXEM Prod FROM WORKERS COMPENSATION INSURANCE (This xedon reed not bttcompleed Rthe pormh is for ane hundred dollars($10)) fir loss.) I cerdfy On in Ne performance of rite work for which this Permit is Issued, l shall not employ any person in my Winner an W in beemmm subject to rile Worker{ CorrpeKation Laws of Ca ifornla. Dam Applicant NOTICE 7O APPUCAND IL after making this Certificate of Exemption, you should become subject NO the Worker', Compensation provisions of the Labor Code, you must fmMwith comply with such provision or this permit snail be deemed mvoknd. CONSTRUCTION LENDING AGENCY 1 hereby x11. that them its construction lending agency for the performance or the work nor which this pencil is blued (Sec. 3097, civ. c.) Lenders Name Lenders Add= I certify Nu I have rad Nie application and sum Nu the above information 11 correct.) agree in comply with all city and county ordinances and sum laws totaling to building conwcti n, and hereby auNorire mpresentatives or Nis city m enter upon the alcove -mentioned ropertY Turin 'an purposes , (We) ag to Were. in Air and keep harmless the City of Cupeninc egainst liabilides,jud cnts.eosts dexpe which may in any way nerve Uninataaid City in constitute of the& ingofth' permit. APPL DE ANDS O WILL COMPLY WITH ALL NON -POINT Issued by: Date /" is--> SOURCE — Re -roofs Type of Roof Sig tic - ter Dam✓ DOUS MATERIALS DISCLOSURE Irl the appli future building=opanumm or handle hauNon material u defns! by the Cupertino Muni I 1 Code, Chapter 9.12. and the Health and Safety . Section 25532(.)? W All roofs shall be inspected prior to any roofing material being installed. ❑Yrs Nu If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future bui ding occupant use ryuipment or devices which it hawrdnu, air conmminane u recd by Ne Bry Arta Air Quality Management all new materials for inspection. District? hon smateri amquimmenuunder CTapmr6.95ofNeCaltror- riaNde, tion25 23377 and255J/.lundgrstand thatifNc building 4�h does nnme u ism responihility on notify the occupantofOe rcyuimet oro rex ren catiBcam ofrkcupanry. Signature of Applicant Dale All roof coverings to be Class"'B" or better ci o mhmrived ens Dam