06070129 CITY OF CUPERTINO 0 `" "�iieaF+s. '"
BUILDING DIVISION PERMIT tkCONTRACT01ZA , ,ORMATTIO1V
BUILDING ADDRESS: WHITING-TURNER CONTRACTIN PERMITN0.06070129
20745 STEVENS CREEK BILD
OWNER'S NAME: PERMIT ISSUE DATE
Ah TARGET CORP 7011 KOLL CENTER PKWY
9/05/2006
SANITARY N0 CONTROL NO.
E:
(925) 485-0800
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0
top LICENSED CONTRACTORS DECLARATION Job Description
mF 1 hereby affirm Nat I am liamed under pmvisions of Chapter 9(cammcncing P
�.ZW with Section 70(10)of Division 3o1fNe Business. Profcasiom Code'andmyliccnwu
inlRto=and ef(et REVISION TO SITE LIGHTING
Ips Licease Lie RIGINAL PERMIT #05080124
)a¢�Commcwr -
•££,� ARCHDECTS DECLARAT ON
i k� 1 undersand my plans shall he used az public mcnrN
idu
°off Licensed Pmfcssianal
g
OWNER-BUILDER fr DECLARATION
<0 I hereby Maso .,Brie Nat I I.J.exempt from Ne Contractors :Any c Law for 0rc
o O whichfollowingmi mann.(Baton]ID LBusiness and a..derom Code:Any city or aunty
e m�+ which rcquisa a permit re rasaual aper.nt pmw,h pr o proud,
at repair ed aunmc
1.11
pdormiuiensedp pursalso uant
tsovisio so fm sanpermr's Liccas Law xuremcm
that he is licensed pursuant to sire provisions of sire Contractor's Licc,ase taw Chapter Sq.FL Floor Area V$ 610000
d�n (commencing with Section 7")of Division 3.1'NC Business and Professions Code)or
that M u exempt therefrom Said the baso far the alleged..pd..Any violation of
Section 7031.5 by any applicant far a permit subjects the applicant o a civil penalty of APN Number Occupancy Type
.a,mare in.fiw bandied dollars(M). 32632054 . 00
0 1,as owner of tst preperly,or my employca wits wags as Neo ale compnsedon,
will do the work.and the strame is not intended or offered[intake(Sec.7044,Business
and Profestians Cade:The Camranort License Law does at apply w an owner of Required Inspections
pwpr ny who bui Ids or ire prows Neran.and who dots such wart himself e r though his
awn employcies.provided that men improvements are notimendc l oraRened fm sake.If.
however,Ne building or improvement is Sold within ane year of completion,the owner.
builder will have Nu huNa of proving that hr did not build or improve for pupme of
Sale.).
0 1,as owner of Ne property,am exclusively contracting with licensed anwcwrs to %y
coal=the project(Sec.7044,Business and Professions Cade:)The Contractor's U. I\
carat law does not apply in an owner of property who builds or improves thereon,and. \
who concocts for such projects with a comr.wr(s)licensed pursuant w the Contractor's
Licrnse law. V
0 lemnemptundei See ,Bk PCfor Numawn
Owner Due
WORKER'S COMPENSATION DECLARATION
1 hereby aRnn under penalty of perjury ane of Nc following declaration:
0 I have and will maintain a Certificate of Conem w self-iuure for Waskeh Comwn-
wtion,as provided for by Secuan 3700 of She Labor Cade,for Ne paAormaa of Us
work for which this K.it is issued.
0 1 have and will maintain Workers Campewtion Inwnncc,as required by$amen
37W of do labor Code.for the perform.of Nt work,(or which Nis permit u issued.
My Worker's Compensation 1�um m.carrier ai; Policy number art:
Carrier: /' olicyyNe.:
CERTIFICATE OF EXEMPTION FROM WORKER
COMPENSATION INSURANCE
(Thu section need at hcemoplcud if the lammis is fora..hundred dollars(1100)
or lc s)
I cenify,Nm in Ne performance of dm work for which this permit is issued,l shall not
amply any pawn in any mare,So as w become object w But,Workcss'Cempcnsadan
Laws of Califomix.Date
Applicant
NOTICE TO APPLICANT:If,aper making this Cerifica s of Exemption,you should
become subject to Nc Worker's Campcnsation provisions of the tabor Codc,you muss
.JO romhwiN comply with such pmvisions or Nu permit shall be doomed mwked.
Z ^ CONSTRUCTION LENDING AGENCY
(-�^ 1 hereby which
thi Nat tscrt is s anSee.3 7,Ci.g agency for the Performance of
Le work for which Nis permit is issued(Sec.J097,Civ.C.)
BILI A Lender'.Name
=z IAnarr's Adams
U Q 1 ankfy that I have read this application and satM that the above information is
I. F^- correct.I agree to comply with all city and county onfinances and sate laws mlating to
OU building construction.and hereby aulorim rtpracnutiw,s of Nis city w enter upon the
al ove mentioned property Tor instecuon purposes.
H0. (ajuagree .save,indemnify and keep harmless way
or Cupertinoud City
p0 liabitides.judgmcnu.costs and expenses which may in any way accmc againnaid 1aL
U z in co cc of to grating of Nis permit.
^ APP C NT UN TTA IDI AND WILL COMPLY WITH ALL NO POINT Issued by: Date 'r',-1- C�
SOU E EGU� NL
Re-roofs
Signareo pit for Dow
OUS MATERIALS DISCLOSURE Type of Roof
L PPIkeent en future Wilding accupat.t.or handle haradous material
as defined by the Cupenino Municipal ,Chapter 9.12,and Ne Healts and Safety
Code,Sc zs111111a)?❑y. All roofs shall be inspected prior to any roofing material being installed.
Yes
Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit hazardous air cauminanu as refined by Nc Bay Area Air Quality Management all new materials for inspection.
DlatrleQ Jia-yf�/
0Ya
1 have mad the hvaNnusmawrials requirements under Chap er6.95 afNc Califor-
niaHeahh k Safety Cade,Secticc.25505.25533 and 25534.1 undersand Na iftse building
does not currently have a wnane Nn it it my maporanNi ty w atfy the acup.t or on,
requirements which must be me,prior to Usuacc of Ccmficale of cccupaay. Signature of Applicant Date
owner ar aawarizcd.gen, Date All roof coverings to be Class "B"or better