04080007 CI'CY OF CUPERTINO -+ddt&sixaegax?k & "
BUILDING DIVISION PERMIT �'CONTRACTORxINF0RMATION
BUB.DINGADDRESS: ALL BAY CONTRACTORS, INC. PERMTNo04080007
R22 RTEVENS GREEK BLVD
OWNER'S NAME: PERMITISSUEDATE
3030 QQAZETIGN WAY SUITH
E: SANRARY OL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
a 0 0 0
a�ipQ
LICENSED CONTRACfOR'SDE.i..or
F Ihereby0),ol Nn1amlitheB.underortPmomofChapter9anyhead.is Job Description
`i
with Scoriae and
Sar Ne Businuvna Proreuimu Caere.and mylicenm is
in full forte ana effect.
gqz cl Danaaclaaa ue11 30 DAYS TEMP PERMIT (EX. 09/02/04)
Date TS DEC r
apt',f' ARCHITECTS DECLARATION ORIG. #04060255
Y 1 timm stand my plans shell housed as public or,&
fou
Licensed Professional
j3 OWNER-BUILDER DECLARATION
�f 1 hcmhy affind that 1 am exempt from the Commences License Law for the
00 following reuon.(Section 7531.5,Bananas ane Professions Code:Any city tar county
$ which requires a Permit to construct,allot,improve,demolish,at repair any structure
FI< poor b)iu issuance.also mquims the applicant for such Permit o Bic a signed aummem
i C that he is liamsd pursuant o the pmvisiou of the Contractor's Lianise Law(Chapter 9 Sq.Ft. Floor Area Va 8t1(lAOO(]
tae (commencing with Section 7000)of Division 3 of the Business and Proressione Carlo)or -5 V V
i $ Our M is exempt therefrom end the buss for the alleged exemption.My violation of
Section 7031.5 by any applicant for a permit subjects the opplicam10 a civil penalty of APN Number - ane Occu e
not more than five hundred dollen(f50OL Occupancy�p
❑I,azowner of the pmprny,or my cmPloycu with wages utrach role compensation.
32632050 . 00 "
will do Ne.,it.and the xwclum is not intended or offered for sale(Sec.70,W,Business
and Professions Code:The Canuacmex London Law docs not apply or an owner of IemoorarvR aired, nspections
property who builds or improve;Narcan,and who daasuch work himselforthmugh his I
own employees,provided Nat such improvements are not intended oroRcred foraam.It.
how<ver.
On building or improwmem is sold within ore year of compledan,Ne owner,
builticr will have the buNen of Proving Nat he did not Wild or impmw for puryose or Issued prior to plan check completion
sell azowner ofthepmpcxy am exclusively cartooning with Beamed conuanonto Contractor and/or Owner accept complete
cooswn the project(Su.70x4.Business and Professions Code:)The Conmacon's V-
ccuelawdoesnosapplytaanownerafpovenywhaWildsorimpromthemon.and responsibility for correcting addition,
who contracts for such projects with a conuacmrpun
(s)licensed uu
ano On Convector'; omissions and revisions til;
License Lew.
❑1 sum exempt under Sea
completed Blue Prints.
r�NS' ' DIte � Permit o for ( )thirty days
'S OMPENSATION DECLARATIONderpeentry of perjury aneoTm Ilwing declarations: Cn a Cemfiam accona I.ex1r.m.um far Wmker's comped- From
Section 37M of the labor Code,far Ne performance of On
work for which Ni;permh is issued.
1 haw and will maintain Wortm's Compensation Insuranm,az required by Section Signature
3700 of the Labor Cade,for the performance of the work far which Nix permit is ivad. O
My Warkees Compensonom Insunna canner and Policy number are:
Comer. Policy No.: glntpa
CERTIFICATE OF EXEMPTION FROM WORKERS' VDatYe
COMPENSATION INSURANCE
(Thu serfico need not he completed if the permit is far one hundred dbllan 1$100)
or lose)
e ploy than in thePerformance
cornersthe work fmwhich Nis the WouIssues,Ishell no,
employ any icon in any mannerso u m Wcomc subject the Worten•Compensation
Laws of California.Data
Apird
NOTICE
NOTICE TO APPLICANT:IL after making Nis Cerins of of Exemption,you a mum
become Subject y the Woh pro Camp;at due Permit
tom of the m Labor Code.. mum
.JO forthwith comply with each provisions;tar Nis permililWl Wdecmed mated.
z CONSTR T10N LENDING AGENCY
� I Wr which rte thn there is a con(So,.3 7.Civ.C.) fm me perfurmet¢e of
1v a Lo work for which Nis pertnin is ivad(Boc.3097,Civ.C.1
LLI Q Undch Name
Z i.cmers aedmn
U 0 1 cenify Nat 1 have read this application ana sum Nn the above informative is
Iy(~ comer 1 agree to comply with all city and county ondinanm and state laws relating to
DU building convection.and hereby Immunize reprexenutiry of this city to enter upon the
LL1
above-mentioned Property fond expenses
purposes.
gy (We)agree to save,indemnify and UCP harmless me City or Cupertino againt
Z in Cr
liabilities, cuss and apensamit. may In any way accord against said City
Uz imm�seAN'r of DERST Nof this Permit.
"•" APPLICANT UNDERSTANDS AND ILL COMPLY WITH ALL NO -PO Issued by: Date
sou RE �g 2
Re-roofs
S' o App aanUConuacmr Cash
HAZARDOUS MATERIALS DISCLOSUflEc Type of Roof
Will On applicant or future building Motdonumre,urban haurdousmamdal
az defined by me Caperton Municipal Cade.Chapter 9.12,and the HcaOm and Safety
Code,Section 35532(.)? All roofs shall be inspected prior to any roofing material being installed.
❑Yea o
WE]me applicant or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
harardons air contaminants az fined by the Bay Arca Air Quality Management all new materials for Inspection.
via?
❑Yu u
I have mad me Incestuous materials myuimmcn un der Chapter 6.95 of the Califnr.
ria Health 85afcty Conic.Satiuu 25505 553d.l understood NwiftW Willing
not c n0y hew out u my ruparomility m Oddly em asupeat of the
m' anew ' a e norwostoomcof.Cerofieama(Ocupon . SignatureofApplicant Date
Owner or amhorircd agent Da,e All roof coverings to be Class "B" or better
CI'CY OF CUPERTINO -+ddt&sixaegax?k & "
BUILDING DIVISION PERMIT �'CONTRACTORxINF0RMATION
BUB.DINGADDRESS: ALL BAY CONTRACTORS, INC. PERMTNo04080007
R22 RTEVENS GREEK BLVD
OWNER'S NAME: PERMITISSUEDATE
3030 QQAZETIGN WAY SUITH
E: SANRARY OL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
a 0 0 0
a�ipQ
LICENSED CONTRACfOR'SDE.i..or
F Ihereby0),ol Nn1amlitheB.underortPmomofChapter9anyhead.is Job Description
`i
with Scoriae and
Sar Ne Businuvna Proreuimu Caere.and mylicenm is
in full forte ana effect.
gqz cl Danaaclaaa ue11 30 DAYS TEMP PERMIT (EX. 09/02/04)
Date TS DEC r
apt',f' ARCHITECTS DECLARATION ORIG. #04060255
Y 1 timm stand my plans shell housed as public or,&
fou
Licensed Professional
j3 OWNER-BUILDER DECLARATION
�f 1 hcmhy affind that 1 am exempt from the Commences License Law for the
00 following reuon.(Section 7531.5,Bananas ane Professions Code:Any city tar county
$ which requires a Permit to construct,allot,improve,demolish,at repair any structure
FI< poor b)iu issuance.also mquims the applicant for such Permit o Bic a signed aummem
i C that he is liamsd pursuant o the pmvisiou of the Contractor's Lianise Law(Chapter 9 Sq.Ft. Floor Area Va 8t1(lAOO(]
tae (commencing with Section 7000)of Division 3 of the Business and Proressione Carlo)or -5 V V
i $ Our M is exempt therefrom end the buss for the alleged exemption.My violation of
Section 7031.5 by any applicant for a permit subjects the opplicam10 a civil penalty of APN Number - ane Occu e
not more than five hundred dollen(f50OL Occupancy�p
❑I,azowner of the pmprny,or my cmPloycu with wages utrach role compensation.
32632050 . 00 "
will do Ne.,it.and the xwclum is not intended or offered for sale(Sec.70,W,Business
and Professions Code:The Canuacmex London Law docs not apply or an owner of IemoorarvR aired, nspections
property who builds or improve;Narcan,and who daasuch work himselforthmugh his I
own employees,provided Nat such improvements are not intended oroRcred foraam.It.
how<ver.
On building or improwmem is sold within ore year of compledan,Ne owner,
builticr will have the buNen of Proving Nat he did not Wild or impmw for puryose or Issued prior to plan check completion
sell azowner ofthepmpcxy am exclusively cartooning with Beamed conuanonto Contractor and/or Owner accept complete
cooswn the project(Su.70x4.Business and Professions Code:)The Conmacon's V-
ccuelawdoesnosapplytaanownerafpovenywhaWildsorimpromthemon.and responsibility for correcting addition,
who contracts for such projects with a conuacmrpun
(s)licensed uu
ano On Convector'; omissions and revisions til;
License Lew.
❑1 sum exempt under Sea
completed Blue Prints.
r�NS' ' DIte � Permit o for ( )thirty days
'S OMPENSATION DECLARATIONderpeentry of perjury aneoTm Ilwing declarations: Cn a Cemfiam accona I.ex1r.m.um far Wmker's comped- From
Section 37M of the labor Code,far Ne performance of On
work for which Ni;permh is issued.
1 haw and will maintain Wortm's Compensation Insuranm,az required by Section Signature
3700 of the Labor Cade,for the performance of the work far which Nix permit is ivad. O
My Warkees Compensonom Insunna canner and Policy number are:
Comer. Policy No.: glntpa
CERTIFICATE OF EXEMPTION FROM WORKERS' VDatYe
COMPENSATION INSURANCE
(Thu serfico need not he completed if the permit is far one hundred dbllan 1$100)
or lose)
e ploy than in thePerformance
cornersthe work fmwhich Nis the WouIssues,Ishell no,
employ any icon in any mannerso u m Wcomc subject the Worten•Compensation
Laws of California.Data
Apird
NOTICE
NOTICE TO APPLICANT:IL after making Nis Cerins of of Exemption,you a mum
become Subject y the Woh pro Camp;at due Permit
tom of the m Labor Code.. mum
.JO forthwith comply with each provisions;tar Nis permililWl Wdecmed mated.
z CONSTR T10N LENDING AGENCY
� I Wr which rte thn there is a con(So,.3 7.Civ.C.) fm me perfurmet¢e of
1v a Lo work for which Nis pertnin is ivad(Boc.3097,Civ.C.1
LLI Q Undch Name
Z i.cmers aedmn
U 0 1 cenify Nat 1 have read this application ana sum Nn the above informative is
Iy(~ comer 1 agree to comply with all city and county ondinanm and state laws relating to
DU building convection.and hereby Immunize reprexenutiry of this city to enter upon the
LL1
above-mentioned Property fond expenses
purposes.
gy (We)agree to save,indemnify and UCP harmless me City or Cupertino againt
Z in Cr
liabilities, cuss and apensamit. may In any way accord against said City
Uz imm�seAN'r of DERST Nof this Permit.
"•" APPLICANT UNDERSTANDS AND ILL COMPLY WITH ALL NO -PO Issued by: Date
sou RE �g 2
Re-roofs
S' o App aanUConuacmr Cash
HAZARDOUS MATERIALS DISCLOSUflEc Type of Roof
Will On applicant or future building Motdonumre,urban haurdousmamdal
az defined by me Caperton Municipal Cade.Chapter 9.12,and the HcaOm and Safety
Code,Section 35532(.)? All roofs shall be inspected prior to any roofing material being installed.
❑Yea o
WE]me applicant or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
harardons air contaminants az fined by the Bay Arca Air Quality Management all new materials for Inspection.
via?
❑Yu u
I have mad me Incestuous materials myuimmcn un der Chapter 6.95 of the Califnr.
ria Health 85afcty Conic.Satiuu 25505 553d.l understood NwiftW Willing
not c n0y hew out u my ruparomility m Oddly em asupeat of the
m' anew ' a e norwostoomcof.Cerofieama(Ocupon . SignatureofApplicant Date
Owner or amhorircd agent Da,e All roof coverings to be Class "B" or better