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02030109 OF CI BUILDING UOPERTON PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO. 10109 TANTAU DR. SOLAHART SAN MARTIN - EA3T BAY 02030109 OWNER'S NAME: APPLICAiTION S B DATE '•BYU MIN 16890 CHURCH ST 03/21/2002 PONE: SANITARY NO. CONTROL NO. (408) 776-2750 Z ARCHITECT(ENGINGER: BLDING PERMIT INFO rat G BLDG EL LEUICT PLUMB MECH I C=1 1_1 LICENSED CONTRACTOR'S DECLARATION 'S�E I hereby fenn that 1 am errowd ander fcna ter 9 commencing Job Description 'N'° ur^vsmn"' n e SOLAR THERMAL HOT WATER. Hol with Senian](100)of Division Sof the Busincsn aPmtcxsiona Code.a my license g� L �!\l/ iG is to',man m �drn� FINAL O u Date Commit,, �9 E V P�'vl�o S a. '--••,,VVAA WHITI!CT�S DECL T g 1 undemnnd my plans shall be used as public records lMAY tl 8 2002 Licensed Professional 6 ' OWNER-HUILDER DECLARATION � 1 hereby affimt that 1 am exempt from the Contractofs License law for the BUI LDIIVG S s 4 0 0 H following teawa(Section 10345,Business and ve.de o demolish. Cods:Any city droture which q permit t t n I¢r,'m pm d lis t or repay my swctua 3 m poo t t n q the applicant f h pral m file s signed seamen - over filll a"dpno nu theprovisionsof[lie Contractors Lcense Low(Chapter 9 ' (commencing with Sect ]000)ofD ix 3 of the Busncsand aProfessorial Cedc) '_ 5+,•.�'3'7'3( (J,l�r ®a4r' l r4at vt Valuation or that nc is earrim mro film and the basis for the alleged exempadd.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty orbit amae had Eve hundred dollars SIDE). 10 1APN SAT I ON I' 't Occupancy Type 01.as owner of me Impacts y,or my employees with u ages as their sole compensation. - PIERS will dei the work:and the stmnure is not intended-or offered for sale(sec.]Oaq' - - Business and Professions Coot The Contractor's License Law does not apply m an 103 - UFER Required Inspections" ow.1th r of property Who builds or improves droll and who does such work himself 104_ - REBAR or thou It his own employees pnn"dce tire,. bimprovementstt intended or orrerea Toa bele u;nowrver,m<nmle ng - -p t :- lei- m ei'�r or .._ -.Al completion,the ownerWlderwll have the burden of proving that head not bola or 105 - ANCHOR BOLTSs' ` improve for purpose of call 106 - SEWER & WATER _..._-:C... ._ .. ❑1:as owner of the Pmm pcaY•reexclusively convecting with liccnsd convaver,m0 2- UNDERFLOOR PLUMBING ,. convect the pAl(sec.]tl Business and Professions Cade:)The Central 2 03 - UNDERFLOOR MECHANICAL',. , - License Taw does no]apply to an owner of property who builds m improves thereon. contracts for such projects with a-commcmr(s).Bre sea.panuant-to.the _. . . -- 204- ---UNDERFLOOR -FRAME and. c _..._.. - . 01mormr. Contractors LicenseLaw. "" 205 - UNDERFLOOR'' INSULATION ❑lam essential Scc. .B'&PCfor this maven ower lime ' 301 - ROUGH PLUMBING WORKER'S COMPENSATION DECLARATION 302 - TUB & OR SHOWER fz Ihereby afbrmunder prn.hyo(prijpryotir,othe,following deciaadns: 303 - ROUGH MECHANICAL .1 ❑ 1 have and will maintain a Certificate of consent to self-insure for Worker. 3 04 - ROUGH ELECTRICAL Compeavroa, as provided for by Section 3700 of the Labor Code, for the performance of me work for whicM1 this permit is issued. 3 05 - FRAME ❑1 have and will naaintaid worker's Compon emaiiInsurance,as ball by Section 306 - HOLDOWNS 37W of me Li bor'Code,for the performance of the work for which this permit is 3 07 - INSULATION he .ylhTl� S�doh y 308-,-7' , $HEE1.TROCK issuedMy WCCRTIFlCATION OF EXEMN FROM WORKERS'; •1"h\ 1 ,30,91„ 4 _ 1 "/ a coMu:NSATI INSURANCE - 3019 - EXTERIORLATH, _._. 31011= INTERIOR LATH'- _,. -'-- (This semis area not be romplaed d the permit is fm one handred dollars . .'' I t . (s100)drmss.) 311 - SCRATCH COAT ',I really that in the Perforce mandf do'rwv rk rim which this permit is issued.1 - ...:. ,.. - - 313 ROOF 'NAILI•' . ' hall not employ any Person in any manner so as to become subject to the Workers' 50-1 - FINAL ELEGTRI CAL ENERGY' Compensation laws of California.Data . Applicant. - _-. ._.._ _-- __-':'- - .- -- .. 502 --- - FINAL -PLUMBING ENERGY... ._ NOTICE TO APPLICANT:if.otoo,making this Certificee of Exemption:you should 503 - FINAL MECHANICAL ENERGY 't n yid ma subject m the Workers Compensation provisions of the Labor Code,you must Zrortnwitfitompywith such pmvismmsdrtmsp nth amiss«me okra. 504. -- FINAL BUILDING ENERGY ... ... _ 'CONSTRUCTION LENDING AGENCY ' 505 - FINAL ELECTRICAL " a-7 1 hereby iffirri that throd sa'const etmn lending age n y fil the perfmaria f1howlinkfor.lairlithispmti s ears 30506 - _ a 1 11 GAS TEST G Lana Name— t _ LendAdde507 - FINAL PLUMBIG A (y U_0Icen'lymtlh rtdthisapplicar dstate that inoW<' foamafos 508 - FINAL MECHANICAL cora t a agree to comply with all city ads county ordinances and,state laws relat ng 509 - FINAL GRADE to building convection:and hereby annual representatives onhis city to enter upon 510 - FINAL PLANNING the above-mentioned property for inspection purposes. _ _ � .pt (we)agree to save:indemnify and keep harmleei the CitydCLoenino against ."'rn liabilities,judgments,rodus and expense which.may in any way serve against said 514 - FINAL PUB I C WORKS V nZ. City i qucntt of gaming of this permit. A IG Uy SPAN AND WILL COMPLY WITH ALL NPN-PONT'' URCI R ,, At Issued by: Date ignarm 61ApliZeTalciamassm, Dat Re-roofs HAZARDOUS MATERIALS DISCLOSURE' - 'Will the ppl cu t f t ba Idirig vent score m.n al naara-1 a rel l Type of Roof . . _.. .r. .. _ .. . as defined by theC pen Municipal Cod Chapter 9.12,and theHealth and Safety " is t(t r CoaeY clan 2553_(n) CI<1' t t '::x t. Ii' I . . 1' _ ❑res ' r All roofs s6a11 be.inspected prior�to any roofing material_being,installed. 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 an hmareous air committal as defined by the Bay Area Air Orality Management �iatrirn all new materials for inspection. Applicant understands and will comply with -- 0 Yes - f _ .. .;..t t •:,:.- all non-point source regulations. 1 1 have real the hazardous mmcrials rcquiocmcdti`ander Choptdr 6.95 of the Cliffomie Health afny Cti Sections 25505.25533 and 25534.1 undestandthat B me lauildi not tutee v h re a mann that it is my responsibility m notify me - coon the qu remain. whit myin be t p o to i nuance of a Certificate of Or my l/:Lt/7f/t Z Signature of Applicant Date ., cleanup. ad ageale 2 Al] roof coverings to be Class"B" or better OFFICE . .. . . .--- . .- 0. 0 �n6 tYy' Sao.; .LLO Z: z 0 a� Liz C �z aro U F a. Uz OF CI BUILDING DIVISION CONTRACTOR INFORMATION; PERMIT _ BUILDINGADDRESS: 10109 TANTAU DR. OWNER'S NAME BYU LWIN PHONE: LICENSED CONTRACTOR'S DECLARATION 1 hereby arm dust 1 am licensed under provisions of Chapter 9 (commencing with Secsion700o)of Divisioo3ofthc Bus' and Professions Cod..amJmy license Is in fullle nt/$/ct. r License CYisia. w)bnt7 Dam Commct r HITELT'g DEC L0,115A SIQ�-'�� I understand my plans shall be used as public roomer Licensed Professional OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Convector's License Law for the following mason (Section 7031.5. Business and Professions Code: Any city or county which requires a permit to construct. alter, improve, demolish. or repair any strucmm prior to its his ance,.1. requires thevpplicam fm such permit or Elaasignedmmmem dun he is liceiacd puroom m the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions, Code) or that he is exempt therefrom an4 the basis for the alleged ea inimi d. Any violation of Section 7031.5 by any opplicamt for a permit subjects the .pplteam to a civil penalty of not more than five hundred dollars SIM), 01, as owner of to progeny, or my employees with wages as their sole compensation, will do the work, and the structure, is not intended or offered for sale (See. 70&6, Business ard Professions Cade: The Contractor's License Law does not apply to an Owner of property Who Wilds or improves thereon, and who does such work himself or througgh his own employees. provided that such improv mems are not intended or .(fend (o, sale. If. however, the building or improvement is sold within one year of completion. the owner -Wilder will have the burden of proving that he did not Wild or improve for purpose of sale.). 01, as owmr of the pmperty, am exclusively contracting with licensed contractors to construct the project (Sm. 7064, Business and Professions Codc:) The Contractor's License Law does not apply to an owner of property who Wilds or improves thercon, and who contracts for such projecu.with a. coutracmr(s) licensedpursuant m.the Comractors License Law. 01 em exempt under Sec. " . B & P C for This memo Owner Data WORKER'S COMPENSATION DECLARATION I hereby atTmt under penalty of perjury one of the following declarations: IO I have arW will maintain a Ccnificate of Comsat to self -Insure for Worker's Compensation, n provided far by Section 37W of the IaWr Code, for the performance of the work for which this parmit is issued. 01 hove and will m.inuin Worker's Compensation ho mnce, as required by Section 37M of the Labor Code, for the perfonnumce of the work for which this permit is issued. M, yy Worlmes Compensation Insurance carer and Policy number are . �rnicc'd IRTPi'�WssIY/ Policy CERTIFlCATION OFSN FROM WORKERS' ' COMPENSATIATIO WgtIRANCE ' (This section need not be completed if the permit is for one hundred dollars 0100)or less) 1 certify What in-once of the work for which this permit is issued, I shall not employ any person in any moaner so as to become subject in the Workers' Compensation Laws of California. Date Applicant. NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject m dee Workers Compensation provisions of the labor Cade. you must forthwith comply with such provision or this permit shall be deemed oevokW. CONSTRUCTION LENDING AGENCY I hcmby affimt that them is a consumctim lending agency for to performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lender's Name' Lender's Address 1 cenify that 1 have read this application and state that the above information is . 1 agree m comply with.11 city end county ordinances end state laws miming ling construction, and hereby authorize representatives of this city to enter upon vc-mentioncil property for inspection purposes. (We) agree to save, indemnify and keep lu m l,ss she City of Cupertino agaimn judgments, cus and expenses which may lin any way accrue against and s�aann��eequence ofJJFFoo gmming of this permit - C7 U[1T-1 S'fANgS AND WILL COMPLY WITH ALL Npy-POINT HAZARDOUS MATERIALS DISCLOSURE Will 'Ihe applicant Or future Wilding oc ,rum store m bandlc hL rdous material as defined by the Cupertino Municipal Code. Chapter 9.12, and the Health and Safety Code, Section 25532(.)? O Ycs Will the applicant or future Wilding occupant use equipment at devices which eud emit haaus air contaminants a; defined by the Buy Ara Air Quality Management District? 0 Ya 2 d due hazardous materiels requirements under Chapter 6.95 of the dth d�Safdy C tions 25505.25533 and 25534. 1 understand that EIfes nm cure µ h m a mnam. that it is my ruponsibiliry m notify the r�q vemen hic nyrst W met prior to issuance of a Cenifcat, of SOLAHART SAN MARTIN - 16890 CHURCH ST (408)776-2750 ERMIT NO. T BAY 02030109 PPLIC9TION S B DATE 03/21/2002 kNTARY NO. CONTROL NO. BUILDING PERMIT WFO BLDG ELECT PLUMB MECH Job Description SOLAR THERMAL HOT WATER. FINALE® MAY 0 8 2002 BUILDING 102ijri 1VIMMATION t $5400 103 - UFER Required Inspections 104 - REBAR 105 - .......... ..... ANCHOR BOLTS 106 - SEWER & WATER 2'02 = UNDERFLOOR PLUMBING " 203 - UNDERFLOOR MECHANICAL 204- - UNDERFLOOR -FRAME -- 205 - UNDERFLOOR INSULATION 301 - ROUGH PLUMBING 302 - TUB & OR SHOWER 303 - ROUGH MECHANICAL 304 - ROUGH ELECTRICAL 305 - FRAME 306 - HOLDOWNS 307 - INSULATION 30$','- , SHEETROCK 309•- EXTBRIOR'LATH- __ LATH 311 - SCRATCH COAT 313 - ROOF NAIL 501 - FINAL ELECTRICAL ENERGY 502 FINAL PLUMBING ENERGY 503 - FINAL MECHANICAL ENERGY 504 - FINAL BUILDING ENERGY 505 - FINAL ELECTRICAL 506 - GAS TEST 507 - FINAL PLUMBING 508 - FINAL MECHANICAL 509 - FINAL GRADE 510 - FINAL PLANNING 514 - PUB IC WORKS F(� �INAL Issued by: _2 JS t Date Re -roofs ' Type of Roof All roofs shall,be inspected prior to any,roofing material.being installed. -... . If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Applicant understands and will comply with all non -point source regulations. Signature of Applicant Date All roof coverings to be Class "B" or better OFFICE