02090052.
All roof coverings to be Class,, B or ti`etter
onaee gem, . 'd ,,,, ..,,: ,t
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CITY
I BUILDING DIVISION CONTRACTOR INFORMATION:
PERMIT
B ILDIN ADDRESS' PERMIT NO
Qly,^12 88 TERRA BELLA DR 02090052
1.k111V `CHENG CHAI APPLICA]'IQjiiegA 1r 002
HONE: SANITARY NO. i / CONTROL NO.
zO ARCHITECTtENGINEER: i BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
r-1 u u r -u
H
z LICENSED CONTRACTOR'S DECLARATION ANO ]�0[IDn
(hereby affirm that l am licensed under provisions of Chapter 9(commencing KITCHEN/BATHRM R M
w with Session7000)of Division 3 of the Business and Professions Code, and my license
5 is in full fora end effect.
ULicense Clan Lic. X /
Data ' Cited, r
la ARCHITECT'S DECLARATION
S 1 understand my plans shall be used m public records
pLicensed Professional \)
OWNER -BUILDER DECLARATION
1 hereby affirm Nat I am exempt from the Contractor's License Law for the
following reason. (Section 7031.5, Business and Professions Code: Any city or county $35000
O which requires a permit to contract, alter, improve, demolish, or repair any nmcture
_pct t itissuance,t requires th applicant fur such Permit to rile a signed statement. _- - ... _ .-. ._. __ ._ __._---------
that
_ -_-
- J(elhlSl ➢4eilpursuhn}tq,hp36 v¢iomuf,heCommcmisLucnulawlChoper9 i�l=t 3rQ'snSO@JeDf. o Valuation
(c m cm-withS io 7000 of Division 3 of the Boom,, and Professions Code) 1 I E,,..a�. f. -etO sa9.s..!`Y_at,tp ,1 -sl�
or that He is eaempi sheteffon4�and the basis for the alleged rermptun. Any violation -
- of Section 9031.5 by any applicant for a Permit subjects the applicam or a civil penairy-
tm(nosmore than fivehundrcddollars(S5,1f1). lO1ARNAIPDATION "t'-: Occupancy Type
❑1, as owner mfthe progeny. or my employees with wages as their sale compensation, 102 - PIERS
-will do the work: md'the"ewcture is not intended" or offered sale '(Sec.'hni 10 3 - UFER Required IDSpCC[ion$1`l ��'� C"
Business' and,f ioressions Code: The Contractor's License Law docs not apply to an
owner or propenY Who builds or improves thereon, and who does such work himself 104 - REBAR
or th u h h w employees. provided that Stich improvements t'ntenJed or ___ _
cm'l' the owner-builder
wne rthe lhavet de env. old w,hth one year of _. 105 _ ANCHOR.__BOLTS--
completion,
the owner b tMcr will hire the burden of proving ,M1a, he did not Wild or
improve fos ptiryoxe or rale.). 106 - SEWER & WATER i
_..._...___-__-__--Y.a;-__..._._._._._..____-- ....... ......_. _._.__._---202 UNDERFLOOR -PLUMB-ING--"
1; as ownenor me procertr. am exewaivelr mmmmcting with iianxea emnwnmmm �'1�-•:-,.i+-------
_ e stmct the project (Sec. 7)4.1, Bashi and Profession: Coact) The Contractor's 2 O 3 - UNDERFLOOR MECHAN IC GAL'-.:-ec-
" License law does not apply to an owner of property who builds or improves themun.
8 ._and.wtw. aonuae¢.mrsueh.pmlreu with.a.ewuactortaLlicensed.punuant.m.me. --- ..- __.-__2 0 4 -----UNDER-FLOOR--FRAME __-_____- _____.__. _-_ _-_
- Consmetor's License Law.- , ,
'.: is �•.: f't �, .:
'E ❑Iam. eumptunder 5ec.:''' ''"�,B&PCfee thisrtaxon 205 - UNDERFLOOR) -.-INSULATION
o to �'.2 : 301 - ROUGH PLUMBING
u coMPC noNDc A1ry 302 - TUB & OR SHOWER
Ih hereby e0inn J penahynfpJD`ury; one followingd nmmdnnx: 303 - ROUGH MECHANICAL
O 1 hnJe'und will'mainmih1a'Cenifiddie'uf Conseni•to self -Insure for Worker's 3 04 - ROUGH ELECTRICAL
MCemparma,imn: ra provided for -by Section 3700 or the Labor Coda for the 305 - FRAME
_ 'pertmvnan«onn2wm,k, m. wmm�,nix rxt,nn.a istaea.
❑ I h v nes will oma , n Workei Co pe tau n lAsumncf 'as required by Section
3 06 - HOLDOWNS
_ 3700'of the'Lbor Cade i r theperformance of the wo}k for which this 'pen is 3 07 - INSULATION
nadMjw kegenmpn ian'Iniure eoe eradaPurleynumberare—
c.n t [. l3 :l Policy N
I. (CERTIFICATION OF IDEMPTION FROM,WORKERS
COMPENSATION INSURANCE �- - 310--, INTERIOR—LATH -� _-- -
(r t n cd the cnmPlet J fda permit is for one hundred doll _ t• •''! il'OJ
al o) ) 311' SCRATCH COAT
3.13:,. -,.,,ROOF-_. NAIL....
11c ufy mai nine pcf 1.¢c fth<wok('+wh hth` pr„st. ed 1. 501 - FINAL ELECTRICAL`'"ENERGY' '
sh 11 re t emPlol any pe o anter w t J m,, n Lens
c mpemat Ldw, nr csl tiny _5Q2-.,_.-,-FINAL_-,PLUMBING...ENERGY_,._._.__...__._
Ap I c n♦�'� - _ _-
(� p/��, A a'uigt sCnifcam of Exempt on you n m 503 - FINAL MECHANICAL"ENERGY
jR[ame sun}en m t e Wotiels Compere auon pmvuwns of the IJthur Code, you must
fenhwithemmPlywith earhprosxinn,erthis pemwan.Bhedeemedrooked, 504 - FINAL BUILDING ENERGY
3 CONSTRUCTION- — __-._ _ ------
_ _ .
"t 'LENDINGingii r p SOS - FINAL ELECTRICAL
' ThmnaRrmthispermiodsuce(Sc.307.n 506 - GAS TEST
Y 8 dgcncY for the performancc'
brialtr'. Nei
c Leede of the oNddrcssrk for hich Nis permuls iisued....... Civ. C.)
"507-"'-'-FINAli"PLUMBING
'r 77777 50 ; FINAL MECHANICAli`''"
1 c r fy. that 1 have read this application and nate that the above information is
'cmrrectri agree to comply with all city and ccarrymrdimmors and trate law, velming 5 - INAL GRADE
I. building construction, add hereby imthonia m,m.im1..Irms of this city 1. enter upon 5 0 - INAL NG
the tib a rte t oned Property (r Ir,pecuo p tpo e '
(l,jdgmets. co demnl(sormv beep which
Minnie, way
wrom"gair'n said 51 - INAL B RKS
1 IiahJut( lodgments ware and expense h ch may n any y cane ;&'7s said
city n q ante f th grant ng of ih s perms
APPLICA\TUNOERSTAYDSdVNP.X_OFIPLYWITHALL N -POINT""
SO E'REGULATIONS.>_. Issued bye Date
tenawreor pmanuCmdractoo:,:'-�(' r^:6-; ;-. ,.Data' Re -roofs '
' - HAZARDOUS MATERIALS DISCLOSURE. ' ''
ran Ore opplibant a future building Occup set more be handle haluadmrs meuoe) —,.Type of Roof.
as &fi.d by the Cupertino Municipal Cale Chapter 9 12. and the Health and Safety,'
Code❑Y'n�532W1 Spy \ n S.JOt !.iiT
..All roofsshall.be m
spected.prior.to.any.roofing.matenal.being installed. _
,. Y y Quality cels which '
'i ,Witco ppf m rat ilcingOccupant equipment rd If a roof is iiist'tlled without first obtamm an'ins action I'a Tee to relitove
i ❑ndto Air uali, Management g p g
i nes e' a to nnzvaJa m ter Ix « wremen¢ •.. all new materials for, inspection_ Applicant understands and will comply, with
em t oz conundrums ex a rte b ,he Ba Arm
Dtn
e all non
q 'under Chapin 6.95 f vne
Cal forma Health & Safety Cale. Scc,ions 25505, 25533 and 8534 i. understand In.,
If ,he building does has currently have i tenant that it is my rtspohsibiliiy to notify the
uccupom of she requirements which mon he min prior to issuance of a Certificate of- '
Ott_ unity. ....... ..
Signature of Applicant., __- air
OFFICE