06060010 CITY OF CUPERTINO sv.t "sera+•'^' '"3 �<' - �` '
BUILDING DIVISION PERMIT %..00 T "PuR_MATION
>z�3t:Pd,va
BUILDING ADDRESS: HERITAGE CGNSTRUCTION AND PERMITNO.06060010
10270 TULA LN
OWNER'S NAME: PERMIT ISSUE DATE
HARRY & CAROLINE HUANG 13622 SARAVIEW DR 06/13/2006
NE: SANITARY N0, CONTROL NO.
(408) 867-6881
ARCHITECTIENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION - Job Description
4U5C I Mxcby affirm Nat 1 am licensed Under Provisions or Chapter 9(commencing
with Section70110)of Division Sof NC Business and Profession,Code.md my license is
±�„ in full forte andeffas REVISION-RELOCATE SHEARWALL-NEW FLR BEAM
;qLicenxclus Lk.a
a DOW r REALIGN FOOTING FOR HOUSE-ORIG PERMIT #06030110
rF rSDEC
ARCHITECTS DECLARATION
¢� 1 urWersunJ my plans shall be uxd As public meow
JyU
g o in
Licensed Professional
OWN R-BUILDER DEthe C.. ION
C I hcoky.Tien,o nI 11.1. eacmpt from the Como Co a:Any c Law for the
a O following reamn. e(Section t ]011.5,Business and ere.dcaom Cade:Any city ter county
jm which requires issuance,permit also h mires t e.eller.improve,demolish,nr a pair ed swmem
_i y prior w its ensed P...,tonne lM rision rot for Such Coammiuo cruse Lea,
(htcmcns
that he incingwitpurwam to On,of Division
ter Ca canuumf aniamcLaons Codter9 Sq.Ft.Floor Area Valuation $0
(commencing with Section]0nd the
D osis f r the
NC Alleged
css and Professions larom of
y�� Net k u comp(Nmefrom and Ne buss for Ne alleged exemption.Any violaum or
Section 70113 by any applicant for a permit subjects the applicant w a civil penalty of ppN Number Occupancy Type
.or mare Nan rive hundred dollars($500)_ 3 5 913122 . 00
I,u owrcr mf the proprny,amy wploycea with wagau Neu role cmnpensation,
willdonew rk..ndN smctuaisnotintendedofoRentdforsale(Se1.7044,Bmams Required Inspections
And Professions Code:The w
Cmaraefs License Law dm roN e nst apply m owner of Q P
progeny who builds m in,provem thereon,and whodm such work nimxlr ar through his
awn employ=,pmvlded Nal such improvements are not intended oroffemd for sale.If.
Arnowr,the building m improvement it sold within one year of compkdam,the owner-
bale.). will have Ca burden of proring that K did not build of improve for purpose of
sale.). \\\
E)L u owner of rte pmpenY•am acluavelY contracting with licensed conwnars to
construct Ne project(Sec.7044,Business and Profrsaans Code:)The Conlruwfs Li. V
cense Law dao not apply c m owner of proper(who milds or improves Canton,and
whoa Law ctsdo for such ply m i wine cof progeny
(s)licensed purwam to the Camon.ars
nd
License Law.
❑lam eat pt under ,B&PC for Nis fe»on
GOwner f Data 4-6
WORK C ENSA ECLARATON
1 hereby airline a nary of perju of C following decimations:
lnsw and will marina tmo3 te of the
Labor Cod inaurt far Warkcfs Comp em
satin,, r provided for by Ss imu 1]00 of Ne labor Cade,for Use perfanemce of the
work far which this permit is isscea.
❑I have and will maintain Wor :`,Compensation Insurance,u myuired by Section
37W of Ne Labor Coal.for the performance or Ca work for which this permit is issued.
My Workch Compensation h wins ce canner and Policy number art:Carrier,. Policy No.: _
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thu xctlam nccd nm be completed if Ne peneit is for ane Ammoul dollars(SIM)
or les:)
1 cenify Not in the performance of the work for which this Permit is Wood.I shall not
employ any perx in ny mm xu w become xb'enw the Workcrs'Compcnsauon
Laws of Calif. a
PPliem. rot n.
NOTICE TO APPUMW.If,a te mg nB Ccnifia0recrop ion.you should
became subject w the Worteh C nation Provisions of Labor Cade,You most
.J.z faMwith comply with such provis or Nis .it shall be dccmca revoked.
M
ECONSTRUCTION LENDING AGENCY
[-tom Iher:by Oprm Wt Nate u a cmtstruction lending agency for the perunevac of
fY
the work for which that Penn,is named(Sec.3097,Civ.C.1
6Wi A Lender's Name
M ,Z Landed Address
U Q 1 cattily Nat I have rad dus application and state Nat the shout infoneatiun is -
jy F correct.l agree to comply with all city and county ontht c ea and sun laws relating to
�O building concoction,and hereby momim¢presentatives or this City to enter upon Nc
above-mc ming a prapery ran expccuan purposes.
H CL (We)agree to save,indcmni ry and keep harmless Ca City of Cupenino aganst
to inconse,ttence of
graming expenxernit, may it;anY way ascme against said City
V z AePLICANec of the UNDERSTANDS
of this per mit.
�-' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Dale
SOUR REGU 0 S. f.
sign iSp°puand 6 o te o6 Re-roofs
RD(US MA ALS DISCLOSURE Type of Roof
Will the aPpHeam or future building ottupmtswm m handle harartloes material
As defined by the Cupertino Municipal Cade.Chapter 9.12,and the Health and Safety
Carla.Section 25532(.)7 All roofs shall be inspected nor to an roofing material beim
❑Yes ON.
P P Y g g installed.
If a roof is installed without first obtainingan inspection,I agree to remove
Will the applicant or future building occupant sex equipment ter Jcviees which P g
Pit hanAoas air contaminants As dermal by the Bay AMA Air Quality Management all new materials for inspection.
Dioni"?
❑Yes ON.
I have rcaJ Ca huodurus ateriab requirements rook,Chapter 6.95 of the Calitm.
.Is Hcah&SafctyCode,Sanson,25505.25533 and 25534.1 undcrsund that ifthc Wilding
Jan rot cuoomly have a anan6 Na it is my responsibility 0 rout;the gaup e,of the
Mqu ntswhi auMmct orwissuance ofaCcmficawoftkcupmry. " Signature of Applicant Date
1; D6
Owner or amhomaget g
All roof coverin s to be Class 'B"or better
pate'