02090134 (2) iCIT.YpQF,CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:.
PERMIT NO.
But plyc�DpBF ANZA BLVD JUST WATER HEATERS INC 02090134
l U b V N L1 8�APPLIC"• T O,y U D
1�� ,�k'�CH SOLUTIONS 1764 NATIONAL AVE / l�002
PHONE: - SANITARY NO. CONTROL NO.
(510) 293-9901
a z0 ARCHITECT[ENGINEER --si_> _ : : BUILDING PERMIT INFO
<ddt - BLDG ELECT PLUMB MECH
-LICENSED CONTRACTOR'S DECLARATION lob p
0S' ;o Inothraffirm,w,lamlicensedredwprovi.io�ofChapter9(commentins REPLACE WATER HE'ATERserip[ion
p=to -with Section 7000)of Division 3 of the Business and Professions Code,and my license
_x,X.5 ?.ismfull force and effect.
. (20 GALLON ELECTRIC)
, 16 „License Class Lit.p
31�'•O ":Dari_;• -. . Commeon
a O•�' :ry;..l ARCHITECT'S DECLARATION
-0n vnderstend my plans shall be used as public attends
i S❑p'.Liccnsed Professional.
.ad o H ;OWNER-BUILDER DECLARATION I
hereby a(Sect mat Lam exempt from,he ColnnnCs License Law for the
at following«aeon:Carrot t 70315,Business alter, and Professions Code:Any city or county
•rwh ch its repe n e s t alcor,improve,demolish. p y structure
lecpnono esu . Iso req-hes the applicant floe such perm,mfl 'grad statement
Nat he is liversed pursuers to the provlvons of the Containers LI rose La (Chapter 9 S Ft.a Floor-Area-
;or = n with S«f 7000)of Division 3 of cot Baslue and Pmfvlwn Code) ��`•:3'T1 Sq'- - F7 e•; - 1 .. Valuation
or that he is exempt therefrom and 0e bass for the aOigeJ eAemplion.Any violation 3`6 9 38039 .-OO
1
-of Section-]031.5 by any opplicanl(or a permit srbjcns the applicant s.a civil penally
;of nm..re than five hundred dogars(S5a). APN Number 'lPt:f:',til Na Occupancy Type
o 1.as.wat, fdre proparty.ormy employees.fib wagesas their sole compensation, 502 — FINAL PLUMBING ENERGY
It&'(heworR-and,fie swrnreIs'nor intended or olfead ver sale(Sec.704y- 506 - GAS TEST I:
Basins and Professions Code:The Conwcwr's License law does not apply man Regired Inspections ,.e SLL r` "`-
+cwncr of property who builds or improves thermn,and who does such work himself 507 - FINAL PLUMBING .
J! or throughh witemployeesprovided tht h improvements I intended oaf _._.... _.____...-... ..__._._.._. ' _ ..._ __.._ ,,.__, ..� _. _.. _....
'icompld,f I-I( er tel thebuilding ' p vemenu. . Ii rhindid not ,, 1• t x I, I
completion,the owner budder will have the burden of proving that he did not build or '
improve for puryou of sale.). ,
O I Ile of,h_ (Sec.7 .e du" lar t- , g 1Co sock ntrxmts m .��u f�rs r p•t� •,i y , 1, l —construct Lawdprojectnot
]0.W Business andProfession,Cod')The C minor's - ON ALE.=
Lt.__' 1 :. •lit:.
v ,License Law does n f apply to an owner of ampcny who builds roves,hereon,
•
_Ca who contracts for-such..Projms with.a conuacmr(s).li<enud Pursuant.m.,he.
- .: - - --------
Carnations License Law. .. ...__.._..______.._._"__.... ._.__.__._.____..
❑lam<aempt under,Stt:' _ ' 'c "-Y' I,B&PCforthismuon OC�:;25frpll LlJ;��
r. osmij rl Din,
WORKERS COMPENSATION DECLARATION
BUILDING
• ,y .. . . . . - fVYf
I; ' the by fromunder Penalty of penny on of,,he following declaratis
❑ 1 a ta d "ill ma C nif t f C stem m self Insure for Worker's
-_ -Coformuc 'o eaaank for which this
Section 3]00 of the labor Code, for the
_ _ �:peHormaneebf the work for which this permit is issued,.ir f
O l h a J 'ill�rfuiefum Worker',Conifiers.th4 1wn ance as 4irucd ny Stairs
37W of th' Lihor'Cwk fin'the performanceof thework I which this Permit is
issued.My Worker,Compen vtion'Inslmnce carrier and Pobry numperrai '•'
_ .,Ci >< fes', rlf iPoI CY No . -- I •c ;�.,,., ,:G-1-1 SVl e •' 'I}, N/: } � �� _—.T -. ".1�':J:G,C,I.�,.,e.....__-....�.,�.-.
" CERTIFICATION OF,EXEMPTION FROM WORKERS - ' .'',' 4 •v ,t,,n i, t."t.t'IYal'S �aigl..4 ix
COMPENSATION INSURANCE .-_.-_..._. .. --------
r _.. r .. ------ ._._ ..........,�_
" Rh semid-nnecd not he completedf the permit is for one hundred dollars "1 II ....I 'r. f`)_CIl I:0. ` HC
is 100)or less.)
-`s nf))th, the perfo a c f,M1e ok( whichfh min is d1 ".•",.,.,- —_ -„_-.�.,,r a�,,.T __ . . -__.
.till I ply ype. obi rym r- - m titch rise subject the Workers i'�l'!i:! 1_ � 1C.L..iCirllh•
CpPlw t .'Laws ofClf 'a.Dai
"1 cNOTICE TOAP8 the Wo'PR atm k 0th Crtf , , pr.......h Ist IrA: xry
Q Obec me: b) tmN Worker,r.s pc t p coni of,h Lobo Codk ummr �•
,f fib ih 2omply:w,h such pi as ons or,h s p mon shall be decmeJ revoked
CONSTRUCTION LENDING AGENCY -
':' ' 1 h by iffm that the t I lending hg cy f to perfami iie” t r
�,AirA - ohne k f inch m permit d(Sec 309]Cis,C 1
Leder N v•_ _i
-'
U101.,1. 1 certify thou 1 have read this application and.,a Lha the above mf rrpmtmm is
:f W;F "' cried.I agme,to comply with all city and county ordinance%and xnro laws relating
.�0e:V ,to building convection:and hereby'aufnnriie representatives oflhis.city to enter unto
aWl,mentioned prnpem,for orpection purposes.
t� L'- (We)agreeto sae demnify and keep harmleii Mi ry Cf C•perinoigaust
-(A liabilities,judgments,costs and expenses which may in any way acme against said
r U Z City ineo sequence ofthe grnfng of his perm, is
a %APPLICANT UNDERSTANDS AND WILL COMPLY'WITH'ALLNON-POINT°
SOURCE REGULATIONS: t'I',"'t:Jr. , . Issued by Date
Sigraturc ofApplicanUCo, tr : , '1 PatRe-roofs
y HAZARDOUS MATERIALS DISCLOSURE -
.Will ppL mor flaw bu k Rig accurPostra vont or handle haikdous material ...Type of Roof--..-.,,.
deo ed by the Cupen Municipal'Code Chapter 9 12 and the Health and Sultry.
C
Code Section 25532(a) t f k ! .:a„3I t l
• ,.1 _All sh
roofs all be mspected.pprior-to-any-
-.,Will roofing.material being Installed
DYc
µe eaII fficas is
no f, building w p t %aq p t a ve hten If a roof is installedwi[h'but first obtaining an'inspection Ilagreeltti remove
,h tl c t n ( -def ed by th ByAre.A Q ItyM nag t
D ' . _ _ all new.materials for inspection__Applicant understands and well comply with
riY " - - all non-point source regulations ,.,I, _
h rise readlthe'haMouv mammals rtqu rementi der Chaptbr.16.95 f the
-
Caldnni Hcohli&S-ell Code,Sections 25505.25533 and 25534.Lundemand that
sf,he building does nn cumn,lY hareammnf.,hm rase mY rcepdnsibili,Y tb notify -
'occupant of,herequiremems which must he mei pnoi to issuance of a Ccnificam of - - '
.. .{ Occupancy.,_.,- .•v'.�.
".. _SignatureofApplicant __-,
o o amw;aea gem Dale . All roof coverings to be Class B or better
I,
OFFICE