00110045 (2) CITYGN
uPERONO
BUIL PERMIT CONTRACTOR INFORMATION:
RUILOING ADDRESS: PERMIT N
X01.
7967 FOLKESTONE DR KITCHENS BY MEYER 10045'
OWNER'S NAME: APPLICATI N U E ,..,
KUMAR, SATHYA 278 ' CASTRO ST s�t���2000
PHONE: SANITARY NO. CONTROL.NO.
(415)968-8318
O O ARCI11'1'IiCT/Is.NQINLER: ,, ._ BUILDING 1117RMIT INTO
c sonz C BLDG ELEcr PLUMB MGCH
Z N b LICENSED CONTRACTOR'S DECLARATION lob Description
O z_ I heathy rrlirm don 1 am licensed undcr provisions of Chapter 9(commercial, p •' '
withS,Iliun7(Xk).fDivi,ion3ofthcBuslnessandProes,im,Cde.andmylircure KITCHEN REMODEL '
In E+I f„gee ny1 ITat.
O Twere,CI ss ,
Comm
ARCHITECT'S ULCLA AI K)pl '
> 1 once/stand my plans shall be used as public records j Iii
c.w i p O LiccnwI hereby affix
OWNER-BUILDER DECLARATION
tt R 1 naso atom,that 11. exempt s an the msmmctrn'n License Law for J
C
watch
following (Section]031 S N . I I fde Count: i ay army
I about reconstruct,alter,
improve.J I'.M1 dw Y structure
pr't I I. y p.. ol
In,,( chla a II g d.t lenient -
mn trip tt so p p m... rn c t' I Liwerm,L (Chapter 9
on,Coe) S Ft. F1oorArea '
..+ •ee' ewd no,mnion and eIn ,3 ofIt. ln.Any vi Code) q' �.
of Slohott
h..7 31.5 by
Nerchnm and the hue,,for the ta, he
eacn,phnm Any violation
.1 auto
e than by tiny dred d ll font 1a,mil nul+jvau'INe rpplicxnt m u civil penally
nn,rnam+remxnrnbandmadmlaRtsslrn. APN Number ' Occupancy Type
36207029. 00
❑I•m owner of the and
the s,or my a is
in with warn a ed f r s compensation.
will do the work,and the stmnure is nm imendeJ or offered for sole Isec.](NJ.
Business and Professions Code:The Contractor v License Law draw not apply to an - pu7fg hl� spectlons
,omse,of property Who builds or improves thereon,and who does such work himself 101 — F 01-I H 1
or through his own employees.provided that such iniumenarr s are not intended or P LE P,S
offered for sale:IL however.the building or improvement is sold within one year of 1[202
wmplcdon,the owner-huimer will have the burden of proving that he did not build or
impro103 — UFER
vu for purpose of mley. -
01.ass rof the property.am esclusivcly n+mra,,ing with licensed contractors to 104 — REBAR
m'llm,gyre poi.1(sec.704T B.m,w,,and Prolemim,s adeo The Commctnrs
Li,ense law does oat apply to an owner ofrope
property'Ito builds ,,no"o'cs thereon• 105 — ANCHOR BOLTS
for
c.��ma,ba +rIj,v,,r Law. pmientx win,a<m,lnrmnrc<l ,cowed m�mnant to me 106 — SEWER &: WATER ,
o twat rvenpl bode,See._ _,B&P C turbots reason G02 — UNDERFLOOR PLUMBING
011111 Data
WORKER'S COMPENSATION DECLARAI'[ON 203 — UNDERFLOOR MECHANICAL_
I hereby anion aad,,penalty of p jury one uFhe following dmlamtinnw: 204 -- UNDERFLOOR FRAME
0 1 have aad will maintain a Certifcac of Content m if-hoom for Worker, 205 UNDERFLOOR INSULATION
Cnmpemation. us provided for by Section 3700 of the Ldor Code, for me
performance ofine work for which this permit is issued. 301 — ROUGH PLUMBING
0 l have and will maintain Worker's Compensation Insurance,as required by Section 302 — TUB & OR SHOWER
3710 of the IaMa Code,for the sernmence,of the work Iia which this permit is 303 — ROUGH MECHANICAL
issued.M kels Compensation Insomnce carrier and Policy nnmberme:
Cartier: "GA'r# Pat!,,No u�U - 304 - ROUGH ELECTRICAL
CERTIFICATION OF EXEM VI'16N (l 1RKIiR, 365 — FRAME ,
COMPENSATIONINSURANCIi 0 T)309/ 306 — HOLDOWNS
o'Ileronns`dioa m,rm nernmpleten it the pefr+ah is Pa are hundred dollars 307 — INSULATION
(s pull ur .) m h
L certify mann the faerhamnative of the work Ba which his permit is Issued,1 306 — SHEETROCK
,)an not employ any pe.a in any manor,so.us to become mbject In the Workers'
Cmnpemmhm lawa or California.Dem 309 — EXTERIOR LATH
NOTICE TO APPLICAN-EIf.after making this Certificate of Exemption.yin should '310 — INTERIOR LATH
hecnme m 1pML to the Worker's Conmpam inion provisions of the labor Cade,you must
O C
forms,its rnnplywith such nowi.inn, ,,this permit shuBhedeemedrevoked. 31t — SCRATCH COAT
CONST RUCTION LENDING AGENCY 313 — ROOF NAIL
aI hereby affirm hat there is a construction lending agency for the pedbrmance
or mewmkmrw'hirnmia permit isstated(See.3007,Cw.C.) 501, —
FINAL_ ELECTRICAL ENERGY
W Q Isnder'n Wnne
� z lemlcr..nenrn., •502 — FINAL_ F'LIIhIBIhIG EhIERGI`
UO . Ilrrntydd
mtlhavem„ miii,,hemimmamlxtatemalnmeabovelarmmanonis 503 — FINAL MECHANICAL ENERGY
w rem<,nnplywith all.1, cal oal,ordinances odmare laws reladne 504 — FINAL BUILDThIG ENERGY
[) to hwlding enn.mvctinn.a ad hereby amnmirereptesenpuives of this city to eme,upon
tnrannvr.amaendutmrdpn+pertymrm.perd++nwm+x 505 — FINAL ELECTRICAL
[ti 0. (We)agree to save,indemnify and keep hurmless the Citynf Cupertino agaiam
� to liabilities,judgments,costs and cs ar which may in any wary omme against said 506 — GAS TEST
U City in cunscyucnce '
AI's
LR TA COMPLY WITH ALL NON- NT
BI .RFOULATI ^` Issued by: 5@7 -lZLNAL PLUMBINGDate
508 — FINAL
HANT 1-0-
HA' RWUSMATERIAISIlI5C1.O5URli Re-roofs '
Wlllhe applicant or from buildingrecupan,nem fir handle humadous mamrid Type of Roof 509 — FINAL GRADE. .
as drained by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety 510 — FINAL_ PLANNING
Cole.Section 255321x0”
El Yes IDNo •.All roofs shall Ud.iflspectFd{)?,16N•to R� l! i4'ig M9910being installed.
Wi11 the ay,pl cam or future builmrg occolmot rive cyuip,nrat or devirxs which If a roof is installed without first obtaining an inspection,'1 agree to remove
vinit hmnnk is air mm0rmi rants as defrad by the Buy Arca Au Quality Management
District? .. all new materials for inspection. 'Applicant understands and will comply with
CYex 0 N all non-point source regulations.
I bmr,cad he hazmdem,yr ixls nequiremmats undcr Chapter 6.95 of rhe '
California I Ieullh k Safety Code,Sections 25505,]5513 and 25534.1 undrntand that
it the building does not currently have a tenam,that it is my responvibiliry to notify the
wcapam of met prim to issuance of a Conircme of
.airy.
`� rpo� Signature of Applicant _ Date
can ,e All roof coverings to be Class `B"or better
OFFICE