08010157 (2)CITY OF CUPERTINO@K,agv�°"•e°&rt'+°"'
w2:.w- e:y..,
-
BUILDING DIVISION PERMIT„CONTRACTORINROIt
MA'�I~OV..''
��w
nr:a
eu11.�a DL E AVE
RICHARD HONG
"'OM”! 0157
OWNER'S NAME:
PERMIT 145UE DATE
RICHARD HONG
873 HYDE AVE
03/27/2008
NE:
SANITARY NO. CONTROL NO.
ARC HIIECT/ENGlN13Elt:
ADD 70 SQFT & RMODEL DINING
BUILDING PERM" INFO
'BLDG ELECT
PLUME MECH
O O O O
LICENSED CONTRACTOR'S DECLARATION
Job Description
1 hereby affirm Nn I am licensed under previsions of Chapter 9 (rommenting
MR, Section 7000) of Division 3.f NO Boduc s and Prefesaom Code, and my license is
in full farce sad offal.
Licence Class Lk. P
Dee Canaanite,
ARCHITECTS DECLARATION
1 undenund my plans still W used as Public recarN
Licensed Professional
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for oe
following mason. (Section 7(31.5, B.M. and Prefessin. Cala: Any city or eaamy
which requires a permit to common. cher, improve, demolish, or mpair easy swctum
Pear to its issuance, also requires the applicant for such permit to rile a signed statement
that he is licensed pursuant to Ne pmvisioat of the Conuocter's License Law (Chapter 9
Sq. Ft. Floor Area
- Valuation
(commencing with Section 7000) of Division 3 of the Business and Prefeuiam Code) or
that he Is eaurapt Ihmeftmn and the basis for ale alleged ea mplion. Any vlob ton of
APN Number
Occupancy Type
Section 10313 by any applicant for a permit subjects the applicant to a civil penalty of
ret mom dun tiro hundred dollaus ($300),
0 1. asmanner of Ne property. ormy eroployam with wall Rich sok mnpamastion,
Required Inspections
will do the wank, and Ale r acture Is not Intended or offered for ask (Sm. 7044. Business
and Profession, Cade: Th. Contractor's Lieerue Law dors not apply u as Owner of
pmpeny who Wilds mimpoms Nermn,andwho doessuchwarkhMW(orthmugh his
.employees. provided this such Improvements are mminunded oroRrsed fm mic. If,
however• the building or improvement Is mid within aro year of rompledon. the owner.
Wilder will have the Wrden of proving that he did not Wild or Improve for purpose of
as�k.).
v'• as owner of the property am em usimly contractors with licensed ronumsun in
construct the project (Sec. 7044. Business and Prefecdari Cade) The L'onhml0r's Li.
cease law don eta apply in an mmer of property who Wilds or imposes Neaten. and.
wWcon for papm with •ronumma(s) liceried puasm, to the Cammu/a
Licence
❑tun a ted S ,BhP for Nh m(as�on
�6
Owner Dau,
ORK • 'S COMPENSATION ❑ CLARATION
14mby aBhm under penalty of perjury oro of the following declarsdmm
;him and will maintain • Cenincau of come.t to self -insure (aminates Campon.
an. as provided for by Section 3700 of Ne Libor Code, for W performance of the
work (or which this permit is issuel
❑ 1 have and will maintain Wormes Compensation buuraace, as required by Section
3700of the Labor Code,fa Re perfman.e of Ne uork for which this permit u issued
'
My WarkeYs Compensuian kmnnce curia and Polity, number wo:
Carrier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Tllhmion.ed ant bu completed if tar permit is Toro. hundreddullars ($100)
or lass)
I certify WI I th Aa am of ape rI ror y�hich Nb pYmh b issued, I rIWI nm
employ anype n an b dVLlbjen as Ne Work.", Comparisons
I�Wl of Cali — kaiesd
NOTICE
NOTICE TO AP , fur makin thk Certihcae of E 'on, you NwW
become subject Wmher'o Compewtion previsions of Re uredr you must
sin
y it evoke,
forthwith comply with such provisions or Nu pemtil shall bu deemed revoked.
CONSTRUCTION LENDING AGENCY
I Wreby affurn that them la a construction lending ageay fm the performance of
the work for which Iles permit is Wood (Sec. 3097, Civ. C.)
Undoes Nurse
,
lendefs Address
I smdfy that I have mad thi. a"Read. and sou dun ate aWro information h
correct I agree u comply what all City and county mull. aM sore laws relating u
Wilding construction, and hereby radical representatives of this city to enter upon the
aWro-mcmianed property for inspection purposes
(We) ago t0 save, indemnify and keep humlass the cry of Cupertino against
bitides dgnents. costs and expenses which may in my my ramie against said City
a meq sof grand.{ of this permit.
P IC U ERST NDS AND WILL COMPLY WITH ALL NON -POINT
^
Issued by: Date J
J—
` E ONS1` O
.
eL
Re -roofs
Type of Roof
Quito. of ApplianV .rim tol Data
HAZARDOUS MATERI CLOSURE
MR the applicant or future building aavwtMre , IUMk niciahw material
as, defined by Re Cupertino Municipal Cade. Chapter 9.11• and the Heahh and Safety
cale,C]Y25532(a)7,, //
C] Y. QNO
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
the applicant or future building occupant use equipment or dcvlees which
hvamma4reaueminan% definedbytheBayAmatAirQuelilyManagcmnl
all new materials for inspection.
n7
❑Yes Nu1haveandthehus
twill
daomseaslsmquhemenuunderCMper6.95ofateCalirer-
o.th&S yCodo,S¢dori 255U5.25.537 uW 25534.1 mNnatand ossa if Re building
nn, c N s ensna that In u my respomdbiliay W tedfy lir mropant of de
ce an h ea met Poor toisoneceOfaCertlre.u, Pa
Signature of Applicant Date
1 e (�
All roof coverings to be Class'ns' or better
orm,ac1rcend Igem
.r Data
Cr`Y OF CUFE—RTINO
BUILDING DIVISION PERMIT
e 0 N'T'lkwe NO RANFORM" TION
t
1�"Tn'TF)E AVE
RICHARD HONG
PER E0610157
NEWS NAME:
PERMITISSURDATS
RICHARD HONG
873 HYDE AVE
03/27/2008
N&
SANFARYNO. CONTROL NO.
ARCHTTECTfENOTNEM
ADD 70 SQFT & RMODEL DINING'BLDG
BUILDING PERMIT INFO
ELECT PLUMSMECH
LICENSED CONTRACTORS DECLARATION
Job Description
I lumby tritium this I am licensed under provisions of Chapter 9 (commencing
NN Section 70M o(DiAsion 3 of the Business and Pretensions Code, and my Ike= I,
in full to= and erica.
License Class, Lic. I
Data Contractor
ARCHITECTS DECLARATION
1 understand noyidan. shall Its used . public mardat
Licensed Pierced ... I
OWNER -BUILDER DECLARATION
I thereby aulinat that I am coompi from the Contractor's License Law far the
0
following mason. (Section 7071.5. Buslecaut and Proressman, Case: Any city or cuirsay
IL
which acquires a permit to comormaxa.1w. hup,mm. deaudish, or repair any structure
Sn
prior to its issuance, also mquircs, the applicant for such permit to rile a signed suniument
that Ine is licensed to the or flue Contractor's License, Law 9
Sq. Ft. Floor Area
Valuation
"am inanition (Clopter
a
with Satio. 71)[K)) of Division 3 of the Business and Prarcumn. Cade)a,
that be is caumpt therefrom and the bids for the alleged dicampthert. Any vlohmion of
APN Number
Occupancy Type
Section 7071.5 by any applicant for a permit subjects the applicant to a civil penalty of
not ..m does firm hundred dellen ($5M.
Required Inspections
will do theinaltand the stramumisnot intendodoraffered forsala(Sce.7W.Busersess
and Prolecaskins Code' The Carmichael Li. L&W does an, apply to an caw or
property who builds carintpearces thereco....d who doessuchannit Wrieforthniqgh his
man croplo)esse, lammind this such Impronannams am not inaccule,ol araffisted feasible. If.
hawman. to building or Improvement is sold within am year of.plNon. the owner -
builderwill how the burden of prerring that W did an, beret or iminanne for purpose of
builder will
u11*u
caner of the property. am socalusively contracting with licensed coraustrom he
c..;t the project (See. 7044, Bealmew and pauftasumn; Coals:) The Comusecurr. LI -
Genu Law doss net apply to an own" of property who Wild. or improves themon, and
who con fors prajmW whits contractor(s) ficermed purional to the Cormicam's
Licamed
I r_j lam a 1. B A, P ; for 11hol manne
Dius;122108--
a0s i;EE
'd.
ON
I bareby affirat ends, penalty a parjury cam drum following declarations:
mainuk to of uum
on,a P.0ded licer by Searle. M of de, Likon, code. for the Performance at the
I
workfar which this permit is issued.
I haw and will snaiffiam Worlour'. Cmapensithm Insurance, . required by Section
a did Labor Code, 1u the performance of the work per which this permit I. issued.
Worker's Compensation Inammoo carrier and Policy number am:
Carrier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORU%ERS'
COMPENSA31ON INSURANCE
(Thissmans becol net W complewal if the penal, Is farm luoulaxidell. (8I00)
or less.)
I ratifyi xi. hich is Permit I. ismad. I shall .1
C;�'
. .
jFb Li0iliewmicers'Compearsolon
ApPllcant
NO77CE TO AP fir thin ie Certifies= or E., Pon. You should
m.
became subject to the Worker's Compensation p.,i ' or Cade. you am
Oforthwith
comply wit such Mvicions, or this permit mell x deemed m,miccd.
LENDING AGENCY
ryyiCONSTRUCTION
I beactry, "m then ftn is. construction leading agency for be pcifearearce of
the wars for which this permit I. bustand (S. 3097. Ch. C,)
Lader'. Name
L.Mes Address;
z
1 ocrefy that I him and this a,pliwion and sum this the .1rove ininnnithut I.
coma I agree to empty with all city and =only ordinances sad sum laws relating In
building consunicion. and knotty authoriss representafim of this city to enscruptan the
bmc.mcndoncd property for inspection purpoess.
(We) .,me 1. saw. indemnify and loup homeless ft City of Capetian against
rA
bilAd U. c;W and expense which may in any way.ame.,airta said City
man
n ensu and f this
�3-
2c� I—%—
iintralt.
- I _11 DER�__414DS_ AND WILL COMPLY WITH ALL NON -POINT
Issue d by: Date -e*
no�j
�E�U
k 3La70
, . k C52�
Re -roofs
SI tom o[ApplicanUCortusuftar Data
HAZARDOUS MATERIAIZOCLOSURE
Type of Roof
Will the applicant or for. building occupant stanc.rhandl. Wased. mitunial
Is dfirted by the Cupertino Municipal Code. Chapter 9.M and ft Health and Safety
keum, 255324)?
0y. &<
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
Will theapplicant or (atom building occupant use equipment or dcvlm which
soiree. sit. .1s defined by the Bay Area Air Quality Management
all new materials for inspection.
DistricR
711.
Dy.
I thaw read the hisiolons mataisda requiremcm underChapter6,95 of the Ctlifor.
Hcal" S-f,'YCa,e 5.6.255M. 25333 and 25534. 1 unacrostand thatifft Mkr,.&
"
an c haw a ==4 " i t b my responsibility to amiry ft accepant or ft
he an h ImmeLlatualohmanexal'sCercific.te
MEE
Signature of Applicant Date
J_
All roof coverings to be Class'%W' or better
_M1.
w.norautoc6t,11gent Date