06030023 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMIT 10
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BUILDING ADDRESS: SUN SUN ENTERPRISES INC PERMIT NOO 6030023
10470 OAKVILLE AV
IR'S NAME: PERMIT ISSUE DAM
RYAN LIN 5339 PROSPECT RD, STB. #218 03/06/2006
MINE: SANITARY NO. CONTROL NO.
(408) 209-8368 1
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACrOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9(commencing Jo
with Section 70)U)ol'Division 3 of the Business Aral professions Code.And my license is PIPE W
I.full force and,ifect. TEMPORARY POWER
LWA.&C Class-Lk.0
Dam—Character 2006
oilARCHITECTS DECLARATION
I understand my plans shall he used As public record,
Licensed Professional OWNER-BUIUDER DECLARATION
I hcmhy fir
that I am"Crept from ft Cortioncrar's License Law for the U L Ldt))A N G-3
00 following reaccon.(section 7031.5.Businaim;And Prolessions Code:Any city or county
which requiress a permit to construct,altar,Improve,demolish.ore any structure $700
z prior an its issuance.also requircs the appliciars,for such Permit to fibe a zipcd statement
gFthat k is licensed intricann,no the inevision,of the Cmurecturs Utorem Lmw(Chapter 9 Sq.Ft.Floor Area Valuation
Zs (commencing with Section 7000)of Division 3 of be Basin...nd Preflecul...Codc)or
that he Is exempt thcrefrom and the basis for the alleged exemption.My violas,on of
Section 7031.5 by Any Applicant for a permit subjects the Applicant in a civil pOrtafty of Occupancy Type
am than 11ve hundred dollars($500).
0 I.as owner of the property,or my croployces with"Sea As labor sale compensation,
will do the wk and thestrecture is not intanded at offered for Sale(Sm.7044,Business
and Profession'Conlin Contractuar's License Law Cosa not apply to an Owner of Required Inspections
pmpcny who hatildsor Important thereon,And who dos such work himsefroutheaugh his
Own employees.provided that such Improvements Am maintended oroffebabil lemmata.11.
however,the building or Improvement Is gold within one year of completion.the Owner.
Wilda will have the burden of proving that he did act build a Improve far purpose of
ulc.).
t1,
Owner of the property,am eachaively contracting with li�Contractors;0(.-=the potica(Sec.7000.Business and Perfession,Cuba:)The Cooracene's U.
catch,Law does not apply w an Owner of property who ablids or Improv themon,and,
who contacts for such projects with a contractor(s)licensed pursuant in the Contractors
Lice.Law.
0 1 am morph uadu S. .Bk PC emths.....
ablues" Data
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Wd S4Co9PBN1S—A;—MECLARATioN
lbe.by=ndlerpenLityofKdmyomofftfolimingdwImUom
❑I have and will maintain aCerdificalic of Consent to self-insurs:for Worker's Compere
cation.As provided for by Section 3700 of the Labor Code,for the performance of the
work for which this Permit is issued.
0 1 have and will maintain Worker's Compensation Insurance,As required by Section
370D of Re Liber Cade,for the performance of the work for which this permit Is Issued.
My Worker's Compensation Insurance,carriar and Policy number am:
camen— Policy No.:
CERTIFICATE OF ExEm innON FROM WORKERS
COMPENSATION INSURANCE
(rils.cdon based no,becrempimcd Ifft permit is form.humbouldolan,($100)
or less.)
I certify thm in the Performance of the work for which this permit is issued.I shill act
employ any K..I.any"Are"�Dw t7tiect 14 ft woulaca,Compamosdan
Laws of California.Data
Applicautit—
NOTICE TO APPLICANT:If.rrra this Certificate of Exception,you should
PC._
become subject to the V penzation previsions or the Labor code,you must
ma or
Z fonchwith comply with a . A onorthisturanitshall befecructinvokul.
z 0
CONSTRUCTIONN LENDING AGENCY
1 beraby".
that them is a construction lending Agency for the performance or
the work for which this parill is Issued IS.3097.Civ.C.)
lender's Name
Z)z Leader,Add.
U0 I ccrely,that I have mad this application And saw thin the move Informadun is
D.F Correct.I 1aoC 0 Comply with All City and county eminences And aam law mating in
0 V building cornesurceflon,and thereby Attitudes,represurnalim of this city in bric,upon DO
Grl ahavc-mentioned property for finsitcedont purpose,
gL (We)Agree to same,indemnify and keep harmless the City of Cupertino against
rA liabilities,judgments,Cosa and expeasm which may in my way accrue gain Wd City
U 7 In consequence of the gaming of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NOWPOINT Issued by: Date
SOURCE REGULATIONS.
06 Re-roofs
fz
Signature,OfAppli V /
DAW
H=Z'S MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building occupant nom Of handle bacticana material
As cleflned by the Cupertino Municipal Code,Chapter 9.12,mad the Health and Safety
Section M532af?
r7yC. All roofs shall be inspected prior to any roofing material being installed.
0,
Will the Applicant or future building occupant use equipment or devices which
If a roof is installed without first obtaining an inspection,I agree to remove
emit hAyArdous air contaminants As ftfl..d by the Bay Area Air Quality Management
District? all new materials for inspection.
0 YL,
]have.adOeh.,AitflmlsmquimmenuunderChapm,6.95.fLheC.lif.r-
niaHml"S.f.,YCOdc,S.d.255D5,W33WO534.iw.kw.mirthe building
does not carefully have a annam,that it 4 my responsibility to modify the Occupant of t
requirements which mum be met prior to Issuance or,Certificate of Occupancy. Signature of Applicant Date
Owner or muh*�tr--- I A DOW 0 All roof coverings to be Class"B"or better
/0�
CITY OF CUPERTINO
Ile 1 of 1 PERMIT RECEIPT OPERATOR: euem
COPY # 2
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36913005.00
DATE ISSUED. . . . . . . : 03/06/2006
RECEIPT #. . . . . . . . . : -33460
REFERENCE ID # . . . : 06030023
SITE ADDRESS . . . . . : 10470 OAKVILLE AV
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : RYAN LIN
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-4519
RECEIVED FROM . . . . : RYAN LIN
CONTRACTOR . . . . . . . : CHI KONG BAT (GEORGE) LIC # 25842
COMPANY . . . . . . . . . . : SUN SUN ENTERPRISES INC
ADDRESS . . . . . . . . . . : 5339 PROSPECT RD, STE #218
CITY/STATE/ZIP . . . : SAN JOSE, CA 95129
TELEPHONE . . . . . . . . : (408) 209-8368
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FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
__________ _____________ __________ __________ __________ __________ __________
BTEMP FLAT RATE 1.00 62.10 0.00 62.10 0.00
EPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00
__________ __________ __________ ----------
TOTAL PERMIT 100.47 0.00 100.47 0.00
METHOD OF PAYMENT AMOUNT NUMBER
_________________ ------------ __---_________-_--
OTHER 100.47 VISA
TOTAL RECEIPT 100.47
VOICE ID DESCRIPTION VOICE ID - DESCRIPTION
103 UFER 304 ROUGH ELECTRICAL
•
• J CITY OF CUPERTINO
d TEMP POWER �1��✓�a�
�UPEI,TINO PERMIT APPLICATION FORM
APN# Date:
Building Address:
l0410 Qa(c ille f�vaKue
Owner's Name: Phone #:
12_ya , t 'r (408) zal- 8i8`I
Contractor: 57&4 ,S%, • Phone: License #:
V" Wal.. (4og) 7q,/ 2 y�
Contact: Phone: Cupertino Business License#:
12G Lh (40'', 2)-i - P,
Building Permit Info: p
7rn5-I':�111v�� �P�y—.�artc!'/ I'OWPr- I OSt
Elect ❑
Job Description: TeK,��rary Quwe-r Pos�—
Residential Commercial ❑
Cost of Project:
Qty. if
Applicable Fee ID Fee Description Fee Group
BTEMP Temporary Power ELECTRICAL
EPERMITFEE Elect. Permit Issuance ELECTRICAL
BUSLIC Business License BUILDING
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