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02090052 (2). All roof coverings to be Class,, B or ti`etter onaee gem, . 'd ,,,, ..,,: ,t +` t�. CITY I BUILDING DIVISION CONTRACTOR INFORMATION: PERMIT B ILDIN ADDRESS' PERMIT NO Qly,^12 88 TERRA BELLA DR 02090052 1.k111V `CHENG CHAI APPLICA]'IQjiiegA 1r 002 HONE: SANITARY NO. i / CONTROL NO. zO ARCHITECTtENGINEER: i BUILDING PERMIT INFO BLDG ELECT PLUMB MECH r-1 u u r -u H z LICENSED CONTRACTOR'S DECLARATION ANO ]�0[IDn (hereby affirm that l am licensed under provisions of Chapter 9(commencing KITCHEN/BATHRM R M w with Session7000)of Division 3 of the Business and Professions Code, and my license 5 is in full fora end effect. ULicense Clan Lic. X / Data ' Cited, r la ARCHITECT'S DECLARATION S 1 understand my plans shall be used m public records pLicensed Professional \) OWNER -BUILDER DECLARATION 1 hereby affirm Nat I am exempt from the Contractor's License Law for the following reason. (Section 7031.5, Business and Professions Code: Any city or county $35000 O which requires a permit to contract, alter, improve, demolish, or repair any nmcture _pct t itissuance,t requires th applicant fur such Permit to rile a signed statement. _- - ... _ .-. ._. __ ._ __._--------- that _ -_- - J(elhlSl ➢4eilpursuhn}tq,hp36 v¢iomuf,heCommcmisLucnulawlChoper9 i�l=t 3rQ'snSO@JeDf. o Valuation (c m cm-withS io 7000 of Division 3 of the Boom,, and Professions Code) 1 I E,,..a�. f. -etO sa9.s..!`Y_at,tp ,1 -sl� or that He is eaempi sheteffon4�and the basis for the alleged rermptun. Any violation - - of Section 9031.5 by any applicant for a Permit subjects the applicam or a civil penairy- tm(nosmore than fivehundrcddollars(S5,1f1). lO1ARNAIPDATION "t'-: Occupancy Type ❑1, as owner mfthe progeny. or my employees with wages as their sale compensation, 102 - PIERS -will do the work: md'the"ewcture is not intended" or offered sale '(Sec.'hni 10 3 - UFER Required IDSpCC[ion$1`l ��'� C" Business' and,f ioressions Code: The Contractor's License Law docs not apply to an owner or propenY Who builds or improves thereon, and who does such work himself 104 - REBAR or th u h h w employees. provided that Stich improvements t'ntenJed or ___ _ cm'l' the owner-builder wne rthe lhavet de env. old w,hth one year of _. 105 _ ANCHOR.__BOLTS--­ completion, the owner b tMcr will hire the burden of proving ,M1a, he did not Wild or improve fos ptiryoxe or rale.). 106 - SEWER & WATER i _..._...___-__-__--Y.a;-__..._._._._._..____-- ....... ......_. _._.__._---202 UNDERFLOOR -PLUMB-ING--" 1; as ownenor me procertr. am exewaivelr mmmmcting with iianxea emnwnmmm �'1�-•:-,.i+------- _ e stmct the project (Sec. 7)4.1, Bashi and Profession: Coact) The Contractor's 2 O 3 - UNDERFLOOR MECHAN IC GAL'-.:-ec- " License law does not apply to an owner of property who builds or improves themun. 8 ._and.wtw. aonuae¢.mrsueh.pmlreu with.a.ewuactortaLlicensed.punuant.m.me. --- ..- __.-__2 0 4 -----UNDER-FLOOR--FRAME __-_____- _____.__. _-_ _-_ - Consmetor's License Law.- , , '.: is �•.: f't �, .: 'E ❑Iam. eumptunder 5ec.:''' ''"�,B&PCfee thisrtaxon 205 - UNDERFLOOR) -.-INSULATION o to �'.2 : 301 - ROUGH PLUMBING u coMPC noNDc A1ry 302 - TUB & OR SHOWER Ih hereby e0inn J penahynfpJD`ury; one followingd nmmdnnx: 303 - ROUGH MECHANICAL O 1 hnJe'und will'mainmih1a'Cenifiddie'uf Conseni•to self -Insure for Worker's 3 04 - ROUGH ELECTRICAL MCemparma,imn: ra provided for -by Section 3700 or the Labor Coda for the 305 - FRAME _ 'pertmvnan«onn2wm,k, m. wmm�,nix rxt,nn.a istaea. ❑ I h v nes will oma , n Workei Co pe tau n lAsumncf 'as required by Section 3 06 - HOLDOWNS _ 3700'of the'Lbor Cade i r theperformance of the wo}k for which this 'pen is 3 07 - INSULATION nadMjw kegenmpn ian'Iniure eoe eradaPurleynumberare— c.n t [. l3 :l Policy N I. (CERTIFICATION OF IDEMPTION FROM,WORKERS COMPENSATION INSURANCE �- - 310--, INTERIOR—LATH -� _-- - (r t n cd the cnmPlet J fda permit is for one hundred doll _ t• •''! il'OJ al o) ) 311' SCRATCH COAT 3.13:,. -,.,,ROOF-_. NAIL.... 11c ufy mai nine pcf 1.¢c fth<wok('+wh hth` pr„st. ed 1. 501 - FINAL ELECTRICAL`'"ENERGY' ' sh 11 re t emPlol any pe o anter w t J m,, n Lens c mpemat Ldw, nr csl tiny _5Q2-.,_.-,-FINAL_-,PLUMBING...ENERGY_,._._.__...__._ Ap I c n♦�'� - _ _- (� p/��, A a'uigt sCnifcam of Exempt on you n m 503 - FINAL MECHANICAL"ENERGY jR[ame sun}en m t e Wotiels Compere auon pmvuwns of the IJthur Code, you must fenhwithemmPlywith earhprosxinn,erthis pemwan.Bhedeemedrooked, 504 - FINAL BUILDING ENERGY 3 CONSTRUCTION- — __-._ _ ------ _ _ . "t 'LENDINGingii r p SOS - FINAL ELECTRICAL ' ThmnaRrmthispermiodsuce(Sc.307.n 506 - GAS TEST Y 8 dgcncY for the performancc' brialtr'. Nei c Leede of the oNddrcssrk for hich Nis permuls iisued....... Civ. C.) "507-"'-'-FINAli"PLUMBING 'r 77777 50 ; FINAL MECHANICAli`''" 1 c r fy. that 1 have read this application and nate that the above information is 'cmrrectri agree to comply with all city and ccarrymrdimmors and trate law, velming 5 - INAL GRADE I. building construction, add hereby imthonia m,m.im1..Irms of this city 1. enter upon 5 0 - INAL NG the tib a rte t oned Property (r Ir,pecuo p tpo e ' (l,jdgmets. co demnl(sormv beep which Minnie, way wrom"gair'n said 51 - INAL B RKS 1 IiahJut( lodgments ware and expense h ch may n any y cane ;&'7s said city n q ante f th grant ng of ih s perms APPLICA\TUNOERSTAYDSdVNP.X_OFIPLYWITHALL N -POINT"" SO E'REGULATIONS.>_. Issued bye Date tenawreor pmanuCmdractoo:,:'-�(' r^:6-; ;-. ,.Data' Re -roofs ' ' - HAZARDOUS MATERIALS DISCLOSURE. ' '' ran Ore opplibant a future building Occup set more be handle haluadmrs meuoe) —,.Type of Roof. as &fi.d by the Cupertino Municipal Cale Chapter 9 12. and the Health and Safety,' Code❑Y'n�532W1 Spy \ n S.JOt !.iiT ..All roofsshall.be m spected.prior.to.any.roofing.matenal.being installed. _ ,. Y y Quality cels which ' 'i ,Witco ppf m rat ilcingOccupant equipment rd If a roof is iiist'tlled without first obtamm an'ins action I'a Tee to relitove i ❑ndto Air uali, Management g p g i nes e' a to nnzvaJa m ter Ix « wremen¢ •.. all new materials for, inspection_ Applicant understands and will comply, with em t oz conundrums ex a rte b ,he Ba Arm Dtn e all non q 'under Chapin 6.95 f vne Cal forma Health & Safety Cale. Scc,ions 25505, 25533 and 8534 i. understand In., If ,he building does has currently have i tenant that it is my rtspohsibiliiy to notify the uccupom of she requirements which mon he min prior to issuance of a Certificate of- ' Ott_ unity. ....... .. Signature of Applicant., __- air OFFICE