08100009z
CITY OF CUPERTINO
BUILDING DIVISION PERMIT
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BUI.DING ADDRESS:
10010 SCENIC BLVD
AMERICAN VISION WINDOWS INC
PERMIT NO.
08100009
R'S NAME:
PERMIT ISSUE DATE
SKIP & CHERYL SHEPARD
1050 E DUANE AVE STE H
10/02/2008
ypE:
SANITARY NO. CONTROL NO.
(408)617-0901
ARCHI'IEC rIENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTORS DECLARATION
JOU DeSCT1pUOn
1 Wrtby atom that 1 am li¢haxd muter prdvisiom of Coup., 9 (comnnumm mg
with Smtion 7M) of Dirision 3 oflW Busimasmod Profrssium Cods, and my license is
RPLC 10 WNDWS, 1GRDN WNDW& 1 PATIO DR; ALL NEW
im mlf fora, a
ticeme Cl s �.g
CONS
�te
ARCHITECTS O CLARATION Aw�jibr,� Vitro,
SSAME SIZE OPENG EXCEPT 1 WNDW IN KTCHN TO BE
I undersand my plans shall h uxd u Public records
ENLRGD
Licemed Profebamml
OWNER -BUILDER DECLARATION
I Wxby, &Rmh that 1 am acmpt from that Contractors Uccmc Law for the
following ¢aloe. (Socdon 7(n 1.5. Bmimss and Profusions Code: Any city or county
which quit. a permit to construct, alter. Wprow, dcmolWh, or m*r any structure
prior on its issuance, elm mquila the applicant for math permiva Ole asigned summent
man he is lianxa pursuant On the pmvisiom of din Contrxu/s License Law(Chapurr 9
Sq. FL Floor Area
.
Valuation
(commencing with SaUan 700D)of Division 3 of Ne Business and Professions Conk)of
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$21000
that he u amount therefran and th. buss for the allegata nxmptiao. My violation of
Number
jV(�
Occupancy Type
Section 7031.5 by arty applicant fora permit subjects the applkant m a civil penalty of
not mart Nan five huMred dollars (SIM.
35709052
1, u Owner of the property, or my employee with wagm u theb coin compemadon,
Required Inspections
wolf do the work ars the smuctum u not Ntend.d W Offered for sale (Sec.7ULt, Buri.
and Profestiom cane: The Communes I.ian¢ law doa cot apply m in owmr of
property who Wilds m ins prows tharon. and woo doeb such work himtel r or through his
own amployna, provided that such improwmrnLL arc not bromides oroffered forsale. If,
ha otoOr, the building or impo nernmt is sold within arc year of compktion. to owmr-
builder will lune oW Wrden of proving that W did not Wild or improve for purpose of
xk.),
❑ 1. a moss, of the lwmperty, am uclusiwly contracting with licensed contncmn to
construct thin project (Sec. )odd. Broin... and Profutiam Cade:) The conlracmrs Li -
cove taw dace out apply to as owner, of propany who Wilds or Improves thereon, and
whp COnLatLL rW baso pm)eea wIN a COnVK10r(S) IlCrttxd pumaanl b Na fd' nlaeWrf
caw.
oro uanpl coder Sec .B$PCfor Nu mama
IDau
WORKER'S COMPENSATION DECLARATION
1 herby, arfum under Partially of prrjmy, am of the following declarations,
I hsw and will maintain a CeniOate of Camera a xlf-imam for Wartrh Compeer-
smon, u pmvided for by Section 3700 of the Leber Code, for thr petformame of lW
work far which this permit u iumd.
❑ I have W will maintain WorkCs Compensation I.. as required by Sectim
3700 of Ne labor coat. for Ne p.rfarrin . Of man mart for which this permit u issued
'
MY Werk es ccoompemWoo Insurance actio and Polity mumbo art:
Cartier k ii_ CSS \NV$. �GnP.Paliq No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
t't C'Si
' COMPENSATIONTNSURANC OT-l"itr
V .
(NissccdmreedmlWcmnplemd Ifthepermitisfoambun dolfsn(5100)
orleu)
1 certify that in the performance of the work for which this permit u issued. 1 shall not
'
smploy any permn in my manmrm a to beCOme subject m the Worked Cmmpi mddh
laws of California. Due
Applicant
NOTICE TO APPLICANT. IL after making this Ce tificau of Exemption, you should
became mbjen m Ne Work.h Compemktlon provisions of tW Latina Code. you most
comply with such provisions or this pertnit"I W d.cmed tcwkcd.
CONSMUC71ON LENDING AGENCY
1 WrehY Non mail thorn is a conmuchim lending agency for tin paformame of
Ne mart for which this permit is iumd (Su. 3097, Co, C.)
'
Nam.
,
Lcoomes Adareas
I certify Nan I nine tad this applicadm and shote that On ,how information is
.
conal I cepa to comply with LI city and county oNi"•"^• and sate hors relating In
Wildingconstruction, and hemby, authorix repn:xnudh. of Nu city to ata upon also
above-mendmned property for Inspection purpOxi
(W.) agree In caw. ind.m.ify and kcep humkas than City of Cupenim against
Iiabilitiu,Judgments, costs and upensa which may in my way amus against round City
in conxgmmre of the granting of NU FmniL
w APPLICANT UNDERSTANDS ILL COMPLY WITH ALL NON -POINT
Issued by:9 Date lG_ 2--'3
SOURCE REGULATIO
Re -roofs
Type of Roof
/O a
US MATERIALS DISCLOSURE te
liant m future Wilding oavpantstac or IuMk hrurdom material
r;n1ftf-upertino Municipal Code. Chapter 9.11, and Ne Health and Safety
1(.)7 r��
All roofs shall be inspected prior to any roofing material being installed.
r•`alkant
a roof is installed without first obtaining an inspection, I agree to remove
car mare WJlaing attvpant cox qo proem arm ab whknIf
cmuminanu ss acfimd by the Bry Arca Air Dmlity Managcmcm
all new materials for inspection._
District
CYa
I law mad Ne hundau materials requirements mJcrOupterh.95 allneCalifor-
tda Hea1N8 Sa@ty Cade, Saiom L55D5.35531 am125531.1 undersand thniftW bwlaing
Jia cot cumnJY haw • r...a..L lhu Il u my rnsponsiNlitY w miry Jm aecupant of dr
mquiromcnu which in" the .1 prior on iss car, Cmull.a`r Oce
Signature of Applicant Date
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I All roof coverings to be Class'W' or better
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