10120028 CITY OF CUPERTINO BUILDING PE IT
CONTRACTOR:JULIO M IA PERMIT NO:09050143
BUILDING ADDRESS: 21947 LINDY LN CONSTRUCTION
ii
O' i S NAME: SHESHA KRISHN
APURA 361 W VIRGINIA ST DATE ISSUED:10/21/2009
OWNER'S PHONE: 4088939926
SAN JOSE,CA 95125 PHONE NO:(408)529-3634
❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT IN O: BLDG r ELECT� PLUMB�
License Class Lic.# MECH 1 RESIDENTIAL I— COMMERCIAL F-
i
Contractor Date
JOB 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 ATTACHED
NEW SFDWL-2 STORY W/BASEMENT(5,936'SQ)-
HED DESCRIPTION:
(commencing with Section 7000)of Division 3 of the Business&Professions GARAGE 541'-VACANT Lu ti
Code and that my license is in full force and effect.
1 hereby affirm under penalty of perjury one of the following two declarations: t t , l i,u i (AQA-�,
1 have and will maintain a certificate of consent to self-insure for Worker's LX
�a_h Hyl �)I �'� J QJ�`�►�1 (`��'C
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued.
have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this Valuation:$1050000
permit is issued. Sq.Ft Floor Area:
APPLICANT CERTIFICATION
occupancy Type:
I certify that 1 have read this application and state that the above information is APN Number:35625029.00, P Y YP
correct.I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, PERMIT EXPI ES IF WORK IS NOT STARTED
costs,and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 YS OF PERMIT ISSUANCE OR
with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FR M LAST CALLED INSPECTION.
9.18.
S; re
Date Issued by: Date:
OWNER-BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for one ofRE-ROOFS:
the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
1,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for
will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection.
Business&Professions Code) Signature of Applicant: — Date:
1,as owner of the property,am exclusively contracting with licensed contractors to
I
construct the project(Sec.7044,Business&Professions Code).
ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1 hereby affirm under penalty of perjury one of the following three �r
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE
Compensation,as provided for by Section 3700 of the Labor Code,for the i
performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the
1 have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety,Code,Sections 25505,25533,and 25534. 1 will maintain
compliance with the Cuperttino Municipal Code,Chapter 9.12 and the Health&
Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 255321(.)should I store or handle hazardous material.
permit is issued. Additionally,should 1 use equipment or devices which emit hazardous air
I certify that in the performance of the work for which this permit is issued,l shall contaminants as defined by the Bay Area Air Quality Management District I will
not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
of exemption,1 Health&Safety Code,Sections 25505,25533,and 25534.
Compensation laws of California. If,after making this certificate
become subject to the Worker's Compensation provisions of the Labor Code,l must O mer or ltor' ed agent:
forthwith comply with such provisions or this permit shall be deemed revoked. iDate:
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
1 certify that I have read this application and state that the above information is
correct.I agree to comply with all city and county ordinances and state laws relating 1 hereby affirm that there is a construction lending agency for the performance of work's
to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.)
'he above mentioned property for inspection purposes.(We)agree to save Lender's Name
nify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
costs,and expenses which may accrue against said City in consequence of the
Address—
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source gulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION
9.18.
1 understand my plans shall be used as public records.
Signature l� 30 �
Licensed Professional
CITY OF CUPERTINO BUILDING P RMIT
BUILDING ADDRESS: 10380 LOCKWOOD DR APT A CONTRACTOR:SUNGAt E ENERGY PERMIT NO: 10120051
SOLUTIONS
OWNER'S NAME: BARBARA BAYHA 6335 FERRIS SQ STE B DATE ISSUED: 12/08/2010
' "NER'S PHONE: 4082532685 SAN DIEGO,CA 92121 PHONE NO:(858)457-4500
CJ LICENSED CONTRACTOR'S DECLARATION r r
BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class �O Lie.# � �( MECH'� RESIDENTIAL COMMERCIAL r
Contractor Sl7SJ Ca.� 4�7' Date Z O
1 hereby affirm that'I am licensed unde he provisions of Chapter 9 JOB DESCRIPTION: INSTALL TWO 4 SOLAR PANEL SYSTEMS ON EXISTING
(commencing with Section 7000)of Division 3 of the Business&Professions ROOF;4 PANELS
Code and that my license is in full force and effect.
1 hereby affirm under penalty of perjury one of the following two declarations:
have and will maintain a certificate of consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,as provided for by Sq.Ft Floor Area: Valuation:$11493
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued.
APN Number:34229017.A Occupancy Type:
APPLICANT CERTIFICATION
1 certify that 1 have read this application and state that the above information is
correct.1 agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property for inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may accrue against said City in consequence of the 180 DA17OM LAST CALLED INSPECTION.
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18• Issued by: �V r-" Date:
Signature' Date 8%I�
77
OWNER-BUILDER DECLARATION RE-ROOFS:
All roofs shall be inspected prior to any roofing material being installed.If a roof is
1 hereby affirm that 1 am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for
the following two reasons: inspection.
1,as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Sec.7044, Signature of Applicant: Date:
Business&Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1 hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the
Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 2553I(a)should 1 store or handle hazardous material.
Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use';equipment or devices which emit hazardous air
permit is issued. contaminants as defined by the Bay Area Air Quality Management District 1 will
maintain compliance witl►the Cupertino Municipal Code,Chapter 9.12 and the
I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534.
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,I Owner o aLthorized agg
become subject to the Worker's Compensation provisions of the Labor Code,I must Q
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION I hereby affirm that there is'a construction lending agency for the performance of work's
I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.)
correct.1 agree to comply with all city and county ordinances and state laws relating Lender's Name
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION
'ing of this permit.Additionally,the applicant understands and will comply
all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records.
9.18.
Licensed Professional
Signature Date