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BUILDING DIVISION PERMIT
BUILTUILllzYsVICKSBURG DR
OWNER'S NAME:
DAVID PIETROMONACO
PHONE:
ARCHITECI7ENGINEER:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and my license is
in full force and cyfFc�.
License Class ((ii Lic. N Z
Date 7 e24 Contractor /✓l. Sa G -
ARCHITECTS DECLARATION
I understand my plans shall he used as public records
Licensed Professional
OWNER -BUILDER DECLARATION
1 hereby affirm that 1 am exempt from the Contractors License Law for the
following reason. (Section 703 1.5, Business and Professions Code: Any city or county
which requires a permit to construct, alter, improve, demolish, or repair any structure
prior to its issuance, also requires the applicant for such permit to file a signed statement
that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he is exempt therefrom and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
71 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, Business
and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and who does such work himself or through his
own employees, provided that such improvements are not intended or offered for sale. If,
however, the building or improvement is sold within one year of completion, the owner -
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044, Business and Professions Code:) The Contractors Li-
cense Law does not apply to an owner of property who builds or improves thereon, and .
who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's
License Law.
❑ I am exempt under Sec , B & P C for this mason
Owner Date
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of pedury one of the following declarations:
❑ I have and will maintain a Certificate of Consent to self -insure for Worker's Compen-
sation, as provided for by Section 3700 of the Labor Code, for the performance of the
work for which this permit is issued.
Xj�l have and will maintain Worker's Compensation Insurance, as required by Section
Ab of the Labor Code, for the performance of the work for which this permit is issued.
My Worker's C pe sation Insurance car�)ier and Policy number am:
Carrier. ✓t 0" Policy No.: ""
CERTIFICATE OF EXEMPI70N FROM WORKERS'
COMPENSATION INSURANCE
(Chis section need not be completed if the permit is for one hundred dollars ($100)
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California. Date
Applicant
NOTICE TO APPLICANT. If, after making this Certificate of Exemption, you should
become subject to the Worker's Compensation provisions of the tabor Code, you must
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a eonstroctinn lending agency for the performance of
the work for which this permit is issued (Sec. 3097, Civ. C.)
Lender's Name
Lender's Address
I certify that I have mad this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating to
building construction, and hereby authorim 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, costs and expenses which may in any way accrue against said City
in consequence of the granting of this permit.
APPLICANT UNDERSTANDS 9618-WTMX0,.1PLY Vj7FHbALL NON -POINT
9 HAZARDOUS MA'MRtV 5 -DISCLOSURE
Will the applicant or future building occupant store or handle haiardous material
as dcftned by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety
Code, Section 25532(a)?
Yes ❑ No
Will the applicant or future building occupant use equipment or devices which
emit hazardous air contaminants as defined by the Bay Area Air Quality Management
District?
C] Yes C] No
I have read the hazardous materials requirements under Chapter 6.95 of the Califor.
nia Health & Safety Code. Sections 25505, 25533 and 25534.1 understand that if the building
docs not currently have nant that a is my responsibilityy_I notify the occupant of the
reyuircr�engxv ' asst be mel prior to i_Suansapf a C�erLificate of Occupancy.
or authorized agent Z� Date
_e),
MC SOLAR ENGINEERING
2362 WALSH AVE
(408)496-6226
PERMIT NO.
07050106
PERMIT ISSUE DATE
06/13/2007
SANITARY NO. CONTROL NO.
BUILDING PERMIT INFO
BLDG ELECT PLUMB
Job Description
INSTALLATION OF PHOTO VOLTAGE SYSTEM W/BATTERY
BACKUP ON SFR. BATTERIES ENCLOSED OUTSIDE OF
RESIDENCE.
369140071
Iss
Re -roofs
Type of Roof
Floor Area $16500 Valuation
Number Occupancy Type
Required Inspections
4.
Date
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
all new materials for inspection.
Si ature of Applicant Date
All roof coverings to be Class "B" or better
CITY OF CUPERTINO
SOLAR PANEL
� T r, �,-k '� P
CITY OF
CUPEVIN®
APN #
7
Date:
BUILDING
BUSLIC: - ` "� ' "
Building Address:
BUILDING
SV U�✓ �o 12 2,��i
Energy
Owner's Name:
Phone #:
Contracloi: Phone:
License �k
10.57
BPLANCHK
Plan Check Fee
Contact: j e: 0,2S-(./
Cupertino Business License #:
Z 34v
Seismic Commercial
BUILDING
Building Pen -nit Info: �(�etR� e> In�,,o v.Vo plc
B4...`QS
Bldg ❑
Job Description:
Residential Dl/ Commercial ❑ Cost of Project:
Qty. if
Applicable Fee ID
7
Fee Desci iitiegl� - Fee. Group
SOLARRE_ S- - ==_---
- Residential Solar--Rermit-- . -__
BUILDING
BUSLIC: - ` "� ' "
Business_ License(=- '_ -ter` =4 - !
BUILDING
BENERGY
Energy
BUILDING
BPERMFEE
Bldg Permit Fees
BUILDING
BPLANCHK
Plan Check Fee
BUILDING
BSEISMICOM
Seismic Commercial
BUILDING
CITY OF
CUPEkTINO
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
JOB ADDRESS: /U 3 12
^10
PERMIT #
d C .01a
OWNER'S NAME:
PHONE #
GENERAL CONTRACTOR: D 4
FAX #
I am not using any subcontractors:
Signatur Date
Please check applicable subcontractors and complete the following information
/ �/- 6 7
Owner/Contractor ature Date
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
/ �/- 6 7
Owner/Contractor ature Date