06050172 CITY OF CUPERTINO +^'n a.t; a ` ' ` `�v `
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BUILDING ADDRESS: D & D CONSTRUCTION PERMITNo06050172
18969 BARNHART AVE
0 RS NAME: PERMrr ISSUE DATE
ZHI HONG LIU 1447 HAMPTON DR 08/31/2006
IE SANITARY NO. CONTROL No.
(408) 666-5298
ARCHI'yERFN
/ GINEFR: - BUILDING PERMIT INFO
BIDo ELECT PLUMB MECH
o ip LICENSED CONTRACTOR'S DEC AI AT10N lob Description
u EI mwy afnm,Wu I w BmmN.,der pm� of Chapter 9(commend.[
HW Section 7")d DIM.ioa 3 of the Butllm and RofasIXd Code.aM my 11 1—4
In rm fo."'Jffca REVISION-TRUSS CALLS
tyao °e9 con ORIG PERMIT #06010174 NO NEW PERMIT
Fp Dale CantDECL
IJ'
ARCHITECTS DECLARATION
T10N
I uMuwoJ my plw dull h coed v pdic aecIXdr
'off Ixcmed P,ufeevorW
th"I am BUIIDPfoom ho RATION
C I hc,ctry.Sl oo I em muopl rvo Wer ConvaaC :" law far IR'
:0C fallowing wan.(Saliou 703 1.5.Buvnev erre Praevioru Calc:Any&Y--—
:$� which RQu1ra•pmnll to tmnman,apo.imPmR,demdW,a Rpoir my arrelem
Tau b as is..aero maulto tbo appixw r«garb pumit to rah a algocd a at t Valuation
< WvM is[lamed p..t to We P^`'W—err the Caau W"Liana Lar(OWK-9 Sq.FI. Floor Area $0
Kra (corttmc,tdn[w,b Savoy 7000)a Div000 7 a We Botinaa" CoQ)«
_ that ba is...mpt Ibaeftom and Lc hula fa dx alle[rd memPOon.Any t{otdoo a
&,,00 TW l.3 by amy k*aat far.permit amJr=M the app0am to a avll Pemlly errN Number Occupancy Type
aM mare thm Bw budrtd ddlaa(t500F
3909027 . 00
❑L u awrcr of Ja pmprny,a my wpb)eu rbh wa[n u thch W k cotaP.••x,e,
woftam&an^mema oJooton, .bfrertdl«aale(s"°"•Boob. Re uiredInspections
and PmfasduTh
m code: e CaotueWh Is raw dm
oea l apply W m amu ol q
property who bulW orhnProwa Ihemm,and wln doameh wrk Mm..r«lhmu[h hu
amunployua.prarlticd thvachfibpa aw aRnotht¢eQd mofir fIX vlr.If.
however,tix bwldin[«Improvu«m h told within arc ymt o(.Pkfiob,the oma. (7
builder rill Nara the burden of P vmg that be did ort MW a mapr f«p,vpve a
vk.).
`(1 u.mer a the pmpm,.m adtbu a y coatr.tin[rIW Borated eIXlllarlan W
Cmaa,teI the prol-a(sec 7W Buti„ea and Pmfrulmde
e co )The Cwb e'U.
<mx raw doe+oat WPH tomwner
oa proPuty rbo hvlda or bat mb m thy..and.
MItl CMIfKa fIX tYeh pra)CW WIIh.NCV Y«(a){a16C dpVmaa Wtbe GaVYtart
Lka.Law. �V\
I om.pl urdu .B&P C fa lhu was
WOR S C SATION DECIMATION IVVV/
1 hertby Nlrm order pmWy a perjay arc a th fibrin{
❑o,.e.td wN forbyo.Confer,of Cod,
frcfIXWort=h Of lea
aatloa u provided for by Savor 7'!W a the lab«Code,f«Ne perfarmm a Ib<
wait fa.hien Nit permit is IvveM1
❑1 bve and will madImin Worsen CamprruWon Ituu 'v taryiRd by Se tion
my of Je lab.Code ra the ootoca o aur Tort r«mbco tool pumJ h 4axd.
My WorYSYt Ccwpvwioa Iruurv,a carnia vol Polley nu,nhu ac:
Gorier. Polley No:
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
Crhh realm reed ort br coma v 9 o perm)ti fIX arse huotred tolat(SIM)
I cuvfy that In the perrammee a the �.b
ad,1 shall tial
.Pi,my peaon In my mmarmv 'C.'aaadon .
LoweaCalifoml..Darr
NOTICE TO APPLICANT.If,afwr matin[this Cavfmm a Euvoptbn,you thodd
bumne a,ob)ai to the WM ..Coop baaom Ja v om a We l code rots moa
.,O ronhriW comply MW Wch MVWM or Wit P it Wall le dabxd teratN.
Z CONSTRUCTION LENDING AGENCY
a 14 IQ.av1 fbarbrhiaMim c thatt .h.conwratim lmdin[aFa for We pufornua=or
perch It ia,ed(Sac.3191,Cir.C)
0 randcft Name
z .mien Add,cv .
U0 1 awry Jut 1 ha.e Rad Wit Wplkubn aatd fore teat Je.bo.[Inf«matiun b
U.f" cone=[I ager 10 comply r all city a mwtty adiroa=a and tux lam rtI d-t to
ortbo
Uft
U bu0tlio[contago,c toaw,m&mnify Dol rtpmxnn1wo eCityof menta.AgaWL
W
.hove-.mi.d l Ity fa iMpcedon PuWmes
(9k) J,mo motic,indemnifY.,d haD hay to m t ,City or Cupertino.balms
Ii.Mliliet,Jtdbmcou,coatand eaprmv which maybmY way acvue aguna uW City /
U zb eonxqueac of the'nun o[a thin L!i
"-' Date
APPLICANT UNDERSTAND A ILL COMPLY WLL)WITH ANON.POINT Is ued by:
SOURCE REGUI.STI
-roofs -'
SlPname afA Date
HAZARDOUS DdiagO MATERIALS DISCLOSURE Type of Roof
WTO the W plkant a fM n ipi Co a.Clop n«c IX bulk h®dpu i Salmy
u Qflncd DY the Cupenlm MUNdIvI Code.f]upRr 9.11,and dx Hu1W ad Saar
.Sal ion 255324)7 All roofs shall be inspected prior to any roofing material being installed.
Y.
bJ
W,the.PPliamarr000,Waing� pmt.,eewipranl«Q a . h If a roof is installed without first obtaining an inspection,I agree to remove
emit havrdoua air acumLuna a deBad by the Bay A Air Quality Managmenl all new materials for inspection.
Y0
O�0Ya tJ•�
1 haw RaJ tM huadoua m•rx,t,my'uc,a�v u,,,kr eDapc495 a We Cahf«.
ou HraINhsofa,Code.SrcuWiao,1, mgr p 25574.1 wnourytltea if Je tai
atrotrwRmh 1uw ut/m(t>arit amy Rap a.W m.& dx oapmt nr We
Ryalta,aa,t,.mir metPr,«,aleaRnaa.cwl�e/=�ar�o � Signature of Applicant Dale
ower " — All roof coverings to be Class "B" or better
«..tbond.ens I