06050184 CITY OF CUPERTINO ���T
BUILDING DIVISION PERMITONTRAC�TORI\NFURMATQ
BUILDING ADDRESS: RENEWABLE ENERGY CONCEPTS f9CIND06050184
108 BRET AVE
;NAME: 14 PE IAIT SUE DATE
AMJAD ALHAIT 1236 LOS OSOS VA IFY RI) 06/06/2006
PHONE SA ARY NO. COMROL NO.
(888) 657-6527
ARCxnECT/EiGLNEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB NECN
0 0 0 0
LICENSED CONTACTORS DECLARATION - Job Description
Into rR Lha 1 w limnod uda Praru3^^.M CNpor 9lmmntaoiry
lin Sadm 70(M MDitiaim 3 of do Butlrca ad Pra(amm d mu
Code,ay Ik.
n mO fonm dCmt INSTALLING SOLAR P,.fA�N' ,LS^ ON RESIDENCE
�- RENEWABLE ENERGY '16 aAQ 6R BL 5/22/06
Date
o DaConlraaa 6 66s����ssee
ARCHRECTS DECl.9RAIION �Ay�
is I undOmand my put., 11 bo du public read,
'� Liernxd Pra m.l -
OWNER-BUILDER DECLARATION JUN t(12006
N I W.hy,Iffy Ih,l I am pt r..ft cu r noett L�Cmb LJW Int ft
:O° folb ng Comm.(Stolon 7W 13,Baena,and Pmfcmam Codc Any city«County
;2E w OO uira a P.,to nmuYml ao W.®plow,demMu t.«-Pau,ny a —
:�<
prior ju id�wttluoo,mtp"n matin for cap° agoDd(mpm9 Sq.Ft. Floor Ar Valuati 16000
-r° (commctolni wish 5¢um 70M M Division 3 of NC BusLrra ad Prorml«u Cudc)or
SNn Ie h aumq WmMrm nd Ibe W,u for the"Oid u®pdm.My mlalim of
Seaton 7031.3 by Loy appB for apmmltmbj.=ibe appeiot ba dvil pealafyM pmber Occupancy Type
eumaewnnwbadred M,n(5500). 37511041 . 00
❑La«vnmkf die Pt to Cor vup oml dwibwgaudcu ode m .BLWdot4
and Prae Ornout o&tcl The Cm totwamutO uw d ,Out a See.t=Budo or Required Inspections
rrk Pty bo W Calc Tec,,d,,Wor,Llmrtu V.mm Out kmt to r gh Of 9
propcnY.m ,9.aimp ou �iro Ladvise—o ntttamteim,etf«Wmuih his
eonem,u5w,providedoppo chimer sold ue Cot lrnmof Odl aoQaW ra ale If,
ho,,Ne bWWbe a wgo.evmr a sold rlduit arc yeu of ton for ale awxof
builder.N Ww the bvdvt of pmvini Nat he dd not bola a i^prme for PInPonx M
ak.7
❑L n IlrIOQ M lee K pmy.uv oMativclr aanuaclNi wilt Lremd emo.eran to
canurra 0c Prujca(Si,_t .Bud and Profeadam Cotler)Tee Cunur ,LL
Cotue la.mm eat WtY to ro n.ne or 7"POny.h0 mild,Or i q.be..Coil,
visa C(Inelef«LCbpmj=wilbae uac«(,)llC dpvr anitodc(7 nVCtaY,
me
aemexec
in udm See ,B hPCfm Nu mum
Cate
� WORKERS COMPENSATION DECV,RATION
I bueby Jrora miler peaa4y Of perjay me of the faoa int
1 bare ad wBl maimio a Cenalao MCmua b d(-lmne fa WOrteY,Canpc^' .
aam.u provided for by SeNoO 3700 M Ne labor Cde,for the Pafomaao of Ne
Werk for t this pmmitu iamd.
❑1 haw ad.n main,in Woke,Compenuaut ldorrrrm,u OW,W d by S.. .
3770 Of the labor Code,for We Pdarn..,.�. Ne rvak fm wbkh flou p;noit u iacd.
My wo,loe Cmtpwl 'm Int rc a ,d Polity numbs
Pofcy Nu: I'C 60
"- CA7E OF E7rPIdP FROM WORKERS'
COMPENSATIONINSURANCE
(Thh,mnlm nrsd nal k caopkod Uthe pume h faane hOntteEEaOan(g IOQI .
aku)
1 certify met in the performaoce M td work far which mu pmoit u ivued,l WR not
L.of C"r.,o1 In mY maercr m a n become mbja7 m We Waba,'Caopelmdm
La..M Cahrord..Doc
ApplicNOTICE
u
bo ruby APPLICANT:V,Corea ti Nu Ccn of of LubO, you dOold
ba'mc n comp m the Warb C .Or t ll P�^^a d We Labor COde,. tmu
,J O forWwiW comply with Arch paovidnrt.aDuipmmt Wall he domed rewted
CONSTUCnom LENDING AGENCY
[-r I hereby aRhm Lha dole it.�Irnding agency for the I f«manx M
p:> the wuk ra.hich Nil x,rnk h Wood(Sa.3097,Civ.Q
7 z Lsdef,AdNea
U O I c y slat I tint reN W 3 appliaiaa ad uac dot the,hmo INOtnuom u
IyF tartar l.iree bcomPIY.til all city.W caunly Off' ..,...and . u. Mining to
OU building corutronian,tour heroby.udarim leprmenWi of bu OLY n emu uPm the
r 4 aOovc.mcnti r pony(a iupcnim purymca
(M)agme to ave.iWe ify ad luWP harmlru me City OrCupmino ai.iott
F" N Il.mlkimjadgtxa,,tom,dcapcnxf khmaylna^ymy.,itlmlctid City
U Z, In Cotuequcoce of the{ranting M Ibu P I.
�-' APPLICANT UNDERSEA000QQ���t��DDDDDD....9999����AND COMPLY WITH AL4 NON O NT Issued by: Date ,
S REGU .ON �a A /K f/1 Re-roofs
l �L
V��/llQ(Ll'F'
Si reofAppli �,rm,.,,,� Dae Type of Roof
uW FIAZARDOUS MATERIALS DISCLOSURE
WIByft C0unta f«urt ptlCg .Outruuuea hartdlc h�dom mWcq
0rld by We Cupmim Muvfdpal Code.Chaplet 9.12,rd the TINW ad Softly
ON ,
Smtion 255377.7? All roofs shall be inspected prior to any roofing material being installed.
❑ tNa
Win do a,Ii .poor,bwlding o=,m toe ewiPmem or moi¢ wh If a roof 1S installed without firs[obtaining an inspection,I agree t0 remove
emu h..rdnua u,mmwbunu a de6rcd by IM Bay Arta Air Qu1iy M 9,00m all new materials for inspection.
D u at /-
❑Ya
1 have mad lint,bvadwi mw^rI W nyuuenbm,mmrchaprm 6.95 Mahe Ctllra.
ma Ndth 6 Safoycodc,Smian 25.505,25 25534.1 urdcmaod tAm if me building
don Cot eOPFOrO tart• Ito mlNlityb Ooury the as tame
rcGuJ�ryda.hkh ub w M.Cadlkaaar� Signature of Applicant Date
o�Ka�wlfmfa�Lm��,g nl D,b All roof coverings to be Class"B"or better