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02010089BUILDING DIVISION PERMIT BUILDING ADDRESS: • 22659 WEEPING OAK CT OWNER'S NAME: AUDREY WANG PHONE: C Q'cZO ARCHITECT/ENGINEER: kU sz SN i LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I tun licensed under provisions of Chapter 9 (commencing ;m[_W with Section 7000)of Division 3 f,he Busim`sspnd Professions Code. and my license ;,d Z_ iain Binfa a nee t. { A2 ? Oce w U License CI Lic.S ILO g at P 1 un mlhtlH�fr+kHiT.11 be uudDaE public r` f�ci{ei-r i d O O Licensed Professional OWNER -BUILDER DECLARATION X 1 hereby affirm that 1 am exempt from the Convector's License Law for Ne F r following meant. (Section 7031.5. Business and Professions Code: Any city or county i x o which requires a permit to construct. almr, improve, demolish, or repair any structure prior Whishow.c, alsorequireitheappliwnt fore.h pcmtiuofileasig.dsutemetn chat he is;licirsed pfiiassinuo thdpPovisiom of the Comm hors License law (Chapter 9 (commencing with Section 700(t)of Division 3 of the Business and Professions Code) or that 'he is exempt themfiom end Ne basis for the alleged oempthm. Any violation of Smion 7031.5 by any applicand for a permit subjects the applicant m a civil pendry of ant mote than eve hundred dollars ❑ h as owner of me property, or my employees with wages as their sole compensation, will do the work: and be Suueture isnot intended or offered for sdc (Sec. 7644,' Business and Professions Code: The Conuoctor's License Law does not apply to an owner of property Who builds or improves thereon, and who does such work himself r through his own employees. provided that such. Improvements arc not intended or offered for sale. If, have e . the building or improvement is sold within one year of completion, the owner -Wilder will have the Widen of proving that he did not build or improve for puryase of sale.). O I,aa owner of the properly am exchsively commning with licensed contractors to construct the project (Sec. 7064, Business and Professions Code) The Contractor License law docs not apply to an owner of property who Wilds or improves Merton, and who.camtazts far such p.jau with a cmitrachn(a) licensed pursuant to the Contractors License Law. ❑ 1 am exempt under Sec . B & P C for his reason owner Data WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 S have and will maintain a Certificate of Consent to self-insum for Worker's Comp "ratia n. as provid d (or by Section J]00 of he Labor Code, the performance of the work Tar which Mia pcmds is issued. ❑ 1 have entl will mainuin Workds Com.niaiion Insurance, n required by Section 3]00 0( the LaWr Cade, for ore perfomuntt of he work for which this pcmdt is iasded. My Worker s Compensationnnlnsurnnce cnrri and Policy number art: Teeny m is'sation Dad nm be completed if he permit is fa one hundred dollars ($IN) or lees.) 1 certify Nat in the performance of the work for which his permit is issued, 1 shall not employ any parson in any manner so as to become subject to the Worken' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: If, diet making his Cemlicau of Exemption, you should Z become subjecto the Worker's Compensation provisions of the Libor Code, you must 0 O forthwith comply with such provisions or his permit shall be deemed revoked. W CONSTRUCTION LENDING AGENCY a; I hereby aRmi that there is a consuuctiom lending agency for the performance W of me work for which this permit is issued (Sec. 3097, Civ. C.) Pi Q Lender's Name Union', Address U 0 1 certify that I have read this application and state that the above information is t + (r correct. I agree to comply with all city and county ondinances and sum laws relating Q [) to building construction, and hereby authorize representatives of this city to enter upon Wthe above-mentioned property far Inspection purposes., E•, y (WO) agree to save, indemnify and keep harmless the City of Cuienino against W' liabilities. judgments,, count and expenses which may in any way accrue against sold U Z. City in consequence of the gmnu f this permit. ' APP_LI�gST`Ic ERST:ASNDS 1p9g`'aD%T LCLPPILY WITH ALL'\ION POINT HAZARDDFIS MATERIALS DISCLOSURE Wi11 ilm applicant a forme W ilding mcupmsam. or MMIe hvmNeus m tenid as defined by the Cupertino Municipal Code. Chapter 9.12, and the Health and Safety Cade, Section 25532(a)? DYes' Will the applicant or future building occupant use equipment or devices which emit henrdoue itu contaminants as defined by the Bay Area Air Quality Management Domi 11 Y., filo 1 have read the haaardous materials requirements undo Chapter 6.95 of the California Health & Safety Cade, Sections 25505, 25533 and 25534. 1 understand that if and Wilding dims not currently have a tenant, that it is my responsibility to notify the ..pant of he milturcments which be met peso c of a C ificau of O upon r j wnc authodaed to OLD CONTRACTOR INFORMATION: BRAND KITCHENS & DES0 13715 QUITO RD (408)871-8190 RMIT NO. 02010089 PLICATION SUB DATE 01/23/2002 NITARY NO. CONTROL NO BLDG ELECT PLUMB MECH J U L J L_J Job Description BATHROOM REMODEL. FR07G6.*°ALE MAY 0.3 2002 $8000 . _ 3cP2 _ •. ; Valuation 10 CPN �t�DATION Occupancy Type 103 - UFER Required Inspections •' 104 - REBAR 105 - ANCHOR BOLTS 106 - SEWER & WATER 202 = UNDERFLOOR PLUMBING 203 - UNDERFLOOR MECHANICAL 204 - UNDERFLOOR FRAME 205 - UNDERFLOOR INSULATION 301 - ROUGH PLUMBING 302 - TUB & OR SHOWER 303 - ROUGH MECHANICAL 304 - ROUGH ELECTRICAL 305 - FRAME 306 - HOLDOWNS 307 - INSULATION 3Q8;,-' S,HEETROCK 309''E-XTERIOR LATH 310 - INTERIOR LATH _, _. ._...... ... _.... 311 - SCRATCH COAT -313 - ROOF NAIL 501 - FINAL ELECTRICALENERGY 502 - FINAL PLUMBING ENERGY.- NERGY-503 503- FINAL MECHANICAL ENERGY 504 - FINAL BUILDING ENERGY 505 - FINAL ELECTRICAL 506 - GAS TEST 507 - FINAL PLUMBING 508 - FINAL MECHANICAL 509 - FINAL GRADE 510 - FINAL PLANNING 514 - FINAL PUB IC WORKS Issued by: t� Date Re -roofs Type of Roof 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. Applicant understands and will comply with all non -point source regulations. ,Signature of Applicant Date . All roof coverings to be Class `B'• or better OFFICE • • � � 1 i li • • 0 , fl -0-61 CITY I But DING DIVISIONPERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO. 22659 WEEPING OAK CT BRAND KITCHENS & DESIGN 02010089 IftVNER NAME: APPLICATION SUB DATE AUDREY WANG 13715 QUITO RD 01/23/2002 .:HONE: (408)871-8190 SANITARY NO. CONTROL NO. i ARCHITECDENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MF.CH I_I 1—I L .1 1___I i LICENSED CONTRACTOR'S DECLARATION Job Description I hereby affirm ohm 1 am licensed under pmvisinns of CM1aPter 9 (mmincom., LL with section 7000) of Dickins 3 nnhe Bmil nd Ponfilloos Code. ana,nyliemoc mfon R, end of t. q2 23 se License Cl p BATHROOM REMODEL. ate s, ® A F'N^wE® 1 13 ,��{CHIET'5 DECARATION Fe ?1GH�� P 5 1 undh.r Q[Md..hait be used as Public recotds MAY 0 2 2002 o Licea,acPmmssianm OWNER -BUILDER DECLARATION h 1 hereby affirm that 1 Inn exempt from the Comruchm's License law for the � hollowing reason. (Section ]III LS. Business and Professions Code: Any city or county ❑ whteh q pe hilt c .Ila t 1tc' P e demolish, repair n, nmewm $8000 I III DIBIG_--- BUILDING Prior t '. < also 9 the f such pe c l bu f 'geed uaemem �J L t V ----_- cfk, p(g��•t�OOr,pp,,a�.BBf�1 '�? 4T h 6199 6Vf{.a Valuation - thrheslcvnsedprsoftthProisisofthContrractorsLceseta(Chaffer9 (Commen'g.th Sect 7000) fD' i J fth Business and P fessioos Coda t.S. Z,13 3 , or that he is cxemq thdo:fmm and ,he basis for the alleged exempuoa. Any violation -of Sermon 7031.5 by any applicant fora Permit subjmts the applicant too civil penalty- iofcut more than Eva handled dollars ($00). 10 �pN qurrDAT I ON Occupancy Type ° 1, as owner of the property, or my employees with wages as their sole compensation. 102 - PIERS 103 - UFER Required Inspections • '' `" "do the work: and the structure is'not'imtnded or offered for sale (Sec. 7044;- :will eosins;x and Professions Code: The Contractor's License Law does not apply to an weer of property Who builds or improves thereon, and who does such work himself' 104 - REBAR or cilied M1 his own employees. provided that such improvement" asold me not intended m sale If how th Buildinge mon, IJ in Doe ywFof'' _ _. ___--__-. __ _ _ __ __ _ _ _ - - 105 ANCHOR BOLTS of proves compllfor enmplse the owner IJ ill have the burden of Proving that h did not buil) or for s improve fila purpose or um.), 106 - SEWER & WATER _ -- - -Y ...,s' - ❑Lnowner propeny,am nclusisel comremn wnhllcensede - 202 ='UNDERFLOOR"PliUMBING - -- .. ,,. . the project tape. ]tot. ea:mess ane any who Coe:) The Contractor's mja Cludonim's Licenu Ww docs not apply m on owner of pmpcny who builds or improves nccmon, License 203 — UNDERFLOOR MECHANICAL ' and who. contracts, for. such projects with a contractors) Bcensed.paxuam to.the .._ .. _ . 204 '-- UNDERFLOOR--FRAME...--- Cnntrome, License Law. ° l mo exempt under Sec. , B A, P C for lb,reuean 205 - UNDERFLOOR'' I'NSUL'ATION "' Date '' 301 - ROUGH PLUMBING �Dtvadr WORKER' S COMPENSATION DECLARATION 302 - TUB & OR SHOWER " 1hereby aRrmunder Pcosityofperjury one ofthe following declarations: 303 - ROUGH MECHANICAL ❑ 1 have and will maintain a Certificate of Consent to self-insule for worker's 304 - ROUGH ELECTRICAL Compensation, as provided for by Section 3700 of the Labor Core, for the performance of the work for which this aromit is issued. ; 3 05 — FRAME ° 1 have and will maintain Worker's Compep4aiion Insurance, as required by Section 3 06 - HOLDOWNS 37M of the Labor Code, fon the p<rfrmance of the work for which this permit is ' , 3 0 7 - INSULATION ' usual' My Worker', Co Pc r to, mla J Puli y umber are '— am Policy No. /06i-0/ 30,8 1, SHEETROCK;.- ` CERTIFICATION OF EXEMPTION FROM, WORKERS'),-', f'-__., i.x. 3091 f -•EXTERIOR LATH' COMPENSATION INSURANCE:,' -,'.; _..... _.._ ___ _ _ ..-- . 3'10'4 _ — - '-"------ :;TNTERIOR' liATH""'"—;;- .'1 I:dlto, ., frnis cea�on deee'nntmcompmteercme permit is for one nnnalea dollars ., . 311"-' SCRATCH COAT l.. • w, _ -� •_, - 313---ROOF-•NAIL " '- I c nify th t the p rformance f the will, for which thin perm t .. Dad:1 �hill of employ any person n any mann io became elect to the Workers 0. 501 - FINAL ELECTRI CAL[' ENERGY Cumpensaion Laws o[Cnl'dnmiv. Date, 502- - FINAL PLUMBING ENERGY----... I NOTICETOm ANT:IL thisovisioso of E 503 - FINAL MECHANICAL ENERGY Cmmakiti ialooron:youshoulst become aubjttuo the Work'er's Compensation provision of the Tabor Codc, you must to the jfdnnwilliscu ywithsuchpm.i,inasorthisp.isshanbaaecmadrevoked. 504 - .FINAL. BUILDING. ENERGY _ _._...__._ CONSTRUCTION LENDING AGENCY.` 505 - FINAL ELECTRICAL " 1 hereby oRrm that Isere is v construction lending agency for the performance ' 1' or rko neem Pemt.issued(S 1o97,cm.c) 506 - GAS TEST Leauh ,Name' Lpnap Ada _ __ __ .. _.... _ - - _ 507 - FINAL PLUMBING,. ss' .� ' . ..-.. - FINAL MECHANICAL trimly that n dt : application dstate that th b informationis508 correct: 1 agree m comply,with an city and count' ordinances and dam laws relining 509 — FINAL GRADE to Wilding consttvction: and hereby authorize micasenmtives of this city to enter upon .the aWv>mentolud Pmpeny for inspection purposes.,, 510 — FINAL PLANNING y' Iwe) agree to sa e" indemnify and keep halal a the City of C poi o against 514 - FINAL PUB IC WORKS 1) liabilities, judgments,cst. nil pens, nm > any y sbpsaia City n gvftmspeont ,.aquaticeof,he,pant 'SPPLI NTe ER$OTAYD$ ND WILL COMPLY WITH ALLNON 4 Issued by: r Date O bq, ufA 1iccandCn t a t S Pp HALAR S MATERIALS DISCLOSURE - , va^ 'Dole Re -roofs "", Willth 'a beam or Tui' bu ldin oe oto or handle hirallovuneenal s .. .. . .Type of ROOF- .-. - ._... _.. .. . n d f tl by the Cupen Mun c p 1 Cod< Ch pt 9 12 end the Health and Sakry ,: , t' , . s +. - .• ( Cali. section 255321a)7 ... 0 Yes ,., " r,:: �,•r: — All.roofs shall be inspected prior to. any. roo6ng.material being installed. . Will theupplfeart or future building occupsat we equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove emitict? os eir conmminams os tlefined by the Bay Area Air Quality M1fanagcmcm District? all new materials for inspection. Applicant understands and, will comply with .. °Y `-- . ', '' . ., .., . all non -point source regulations, .,,,,.... I liint read the h tlnus material. requirements and Chapter 5.95 of i;e - Callforcin Health'E Safety Code Sections 25505.25533 and 25534. 1 understand that ,111a building docs not currently have a tenant. that it is my responsibility to notify the .. occupant of Ne,iequirements which be Tel pnm issuanm of. C ificae of «`nw"` •� /If Signature of Applicant Date All roof coverings to be Class "B" or better' ' wne� as oodles -Date scent .... -..., .. ... - OFFICE