B-2018-0578 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2018-0578
7723 HUNTRIDGE IN CUPERTINO,CA 95014-4262(359 06 021) GLOBAL HEATING
AND COOLING
SERVICES INC
SAN JOSE,CA 95118
OWNER'S NAME:ZHOU ZIMING AND HUANG WENRONG DATE ISSUED:04/10/2018
OWNER'S PHONE: PHONE NO:(408)514-7112
LICENSEDT C BUILDING PERMIT INFO:
License Class 0200 Lie.#0]_2@4_24
Contractor GLOBAL HEATING AND COOLING SERVICES INC Date 04/30/2019 X BLDG—ELECT_PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing X MECH X RESIDENTIAL_COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
REPLACE AC UNIT AND FURNACE-SAME LOCATION
I hereby affirm under penalty of perjury one of the following two declarations:
r. I 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
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$8525.00
APPLICANT CERTIFICATION
I 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 APN Number: occupancy Type:
and state laws relating to building construction,and hereby authorize 359 06 021
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 PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City In consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the pplieam"' lands and will comply with all non-point
source regul ions per,the Cup rtino Municipal Code,Section 9,18. 180 DAYS FROM LAST CALLED INSPECTION.
Signatur ---- Date 4110/2018 Issued by:Abby Ayende
Date:04/10/2018
OWNE -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS,
following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
r. 1,as owner of the property,or my employees with wages as their sole installed without flet obtaining an inspection,I agree to remove all new materials for
compensation,will do the work,and the structure is not intended or offered for inspection.
sale(Sm.7044,Business&Professions Code)
z. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant
contractors to construct the project(Sm.7044,Business&Professions Cade). Date:4/10/2018
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS IA"OR BETTER
m. I]lave and will maintain a Certificate of Consent to self-insure for Worker's
Compensation,n provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE
z. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534.I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
s. I certify that I.the performance of the work For which this permit is issued,I Health&Safety Code,Section 25532(x)should I store or handle hazardous
material.Additionally,should I use equipment or devices which emit hazardous
shall 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 air contaminants pl delatedth the Say Area Air Quality Management District I
P g will maintain compliance with the CypertittStMun cipal Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Cod€,Sections 2 0r,25533,and 25534.
Labor Code,I most forthwith comply with such provisions or this permit shallbe deemed revoked. Owner or authorized age :
APPLICANT CERTIFICATION Date:4/1012018
I certify that I have read this application and state that the above Information Is o LE DING AGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit Is Issued(Sec.3097,Civ C.)
to enter upon the above mentioned property for Inspection purposes. (We)agree Lender's Name
to save Indemnify and keep harmless the City of Cupertino against liabilities,
judgments,costs,and expenses which may accrue against said City In Lender's Address
consequence of the granting of this permit.Additionally,the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. 1 understand my plans shall be used as public records.
Licensed
Signature Date 411012018
Professional