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06020008 - SHELLI BUILDING DIVISION ��.1 � 1� Qa'11 J t J�LTIV XK.� I JF x' ,: ,....:- >•:.:,.;:. BUILDING ADDRESS: TURNER CONSTRUCTION CO PERMIT NO-0 6 0 2 0 0 0 8 20955 STEVENS CREEK B : SANITARY NO. CONTROL NO. (408) 295-7598 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH z O z� o-r W aQ �Dz UO V. E �0U E— W Uz LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing Ath Section 70(10) of Division 3 of the Business and Professions Code, and my license is a full force and effect. .icense Class Lie. N )ate Contractor ARCHITECTS DECLARATION I understand my plans shall be used as public records Accnsed Professional OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Conuactors License Law for the ollowing reason. (Section 7031.5. Business and Professions Code: Any city or county vhich requires a permit to construct, alter, improve, demolish, or repair any structure uior err its issuance, also requires the applicant for such permit to file a signed statement Kai 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 hat he is exempt therefrom and the basis for the alleged exemption. Any violation of iecfion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of iot more than five hundred dollars (S500). ] L, as owner of the property, or my employers with wages as their sole compensation, will do the work, and the structure Is not intended or offered forsale (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 employers, provided that such improvements are not intended or offered for We. IL 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 2f1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:) The Contractors Li - cease 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 Contractors License Law. ❑ 1 am exem t under 6ec , B & P C fo is anon Owner i' 1-,�(� Date 1 hereby affirm under penalty of peddry one of the following declarations: ❑ I hsve and will maintain a Certificate of Consent to self -insure for Workers Compen- sation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued- C] 1 have and will maintain Workers Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers Compensation Insurance carrier and Policy number are: Carrier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit Is for one hundred dollars ($100) or Icss.) 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in manner so as to become subject tgft Wdrkc Cpmpcns tdon Laws of California. Dat ' '� / r nt Applica�'— NOTICE TO APPLICANT: If, after making AtCenificatc of ExcAption, you should become subject to the Workers Compensation provisions of the Labor 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 construction lending agency for the performance of the work for which this permit Is issued (See. 3097, Civ. C.) L.endces Name Lenders Address 1 certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 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, toss and expenses which may in anyway accrue against said City in consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPL'i WITH ALL /NON -POINT SOURCE REGUA.AMONS� ! 1 Signature of Applicant/Contractor S / Dalc HAZARDOUS MATIRIALS DISCLOSURE Will the applicant or future building occupant store or handle bayardous material at defined by the Cupertino Municipal Code. Chapter 9.12. and the Health and Safety Code, Section 25532(a)? C) Yes Z No Will the applicant or future building occupant use equipment or devices which emit haiardous air contaminants as defined by the Bay Area Air Quality Management District? ❑Yes PfJu 1 have read the harardrws materials requirements under Chapter &95 of the Califor- nia Health & Safety Code, Sections 25505, 25533 and 2 5534. 1 understand that if the building does not currentl have a tenant, that it is my responsibility to notify the occupant of the requitercnt� w'hfc mess nor to issuancepr a Ccru Ovate of OccupMcy. 7,JG�t6 Owner or authdrircd acenr mil! f Date Job Description NEW BLDG-SHELL & SITEWORK ONLY WHOLE FOODS Sq. Ft. Floor Area ppppN Number 32619020.00 Required Inspections Issued by: Re -roofs Type of Roof Holut Uccupancy Type Date — (f 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 allnew materials for inspection. Signature of Applicant Date All roof coverings to be Class "B" or better 2-o0(45s(t'. 3 2103 -- Whole Foods Site & Shell Project 0 General Contractor: TURNER CONSTRUCTION COMPANY Subcontractor City of Cupertino Business License N SUBCONTRACTORS LICENSE # EXPIRATION Kier & Wri ht 25616 5/31/2007 O'Grad Pavin 28564 5/31/2007 James J. Viso En ineerin {j 1/31/2008 Mani Iia Landscape 27367./�� 1/31/2008 Case Fo li 22466 6/30/2007 Bratton Mason 28831/01(- 8831 Oic- Lee's Lee's Irn erial, Inc. 28223 9/30/2007 Ro er Bowers Construction 28556 Preferred Wate roofn , Inc. 28959 Qk. 12/31/2007 Alliance Rocfiw 20791 t/ 10/31/2007 Air S stems, Inc. 11223 2/28/2008 J&J Acoustics 28936 a><• 3/31/2008 Walters & Wolf 25601 5/31/2007 The Smith Company 28641 12/31/2007 coln Glass 28839 0'� 1/31/2008 kFfsherLath & Plaster ornas InteriorsC 25909 ;/ 9/30/2007 Parotin 25946 9/30/2007 Geo M. Robinson 727 OtU Rountree Plumbin 20970 1/31/2008 Wong Electric 20368 e N