08070082BUILDING DIVISION PERMIT
aullgrgr o_RES�PERMrr NO.
ORANGE TREE LN ARGONAUT WINDOW & DOOR, INC 08070082
1901 S BASCOM AVE STE 800 07/14/2008
PHONE (408)378-4018 SANITARY NO. CONTROL NO.
ARCEll7EC IElNCTNEPA: BUILDING PERNIMINFO
BLDG ELECT PLUMB MEM
a O p LICENSED CONTRACT'OR'S DECLARATION
1 hereby alfirm that I am licensed under poviaam of chapter 9 (commencing
with Section 700M of Division 3 of the Business and Professions Code. and my licence is
y in fail face and eget
Z Licanoo CLss LIC. e
9 Due Co.
ARCHrfECiS DECLARA71ON
ee I understand my plana shall be used as public .ecotds
;yU
r u F Licensed Professional
OWNER -BUILDER DECLARATION
1 hereby aIIkm that I an exempt from the Contractars Liceme Law for tic
i G O following reatoa (Section 7031-5. Business and Professions Code: Any city or county
$ Ii which requires a permit to con>aruM eller, imprne, demolish. or cpair any structure
y prior to its issuance also requires cher appuant for such permit to fir a signed swen
emt
< that he is licensed p rmant to the provisions of the Contractor's License Law (Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Pmfemons Code) or
.. that be is nwnpt tberef om and the hash for the alleged exampuoa Any violation of
Section 7031.5 by any applicant for a p unit subjecus the applicant to a civil penalty of
mot more than five hundred dollars (1300).
❑ L as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec. 7044. Business
and Prnfessions Code The Contractors I kense Law does not apply to an owner of
property who builds or improves thereon. and who doeasuch work himself or twmgb bis
own employees. Provided that such improvermatu ate not intended or oQaed for mala If.
however, the building or Improvement Is sold within one year of compWIM the owner -
budder will have the burden of Proving that be did not build or improve for pnpom of
rale.).
L
as owner of the property. am exclusively contracting with licensed contractors to
Wkingtruct the pmj= (Sea 7044. Basin= and Professiats Code:) The Contractors Li -
coast: Law does not apply to an owner of Property who builds or Improves Ihaeom. and.
who conuacla for such projects with a contractoM licensed Pursuant to the Conuactori
License Ljw.
❑ 1 am atempt under Sea . B & P C for this
mum
Owner
O 5 OMPENSA77ON DECLARATION
I hoe wider penalty of perjury aro of the following declarations:
❑ 1 have and will maintain a Certificate of consent to self-huum for Worker's Compem
satiao. as provided for by Section 3700 of the Labs code, for the performance of the
work for which this permit is Issue&
❑ 1 have and will maintain Water's Compensation Insurance. as requited by Section
3700 of the Labor Cods, for the Performance of the work for which this permit is' --A
My Waster's Compensation Insumom artier and Policy number arc
Cartier. Policy Na.:
CERTMCATE OF —EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
(This section need not be complebd it the permit Is foram hundred dDlian C6 109)
or less)
1 certify that In the performance of the work for whic this permit is Wood. l shall trot
employ any p—in any moon se b ec �ec1 to the worlmrs' Compensation
Laws or
should
become subject to the errs Compensation provisions of the Lobar code, you mutt
forthwith comply with such provisions or this peaait shall be dectrned revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm tint theme is a connsuucuon lading agency for the pufamance of
the work for which this Permit is issued (Sec. 3097. Civ. C.)
Le lees Normo
Ladeh Addmss
I certify that 1 have read this application and tub that the above information is
correct 1 tame to comply With W city and county ortilmarces and stab laws relating to
building canwttcuon. and bemby authorize representatives of this city to eabrupon the
above-mandatd property for inspection puPmn.
(Wa) agree to am Indemnify and kxp hanmlesx the city or Cupertino aping
liabiutks. judgments. costs and expense which may In any way aconic against said City
In consequence of the grsnung of that permit.
ALL NON -POINT
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or ntorre building occupant amen or baodk hazardous material
as ddbwd by the Cupertino Municipal Code. Chapter 9.17. and the Health and Safety
Codd Section 25532(4)7 ���a�,
❑ Yoe l"l"'
WTO the applicant or future building occupant use equipment Of devices which
emit hnudous tar contaminants as dcrinad by the Bay Area Ale Quality Management
I)tauictT
El Yes
I have sad the hannIcus materials mquinm ens under Chapter 6.95 of the Califor-
Ma Haltb & Safciy Code. Swwm 25305.25533 wA 2S534. I w&nW d thtif the building
aces not currently have a mmam, that it is my responsibility to notify the occupant of the
50�'
or auLhmiA az&X Data
Job Description
WNDW REPLCMNT LIKE4LIKE BDRMS TO MT EGRESS
REQUIREMNTS
Sq. Ft. Floor Area $19630 Valuation
31634008.
Required Inspections
Occupancy
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.
Signature of Applicant Date
All roof coverings to be Class's" or better