BLD-2019-1558BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: 10440 BUBB RD Cupertino
APN: 357 20 036
PERMIT NO: BLD-2019-1558
CONTRACTOR:
SWINERTON BUILDERS, 260 TOWNSEND ST 5TH FL -LEGAL SAN FRANCISCO
CONTRACTOR PHONE:
DATE ISSUED 12/1 1 /2019 12:30:06 PM
ISSUED BY: HALEYM
VALUATION: $30000
JOB DESCRIPTION
APPLE BUBB 7 - T.I. PREP (16,379 SF)
LICENSED CONTRACTOR DECLARATION
CONTRACTOR, C12 EARTHWORK AND PAVING, C29 MASONRY, C39 ROOFING, C-4 BOILER%2C HOT WATER HEATING AND STEAM FITTING,
C50 STEEL%2C REINFORCING, C51 STEEL%2C STRUCTURAL, C-9 DRYWALL, C-2 INSULATION AND ACOUSTICAL, C-6 CABINET%2C
AND DECORATING, C35 LATHING AND PLASTERING, C16 FIRE PROTECTION CONTRACTOR, C36 PLUMBING, C38 REFRIGERATION, C55
SYSTEM, C-5 FRAMING AND ROUGH CARPENTRY, D34 PREFABRICATED EQUIPMENT, C46 SOLAR, C1 0 ELECTRICAL, C21 BUILDING
Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
SWINERTON
LICENSED
B GENERAL
C20
MILLWORK
WATER
MOVING%2C
LICENSED
92
EXP
08/31/2021
I hereby
force
I hereby
BUILDERS
CLASS:
BUILDING CONTRACTOR, A GENERAL ENGINEERING
WARM -AIR HEATING%2C VENTILATING AND AIR-CONDITIONING,
AND FINISH CARPENTRY, C-8 CONCRETE, C33 PAINTING
CONDITIONING, C23 ORNAMENTAL METALS, C42 SANITATION
DEMOLITION
NO:
DATE:
affirm that I am licensed under the provisions of
and effect.
affirm under penatiy of perjury one of the following
I have and will maintain a certificate of consent to
for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,
I certify that in the performance of the work for which
laws of California. If, after making this certificate
with such provisions or this permit shall be deemed
three
self -insure
this
revoked.
declarations:
for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the
work
as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's
of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith
V
issued.
Compensation
comply
HAZARDOUS MATERIALS DISCLOSURE
under
the Health
Code,
project.
Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance
I have read the hazardous materials requirements
the Cupertino Municipal Code, Chapter 9.12 and
V
with
equipment
Municipal
& Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use
as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino
Sections 25505, 25533, and 25534.
for this project.
Firm Certification No:
or devices which emit hazardous air contaminants
Code, Chapter 9.12 and the Health & Safety
An EPA Lead -Safe Certified Renovator will be responsible
Firm Name:
No EPA Lead -Safe Certified Firm is required for this
Certified
CONSTRUCTION LENDING AGENCY
lending agency for the performance of the work which this permit is issued (Section 3097, Civil Code).
Lender's Address:
I hereby
Yes
affirm
under penalty of perjury that there is a construction
No
V
Lender's
Name:
APPLICATION CERTIFICATION
the above