BLD-2019-0743BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: 5 RESULTS WAY Cupertino
APN: 357 20 042
PERMIT NO: BLD-2019-0743
CONTRACTOR:
ELECTRIC TECH CONSTRUCTION INC, 1910 MARK COURT STE 130 CONCORD
CONTRACTOR PHONE:
DATE ISSUED 12/23/2019 9:20:06 AM
ISSUED BY: HALEYM
VALUATION: $20000
JOB DESCRIPTION
B5 FROM EQUIPMENT AREA, TYP (1) PER SECTOR; SWAP (3) EXISTING RRUS 11 B12 NEAR ANTENNAS FOR (3)
6630 BBU IN AN EXISTING PURCELL CABINET IN THE EQUIPMENT AREA; REMOVE (1) EXISTING DUS41 FROM AN
PROPOSED EMERSON NETEXTEND BATTERY CABINET; INSTALL (4) PROPOSED -48V STRINGS OF 160AH BATTERIES IN
AT & T CELL SITE MODIFICATION - REMOVE (3) EXISTING RRUSI 1
PROPOSED RRUS 4449, TYP (1) PER SECTOR INSTALL (1) PROPOSED
EXISTING PURCELL CABINET IN THE EQUIPMENT AREA; INSTALL (1)
THE NEW BATTERY CABINET
LICENSED CONTRACTOR DECLARATION
CONTRACTOR
9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
ELECTRIC
LICENSED
C10
LICENSED
897792
EXP
10/31/2021
I hereby
force
I hereby
TECH
CLASS:
ELECTRICAL,
NO:
DATE:
affirm
and effect.
affirm
I have and
for which
I have and
I certify that
with
CONSTRUCTION INC
B GENERAL BUILDING CONTRACTOR, A GENERAL ENGINEERING
that I am licensed under the provisions of Chapter
under penatiy of perjury one of the following three
will maintain a certificate of consent to self -insure
this permit is issued.
will maintain Worker's Compensation Insurance,
in the performance of the work for which this
laws of California. If, after making this certificate
such provisions or this permit shall be deemed 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
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 under
the Cupertino Municipal Code, Chanter 9.12 and the Health
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 Code,
An EPA Lead -Safe Certified Renovator will be responsible
Firm Name:
No EPA Lead -Safe Certified Firm is required for this project.
Certified
v
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
information is correct. I agree to comply with all city and county ordinances and state laws relating to building