BLD-2020-0188BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: 10955 N WOLFE RD Cupertino
APN: 316 05 051
PERMIT NO: BLD-2020-0188
CONTRACTOR:
CENTURY COMMERCIAL SERVICE, 12820 EARHART AVENUE AUBURN
CONTRACTOR PHONE:
9255486111
DATE ISSUED 1/28/2020 1 1:18:34 AM
ISSUED BY: KDUNBAR
VALUATION: $59739
JOB DESCRIPTION
Section in Main electrical room; install (1) 400 amp panel with (1) 150 amp 3 pole breaker in vacant suite 306; install
conduits with (4) #3/0 copper wires and (1) #3 Ground wire from main switchgear to new 400 amp panel; install (1) 2-
between Panel A and B; Relocate existing house panel and lighting contactor can in main electrical room to
CHASE BANK - T.I. - ELECTRICAL - Install (1) new 400 amp Meter
(1) new 225 amp panel in vacant suite 306; install (2) new 2"
1/2" conduit with (4) #4/0 copper wires and (1) #4 ground wire
allow room for the new 400 amp meter section
LICENSED CONTRACTOR DECLARATION
9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
CENTURY
LICENSED
C10
LICENSED
668894
EXP
04/30/2021
I hereby
force
I hereby
COMMERCIAL
CLASS:
ELECTRICAL,
NO:
DATE:
affirm
and effect.
affirm
I have and
for which
I have and
I certify that
with
SERVICE
C36 PLUMBING
that I am licensed under the provisions of Chapter
under penatiy of perjury one of the following
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.
three 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