B-2018-1510BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS:
OWNER'S NAME: Not provided
OWNER'S PHONE: Not Provided
CONTRACTOR:
QUIRING GENERAL LLC, 5118 E CLINTON WAY SUITE 201 FRESNO
CONTRACTOR PHONE:
DATE ISSUED 12/19/2019 8:23:53 AM
ISSUED BY: HALEYM
VALUATION: $23000000
JOB DESCRIPTION
PORCHES (23); SITE RETAINING WALLS. (REFER TO B-2018-1819 FOR SITE RETAINING WALLS) REV #1 -
PATHWAYS; CHANGE IN PATIO ROOF HEIGHT AND ASSEMBLY ON SEVERAL VILLAS - ISSUED 08/01/2019 DEF#2 -
REV #2 - REVISE LOCATIONS AND REMOVE ATTIC ACCESS PANELS WITHIN VILLAS- ISSUED 9/10/19 DEF # 1 -
B-2019-0421, B-2019-0415, B-2019-0418) DEF #2 - TRUSSES FOR- VILLAS
12/19/19 REV #3 - CHANGE CONSTRUCTION TYPE FROM TYPE VA TO TYPE VB DEF#3 - ALUMINUM TRELLISES AT
THE FORUM VILLAS, 23 NEW UNITS (40,615 SF); GARAGES (13,836 SF);
OCCUPANCY CHANGE TO R3.1; ADDITION OF 2ND EXIT STAIRS AND
VILLAS TRUSSES 63,64,65,66,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83.
TRUSSES FOR V61, V62, V67, V68 - ISSUED 08/28/2019 (B-2019-0416,
63,64,65,66,69/70,71,72/73,74/75,76/77,78/79,80/81,82/83 - ISSUED
VILLAS 69,70,71,72,73
LICENSED CONTRACTOR DECLARATION
9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
QUIRING
LICENSED
B GENERAL
LICENSED
973147
EXP
05/31/2020
I hereby
force
I hereby
GENERAL
CLASS:
BUILDING
NO:
DATE:
affirm
and effect.
affirm
I have and
for which
I have and
I certify that
with
LLC
CONTRACTOR
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 permit
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
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
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 Chapter
the Cupertino Municipal Code, Chapter 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
defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino
25505, 25533, and 25534.
this project.
Firm Certification No:
or devices which emit hazardous air contaminants as
Code, Chapter 9.12 and the Health & Safety Code, Sections
An EPA Lead -Safe Certified Renovator will be responsible for
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:
: