Loading...
B-2018-2140BUILDING 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: SUPERIOR BUILDING GROUP, 10281 TORRE AVE UNIT 824 CUPERTINO CONTRACTOR PHONE: DATE ISSUED 6/15/2020 1:28:54 PM ISSUED BY: PhuongD VALUATION: $100000 JOB DESCRIPTION ADDITIONS (94 SF); (N) TANK -LESS WATER HEATER IN CLOSET; RE -ROOF; TEAR -OFF; INSTALL CDX; INSTALL COMP INTERIOR REMODEL (601 SF); ONE STORY BEDROOM AND DINING RM SHINGLE (29 SQ); (N) SUB -PANEL (120 AMP). LICENSED CONTRACTOR DECLARATION 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full CONTRACTOR: SUPERIOR LICENSED B GENERAL LICENSED 1065990 EXP 05/31/2022 I hereby force I hereby BUILDING CLASS: BUILDING NO: DATE: affirm and effect. affirm I have and for which I have and I certify that with GROUP 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 of 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 V 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 exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith 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. or devices which emit hazardous air contaminants as Code, Chapter 9.12 and the Health & Safety Code, Sections EPA LEAD -SAFE DISCLOSURE this project. Firm Certification No: An EPA Lead -Safe Certified Renovator will be responsible for Firm Name: No EPA Lead -Safe Certified Firm is required for this project. V 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, : Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 365 days after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 365 days after the time the work is commenced.