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BLD-2020-0728BUILDING PERMIT CUPERTINO CITY HALL 10300 Torre Avenue • Cupertino, CA 95014-3255 PHONE 408-777-3228 WWW.CUPERTINO.ORG BUILDING ADDRESS: 2827 Aiello Dr APN: 366 11 088 PERMIT NO: BLD-2020-0728 CONTRACTOR: PLUMBER HERO INC dba ROOTER HERO PLUMBING, 1 1 150 SEPULVEDA BLVD STE 2A MISSION HILLS CONTRACTOR PHONE: 4082271630 DATE ISSUED 6/24/2020 12:45:50 PM ISSUED BY: KDUNBAR VALUATION: $13700 JOB DESCRIPTION REPLACE DRAIN LINES UNDER HOUSE (7) LICENSED CONTRACTOR DECLARATION C36 PLUMBING, C42 SANITATION SYSTEM 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full CONTRACTOR: Rooter LICENSED A GENERAL LICENSED 1028886 EXP 07/31/2021 I hereby force I hereby Hero CLASS: ENGINEERING NO: DATE: affirm that and effect. affirm under I have and for which this I have and I certify that laws with such CONTRACTOR, B GENERAL BUILDING CONTRACTOR, I am licensed under the provisions of Chapter penatly of perjury one of the following will maintain a certificate of consent to self -insure permit is issued. will maintain Worker's Compensation Insurance, in the performance of the work for which this of California. If, after making this certificate 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 V 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, 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 as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Sections 25505, 25533, and 25534. or devices which emit hazardous air contaminants Code, Chapter 9.12 and the Health & Safety Code, EPA LEAD -SAFE DISCLOSURE for this project. Firm Certification No: 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to building to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, source regulations per the Cupertino Municipal Code, Section 9.18. I certify that I have construction, and harmless the City the applicant understands Signature: read this application and state that the hereby authorize representatives of this city of Cupertino against liabilities, judgements, and will comply with all non -point 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.