BLD-2020-0752BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: 11580 LAKE SPRING CT Cupertino
APN: 366 54 034
PERMIT NO: BLD-2020-0752
CONTRACTOR:
TECHPRO BUILDERS INC, 88 41ST AVENUE SAN MATEO
CONTRACTOR PHONE:
DATE ISSUED 7/1 /2020 1 1:16:20 AM
ISSUED BY: PhuongD
VALUATION: $11000
JOB DESCRIPTION
NEW CONDENSING UNIT
REPLACE FURNACE - SAME LOCATION;
LICENSED CONTRACTOR DECLARATION
AND AIR-CONDITIONING
9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
TECHPRO
LICENSED
B GENERAL
LICENSED
860715
EXP
03/31/2021
I hereby
force
I hereby
BUILDERS INC
CLASS:
BUILDING CONTRACTOR, C20
NO:
DATE:
affirm that I am licensed under
and effect.
affirm under penatiy of perjury
I have and will maintain a certificate
for which this permit is issued.
I have and will maintain Worker's
I certify that in the performance
laws of California. If,
with such provisions or this permit
WARM -AIR HEATING%2C VENTILATING
the provisions of Chapter
one of the following three declarations:
of consent to self -insure for Worker's
Compensation Insurance, as provided
of the work for which this permit is issued,
after making this certificate of exemption,
shall be deemed revoked.
Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the
work
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
I shall not employ any person in any manner so as to become subject to the Worker's
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
Health & Safety Code,
as defined by
Sections 25505,
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
V
with
equipment
Municipal
Section 25532(a) should I store or handle hazardous material. Additionally, should I use
the Bay Area Air Quality Management District I will maintain compliance with the Cupertino
25533, and 25534.
or devices which emit hazardous air contaminants
Code, Chapter 9.12 and the Health & Safety Code,
EPA LEAD -SAFE DISCLOSURE
will be responsible for this project.
Firm Certification No:
is required for this project.
An EPA Lead -Safe Certified Renovator
Firm Name:
No EPA Lead -Safe Certified Firm
Certified
v
CONSTRUCTION LENDING AGENCY
that there is a construction 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
No
V
Lender's
Name:
APPLICATION CERTIFICATION
and state that the
representatives of this city
liabilities, judgements,
comply with all non -point
above information
to enter upon
costs, and expenses
source regulations
is correct. I agree to comply with all city and county ordinances and state laws relating to building
the above mentioned property for inspection purposes. (We) agree to save indemnify and keep
which may accrue against said City in consequence of the granting of this permit. Additionally,
per the Cupertino Municipal Code, Section 9.18.
I certify that I have read this application
construction, and hereby authorize
harmless the City of Cupertino against
the applicant understands and will
Signature:
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.