BLD-2020-0934BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: 20077 JOHN DR Cupertino
APN: 369 33 051
PERMIT NO: BLD-2020-0934
CONTRACTOR:
STE ELECTRIC, 14 BETA CT SAN RAMON
CONTRACTOR PHONE:
925-939-8300
DATE ISSUED 7/14/2020 9:32:43 AM
ISSUED BY: JASMINE ARCHBOLD
VALUATION: $26419
JOB DESCRIPTION
AMP EV CHARGER OUTLET; NEW SUB -PANEL 125 AMP
(N)24-PANEL ROOF MOUNTED PV SYSTEM (7.68 kW); NEW 40
LICENSED CONTRACTOR DECLARATION
9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
STE ELECTRIC
LICENSED
C10
LICENSED
932914
EXP
05/31/2021
I hereby
force
I hereby
CLASS:
ELECTRICAL, C46
NO:
DATE:
affirm that
and effect.
affirm under
I have and
for which this
I have and
I certify that
laws
with such
SOLAR
I am licensed under the provisions of Chapter
penatly of perjury one of the following
will maintain a certificate of consent to self
permit is issued.
will maintain Worker's Compensation Insurance,
in the performance of the work for which
of California. If, after making this certificate
provisions or this permit shall be deemed
three declarations:
-insure 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
this 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
revoked.
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, Chatter 9.12 and the
V
with
equipment
Municipal
Health & 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
construction,
harmless
the
Signature:
that
applicant
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.