BLD-2020-0696BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: 20300 STEVENS CREEK BLVD Cupertino
APN: 369 01 019
PERMIT NO: BLD-2020-0696
CONTRACTOR:
ACCO ENGINEERED SYSTEMS INC, 888 EAST WALNUT STREET PASADENA
CONTRACTOR PHONE:
DATE ISSUED 7/21/2020 6:27:27 AM
ISSUED BY: KDUNBAR
VALUATION: $193940
JOB DESCRIPTION
CONDENSER WITH (N) EVAPORATIVE CONDENSER; DEMO NON-FUNCTIONAL COOLING TOWER
APPLE CC01 WEST - REPLACE EXISTING EVAPORATIVE
LICENSED CONTRACTOR DECLARATION
FITTING, C20 WARM -AIR HEATING%2C VENTILATING AND AIR-CONDITIONING, C36 PLUMBING, C38 REFRIGERATION, CI ELECTRICAL, B GENERAL BUILDING
C16 FIRE PROTECTION CONTRACTOR
the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
ACCO
LICENSED
C-4 BOILER%2C
CONTRACTOR,
LICENSED
120696
EXP
12/31/2021
I hereby
force
I hereby
ENGINEERED SYSTEMS INC
CLASS:
HOT WATER HEATING AND STEAM
A GENERAL ENGINEERING CONTRACTOR,
NO:
DATE:
affirm that I am licensed under
and effect.
affirm under penatly of perjury
I have and will maintain a certificate
for which this permit is issued.
I have and will maintain Worker's Compensation
I certify that in the performance of
laws of California. If, after
with such provisions or this permit
one of the following three
of consent to self -insure
Insurance,
the work for which this
making this certificate
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
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
requirements under
9.12 and the Health
Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance
I have read the hazardous materials
the Cupertino Municipal Code, Chapter
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
will be responsible for this project.
Firm Certification No:
for this project.
An EPA Lead -Safe Certified Renovator
Firm Name:
No EPA Lead -Safe Certified Firm is required
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 above
of this city
judgements,
with all non -point
\
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.