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BLD-2020-1437COVID-19 ESSENTIAL CRITICAL INFRASTRUCTURE WORKERS COMMUNITY DEVELOPMENT DEPARTMENT • PUBLIC WORKS DEPARTMENT 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ( ) CUPERTINO SITE ADDRESS 10168 Randy Lane, Cupertino, CA, USA Owner iindranil Sen Address .10 68, Cupertino., CA, 9-5Q14. PERMIT # BLD-2620-4358 l DA(j � �( —2.p2,0 4 Email indranil.sen gmail.cQm Phone. 4Q.S QQ21.42 Contractor,.QD: ri 4. AiT. PQ Qning,$hPatingifP Title Address . 7. Q.Q. QmiP rP .O.r, .P.lea$QMQin Email..... Se.-YNIC'h, • 11`4 Rhone .$$$ Project Type: IN Single Family Q Multi Family ❑ Commercial a Mixed -Use © Right -of -Way SELECT TYPE OF PROJECT: IN SMALL CONSTRUCTION PROJECT (SCP) • For Residential projects, any single-family, multi family, senior, student, or other residential construction, renovation, or remodel project consisting of 10 units or less. This SCP Protocol does not apply to construction projects where a person is performing construction on their current residence either alone or solely with members of their own household. • For Commercial projects, any construction, renovation, or tenant improvement project consisting of 20,000 square feet of floor area or less. • For Mixed -Use projects, any project that meets both of the specifications above. • All other construction projects not subject to the Large Construction Project Safety Protocol set forth in Appendix B-2. 0 LARGE CONSTRUCTION PROJECT (LCP) • For Residential construction projects, any single-family, multi -family, senior, student, or other residential construction, renovation, or remodel project consisting of more than 10 units. • For Commercial construction projects, any construction, renovation, or tenant improvement project consisting of more than 20,000 square feet of floor area. • For construction of Essential Infrastructure, as defined in section 16.c of the Order, any project that requires 20 or more workers at the obsite at any one time_ 0 Safety Compliance Officer (SCO) Indranil Sen Company Email indranil.sen(gmaii,com A Address 10168 Randy Lane, Cupertino, CA Phone 4083002142 Jobsite Safety Accountability Supervisor (JSAS) [for LCP Only) Company Address .. Email Phone OSHA-30 Cert #: IN I read and will comply with all COVID-19 protocols issued by the County of Santa Clara and agree a building inspection may be cancelled due to the jobsite being out of compliance with all COVID-19 protocols. [Appendix B-1 for SCP or Appendix B-2 for LCP]. ® I understand the SCO is required to compile a daily written verification that the jobsite is compliant with the components of the SCP or LCP protocols. Al! written verification forms shall be available upon request prior to all scheduled building inspections. For LCP jobsites, : Date: Covid-19 EssentialWorkdoc revised 06/05/20