BLD-2020-1354BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: 10600 STOKES AVE Cupertino
APN: 326 49 002
PERMIT NO: BLD-2020-1354
CONTRACTOR: BAY AREA SUNROOMS INC, 17 WEST 41ST AVENUE SAN MATEO
CONTRACTOR PHONE:
DATE ISSUED 10/12/2020 10:57:09 AM
ISSUED BY: KDUNBAR
VALUATION: $42000
JOB DESCRIPTION
NEW PATIO ENCLOSURE (264 SF) (UNCONDITIONED)
LICENSED CONTRACTOR DECLARATION
provisions
of the following
consent
work for which
this
be deemed
of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
LICENSED
B GENERAL
LICENSED
EXP
04/30/2022
I hereby
force
I hereby
BAY AREA SUNROOMS INC
CLASS:
BUILDING CONTRACTOR
NO: 642230
DATE:
affirm that I am licensed under the
and effect.
affirm under penatiy of perjury one
I have and will maintain a certificate of
for which this permit is issued.
I have and will maintain Worker's Compensation
I certify that in the performance of the
laws of California. If, after making
with such provisions or this permit shall
three declarations:
to self -insure for
Insurance, as
this permit
certificate of exemption,
revoked.
Worker's Compensation, as provided for by Section 3700 of the Labor Co lie, for the performance of the
work
provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
is issued, 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
9.12 and
under Chapter
the Health &
as defined
Code, Sections
6.95 of the California Health & Safety Code. Sections 25505, 25533. and 25534. I will maintain compliance
I have read the hazardous materials requirements
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
by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino
25505, 25533, and 25534.
or devices which emit hazardous air contaminants
Code, Chapter 9.12 and the Health & Safety
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
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 that
No
V
Lender's
Name:
APPLICATION CERTIFICATION
state that
judgements,
with all
..
.