BLD-2021-0430BUILDING PERMIT
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: 7847 CREEKLINE DR Cupertino APN: 362 17 043 PERMIT NO: BLD-2021-0430
OWNER'S NAME: CHEW MARY L TRUSTEE OWNER'S PHONE: Not Provided
CONTRACTOR: ERCANBRACK SIDING SPECIALIST, 25779 MTN CHARLIE RD LOS GATOS CONTRACTOR PHONE: 4353195163
DATE ISSUED 3/2/2021 5:24:52 PM ISSUED BY:VALUATION: $46000
JOB DESCRIPTION
Remove Old vinyl and wood siding. Install Sheer wall plywood if applicable. Install house wrap weather barrier. Installation of James Hardie Colorplus siding and trim.
Approximately 2325 square feet siding and 1,000 linear feet trim.
LICENSED CONTRACTOR INFORMATION
CONTRACTOR: ERCANBRACK SIDING SPECIALIST
LICENSED CLASS: D41 SIDING AND DECKING
LICENSED NO: 1048741
EXP DATE: 01/31/2023
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
force and effect.
I hereby affirm under penatly of perjury one of the following three declarations:
1 I have and will maintain a certificate of consent to self-insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the
work for which this permit is issued.
2 I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
3 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, l must forthwith
comply with such provisions or this permit shall be deemed revoked.
I understand and agree that I am electronically signing and filing this application and that checking the box below has the same legal effect as manual signature. I also
understand that I have the option of filing a paper copy of this application with a manual signature but have chosen instead to file this application electronically.