05090008 CITY OF CUPERTINO
BUILDING DIVISION PERMIT COIVTRACTnR<INFORMA'IrION
BUILDING ADDRESS: _ C & D FREITAS CONSTRUCTIO PERMIT NO.05090008
OWNER'S NAME: PERMIT ISSUE DATE
VASUDEO & VAISHALI HADAP ' 361 -
IE: SANITARY NO. CONTROL NO.
408) 353-1228
AR CHITECTIENGINEER: BUILDING PERMIT INFO
O ELER PLO MECH
O
�oo LICENSED CONTRACTOR'S DECLARATION Job Description
r6 u I hereby&farm that 1 aro Ikrenscd under Provisions of Chapter 9(commencing
wid,Section 70110)of Division Sof the Business and Proressiom Coda,and my license k
n� Infultroreeand.ffeck ADD 2551 -1ST FLR LIVING RM/2ND FLR
jNZ LmanscClue Lm.N LAUNDRY/BEDROOM-GARAGE 1581
ARCHITECTS DECLARATION
I understand my plans alWl be used as public rtcaN
L c Licensed Professional
3 OWNER-BUILDER DECLARATION
7i I hereby affirm that 1 am wrap%from the Contractors License Law for the '
a o following reason.(Section 7031.5,Business and Professior,Cole:Any city or county
9 which requlru•permit an construct,alar,6nprove,dere.lah.or¢pair try strvcture
Prior In its issuance.Alm require site applicant for such Permit to rile a signed statement
< then hese licensed pursuant m the Provisions Of use COnlrmmrl lixue Law(Chaper9 Sq.Ft. Floor Area Valu$65 572
E} (commencing with Section 7 MO)of Division 3 ofthc Businaseond Profusions Carlo)ser
S S that he"IS exempt thesefmm and the bub for the alleged exemption.My violin on of
Section 70313 by any applicant for a permit ubjects the applicant o a civil pentlty of APN Number Occupancy Type
nat mom Nan Rw hundred dollars(MS 34214115 . 00 '
❑I,u awmr oftha propnty,m my employees w th wgu a deb mk compcmdon,
will do the wakmi stsuucture Is notintendW cropland forsae(Sec.IDM,Business Required Inspections
and Professions Code:The Cmanxtan Limns law doss ant apply m an awter of q P
property who buildimim usenet t emon.a.d wh.doe.mchwork himselror Waugh his
awn emplayms,provided stat such Imprewmenu meet Intended aoRased for sale.If.
howew,the building or improvement is sold within oro year of compledon,the owner 4N
-
builder .will In.she burden of proving that be did not build or improve for purpose of
ask.).
❑1,As owns of the Property,am exclusively consuming with licensed contractor,to `O
mnstmet the project(Sec.7044,Business and Professions Code:)The Communes Li- /
whocTawdansnotapplymis owoaof property who endaorimprove thereon,and
who contracts forsmh pwjes7s aiNac mdA lice-ed passim rotas Cantmlah
Lice-e Law.
[3 I..exempt up S .BB PC fa this moon O ,v
Owner 1 Data /IO
CR N DECLARATION
1 hereby afRuo under peaaity o duty one of the following declarations:
hem and will maintain a CeNRmk of Cause.,m self-insure for WorkersCompen-
ton,u Provided fm by Secdan 37M of the Iabm Code.far the performance of the
work for which Nle permit is issued.
01have and will maintain Workers Compenutlan Insurance,u acquired by Section
0of the Inbar Cade.for the pcaformaae of the wndr for which this Permit is issued.
My Worker's Compensation Insurance center and Policy number art:
Canter: Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
rlbts semian used nut becomPleund ifomit bfe .e hundred dollars(SIM)
or less.)
I ardfy that in the perfarmanee of th w rk for I.'
is permll Is Issued.I shell not
employ anypermnina mas mse Wa -
kers'Compeation
Lima I.-
Laws of Cilifomia.Dal
ApPikant_._
NOTICE TO ct to 0 If.sMr m cats of Exemption,
yao should
become whjett m the Workers t revisions of sew Iaonr Code,you menu
OZ forthwith comply with weh prnv sin-arW null shall be damns ranked.
CONSTRUCTION LENDING AGENCY
'(•+IZI I annoy AMM that Vert Is construction tending agency for the Performance of
C> sem work fa which this permit b Wad(Sec.3097,Civ.C.)
W p Leftsmea Nona
Pz 1<ndeM1Addmss
U O 1 cnnify that I haw nae Ws apbjicuion and Pae that the show intermission Is
iy Fy correct.I slim m comply with all city and county ordinances and some laws matin{m
O U building construction.and hereby authodn rtprtsenmivu of thb city to enter upon to
W above-mentioned property for Inspection purposes.
O. (We)agree no save,Indemnify and trop harmless the City of Cupertino sLm
y ince ifimpulgm.nq cast mdeeper.which may in any waysccam agat.atuid City '
V 7 in consequence of the grans f this P OL
w�• APPLIC UNDER N S AND WILL COMPLY WITH ALL NOWPOINT Issued by: Date
SOU All r
h�Z -20-43 Re-roofs
Sign.breWPApplic far Data
Ul MATERIALS DISCLOSURE Type of Roof
Wilby she Cumento Inureipal noe.Chaptatom er 9.12.
and Use Health asmekdai
as de0ned by the Cupertino Municipal Code.Chipset 9.13.sed s¢Health and Safety
Code,Seen..25532(s)? All roofs shall be inspected prior to any roofing material being installed.
Yu
Will the applicant or future building aec.pant am equipment Her devices which 'If a roof is installed without first obtaining an inspection,I agree to remove
Wvardow air conumi-rat an dcRncd by the Bay Am Air Quality Management all new materials for inspection.
iavicG
❑Yes AN.
I hew mad the hundmnmakuabmqus ons n s unJcrCh ptr695 Aided Calif--
McHealth&SafetyCode,S x25505,25533 and 75534.1 understaM thmtfde building
dace-t urcntly how n WI it b my raponsihiliiy m amufy Ih occupant or t e
rcqui c hichm P^ rmbmtneeonceru11
mmoroccpaney Signature of Applicant Date
own Her mart All roof coverings to be Class"B"or better i
CITY OF CUPERTINO
BUILDING DIVISION PERMIT COIVTRACTnR<INFORMA'IrION
BUILDING ADDRESS: _ C & D FREITAS CONSTRUCTIO PERMIT NO.05090008
OWNER'S NAME: PERMIT ISSUE DATE
VASUDEO & VAISHALI HADAP ' 361 -
IE: SANITARY NO. CONTROL NO.
408) 353-1228
AR CHITECTIENGINEER: BUILDING PERMIT INFO
O ELER PLO MECH
O
�oo LICENSED CONTRACTOR'S DECLARATION Job Description
r6 u I hereby&farm that 1 aro Ikrenscd under Provisions of Chapter 9(commencing
wid,Section 70110)of Division Sof the Business and Proressiom Coda,and my license k
n� Infultroreeand.ffeck ADD 2551 -1ST FLR LIVING RM/2ND FLR
jNZ LmanscClue Lm.N LAUNDRY/BEDROOM-GARAGE 1581
ARCHITECTS DECLARATION
I understand my plans alWl be used as public rtcaN
L c Licensed Professional
3 OWNER-BUILDER DECLARATION
7i I hereby affirm that 1 am wrap%from the Contractors License Law for the '
a o following reason.(Section 7031.5,Business and Professior,Cole:Any city or county
9 which requlru•permit an construct,alar,6nprove,dere.lah.or¢pair try strvcture
Prior In its issuance.Alm require site applicant for such Permit to rile a signed statement
< then hese licensed pursuant m the Provisions Of use COnlrmmrl lixue Law(Chaper9 Sq.Ft. Floor Area Valu$65 572
E} (commencing with Section 7 MO)of Division 3 ofthc Businaseond Profusions Carlo)ser
S S that he"IS exempt thesefmm and the bub for the alleged exemption.My violin on of
Section 70313 by any applicant for a permit ubjects the applicant o a civil pentlty of APN Number Occupancy Type
nat mom Nan Rw hundred dollars(MS 34214115 . 00 '
❑I,u awmr oftha propnty,m my employees w th wgu a deb mk compcmdon,
will do the wakmi stsuucture Is notintendW cropland forsae(Sec.IDM,Business Required Inspections
and Professions Code:The Cmanxtan Limns law doss ant apply m an awter of q P
property who buildimim usenet t emon.a.d wh.doe.mchwork himselror Waugh his
awn emplayms,provided stat such Imprewmenu meet Intended aoRased for sale.If.
howew,the building or improvement is sold within oro year of compledon,the owner 4N
-
builder .will In.she burden of proving that be did not build or improve for purpose of
ask.).
❑1,As owns of the Property,am exclusively consuming with licensed contractor,to `O
mnstmet the project(Sec.7044,Business and Professions Code:)The Communes Li- /
whocTawdansnotapplymis owoaof property who endaorimprove thereon,and
who contracts forsmh pwjes7s aiNac mdA lice-ed passim rotas Cantmlah
Lice-e Law.
[3 I..exempt up S .BB PC fa this moon O ,v
Owner 1 Data /IO
CR N DECLARATION
1 hereby afRuo under peaaity o duty one of the following declarations:
hem and will maintain a CeNRmk of Cause.,m self-insure for WorkersCompen-
ton,u Provided fm by Secdan 37M of the Iabm Code.far the performance of the
work for which Nle permit is issued.
01have and will maintain Workers Compenutlan Insurance,u acquired by Section
0of the Inbar Cade.for the pcaformaae of the wndr for which this Permit is issued.
My Worker's Compensation Insurance center and Policy number art:
Canter: Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
rlbts semian used nut becomPleund ifomit bfe .e hundred dollars(SIM)
or less.)
I ardfy that in the perfarmanee of th w rk for I.'
is permll Is Issued.I shell not
employ anypermnina mas mse Wa -
kers'Compeation
Lima I.-
Laws of Cilifomia.Dal
ApPikant_._
NOTICE TO ct to 0 If.sMr m cats of Exemption,
yao should
become whjett m the Workers t revisions of sew Iaonr Code,you menu
OZ forthwith comply with weh prnv sin-arW null shall be damns ranked.
CONSTRUCTION LENDING AGENCY
'(•+IZI I annoy AMM that Vert Is construction tending agency for the Performance of
C> sem work fa which this permit b Wad(Sec.3097,Civ.C.)
W p Leftsmea Nona
Pz 1<ndeM1Addmss
U O 1 cnnify that I haw nae Ws apbjicuion and Pae that the show intermission Is
iy Fy correct.I slim m comply with all city and county ordinances and some laws matin{m
O U building construction.and hereby authodn rtprtsenmivu of thb city to enter upon to
W above-mentioned property for Inspection purposes.
O. (We)agree no save,Indemnify and trop harmless the City of Cupertino sLm
y ince ifimpulgm.nq cast mdeeper.which may in any waysccam agat.atuid City '
V 7 in consequence of the grans f this P OL
w�• APPLIC UNDER N S AND WILL COMPLY WITH ALL NOWPOINT Issued by: Date
SOU All r
h�Z -20-43 Re-roofs
Sign.breWPApplic far Data
Ul MATERIALS DISCLOSURE Type of Roof
Wilby she Cumento Inureipal noe.Chaptatom er 9.12.
and Use Health asmekdai
as de0ned by the Cupertino Municipal Code.Chipset 9.13.sed s¢Health and Safety
Code,Seen..25532(s)? All roofs shall be inspected prior to any roofing material being installed.
Yu
Will the applicant or future building aec.pant am equipment Her devices which 'If a roof is installed without first obtaining an inspection,I agree to remove
Wvardow air conumi-rat an dcRncd by the Bay Am Air Quality Management all new materials for inspection.
iavicG
❑Yes AN.
I hew mad the hundmnmakuabmqus ons n s unJcrCh ptr695 Aided Calif--
McHealth&SafetyCode,S x25505,25533 and 75534.1 understaM thmtfde building
dace-t urcntly how n WI it b my raponsihiliiy m amufy Ih occupant or t e
rcqui c hichm P^ rmbmtneeonceru11
mmoroccpaney Signature of Applicant Date
own Her mart All roof coverings to be Class"B"or better i