02070112 CITY OF CUPERTINO . - . . ...r. ,,.. :...
BUILDING D1"SION PERMIT 'CONTRACTOR INFORMATION:
BUILDING ADDRESS: 11111N .
10330 LOCKWOOD DR 82070112
dEjQCHUNGE PANG LAI & SANDY YUN D APPLICAT{ Y aD,9TC2002
PIIONE: SANITARY NO,
/ l 7/ CONTROL NO.
COO /ARCHITECTGINEER: BUILDING PERMIT INTO
w p BLDG ELECT PLUMB MECH
ec<i u C=1 C:7 u
i'2 LICENSED CONTRACTOR'S DECLARATION 1�p
ES�
,�hpp Ihereby alRrmthmlamlicensedunder provisionsofChapter 9(commencing KITCHEN/BATHRM�oR �PP/SKYLIGHT
;m Fw with Section 7000)of Division 3 of the Buens"'.nd Professions Code,and my license
is in full force ad effect. 7Z 3 1
:O 1°U DateLiceCh. CoLucntractor 7 h [te r� 7
I LL Q G ARCHITECTS DECLARATION s+ O II`WALE D
3 I understand my plans shall be used as public accords
Licensed Professional NOV 1 ZOOZ
OWNER-BUILDER DECLARATION
=`w 1 hereby OCT.that 1 vat eaempt from the Contractor's License Law for the
0 following reason.(Section 7031.5.Business and Pmfeuions Code:Any city or county $47000
t- which requires a permit to construct,elect.improve,demolish.or repair any stactuac 1 I r
3�
prim
1.it,i BsM also
orequires the B,,lic of,he Con permit
signed statement. l
P p IewlCh....r9 q ..- .. __.�......
Valuation
o t is tuuvn<e,aeor rest ee t or such ermit mile a
or that be R with Stttion,7m a o(he basis o the alleged Business and Profeasions Coee) F'; 3 S.g.'Fb.�CD�r:Fn',�•, f S
or that on 7 exempt tang appli and the breis for the cisth exemption.to Any violation
-affection]031:1 by any applicant for a permit mbjttts the aPPlieOm to a civil Penalty
-
Sa(fie:mare thinfive hundred amlars(ss0(k 10lAPNN05NDATION .,,.,. ., Occupancy Type
El 1.m owner of,he progeny.or my employees with wvges ea theirmleemopenution. 102 - PIERS '
will-eo'the-work:and the tracture I,not imended or-offered'for'sale'(Sec.7044,'
`Bus nesa'ond Professions Calc:The Conmaor's License Low does not apply to va 10'
O _ Required Inspections't""'�'
owner of p openy Who Wilds or improves thereon,and who does such work himself 104 - REBAR
or through his own employees,provided that such improvements am not intended or _
offered for idle.If.however,the Wilding or improve merit is sold within one year of '" '"' "" "'""TOS ANCHOR"'BOLT$"""'�;.,i N__—'"-----�,..,,-
completion,the ownermilder will hove the human of proving that he did not build or "" '°
improve for puryoae of mic.). 106 - SEWER & WATER
- - - ----- --- - - - - .... --
Ol;as owner of me pmpeny,vat exdusivelycontrvcdng wire licensed conwnorsm O2'-----UNDERFLI]OR'---PLUMB I'NG'--"'r,;-i-'"""'-' ----"-'—"--_._._._
t
License the does
n(Sec,]Oda,Business aha Profeasions Code:)The improves tnetor'a 2 03 - UNDERFLOOR MECHANI CAL:�o'� �o
License Law tract nm apply t owner with
progeny who Wilds or imp coda t .the '
. _and whv.eonwns fL nth p- _ w. mntnetortA.hcemed pursuam.m the ._ ... ___2.04. .-.-UNDERFLOOR....FRAME._... :_.....__. __._.. __._....._
ClImr,olrLicense,tmdC La 205 - UNDERFLOOR INSULATION
. .. ❑temeaemp,underSc - '" B&PCfonhu reason
.Dote '
c- er' ", R�R_S COMPENSATION DECLARATI`0". 301 - ROUGH PLUMBING
Own
N0_ " 302 - TUB & OR SHOWER
I hereby arrrm ander penolry of per;uryoat of,,heronowing declarations:- 303 - ROUGH MECHANICAL
❑ I have"arid will died iiia a^Cmificme of Consent to se]Ginsum for worker's 304 _ ROUGH ELECTRICAL ,
ComP<tnatinn,-m-provided for by Section 37W of the Labor Code, for the
pedaormc of the work fm wh ch this permit s issued. 3O5 FRAME
Dl have adwill Ir inam Waa,eri Compenuton Instirenm s reyfiitnti by,Section 306 - HOLDOWNS
3700 of the Libor Code fm the perfom,ance of the work for which this pcmut is 3 07 -
INSULATION
..ad,My Worker's Comperimton Insurance carrier and Po y mbar see ,t
�r� •fa ---3 08 ,_ .SHEETROCK -
eemer SiTY'il"- N/Pohry No. ,. ZZ' Zi -.
z,.
1 110ERTIFICATION OFUEMPTIONF OMWORKERS',; � ' c •3O9`• tij'Y`E'}{TERI QR�,LATH: t
COMPENSATION INSURANCE' 310 - -INTERIOR_.L
IIT ' 'SCRATCH COAT non need not bac plaed if Permit for oneh decd dollen 311ILS r'
(sldo) NAIL....,..,
' 1 mfloyfund inerson'aMydeofthew I Coca aibsr Pero,litcttothsinuedl 501 - FINAL ELECTRICAL.-
con-shall ,employ any pc n y minner u as to beiome uby n to Line Workcri
comp euo UW.OfCanfamte Dat< 502 FINAL PLUMBING ENERGY
-.App( m 1u. - ., _ _
tNOTICE TOAPPLICANTIf after makinp Compensation
Cencn.of tof he rYonyou smoa 503 FINAL MECHANICAL'•ENERGY '.
,� Etc subyento the such
rs Coions.1 p permit A.11
the me Code you must
O O mnhw th c reply with seen pmv stens or tots penin,she0 be deemed revoked. 504 - FINAL BUILDING ENERGY,
GG2 CONSTRUCTION LENDING AGENCY -
F„ 505 - _FINAL ELECTRICAL"
"' IherebyeffmithatNeacl econswno Irnd `egncyfrtheperrorn,a-e 506 - GAS TEST
W � of the work for h ch N s pe- n tuued,(Sec 509] Civ C) ' ' '� - '
r thbovameniionedon,end hlorbins�con a""'�uuves of this coy mens "-50T- FINAL -PLUMBING- "` '"---- ^'n "" - -
A Lend s Neme "` + '
<pa<ranad, 508 - FINAL MECHANICAL ';I Y�
I c<ntfy that mase reed th xe Icer on oat to Net th em
men is
509 - FINAL GRADE
f*+ Fr correct 1 gree to comply tth all coy and c unry ord'nanca end sum levet relating
C U g y ° ``upon 510 - FINAL PLANNING
514 - FINAL PUBLIC WORKS
L:d' fWe)iQreeee m ave,'indemnify end kuy hartoleu the�Ciiy of Cupenin6'agunn
U-fA liabtbucs judgments,cons erW eepenus wh oh may m any w y eccme egeinu said
C,) Z Ciry in c seg cote of thq grhnt ng of This peemu
APPLICq.1?tP,'DER$7AUDS ANO wI1rI.C0`.�PLY N7TH IALL
REG, IOhS �OLI.PO
rK7
Issued by: Date
/ I 1g-1z
(4a
S,IpI nMrPPcaonn rt Date
HAZARDOUS MATERIALS DISCLOSURE Re-`OOPS
Will U.iijaplacam or fumrc W Idmg cttupen,in=or handle has raaus materiel Type of Roof
xs defined by Ne C penin idurilpipal Code Chapter 9 12 and the Health and Safety
Code OYes 33533(a)1 s k { NRI
, _ All roofs shall be inspected,pnor.to.any.roofing material being installed....._
411 Will the:applicant of rare(rending occupant use equipment re iey which If a roof is irisialledwithout first obtainingan'iris eetion;I ce ree.to"remove
mit h Tardieu,ser c `dead u is defined by the Bay Aace A i QualityMinagement P g
Dh trove ..�N . . _ all new materials for inspection. Applicant understands and will comply_with__-__ _
;, ,� all non-point source regulation's
1 tieve iteedthe hexad m materiels rtgmrtmenu under Chapt r 6.95 of Ne '
Caldomta HeilN&Safety Code,Sections 25505,35533 end 75530:I undenund that
.+ iofciche'botldcsah atitismYresponsibility onmifythe
upy t offi'rrcquircments which must hemetp m Is,race ClSertificetbof
uPucY --, ., rs
11
)-19 02 Signature of Applicant .Date
O+ne orauu m no, , p,ac , All roof coverings to be Class, B" or better "
. - -- -OFFICE- -... .. .._ .. ._.. _