07020156 CITY OF CUPERTINO e� Re TQ IE}R4ITN'
BUILDING DIVISION PERMIT PERMIT NO.
BUILDING ADDRESS: ARGONAUT WINDOW & DOOR 07020156
10330 LOCKWOOD DR PERMIT ISSUE DATE
OWNER'S NAME: 02128/2007
CHUNG PANG LAI & SANDY YUN DU 10 6 2 4 S FE ANZA BLVDDSANITARY NO. CONTROL NO.
)NE: (408) 378-4018
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
ARCHITECT/ENGiNEER:
IOp
LICENSED CONTRACTOR'S DECLARATION Job DOSCTIptlOn
LU 1 hereby affirm that 1 am licensed under provisions of Chapter 9(commencing 15 WINDOWS & 2 SLIDING DOORS. LIKE FOR
z cUy with Section 7000)of Division 3 of the Business and professions Code,and my license's REPLACING
>>y in full force and effect. Lic ri LIKE
)vis Z License Class�-
Contractor
F q Dam ARCHITECTS DECLARATION
,2_2 a a 1 understand my plans shall be used as public records
)qU
4.y Licensed Professional
-0` OWNER-BUILDER DECLARATION
W', i hereby at7rm that 1 am exempt from the Contractor's License Law for the
jp O following reason.(Section 7031.5,Business and Professions Code:Any city or county
:00
w� which requires a permit to construct.alter,improve,demolish,or repair any structure Valuation
IJ-'m prior m its issuance,also requires the applicant for such permit to file a signed statement $ Ft.Floor Area $16996
-?8t that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9
ti F (commencing with Section 7000)of Division 3 of the Business and Professions Code)or
Occupancy Type
L that he is exempt therefrom and the basis Car the alleged exemption.Any violation of Number
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 34215052 :U(7
not more than rive hundred dollars(5500).
0 I,as owner of the property,or my employees with wages as their sole compensation, Required Inspections
will do the work and the structure is not intended or offered for sale(Sec.7044,Business
and Professions Cade:The Contractor's License Law does not apply to an owner of
property who builds or improves thereon,and who does such work himself or through his
own employees.provided that such improvements are not intended or offered for sale.If.
however,the building or improvement is sold within one year of completion,the owner-
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
0 1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business and Professions Code:)The Contractor's u-
cense Law docs not apply to an owner of property who builds or improves thereon,and.
who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's
License Law.
,8&PCf rthis on
0 1 am exempt der Sec. r��a's]
Data Q5 / �Y- ^
Owner - - -— _
WOldrpcnafty
fto(pe�u!`Y
TION DECLARATION
1 hereby affirm one of the following declarations:
0 I have and will maintain a Certificate of Consent to self-insure for Worker's Compen-
sation,as provided for by Section 3700 of the Labor Code•for the performance of the
work for which this permit is issued.
0 I have and will maintain Worker's Compensation insurance,as required by Section
3700 of the Labor Code•for the performance of the work for which this permit is issued.
My Worker's Compensation insurance carrier and Policy number are:
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars($100)
or less.)
i certify that in the performance of the work for which this permit is issued,I shall not
employ any person in any marine, �7/,��,,,a subject to the Workers'Comsati
penon
Laws o(Cali(o is Da �2 "
Applicant
NOTICE TO APPLiCA :1,after making this Certificate of Exemption,you should
become subject to the Worker's Compensation provisions of the Labor Code,you must
,J Z forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
F~ ►�., I hereby affirm that there is a construction lending agency for the performance of
.7 Ute work for which this permit is issued(Sec.3097,Civ.C.)
W A Lender's Name tq�
4c Lender's Address ��
I certify that I have read this application and state that the above information is
LUT. correct.I agree to comply with all city and county ordinances and state laws relating to
0 U building construction,and hereby authorise representatives of this city to enter upon the
above-mentioned property for inspection purposes.
7 a (We)agree to save,indemnify and keep harmless the City of Cupertino against
E liabilities•judgments,costs and expenses which may in any way accrue against said City Date
in consequence of the granting of this permit. -POINT Issued b'f:
U Z APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NO
SOURCEYtGULAT,WNS.
Z Re-roofs
rgnature of Applicarr on or Da Type of Roof
RDOUS MATERIALS DISCLOSURE YP
Will Ua ap scant or future building occupant store or handle hazardous material
as dcfrncd by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety
Code,Section 25532(a)? All roof i shall be inspected prior to any roofing material being installed.
❑Yes ONO If a roof is installed without first obtaining an inspection,I agree to remove
Will the applicant or future building occupant use equipment or devices which all new materials for inspection.
emit hazardous air contaminants as defined by the Bay Area Air Quality Management
District?
0 Yes XNo
1 have read the hazardous materials requirements under Chapter 6.95 of the Califor-
nia Health&Safety Code,Sections 2M5,25533 and 25534.1 understated that if the building Date
docs not curre sly have a tenant.that it is my responsibility to notify the occupant or the $ignatu-'e of Applicant
requireme hich mu be met prior to issuance of a Certificate Occup an Y.
All roof coverings to be Class"B" or better
LOwneor authorized a.
Date