B-2017-1848 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTR,,.cTOR: PERMIT NO:B-2017-1848
1079 KENTWOOD AVE CUPERTINO,CA 95014-5806(359 30 013) DANNYTRAN
CONSTRUCTION
CORP
SAN JOSE,CA 95130
OWNER'S NAME: DA'Z'E ISSUED:01/16/2018
OWNER'S PHONE: PHONE NO:(
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class 8 Lic.#985038
Contractor DANNY TRAN CONSTRUCTION CORP Date 10/31/2019 X BLDG X ELECT X PLUMB
[hereby affirm that 1 ant licensed under the provisions of Chapter 9(commencing MECII X RESIDENTIAL COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is In fun force and effect. JOB DESCRIPTION:
IST FLOOR ADDITION TO FRONT ENTRY AND(3)BEDROOMS
I hereby affirm under penalty of perjury one ot'the following two declarations: AND BATHROOM(499 S.F.);(N)COVERED PORCH;KITCHEN
r. I have and will maintain a certificate of consent to self-insure for Worker's REMODEL(163 S.F);OTHER REMODEL-MASTER
Compensation,as provided for by Section 3700 of the Labor Code,for the CLOSETS/DINING/SITTING ROOM(544 S.F.);(1V)TANKLESS WATER
performance of the work for which this permit is issued. HEATER;UPGRADE(E)ELECTRICAL PANEL TO 300 AMP,
z. 1 have and will maintain Worker's Compensation Ihsurance,as provided for by REV#I-ADD LIGHTS-(14);REMOVE CLOSET;RELOCATE SHEAR
of the Labor Code,for the performance of the work for which this WALL AT FRONT WALL;REMOVE PANEL FROM SCOPE(300 AMP);
permit is issued. RELOCATE(E)PANEL TO HALLWAY-ISSUE-7/24/2018
APPLICANT CERTIFICATION Sq.Ft Floor Area:499 Valuation:$200000.00
1 certify that I have read this application and state that the above
Information Is correct,I agree to comply with all city and county ordinances
and state laws relating to building construction,and hereby authorize APN Number: Occupancy Type:
representatives of this city to enter upon the above mentioned property for 359 30 013 R-3(Custom)
inspection purposes. (We)agree to save indemnify and keep harmless the
City of Cupertino against liabilities,judgments,costs,and expenses which
may accrue against said City In consequence of the granting of this permit. PERMIT EXPIRES IF WORK IS NOT STARTED
Additionally,the applicant understands and will comply with all non-point
::.ro:
regulati
Date:01/16/2018
1 hereby affirm that]am exempt from the Contractor's License Law for one ot'the
following two reasons: RE-ROOFS:
t. I,as owner of the property,m my employees with wages as their sole All roofs shall be inspected prior to any roofing material being installed.Tf a roof is
compensation,will do the work,and the structure is not intended or offered for installed without first obtaining an inspection,)agree to remove all new materials for
sale(Sec.7044,Business&Professions Code) inspection.
2. 1,as owner of the property,am exclusively contracting with licensed
contractors to construct the project(Sec.7044,Business&Professions Code). Signature of Applicant
I hereby affirm under penalty of perjury one of flue following three declarations: Date;7-24-2018
r. I have and will maintain a Certificate of Consent to self-maure for Worker',
Compensation,as provided for by Section 3700 of the Labor Code,for the ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
performance of the work for which this permit is issued.
2. 1 have and will maintain Worker's Compensation Insurance,as provided for by HAZARDOUS MATERIALS DISCLOSURE
Section 3700 of the Labor Code,for the performance of the work for which this I have read the hazardous materials requirements under Chapter 6.95 of the
permit is issued California Health&Safety Code,Sections 25505,25533,xad 25534.1 will
s. 1 certify that in the performance orthe work for which this permit is issued,I maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
shall net employ any person iu any manner so as to become subject to the health&Safety Code,Section 25532(x)should 1 store or handle hazardous
Worker's Compensation laws of California.If,after making this certificate of material.Additionally,should f use equipment or devices which emit hazardous
exemption,I become subject to the Worker's Compensation provisions of the ah•contaminants as defined by the Bay Area At.-Quality Management District I
Labor Cade,l most forthwith comply with such provisions or this permit shall will maintain compliance with the ertino Municipal Code,Chapter 9.12 and
be deemed revoked.
the Ilenith&Safety
relating to building construction,and hereby authorize representatives of this city I hereby affirm that there is a c nstructe performance
to enter upon the above mentioned property for Inspection purposes. (We)agree of work's for which this permit is issued(Sec.3097,Civ C.)
to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Name
judgments,costs,and expenses which may accrue against said City in
consequence of the granting of this permit.Additionally,the applicant understands Lender's Address
and will comply with all non-point source regulations per the Cupertino Municipal
Code,Section 9.18. ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Signature Date 7-24-2018
Licensed