BLD-2020-0710BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: 18880 HOMESTEAD RD Cupertino
APN: 316 09 037
PERMIT NO: BLD-2020-0710
CONTRACTOR:
DEVCON CONSTRUCTION INCORPORATED, 690 GIBRALTAR DRIVE MILPITAS
CONTRACTOR PHONE:
4089428200
DATE ISSUED 7/21/2020 7:37:08 AM
ISSUED BY: KDUNBAR
VALUATION: $2000000
JOB DESCRIPTION
(1 PACKAGE AC, 2 AIR HANDLERS, 2 EXHAUST FANS, 1 EXPANSION TANKS)
HSOI - MECHANICAL UNIT REPLACEMENT ON ROOF
LICENSED CONTRACTOR DECLARATION
CONTRACTOR
of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
DEVCON
LICENSED
B GENERAL
LICENSED
399163
EXP
02/28/2021
I hereby
force
I hereby
CONSTRUCTION INCORPORATED
CLASS:
BUILDING CONTRACTOR, A GENERAL ENGINEERING
NO:
DATE:
affirm that I am licensed under the provisions
and effect.
affirm under penatly of perjury one of the
I have and will maintain a certificate of consent
for which this permit is issued.
I have and will maintain Worker's Compensation
I certify that in the performance of the work for
laws of California. If, after making this
with such provisions or this permit shall be
following three
to self -insure
Insurance,
which this
certificate
deemed revoked.
declarations:
for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the
work
as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's
of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith
V
issued.
Compensation
comply
HAZARDOUS MATERIALS DISCLOSURE
under
and the Health
Code,
Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance
I have read the hazardous materials requirements
the Cupertino Municipal Code, Chapter 9.12
V
with
equipment
Municipal
& Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use
as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino
Sections 25505, 25533, and 25534.
or devices which emit hazardous air contaminants
Code, Chapter 9.12 and the Health & Safety
EPA LEAD -SAFE DISCLOSURE
responsible for this project.
Firm Certification No:
this project.
An EPA Lead -Safe Certified Renovator will be
Firm Name:
No EPA Lead -Safe Certified Firm is required for
Certified
v
CONSTRUCTION LENDING AGENCY
is a construction lending agency for the performance of the work which this permit is issued (Section 3097, Civil Code).
Lender's Address:
I hereby
Yes
affirm
under penalty of perjury that there
No
V
Lender's
Name:
APPLICATION CERTIFICATION
that the above
of this city
costs,
non -point source
information is correct. I agree to comply with all city and county ordinances and state laws relating to building
to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep
and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,
regulations per the Cupertino Municipal Code, Section 9.18.
I certify that I have read this application and state
construction, and hereby authorize representatives
harmless the City of Cupertino against liabilities, judgements,
the applicant understands and will comply with all
Signature:
"\
days after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period
of 365 days after the time the work is commenced.