The URL can be used to link to this page

08070107 CITY OF CUPERTINO 8UILDiNGDIV1S10N PERMIT BUar.�lrtc�AD4 ESS: PM IT NO. l.U'6.L BUBB RD DPR CONSTRUCTION INC 08070107 NEWS NAME: MUM ISSUE DATE Al"VIA", COMPUTER 1450 VETERANS BLVD 07/16/2008 HONE: SANITARY HQ CONTROL NO. (650)474-1450 ARCHiIEC(ENGINEER. BUILDING PERMITINRO BLDO ELECT PLUMB M&CFI O LICENSED CONTRACTORS DECLARATION I hereby affirm that I am"cooed under provisions or chap er 9(cammenetas. Job Description zj wimsecem7000)afDivisnt3orw°BusinMWWPWcmiomCade.andmylkeruci3 COMML TI TEMP PERMIT, ORIG #08050154 . THIS wz "foll force and i `ffem Lk-a io PERMIT g °"e `�wxeHrr resD�':"EcAA&1 GOOD THRU 8/16/2008 I understand my plans shall be used as pubik records # Licensed Pt ashmil .OWNER-BUILDER DECLARATION +�y Y I hereby affirm that I am exempt from the Contractor's License Law for the i p following mason.(Section 7031.5.Business and Professions Code:Any city or county e$ which requires a permit to construct.alter.improve.demolish,or repair any aucttuc )!V y prior to its issuance.she requires the applicant for such permit to like a signed Chapter < that he is licensed puraym to ON provisions of,the Corwacmry Lits:nso Law(ekaptor 9 $q.Ft.FIQOC Area aluadon $ (coramencin{with Section 700M of Divwon 3 orthe Business and Prof°sti ns Code)or $� v u vt that he is exempt therMtrna and Ne basis for do alkpd eamrpdit Any vieiWm of Section 7031.3 by a"applicant for a permit subjects Ne:applicant to a civil pe tahy of am mare dim five hundred aouus(.3.300,'. 3 572 0008.W Number Occupancy 7I} ❑L a owner ortlic property,or my eroplayees with wares as their sole co°tpemadoa. w(nd°thewat.andatattuaursispotintmMedorofferedFortde(Sec.704/.Business anRequired Inspections d Ptofaatom Code:The Contractor's I I—Law does not apply I*an owner of +coy pe ons propm ywhoAftarimprovaarhercmwWwbodmttxhwwkbim- or0uonjltNs own employees,provided that such haprovemerm are nes imended orofrered for sale.If, however.the building or iupmvanau Is sold within one year ofeompletioa,due oww- Wgda wW bave the bmdm of proving Nat M did am bdW or improve for putpme of sale.). fes\ 7(j/� �/�///� /�/,�� /2�1 1,t (a L as owner of the property.an exclusively comnming with licensed cenmaerms toconstruct the �� 1 Irk%.v`�1✓U " ' �j V L �V/ team Law doll �o an ownBuser of property who builds Cansprom themor'a� VV !! _ 1 1 " 1 who co nraets far Such prajeca with teomtrattar(a1 neennsed pursuant to the Conaaeter's ❑ ami exempt under See. .B&PC for thbMason =' 1 AA-1 I �L'� Mr Date WORIMRS COMPENSATION DECLARATION p� 1 hereby am m ander penalty of poJary one orfhe fonowing declarations: • j �� • yb ❑Ihave and wntmaintainacortiOesteorcomemwalf-htartiorwarkeescornpm• ///''' ,S� :anion.as provided rot by Section 3700 of the Labor Code.for Cha performance of the �� i/t n9�e worirfor whkhthis permit IsIssued. A V ❑l have and will maintain Worker's Compensadon lnsumnae,u required by Section 3700 of the LaberCoda for tit°performance of the work for which this permit is issued. My Worlm'a Compensation lnwrutce tattier, Rey number am: ; carricA)AT 40AL U01;- ¢oiicyNo- " 2 CERTIFICATE OP ExEMPnON FROM.wmmlltS' COMPENSATION INSURANCE (This section need ret be eotgticicd tr*A permit is far one hundreddollua($100) Of less.) i certify that in the performance or the work for wbkb this permit is issued,t shalt no employ any person in any ma°ner m as to become subject to the Workers'Compensation ' Lawn of Catifomia Duo Applicant NOTICE TO APPLICANT ff.after making this Certificate of Samptlom,you should . become objet w the Worker's Compensation prorisiom of ttq Labm code,you mall ❑Z forthwith Comply with etch provWCM of this Permit Shall be deemed revoked, M rA CONSTR1)C710N LENDLN6AaENCY [`"•n I hereby affirm that Para ba conptuerFot Ierrding agency rot the peerormuao of �. the work for which this permit is Issued(Sec.3097,Ch.C.) Z LendarsAdd= (,Q I Certify Nat I have read this appsie31M and state that the above hWomatiov Is U... Col. I agcy to comply with all city and county onfinances and sate laws relating to 0 bdtdiag cotunatiort,and hereby audtorime representatives of this city to entc upon the abova-meruio°ed property for inspection Purposes Me)apm to ax,iodtmnify,404 keep harmless the City of Cupertino against to liabnhies udgmats,emu and expenses which may rw" WCPX&&sant,said City �}'z is eornnsrgnnserrco or nix grarsiag of this permit �w + APPLICANT UNDERST NDS AND W I7Ii ALL NON-POINT Issued by: Date l SO CE REGU[aT10 7-1 ^0 8 Re-roofs urc orwpprieaat/Corntrrnctor Dare HAZARDOUS MATERIALS DISCLOSURE Type of Roof WIn tix applicam or future building o°cupant store or handle hazardous material as defined by tin Cupertino Municipal Code.Chapter 9.12,and the)fcaM and Safety Ag6adc,p'es 25532(=)7 C3 No All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future huildin octu If a roof is installed without first obtaining an inspection,I agree to remove pp g lcotl ttsc equipment or devices which � Ike Wren. hazardous Wr corntsmin a W 46 dtErad by N°Day Am&Air Quality Maggemenr $]1.new materials for inspection. ❑Yes [3 No I have mad tic hazardousmuoialsmquimmcmt rChapier6.95oftheWher- nia Health&SYGyCode,Salients 75303.25 .I undrtaund that If the WWII does not Currently haves a::nam,dal I Illy to nodry the occupant or the "�° meats whxh m ba a,er pnor Ccrtirncax.4m.ancy. Signature of Applicant Date Owner orautborhodaeeel Dam All roof coverings to be Class 1;4"or better BUILDING DIVISION BUILDINQ ADDRESS: 10261 BUBB RD OWNER'S NAME: APPLE COMPUTER PHONE_ ARCHITECT/ENGINEER PERMIT O as LICENSED CONTRACTOR'S DECLARATION U I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing Z with Section 7000) of Division 3 of the Business and Professions Code, and my license is �< w in full force and effect Z License Class Lle. * S 9 9 `13 !- i a Date — Contractor `T V 12 Cg a era Pt N'rl' -� 1RCHrrECI7S DECLARATION 1 understand my plena shall be used as public records ro,u ' U. in Licensed Professional l w 3 OWNER -BUILDER DECLARATION < I bereby affirm that i am exempt from the Contractor's License Law for the C O0 following reason. (Section 7031.5. Business and Professions Code•. Any dry or county% which requires a permit to construct. alter, improve. demollsh, or repair any structim: Z prior to its issuance. also requires the applicant for such permit to file a signed statement thathe is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 1 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or . .. that he is exempt therefrom and the base for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not move than five hundred dollars (S5W0 ❑ L as owner of the property, or my employees with wages as their sole compensator, win do the work, and the strummer is not intended or offered for sale (Sec. 7044, Business and Professions Code: 7be Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such wort himself or through his Own employes, provided that such improvements ace not intended or offered for sae, 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.). ❑ L as owner of the property. am exclusively contracting with lensed conuactors to concoct the project (Sea 7044. Business and Professions Code:) The Contractors Li. cense Law dos 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 Comractor's Lieease Law. ❑ 1 am exempt under Sea , B & P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby afftnu under penally of perjury one of the following declarations: ❑ 1 have and will maintain a CeniLcate of Consent to self -insure for Workcr's Compcn- sation, as provided for by Section 3700 of the Labor Code, for the performance of the wort for which this permit is issued. ❑ 1 have and will maintain Worker's Compeossuon Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is imod. My Workers Compensation Insuranceca'cr d l-licy number are: carrier.A)�TTDL)A— 1u-N io.: W C 1'5 �i z s CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (this section need not be completed if the permit is for one hundred dollars ($100) or lass) i certify that in the performance of the wort for which this permit is issued, i shall not employ arty pason in any manner so as to become subject to the Workers' Compcosadon Laws of California. Date AppBont NOTICE TO APPLICANT: If, after mating this Cenincaue of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Coda you must 7 z forthwith comply with such provisions or this permit shalt be doemcd revotcd. y7 O CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Se.. 3097, Civ. Q Ll Q Lenders Name = z Lender's Address ..% O 1 certify that I have read this application and stare that the above: information is 7r Ecoffect I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorim representatives of this city to enter upon the above -mentioned property for inspocuon purpose& (We) agree to save, indemnify and Creep harmless the City of Cupertino against Cn liabilities, judgments, costs and expenses which may injnyv,4.y aceruc against said City ;) 4in consequence of the granting of this permlL APPLICANT UNDERST NDS AND W P WITH ALL NON -POINT SO CEREGULAnO 7—1 b -o 8 .5ignalum of Applican Contractor Date HAZARDOUS MATERIALS DISCLOSURE Will the applicant or fuwrc building occupant store or handle bacardous material as defined by the Cupertino Municipal Code. Chapter 9.1Z and the Health and Safety Code, Section 25532(a)? ❑Yes ❑No Win the applicant or future building occupant use equipmcat or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District? ❑Yes ONO 1 have read the hazardous materials requirements unXr Chapter 6.95 of the Califor. nia Health & Safety Code,jScciio—ns 25505.25 . I undcstand that If is building does not currently have atat i ' ility m notify the occupant of tee reqprior Certificate o Ckcupancy. Owner or authorized agent ^, Dat DPR CONSTRUCTION INC 1450 VETERANS BLVD (650)474-1450 Pt34M11 NU. 08070107 PERMIT ISSUE DATE 07/16/2008 SANITARY NO. CONTROL NO. BUILDING PERMIT INFO ELECT PLUMB MECH Job Description COMML TI TEMP PERMIT, ORIG #08050154. THIS PERMIT GOOD THRU 8/16/2008 Sq. Ft. Floor Area $ 4 5 0 0 0 0 0 Oaluation 35720008.WNumber Issued by: Re -roofs Type of Roof Required Inspections no Occupancy Type Date ? -K 0/-0) All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant Date All roof coverings to be Class'n" or better