05100108 CITY OF CUPERTINOs ��rr.-
BUILDING DIV,SIGN PERMIT t �l'1, �A QnylygyfrArdu.�
BUILDING ADDRESS: FINN BROTHERS CONSTRUCTIO PERMIT"05100108
SPERMIT ISSUE DATE
R'S of NAME:
BAY COLONY 2 75
SANITARY N0. .CONTROL N0.
PHONE:
408) 252-913
BUILDING PERMIT INFO
ARCHITECT/ENGINEER:
BLDG EO PLUMB MEOCN
O p LICENSED CONTRACTOR'S DECLARATION Job Description
U C 1 hereby affirm Nat 1 and licensed under provisions of Chapter 9(Commencing
wish Section 7M)of Division 3 of the Business and Professium Code.and my license is
,may in full force and cffeCL 'js2a {Z NEW CONDO-1, 348
tv2z License Classes-LW Is
�jgDale—nom. 11 DEC
O-tea_ ARCHnECPS DELLA A
i 1 undersand my plans shall he used as public words
16
c H Licensed Pralmional
OWNER-BUILDER DECLARATION
un
I hereby AM.Nm I am tempt from the Conuactofs License Law for to
o C rollowing Ts."^.(Section 7031.5.Business and Prefmions Code:Any city or county
i$9 which requires a permit to consuucL alar,improve,demolish,m npoll any&=tun
.Zi primmiuisminn.alsonHuirulMapplicant forsuchpennilmfiieasigoodsuumenl Valuation
e
< th,,be A licensed pumuant m Nm e pmvisioof to Comacon's Lie.I.Sw(Chapter 9 Sq.Ft.Floor Area
iZ i-� (commencing with Suction 70013)of Division 3 of We Buaineamd Professions Code,)or
$ Nat he is exempt thamfrom and the basis for the alleged esunpdo^.My violation of
Section 70315 by any applicant for a permit mbjems the applicant w a civil Penalty of r 0 0 Occupancy Type
out nae Nan Eve hundred dollars(M).
❑I,u owrcu a(Ilie property,a my emplaym wWh wages as lhev mlceampewdon,
willdo thnwork,anathesuuerun tanotmwndedwa(lend rands(see.70N,BusiM.. Required Inspections
rad P cfeadons Code The Conuacura I is um Law dm ant appy a an owner or 9 P
Inepenywho buildsmimpmw thereon,mhd who dmsuch wont himselfathmuth his
ow ourploym,provided this such improver amu art an,intended or offered for ala It.
however.the building or improvement u sold within ane Year of compleuon.the Ownsr. -
wilder will have the burden of proving the he did vol build Or improve for puspaxe of
sant.).
O 1.a owner of to p npeny mr eaelatvely Countering with Ilceened conuMon w
co sunct the pmjm(Sec.7061.Business and PnIcstau Cade:)The Contesters U. .
ou law does not apply m an owner of property who builds or improves thereon.ad.
who manacle for such projects wit a eonuanor(s)licensed pumunt w to ComeacmYs
Neese law.
❑lameaemptundu See .Bh PCfathureaCon
Data
WORKER'S COMPENSATION DECLARATION
1 hereby dRrm under penalty of perjury aro of the following dMerWoce
I have and will maintain a CesriBLnw orconent in xlf-Wore for WencesCompcn-
Colon,as provided 1m by Section 3700 of do Labor Code,for the perfonnm en of the
won for which this petmim is trued.
SII/have wM will mainuio Woreces Campo sjubm Warrant,u reentrant by Scala^
3]00vf t�he Mbar Code,fm Ne performmce afthewnrkf blah this permin uia+uW.
My Wors}}1,ofg,TEmpensauon Warm nrtia and Polley w &-0' /•�
Camey. Policy 1ng��f
CERTIFICATE OF EXEMPTION FROM WORKERT
COMPENSATION INSURANCE
f[bis section need Cos be com plead tribe parent(Is forced hundred dorm(S I00)
or lea)
1 unify that in the performance,of Ne,work for which this permit is issued,1 hull not
employ any person in any manner an SA w become subject an We Workers'COmpematan
Laws of California.Dave
Applicant
NOTICE TO APPLICANT:If.after making this Cenifhaw of Escmpton,YOU should
become Subject to We WAkm'j C^mpmwten provision of to Labor Coda you most
O faMwith comply with such provisions a Nn permit shall be deemed revoked.
Pse CONSTRUCTION LENDING AGENCY
F" I hereby affirm that there is a comuuctlno lending agency for the perfurmamn of
C the work for which this permit is utucd(Sec.3097,Cl,.Q
W Q "Cru"U s Name
z I<^deh Address
U a I certify that I have read Nis applicafion and sue Nn do above inform-tun b
IT. F cornet.l ague so comply wit all city and county oNlnances and sue laws relating w
rin
� O building co)agree to and hereby authand keep
ethic Oirymcnmrupnn the /`^�/wa/�
>"W shove-mcaioned property for inspccuan pngosea.
(We,)ague to Cove,in piny end keep harmless the City Of rue agabuno against
r(0.A Iiabilttes,Judgmenu.Cosu d Penns whichm yin any way seems egdnslaid City
U,'Z in eonsegmm a gran g p Nis permit. 6v
�+ APPLICA N ER N AND WIL OMPLY WITH ALL NON-POINT Issued by: Date �� �(/
SOURCE Prfou
7w'el. Re-roofs
HAZARDOUS �—�
Signature es
ppaHAZA Date a of Roof
RDOUDOU S MATE RIALS DISCLOSURE +'p
Will the applicant o loom building occupanaswre or handle hayumaui material
defud by to Cupemno MunWipad Code,Chapter 9.11,and to Health and Safety
Section 75532(a)? All roofs shall be inspected prior to any roofing material being installed.
0 m<
If a roof is installed without first obtaining an inspection,I agree to remove
Will to applicant Or future building=open[use equipment or devices which
craft hazardous air conumimnu ayydcfmN by the Bay Area Air Quality Management all new materials for inspection.
District? a'N/
0Yea u
Ina tie haraNmws matertats mquimmenuunder Chapmr6.95orthe Califor-
pia HIS S t adc,Be, m15SU3.13333 d21534.Iundcnund thmifthe building
dm not uses e n 4 that h u mY POmihlliry o notlY ten acupant of the
sequin nsa pdarmisaa .eetneatepfr3wnpejSignature of Applicant Date
All roof coverings to be Class"B"or better
Owner or autharipad agent Daw