02010019 CITY ILDING m ESIONNo PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10010/60 STELLING TIM GUHIN INC 02010019
OWNER'S NAME: APPLICATION SUB DATE
STANLEY WANG 217 VENTANA WAY 01/03/2002
PHONE: SANITARY NO. CONTROL NO.
(831) 688-1573
a O ARCHITEC MNGINEER: BUILDING PERN4IT INFO
O
0— BLDG ELECT PLUMB MECH
2.
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S hZ LICENSED CONTRACTOR'S DECLARATION ]Ob Description
i z_O 1 hereby affirm that I an Iicen ed under provisions of Chapter 9(commencing
m C W with Section 70(g))of Division 3 of the Business and Professions Code,and my license SOUND WALL
is in full force and effect.
< m<nxelaas see.. ADDRESS IS ON SOUTH STELLING
L LL v Dale Contractor
ARCHI'1'ECT S DECLARATION
,Q—, 1 understand my plans shall be used as public records
�r
i caC, Licensed Professional
ca Oat I an,
DECLARATION
iz I hereby affirm thin 11. exempt from the Cnntracmr'n License Law far the
F?0 followinggaims a (Section]831.5.Business end Prvfdeamli CWc Any city m county l-y
to F o which reclaims n e,alsom cors,the.alter.improve.demolish• file
eaa,r any bractuateme t
L Cam 'hat heor glits censedralsorl10[heProvisionso the such Contractor
License Law
Cammem S Ft. Floor, rea: �'. , ... ; .. - _... .... . .._ .. _.
thin he a licensed rotational rd the previsions of the he Baaor's License Law ons(Chapter 9 a On
or that he in NSeaefroma fDi,bsisoof rtea li mess dint.Any violation i-�3s� •] t q' a_f _ sL
or that be is c 1.5 b therefrom and the basin for the cts then<aeaprlon.Any vi.laimt y Iy"i
--of Section a min iv any applicant for o permit sohjau the applicanno a civil penally
urn.tnture man five hundred dollars(s503). 3E)9A umber I'eOccupancy Type
01,as owner of the properrr,or my employees with wages as their sole compensation.
willdo the work,and the mnicam Is nut intended or offered for sale(See.](Fla,
Business and Professions CWe:The Contractor's License Law does not apply to an 102 - PIERS Required Inspections
nos net of property Who Wilds or improves rh<mon.and who doss such work himself
or through his awn employees.provided 1112L Such Impiovements are not mmaped or ._ _. .. 103 - _UFER_. ._..
Offered for sale.If,however,Ih<building'or improvement ear is sola within one yof ..._
completion,the owner-builder will have the Furman of proving that he did not build ar 104 - REBAR
improve fn"onfa.semf sale.). 105 - ANCHOR BOLTS
LasowneranhcpJScc.y.aloe.uwnmelycamrofeiugwith Ccxo:) heControraro 106 - SEWER & WATER .. . .
construct the project IScc.7041.Business dna Professions CWc:)The Cnmrenor's
License Law does not apply to an owner of property who Wilds or improves domem, 202 - UNDERFLOOR PLUMBING
and who,contracts for such projects with o uannammis)licensed pursuant to the
eom®emr ice law. 203 - -UNDERFLOOR- MECHANICAL"
❑lame tpluna<rsec B'�pemrmin nese 204 - UNDERFLOOR' FRAME
)—a n 1 co ilse�lorvDrcuaAl�g—�— 205 - UNDERFLOOR INSULATION
301 - ROUGH PLUMBING
Ihereby affirm under penalty of Perjury one of the following declarations: 302 - TUB & OR SHOWER
0 1 have am wall maintain a CcNficate of Consent to sef.insum for worker. 303 - ROUGH MECHANICAL
Compensation, os provided for by Section 37M of the Labor CWc, for the
performance of the work for which this Permit In issuW. 304 - ROUGH ELECTRICAL
U 1 have and will maintain Wader's Cmnpersaion Insurance,as requited by Section 3 05 - FRAME
3]00 of he Labor Carlo.lot
the
performance of the work for which this pem,il is
issued.My�yoI 'aC.mpanin linommicecarrier and paucynumber am: 306 - HOLDOWNS
_ .
caner: t;.'. w,fcyNd: 30x7.. ; ,INSULATION.
CERTIFICATION OF EXEMPTION FROM WOR%Bf4S', - r i F_'2' k --'
30.8 SHEETROCK''
COMPENSATIONINSURANCE:`Rla..
- 309 .-' EXTERIOR—LATH' i
"'(This scciian'necJ nm be n;,nplmeaHme p<rmil is fist on<hundree eaBan .••., .
Islw)nn«a.j , 310 - INTERIOR LATH.
311 SCRATCH COAT ...-
'o
iced in tit=perfarmy mann the work for which this ct in t e issu=e,I „ r: .•
stall nor employ any Perwn in any manner so as to become subject m the Workers' 313 - ROOF NAIL'
Compensation lnsJs of California.Date '
Applicant "- -501 -FINAL ELECTRICAL _ENERGY- -
NOTICE TO APPLICANT:If.after making lot C<dii0can of Eumption.you should
Z becomesubj==uothe Workers Compensation previsions oftheLabor Cma,you must 502 - FINAL PLUMBING ENERGY
pC forthwith comply with such pnwiomusorthisperm, hall be damad revoked. 503- --FINAL MECHANICAL ENERGY-
CONSTRUCTION LENDING AGENCY 504 — FINAL BUILDING ENERGY'S •
1 hereby affirm that there is a construction lending agency for the performance
of the work far which this permitis issued(Sea 3097.Cis,Q 505. - FINAL
_ELECTRICAL
(, Lenders Name__
o.z Lcba<rsAdd.. 506 GAS TEST
U_O 1Icemfythe,Ihave read thisapplication and state that the aWvemformadonis 507 - FINAL PLUMBING
W fir contact.1 agree 1.comply with all city and county ordinances and stare laws relating 508 - FINAL MECHANICAL
(] U to building construetion,and hereby authorize representatives of this city to enter upon
y W the abave.nt=ntmned property for Inspection purposes., 509 - FINAL GRADE
F„ Pr (N'e)agree w save,indemnify am keep harmless the City of Canadian.against
fn liabilities,judgments,costs and expemes,which may in any way name against.aid 510 - FINAL P I NG
U z City in consequence of,he gmmi.g'of this permit.
APPLICANT UNDERSTANDS'AND WILL COMPLY Wo.HALL'N NPOINT Issued 4 , N C WORKS Date Gv
, RF UI a 10 —`
Sig auWtllaAicapp
HAZARDOUS
ulATERIA SD ISrLOhvdlchaaardouse Re-roo�0 - ROOF BATTENS
'J
mat=na Type oR"f ROOF IN PROGRESS
as defined b)the Cupertino MunicipidCade,Chapter 9.12,and the Health and Safety _
Code.Satin 2s5321e)!. 'y. r', " . ;,.t t:.,.. •.2 r'•
oY<k ''° -' i '`�•4Q;', All roofs shall be.mspected pnor,to,any roofing material being Installed. .
Will rhe applicant or future bolding occupant use equ'pm at or devices which If a roof is installed without firs[obtaining an'inspection, I agree•to remove
cm t h ideas sI,comammants.d mad by the Bay Area Air Quality Management
Di.t er. all new materials for inspection. Applicant understands and_will comply with
.Yes all non-point source regulations, .;
moi' 1 has.read the hazardous nationals requirements under Chapter 6f95 of the
Califomia Health A,Safety Code,Sections 25505.25533 am 25534.1 undcrslam that
irthebuilding does notcurre,nly have a tenant.that it is my responsibility to notify the --
oeeupanl of the mcfaremems which must be mel prior to issuance of a Cmm
ifee of
a<a nay. t J.�V
Signature of Applicant Dale
2— Dare All roof coverings to be Class 'B" or better
- , ... ... OFFICE