06040176 CITY OF CUPERTINO
BUILDING DIVISION PERMIT �NW-TRAGTQR I1�Ik'ORIVIATIQ,gN _
BUILDING ADDRESS: s MEADE CONSTRUCTION GROUP I ffielvirl"ND'06040176
20300 STEVENS CREEK BLVD
OWNER'S NAME: PERMIT ISSUE DATE
SYMANTEC CORPORATION 645 RIVER OAKS P 2006
SANITARY NO. CONTROL NO.
(408) 321-6450
7RCH.MT1,CT/:ENGIHEER: BUILDING PERMIT INFO
BLDG EIFCT PLUMB MECH
i o p LICENSED CONTRACTOR'S DECLARATION Job Description
W FChereby a(fimh Jut 1 arrt Ikervsed underprovisions ofChapter 9(commencingPZWuIX)U)af Divisioon .d.f COMMERCIAL TENANT IMPROVEMENT 3820 ' REMODEL
e-;a u'g OFFICE SPACE PHASE 2
�„ Dau: ContDECL
'
ARCHITECTS DECLARATION wc.o
l.< IundcrsanJ mypWsshallWand u public mcnNs
>yU
'Qt; LiccttuJ Professional
OWNER-exempt frmDECLARATION
2<O I hereby.(Era on 1 am,Bumph from Ute CanuxmYc :Any c Law for the
p O following numn. email o 71D I.S,Busies and improve.
demolish.
e tins Coot:Any city or county
COO
� which requims n permit ac cares o n,she,improve.h posmi h,or repair any ewetum
'iy pat Itc its ismaensedpalso
eenoto ms rowbotsapplico for such ier's Lice se,Law(Cha mem
< wtkctBccnwit punaom to no,provisions of of Co Business
Li cense Law(Chapter9 Sq.Ft.Floor Area Va alh2a9000
e�0 thao Is ing exempt therefroon m
and
the
Division sf r of the alleged
est and Professon.Any vi Cade)of
�3�
that k V exempt tkrt0mo and U%bums for the alleged exemption.My violation of
Section 7031.5 by any applicant far a permit subjects the applicant to a civil Penalty ofAp N �e
nm mom b u five hundred dollars(25(10). 3t 9 0 1�T9 . 00
Occupancy Type
❑1,uownerof U%propmy.mmyemploymwithwageuUte mkcompe=dw.
will do thework,andtheswxumunotroundedaoff.r fors.k(See.]046.Busrw..
and Professons Code:The Contracmes License Law does.1.11,to an owner of Required Inspections
property who builds or imPram thereon.and who doessuch workhimmifor through his
own=plays=,provided that such Improvements on,not intended oraRered forsale If.
however,the building or improvement is sold within..year of caropicu...the owrmr-
builder will have Ne burden of moving that he did not Wild or improve for purpose of
sale.).
❑1.an owner of the propeny am exclusively contracting with licensed contractors to
conswct the projex(Sec.7044.Business and PmRssa=Cade:)The Comromes U.
cense Law does not apply m an owner of property who Wilds or magnum thereon.and.
who comets far sent Projects with a rontretar(U licensed pursuant to one Ceremonies
License Law.
❑lamembumunderSee - .BRPCforthisreaxa
m Dau
WORKERS COMPENSATION DECLARATION
1 hereby affirm under Penalty of Perjury We of the following declarations:
1 have and will maintain aCenuO=u of Consent to self-asure for WoranesCompcn-
sation,by provided for by Section 3700 of am Labe Cade,for one ofunnance of the
work for which this Permit is issued.
❑1 have and will maintain Work='s Compensation Insurance,an requirod by Section
3700 of the labor Code,for me performuee of the work far which this Permit is issed.
My War Compers`ionhuutinm= nand PolicynumWr O
Grtkr. Polity No.:1
CERTIFICA OFEXEMPfIONFROMWORKERS'
CO IPENSATION INSURANCE
(Otis metim need rat W completed if pan Permit es formic nanous sours(SIao r
or leu)
1 certify that in are performance of dre work for which this Permit is issued,l shall not
employ any person in any manner=as to become subject to J%Workers''Compensation
Laws of California.Dau
Applicant
NOTICE TO APPLICANT:If,a(1cr making this Certifies%of Exemption.you should
became subject M the Workers Compensation previsions of the Labor Cove.you must
.J z fordtwith comply with such proviaians or this permitshall W dmmcd revoked.
zDi CONSTRUCTION LENDING AGENCY
[-a Ihetehyaffirm that them isacmauuctinn lendingageny,far Jtc pcif...of
G'
the work fur which this permit is issued(Sec.3097,Civ.C.)
Lender's Name
�
= z L<mdees Address
U O 1 ttnily that I have resd No application and sate this the.nave infarmauun is
ly comm 1 agree to empty with all city and county ordinances and sues laws relating to
OU Wilding construction,and hereby antitoxin tepcomettim of this city to enter upon the
shove-mcn' ed pommy for ins,cu..purposes.
f+ (We seg I.sive,rode r(y an p harmless Ne City of Cupertino against
li Hines,u m .casts pen whit by in any way annsequictuid City
U me uglmce T nn this trail. /
PL A DSllF WILL OMPLY WITH A NO -POINT Issued by: Date%
w. SO GULATI01 ren O
L Re-roofs
Signuu o APPlican t cm Only,
H US TERIALS DISCLOSURE Type of Roof
the applifor utee it ingmupantsomorhandlehsurdmanumbsal
u defood by the Cu Munic Code.Chapter 9.12,and the Hada and Safety
a a c,Section 255324)?
❑Y= All roofs shall be inspected prior to any roofing material being installed.
Will Ute applicant or future Wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit hevansous air mnaminam u Itr%d by tha B.y Area Air Quality Maregcmcnt all new materials for inspection.
D s x]
❑Yu No
Ntan rc sea msm 'sister, manna underChapter6.95afthcCxlifar-
nia xlth c'a 505,255 ond25 34.Iandcrsandthat' U% iWing
Jars no dy hoc a t it mix, ility to nobly the up t of Ju
requirements chmauW 6 1 mar Ccrufm%o(Occu Signature of Applicant Date
Own=er h Yed.ge., Da - All roof coverings to be Class"B"or better