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Home My WebLink AboutB-2016-3138 Permit & REV 1 i 1 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-3138 10518 E ESTATES DR CUPERTINO,CA 950144508(369 25 029) W C EXTERIOR CO WEST SACRAMENTO, CA 95691 I OWNER'S NAME: PHONE NO:(616)234-0190 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: 1 License Class B Lie.#948508 Contractor W C EXTERIOR CO Date 06/30/2018 X BLDG _ELECT _PLUMB _MECH X RESIDENTIAL—COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9'(commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: 2ND STORY;CONSTRUCT ALUMINUM LATTICE TRELLIS(234 S.F.) I hereby affirm under penalty of perjury one of the following two declarations: REV#1 ENCLOSE OPEN ROOF TRELLIS TO A CLOSED ROOF 1. I have and will maintain a certificate of consent to self-insure for Worker's TRELLIS-ISSUED 11/29/2016 Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance,as provided for by ili.- Section 3700 of the Labor Code,for the performance of the work for which this E permit is issued. Sq.Ft Floor Area: Valuation:$7560,00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 369 25 029 representatives of this city to enter upon the above mentioned property for inspection purposes, (We)agree to save indemnify and keep harmless the City of Cup-rti o against liabilities,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accru- ag:ins said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,th-a olicant nderstands and will comply with all non-point source reguyy� 'e th- Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Sign.tureI,ar: Date 11/29/2016 Issued by:KIM DUNBAR �. ' Date:11/17/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:11/29/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. I have and will maintain a Certificate of Consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the°performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay• ea Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with th .upe.ting unicipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety C 1 de es'ons -05,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized age y APPLICANT CERTIFICATION. Date:11/29/2016 'o I certify that I have read this application and state that the above information is 9' S' ®k til t' correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 11/29/2016 Professional ' I i CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B72016-3138 10518 E ESTATES DR CUPERTINO,CA 950144508(369 25 029) W C EXTERIOR CO WEST SACRAMENTO, CA 95691 OWNER'S NAME: PHONE NO:(616)234-0190 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class a Lic.#948508 Contractor W C EXTERIOR CO Date 06/30/2018 X BLDG _ELECT _PLUMB MECH X RESIDENTIAL_COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9(commencing - with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: 2ND STORY;CONSTRUCT ALUMINUM LATTICE TRELLIS(234 S.F.) I hereby affirm under penalty of pe"r"jury one of the following two declarations: t 1. I have and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. MV i/ I have and will maintain Worker's Compensation Insurance,as provided for by (/ Section 3700 of the Labor Code,for the performance of the work for which this I permit is issued. Sq.Ft Floor Area: Valuation:$7560.00 APPLICANT CERTIFICATION ' I certify that I have read this application and state that the above j information is correct.I agree to comply with all city and county ordinances APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 369 25 029 i representatives of this city to enter upon the above mentioned property for ' inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino-.j ainst liabilities,judgments,costs;and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue agai -I said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,thf.licant nderstands and will comply with all non-point source regular .- ,4 upertino Municipal Code,Section 9.18. 180 DAYS FROM LAST GALLED INSPECTION. , Signature ,� Date 11/17/2016 Issued by:AbbyAyende / TIW' Date:11/17/2016 1 rhi t444:�Ii1I1J14t.r ._t: V 1 k. I hereby affirm that I am exempt from the Contractor's License Law for one of the RE=ROOFS, following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is i. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:11/17/2016 1 I I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. I have and will maintain a Certificate of Consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the I performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 2553 a) ould I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I us at or devices which emit hazardous air contaminants as defined by the 1 :•.Air 1 utility Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the ti, • r;•ipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Co, t•ctio, 25 I 25 33,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. r C._ Owner or authorized ag-nt: 11110:k APPLICANT CERTIFICATION Date:11/17/2016 �_.�. I certify that I have read this application and state that the above information is 1 N TI o h correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C:) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 11/17/2016 Professional 9