D-2018-0051 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:D-2018-0051
18971 PENDERGAST AVE CUPERTINO,CA 95014-3622(375 33 037) THE BUILDERS LLC
SAN JOSE,CA 95117
OWNER'S NAME:LIN CHIEN HUNG AND WU JANET MING-CHUAN DATE ISSUED:07/03/2018
OWNER'S PHONE: PHONE NO:(408)429-8503
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lie.#1021479
Contractor THE BUILDERS LLC Date 12/3112018 —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 fall force and effect. .TOB DESCRIPTION:
DEMO HOUSE(814 SF);DEMO GARAGE(224 SF)
1 hereby oftirm under penalty of perjury one of tie following two declarations:
t. 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.
/ 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
permit is issued. Sq.Ft Floor Area: Valuation:$9000.00
APPLICANT CERTIFICATION
I certify that I have read this uppllcatlon and slate that the above
information is correct.I agree to comply with all city and county ordinances APN Number: Occupancy Type
and stale laws relating to building construction,and hereby authorize 37533 037
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 against liabilities,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands and will comply with all non-point
source regulations per the Cupertino"MuunnicipalJCode,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Signature �/ Date 07-03-2018 Issued by:Haley McKee
Date:07/03/2018
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the RF,-ROOFS:
following two reasons; All roofs shall be inspected prior to any roofing material being installed.If a roof is
t. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I since to remove all new materials for
compensation,will do the work,and the structure is not intended or offered for inspection.
sale(Scc.7044,Business&Professions Code)
z. 1,as owner of the property,am exclusively contracting with licensed Signature ofApplicant:
contractors to construct the project(Sce.7044,Business&Professions Code), Date:07-03-2018
1 hereby affirm under penalty ofpvrjury one of the following three declarations: -L-L-RODE-C-OVERINWFO-BE CLASS"-A 01LBE-T-TE
t. 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
z. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hnzadous materials requirements under Chapter 6.95 of the
Scetion 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534.1 will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
s. 1 certify that in the performance of the work for which this permit is issued,[ health&Safety Code,Section 25532(a)should I store or handle hazardous
shall not employ any person in any manner so as to became subject to the material.Additionally,should I use equipment or devices which emit hazardous
Worker's Compensation laws of California,If,after making this cercigcate of air contaminants as defined by the Bay Area Air Quality Management District I
p g will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
exemption,t become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534.
Labor Code,i must forthwith comply with such provisions or this permit shall
be deemed revoked, Owner or authorized agent: <
APPLICANT CERTIFICATION Date:07-03-2018
1 certify that I have read this application and state that the aboveinformation is CONSTRUCTION
correct.I agree to comply with all city and county ordinances and slate 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 properly 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. 1 understand my plans shall be used as public records.
Signature Date 07-03-2018 Licensed
Professional