05110004--
CITY OF CUPERTINO
BUILDING DIVISION PERMIt-'
BUILDING ADDRESS: PERMIT NO. 0 511 0 0 04
10038 ORANGE AV
----+PERMIT ISSUE DATEOWNER'S NA
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CONTROL NO.
BUILDING PERMIT INFO
BLDG ELECf PLUMll MECH
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!~~ I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
ARCHITECfIENGINEER:
Job Descripti on ~~~ with Scclion 70(0) orDivision 3 oCtile Business and ProCessions Code. and my license is::3 e; in rull (ore;: and cC(CCL COMMERCIAL BLDG.-1705',en Z License Class Lie. #t _
THIS PERMIT IS FOR FEES ONLY/SEE #05110001i~ §Dale ARCHITE~;~~~~A7""R""'A"":r'""IO"'N,,--------
2~~ I underSland my plans shall he used as public records I
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:O~ OWNER-BUILDER DECLARATION /"Vl -' I hereby affirm that I am exempt (rom the Contractor's License Law (or lhc~::; =" ------~ • Cl 0 rallowing reason. (Section 7031.5, Business and Profe!lsillOS Code: Any city Or county
~~e: which requires a pennit l(J conSlruCl. alter, improve, demtlli!ih, or repair any structure
U-Vl -z> prior III its issuance. also requires Ihe applicant for such pennitlo file a signed statement 1---------:;--=--;=---;---------..,-------------.:-=--=---=-----+-----
that he is licensed pursuanllo Ihe provisions of the Contractor', License law (Chapler9 Sq. Ft. Floor Area Val uation ,~i~ ~ f-fii (commencing with Section 7000) nf Division 3 nf the Business and Professions Code) or $ 1 7 9 3 0 0 e~-that he is exempt theccfrom and the basis for the alleged exemption. Any violation of f----------;-:;:;;:.-::-;:-,---------+--------;;:;-----:.---;=-..:....-+-----
Sectioo 7031.5 by any applicant for a permit subjects the applicant to a civil penally of APN Number Occupancy Type
not more than five hundred dollars ($500).
o I, as owner of the property, or my employees with wages as their sole compensation, I -------~.§.+±-':f-,~~~;_fH:r_-----L----------------+-----
will do !.he work. and !.he slruclure is not intended or offered for sale (Sec. 7044, Business i d
and Professions Code: The Conlr.lcIOr'S license law docs not apply to an owner of Require Inspections
property who builds or improves thereon, and who does such work himself or through his
own employees, provided that such improvements are not intended or offered for sale. Jr.
however, the building or improvement is sold within one year of completion, the owner-
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
~. as owner of the property, am e,;;clusively contracting with licensed conlnClors 10
construct the project (Sec. 7044. Business and Professions Code:) The ConlnCtor's Li·
cense Law docs not apply lO an owner of property who builds or improves thereon, and
who conlIacts for such projects with a conlIactor(s) licensed pursuant to the ConlIactor's
License Law.
D I am exe"!pt ~nder'Sec. _-,~=-.-,B & P C for this reason
Owner 'J '-
-;-;;-RATION
I have read Ole ha1.ardousmalCrials requirements under Chapter 6.95 of !.he Califor·
nia Health & Safe
pant of the
n:quircments 1M klt must me: prio~)6"1¥UanCC of a Ccruncate. of Occupancy.... I Signature of Applicant Date ,I ,,<.->-( ./-v-:;t r---Lt-to ~:-_ All roof coverings to be Class "B" or betterOwner or aUlhorizcd al!cnl i~ D:llc.
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
CITY OF Telephone: (408) 777-3228 CUPEIQ"INO __FAX_:_(4_08_}7_77_-33_33
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: February 16, 2006
RE: Address Change (APN #357-17-059)
Please note the following address change: 10038 Orange Ave has been divided into 3
units. 10038 Orange Ave will remain. 10036 & 10040 Orange Ave have been added.
Please update your records accordingly.
The new address will take effect thirty days from the date of this letter. If you have any
questions, please call me at (408) 777-3246.
Sincerely,
.~~4/
Susan Winslow
Administrative clerk
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