BLD-2020-1100BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: 17344 Signature DR
APN: 316 28 044
PERMIT NO: BLD-2020-1100
CONTRACTOR:
PLUMBER HERO INC, 11 150 SEPULVEDA BLVD STE 2A MISSION HILLS
CONTRACTOR PHONE:
4082271630
DATE ISSUED 7/23/2020 8:58:15 AM
ISSUED BY: haleym
VALUATION: $9900
JOB DESCRIPTION
& PROPERTY LINE CLEAN OUTS; REPLACE MAIN LINE
INSTALL FOUNDATION
LICENSED CONTRACTOR DECLARATION
CONTRACTOR, C36 PLUMBING, C42 SANITATION SYSTEM
of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
Rooter
LICENSED
A GENERAL
LICENSED
1028886
EXP
07/31/2021
I hereby
force
I hereby
Hero
CLASS:
ENGINEERING CONTRACTOR, B GENERAL BUILDING
NO:
DATE:
affirm that I am licensed under the provisions
and effect.
affirm under penatly of perjury one of the following
I have and will maintain a certificate of consent
for which this permit is issued.
I have and will maintain Worker's Compensation
I certify that in the performance of the work for
laws of California. If, after making this
with such provisions or this permit shall be deemed
to self -insure
Insurance,
which this
certificate
revoked.
three declarations:
for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the
work
as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's
of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith
issued.
V
Compensation
comply
HAZARDOUS MATERIALS DISCLOSURE
under
the Health
Code,
Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance
I have read the hazardous materials requirements
the Cupertino Municipal Code. Chapter 9.12 and
V
with
equipment
Municipal
& Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use
as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino
Sections 25505, 25533, and 25534.
or devices which emit hazardous air contaminants
Code, Chapter 9.12 and the Health & Safety
EPA LEAD -SAFE DISCLOSURE
responsible for this project.
Firm Certification No:
this project.
An EPA Lead -Safe Certified Renovator will be
Firm Name: jose garcia
No EPA Lead -Safe Certified Firm is required for
V
Certified
CONSTRUCTION LENDING AGENCY
a construction lending agency for the performance of the work which this permit is issued (Section 3097, Civil Code).
Lender's Address:
I hereby
Yes
affirm
under penalty of perjury that there is
No
n/a
V
Lender's
Name:
APPLICATION CERTIFICATION
that the above
of this city
non -point
days after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period
of 365 days after the time the work is commenced.