06090129 CITY OF CUPERTINO /v//��3�'a,yv� �'� n •g '� .k�g.
BUILDING DIVISION
PERMIT
BUILDING-ADDRESS: ANGEL I S PLASTIC & NEON PERMIT NO.06090129
7335 BOLLINGER RD BLD C
OWNER'S NAME: - PERMIT65UEDATE
HA LEE 495A MADERA AVE 09/18/2006
.NE: SANITARY NO. CONTROL NO.
(408) 280-0907
ARCHiTECT/ENGINEER: BUILDING PERMIT INFO
Btu I� PLUMB
t�
;oo LICENSED CONTRACTOR'S DECLARATION Job Df)SCT1pU0n
l d i hereby afBnn Nal 1 am(laved under provisions of CMpaur Y(rommmn<ing
t1 ku
in
fll rcox 7d.ffetDivrlann 3oftheBosinm and ProfcasiannxCode.and my license is "MOTHER' S TOFU" CHANNEL LETTER NEON SIGN
in full force and effett 1 1 ✓f
jHZ Licen C11 s f� LL Lic.N I O t t
s JJ Dem Con"acmr \
ARCHITECTS DECLARATION
I 1 understand my plans shall he used as public records
yes
`g1 Licen dPmfcssional
rtes 3 OWNER-BUILDER DECLARATION
I maxo alum that 11. exempt from the Contraction's Code:License Law far Nc
❑O following rcpenn. ermit t 71171.5,Business and ere.de oli h.teAny city or county - $2900
$E which its acquires n pasted m cnnsuum,alma impmm,dcermit t anis repair ed structuremens
-Zi priormslicom dpursu mqo the thevisioeot for such Pcemiuofilnse Laedsummem
(Comm incing Wit pSestter to the of Divisio of the ConusinoM1LicenselawCodc)9 Sq.Ft.Floor Area Valuation
�9
(Commencing With thec6on70nddr, viiiofrth alleged
ess exemp ProfessionsAnvicCd,a or
y Natio r exempt thercfmm and Ne aper for the alleged emmpnt to Any l penalty
of
Semon than l ve ary red dont for a 00). auhjecu the applicant m a civil penel(y of r Occupancy Type
W,marc than Tiers hundred dollars(E500).
❑I,as owner of the property.or my employm a with wages as their sole Compensation,
will Canthus work a ad thesuuaun Is not intended or offered for safe(Sm.7044,Business Required Inspections
and Propulsions Code, se The Contraeme's Lt.Law donot apply m an owner of 9 P
propenywho builds aimproves du rcon,and whodoessueb work himselforNmugh his
own employees,provided that such improvements am an,intended aroRered for sale.if.
however,the building or improvement is old within one your of compmson,the owner.
builder will have the burden of proving Na(he did not build or improve far purpose of
sale.).
bx./a----,of Ne prapeny,am exclusively<onuuting with licensed Contractors;m
Conswa the pmjea(Sec.7044,Business and Professions Cade:)The Conuomrs U.
cave law does not apply to an owner of property who Mime or improvpe theeean,and.
who contracts for such pmjects with a conditionals)licensed pmea lm the Canuomrr
Lke(ue Lew.
❑1 me vempt under Sec. .B&P C for this reopen
tart Dam
WORKERS COMPENSATION DECLARATION
1 hereby afRrre trader penalty of perjury am of the following declensions:
❑I have and will maintain a Certificate of Consentm ulf umbe forworkersCampen-
soion,an provided for by Section 3700 of the Labor Cade,for Ne performance of the
work for which this permit is issued.
❑1 have and will maintain Workers Compensation inwnnm,as required by Secdon
37M or dim Labor Code,for the performance of the work for which this permit is issued.
My Worker's Compensation Insurance artier and Policy number are:
Cartier. Polity No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(rnr auction mad nothe completed if rte pcaush is froom hundred dollars(SI W)
nr less.)
I certify Not in the performance of the work for which this Permit is issued,l shall not
employ any personmany mans rapeto becnmc ob�en Io Ne Warkcrs'Compensation
Laws of Califomia.Dames r b
Applies.(
NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should
become subject to the Worker's Compensation provisions of the Labor Code,you most
�Z forthwith comply with such provision or this Permit shall M deemed revoked.
7-(2)
CONSTRUCTION LENDING AGENCY
[r Ihereby all mNa(stere Is a construction lending agency for the Performance of
CL 7 the work fur which this permit is broad(See.3097,Civ,C.)
W A Lender's Name • .
z Lenders Address
V 1 certify Net 1 have mad this application and sum Nu the above information is
LL correct.I agree to comply with all city and county ordinances and sum laws relating m
0U building Construction,and hereby awhorim represema(iva of this city to enter upon the
W shove-me.d.md property for inspecuon purp=s
G (We)egme to ave,indemnify and keep historic.the City of Content.against
it fn Isdalitin,judgments.coau and expcnsa which may in anyway scam against wild City
V Z in consequence of the granting of this permit. �^ �� ./
s..i APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON P01 Issued by: Date 7/e
SOURCE REGULATIONS. �7
i 1i L,,- / too Re-roofs / v
�Signatumo ApplicoJContruror Dam -
HAZARDOUS MA RIALS DISCLOSURE Type of Roof
Will the applicant or future Wilding acupanutorc or MMIC haumous material
as dermal by the Capeninan Municipal Code,Chapter 9.12,and the Health and Safety
ode,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed.
❑Yes ❑Na
Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit herardna air contaminants as;defined by the Bay Area Air Quality Management all new materials for inspection.
District?
❑Yes ❑N.
I ham mad the Mrmdo r materials requirements under Chapmr 6.95 of the Califon
nim Health&Safety Cram,SeNann25505.25533.425534.1 understand that true building
does rat comomly have a tenant.Nat it is my responsibility in notify the oxupant of the
requimmorm which moo be met prior to issuance or .mfiamanr Currency. S ignature of Applicant Date
Owncronu(harizcdagent !� t Dg. All roof coverings to be Class "B"or better