08060219 CITY OF
CU
>. ' x ,.¢ 'S z: '�° �wn,IIS" ',
BUILDING DIVISION PERMIT faCONTRACT INFORMATIQN: `
PERMIT N0.
Bml )'319D�RES�:RESTON DR ARGONAUT WINDOW & DOOR, INC 08060219
R'S NAME: PERMIT ISSUE DATE
941:LLIAM MOEUR 1901 S BASCOM AVE STE 800 06/25/2008
PHONE: SANITARY NO. CONTROL N0.
(408) 378-4018
ARCHRECT/ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
O o LICENSED CONTRACTOR'S DECLARATION I IOU Description
1 hereby affirm Nal 1 Me licensed under provisions or Chapter 9(commencing P
ii with Section7000)ofDivision3aidesBusioessandprofessionsCode,Andmylicense,is WNDW RPLCMNT LIKE4LIKE NON—STRUCTRL
=y in full fame and cfren.
Ueenx class Lac.Is
n F p Dau Comncxr
z7W ARCHTEC'S DECLARATION
U I undersand my plans shall be used As public mance
g C h Licensed Pnafcssianal
z5 Oat 1 AM CUla.OEnoun do RATION
n s I hereby.affirm(Sec Not 11. eacmpt pans tW CanwnCo License Law for tW
C pe O following mown.(Section 701.3,n.Aberss and improve.
dcaans Cade:Any city or county
Pi which hagvima a permit re conWmL Aber.improve,demolish,tare a sig ed Menuha
E a
prim miuccosedc.Alan rt to dueest lW Applicantioof forMe such comasser'usfileLaw(chumcnl
that Wcnei.,wpantion 7 .)provisions tar the the u�nse�ons Codmr9 Sq.Ft. Floor Area Valuation
Y�3 (c.I he
ngwithmeafto70nd of DivrionrNthe BuowsAnd
on.A.,ana Cod e)or $10000
`t— Natio u ex5 b Ianrefrom and ar bur far bj alleged exmant a Any violation of
.I. dit. by airy hundred
IwaPermit subjecuthaapplteMtmacivil penaltyof Number Occupancy Type
wt mom Inas fm hundhad dalton(5500). 32611067 .� P Y YP
0 1,as owner of the property,or my employees with wages As coir sole compensation,
will do the work,and the structure is not intended or offered for sale(Sec.7041,Biomass
and Profnsiou Code:The Comminute.Lkave law can rot apply te M owmr of Required Inspections
property who bre ilds a improm thercon.aha who docs such work himself or though his
own employes,marbled that such improvements art notinuMed aaRaN fa ask If.
hawever,the Wilding or improvement is sold within am year of complation,the careen
Wilder win ham the burden of proving that he did ran hNld or improve for purpose of
sate.).
A1,As owner of the property,am uclaively conoeenng with licensed contramns m
construct the project(Sec.7044,Business and Professions Code:)The Commclots U.
cera Law does not apply m M owner of property who Wilds tar improves f...and. ..
who cones for such projects with a comrxmrts)licensed pursuant in the Comrsames
Ueenx law.
Cexempt uandryo See Bd:PC for this mason
er���//5�--'—— Data
WORKER'S COMPENSATION DECLARATION
1 hemby acorns under pnullY of pesjory one of tW folkwinH declancons:
❑1 ham and will maintain a CeNrtcam of Conant to ulf4asure far Worker's Camper.
Milan,As provided for by Section 77W of Ne labor Code,fa the performance of the
work fa which this permit is issued.
0 1 ham and will maintain Worker's Compensation Insurance.As haquirtd by Soeuon
37W of the labor Cade,As dm performance of the wart for which this permit is issues '
My Worker's Compensation baurana renin and Policy number art:
Carrier. Polity No.: .
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
Crus active need not W complemd if me permit is formes hundred dollars(SIM)
or less)
I calory that in the perfamance of tW work fa which Nis Permit is issued,l shall nuc
employ any para.in an¢ M cjahieeum nc Warketi ��Cam tion
harem`Cslifosnis.0a .Jaq
Applicant_ f
NOTCE TO APPLICANT.If,after making his Ccnifieale of Exemption,you Anthill
become subject as IW Worker's Compensation provisions of IW Labor Cade,you mus
.J O forthwith comply with such provinces tar this permit shall W deemed hawked.
'zr CONSTRUCTION LENDING AGENCY
[-+� I Wrohy aRrm that Nem iaaconsvumim lmdingagemy far the vrfmin.of
r1, the work fur which this permit r issued(Sec.XI97,Civ.C.)
GLcMcr's Name
=z Lender's Address
V O 1 tmify that 1 have read this applievion and sum Nu the show information is
` coned.I agme he Comply with all city And cmau,aNlnanaa and abuse lawn halating to
.C)[�,^ building cmuuunian,and hereby mthodm hapaemnutiws of this city to enter upon the
Ii7 mew-mentioned rs.any for inspection porches.
(hoc)agree Io saw,indemnify And keep harmless the City of Cvpcnim against
Z in
muceofthe Cal swung of
expanses which may in my way accrue against said City
V Z APPLICANTeofDERSTANofthisD mit.
SOURCE
RE UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date l/Y
SOURCE REGUUTIONS.
pc
Re-roofs
Stn aha ofAplaa
oil
Type of Roof
WIII y c applicant or foam Wilding e.Chaptamrc or handle h Health
n malarial
dc0ned by tW Cupertino Municipal Code.Chapter 9.13.and Ne Health Md Safety
W.Section 15532(a)7 All roofs shall be inspected prior to any roofing material being installed.
0Yes j'-
Will the applicant or future Wilding occu ant sax equipment or dcviaa which If a roof is installed without first obtaining an inspection,I agree to remove
ccamil horaNnn air contimiw���muaafu''' di by IW Bay Awa Air Quality M...gcmem all new materials for inspection.
oyes �pnu
I harc¢col Ne hnardmsmaurisr mgvihamcnu underChapterb.95 of mW Glifory
nitHealNhSdeiyCoda.Sccdom2550,25533a 25534.1um m=dNaifmW Wilding
does not cumandy hew a tenant sat It is my respomibility in notify the mcupant of Ne
my iR na hien ma x mel p tar a r as m sen c rt r.yerSignature of Applicant Date
Owner orsutharbad.&ml (�' Dam All roof coverings to be Class'ns'or better