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CITY OF CUPERTINO
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BUILDING DIVISION PERMIT
bCONTRAGTORINFORMATION•
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SOLAR TECHNOLOGIES
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799098AIL
0.'S NAME:
FERMrr ISSUE DATE
MAITRAM TONNU
312 LOCUST ST
05/28/2008
PHONE:
(831) 421-0440
SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
BLDG EIFR PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
Job Description
P
1 hereby affirm that 1 am li¢nmd under provitiou of Chapar 9 (commencing
ithSection70M)ofDivivon3ofNeBusircasandPro[esuiavCode.andmylicc=is
with
INSTALL 22 PU PANELS ON A 2 STORY SFDWL—PAINT
rn,.. erten. tot
Liccnm Clns
FLASHING/TRIM TO MATCH ROOF COLOR.
Con—
on
Dam DECr
ARCHITECTS
ARCHIECTSI'S DECL.A ON
SOLAR TECHNOLOGIES PD FOR BUS LIC 5/12/8
lis my puts slWlhuad .public rccorN
Licnaad Pmfcstional
OWNER -BUILDER DECLARATION
I hemhy afrtrm that I am exempt from the Conmior'a Liccnm Law for the
fallowing won. (Section 70013. Boni. and Profusion. Codc: My city or county
: which «quires a permit in construct, alter, improv. demolish, or mpair any a.uctum
! prier It its issuance. also requhes th applicant fornch permit to Bk a signed summcm
thin h is lieenacl purmunUo the pmvisiuu of lh Contractor's Licca Law (Chap= 9
Sq. FL Floor Area
$22300 Valuation
inand Pro[essinns Code).r
(comncing with Section 7")of Division 3 of the Bum
me
• I that he is exnopt Ihm[rom and the basis for the alleged uemption. My violation of
3 6 2 2 7 0 0 7 M� Number
Occupancy Type
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Section 7031.5 by any applicant for a permit subjects the applicant in a civil penalty of
not mom than five huMmd dollars (SSW).
❑ I, as owner of theproperty, m my employeu with wage u their m4 eampewtion,
Required Inspections
wits do Neeson and Ne Thome �ctorNteMW morte Buda
dots tort apply If an owoor
and Code: The Contractors Liana cocasOut apply to
' ' q P
ortywhobs
is
ldaorimprovethimprand wbo dues,xhwslMl oralfmNroughhis
oes
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ownemployeu,progd.d an, ran ouofcmoffinnodedon. for
oven =play=,
proverimprovements
owni
hmldsir dm building orTmproviment Iscoldwithin aneoldorcompletion,Neowoor-
builder will low IW WNan of proving Nat h did Out Wild Or improve for puryme of
nu).
❑ 1. u owuer of the propirry, am exclusivity contMing with Been -a mnuanars to
construct f pmjm (Sec. 704. Buinm and Professions Code:) The Comranots U.
came Law dots not apply On an owner of property who build, car improves thereon, anti
who contracts fm ouch projcros "nth a eonuacfoRs) lieenad pursuant to the Convaetota
arta IJW.
ern exempt undo See .08 PCfm Nu won
er Date—
amWORKERS
WORKER'SCOMPENSATION DECLARATION
I bcmby anus under pnulty of perjury tete of the following dxlaratianc
❑ 1 have and will msinuin a Certifies. of Couem m xlf-W um for Workcri Cempcn-
su lon, as Provided for by Sutton 3700 of th labor Cnde. rte Ne performance of the
work for whim Nis permit is issued.
❑ I baw and will maintain Workefs Compenudon Insuran¢, u ox trun! by Section
3700 of the l.Mor Cade, for the performance of the work for which this permit is luued.
'
My WorkrsC carrier Md Policy number
{pgs�a
-4A P."c,No: 22nam,:
Corti ores
CERTIFICATE OF EXEMPTION FROM WORKERS'
'
COMPENSATION INSURANCE
(Thu axdmt reed nothcampiemd f Ne pemtit is fess x hundreddopers ($100)
or less)
I certify, that in tW pufunnasion, of the wart for which this pmmit is issued. l shall not
employ any Past. in any.Imam as in buomc subject to Ne WorkersCompcnudon
Laws of California. Dam
Applicant
-
NOTICE TO APPLICANT: IL after making this Certificate of Evcmption, you should
htemre subfm to Ne WOdtces Compensation provision of Ne La Wr L'WC you most
forthwith comply with such provision or this pOrnnit,brill W doomed mwkcd.
I
CONMUCTION LENDING AGENCY
1 hemby,[fnm Naz Nem is a comtructinn lending agency for the performanto of
..
the work for whim diva permit a issood (Sc, 3097, Civ, C.)
Undoes Name
L<ndces Md.
I canny that 1 have round Ni, application and state than the above information is
cononct. I agta in comply with all City and county onlinames and,tam laws muting in
Wading construction, and bercby authmire mpwnhaim of this city In enter upon the
Onvu-mentioned property I. Instiodio0 pmpaaa
indemnify
(We) agrx to nes. and I.mp hamdm f City of Cupertino against
liabilidu, judgments. costs and ex,cnca which may in any way accrue against said City
in consequence of the granting of this North,
APPLICANT UNDERSTANDS AND WILL COMPLY WIH ALL NON -POINT
SODIy�fE
Issued by: Date
0116�T�'
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Re -roofs -
Sgeaz/-u/m%''/a�r Applrpn`o(Rimmtmuctor D�
II.VARDOUS MATERIALS DISCLOSURE
Type of Roof
Will dm applicant m to. building ..Part vote or handle ha ardou material
flood by do Cupertino Municipal Cod.. Chapter 9.12, and the Health end Safety
. Section 25532(a)7 No
.Til
0y. No
roofs shall be inspected prior to any roofing material being installed.
Will the applicant or ffutum building.upam um equipment m d.vices which
If a roof is installed without first obtaining an inspection, I agree to remove
emit hsaNmis air contaminants as deGood by the Bay Arca Air Quality Management
all new materials for inspection.
Duoul
❑Yu.
I have mad ilte hanNousmamnava requirements underChpter6.95 of he Califon.
ciaHulN&SarctyCodc,S¢vw 25505.25537 and 25534. Iuancrsund thazifNc Wilding
does .11 ... Ily how a tenant, that it is my rupmribility On notify do occupant nr Ne
mquimmc2fgir�nm met �or miauaxe of acmirtnm0 pmcr.
Signature of Applicant Date
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All roof coverings to be Class 'n" or better
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