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D-2017-0048CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: D-2017-0048 10380 N STELLING RD CUPERTINO, CA 95014-1644 (326 30 092) JONATHAN WEI CHH SU CUPERTINO, CA 95014 OWNER'S NAME: DAS DHANANJOYAND RAJPUT VIDYA OWNER'S PHONE: 408-596-1533 LICENSED CONTRACTOR'S DECLARATION License Class a Lic. #681633 Contractor JONATHAN WEI CHIH SU Date 12/31/2017 I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: 1. I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the 2.�performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this j permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cup rtino Municipal Code, Section 9.18. Signature�4��_4r,��Date 7126/2017 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: t. I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the.performance of the work for which this permit is issued. 3. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless; the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations Per the Cupertino Municipal Code, Section 9.18. Signature Date 7126/2017 DATE ISSUED: 07/26/2017 PHONE NO: (408) 255-8999 BUILDING PERMIT INFO —BLDG —ELECT _ PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION DEMO OF MAIN HOUSE WITH ATTACHED GARAGE (1246 S. Q) Sq. Ft Floor Area: Valuation: $6000.00 APN Number- Occupancy Type: 326 30 092 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by Jasmine Archbold Date: 07/26/2017 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature ofApl Date: 7/26/2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sectio 25505 33, and 25534. Owner or a;thoo ized age_� Date: 7./26/2017 U CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional DEMOLITION PERMIT-A-PPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building cuperiino.org 0� PROJECT ADDRESS APN # 10380 N. Stelling Road, Cupertino ` ` 362-30-092 ° OWNERNAME .. _...---,P-HONE E-MAIL Dhananioy Das & Vid a 'Ra' ut -408-596-1533 dhanan'o .das mail.com STREET 10380 N. Stelling Road',' sTATE,zIP Cupertino, CA 95014 FAX CONTACT NAMEPHONE ; E-MAIL Jonathan « !_408-916-8559 suppiy168@yahoo.com STREET ADDRESSCTPY ST4}' E,�2JP FAX 10080 Stern Ave, Cupertino, CA 95014 ❑ OWNER. ❑ OWNER -BUILDER ❑ OWNER AGENT Ek CONTRACTOR ❑ CONTRACTOR AGENT Q ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑. TENANT CONTRACTOR.NAME LICENSE NUMBER 681633 LICENSE TYPE B BUS.. LIC # 400743. j i V j� Jonathan Su COMPANY NAME - E-MAIL FAX Demo,4pp_20I6.doc revised 03/29/16 July 24, 2017 CITY OF CUPERTINO 10300 Torre Ave Cupertino, CA, 95014 ADDRESS: 10380 N. STELLING RD CUPERTINO CA, 95014 REMOVAL OF GAS METER & REGULATOR ON: 6/14/2017 CUT GAS SERVICE AT THE STREET: 7/20/2017 ELECTRIC SERVICE & METER WAS REMOVED ON: 7/17/2017 If you have any question contact us at (408) 725-3325 Sincerely, Sherry Medrina Pacific Gas &"Electric Company DeAnza Service Planning 10900 N Blaney Ave Cupertino, CA 95014 10900 No. Blaney Avenue Cupertino, CA 95014 Its,xx -u -A July 24, 2017 CITY OF CUPERTINO 10300 Torre Ave Cupertino, CA, 95014 ADDRESS: 10380 N. STELLING RD CUPERTINO CA, 95014 REMOVAL OF GAS METER & REGULATOR ON: 6/14/2017 CUT GAS SERVICE AT THE STREET: 7/20/2017 ELECTRIC SERVICE & METER WAS REMOVED ON: 7/17/2017 If you have any question contact us at (408) 725-3325 Sincerely, Sherry Medrina Pacific Gas &"Electric Company DeAnza Service Planning 10900 N Blaney Ave Cupertino, CA 95014 10900 No. Blaney Avenue Cupertino, CA 95014 Covered r recycled, and di Co lst u0ion and. Dmla R -Yc o iv"d u Rqct omen g d > bio Debris fr ni prflject 3 0. s r in in + erV n ; e Q1I t ,; � 1 .' s check applF JQ y b4 ar k 1 even frog, _ i l* tl z1. ,� i c er , Patios . s devvalks,.dr v a s. V .Subi til;tr C eflayiRecyclingReportfivill. 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