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06090218186 tg2 •O� �p0 e u� 02 Z W � aG 7`s UC u. OE HD UV 'e CITY OF CUPERTINO �s -'' _ " �•�`'"'' a "' CON12 BUILDING DIVISION PERMIT ,AL��'f�i�x�`'!��,.��!��.: 7% BUILDING ADDRESS: AAA FURNACE & AIR CONDITI 1eF•MD06090218 21885 ALMADEN AV OWNER'S NAME: PERMTI65UE DATE LEYLA OTA 1712 STONE AVE 09/22/2006 NE: SANITARY NO. CONTROL NO. (408)293 -4717 ARCHITEC IENGINEEK: BUILDING PERMIT INFO BLDG ELECT PLUMB ME�CH LICENSED CONTRACTOR'S DECLARATION lob Description P 1 bereby affirm that I am lieenecd under provisions of Chapter 9 (commencing with Sudan 700a of Division/ 3fofftthhee Business and Professions Cade. and my Ikenm is in full fame REPLACE FURNACE AND.ADD ABC 4 TON ad of `' °�Lk.g _ Dam Co.,, ARCHITECrSD IN �' EC R 1 understand my plans shall he used as public =Ord$ Licenrcd PmfcasionaI OWNER - BUILDER DECLARATION 1 bereny tares that 1 am exempt from the Conuscmrs License Law far the following reason. (Section 7031.5. Business and Prohnsdans Code: Any city or county $8100 which requires a permit to commeet. aUer, impose. demolW, Or repair any Nrecturt prior On its issuance. aka rtquims the applicant for such permit to the a signed statement Conuacme, License Law (Chap=9 Sq•Ft,Floor Area Valuation that he is licensed pursuant to the provisions of the (commencing with Section 7000) of Division 3 of the Business aed Pmftimaas Cook)ur that he k exempt therefrom and the bask for the alleged exemption. Any violation of r Occupancy Type Section 7031,5 by any appliam for a permit subjects the applianL la • Civil Penalty of not roam Nan five hundred dollars (S5001 ❑ Lu owner of the property.mesY wmende withwagnsuedevsole compensation, Required Inspections 9 P will do Newark and the tWmuro isnotbrLi,Lwdo fs and Cade Ceacance. LILCme Taw not apply to surOnerOf and apply b rt owner of Property a bas mpr uch his propertywW Wink orlesprow deero wW daeswCnendedw wormed awn employees, provided this such Improvements are Cooarred foe ands. vonc,- w t ft year fm the owner - however. des building or improvement is sold within ore Wild of improve Wilder wall haw the WNm of proving Nat he did rot Wild m improve far Purpose of ale.). ❑ 1. as mw of the property, am exclusively conuviceing with licensed contractors In Conswet the preens (Sec. 7044. Business dad Professions Cede:) The Coouamars Li- cmue Law does not apply m an owner of property who Wilds or improves Nemon. and, who examines for such projects wide aeunuusar(s) licensed personas to the Conuactors License Law. ❑ I am exempt under Sae .B k PC fm dts moon Owner Data WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penury of perjury am: of the following declarations: ❑ ]ham and will maintain a Cardamom of Cansent to ulr -insure fm WartersCOmpen- setion, u provided far by Section 3700 of the Labor Code, fm the performance of the wads for which Nis permit is issued. I haw and will maintain WmYers Compensation Insurance. as required by Section W of the labor Cook, fm the performance of the wells for which this permit is lasted. y Workers Compensation 1 uratran dim and Polity nnuum4 berr anc: Carier:�Policy NO.: WORK,2('+PAf�Oi R7TFl FRAMER' COMPENSA IONINN COMPENSATION INSURANCE (This means need natbocompmted if the permit is foram handrodokllan (3100) or less) 1 certify that in the Performance of the work for which this Perth Is bound. l shall rot employ any person In my mannarse as m became subject to the Weakeer Compensation Laws of Califomia. Data - Applicant NOTICE TO APPLICANT: If. after making this Ceniaam of Eaeespton, you should become Subject to the Workers Compensation provisions of No lanes Cade. you mum ' forthwith Comply with such provisions m this permit Nall W deemed rooked. CON LENDING AGENCY CONSTRUCTION is A agency for the Performance of I hereby warm ton there ko ed (Sec. 3n 7. Civ. the work which Nis permit k issued (Sec. 3097, Civ. C.I Na Lenders Name Lenders Addm•• 1 Certify that I have read this application and sum Nu the above Information is ' COOOOM I agree to comply with all city and county amanuenses and sum laws rtksing in building construction, and hereby authorize reprncnta ives of Nis city to enter upon the above - mentioned property for inspection purposes. (We) agree to saw, indemnify and keep Imardem de City Of Cupertino against liabilities. judgments. case and expenses which may in my way accrue against said City in cansequence of the granting of this permit. ' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Date so REGULATIONS. 1 //%/ - q- 22 'dZ- Re -roofs Type of Roof masker Dam S um OU Win Ow applicant or future Wilding mreupant Sore mhandk herardoas material as dcaaed by the Caperton Maaiej al Cade. Chapter 9.13, and the Health and Safety Cade. Section 25533(+)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yes ON. If a roof is installed without first obtaining an inspection, I agree to remove - Will the applicant m future Wilding Occupant use equipment adevim which emit huardous air commune us as defiuml by tie Bay Arta Air Quality Management all new materials for inspection. Dimrict7 ❑Yes ONO 1 hammad thehs erdmrsmmeriak mquiremcnuundcr Chap arri.95artm Califor. nia Health&Ssfmy Code, Section 25505,25533 duh25534.I understand dedifthe Wilding data rot currna he a enant. that It k my responsibility m ratify the occuput of the requi men nso be met prior m issuance of a CeNfeae or Occupancy. Signature of Applicant Date ep� 2t. o6 All roof coverings to be Class "B" or better Owner or authorized ag.lif Data em 3 of 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35715090.00 DATE ISSUED.......: 09/22/2006 RECEIPT #.........: 36167 REFERENCE ID # ... : 06090218 SITE ADDRESS ...... SUBDIVISION ....... CITY .............: IMPACT AREA ....... OWNER ............: ADDRESS ..........: CITY /STATE /ZIP ... RECEIVED FROM CONTRACTOR ... COMPANY ...... ADDRESS ...... CITY /STATE /ZIP TELEPHONE .... •FEE ID UNIT 21885 ALMADEN AV CUPERTINO LEYLA OTA OPERATOR: amyw COPY # : 2 JIM RANDO RANDO, JIM LIC # 8050 AAA FURNACE & AIR CONDITIONING 1712. STONE AVE SAN JOSE, CA 95125 (408)293 -4717 QUANTITY AMOUNT PD -TO -DT THIS REC BREMAIRHAN NO.UNITS 1.00 10.26 0.00 10.26 BREMFURN NO UNIT 1.00 14.31 0.00 14.31 BENERGY PERMIT FEE 1.00 34.86 0.00 34.86 BREMRECEPT NO. OUTLETS 1.00 1.20 0.00 1.20 PPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 BSEISMICRE VALUATION 8,100.00 0.90 0.00 0.90 EPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 MPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 TOTAL PERMIT ---- - - - --- -- -- 176.64 - - - - -- ---- 0.00 - - - - -- 176.64 METHOD OF PAYMENT AMOUNT NUMBER ------ ----- OTHER ------ ------ - -- - -- 513.91 --------------- VISA - -- TOTAL RECEIPT 513.91 VOICE ID DESCRIPTION -- - - - - -- ---------------------------- -------- ---------------------- - - - - -- 301 ROUGH PLUMBING 304 ROUGH ELECTRICAL 507 FINAL PLUMBING • VOICE ID DESCRIPTION -------- --------------- - - -- 303 ROUGH MECHANICAL, 505 FINAL ELECTRICAL 508 FINAL MECHANICAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 aClOF 4f UPEkTINO • • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777 -3228 Fax (408) 777 -3333 Building Department JOB ADDRESS: - PERMIT # OWNER'S NAME: Le ip PHONE # GENERAL CONTRACTOR: ,p FAX # I am not using any subcontractors: 1! ` 9 9- Z i —oG Signature Date Please check applicable subcontractors and complete the following information Owner/ Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/ Contractor Signature Date a CUPEkTINO CITY OF CUPERTINO FURNACE /AC PERMIT APPLICATION FORM N# 35� -15—�O Date: 12,21 ou ilding Address: E J /t'i ex) U� Cif Owner's Name: Phone #: 4f / O D - d s,f- 7�9 z Contractor: License #: C ti� /a dp Contact: 4/-v Cupertino Business License #: ls0ui c.� OHO Building Permit Info: Rec tl, Switch & Outlets Bldg ❑ Elect Z Plumb ❑ Mech 5 " Job Description: Seismic Fee Res O Residential ❑ Commercial ❑ Elec Permit Issuance For Residential Insttaa ?tons: Attic ❑ Is' Ld ❑ floor 2"d floor Adhere to min setback re uirement Rr--� Mech Permit Issuance For Commercial Installations: Replacement same weight ❑ Additional weight (structural calcs) ❑ Plumbing Permit Issue Structural Calculations required for new installation ❑ New installation Planning Approval Required ❑ Bldg Permit Fees Cost of Project: Type of Construction: Occupancy group: O � ep� Plan Check Fee Strapped ❑ On Platform ❑ 18onded ❑ Sq.Ft. Floor Area: New Location ❑ Replacement ❑ Business License Qty. if Applicable Fee ID Fee Descrintion Fee Grout) BENERGY Energy BUILDING BREWURN Furnace MECHANICAL BREMACOVER A/C Unit > 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10, 000 cfm MECHANICAL BREMRECEPT Rec tl, Switch & Outlets ELECTRICAL BSEISMICRE Seismic Fee Res BUILDING EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING