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08010149CITY OF CUPERTINO '° *>+jj��Rss-s! s��aa�LvvYr��ea.a^^-inppC�tnkLb}}b�g�-�-�-��,{�''- BUILDINCDIVIS1oN• PERT .$C�y�1�Lf.VT�A�laRf?<Q iY1`1� BUILDING ADDRESS: PERMITNO. 10460 BUBB RD CUPERTINO ELECTRIC INC 08010149 NER'S NAME: PERMIT ISSUE DATE MISSION WEST PROP 1132 N 7TH ST 01/28/2008 PHONE: SANITARY NO, CONTROL NO. (408)991-1000, ARCHITISC rIaNGINEER: BUILDING PERMIT INFO BLDG EISCI PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description of Chapter 9 (commencing I toothyam toothy &film Out 1 IisMed under provisionso with Section 7000) of Division 3 ofte Businms and Professions Code, and my liccna is EMRGCY ELECTCL REPAIR,MAIN SWITCH GEAR in full fora and effect License class Lk.0 Dam Contractor ARCHITECTS DECLARATION 1 undersand my plans shall W used M publlc records Licensed Pmfrsuonal OWNER-BUILDER DECLARATION 1 W Rby alarm that 1 am exempt from the CantractaYs License Law for the following reason. (section 7(D 1.5, Business and Pmfmions Code: Any city or county which rtqunM a permit m construct alter. improve, demolW, or mpair any structure prior to its issuance, sou m lumet the spplimt for such permit to Ole a signed satemem that is licensed to de of the Contractors LisxMe Law(Chapter 9 Sq. Ft. Floor Area Valuation punaanl provisions 00 (commencing with Section 7) of Division 3 of the Business and Professions Code) or 10000 that he 4 eampt Uterefmm !rad Ne ban fa the alleged exemption. Any violation of Section 7031.5 by say &poll=, for. Permit subjects the applicant to a civil penalty of Number Occupancy 'i'pe notmort Nan five hundred dollars, (SM 35720037. ❑ 1, as Owner of Ne property, a my employm with wages as then rale canpenatian, will do the work and Me met= 4 at Intended or offered for saic (Sec. 7044. Bummus Required Inspections ad Professions Code: The Contractors Liasse, Law dm at apply in an Owner of property who builds or im prates thneon, and who does such work himsel f enthough h4 awn employm, provided Wt such improvements are not intended or offered for sale. T(. however, Ne building or improvement is told within am Year of completion. and transit. builder will have the burden of proving that M did net build in improve for purpose of ale.). It 1, a owm at Ne property. w exclusively outwitting with Ilcen.ed aenlncton m construct the prafKY (Sec. 7044. BMmea Ytd PmrC4dans Cock:) The Con4%mrs LI. . cense Law dm not apply to an Owner, of property who Wilds or Improves thereon. ad. who contracts for such pmjccm wit aconmctagq Iian%d pursuant to the Conummes Lice um Law. ❑lam tundu See .BBPCor Nis n r S/71�Q Dam IF WORKER'SCOMPENSATION40ECLARATION. 1 hereby afRrm under penalty of perjury m of the following daleratioM: Ihaveand wilimalntsinl Ceni6na a(Consatm%If-IMYR fa Wahera COmpery atlas. M provided fa by Section 3700 of the uWr Cade, for Om perfonslae of um work for which Nis permit is issued. ❑ I have and will maintain Wormer Compensation Insurance, a required by Section 37W of the labor Cade. for the performance of the work for which N4 permit is Issued ' My Wmkera Compensation In uranco grim and Policy number tie: Carrier: Policy No,: CERTIFICATE OF EXEMP ION FROM WORKERS' COMPENSATION INSURANCE - (IT4 mire need at becompleud i(Ih permit is from hundred dollars ($10D) or less) 1 certify that in the per(um "am of Ne work for which this permit 4 issued, I shall not mileoylnypersimmanymMmrsoumbec msybt'f�y oWorkea'Compena0ot � �'C->i Laws of Ca0'(pBt� r* ^ / f�/ Applicant (-j'f dwa%w gm NOTICE TO APPLICANT: If, afar making N4 CeYliflum, of Eeemption, you should become subject to the Worker's Compensation provisions of Nc Ls v r Cade, you must faMwith comply with such providiml or this Permit hall be deemed revoked. CONSrRUCnON LENDING AGENCY 1 hereby alOrm Nu Neff 4. conuraum leading agency for Ne parfarmaa of the work for which this permit 4 issued (Sm. 3097, Civ. Q) Lenders Name ' ' Landers Address 1 ceufy Nat 1 haw: read N4 application and sum this the !hove information 4 ' correct 1 agree in comply with all city ad rooery oNtnknoms and mile Ibis relating m Wilding convection, and hardly aNarlR reprosenailm of this city to enter upon Ne above-mendomd property for impaction purpa%s (We) agree to an. in lcmNly ad kap harms, the City or Cupertino .gaiML liabilities, judgments, costs ad expenses which may in any way acerae against said City in consequences of the grating Of N4 permit. APPLICANT UNDERSTANDS AVO WILLCOMPLY AAL+LNON-POINT Issued by: Date +WITH S �q�l REGULATI SL��'s'G+S7Ut/'I /O`d Re-roofs / L Sigwurt of Appl4attwCantrlcmr L, I pax HAZARDOUS MATERIALS DISCLOSURE Type of Roof WIII the applicator future building ottupat a ser handle hmsmaos material Cupertino defined by Ne Cupert9Aino Municipal Code. Chapter 9.1; and the Health ad Safety C .section sss37(a)7✓1 Na Ely. , 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 WIII the appliLat or future Wilding occupant ata equipment w devices which emit hasrdaus air contaminants a defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yos pl�Me I have read Ne hcand...data reimarro is under Chapter 6.95 of de Califor. ria Health&Safety Ca@, Simians 2550, 25533 ad 25534.1 undersand Nu ifthe Wilding it. not cunamly have . Mlant Nat it I. my rMpomibility a andfy the naCYPat of the requmensnowhichrau.RWmetpdor rauaaancmdri sero,ap Signature of Applicant Date '� All roof coverings to be Class "B" or better g owner or atharimcd aest Dow E • 0 CITY OF CUPERTINO 4 ITEMS OF 4 PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35720037.00 DATE ISSUED.......: 01/28/2008 RECEIPT #.........: BS000003780 REFERENCE ID # ...: 08010149 SITE ADDRESS .....: 10460 BUBB RD SUBDIVISION ........ CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 206.06 --------------- 206.06 REFERENCE NUMBER ---------------- MC OWNER ............: MISSION WEST PROP ADDRESS ..........: 10460 BUBB RD CITY/STATE/ZIP ...: CUPERTINO CA, 95014 RECEIVED FROM ....: MIRANDA ALMAGUER CONTRACTOR .......: RAVIZZA, EUGENE A LIC # 697 COMPANY ..........: CUPERTINO ELECTRIC INC ADDRESS ..........: 1132 N 7TH ST CITY/STATE/ZIP ...: SAN JOSE, CA 95112 TELEPHONE ........: (408)991-1000 FEE ID ---------- UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL 1BSEISMICO ------------------------------------------- VALUATION 10,000.00 2.10 0.00 ---------- 2.10 ---------- 0.00 1ELECINSP HOUR 1.00 122.38 0.00 122.38 0.00 1EPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 1TRAVDOC FLAT RATE 1.00 40.79 0.00 40.79 0.00 TOTAL PERMIT ---------- ---------- 206.06 0.00 ---------- 206.06 ---------- 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 206.06 --------------- 206.06 REFERENCE NUMBER ---------------- MC I ,i1 • C1 OF CUPERTINO • 0 CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM "# 5!5 ! 7 b Date: , d� Building Address: 109 G 0 Bubb Ra CuPe,r %v\o , CA `1 S0I q Mailing Address (if different from building address): 104SO Bubb Rd Cu r-kvto1 CA CIS-019 Owner's Name: M (� I o w West ervff r ,{ S Phone #: ]co-kBLL/e, eTe o' sl yo�_yq°t-LFs31 'Contractor: 0,LA Per+I vi o E d e c1 -r G, I N G. PI}Qp@^,.:. UUbb Fax: Contractor License #: G I Q 1-7 463-7 Cupertino Business License #: Contact: Bob CLitierYr� Phone: Fax: Residential ❑ Commercial Job Description: IFWkt2a�zY�,C 1.16ctatc at_. (?-Xpa i rs - Mai Y) So kch 5aea ,— Building Permit Info: Bldg ❑ Elect Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1 FR, l lFR ❑ 11,111,V -IHR ❑ 11, 111, 1V V -N dFF(LF— l 6115 f Valuation: I 01 000 Square Footage: 29000 r Project Size: Standard Large ❑ Major ❑ CITY OF CUPERTINO • CUPEI0,TINO GENERAL BUILDING PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM 1BTEMPPER Temporary Building Permit (good for B 30 days) IBBOILERI For the installation or relocation of ea M boiler/compressor to & including 3 horsepower, or ea absorption sys to & incl 100,000 Btu/h 29.3kw) 1BBOILER2 Installation /relocation of ea M boiler/compressor over 3 horsepower to & incl 15 horsepower, or ea absorption ss over 100,000 Btu/h 1BBOILER3 Installation/relocation of ea M boiler/compressor over 15 horsepower to & incl 30 horsepower, or ea absorption sys over 500,000 Btu/h to & incl 1,000,000 Btu/h 1BBOILER4 Installation/relocation of ea M boiler/compressor over 30 hosepower to & incl 50 horsepower, or for ea absorption sys over 1,000,000 Btu/h to & incl 1,750,000 Btu/h 1BBOILER5 installation/relocation of ea boiler or M refrigeration compressor over 50 horsepower, or ea absorption sys over 1,750,000 Btu/h 1BAPPLOTH For ea appliance or piece of equip M regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this code. ' ELECINSP Other Electrical Inspections (per hour) E 1MECHINSP Other Mechanical Inspections (per M hour) 1PLMBINSP Other Plumbing & Gas Inspections P (per hour) 1MEETINGIHR Application Meeting B l - CITY OF CUPERTINO F GENERAL BUILDING APPLICATION • CUPEIi;TINO FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM ACOUSTICAL REVIEW IACOUSFDW SFDWL/Duplex New B IACOUSRESAD SFDWL/Duplex-Addition/Alteration B IACOUSCOM Multi-Family/Commercial B. CHIMNEY'S 1CHIMNEY Chimney B 1CHIMNEYR Chimney Repair B FENCES IFENCE>6FT Non -masonry, over 6 ft in height B 1FENCEMAS>6 Masonry, over 6 ft in height B FIREPLACES IFLREPLMAS Fireplace Masonry B 117IREPLFAB Fireplace Pre-Fabricated/Metal B 1FLAGPOL>20 Flag pole (over 20 ft in height) B 1MODUSTRU Modular Structures B FOUNDATIONS 1FOUNDREP Foundation Repair B IPILECAST Pile Foundation Cast in place concrete B 1PILEDRIV Pile Foundation Driven (steel, pre- stressed concrete B 3 of 5 ON CUPERTINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION • FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type ]GENRES or 1 GENCOM RETAINING WALL(CONCRETE OR MASONRY 1RETSTN Standard (up to 50 ft) B 1RETSP310 Special Design, 3-10' high (up to 50 `) B IRETSP10 Special Design, over 10' high (up to 50' B 1RETCRB< Gravity/Crib Wall, 0-10'high (up to 50 ft) B 1RETCRB> Gravity/Crib Wall over 10' high (up to 50 ft B SIDING 1 SIDESTBK Siding, Stone & Brick Veneer (interior/exterior B 1 SIDEOTHER Siding all other B SKYLIGHTS 1SKYL<10 SF Skylight less than 10 sf B 1 SKYL>1 OSF Skylight greater than 10 sf or structural B 1STAIRS Stairs -first flight/ea addt'I B STORAGE RACKS 1 SRACKS<=8 Storage Racks 0-8' high (up to 100 so B 1 SRACKS>8 Storage Racks over 8' high (up to 100 st B 1STUCOAP Stucco Applications (up to 400 so additional stucco application B 4 of 5 aRF • CUPERTINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM 1 WINREP Replacement windows/sliding glass door (ea 8 windows) B 1WINMEWSTR New Window -structural shear wall/masonry (includes plan ck fee) B / 1 EPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pin Ck (hourly) E 1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M 1PLMPLNCK Stand Alone Plumbing Pln Ck (hrly) P 1 STPLNCK-(3 Hr Min when not over counter) Standard Plan Check (when no E/M/P) hourly -stand alone B 1BSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B 1TRAVDOC Travel & Documentation B 1BUSLIC Business License B 5 of 5 2 }J, H CITY OF UPEI�TINO t Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: b �C� Bum /2cj Cv �✓ID,CfI 95�1� PERM TT tg () i � 1 q OWNER'SNANIRJ /o'1 PHONE1jq —/6-,3 GENERAL CONTRACTOR: f -i nD EleC`P t?—, FAX # 'YOX- 00 I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following m inforation- (-h� 0-",e5j, tom, Owner/ Contractor Signature ago -�-- _ 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 (-h� 0-",e5j, tom, Owner/ Contractor Signature ago -�-- _ Date