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06070025 CITY OF CUPERTINO041- Budua C Urv'.SION PERMIT ( bQIZ INFURMATTON 3k5.Slmri"°�t^,t 'a`.yst BUILDING ADDRESS: , A & HEATING PERMITN°06070025 20589 CEDARBROOK TER OWNER'S NAME: PERMIT ISSUE°ATE NATHAN CHAN 770 CHESTNUT ST 07/07/2006 ONE: SANITARY NO. CONTROL NO. (408) 279-0722 ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDGO ELECTO PLUMB MECH� 100 LICENSED CONTRACTOR'S DECLARATION JOt]D05 fff��O{{{kkk ppp ���AAs i thereby a)ol" Net1amf the Bu underprovisionsoft Coder9(mmmense Is ��® with Scnian by sof of,OuntI 3 of Ne Business and PsafcssWm Cade,and my own.l h n"Lle-Ifaro'ana a 3o .192 ADD A/C �'�q? Demon'Clue ^'c V Contractor ` 21, ARCHITECT'S DEC ATION JULII /t 1006 L 7 1 understand my plans.hall he coed se public records RQ m G t; Liceuaed Professional g� ....iiii as,B as �ses■taag����a ■pww 3 OWNER-BUILDER DECLARATION ComIrc ��Lq�® ■ i f 1 hereby alarm Nn I R-ucmpt from the RATIONfa License law for the gg■■YM7y 0 o following ream..(Satron]W r.3,Business and Profeasiau Cade:Any city or county e m_ which mquines a permit to consumer.slur.improve,demolish.or mrmr any structure O O ?2y prior to its issuance,atm mquiresde Apparel forsuch permit to file.signed Abasement p `e dwheisBmnsedpunuralsotheprovisionsofthec'nummraum�l.w(Chapter9 Sq.Ft.Floor Area Valuation y� (commencing with Section 7000)of Division 3 of the Business and Profmiona Code)or y that he la ammpt Lhmfrom and the bub for the alleged evmpNan,My Nolatlon of Section 7031.5 by any applim,for a permit subjects,man applicant m a civil Penalty of er Occupancy Type net marc than Ow hundred dollars($500). 0 1,as owner of Ne property,or my employces with wag..fair sok compmuadan, wiudmthework.andthemesure4notintendedoraf..dforsale(Sam.]Du.Buumsa Required actions and Protestant.Cade:The Contractees Liana Law does set apply m an owner of 9 P property whatWIIMarimproviadercun,andwho do.aach work hh.elf.through his ownemployca.provided that such Improvement am not intended araRered for We.If, however,the building or Improvement is amid within one year,ofcompledan,the owner• builder will have the burden of proving that he did amt build or Improve far purpose of .Is.). 0 1.as owner of the property,am eul.ively contracting with licensed contactors in monomer to project(Sec.7044,Business and Prefesdoua Cade:)The Comsacmr's Li- cense Law dean not apply in an owner of property who builds or improve theme.and who const'for such projeem with a conu elorO licensed pursuant in the Canuacmta License law. 0 lam.emptundu See .B&PCfarthisroasan Owner Date WORKER'S COMPENSATION DECLARATION I1suchyalliml Yroar pecu lycIpeduy asofde following declYYit.: 1Nmendwillmuneinac,,frawofconsentmself-inmmfawoeuescompm- suian,as provided for by Sation 3700 of the Labor Cade,for she perfmmanm of the work far which this permit is Tuned. 0 1 baa and will maintain WmImes Compensation Insurance,as required by ScWw 3700 of the Labor Code.for the performance of the wok for ahich this permit me Ivad. My Workce%C.,mpg.Ladonn�j llwr ame artier and Poliry nn�ama Ld� Policy No.: ` CERTIFICATE OF EKEMPnON FROM WORKERS' COMPENSATION INSURANCE (This section wed nottic amPleed Ifthe permit Is forces hundmtl dallate($100) of lace) I ceAfy that In the performance of that work for which this permit is blued.I shell not employ any peace In any manner.as M become subject to the Worker'Compen.tan Laws of California.Dam Applicant NOTICE TO APPLICANT.If,after making this Ceniflate of Exemption,you should become subject to the Workers Compe.atian provisions of de Labor Cone,you mew ,J O foMwith comply with such provisions or this permit.IWI W domed mordant. ,'�-t CONSTRUCTION LENDING AGENCY jar I herchY afftm tut ft.I..cn.vuction lending gcney for the perfurmana of C> the work for which this permit b issmed(Sec.3097.Or.C) fy Unalces Name z Lander.Mum, U O I cmtify that 1 hast rad this applicaoi.W state dead the abow information is U, H correct.I agme to comply with all city and county atNinarete and sae lawsMining in OU building construction,and hereby authorim repmsenutiws of this city to enter upon to rU aW,c-mentioned property for i.patice purpose.. (We)e&me to tow,indemnify and kap harmless Its,City of Cupcnino against tiliabilities,juigm'nb.cot and ex which may in any way secme agal.s.id City U z ZOURE of the el'A.71NI'Ll. iUNDECOMPLY WITH ALL NON-POINT Issued by:S Date UL �S--�1Re-roofs S,A".of AppllantCanuanwr Dam HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applman or future Wilding acupantemro or handle huardoue material as deOned by Oe Cupertino Municipal Cade.Chapter 9.12,and the Health and Safety Code,Section 25532()] All roofs shall be inspected prior to any roofing material being installed. Y. me Will the applicant of future building cmupant taw equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove mit h..ardnms air conuminanu as defined by the Bay Ar.Air Quality Management allnew materials for inspection. District? Over Na - I haw cowl the hasardousmemriW equinemenu under ChaN.E95.fft Calimr. ma Hculth&s ctycatc.Sava 25533 sm125534.1 undermost ohm Rthe Wilmot da.net c nth haw L dui it' my respantiMlioY te met the Pan,of the rtymi sum. muprior i.manaatfsclyfimu•"f_OccvQmcy.�� Signature of Applicant Date r onutharncd agent fJ - Date—m All roof coverings to be Class"B" or better RECEIVED i O 7 6 ley • COMMUNITY MANAGEMENT SERVICES, INCORPORATED June 22, 2006 Nathan Chan 20589 Cedarbrook Terrace Cupertino, CA 95014 Re: Cupertino Countrywood Homeowners Association Dear Mr. Chan: The Cupertino Countrywood Homeowners Association has approved your architectural request to install an air conditioner condenser unit on the roof subject to: 1. The installation being performed by a licensed contractor. 2. Any necessary City of Cupertino permits being obtained. 3. Any damage or maintenance, including roof leaks, resulting from the air conditioner installation being your responsibility to repair. 4. Any exposed plumbing and electrical lines being enclosed in a duct that is painted to match the building. 5. The air conditioner being a very quiet model compatible with a townhouse community, City • noise ordinances, and close proximity of neighboring residences. 6. The'condenser unit must be mounted on sleepers. The roof cannot be penetrated. The sleepers must be redwood or pressure treated 4"x4" wood. A piece of roofing material must be placed under the sleeper to protect the roof surface from getting marked up. Please be advised that when the Association replaces the flat roof on your unit, you will be responsible for any additional cost to remove and reinstall the condenser unit. I don't anticipate the flat roof needing to be replaced for approximately 9 years, since it was just replaced about 6 years ago. Thank you for submitting your architectural request to the Association. "Sincerely, (3 Community Management Services, Inc. L2�e_� � Bob Soares, Senior Association Manager Cupertino Countrywood Homeowners Association BS/S cc: Board of Directors File: 4 • 1935 Dry Creek Road, Suite 203 • Campbell CA - 95008-3631 • voice (408) 559-1977 • fax (408) 559-[970 CITY OF CUPERTINO wm 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec: Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 32345022 . 00 DATE ISSUED. . . . . . . : 07/07/2006 RECEIPT # . . . . . . . . . : 35136 REFERENCE ID # . . . : 06070025 SITE ADDRESS . . . . . : 20589 CEDARBROOK TER SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : NATHAN CHAN ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : A&H HEATING & A/C CONTRACTOR . . . . . . . : PHELPS, DALE LIC # 12079 COMPANY . . . . . . . . . . : A & H HEATING ADDRESS . . . . . . . . . . : 770 CHESTNUT ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95110 TELEPHONE . . . . . . . . : (408) 279-0722 �EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BREMAIRHAN NO.UNITS 1 . 00 10 . 26 0 . 00 10 . 26 0 . 00 BENERGY PERMIT FEE 1 . 00 34 . 86 0 . 00 34 . 86 0 . 00 BSEISMICRE VALUATION 5, 100 . 00 0 . 60 0 . 00 0 . 60 0 . 00 PPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 MPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 160 . 83 0 . 00 160 . 83 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------- OTHER 160 . 83 VISA TOTAL RECEIPT 160 . 83 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL 508 FINAL MECHANICAL • aClOF Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 Fax(408)777-3333 JOUPEkTINO [t, ,� `�Buildin Department JOB AIS _ RSJS� ( �Gw/Tl�� � '� PERMIT# OWNER'S NAME: ) PHONE # Z —O 7 2- GENERAL GENERAL CONTRACTOR: FAX # I am not using any subcontractors: 7 7-66 Signature Date Please check applicable subcontractors and complete the following information 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 OiVlgf7tontractor Signature Date Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF - Fax(408)777-3333 *UPEI�TINO B.uilding De artment TOB C7 `��d 1,r= (�!4(Z h3( ,Z !G PERMIT # OWNER'S NAME: A 4 -T PHONE # Z GENERAL CONTRACTOR FAX # I am not using any subcontractors: k 7- 7 t Signature Date Please check applicable subcontractors and complete the foll6wing information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing t Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing / Roofing t Septic Tank (- Sheet Metal Y Sheet Rock Tile X 7 a � ontractor Signature Date d r" ter- r- CITY OF CUPERTINO CWT%E) FURNACE/AC $UPERTINO PERMIT APPLICATION FORM APN# ,;Z3 _ u�O Z Z Date: -7 ` 7-e96 Building Address• _/ o A L7== 13 ZooC Owner's Name: 77 Phone#: Contractor: Phone: License #: Fe C( -Z Contact: pa-, --� Phone: �7 Cupertino Business License#: Building Permit Info: Bldg ❑ Elect ® Plumb ❑ Mech IE Job Description: lC-- © J a�� ) Residential rG` Commercial ❑ For Rnidendal InU llations: Attic U I" floor 2nd floor❑ QO'� sv'n ,,Adhere to min set back requirement r Commercial Installations: Replacement same weight ❑ Additional weight(structural calcs) ❑ Structural Calculations required for new installation ❑ New installation Planning Approval Required Cost of Proje : , �O Type of Construction: Occupancy group: CPG,Strapped On Platform Bonded Sq.Ft. Floor Area: New Location 5p' Replacement ❑ Qty. if Applicable Fee ID Fee Description Fee Group BENERGY Energy BUILDING BREMFURN Relocation of Furnace MECHANICAL BREMACOVER A/C Unit> 10,000 cfrn MECHANICAL BREMAIRHAN A/C Units<= 10, 000 cfrn MECHANICAL BREMRECEPT Rec tl, Switch& Outlets ELECTRICAL BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILIDNG EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMTTFEE Mech Permit Issuance MECHANICAL PPERMTTFEE Plumbing Permit Issue PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License I BUILDING