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05050029 CITY OF CUPERTINO .* r,7a ' BUILDING DIVISION pF T CONTRAGTnRnINFOR ION BUILDING ADDRESS: E G ' S VALLEY BUILDING PERMITNcO 5050029 10073 CRAFT OWNER'S NAME: PERMIT EZUE DATE 41kGABRIEL GONZALEZ 1195 S DE ANZA BLV 05/06/2005 NE: SANITARY NO. CONTROL NO. (408) 996-7106 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH u00 LICENSED CONTRACTOR'SDECLARATION Job Description WF❑ I hereby affirm that 1 am licensed under pmvisiom of Chapter 9(commercial iW with Section 7MB.&Division 3oftheBuaincssand Professions Cnde,aad my license is neo= te nonce and<rrFSL �U � BATHROOM REMODEL jt2Z LianxClass— l L'c.A�. �Q"/�-J p Der TSCContractor R lis ARCIf1TECT5 DECLARATION m I understand my d ns.h.11 mused as Public records >a0 ;may Licensed Proressional / OWNER-BUILDER DECLARATION E a C I hereby affirm on 11. exempt from Oe Contractors License Law for the K00 following mason.(Sccdut 11131.5, t.amessend ve dchou Code:Any city orcounty m wltich requires a Permit m cnnstrrcL alter.improve,JcmnlizM1,or repair any smclum S9860 'r_iprior to its issuance,this,requires the applicant for such Pprmll to file a signed stammer < that he is licensed pursuant to the previsions of the Contrvcom's Lima.law chafer9 Sq.Ft. Floor Area t00 w i-M (corn mencing wi lh Section TIDO)of Division 3 of the B usiness and Professions Code)or y Nat he u exempt therefrom and the basis for the alleged exemption.Any violation 0f Section 7031.5 by any applicant for a permit subjects to applicant to advil penalty of -3 /A-114WIfialiberu U Occupancy Type not mom Nan five hundred dollars(5500). I,ssmwner o(rAe prpcny,mmy employees with wagcsaz their sole compensation, will do the work,and Be structure is not intended or offered for safe(Sec.70m,Business Required Inspections and Professions Code:The Commons Liccnx Law dns dorsnot not apply to an owner of 9 P progeny who builds or improves themon,and who does such work himself or Brough his ownemployees.provided Batsuch imprevente care notimended oroffemd farsale.If. however.Be building or improvement is sold within one year of completion,the owner- , builder will have the burden of proving that he did not build or improve for purpose of sac.). 0 1,as owner or Be property,am exclusively contracting with licensed cmome ora sa Construct the project(Sec.76W,Business and Professions Cade:)The Commissars Li- mom Law docs not apply r an owner of property who builds or improves Berton,and, vJm contras for such projects with a convaemr(s)licensed punuanl of the Convectors License Law. Q l am tempt under Sec. .B h P C for this reason Owner Date 41 WORKER'S COMPENSATION DECLARATION 1 thereby affirm under penalty of perjury nae or the following declarations: ❑I have and will maintain a Certificate of Consent to self-insum for Workers Compen. xtimn.or provided for by Section 3100 of Be Labor Code.for IAC Performance of the work for which this permit is issued. ❑1 have and will maintain Worker's Compertsation Insurance,as required by Section 37W of the Labor Code,for the performance of Be work for which this permit is issued. My Work rs Compensation Ltxmna covin and Polmy nu ben am: q Carrier�S1' f' »l- C Policy No.: I ., / CERTI Z GTE OF EKEMP ION FROM WORKERS' COMPENSATION INSURANCE (Thu.¢ction recd not be complced Brief Permit is far one hundred dollars(SHO) Or lass.) 1 CCmfy that in the performance of the work for which this permit u issued,I shall not employ any person in any manner at as to become subject to one Workcn Compensation Laws of California.Date Applicant NOTICE TO APPLICANT:If.after making this Certificate of Esemptwa.you should become subject to the Worker's Compensation provisions of the Labor Cade,you must ,JZ forthwith comply with such provisions or this permit shall be deemed revoked. Z O CONSTRUCTION LENDING AGENCY [r I bereby affirm that there is a comus,Lon lending agency for the Pcrfumtance of CL the work far which this pert 11 is Issued(Sec.3097,CIv,C.) {gl Q Lender's Name C Lenders Address U 0 I certify that f have read his application and suite Ihal the above information is ly Corea.I agree Or comply with all city and county oNinances and state laws relating to DU building construction,and hereby authorice representatives of this city of enter upon the W above-mentioned property for inspection purposes. ,r C (We)agree to save,indemnify and keep harmless the City of Cupertino against N liabilides,judgments.costs and espcoaxs which may in any way accrue against said City U,Z in consequence of the granting of this Permit. ^' APPYGANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOUP, E REE ULATIONS. /moi. 14,//1 Re-roofs Si of of Ap licdnU nmtho Dale HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant sero or handle haramons material az defined by the Cupertino Municipal Code.Chapter 9.12,and Be Health and Safety Code.Semon 25532(a)l All roofs shall be inspected prior to any roofing material beim installed.Ayes aX"d Will the applicant or future building==Pam use equipment or devices whim If a roof is installed without first obtaining an inspection,I agree to remove mit hmndous air contaminants m defined by the Bay Area Air Quality Management . all new materials for inspection. Disr1117 �� ❑Ycs _tgri - 1 have mad the hanNousmatcrialsmquimmcns under charter 6,95 Oldie Califon- not Hcalthik Safety Code,Sectioss 8505,8533 and 25534.1 undersand Bat if the building docs n to crit have a tenant,that it 0 my responsibility r molly doe 'UrPmL fur the M4 reme uwhirninti.bcm apdmruiiasman<emracenifi<aepr0.x Signature of Applicant Date ��, Z's All roof coverings to be Class "B" or better ,OWmCr tar fith in'sd age t Doc �� 0 CITY OF CUPERTIN* CITY OF PERMIT APPLICATION FORM CUPERTINO / N # Date: 51S b2 OLEO S Building Address: Mailing Address if different from building address): t Ow er's Name- Phone#: Contractor: License#: Contact: Phone: AD761A(p l j b Cupertino Business License#: n Fax: 5 x-13 Building Permit Info' - Bldg Elect ® Plumb L$ Mech ❑ Job Description: gym , Residential `O Commercial ❑ Sq.Ft. Floor Area: $/Sq.Ft.: Cost of Project: Occupancy Group: � Clgiob ,J Type of Construction: 1 Please check this box if the project is a a� second-story addition: ❑ 4k rojectSize: Standard ED Laze ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax—Resi/Mobile BUILDING BELEC1000 Elec 600V<= 1000A ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING ez?fV 1 of3 CITY OF CUPERTINO m 1 of 1 PERMIT RECEIPT OPERATOR: conniew COPY # 3 Sec : Twp : Rng : Sub: Blk: Lot : APN . . . . . . . . : 37502040 . 00 DATE ISSUED. . . . . . . : 05/06/2005 RECEIPT 4 . . . . . . . . . : 29591 REFERENCE ID # . . . : 05050029 SITE ADDRESS . . . . . : 10073 CRAFT DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : GABRIEL GONZALEZ ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3467 RECEIVED FROM . . . . : E.G. VALLEY BLDG CONTRACTOR . . . . . . . : GARCIA, EDWARD G LIC # 18543 COMPANY . . . . . . . . . . : E G ' S VALLEY BUILDING ADDRESS . . . . . . . . . . : 1195 S DE ANZA BLV CITY/STATE/ZIP . . . : SAN JOSE, CA 95129 TELEPHONE . . . . . . . . : (408) 996-7106 SFEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL - - - - - -- --- ------------- ---------- ---- ------ ------ - --- ----- ----- 13PERMFEE VALUATION 9, 860 . 00 169 . 56 0 . 00 169 . 56 0 . 00 BPLANCHK PERMIT FEE 169 . 56 226 . 28 0 . 00 226 . 28 0 . 00 BSEISMICRE VALUATION 9, 860 . 00 1 . 00 0 . 00 1 . 00 0 . 00 BENERGY PERMIT FEE 169 . 56 81 . 39 0 . 00 81 . 39 0 . 00 ELECTRIC SQUARE FEET 62 . 00 4 . 96 0 . 00 4 . 96 0 . 00 PPLBG SQUARE FEET 62 . 00 4 . 96 0 . 00 4 . 96 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 PPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 ---- ------ -- - ------- ------ - TOTAL PERMIT 603 . 26 0 . 00 603 . 26 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----- ---- -------- -------- - --- --- - --------- - ---- CHECK 603 . 26 3099 TOTAL RECEIPT 603 . 26 FROM : PROPERTY PRO LTD PHONE NO. 4083780650 May. 04 2005 10:00PM P1 PROPERTY PRO, LTD_ May 5'h 2005 City of Cupertino Building Dept. Via Fax (off 408-777-3333 Re: Gabriel Gonzalez 10073 Craft Dr. Cupertino To Whom It May Concern: This letter will serve as an authorization from the Villa Calabasas Homeowners Association Board of Directors to allow Mr. Gonzalez to remove an interior wall to be replaced with larger bathroom and shower. Work is to be done by a licensed contractor with City permits. Should you need additional information, please contact the undersigned. Sincerely, PROPERTY PRO, LTD. For Villa Calabasas r OA Ask& Anthony R. Schrock Certified Property Manager CC: Board of Directors Gabriel Gonzalez EIVE1� MAY 6 2005 I nv 14127 Capri Orive, Suite S. Los Gatos,CA 95032-1534-408.378-1730 M.Fax 408-378-0650 5 o C o L 7 p�p IT ;ONE: TY OF CUPERTINO �' -k? a �$«>�at '.wsx BUILDING DIVISION PERMIT CONTRACTOR INFORMATION ,r. P ag:>::.e .,., tic/ ,ars i7 sl s'.• .fN DING ADDRESS: E G' S VALLEY BUILDING PERMIT N%5050029 073 CRAFT EWS NAME: PERMII ISSUE DATE GABRIEL GONZALEZ 1195 S DE ANZA BL05/06/2005 SANITARY NO. CONTROL NO. (408) 996-7106 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH u0o LICENSED CONTRACTOR'S DECLARATION w I hunch,affirm Nal I sm licensetl under provisions of chains,9(commencing Job D Z� with Section 7M))of Division 3ofNC Business and Professions Cod,and my license is FINALED mucor«ander t. �U( BATHROOM REMODEL Done E I Cunlfd[lor r _ Wj ARCHITECTS DECLARATIO! .s r 2005 4A1 understand my phos shall be used as public mimult ' JaLi oG n ; Licensed Professional i rm 013L �g �� MW Q 3 OWNEm mR-BUILDER DECLARATION ■l®l� ee 4 S I hereby affiI aexempt from the Commons License Law for the o0 Following maznn.(Section 7(D 1.5,Business end Professions Code:Any city.,county x„ff which requi.a permit to construct alto lmprow,demolish,nr¢pair any structure $9860 prior it)its issuance.also tecluirts the applicant for such permit to rile a signed statement i< that he is licensed purmant to the provisions of Ne Cmurecsu%License Law(Chapter 9 Sq.Ft. Floor Area Valuation YF0 (commencing with Section 7000)of Division 3 of the Business and Pro(radmis Cork)of in Our he is exempt Ociefmm and the basis fm the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects Ne applicant to a civil penalty of 0 0 Occupancy Type not mom Nan Era hundred dollars(35110). I,u owner ofthe property,or my employees with wages as their sole compensation, will d the work.and the striation,is not intended or offered for rare(Sec.7064,Business and Prefcvions Code:The Contractors License Law does mot apply in an owner of Required Inspections property who builds or improves Ncmon.and who does such work himself orthrough his tum employees,provided Nat such improvements are natinlended Or offered for sales.If, however.Ne building or improvement is sold within one year of completion.the owner. builder will have the burden of proving that he did not build or improve for purpose of sale I ❑1.asr of the property,am aciesively contracting with limited contractors to conswct Ne project(Sec.7064.Business and Professions Code:)The Contracmr's Li- tome law does not apply to in owner of property who builds or improves demon,and, who contracts for such projects with a contracterh)licensed pumuram to dm Comracmr's License Law. ❑I am emmpt under Sec. ,B&P C far this reason er Date WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury,one of the following declarations: `J137W has and will maintain a CertlOeam of Consent to self-insumfor WorixesCompcn- n,u provided for by Section 3]OU of the labor Code.for to perfonnancc of Nc for which this permit is issued. have and will maintain Worker's Compensation Insurance,u required by Section of the Labor Code.for the performance of the work for which this permit is issued. Work sCompemat;nIt un maria and Policy nu bort„ ve��er Policy No.: 2�r/n UhR i KATE OF EXEMPTION MOM WORKERS' COMPENSATION INSURANCE (This section need not be composed if the permit H foromehundmd dollars(SIM) of less.) 1 comfy Nat in the performance of to work for which this Permit h issued,1 shall not employ any perwn in any manner so az w dcomc subject to IM Woricus Compensation Laws or California.Dam Applicant NOTICE TO APPLICANT.If.after making this Certificate or attrition,you should become subject to the Worker'a Compensation provisions of the labor Code,you must ., O forthwith comply with such provisioes or nisi.permit shall de deemed revoked. 'z ” CONSTRUCTION LENDING AGENCY I IncrOby affirm Nn ft.is a consuvainn lending arc Ithe Perrormanscof !Y Ne work For which this Permit is issued(Sec 3091,Civ.C.) 1 Q Lender's Nam. ,z Lender's Add. U Q 1 certify Nat 1 have read Nis application and state that the abon information is {t. P correct.I agree to comply with all city and county ordinarmes and state laws renting to 0 building Cinswctien.and hereby auNorim representatives of Niaeity to color upon the r Ik1 above-mentioned property for inspection purposes. (Wc)agree to save,indemnify and keep harmless the City of Cupertino against F' N liabilities,judgmcros.cut.and cxp.nus which may in any way acauc agai .,it City U in consequence of the granting of this Permit. APPVCANTY NDERSTAN S AND WILL COMPLY WITH AL NON-POINT Issued by: Date SOUKE RE ULATIO S. -7420T Re-roofs SigrwurFa( p for Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building Occupant store or handle hazardous m ntnal u derncd by Ne Cupertino Municipal Code.Chapter 9.12.and the Health and Safety c,Section 25 ❑Ys 532(.)? �OA All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future building aecupant uw equipment or deices which If a roof is installed without first obtaining an inspection,I agree to remove it havardous air contaminants n defned by the Bay Arca Air Quality Management all new materials for inspection. \ Distrim? ❑Yes Nu I have Fal the harardmssmaeriah rquiremcnu under Chapter b.YS of Ne Califor- nia Hm1th&Sdcty Codec,Smtioes MY)5.25533 and 25534.1 undmmnd Nu it N.Wilding Dors n ntly haw a tenant Nat it k my mspomihility m nodly the¢'cup t of Ne coq mmemrwhOh�natxm pear I.smanceor.ccrupeW.(Oc Signature of Applicant Date ,Owner art alloriree.age Dam All roof coverings to be Class"B" or better