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06060244 CITY OF CUPERTINO ' ' ' �g R, TbRjNF0RMA1TQBUILDING DIVISION PERMIT RC 9..a ,t pQ,s BUILDING ADDRESS: GARZ ELECTRIC, PERMIT"°'06060244 1038 CRANBERRY D OWNER'S NAME: PERMIT ISSUE DATE WILLIAMS JOANNE 2423 KLEIN RD 06/29/2006 IF E: SANITARY NO. CONTROL NO. (408) 238-2739 ARCHIIECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECTPLUMB MECH 0 0 0 0 ioa LICENSED CONTRACTOR'S DECLARATION lob Description I hereby affirm that I am IleeturA under provisions of Chapter 9(commencing with Section]000)of Division 3 of do Bud.and Profession Colt.and my license Ia +'� mI[if ndeif UPGRADE EXISTING 100AMP TO 200AMP SERVICE jL1Z License 1 ` Lk.A q D,te COmDECL - Q�� 111q ARCHITECTS OECLAR T) N r@� m ggg���...��� I undcrwnd my plans shall he used u public records LEag-�a t i U ad■�9tl� eco License)Pmfcssianal g Oat lam cUILDERDECLARATION d o I herby.(Sete that I I. exompt from Ne Connemara License Law co dm J'�r _ O O which re mason.(Satan 70 mhdhu Bualneu utl Professions Code:Any city or county 2r1o�` $2000 3$ which requires a pomit m enutmcL alter,improve,h permit t are a sig any nmmurc 111 1111 -iso pdormits mmdpumanituircsthe amo..focoh ermi,mfsc.aignednatewg Valuation D NathcuciniMdpusnanlmdscpmvivl ion3of CBncmr'Rndc elaw(Ch )or Sq.Ft.Flo Sd (enmmctd.g withSection and)th battleof r the al B ed exampt Prufecy vi Cade)of - that io k 31.3 b therefrom and the bear it bi alleged PPUMI M Any vlolado of Ballon]Mom five atry red dont s(a permit wbjeea Ne app0ctnt m a Civil peuhY of r Occupancy Type not marc Nan five hundred thallus(5500). ❑I,u owner of Me pmpaty,m my mploym withwages u the4wLe eompeassdon. will W M.wmic nd theatucture d.o Mtended orartcred fartak(Sam.]0/4,Budoss Required Inspections and Profetdons Cox nue Toe Contactors License law does oat apply M an owner of 9 p property who builds or im proves Moment,and who dos ash work htnself a Nmugh h4 own employees,provided that such Improvements m not intended araRered for sale.if, however,Ne bddiding or improvement is old within arm yesr of enmpletian,the ownu• builder will have the burden of proving Nat he did en build or improve fa pugose of ask.). ❑1.as Owner of the property am exclusively connecting with licensed onlnaan to onatmct Me project(See.7044,Bosom and Professions Cade:)The Communes Ll. one law does not apply an an ower of pmpeny who builds at improves thereon.and, who contracts for such projects with a eomramNs)licensed Formal On the Contmtor's License law. ❑Imeaemptuntlu Sou ,Bh PCforthisnum. Owner Data WORKERS COMPENSATION DECLARATION I hemby salon mother pointy Of perjury oat of Rha following declarWans: 1 ham and will maintain a Cenllkmte of Covent to self-uuse for Workers Compete sola.,as provided fur by Section 3700 of Me Labor Code,for the pedarmuce of Me work for which this Ismailia iuod. ❑1 have and will maintain Workers Compante of Me w rk rat which h occulted t Pere ,i Section My Wo Ne Lobar Cada.for In performance of d worts far wMch Nu pent u IssuW. My WarkelM1�-CAampernutaTn Insurance carrier and Polity nu�po5mZO Camrien=r fs'L C�� Policy FROM /�_ CERTIFICATE OF COMPENSATION NFROM WORKERS' COMPENSATION INSURANCE (nLssectlon need notbe completed If the permit Is forane huntlmAtloth as($100) or Cass) I certify Not in he performance of Ne work for which this permit Is issued 1 shall not employ any person in any mammru as m became subject as Ne Workcm'Compensation Laws of C3hfOMs.Data Applicant NOTICE TO APPLICANT:If,after making this Cenlacam of Exemption,you should become object m the Worker's Compensation provisions of Me Labor Code,you that O forthwith comply with tech provisions or this permit shall be demand resulted. IZ,v .~ CONSTRUCTION LENDING AGENCY C2 [-� Iherals,.MmMU Mere I..eommuctinn lending up;xy far use redmensmxuf Ne work far which this permit b issued(Sec.3097.Civ.C.) W 0 Landers Nme Z Lenders AM. U Q 1 certify that I baro read this application and sate that the shove information u Li. F comm.I agree to empty with all city and county ondivaes and mute law relating m O U building construction,and hereby authorise representatives of this citym enter upon he W above-mendaned property for inspection purposes 06 (We)agree to ave,indemnify and keep harmless the City of Cupenino agaiut ry cA liabilities.judgmctts,cats and expenses which may in any way accrue against mid City U z In camclucnec of the grantng of this wroth. APPLICANT UNDER'TANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date 6 s n UuTIQNS. Gf 1 KA 7�i� �'�/�G Re-roofs Signu m,of ApplicanUContum Data HAZARDO SMATERIALSDISCLOSURE Type of Roof Will Me applicant Or forum building mcupanumrc or handle hasudous material as deaaed by Me Cupenina Municipal Cade.Chapter 9.13.and Me Health and Safely Code,Section 3533](.)] / All roofs shall be inspected prior to any roofing material being installed. ❑Yat �TNo WIII rite applicant or Tut\\\um building Occupant use equipment or dcvkes which If a roof is installed without first obtaining an inspection,I agree to remove emit humdnn dreonuminsms u de0ncd by Me Bay Area Air Quality Management allnew materials for inspection. District? ❑Yat l"a then mad the buasdnus materials requirements undarChapter6.95 aline Califon nixHc.I"SafctyCade,Smdou25505,35533an M34.1und�d Nulfde building dew not torte dy an ant.that 11 1.my responsibility an entry Me acupen,of the �zggteen ichm met Prior missunooraCamilleof�up Signature of Applicant Date wn Ocr or authorivnd agent ��ii Data All roof coverings to be Class"B"or better Community Development 10300 Torre Avenue 1 Cupertino CA 95014 w Telephone(408)777-3228 CITY OF Fax(408)777-3333 OUPEkTINO Building. Department JOB PERMIT # ADDg ESS: bY G O 62Lt `l OWNER'S NAME: 360AYL2 uril T,1,WM5 PHONE # -W9- 23 -Z7 GENERAL CONTRACTOR FAX # I am not using any subcontractors: Signatt6 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 • Owner/Contractor Signature Date CITY OF CUPERTINO �m 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 36204051 . 00 DATE ISSUED. . . . . . . : 06/29/2006 RECEIPT # . . . . . . • • • : 35066 REFERENCE ID # . . . : 06060244 SITE ADDRESS . . . . . : 1038 CRANBERRY DR SUBDIVISION . . . . . . : CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . : OWNER . . . . . . . . . . . . : WILLIAMS JOANNE ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : GARZA ELECTRIC CONTRACTOR . . . . . . . : EDWARD GARZA LIC # 26338 COMPANY . . . . . . . . . . : GARZA ELECTRIC ADDRESS . . . . . . . . . . : 2423 KLEIN RD CITY/STATE/ZIP . . . : SAN JOSE, CA 95148 TELEPHONE . . . . . . . . : (408) 238-2739 �EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BELEC200 METERS 1 . 00 29 . 43 0 . 00 29 .43 0 . 00 BENERGY PERMIT FEE 1 . 00 34 . 86 0 . 00 34 . 86 0 . 00 EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 BSEISMICRE VALUATION 2 , 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 103 . 16 0 . 00 103 . 16 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ OTHER 103 . 16 VISA TOTAL RECEIPT 103 . 16 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- -------- ---------------------------- -------- ---------------------------- 304 ROUGH ELECTRICAL 501 FINAL ELECTRICAL ENERGY 505 FINAL ELECTRICAL • CITY OF CUPERTINO uwqo q CUPER,TINO PERMIT APPLICATION FORM Ad hk 11 N# , O — D Date: lQ4z 9/0& Buildi70Adddress: ��Y D GMailing Address (if different from building address): Owner's Name: Phone#: To vl,e-- witlr4ot5 '{v8 -'252- 2z�1 Contractor;, zA _ Clea-4 C License#: C ^ID S4z1?If Contact: �� Phone:106-238 2,72A Cupertino Business License#: Fax: p _Eqb-ZR52 Building Permit Info: tLf5 f, Farr` x; o lop ftmp 4°' '1010 -,ate SMY,' e Bldg [IElect Plumb ❑ Mech ❑ Job Descriptio : S r_WCC tt, o raA C. Residential ACommercial ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost ofProject;#ZGUU 60 Occupancy Grou T�Construction: Please check this box if the project is a (� S !Ce_ TP second-storyaddition: ❑ ro'ect Size: Standard ❑ Large ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> I OOK 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 <= IOOOA ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec Svcs 600V<= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investi ation fee BUILDING 1 of 3 CITY OF CUPERTINO cuP TYOF . PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER InstalUAlter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace> I OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2of3 �I CITY OF CUPERTINO CUPIwo I�TINO PERMIT APPLICATION FORM uanti Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Insection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING ZADDCHG Address Change BUILDING • 3 of 3