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08010006CITY OF CUPERTINO;tatTyt:lwpi ��c '"' ��e''&'. Q�RACTO!K,, y t3UILDINCJDIVISION P�1 RMIT \.C�RMATT0 ?"'ova'£'i3. %+nT?tk''TP BUILDING ADDRESS: PERMIT NO. 10395 FARALLONE DR BETTER WATER HEATERS 08010006 OWNER'S NAME: PERMIT ISSUE DATE ILANGO GANGA & VIJI ILANGO 351 FALCATO DR 01/02/2008 mmnon SANITARY NO. CONTROL NO. r o (408)250-6672 ARCHTIECT7ENGINEER: BUILDING PERMIT INFO . BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION 1 hereby Iimucd Chapter 9 Job Description p affirm and am under previsions of (mmmcndnt with Section 70lg)) of Division 3 ofthe Bualnus and professions Coda.and my license;. RMV & REPLACE WATER HEATR, 50 GAL INSIDE CLOSET in full font and effect Llcena Class Lit. N Dam Convector ARCHI'TECT'S DECLARATION 1 mWemund my piano "I to used as public records Licensed professional OWNER-BUILDER DECLARATION 1 herchy saute Nei 1 am mempt form the Connector. Licence Law for the following mason. (Section 713 LS, Business and Profession Cork: Any city or county which requires a pump o con.L Must. improve, demolish. or mpoir my structure prior m its issuance, Mm rtquims the applicant for such permit fie a signed summem that he is licensed to thc of the Common' U... Lav; (Chapter 9 Sq. Ft. Floor Area Valuation pursuant pmvialons (commencing with Sayan 7000)of Division 3 of this B usinesa and Professions Code) Or $1000 Net he is exempt duerfrom and the basis for the alleged eumplion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil Penalty ofNumber Occas Occupancy Type Inst mom man fixe hundred dollass(t ), 36931020.'° 0 1, u owner of the Property, a my employees with wages u mesa sole compensation, will do the wort, and the structure is not Intended or affered for sale (See. 7044, Business and Processions Cade: The Contrcmrs License Law does not apply m an owner of Required Inspections q P property who builds or Im proves memon, and who does such work h imalf or through by awn employo us, provided that such Improvements art notinuo ded oroRered far Ne. if, however, me buildings lmpoom mmt Is mid within ore year of completion, the owner- .... builder will have Bre burden of proving and he did not build or Improve for purpose of tale 1. u owns or du property am exclusively contracting with IReued cenuammt to censvuct the project (Sec. 7014, Bminess sed Profadam Code:) The Contractors U. . COM Law does not apply to in owner of property who builds or Improves memon, and. who contacts for such projects with a emlracmt(a) I camou d pursuant to the Conttetmr s License Law. 0 lam aaem fugF See B k P C for this Mason - n Owner Dam ii / KER'S C PIENSATI�ATION 1 hmeby affom under penally or porjury, em of the folmwmt declummm. 1 Nes am will ..low. • CaNBmm of Constant to Rif-inure for WorMs Compen- ' .on, as ProvidW for by Section 3700 of me Mbar Coda, fu the Performance of me work for which this permit v issued. 0 1 have and will maintain Workers Compensation Imaxamce, u requited by Section 3700 of the labor Code, for me performance of the work for which this permit is Issued. ' My Workers Compensation ]=am armor end Policy number am: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE , (11th aadon need set bo ocmplem l if tine permit Is foram hundred dollar ($100) or lass) I ousify 0.11. the perfnrmaue aj, c wait fo which this pe ooh v inuN. I shall not emplaysnypenom atany mann a mb cam au je mdrers'Compt ti Laws of Califamia. Dam _ APPliunt NOTICE TO APPLICANT. Iflddr making this Certifimm 4f Escmpli n, you shouhl become Subject m the Wodeh Compensation provisions of me labor CMo. you meet forthwith comply with such provisions or this Permit shall be decmcd revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lendingagency for me Peoformame of - me wort for which this Permit is issued (Sec. 3(N7, Civ, C.) Lenders Name Leaders Add. 1 canary that I ban mad this sppileman and Sam the me show information is correct. ) .gra W comply with W city and county ominances and soon lam muting On building construction, and hereby mmodm mpmecaudi a of this city In cora upon ate above-mentioned property for Impaction purpoaa (Wo) agree to taw, indemnify and kap harmless the City of Cupertino mgalmt liabilities, judgments. cuts and mpensva which may In any way settee, against said City in consequence of the tenant or this Permil, g APPLICANT UNDANDS AND L COMPLY WITH ALL NU SOURCEREGUL 0 6 Issued by: Date - �� Re-roofs �- Type Of ROOF llidb 6 Sill-same orAPPli ✓C RDOU Dam LARDOUs MATERIALS DISCLOSURE I handle Will the applicanterrfuture buildings. Chaptsmmor u doMcd by tits Cupertino Municipal Code. Chapter 9.13. seri me Health and Safely Health and Code, Section 25532m)? �/ 0Yer �Ne All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection,agree to remove Will am applicant or fuwm building Ocupant stet equipment or dcviat which 't huandnu air cmtam;mnts u dismal by me Bay Arta Air orality Mamgtmtu .1 all new materials for inspection. cl7 Dyes, .2114. 1 have rout the hnarmmamamrialsmquimmmtsunder Chspmr6.95 afore Califon ria He fl"SWetyCade, Seldom 25505, 25533 uW 25534.1 undc stand muff dm building does not Carmody hew • u n at, and it h my meponMMli y no maty du oavp rn ofc rtyulmmc 'ism leem�pyr♦rm;ar,ecaar,cmint.marmm O.y� `W Signature of Applicant Date All roof coverings to be Class "B" or better ownar m IRArmd.,to Da Deo 1 000(0 CITY OF CUPERTINO p�' WATER HEATER • CUPERTINO PERMIT APPLICATION FORM APN # 3 % — (. Z o a 0 0 Date: ©j 00°1 /0°1 coo g Building Address: / p 3 9-C" Of/q-aZAL1, oi✓E -ode, C' j12ERT1 N o, C A -9Sply Owner's Name: Phone #: 5 - Ani 4 u G fHY A ✓ 2 ✓'I 2LAnf G o, s 7L)9 Contractor: U)&,w� Phone #: 408_ ��-D _ l 6-72 Fax #: Cupertino Business License #: 6.11 �'� � Contractor State License #: I Li Contact: L o f w4,4 Phone #: / o B �� S �_S 709 Fax #: Building Permit Info: Bldg ❑ Elect ❑ Plumb Mech ❑ Residential ® Commercial ❑ Job Description: a 4i? W AT�/z ll�r9?ten S� CIaQ - =n�;v Strapped] On Platform ❑ Bonded ] New Location ❑ Replacement Valuation: /000 000 ` Green Building Check must be completed and attached to this application. Green Building Points achieved: CITY OF CUPERTINO WATER HEATER CUPEkTINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group Permit Type 1PCWHEATR Commercial Water HeaterNent B PCWHEATR 1BSEISMICOM Seismic Commercial B 1PRWHEATR Residential Water HeaterNent B PRWHEATR 1BSEISMICRE Seismic Residential B 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel & Documentation B 1 BUSLIC Business License B 11 • 4 ITEMS OF 4 C J CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 36931020.00 DATE ISSUED.......: 01/.02/2008 RECEIPT #.........: BS000003596 REFERENCE ID # ...: 08010006-. SITE ADDRESS .....: 10395 FARALLONE DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 OWNER ............: ILANGO GANGA & VIJI ILANGO TRU ADDRESS ..........: 10395 FARALLONE DR CITY/STATE/ZIP ...: CUPERTINO CA, 95014-3104 RECEIVED FROM ....: ILANGO S GANGA CONTRACTOR .......: FRANS CARTWRIGHT LIC # 26514 COMPANY ..........: BETTER WATER HEATERS ADDRESS ..........: 351 FALCATO DR CITY/STATE/ZIP ...: MILIPITAS, CA 95035 TELEPHONE ........: (408)250-6672 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- 1BSEISMICR ------------- VALUATION ---------- 1,000.00 ---------- 0.50 ---------- 0.00 ---------- 0.50 ---------- 0.00 1PPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 IPRWHEATR UNITS 1.00 '24.48 0.00 24.48 0.00 ITRAVDOC FLAT RATE 1.00 ,40:79. 0.00 40.79 0.00 TOTAL PERMIT ---------- 106.56 ---------- 0.00 ---------- 106.56 ---------- 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 106.56 --------------- 106.56 VOICE ID DESCRIPTION -------- ---------------------------- 518 WATER HEATER REFERENCE NUMBER -------------------- #1083 VOICE ID DESCRIPTION -------- ---------------------------- CITY OF 41UPEI�TINO • JOB ADDRESS: /03 9S- C.vpetzTjN o OWNER'S NAME: .T L 4N4 t GENERAL CONTRACTOR: Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department f}/CALLoniE, J)a PERMIT o aD I O CSO (o 9s - U/ 0 /W A PHONE # _ S' off' L� , ter- . # I am not using any subcontractors: Signature Date Please check avvlicable subcontractors and complete the followine information: Is LAti�- 0 o f o 2z,�O 8 Owner/Ge�r 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 Is LAti�- 0 o f o 2z,�O 8 Owner/Ge�r Signature Date