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11110140
I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7914 FESTIVAL Cr CONTRACTOR: WEST VALLEY ELECTRIC PERWr NO: 11110140 MINER'S NAME: ARQUIE LOUIS M 1374 ANNAPOLIS WAY DATE ISSUED: 11/23/2011 INNER'S PHONE: 4083734638 SAN JOSE, CA 95118 PHONE NO: (408)448-0983 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DE.SCRWnON: RESIDENTIAL 11 COMMERCIAL License Class rrdS Lie. # % 98 i Ci. Contractor Date 11 1/` I hereby o irm that I am licensed under the previsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm ander penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of tae Labor Code, for the performance of the work for whichthis permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 ofthe Labor Code, for Ste performance of die work for which this permit is issued APPLICANT CERTH7CATION I certify that I have mad this application and state that the above information is correct I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep armless the City of Cupertino against liabilities, judgments, costs, and expenses which may same against said City in consequence of the Wanting of this permit Additionally, the applicant understands and will comply with all non-ppint son= regulations per the Cupertino Municipal Code, Section 9.18. Siahtatu hate OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 4 as owner of the property, or my employees with wages as thein sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) L as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). aM m under penalty of perjury one of the following three I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for to performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shali not employ any person many manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions offfie Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked APPLICANT CERTIFICATION I certify that I have read this application and state then the above information is correct I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby audhorize representatives of this city to enter FM above mentioned property for inspection purposes. (We) agree to save rfy and keep harmless the City of Cupertino against liabilities, judgments, .is, and expenses which may accrue against said City in consequence of tire granting of this permit Additionally, the applicant understands and will comply with all non point source regulations per the Cupertino Municipal Code, Section 9.18. 200 AMP UPGRADE, INSTALL 2 NEW HEAT/EXHAUST FANS Ft Fluor Area: I Valuation: $3500 APN Number, 36213016.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. d by Date: RE -ROOFS: All root's shall be inspected prior to any roofing material being installed If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505,2M3, and 23534, I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 23533, and 25534. Owner or authorized agent:6 11ah! j CONSTRUCTION LENDING AGENCY I hereby all= that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Leader's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed aUPERTINO CONTRACTOR/ SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: jq F49!5g v e PERMIT # D b OWNER'S NAME: t-000 Cii$ I PHONE#eifJ — —9!70 GENERAL CONTRACTOR: tU.64 VoU Ie PE4f'PC 113USINESS LICENSE #CIO %7 3$'3 ADDRESS:13 q (C° Q CITY/ZIPCODE atv. 3 -One *Our municipal code requires bll businesses wbrking in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE . SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL S TRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors. Signature Date Please check applicable subcontractors and complete the following information: Owner / Contractor 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 Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature !'� -� // `Date • CITY OF CUPERTINO 9 ITEMS OF 9 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Elk: Lot: APN ......... 36213016.00 • DATE ISSUED.......: 11/23/2011 RECEIPT #.........: BS000015399 REFERENCE ID # ...: 11110140 SITE ADDRESS .....: 7914 FESTIVAL CT SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: ARQUIE LOUIS M ADDRESS ..........: 7914 FESTIVAL CT CITY/STATE/ZIP ...: CUPERTINO, CA 95014 RECEIVED FROM ....: WEST VALLEY ELECTRI CONTRACTOR .......: MIKE STUEHLER LIC # 26082 COMPANY ..........: WEST VALLEY ELECTRIC ADDRESS ..........: 1374 ANNAPOLIS WAY CITY/STATE/ZIP ...: SAN JOSE, CA 95118 TELEPHONE ........: (408)448-0983 FEE ID UNIT QUANTITY ---------- 1ADMIN ------------- HOURS ---------- 1.00 iBCBSC VALUATION 3,500.00 1BREMVENFA NO UNITS 2.00 1BSEISMICR VALUATION 3,500.00 1BUSLIC FLAT RATE 1.00 1EPERMITFE FLAT RATE 1.00 IERT<200 UNITS 200.00 1MPERMITFE FLAT RATE 1.00 1TRAVDOC FLAT RATE 1.00 TOTAL PERMIT METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 377.50 --------------- 377.50 AMOUNT PD -TO -DT THIS REC NEW HAL ---------- 41.00 ---------- 0.00 ---------- 41.00 ---------- 0.00 1.00 0.00 1.00 0.00 44.00 0.00 44.00 0.00 0.50 0.00 0.50 0.00 115.00 0.00 115.00 0.00 44.00 0.00 44.00 0.00 44.00 0.00 44.00 0.00 44.00 0.00 44.00 0.00 44.00 0.00 44.00 0.00 ---------- 377.50 ---------- 0.00 ---------- 377.50 ---------- 0.00 VOICE ID DESCRIPTION -------- ---------------------------- 303 ROUGH MECHANICAL 503 FINAL MECHANICAL ENERGY 508 FINAL MECHANICAL • REFERENCE NUMBER -------------------- 3619 VOICE ID DESCRIPTION -------- ---------------------------- 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL • • C CITY OF CUPERTINO 15'� Y i FEE ESTIMATOR - BUILDING DIVISION 1AADDRESS: 7914 festival ct. DATE: 11/23/2011 REVIEWED BY: bobs. Mech.Perini tFee: IMPERMIT APN; I BPI/: "VALUATION: $3,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMAMATIN USE: SFD or Duplex Me- Imp, Fee: PE Y[ff TYPE: 1 RMAPB woRK 200 amp upgrade, install 2 new heat(exhaust fans. SCOPE NOTE: This estimate does not baehadejees due to other Departments (Le. Planaft Public Wor",ttr4 Sanitmq Sewer &w6c4 Scn00a naofd a e , ). 'Thxo rope am h..d an fhe nrolininare lararmngan mmIlable and are only an ofinzate. Contact the Debt for adds 7Infa FEE ITEMS (Fee Resolution Mech. Plan Check 0.0 hrs $0.00 P7u1,ib. Plan (her* Elec. Plan Check 0.0 1 his $0.00 Mech.Perini tFee: IMPERMIT I P1m,,h.Pet Net Fee* Elec. Permit Fee: IEPERMT Other Mech. Insp. 1 0.0 hrs $44.00 othe, Pliu,u; lnspLi Other Else. Insp.0.0 hrs$44.00 .d ,k Imp (ee PlruuB. 6..9p. Ferr Me- Imp, Fee: NOTE: This estimate does not baehadejees due to other Departments (Le. Planaft Public Wor",ttr4 Sanitmq Sewer &w6c4 Scn00a naofd a e , ). 'Thxo rope am h..d an fhe nrolininare lararmngan mmIlable and are only an ofinzate. Contact the Debt for adds 7Infa FEE ITEMS (Fee Resolution 11-053 E .. 711111) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # Mechanical $44.00 IBREMVENP Ventilation Fan Suppl. PC Fee: IS Reg. ® OT 0.0 hrs $0.00 PME Plan Check: $0.00 F-20071 amps Electrical $44.00 IERT<2oo Services Permit Fee: $0.00 Suppl. Insp. Feee Reg. ® OT 0.0 1 his $0.00 PME Unit Fee: $0.00 PME Permit Fee: $88.00 Consrrt1clion Ta,r Administrative Fee: IADMIN $41.00 Work Without Permit? ® Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure Travel Documentation Fee: ITRAVDOC $44.00F-71 Strong Motion Fee: IBSEISMICR $0.50 1 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.001 SUBTOTALS: $174.501 $88.001 TOTAL FEL: $262.50 Revised: 10/01/2011 •! 1 CUPERTI GENERAL PERMIT APPLICATION �tW m E p COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DMSIgIv�`\ 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 \\` I (408) 777-3228 • FAX (408) 777-3333 - building(douoerdno.oro ❑PLUMBING ❑MECB MCAL , �ILEC MCAL Mmisca ANEOUS PROIFrfADDR®R / _lt rn r AFMP . 12,:) � O L OWNFi3 NAMR d-e�uiu qui -e 373-t16� E.�AD. /rc TrSWADDRW-7 /a I `"I uk -I (�g�. c f' S[AIEp.� FAX CONTACT NAMR F(� p VK.I dlpC� C,}� (�j p�j, �C6_9t L.MAB� RraRhTADOaM 1 ^, y*7Y /a +r t6 N CcJ�� 9� `a FAX ❑ OWNER ❑ oWrmtmamm ❑ OWNSRM W eEt bNDIACMR ❑ MWUCTORA@Ni ❑ ARcm= ❑ mammm ❑ D8YF wa ❑ Tem coNTRAcroR e° �ai� u`s�e `a3 Imo/ mmme CMOANY i 114"m FAX 'k Tr&W ADDRM, 3,7 f JANE oti)3 h 45f t man ARCMTfi=MGM[=NAM8 UCUMNUUM mmuco CMeANYNAMS S-MAR. FAX 9T'RRRT AnORM =.STAT]Z.PIP FRONR of awsm= 0 MM-MFAMD.Y aifrr n.a... acme"= PRa=D1 WRDtA= I] ya UWNINTF]tFAa ARRA 13 m sma=ai ❑ ym F=D zm+e ❑RO 13TRRRLDQAN ❑ ym IDcBmsem / ❑NO DE9C7RRION cdlw= n L) rr TOTAL VALUATION: ��Q — RECMV®eY: By my sigoamn below, I fY m each of the BtIloWiag: I am the property ownar or an&mlmd agaat to act on &a pcapaty owaer's behei£ Ihave read this application sod the nsfaonadmt I is wrrecL; lava read the Description of Work cad verify it is accurate. I a&= t3 comply with an applicable local ardiaaaccv and saw lawsrelatin ding oa I auNimim rcpcaamativm ofCnpseao m®tar dm above- pmpcM foriaspecdon p Flows. Signature ofApplicuWAgrmRr _ _ Dem: f)��i✓(� SUPPLE WMTfAL INFORMATION REQUIRED OFFIcR DSR ONLY m L=1 OV}TL.i'aR-CODNT©t ❑ RTANDARD ❑ LARGE 6 ❑ MASOR MEPN&scApp d01Ld1ocrevised06/11!11