05060058CITY OF CUPERTINO`
BUILDING DIVISION PERMIT
R�INFOR ATION st
kCONTRACT
BUILDING ADDRESS:
ALLIED AIRE SERVICE INC
pERMRN0.050600SS
OWNER'S NAME:
PERMIT ISSUE DATE
P
NE:
SANITARY 0. CONTROL NO.
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
BLDGELECT P0LUMB MECH
0 0 0
LICENSED CONTRACTOR'S DECLAR ATION
9
Job Description
p
I hereby affirm Thal I am licensed under provisions of Chapter (commencing
,
wird Scmion ]plU)of Divixion]of NC Hu' and Prufcssions Code. ani liccmmis
in fellf ,tarn fro ego 53�� 3S
REPLACE FURNACE & ADD A/C
Dam Cormacao
ARCHITECTS DECLARATION
I underwnd my plans shell he use! u public records
Licensed Prorcomm d
OWNER-BUILDER DECLARATION
1 hereby affirm Out 1 am exempt tram On Contractors License Law for the
following moon. (Section 7031.5. Business and Professions Code: Any city or county
which requires a permit to ennmruct, aIle,. Improve, aemolith, or repair My atwctu e
poor m its issuance, also requires the applicant rat such permit to Glc a signed comment
that he is licensed patwant to Ne provisions of the, Contruwis License Law (Chapter 9
Sq. Ft. Floor Area
Valuation
(commencing with Section 7") of Division 3 of the Business and Professions Code) or
Nal be is exempt therefrom and the huts for the alleged exemption. My violation of
3M yO&'@er0.0
Occupancy Type
Section 9031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
wi L u the • m mY e0mpcns
with cared
Required Inspections
for (See.an Business
e work, and thea intendedinns
will do the Muctura rots
lesions o Concis
Law doss oat apply lf an owner of
Thr Contractor's Ld Law Om, not
License apply in
and Pmfctiobu
9 P
who himselfedprough his
los or Ihimprand who
propertywhobuilds
own.,. On provided me mat
suchimProold
prnes
Wiping or witartnotintendedoro@reddanow.r-
however, Nc building or improvement is sold
did ane year of completion. Ne owe
a of
bullae, vein haus Ute buracn of proving that he did nm build m improve fm purpose of
salm
❑
1, as Owner of the propcny, am exclusively contracting with licensed convectors to
n 1' ff`
FIN
c71 m.m
came a the project (Sec. ]tion, Business and Professions Code:) The Conmcmrs Li-
area law docs not applyje an owner of property who Wildspor improves thereon, and
`/,'�,(i ttt�
whocontractsLace for such projects wird a convaaor(q licensed pursuant m dm Connector's
License IoW.
❑lam exempt under See. ,Bh PC for this rcuon
0 am
aN
Owner Dale
C
WORKER'S COMPENSATIONDECLARATION
I hereby affirm under penally or perjury one of the following declarations:
r❑I (I�pp[
U,IL11
I have and will maintain a Certificate of Consent losel Dinsum for Worker's Compree
- 11 LN`d/'lel)
"'ion. as provided for by Section 37M of the labor Code, for the performance of Ne
work for which this Permit is issued.
Cl 1 have and will maintain Worker's Camperrsadon Lowrance, on required by Section
37M of me tabor code. for Me performance of Ne work for which me, permit is issued.
My Worker/s CJ/ary �� //1y� �— Inwn ce exon. , and Policy number me-
rer:pp--aa CJ
Carrier.
Carrier.:W1,eNYS Policy No.:'7/350/C90
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
QTis section need nut be completed if the Permit is foronc hundred Dollars (Si(a))
nr less.)
1 certify Nat in the performance of me work for which this Permit is issucd. I shall not
employ any person in any manner w as in become wbj=t to Me Workcri Compcuation
Laws of Caliromia. Data
Applicant
NOTICE TO APPLICANT: IL aper making this CcoiGcem or Exemption, you should
become subject to the Worker's Continual previsions of On tabor Code, you mum
Forthwith comply with such provisions or this Permit shall W deemed revoked.
CONSTRUCTION LENDING AGENCY
I Mreby aMfm pal elmn is a construction lcnding agewy for On Performance of
the work for which this permit is issued (Sec. 3097, Civ. C.)
lenders Namc
Lenders Address
I comfy Nat I have read this application and sate Nn Ne above information is
covccL I agree to comply with all city and county ordinances and some laws relating to
building construction, and hereby authcrim representatives of this city to corer upon one
1 above-mentioned property for inspection purposes.
(We) agree to save, indemnify and keep harmless the City of Cupertino against
j Habilitiesjudgmems, costs and capcnscs which may in any way accrue against Mid City
in consequence or Ne graining of this permit.
' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT
Issued by: Date(--q_y— 0jrA.
SO CE ULA N5.
Re-roofs
Type of Roof
� L oto
ignawrt oMpplic HVACZOARDOUS MATERIALS DISCLOSURE Data
Will the applicant or future building Occupantstore or handle Inventions material
as defined by the Cupertino Municipal Code. Chapter 9.12, and the Health and Safety
nae El ea2ss3z(an
�dcs ,O.M-
All roofs shall be inspected prior to an roofing material beim
p p y g g installed.
If a roof is installed without first obtaining an inspection, I agree to remove
Will the applicant or future building occupant use equipment or devices which
it huxa ehoui air commandments u defined by Me, Bay Area Air Quality Management
all new materials for inspection.
etric(7
❑Yes QNn--
1 have mad the hmardous materials mquiremenu under Chapmr6.95 of Mm Califor.
nix Health&Safcly Code, Sectors 25515.25533 and 25534.1 understand Net ifthe bulding
does not curently have a mnenk that it is my responsibility m nadly the occupant of me
regairements whomart too,mel r Muan f Card ream % 9f wpmmr.
Signature of Applicant Date
a5n�
at All roof coverings to be Class "B" or better
Owpacl,araamoncaagenl
❑rte
i�
CITY OF
�UPEkTINO
OWNER'S NAME:
GENERAL CONTI
Building De artnm
PERMIT #
5;,Qi ckl D So E
/nov /J?DVAK PHONE #
I FAX # WZ
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
R
0 r
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
X
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
Jun -02-2005 DO: 2 2 am from -CISCO M08 52T 8122 T-"5 P.001/001 F-102
70
Seven Springs Owners Association
Application For Approval of Architectural Change"iddition
CATEGORY A
Caieeavy A - Modifications that ate exterior modifications with no changes to the original building
structure or elevations. All landscaping changes, cement patios, storage shed additions, paint color changes
and re -roofing material change Fill Into this category.
Date:
To; Architectural Control Committee
Subject: Request for Approval of Proposed Change
PLEASE PRINT THE FOLLOWING INFORMATION
Name: PRA M fln M Q AK- Address. RP -64 T Co U71 ---P
wort Phone:. (4 DS — f2-7— 3 6 3 s^'
Description of Proposed Change: we .yio ti l d II icc 1-n i )9 11' A7`lr 01'706 P -Tb vl
u 1n i fi C l 4 n S i c{ e of -ke, k t) w e- ein Ism 6 y fie ��Ce
�o t�bliL yie�► , like any 0H\dL A -IC in3 0.6.1'i'^^
- .... -.
,Homeowner's siprlatttie: ... ..
® Please attach.detailed drawings, specifications, brochures and details regarding thwabove proposed change.
444,N41„F4444VM•F6MhA4V4M4$+k+h4Yn4444htYn4nFY5Ytn+IMnnnittnOnnnnnnpni,FtTnFM4nt�M4nn44in4t4nOs
ARCHMECTU AL CONTROL COMMITTEF/BOARD ACTION
Approved K Approved Pending _
Denied — Dcnied Pending _
Architectural Control Committee/Board Comments:
/��..! rY.L /1 l a'k�c NJ �; n/Ii ✓ /tom ✓1 Je t�1
Archite tural ntrol C dee/Board Signatures:
l r
Date: J 3 / �'•
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e
CI7Y'OF
CUPEkTINO
CITY OF CUPERTINO
FURNACE/AC
PERMIT APPLICATION FORM
vj-D 6a-0 5-e .
APN # 0 ar/o 5 -7
BENERGY
Date: 4O >/
Building Address:
Ilel,
BREMFURN
Furnace
Owner's Name:
Phone #:
Contrac r:
MECHANICAL
License #:
/�
A/C Units <= 10, 000 cfin
MECHANICAL
Contact:/
BREMRECEPT
Cupertino Business License #:
t, 571
t
-;,-
Building Permit Info:
BUILDING
Bldg ❑ Elect A Plumb ❑
Mech R.
Job Descri tion: 1
efZt/�.tI.CGC c5
Resi ential 2r- Commercial ❑ +
MPERMITFEE
For Residential Ins�st Mations:
MECHANICAL
Attic ❑ 1S1 floor P 2nd floor ❑
PPERMITFEE
Adhere to min set back requirement ❑
PLUMBING
For Commercial Installations:
BPERMFEE
Replacement same weight ❑ Additional weight (structural cales) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Plan Check Fee
Cost of Project,, Type of C nstruc on:
-Soo --- 4%
Occupancy group:
I,
22�lr-,l ,ees
Strapped ❑ On Platform ❑ Bonded ❑
Sq. i. Floor Area:
A/G 252
44,
New Location Replacement
Qty. if
Applicable
Fee ID
Fee Description
Fee Group
BENERGY
Energy
BUILDING
BREMFURN
Furnace
MECHANICAL
BREMACOVER
A/C Unit > 10,000 cfm
MECHANICAL
BREMAIRHAN
A/C Units <= 10, 000 cfin
MECHANICAL
BREMRECEPT
Rec tl, Switch & Outlets
ELECTRICAL
t
BSEISMICRE
Seismic Fee Res
BUILDING
tl
EPERMITFEE
Elec Permit Issuance
ELECTRICAL
MPERMITFEE
Mech Permit Issuance
MECHANICAL
/
PPERMITFEE
Plumbing Permit Issue
PLUMBING
BPERMFEE
Bldg Permit Fees
BUILDING
BPLANCHK
Plan Check Fee
BUILDING
BUSLIC
Business License
BUILDING
44,