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08010150CITY OF CUPERTINO -rl•/;::b-:'�� "°�'^s:a� m COI�ITRAC:'I'CTRiI!'(FURMAT BUILDING DIVISIOII PERMIT N q emLQlCtctApD HUNTRIDGE LN PACIFIC PLUMBING P 08010150 H'ER'S N/A.7ME: PERMIT ISSUE DATE HU, T FANG 2138 O'TOOLE AVE 01/28/2008 PHONE: SANITARY NO. CONTROL NO. ARCHITECT/Et1GINEER: INSTL 1 PROPERTY LINE CLEAN— BUILDING PERMIT INFO BLDG BLECr PwMe MECH LICENSED CONTRACMWS DECLARATION Job Description I hereby of ina Net 1 me facconN under provisions of Chapter 9 (commencing with Sneton701111)of Divialon3ofthe Budaas7Prp(caacmde, mylicenseis in full forte and enact. Lia nse Cl Lte. g Dam / ��Con DEC ARCHITECTS DECLARATION 1 understand my plana shall W used at public records Licensed Pmfuaiona OW NER.BUILDER DECLARATION I hereby aRrm Net I am exempt from We Commuor's License Law for We following reason. (Section ?OILS, Business and Pm(endua Code: Any city or county which requires a permit to commact, &act. impmw, demulich, m repair any stntcture poor to its issuance, aha requires the applicant (.ranch permit to file a signed statement Net he is licensed putwsm in We pmvisiov of Ne Carman's Ummse Law (Chap= 9 Sq, Ft. Floor Area Valuation (commencing with Section 7000) of Division 3 of the Business and Pm2sdons Code) or Nat In is exempt thorefmm and the bash for tae alleged exemption. Any violation of APN Number Occupancy e P Y �'P Section 703M by any applicant far a permit subjects Ne applicant to a civil penalty of not more Nan five hundred dollars (Mk I,aawnerof the property,ermy wploym with wlisa Ne'v sale mmpewdm, Required Inspections will do the wart, and Ne structure is not Intended oronesed fonale (Sec. 7044. SaiM•• and P efcalaa Cade The Conucmfs License law dose not apply to an owner of pmpany who buiIdswimpoms them an,and who dam ouchwade himulf m through his Man employes, pmrlded that such Imprmetnenu art not Intended eralfertd fm sale IL however, Ne building or impmwmet. Is sold within am year of completion, the owner. builder will love Um burden of pmving Nat k did cot build or implore for purpose of ate.). Q I, as awmr of the property. w mclushvId convecting with licensed moo moors W com,La the project(Sec. Businessfand Pufaoons Code:)Thewesdaem., Li Was ceae taw data Asuapply Was owner of properly who editor m bopmves Nemo., and, oacta fm such pmjeda witha contractar(U Ilansee puravant m the Convenor's License Law. Lictua ❑lam exempt antler See ,BkPCfor this moon r Data WORKER'S COMPENSATION DECLARATION I hereby efilon under Nulty of perjury one often following dmlam mar: ❑ I have and veal melnuin a Cetificam o(Coacm u sett Wurt far Waiter's Compete radon. a pmvlded to, by Section 3700 of Ne labor Cade. for W part.... of We , work for which Nis permit is issued. ❑ 1 have and will maintain Worker's Compensation Insurance, as, required by Secdan 3700 of Ne labor Code, for We performance of the work for which this permit is issued. My Wmker'e Compensation I.. i an. and Policy number art: Cartier: / I! 1�-�i /i1B'f�.4diCia.:_.et�� CERTIFICATE ION FROM 1014 COMPENSATION INSURANCE (This amine recd not W completed If We permit Is foram hundred dollars (SIM) or leu) I mNfv Nat In the performam of We work for which this pemlt is iamd, l "t not employ any person in any mammrm as m become subject to We Worker' Compeaadon ' Um of Calitmous. Data Applicant NOTICE TO APPLICANT. If, After making this Certificate of Exemption. you should became subject in Ne Worker's Compensation provisions of We tater Codc, you most faMwidr comply with each pmvisioa or this permit shall be deemed waked. CONSTRUCTION LENDING AGENCY 1 herby Or.. don Nem isa ce utmed.m confit, agenry far the porfer mamz of Me work for which this permit is issued (See. 3197, Ch. C.) ' Lender's Name , Looder's Andrea I certify Nat I have mW this application and cote Wt Ne above informNm h . carted. I agree to comply with all city and county uNhtanc t and state laws relating In Wilding convection. and hereby moname repreumtatiwa of this city m enter upon the chow-mandated M ,ny (or inspection pure . (We) agree to caw, indemnify and keep harmma the City of C.NrWo against Iiablift es, judgmems. costs and expeaa which may In Any my accme against aid City In consequence of the granting of Nis permit / ^{ APP❑�LLIIICEAM�uNDTERRSTAN'DSS AND WILL COMPLY WITH ALL NON-POINT so/�`/I`IE7 L�44�--s Issued by: Date T Re-roofs -G� Type of Roof {'AD'N�'cwC (_ %1d,Y,o� SigeatmeofA'' uComosemr Data HAZARDOUS MATERIALS DISCLOSURE Will the applicant or forum building occupant turn orhandle ha adous materia deRoad by the Cupertino Municipal Code. Chapter 9.12. ad the Haslth and Safety Seoul.. 25532(x)7 Oyer XNa All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove 9911 We applicant or future bolding occupant use equipment ar devices which ..it unmis s all conmmimans a defined by the Bey Arra Air Quality Management all new materials for inspection. District? L ❑Yes I/L'No I have mad the barred. remniah mquiremcnu umkr Chapter 6.95 of IN Caifor. / /1 ria Health& Safety Code,Secdua 25505.25533 and25534. I undersand Malftic building does ser curtealy haw a mmam Nn it is my responsibility to mdfy We aceupsnt of Me ,/.,,, requirements which mutt be mel pnormiss ora cerdrKate araapusy. lgnS` nafurL�6f Applicant Date All roof coverings to be Class "B" or better Owner or tatihorbfilaScm ate" Ll • 4 ITEMS OF 8 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35906025.00 DATE ISSUED.......: 01/28/2008 RECEIPT #.........: BS000003781 REFERENCE ID # ...: 08010150 SITE ADDRESS .....: 7775 HUNTRIDGE LN SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: HU, JHYFANG ADDRESS ..........: 7775 HUNTRIDGE DR CITY/STATE/ZIP ...: CUPERTINO, CA 95014 OPERATOR: patg COPY # : 1 VOICE ID DESCRIPTION -------- ---------------------------- 202 UNDERFLOOR PLUMBING 502 FINAL PLUMBING ENERGY VOICE ID DESCRIPTION -------- ---------------------------- 301 ROUGH PLUMBING 507 FINAL PLUMBING RECEIVED FROM ....: PLACIFIC PLUMBING & CONTRACTOR .......: JOSEPH BECHWATI LIC # 22640 COMPANY ..........: PACIFIC PLUMBING ADDRESS ..........: 2138 O'TOOLE AVE CITY/STATE/ZIP ...: SAN JOSE, CA 95131 TELEPHONE ........: (408)452-8633 _FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- 1BSEISMICR ----------------------- VALUATION 1,800.00 ---------- ---------- 0.50 0.00 ---------- 0.50 ---------- 0.00 1PPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 1PRSEWER UNITS 1.00 20.40 0.00 20.40 0.00 1TRAVDOC FLAT RATE 1.00 40.79 0.00 40.79 0.00 TOTAL PERMIT --=------- ---------- 102.48 0.00 ---------- 102.48 ---------- 0.00 VOICE ID DESCRIPTION -------- ---------------------------- 202 UNDERFLOOR PLUMBING 502 FINAL PLUMBING ENERGY VOICE ID DESCRIPTION -------- ---------------------------- 301 ROUGH PLUMBING 507 FINAL PLUMBING L a Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Building Department JOB ADDRESS: jtj 1,; YVNT o? bGcS 6R PERMIT # 0&�4-v61.r OWNER'S NAME: /OA.Cl /C G (),q blAl G 'ate HONE #o GENERAL CONTRACTOR: FAX #( yob _ I am not using any subcontractors:/�i� f s#� ��C!xrGGi�1i CC / /-2 v 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 Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date 01/22/2008 09:50.FAX CUPEkTINO E 408 777 3333 CITY CUPERTINO co CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE PERMIT APPLICATION FORM /6001/002 APN # 2 r p Fee ID Date: Fee Grou Building Address: 1PCSBWER —4- 7 �7- 5 r1�1nlT�li%�iL � • . P 1CPSS Owner's Name: IBPREPIPE Phone #: P lY 400) Commercial Gas Piping System 1-4 Outlets Contractor: �QC Q1 Phone #: 113SEISMICOM (11G IlYY1�l�1� S S�12VICE P Fax#: Contact: 1 PEU fLb A Ie— Seismic Residential Phone #: 1PRSEWER Fax #: P Contractor License #:sGj� (, Cupertino Business License #: 22WD I Job Description: i13 N5T-k,-L, ► Rzf-fm,-1 ua c'3�*j X711' ► �i 13��t % Residential ® Commercial / \ ❑ Valuation: Green Building Check list must be completed and attached to this appllcation. Green Building Points: Quantity Fee ID Fee Description Fee Grou Permit Type 1PCSBWER Commercial building sewer/sanitary sewer P 1CPSS IBPREPIPE Commercial re -pipe per fixture P 1CPRP 1PGASCOM Commercial Gas Piping System 1-4 Outlets P 113SEISMICOM Seismic Commercial P 1BSEISMICR Seismic Residential P 1PRSEWER Residentialbuilding sewer/sanitary sewer P 1RPSS 01/22/2008 09:50 FAX 408 777 3333 CITY CUPERTINO 1� 002/002 • CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPEf�TINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group 1PRREPIPE Residential re -pipe per fixture p 1RPRP IBPWSvCS Water Service P 1CPWS or 1PPRSEWG Private Sewage Disposal System P 1ltPws 1PCESS Cesspool P 1BPWAT.ER Install/alter Water Pipe p IBPFIXTURE plumbing Fixture p 1PGASRES Residential Gas Piping System P 1-4 Outlets 1BPGAS Gas piping System S+ Outlets p / 1PPERMTfFEE Plumbing permit Fee Issuance P 1PLMBLNCK Plumbing Plan Check P 1PLMBINSP Other Plumbingigas Insp. P / / 1TRAVDOC Travel & Documentation Fee B 1BUSLIC Business License B 0