06090279 CITY OF CUPERTINO d F ,ws+x^ x�
BUILDING DIVISION p$RMIT `XOsNTIM OR"ANFOWATIOMIR
BUILDING ADDRESS: BAY AREA ENTERPRISE Plummil 0.06090279
10986 LINDA VISTA DR
OWNER'S NAME: PERMIT ISSUE DATE
Aft PETER & RIKA APPL 2110 MANGIN WY 2006
NE: SANITARY NO. CONTROL NO.
(408) 238-5043
ARCHI7ECTIENCINEER: BUILDING PERMIT INFO MECH
B� EO
Sop LICENSED CONTRACTOR'S DECLARATION lob Description
i I hereby affirm Na 1 am licensed under provisions of Chapter (cm
omencing
Zj with Secdon 7000)of Division 3 ofNc Business ad Professions Code,and my liccaet,
i.f.11forc.and.ffem. iv-751-7MINOR BATHROOM REMODEL, NON LOAD BEARING WALL
;g? Llcenee Class �Llo.N
DemmeREMOVED, ELECTRICAL, 1 SHOWER VALVE
i — 7_e _Bp Con
e �7 ARCHITECTS DELL DECLARATIO
1 uMenund my plans shall W ueJ u public reeorN
eGN Licensed Professional
sOWNER-BUILDER DECLARATION
9 I hereby uirm Not I am exempt from thc Contncmr's License Law for the
0 o following reamen.(Section 703 L5,Business and Profusions Cade:Any city or county .
S$ which requires a penult to ennatruct.eller.Improve,demait,h,or¢pair any structure
Prior b is,issuance,alw requires the apPlicant for such permit to 01C a tlgned s,a.mcnn Valuat,i�$s&000
pp C Nat he 4liicened perauent to the provisions of the CamrecmYs lieu law(Chaper9 S q.Ft.Floor Area w
N�e3 (ewncenadng with Section M)Of Division 3 of the Businmml Pnofeumns Code)or
Y — that he is exempt tm cfrom and the basis for the alleged exemption.Any violation of
Section 701.5 by any applicant for a permit mbjccu he applicsol to a civil penally ofApj.j j� �7bar Occupancy Type
not mom than five hundred dollen(5500). 3 5 674�3 9 . 0 0
01,uownerofdroproperty.errmymploymwINwageru Neksokeompe dm,
Wilkin Newark,and IWemmurehnalintendedwaffm forule(Sw.7044,Business
and Professions Code:The Coouanofs Licence law dm sat apply to an owner of Required Inspections
properly who bui Ida cr impmm Neroan.and who dues such work himself or through his
owncmpiaym,pmvlded that such Improvement,we.m mounted aroRered for sale.If.
however,the building or improvement is mid within one year of mmplethon,the owner-
builder will have the burden of proving that he did not Wild err Improve fw purpose of
sale.).
0 1,ea awns,of Ne present,am em uuvely convaning with,licensed mnuanan re
construct the pmjen(Sec.7044,Business and Profession,Code:)The Contractors LL
ceruse Law docs not apply ban owner of progeny who Wilde err imp..thereon.and,
who contract,for such projects,with a conuacear(s)Ilcenedpunuam to the 0mun nae.
License law.
0 l am exempt under Sec .B k P C for this mason
Owner Dae
WORKER'S COMPENSATION DECLARATION
1 Wreby alflrm under penalty of perjury one of the following declaretions:
I have and will maimed.a CeNneam of Corneal to elf-huurc for waftes Compen-
sauce.u provided for by Second 3700 of the Labor Code.for the perfanna es of thee
work for which this Permit is issued.
0 1 have and will maintain Workers ComPensAan Insurance,as required by Section
3700.f the Labor Cade,for Ne performance of Ne wmk for which this permit It Issued.
My WorkeYs Campeuatian lnsud anicran Policy number K:
Grdtt: S'fG-fG uGf ryN..: y
CERTIFICATE OF EKEMf n N FROM WORKERS'
COMPENSATION INSURANCE
Intel section need not W complced If IW permit is forane hundred dollen($100)
nr less.)
I Mrd[Y Nut in the porformmce of the work for which this permit is issued.I shall not
employ anyperan in any manner¢as k became subject to the Worked'Compensation
laws of CalifOnsIL Date
Applicant
NOTICE TO APPLICANT:If.after making this Certificate of Exemption,you should
become subject to the Workers Compensation Provisions of Nc labor Code,you must
Oforthwith comply with such provisions or this permit shall Ile domed revoked.
?i CONSTRUCTION LENDING AGENCY
1 heehyaffnm Nat Nem lea coruuuctinn knding agency for the performance of
Dpi 7 Ne work for which this permit Ie issued(Sec.3097,Civ.C.)
GQ I-comms Name
z Lemdee.Address
U Q i certify that I love mad this apPlicaion nM sum ow the above information is
U, r comect-1 agree to comply with all city and county ordinances and auto laws relating to
0U building convection,and hereby wth.rie mpmemmives of this city to c.mr upon the
LU above mentioned property for inspection purpoes.
F fY (We)agree to save,indemnify and keep harmless the City of Cupenino against
N liabilities,judgment,.costs and expenses which may in any way accrue against end City
U z in consequence of the granting of this permit. 6
^' APPLICANT UNDERSTANDS AND WILL OMPL WITH ALL NON.POINT Issued by: Date `-Z9
SOURCE REGULA
' Z Re-roofs C7 �--�
Signature of(Applicauanl S Data Type of RoofWill the appliam or fut uc Wilding occupant nom orhandle hazardous material
as defined by Lice Cupertino Municipal Cade.Chapcer 9.13,"tice Health and Safety
Cade.Section 257324)9 All roofs shall be inspected prior to any roofing material being installed.
0y. 09.41
Will the applicant or future building occupant use equipment or dcvims which If a roof is installed without first obtaining an inspection,I agree to remove .
emit huardnus air conuminanu u defined by the Bay Area Air Quality Mmegement all new materials for inspection.
District?
❑Yes .2Nu
I have read the haraMtmamaterials requirements under Chapter 6.95 of the Califcd
ria Health At Safety Code.S.B.75505,25533 and 25534.1 understand that if the building
dm not cumendY new a cement.that It k my responsibility to mdfy the attupant of the
requiremenuwhichm Wmelpnortoi Occupancy. Signature of Applicant Date
Owner ormharixed age I Doc
'2-L All roof coverings to be Class"B" or better
Community Development
10300 Torre Avenue
(' 3 Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
OUPEI�TINO
Building De artment
JOB ADDRESS: PERMTr#
0 4 da41, nd Qp2- 9
OWNER'S NAME: PHONE 008—— 23$S-O .?
GENERAL CONTRACTOR: q I1Ye a rb{oq- FAX# #-e>8—Z73-41K-b7
I
og-2 3-
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information
60 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
iffTile
(le r/Contract ignature Date
CITY OF CUPERTINO
am 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN I . . . . . . 1 : 35614039 . 00
DATE ISSUED. . . . . . . : 09/29/2006
RECEIPT # . . . . . . . . . : 36263
REFERENCE ID # . . . : 06090279
SITE ADDRESS . . . . . : 10986 LINDA VISTA DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : PETER & RIKA APPL
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : GREG FEIST
CONTRACTOR . . . . . . . : GREG FEIST LIC # 28273
COMPANY . . . . . . . . . . : BAY AREA ENTERPRISE
ADDRESS . . . . . . . . . . : 2110 MANGIN WY
CITY/STATE/ZIP . . . : SAN JOSE, CA 95148
TELEPHONE . . . . . . . . : (408) 238-5043
•FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
- - -------- ------------- ---------- ---------- ---------- ---------- ---- ----- -
BPERMFEE VALUATION 9, 000 . 00 158 . 76 0 . 00 158 . 76 0 . 00
BREMRECEPT NO. OUTLETS 1 . 00 1 . 20 0 . 00 1 . 20 0 . 00
BENERGY PERMIT FEE 158 . 76 76 . 20 0 . 00 76 . 20 0 . 00
BREMVENFAN NO UNITS 1 . 00 45 . 39 0 . 00 45 . 39 0 . 00
MPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00
BSEISMICRE VALUATION 9, 000 . 00 0 . 90 0 . 00 0 . 90 0 . 00
EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00
---------- ---------- ---------- ------- ---
TOTAL PERMIT 359 . 19 0 . 00 359 . 19 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
OTHER 359 . 19 MASTERCARD
TOTAL RECEIPT 359 . 19
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CITY OF CUPERTINO
CUPEI�TINO PERMIT APPLICATION FORM
APN# Date:
.3.5� ! 03 a — o (o
Building Address: / Mailing Address (if different from building address):
O L,i n O11 CUPW4 'tt C4
Owner's Name: ,pD Phone#:
e /a.�ka L 873 —
73q-'57-Contractor: License #:
f}veeL trh-{�r 817 :9/7
Contact: Phone: Cupertino Business License#:
,'/,>S- 2 3.q Fax: yo - 27 j 3
Building Permit Info: J
BldgEr' Elect Lr Plumb 13 Mech ❑
Job Description: 1W,n0 _ rdn otaA r1.� wc��1 t2vv�ov
Residential 8,.14- ✓6e,- , v�Moo�� . Commercial ❑ l¢uc I ,Skov-•ter vu
Sq.Ft. Floor Area: Sq.Ft.:
Cost of Project, Occupancy Group: 3
Type of Construction: Please check this box if the project is a
' rca-/ /ems < i second-story addition: ❑
*rojectSize: Standard Ua Laze ❑ Major ❑
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> l OOK to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to 1M Btu MECHANICAL
BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL
BBOILERS 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 Investigation fee BUILDING
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(+GQ� CITY OF CUPERTINO
CUP
Ef�TINO PERMIT APPLICATION FORM
QuantityFee 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 Install/Alter 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 cfin MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN Relocation of Furnace MECHANICAL
BREMFURNOV Relo Fumace> l 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
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CITY OF CUPERTINO
CUPERTINO PERMIT APPLICATION FORM
Quanti Fee ID Fee Descri tion
BREMSIGNADFee Grou
Rmdl Si s Add Branch ELECTRICAL
BREMSIGNS Remodel Si s, Mar ueeELECTRICA
BREMTHEATR L
Theatrical Li tin Fix ELECTRICAL
BREMVENFAN Vent Fan Sin le Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL Special Inspection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Tem ora Power ELECTRICAL
BTEMPPERM Tem ora Bld Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical s foot ELECTRICAL
EPERMITFEE El— Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbin Permit Issue PLUMBING
PPLBG Plumbin Fees foot PLUMBING
PLLONGRNGC Plan ng LR Comme/Multi-Fam PLANNING
PLLONGRNGR Planning Long Range Residential PLANNING
ZADDCHG Address Change BUILDING
•
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