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05010069CITY ORCUPEWHNO','. BUILDING DIVISION PERMIT Y CONTRACTOR INFORMATION � BUILDING ADDRESS: MARTY ZIMMERMAN PERMIT N005010069 10165 MC LAREN L OWNER'S NAME: PERMIT ISSUE DATE MARTY ZIMMERMAN 01/11/2005 ONE: SANITARY NO. CONTROL NO, ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSEDCONTRACTORSDECLARATION Job Description I kreby affirm that 1 am lr under of Chapter 9 (commencing p Promos With Scnion ]Ixk) of Division J of the Business and Prufcuinm Code, and my license is the Bu and o(nurnroeandeffect. ELECT SERVICE UPGRADE License Class Lic. R Date Cuntracw, ARCHITECTS DECLARATION I understand my plans shall W used az public records Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's Licenx Law for the rollowing reason (Section ]1131.5. Business and Profeuiom Code: Any city or county which mquiws a permit to construct, a11ar. improve, demolish, m tepxir any structure8500 prior m its issuance. also requires the applicant for such permit to rile a xigned smtemcnt that he is licensed pursuant o the provisions of the Contractor's Lieense Law (Charter 9 Sq. Ft. Floor Area Valuation (commencing with Section 7000) of Division J M the Business and Professions Code) or that he is exempt tkmfrom and Ne baso for to alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of n 3 C[OO - OGGH araC Occupancy Type not more man five hundred dollars(5500). 0 1, as owner of the propcny, as my employees with wages u their role compensation, will do the work, and mestructum is not intended mar1cmd for sale (Sea 7061, Business and Professions Code: The Contractor's License Law does not apply to an owner or Required Inspections property who builds or improves thereon, and who docs such work himselfor through his own employ., provided that such improwmcnts are not intended or offered for sal.. It, however, the building or improvement is sold within one Year or completion.,heowner builder will have me burden of proving that he did not Wild or improve for purpose of J /� sale co I,, as Owner of the property, contesting with to 1 .am Bexclusively comtrua project (Sec. ]011, :)The Contractor's ou and Profession Code:) The Cs este Law docs not apply je an owner of property who Wildspor improves d owner and thereon, rad s who convactsfor such pmjecu wiNacmntncmr(s)liccnudpursuamto the Contractor's Contras yJ kc ' amIx lam ea ,un rsec. ,B&PCf rthrs mazon once OR 'S CO ECLARA 10h, IkrebY alB under n , Iperjury oro of the folio ing tion: I hmwmnd will mo enificumof Com.mm self-insum for Worker's COmpem ration, az provided for by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain Worker's Compensation Insurance, as required by Section 3100 of the later Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance artier and Policy number am: Carrier. Policy No.: _ CERTIFICATE OF EX EM MON FROM WORKERS' COMPENSATION INSURANCE C11ru xenon reed not W complculd if the permit is for one hundmil dollen (SIOr) Or less.) I certify min tk performance of the work for which mis permit is iuuw. I shall nm employ in an mann, azokcob subjccum the Workers'Compensation ff',Dm APL ler making , ram of Ete'iT option, you should Mci cut to the Wor rs open to provisions oftk(ahorCode.youmust mply with sue prnvim mor mil.h.11 k deemed revoked. CON ON LENDING AGENCY I hereby lim m that them its consvuctinn lending agency for Lk Performance of the work for which this permit is iuued (Sec. 30/97, Civ. C.) lender's Name Lender's Add. 1 cenify that I have read this application and state then Be than infomtuiun is come,. 1 agree to comply with all city and county ordinances and suite laws relating to cottoned ion, and hereby anthori ehovc rposexma,ivcs of this city to cmcr upon Nc above mentioned for impection purposes. (We) f property p (We) acres ,o ww, indemnify and keep harmless the City of Cupertino egaimt lia1flhL es.ju44cmcnts,eostsand capenus which may in any way scenic against said City rD rantingof this / / permit. APPLICA I DE STANDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Dale ( SOURCE SOURCER A It Re -roofs Si wen of Applican onva Date AZAR U MATERIALS DISCLOSURE Type of Roof Will the applies to uilding Occupant store or handle hanrdnu(muerial as dcrmed by the Cupertino Municipal, Code, Chapter 9.12. and the Health and Safety ode. Ely.ection ❑Yes �Nu All roofs shall be inspected prior to any roofing material being installed. Will thea rant or future building Occupant use a PP g p equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove g p ..t havudous air contaminants as defined by the Bay Area Air Quality Management isvia7 all new materials for inspection. OYcs (krNO I have mad the hanrdous materials myuiremenm under Chapmr6.95 of the Califor- 1undcrunth, iftk Wilding niaHaalmtiSafetyan. SccuomOrmi, Jtes Bol curten0y haw a tenu,t. Nat it u my rexpmnsibiliry m nnufy sk Occupant of the 4 mynandnsibil x, ome whrmmustkmetpr;onoissuanceofaccfdrouora up w 7, Signature of Applicant 1 1 tS Date o u a da )"it, I All roof coverings to be Class "B" or better r CITY OF �UPERTINO JOB ADDRESS: j O 1 OWNER'S NAME: 'M R1 GENERAL CONTRACTOR: Building, D m c-LRrn cA,-� moo, cA 9So14 °si -LI vtnm GRm A W I am not using any subcontractors: ►C Please check applicable subcontractors and Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 nt Sol ooc PHONE # 4or,--5-64- FAX # 4ok -ZfS- the followine information: 1-11-05 Date i c i 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 i c i Signature Date 1 CITY OF �UPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Depfrtment JOB ADDRESS: 1 O 1 toS M r LPrR eA,-� ACE C%, p,e >Ieju C 95014 PERW# ZpS010,0G9 OWNER'SNAME: 1'`AAfZT� PHONE# ir-54o1I-7CaY GENERAL CONTRACTOR: FAX# Lfak-Zr5-Z3fG I am not using any subcontractors: —J islature Date Please check applicable subcontractors and cb plete the following information I,•.!= _ • a. SUBCONTRACSignature TOR .'- —tl to Date BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation X Fencing Flooring: Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping r f' ' Lathing a ( r Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock T' I,•.!= _ • a. SUBCONTRACSignature TOR .'- —tl to Date OWNER -BUILDER VERIFICATION 1. (Check one) I or my immediate family (parent, spouse or child) will perform A. X' All -the work authorized by this permit B. A portion of the work C. _ None of the work If B or C is Checked, complete 2 or 3 below. 2- A state licensed contractor will be hired to do: A. _ All of the work B. _ A portion of the work (complete section below) Contractor Address/City. Phone # State License # Type of work to VG G12 V2vLG4 3. _ I will utilize unlicensed person(s) other than my immediate family to perform all or portions of the authorized work I understand that I may be an employer (see reverse side). A Certificate of Insurance covering workers' compensation must be on file at the City of Cupertino Building Department office. Person/Firm Address/City Phone Number Type of work to be _performed I declare under penalty of perjury that the above is true and correct. I have read and understand the Owner -Builder Information (reverse side). Property Owner's Signature. J �� Dam I —I -0S Job Addre CA C Dk/ -Deaartment. _ P t# 050100 CITY OF CUPERTINO Dear Property Owner. City of Cupertino Building Del: 10300 Torre An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as owner -builder you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may Protect yourself from Possible liability if that person applies for the proper permit in his or her name. y Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. _ _ If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social taxes, security workers' compensation insurance, disability insurance costs, and unemployment compensatior, - contributions. "- There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers; compensation insurance. - For more specific information about your obligations under federal law, contact the Internal Revenue - Service (and, if you wish, the US. Small Business Administration). For more specific information about your — obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. - If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an owner -builder building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, Building Department, . City of Cupertino Printed on Recycled Paper iJ «d., CITY OF CUPERTINO CITY OF CUPERTINO PERMIT APPLICATION FORM APN # Date: Liss:aS� Building Mailing Address (if different from building address): t) �c Lrk>Zfnl (�LR�£ Lu�✓`2TlNO Owner's Name: �I? ry 103m 6r'zrn t�tJ Phone #: —s6 v-7� v Contractor: SEI,F License#: Contact:Phone: efAf -5 y- 'may Cupertino Business License#: /YR WrY Z I rrl R1 GR -m A1J Fax: y0f - Z 5V— z3Z MECHANICAL Building Permit Info: Bldg ❑ Elect Plumb ❑ Mech ❑ Job Description: Residential RK :UP6RRD6 5_66?,VIcE Commercial ❑�� Sq.Ft. Floor Area`` $/Sq.Ft.:, Boiler> 500K to IM Btu MECHANICAL Cost of roject: s� Occu ancy Group: / Typ of ons 10 I NSTatL 700 RM IPA- bt, Pleas heck this re project is a second -story addition: ❑ Project Size: Standard RR' Large ❑ Major ❑ MECHANICAL 1 of3 4P �� Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to IM Btu MECHANICAL BBOILER4 Boiler> IM to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 175M 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 1 of3 4P �� Spa CITY OF - CUPEkTINO CITY OF CUPERTINO PERMIT APPLICATION FORM Quantity Fee 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 Pb1g 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 WaterHeater/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 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace > I 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 AM BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2 of 3 ffl -( CITY OF CUPERTINO CITY OF CUPERTINO PERMIT APPLICATION FORM 3 of 3 Alk Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmd] Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single 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 Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanical sq. foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot I PLUMBING ZADDCHG Address Chane I BUILDING 3 of 3 06/29/2005 14:44 4082552356 MARTY ZIMMERMAN CPA • Marty Zimmerman 10165 McLaren Place Cupertino, CA 95014 (408) 564-7024 VIA FACSIMILE 408-777-3333 Mr. Greg Casteel Building Official City of Cupertino RE: City of Cupertino Permit 05010069 Dear Mr. Casteel: PAGE 01/02 I am writing this letter to request an extension of time for the above permit to September 16, 2005. The reason I am requesting an extension is that I am waiting for PG&E to do the work. The project is to upgrade the electrical service to my house at 10165 McLaren Place, Cupertino ;From 100 amp service to 200 amp service. I applied for and received a permit from the City of Cupertino on January 11, 2005 for this upgrade. Upon receipt of the City • of Cupertino permit I immediately submitted an application to PG&E to do the upgrade. PG&E required a permit and a deposit on the engineering work before they would take my application. PG&E indicated to upgrade the service they would have to dig a trench and install larger cable inside a conduit pipe from across the street to my house and make some upgrades to their distribution system. The application and deposit to PG&E was also done on January 11, 2005. Starting in March 2005, after waiting,a couple of months for them to do the engineering, I made numerous calls to PG&E on the status of the engineering for the upgrade and was constantly told they are busy and would be getting it done as soon as they could. Finally, Mike Valencia of PG&E, on June 16, 2005 informed me PG&E had completed the engineering for the project and wanted me to sign the contract and pay for their services. I responded to them on June 16, 2005 and signed the contract (contract number 101590809) and paid the requested fees to have the work done. I understand from Mike Valencia I am now in the pipeline for the work to be done. I have asked Mike Valencia, New Business Project Manager at PG&E (phone 408-725-2206) to let me know when the work would be done as I was rapidly approaching the six month deadline for the City of Cupertino permit. Mike said PG&E is very busy and backed up on projects. Mike was not able to tell me when the work would be done. He said PG&E holds a meeting locally once a week with all the project managers and all the projects are laid out and decisions are made on the ones to be done that week. Unfortunately Mike could not give me a date for when my work would be done. I have advised Mike Valencia of the date of expiration of the permit and asked him to work toward having the work done before that date. As of • today I still do not know when PG&E will do the work. 06/29/2005 14:44 4082552356 MARTY ZIMMERMAN CPA PAGE 02/02 Mr. Greg Casteel, City of Cupertino June 29, 2005 • RE: Permit 05010069 Page 2 o£2 For the above reasons I am respectfully requesting an extension of time on the permit to September 16, 2005. The reason I ask for September 16, 2005 is that the PG&E contract I signed indicated it was good for 90 days. I signed the contract on June 16, 2005 so I figure PG&E will need to get the work done within the 90 day period. At least that is what I hope. I am doing everything as fast as I possibly can to get the work done. If you want to provide more time that is appreciated. Please call and let me know if you have any questions or if you can provide any suggestions on how I might get PG&E to get this work done before July 11, 2005. "Thank you in advance for your consideration of this request. R ectfully submitted, Marty ti'e Direct: (40):5 -7024 Fax: (408) 255-2356 • 0 PERMIT 1j OPEN I UFDgZE ,I QUER(I LOUtd1T,' �� REROF0 �; PRNT, SA.� RE �! KOP,Y! PLIE �' E SST Update an existing permit record 'PERMIT NO 05010069 STATUSJ� OPEN APPLY DATE 01/11/2005 OPER FEE MASTERNO JNOTES PERMITISSUED01/11/2005�OPERnniew - - ` PROJECT �� CERT ISSUED _ J OPER PROJ DESC F__ CERT NUMBER' TYPE APN1131621050.00 ( - UPDATE ADDRESS I"'' >. PARC ADDR 110165 MC LAREN PL C/S/2 ICUPERTINO SCA, 9- OWNER1 MARTV 2IMMERMAN OWNER2. 0 ADDR �C/S/2' CUPERTINO CA 1 J 95014-2335 0 II OK I Control -c Notepad Field Code D.... User Kreens 11 Sort By Col 4'" View Object PERMIT TYPE, REAP3 US_C-404 TYPE' 434 ENRGY ..CODEj� USAGE CLASS, N/A _ PERMIT FORM I APPLICATID TANK/SEWER APPLIED UALUATION 5001 APPR BY: CALC UALUATION _ 1 0;. D; OWNER PH0 4085647024 OWNERSHIP 1 PRIVATE .:..:;NOTES {Y/N/D)'. °r --:: CONTR'PH#t SPECIAL CONDITIDNS/NOTES ESCROW LMIJ SEROIC UPGRADE VERIFIED F__ FILE LOCTR� PERMIT `STATUS - <D>nen_ <C>lnaPd <U)niA 0 II OK I Control -c Notepad Field Code D.... User Kreens 11 Sort By Col 4'" View Object PERMIT NO 050100691 31621.050.00 __MARTY J� ' ZIMMERMAN J JOK -- �eturn PERM TYPE REAP3- 110165 MC LAREN PL — — — �� ILookul ------ — INSPECTION H I S T O _ R Y ---- --- ui ,- -- Cancel INSP TYPE NO INSPECTOR INSP DT RES NOTES �� 010— 1 J 'Quit 103 1 J 304 SOS i 24 YJ OF ] —HIGHLIGHT CHOICE - PRESS <TAB> FOR DETAIL, <ESC> TO EXIT V