The URL can be used to link to this page

06030119 CITY OF CUPERTINO i rte' h'rd �. �� • *w, pz a BUILDING DIVISION PERMIT COIVTR C-°,TO�INFORMMATION �, BUILDING ADDRESS: PERMIT N0. 7559 NORMANDY WY NER'S NAME: PERMIT ISSUE DATE STUART SALTAR 1701 LITTLE ORCHARD ST 03/22/2006 PHONE: SANITARY NO, CONTROL NO. (408) 291-2220 ARCHIT ECTIENGiNEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH o m +oLICENSED CONTRACR'S DECLARATION •Q/�1� m 1 han 7 )of Nm 1 am licensed under And ofChapterCode. n(commencing IO � NLE D O with Salon IDflll)nm that A3 of.licensed and Professionshapter 9(c Ikerueis k mllfr. ad elf y REPLACE FURNACE 3 Z Lima. se Cluse Contractor ARCHITECTS DECLARATION a1 undersand my plans shall he uscd a public meads APR 1- 2006 6 gpt; Licensed Pmfcssionel 3 Oat I am am.pu from m DECLARATION iI I he."affirm Nm 1 am exempt form the RATIOar'l License Law for the C09 fallowing naso.(Sccdon 1031.5.Business and Pmfeadorm Code:My city or county $2450 1$� which requires a permit w cmuuucl,alar.Improve.dcmolbh,or repair any swmum BUILDING _jt, prior to is issuance.ales requires theapplteanl far such Permit to Okasigned rnmmeal < that heblicensed pursuant tothepmvehmaoftheCanus<ur'sU..Law(Chaim,9 Sq.Ft. Floor Area Valuation $ (commencing with Section 700G)of Division 3 of the Business and Profession,Code)or �.- that he is exempt themfmm and the bub for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to A civil penalty of APR Number Occupancy Type not mate Nen five hundred dollen(5500). 0 I,As owner of the pmpeny,or my employees with wages a their sok ampenwtion, will do the work and the structure is not intended m offered for Asia(Sec.7044,Buutm, And Pout eaims Cade:The Committee,License law does ant apply in an Owner of Required Inspections pmpeny who bui Ids or improves Nemo,and who des s och work himsel f w through his awn employes,provided thatcmh improvement,are net intended oraffered for Asia If. however.the building or improvement is veld within am year of compleUm.the owner. Wilder will have the burden of proving that he did nm build or improve:for purpose of Asia.). ❑I,as owner of the property,em exclusively connecting with licensed contrwtons to convect the pmject(Sec.701,Business and Pmf a lam Cada:)The Commences Li- come Law time not apply as an owner of pmpeny who builds or Improve,Nems.and, who contracts for such projects with a conummor(0 licamed pursuant an the Convector's License Law. ❑I am escape under Sec. .B&P C for this mown vertu Date WORKERS COMPENSATION DECLARATION I hereby affirm on&,pemlty,of perjury me of the following declared. ❑1 haw and will maintain a CeNficam ocarmat W self-Imam fm WorkoesCompen- Asllon,As provided for by Section 3700 of the labor Code,fm the performance of the work for which this permit is issued. ❑1 have and will maintain Worker's Compensation Insunnm,As mquimd by Section 3700 of the labor Code,for the performance of the work for which this permit Is issmd. My Wmkefs Campemadon 1 nes cartier and Polity number am: carrlcr._NA-00-f 1 1�(t Y?allcy NO.; (910001136-15-261 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSA71ON INSURANCE (rhb mala mod nut N completed If de permit is froom hundred dallam(SIM) or leu) I certify that in the performance of the work for which this permit is issued,I shall not , employ any person in any manner an As in become subject to the Worken'Compemnion Laws of California Dam Applicant NOTICE TO APPLICANT:If,after making Nb Ccnificam of Exemption,you Mould become subject in the Worker's Compensation previsions of the Labor Code,you most forthwith amply with such pmvidnm or this permit shall he dcemcd revoked. ,z.tO CONSTRUC ION LENDINGAGENCY [..t I hereby sffinn that Nm eis•aw nmila.lending agency far the performanm of a shework for which this permit b issmd(Sec.3097.Cin C.) �W Q landae.Name , r7 z Larder's Address U0 1 mrufy that 1 have mad this application and sum that the above Inrmmadm Is W F correct.l agree to amply with all city and county on inames and suite lave misting to 0 building convection,and hereby authorise mpresenalives of this city to enter upon the shove-amminaml pmlerty for inspection purposes. - It-^y a (We)agme m save,indemnify and keep hm sdu the City of Cupertino against liabilities.jurlgmame,eats and expenses which may in soy way marc against said City rj U 7 in moegmnce of the granting of this permit. '7 APPLICANT UNDERSTANDS A WILL COMPLY WITH ALL NON-POINT Issued by: Dale SOURCE REGULATION�9. tr?r6 ,a 31art /'o° Re-roofs Siyw Applieanr/Can Dam HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or futum building occupant store orhandle haardous mamriai As dc0ned by the Cupenino Municipal Code,Chapter 9.11,and the Health and Safety Code.Became 15532(a)? All roofs shall be inspected prior to any roofing material being installed. ED Yes Will the applicant or future building occupam use equipment or dcvims which If a roof is installed without first obtaining an inspection,I agree to remove emit havardous air contaminants As dermad by titc Bay Area Air Quality Management all new materials for inspection. District? ❑Yus wjavu I have mad the haaaolaus matedals mquimmenu underChapmr 693 of the Caller. - nia Health&SafetyCo&,Smitions 25505.15533 uW 25534.1 undersuiM that if the Wilding does ret currently haw a meant.thu It is my nesporwhility to mufy the occupant of the requlrc cnuwhich in mpdar muana etafacertinesmafocaparey. Signature of Applicant Date JAA O'D/0 6 o er oaths sed agent Dam All roof coverings to be Class"B"or better CITY OF CUPERTINO 2 of 2 PERMIT RECEIPT OPERATOR: suem COPY # : 3 Sec: Twp: Rng: Sub: Elk: Lot: APN . . . . . . . . : 36611154.00 DATE ISSUED. . . . . . . : 03/22/2006 RECEIPT #. . . . . . . . . : 33671 REFERENCE ID # . . . : 06030119 SITE ADDRESS . . . . . : 7559 NORMANDY WY SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : STUART SALTAR ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-5222 RECEIVED FROM . . . . : RICHARD READ CONTRACTOR . . . . . . . : RICHARD READ LIC # 22334 COMPANY . . . . . . . . . . : CONDITIONED AIR ADDRESS . . . . . . . . . . : 1701 LITTLE ORCHARD ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95125 TELEPHONE . . . . . . . . : (408) 291-2220 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BREMFURN NO UNIT 1.00 14.31 0.00 14.31 0.00 BENERGY PERMIT FEE 1.00 34.86 0.00 34.86 0.00 BSEISMICRE VALUATION 7, 000.00 0.70 0.00 0.70 0.00 PPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 EPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 MPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT 164 .98 0.00 164 .98 0.00 METHOD OF PAYMENT AMOUNT NUMBER _________________ ------------ ________-_____--__ OTHER 341.42 VISA TOTAL RECEIPT 341.42 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 301 ROUGH PLUMBING 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL • Community Development • r 10300 Torre Avenue Cupertino CA 95014 It Telephone(408)777-3228 CITY OF Fax(408)777-3333 OCUPEkTINO Building Department JOB ADDRESS: PERMIT #a� -10,1501 N-60r-n-Anr OWNER'S NAME: v } V PHONE # GENERAL CONTRACTOR: FAX # q - I am not using any subcontractors: Signature Date Please check applicable subconowing information SUBCONTRACTOR BUSINESS NAME BUSINESS ENSE # 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 tlie Date CITY OF CUPERTINO FURNACE/AC o �d30 • CUPERTINO PERMIT APPLICATION FORM APN# -366 Date: Building Address: 255 IJ o m an'l', o C9 TZ-04 Owner's Name: Phone#: c") r r 9009 Contractor: License #: Cbn6,,-�- 0n <N Ali 44516% Contact: Cupertino Business License#: S�f1%r t a -* C15-09- 5ZLI Building Permit Info: Bldg ❑ Elect ❑ Plumb ❑ Mech OU Job Description: 9,Pmocm Sy,6 Re pka.act Owl,ria0f Residential P9 Commercial ❑ For Residential Installations: Attic ❑ 1" floors-2"d floor❑ • Adhere to min set back re uirementj�j For Commercial Installations: Replacement same weight ❑ Additional weight (structural calcs) ❑ Structural Calculations required for new installation ❑ New installation Planning Approval Required ❑ Cost of Project:$ Type of Construction: Occupancy group: OG Strapped [] On Platform ❑ Bonded Z Sq.Ft. Floor Area: New Location 8 Re lacement4a— Qty. if Applicable Fee ID Fee Description Fee Group BENERGY Energy BUILDING BREMFURN Furnace MECHANICAL BREMACOVER A/C Unit> 10,000 cftn MECHANICAL BREMAIRHAN A/C Units <= 10, 000 cfrn MECHANICAL BREMRECEPT Rec tl, Switch & Outlets ELECTRICAL BSEISMICRE Seismic Fee Res BUILDING 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