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06050150 CITY OF CUPERTINO ''�^^y°' �" '�•" "` IIUILDiNGbIVISION PERMIx a , . ' 0' " d, " t •r BUILDING ADDRESS: NOBLE,• CONSTPERMIT ND.O 6 O S O 15 O 7567 NORMANDY WY OWNER'S NAME: PERMrr LSSUEDATE MUSIL LEONARD M AND MARY A 259 N CAPITOL AVE06 NE: SANITARY NO. CONTROL NO. (408) 205-3692 ARCHrfECrtENGINEER: BUILDING PERMITINFO BLDG ELECT PLUMB MECH i 0 o LICENSED I s CONTAACndo,Provision - lob Description ���® �® i 1 hereby )of that 1 am fft Bu under providom of Chapter 9(commencing L With Section 7M) the Business end PrOrcaaiana CoM.and myliccnse is M3H hmBforcemd.rT REBUILD CHIMNEY FROM SHOULDE j M Z License CI dDeNsCSnI lnEcmF °' I drsphos shall b sa � — — MAYZo 2006 ,L; Licensed Pmfcsstan.I /y 6 �B l�pa fpr y5 OWNER-BUILDER DE ft Co TION ���■ 5 /y ' � I hereby orfirm Not I em exempt from Jen ConvactorY License law for the L �t��i*r p O following reason.(Section 7001.7,Business and Professional Code:Any city or county which re9ulms a permit W CWHINCL alar,Improv,demolish,or repair any mucmro _Zy prior to its issuance,also raquins the applicant for such permit to file a signed maremem €0 Net he is licensed pursuant m the provisions of the Conuacmr's License Law(Chamer 9 Sq.Ft.Floor Area Valuation $ (commencing with Section 7000)of Division 3 afthe Businial Pmfeseiona Cade)or .. that he is exempt donarorn and the bads far the alleged exempdon.Any violation of Section 7031.3 by any applicant for a permit subjects the applicant o a civil penalty of r Occupancy Type not more than Rw hundred dollars($700} ❑I,U owner of die property,or my employcaa with wagon U their soh compensation, will do the warkand the nuucture is not mended or offend for w e(Sm.]044,Bud. - Required Inspections and Professions Cade:The Contractoh License Law dean ret e apply m an more,of 9 - property who builds orimpmves thereon,and whodoessuch warkhimselror Wough his Own employees,provided thatsueh Improwmenla arc trot intended oroffered for We.If. however,the building or Improvement is sold within ane year of cempletion.the owner. builder will have has burden of proving that Ire did not build or improsc for purpose of oak.). ❑1,as Owner of she property,am exclusumly eonuuvng with licensed contractors to convict the project(Sec.70",Business and Prefectures Code:)The ContracmrY Li- cense law dam not apply to an Owner of property who builds or impmvns become.and, who contracts for such projects with a c.neractor(s)licensed purawnt to the Contractors ' License Law. ❑Iamexemptundm See .B&PCror Niamaon Owner Data WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury aro of the following declmatiam: 1 Mw and will maintain a Certificates of Consent m self-imam for WO r'sCampcn- Milan,ss provided for by Section 3700 of the labor Code,for the performance of ire work for which this permit is issued. ❑1 haw and will mdnum Warkeh Compensation Insurance.an required by section 3700 of the Labor Cada,far the performance of the work for which this permit Is issued. ' MY Workers madon Insurance r and Policy number are: Carder. Policy No.: C T E7( Pr10N FROM WORKERS' CO SA"ON INSURANCE , (Tbhacmiannredom complcmdirthe p.rmitisfaronchundreddollan(SIM) or less.) 1 eeNh that in th performance c walk for which to perrpft Is .1 shall oat employ any Pen manymmtrigogauttal mbjed W Wptl Mgt lawso(CaB le APPIic t NGnC APPLItoldems ; ,a0er meld nCeniO• IpWO,yOu should become In m therl Compen do provhi.na of the labor Cad�yus meet .J z forthwith comply wipmvhiom ar permit shill be dxmed rowkcd. „'�,.�► STRUCTION LENDING AGENCY 1xrobyrink ac.wroctinn lending agency for the performance of a' tiMe work for which this permit is issued(Sec.3097.Civ.C.) 6Wi Q Lenders Name ]z Lunettes Address U Q 1 certify that 1 haw read this application and stsk that be show infOmadon Is If.P correct.1 agree in comply with all city and county ordinances and state laws raising to 0 building conviction,and hereby authorize rcpresenutiws ofthis city to enter upnn the >"0. ahovc.mcntiuncd rape for InspeC9 ITOM (We) a to leave,indemnify and keep harmless the City or Cupcnino against rFs rA IiebilWeaJ gotten,costs and expensm which may in any way accrue agdnaCmid City U z APPIL NTeUNth RSTA S AMNO WILL COMPLY WITH ALL NON-POI Issued by: Date l7 SO REGU AT10 Re-roofs store A HAz ous RIAL CLOSURE °a Type of Roof WIII pplkactor furereb II grecupentat.re rhendle haysNons mnmrial m defined by Cupertino Music ode,Chapter 9.12,and the Health and Safety Cade.Seed. 532(x)? All roofs shall be inspected prior to any roofing material being installed. ❑Y 0 N , WIII the applicant or future building occupant use equipment or dcvivs which If a roof is installed without first obtaining an inspection,I agree to remove :mit hamtdaus dr contaminants as JcOncd by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yen ONO Irk ad the am materialsmluimments under Chapter 6.95 ofthe Califor. nig Hol S myceed.Saktiorel.27733sndi5534.1undersundthatlfdn building docs no cuncn(I ant.That It h my responsibility to many the Occupant Of the ro cru.which apriorml ancearacertirmalearacupaney. Signature of Applicant Date ner.r oat ,hes agent Dare All roof coverings to be Class'B"or better CITY OF CUPERTINO O 10,0 To k o CUPEI�r PERMIT APPLICATION FORM N# 36e - I/. I 5,5, 0 oo Date: Building Address: Mailing Address (if different from building address): Owner's Name: Phone#: 44- C tractor:_ License#: Contact: Phone: 7,'f a� Cupertino Businesfc ss e e#: Fax: n y Building Permit fo: Bldg Elect ❑ Plumb ❑ Mech ❑ Job Description: Residential ❑ ❑ Sq.Ft. Floor Area: / Sq.Ft.: Cost of Project: �oe Occupancy Group: Type of Construction:,/ Please check this box if the project is a (yv second-story addition: ❑ ro'ect Size: Standard 2"' Lar ie ❑ Major ❑ 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 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 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 <= 1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investi ation fee BUILDING lof3 2Z " ^ � � CITY OF CUPERTINO CUPERTINO 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 Stom1/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water HeaterNent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 clip MECHANICAL BREAUUiAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BRENUI RN Relocation of Fumace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res App liance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rcpt], Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2 of 3 CITY OF CUPERTINO CUPEf�TINO PERMIT APPLICATION FORM uantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl 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 Electical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING ZADDCHG Address Chane BUILDING • 3 of 3 CITY OF CUPERTINO !m 1 of 1 PERMIT RECEIPT OPERATOR: christya COPY # 3 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36611155 . 00 DATE ISSUED. . . . . . . : 05/17/2006 RECEIPT # . . . . . . . . . : 34438 REFERENCE ID # . . . : 06050150 SITE ADDRESS . . . . . : 7567 NORMANDY WY SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER • MUSIL LEONARD M AND MARY A ADDRESS . . . . . . . . . CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5222 RECEIVED FROM . . . . : LARRY BARRAGAN CONTRACTOR . . . . . . . : LARRY BARRAGAN LIC # 24654 COMPANY . . . . . . . . . . : NOBLE CONST ADDRESS . . . . . . . . . . : 259 N CAPITOL AVE #152 CITY/STATE/ZIP . . . : SAN JOSE, CA 95127 TELEPHONE . . . . . . . . : (408) 205-3692 �EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BENERGY PERMIT FEE 83 . 16 39 . 92 0 . 00 39 . 92 0 . 00 BPERMFEE VALUATION 2, 550 . 00 83 . 16 0 . 00 83 . 16 0 . 00 BUSLIC FLAT RATE 1 . 00 105 . 00 0 . 00 105 . 00 0 . 00 BSEISMICRE VALUATION 2 , 550 . 00 0 . 50 0 . 00 0 . 50 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 228 . 58 0 . 00 228 . 58 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ CASH 228 . 58 $ TOTAL RECEIPT 228 . 58 INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO • PERMIT INVOICE OPERATOR: christya Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 36611155 . 00 INVOICE DATE. . . . . . : 05/17/2006 REFERENCE ID # . . . : 06050150 SITE ADDRESS . . . . . : 7567 NORMANDY WY SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : MUSIL LEONARD M AND MARY A ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5222 CONTRACTOR . . . . . . . : LARRY BARRAGAN LIC # 24654 COMPANY . . . . . . . . . . : NOBLE CONST ADDRESS . . . . . . . . . . : 259 N CAPITOL AVE #152 CITY/STATE/ZIP . . . : SAN JOSE, CA 95127 TELEPHONE . . . . . . . . : (408) 205-3692 • FEE DESCRIPTION ACCT NUM CHK TOTAL FEE PD TO DATE BAL DUE ------------------------ ------------ --- ---------- ---------- ---------- ENERGY 4119 A 39 . 92 0 . 00 39 . 92 BLDG PERMIT FEES 4116 P 83 . 16 0 . 00 83 . 16 SEISMIC FEE RES 2013 P 0 . 50 0 . 00 0 . 50 BUSINESS LICENSE 4063 A 105 . 00 0 . 00 105 . 00 ------------ ------------ ------------ 228 . 58 0 . 00 228 . 58 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- -------- ---------------------------- -------- ---------------------------- 101 FOUNDATION 102 PIERS 103 UFER 104 REBAR 105 ANCHOR BOLTS 106 SEWER & WATER 202° UNDERFLOOR PLUMBING 203 UNDERFLOOR MECHANICAL 204 UNDERFLOOR FRAME 205 UNDERFLOOR INSULATION 301 ROUGH PLUMBING 302 TUB & OR SHOWER 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 305 FRAME 306 HOLDOWNS 307 INSULATION 308 SHEETROCK 309 EXTERIOR LATH 310 INTERIOR LATH 311 SCRATCH COAT 313 ROOF NAIL 501 FINAL ELECTRICAL ENERGY 502 FINAL PLUMBING ENERGY 503• FINAL MECHANICAL ENERGY 504 FINAL BUILDING ENERGY 005 FINAL ELECTRICAL 506 GAS TEST 507 FINAL PLUMBING 508 FINAL MECHANICAL 509 FINAL GRADE 510 FINAL PLANNING 514 FINAL PUBLIC WORKS Community Development 10300 Torre Avenue Cupertino CA 95014 t Telephone(408)777-3228 Cl OF Fax(408)777-3333 WUPERTINO Building Department JOB ADDRESS: 7 /1 o,P.ir (�/� PERMIT # oSo / s'D OWNER'S NAME: / PHONE # GENERAL CONTRACTOR: Z4 FAX # I am not using any subcon cto s. / 7 p� lgnature Date Please check applicable subcontractors complete the f information: SUBCONTRACTOR USIN SS N E BUSINESS LICENSE # Cabinets &Millwork 44 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 S et Rock it Vc�ntrdct(27ature ate