Loading...
04100110.Op > E ' ea DyC 3a'U =tea ca Mme I.2> 0 z_ H �i Pr U U 0 F U CITY OF CUPERTINO a77-777 BUILDING DIVISION PER CCI,NTRATnR YNF,ORMAN, BUILDINGADDRESS: KINNEY CONSTRUCTION INC PERMIT Na4100110 1928 OAKDELL 2L OWNER'S NAME: PERMIT ISSUE DATE DRD BURKE EWA 1041 TERRA N 0 4 HONE: SANITARY NO. CONTROL NO. (650)359-9763 ARCHITECT/ENGINEER: BUILDING PERMIT INFO ' BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description 1 hcrchp affirm Inas 1 am liccnud andp. tFyisions of Chapter 9 (commencing license is with Stiction ynM)) of Division J of 1M1c➢usincssr-and Pm2nitinns Cndc. and my mmBfo Inde - REVISION --NEW HEACTER/FOOTING Liccnsc CI X. Lk.k Dale t OOmmetoO NEW PERMIT ISSUED/ ORIG. #04100101 _l ARCHITECTS DEC A_ .1j,gpMrstand my plans shall Mused as public records ' Licensed Professional OWNER -BUILDER DECLARATION I hereby affrm mall am exempt from the Contractor's Liccnsc Law far the following reason. (Section 7031.5, Business and Professions Coal Any city or County which requires a permit to construct, alter, improve, demolish, or repair any sireclme prier In its issuance, also requires the applicant for such permit to file a signed statement Sq. Ft. Floor Area Valuation that he is licensed purumuLtO the provisions of floc Contractor's License Law(Chimer9 O (COmmcncing with Section ](N107 0l Division J Of the Business trod Pm@scions Cnde) Or Ill. MC exempt Ihemfa d and me basis for the alleged exemption. Any violation of APN Number Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil Penalty of net marc than five hundred dollars (s500). 32 618048.00 [D 1, as owner or the property, or my employees with wages as theirxolc compensation, Required Inspections e will do me work. and me structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of q p property who builds or improves dieretic, and who doessuch work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, me building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or to prove for purpose of lc ❑ I, as owner of the property, , Business exclusively contracting with licensed contractors d,i. El1, cense pmjecl (Sec. WA, Professions Code:) Contractor's Q \ C wneorand Law d dicmoc,and. cense Lew doasnot roan or who d i pro nd apply o ant \ v to the sed pursuant who conLacBfor such project with a contracmr(s) licensed pursuant to the Comndofs ch r with se Law. L] \\\s ❑ exempt under Scc. . B & P C far this rcmon incl 1 am Owner Data WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penally of refill One of the following declarations: I have and will maintain a Cctifcate of Conti to self-ieaom for Worker's ComPem salwa, u provided for by Section 3700 Of the Labor Code, for the pdifmmvncc of the work for which this Permit is issued. ❑ I have and will maintain Worker's Compensation Insurance, ex required by Section 37M of the Labor Code. for me peRormanec or the work for which this Permit is issued. My Worker's Compensation Insman a carter and Policy number d ^Ct Ur{p . Policy No.: RTIFICATE OP EX MPTION FROM WOR ERS' COMPENSATION INSURANCE (This section need not be completed if the permit is franc hundred dollars (EI W) or less.) I century that in the performance of the work for which this permit is issued, l shall not employ any Person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT. If, after making this Ce nilicatc of Exemption, you should become subject to the Worker's Com pe nation provisions of the Labor Cade, you must ford with CO surly with such provisions or this Permit shall IN, deemed revoked. CONSTRUCTION LENDING AGENCY 1hereby that there iss agency I'nr the Perl'Ormanee of ed(Sec.30lending ichaffirm ' the work fur which this pernit is issued (Sec. 3TN7, Civ. C.) ndr's Name U Lendeer's Address j 1 certify Nam l have read this application and scam that the above insonation is ' cored. 1 agree to comply with all city and county ordinances and state laws relating to building Construction, and hereby autharim representatives of this city to enter upon the above c mentioned properlyformspection purposes. ' (We) agree to cast, indemnifyexpo and keep harmless the Clay of Cupertino against j coarsing may in anyway accmc against said City Q �� 1\l\ in Of of this re reit. Of the granting Of this recruit. ' APPLICANT UNDERST NDS AND WILL COMPLY WITH ALL NON -POINT A APPLICANT ISSUed by: - Dffie SOURCER IONS. Z11k Re -roofs Type Of Roof natum OfA omr r Dale US MATERIALS DISCLOSURE Will the applicant or fumrc building Occupant slam or handhe hasarJous mvtchel as defined by the CupeninO v1pei,ad Codc, Chapter 9.12, and the Health and Safety Codc, Section 25532(x)? All roofs shall be inspected prior to any roofing material being installed. ❑ Ycs If a roof is installed without first obtaining an inspection, I agree to remove Will the epplicanlm furore but ag Ottupanl use equipment or devices which emit M'mrdoto it conmminanm as defined by the Bay Arca Air Quality Management all new materials for inspection. DisteiaP C] Yes I have read me mandowunabarichi requirements under Chunmr 6.95 of the Cabral ,is Heald,&Safety Code, Se ns 25505, 233 and 25534.1 understand mm if me building ' dors not ammally ha c.rrc Rrt !'n puns.1ility m notify the oecupanl of me -ma regwmmtn�w ma�„f, r.�r•.teaf Dteepporayy.,�nll �1 �Wignature of Applicant Date ( All roof coverings to be Class "B" or better soar of ammarized agent Dalt 0 �• CUPERTINO OCITY OF CUPERTINOO PERMIT APPLICATION FORM 6- - s O /6 (OP 0 APN # 2-6 Date: /6) I � 1&-, B ildin ddress: Mailing ddress (if different from building address): `P��tc� 1 a- �s��•l Owner's Jartle: Phone #: _ n BBOILER1 _ ntractor: Lic se #: Boiler > 100K to 500K Btu MECHANICAL C Phone:/,:,So -:�6n-Y763 Cupertino Business License#: cc' � rr,,rrc,JS Fax: -3 BBOILER4 Building Permit Info: Bldg Elect ❑ Pligab ElMech El Job escription: �`�\ �V Q\W-C� O$ ccni�tc� VSA\� Residential ommercial ❑ Ot Sq.Ft. Floor Area: $/Sq.Ft.: Cost of Project: Occupancy Gro : Type of Construction: Please check t ' box if the pr ' is a BUILDING second -story additio . Project Size: Standard ❑ Lar e ❑ Ma'or ❑ BUILDING Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILER1 Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler > 100K to 500K Btu MECHANICAL BBOILER3 Boiler > 500K to 1M Btu MECHANICAL BBOILER4 Boiler> IM 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 Elee600V <= 1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING r L 1 of 3 a CUPERTINO OCITY OF CUPERTING PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMIv1E 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 ISewers PLUMBING BPSPRINK Lawn S rinkler/Backflo PLUMBING BPSTORM Storm/Ram 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 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT _ Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BRENU URNOV 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 2 of 3 WC0ERTINO � QITY OF CUPERTINO* COPERMIT APPLICATION FORM _ Fee ID Ouantity 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 Insection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSV.CS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERNUTFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Address Chane BUILDING • 3 of 3 1 z z Q C ^� az UO OU U Fa U CITY OF CUPERTINO ' ' F `° INFORMATION::.: ' BUILDING DIVISION PERMIT fC0NTRkQT01 BUILDING ADDRESS: KINNEY CONSTRUCTION INC PERMIT NN100110 1928 OAKDELL PL OWNER'S NAME: PERMIT ISSUE DATE EDWARD BURKE 1041_ TERRA 4 NE: SANITARY NO. CONTROL NO. (650)359-9763 ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION I her ch affirm that 1 am licensed mody,ar� any at Chapter 9 (aunmcncing Job Description with5 loran prf Division Sof the Businex n_(i GrrhaLiima Cm1d;mdmy1imnseis u«�15ec1.sd a l�' REVISION --NEW HEACTER/FOOTING' sees Date _CamtractO NEW PERMIT ISSUED/ ORIG. #04100101 ARCHITECTS DEC 'j,pj dersland my plans shall be used as public records Liremsed Pmfencunal OWNER -BUILDER DECLARATION 1 hereby o1Trm that 1 am exempt from the Contractor's License Law for the following notion, (Section 7031.5, Business and Professions Code: Any city Or county which requires d permit to Construct, alter, impmve, demolish. or repair any structure poor to its issuance, also requires the applicant for such Permit o file a signed statement that he is licensed msuamm the previsions of the Contractors License lsw(Charter 9 Sq. Ft. Floor Area Valuation $0 (commencing with Section 7000) of Division 3 of the Business and Professions Came) or that he is exempt therefrom and dm basis for the alleged exemption. Any violation of Section 9031.5 by any applicant for a permit subjects the applicant to a civil penalty of them five APN Number 4e Occupancy Type not more hundred dollar, ($5007. 32618048.00 E] 1, as owner of the property, or my employees with wages as their sole compensation, will do Ne wurk, and Ne structure is not intended or offered for sale (See. 7044, Business Required Inspeeuons and Professions Code: The Contractors License Law does not apply to an owner of propeny who builds or improves thereon, and who does such work himself or through his own employccs, provided that such OR pavements arc not intended or offered for sale. If, however, Ne building or improvement is sold within one year of completion, me owner builder will have me burden of proving that he did not Wild or improve for purpose of ❑ 1. as owner of the propeny, am exclusively contracting with licensed contractors to Conswet the paject(Sec. 7044, Business and Professions COde:)The Cornractor's Li. cense Law does not apply to an owner c(propeny who builds or improves thereon, and who contracts for such projects with a Canonicals) licensed pursuant to the Contractor's License Law. ❑ l am exempt under See. ,B&PC for this mann Owner Data - WORKER'S COMPENSATION DECLARATION Ihereby affirm under Penalty of perjury one of the following declarations: I have and will maintain a Certificate of Consent to self-insum for Worker's Compete $don, as provided for by Section 3700 of the Labor Code, far Ne perf rmmnce of the work for which Nis Permit is issued. [:1 1 have and will maintain Worker's Compensation Insurance, ac required by Section 37W of the labor Code, for the performance of the work for which this Permit is issued, My Wmloo'sMCompensation In c earticr and Policy number a tee \ U Policy No.: RTIFICATE OFEX PITON FROM WORKER COMPENSATION INSURANCE Tbisse,onmraced notim,mi Iced dific permit isforonchundred dollars(5100) or less.) 1 certify ton, in the Performance of the work for which this Permit is issued. I shall not employ any porton in any manner so az to became subject to the Workeri Compensation Laws of California. Dam - Applieant NOTICE TO APPLICANT: IL after making this Ceril3catc of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked ' CONSTRUCTION LENDING AGENCY I hereby affirm that there is a commotion lending agency for the performance of Ne work for which this permit is issued (Sao. 3(197, Co, C.) Lender's Name Lender's Address I ec tify that l have read this application and Safe that the shove information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby sufamim representatives of Nis city 10 enter upon the " above-mentioned property for inspection purposes. (We) acme to save, indemnify and keep Landless theCity of Cupertino against /}`A and any way which may in anyway accrue against mid City inconsequence fthegran of thisexpenses of@egrand ngof this permit. pe A APPLICANT APPLICANT UNDERS' NDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Date SOURCE R ONS. Re -roofs Type of Roof oat COfA i rntr r Data US MATERIALS DISCLOSURE Will Ne applicant or future building Occupant store or handle harardmis material as defined by the Cupertino IvL�n�, cipal Cute, Chapter 9.12, and the Health and Safety Code, Section 25532(an All roofs shall be inspected to any roofing material being installed. Ycs prior If a roof is installed without first obtaining an inspection, I agree to remove Will the epplicantor luetic building occupant use equipment or devices which til hazmduus air contaminants as defined by the Bay Arca Air Qual'ny Management ki all new materials for inspection. suict9 ❑Ycs I have read ho huvar requirements under Chapmr6.95 Dfthe Caiifor. ria Health&Safety CrdC, Sc 'ms 25505, N33 and 25534.1 mthomand prat ifthc building does not currently h itis yresponsibilitymnndl'y the rccupant of the requircmcntawmu of Occupancy. /Q� IWignature of Applicant Dale f All roof coverings to be Class "B" or better mgr m autburircd aceto Datc