06090154 CITY OF CUPERTINO �*r
BUILDING DIVISION PERMIT RAITRA-CTOR,TNFCI .MATa,
Bu'l-DING ADDRESS: ALL THINGS WIRED INC P""T`D'06090154
22009 OAKDELL PL
OWNER'S NAME: PERMIT MSUB DATE
GRACE KIM 630 GEORGETOWN CT. 2006
NE: SANITARY NO. CONTROL NO.
(806) 214-9473
ARCHIECTIENGINEER: BUILDING PERMRINFO
BLDG PJECI' PLUMB MECH
am LICENSED CONTRACTOR'S DECLARATION O O O O
ms 1 hacby of l m that 1 am Ikenscd under provisiau of Chapter 9(commencing Job Description
wilhSection ceande)ofDi WanJofNeBu eaandPafcsdomCamo
,amylicenseb
w m full force and effect INSTALL NEW 15 AMP CIRCUIT FOR THE GARAGE'
-LI
?LIZ- Lice"V^Gins Lk.M '
Da¢ Concrete
e ARCHITECT'S DECLARATION
C U I understand my plans tall he used u public records
ea
-Q Licensed Pm(essional
w
OWNER-BUILDER DECLARATION
'COO I Archy affirm that 11. exempt from the:reaatneta/s License Law for she
p 0 following noon.lecNun](13 str t.Alnat and Pwfde oli Calc:Any city m county $350
COO
which its issuance.
a Penson re cornweL Blur.impwve,demolish,ore a sig any atemun
uZY Priorlo incensed pursuant
theapplicantof for Coit Permit of Rmum Law l statemcm Valuation
that Mislkenwit punuanl to la of Diviow of Nc Contancesan ccwclsw(ChapterCode)
Sq.Ft. Floor Area
e€S (commcndngwiNStttion]and of Division of lite Bminwe exemption.
vi Cade)of
��— Nat M b eumpt Nem(rom and the bub far that alleged eumption.Any violation of
Section 7071.5 by airy applicant for a Permit subjects Ne applicant w a civil penalty of Zt APN NVilfiFer u Occupancy Type
not more than five hundred dollars($300).
❑1,u owner of the property,or my employer with vnga as Heir mle eompemation,
will do the work,and ilestructum is not ntended or offend for We(Sm.7(d4/,Businw Required Inspections
and Professions Code:The Communes License Law deed not apply w ns an Owner of q P
man emywho employees,prom(mpwvea themeove who us neueh work Meraelforlhrough his
awn nywhobu provided Nat such improvements ere not intended er self or(rough If.
however.the building or improvement is sold within one year of completion,the awnef-
builder w111 have the burden of proving that M did not bald or Improve for purpose of
ale.).
131,as owner of the prnpeny,am exclusively cunumting with licensed conuuron to
mound the project(Sec.7044.Business and Professions Code:)T1s ConRlmoeS Li- f/
m ce law dans am apply to an anter of proper who Wilds of improves thein,and
who canna for such projects wilds a comsat")licensed pumanl to the Cam ucofa
Lim.law.
❑1 am exempt un/demes B rb P C for this
Owner 6_1 — Dau 2• u b
WORKERS COMPENSATION DECLARATION
I bereby siker under penalty of perjury one of the following declensions
1 ave and will maintain aCWO®te of C...I touIf-Won fee WorkdaComPm-
salon.as provided for by Section 3TW a W labor Cade,for du Performance of da
wort for which this Paerit is issued.
❑1 have and will maintain Worimes Compensation Imunnce,as required by Sermon
3700 of to Labor Cook,for the performanceofthe work for which this Permit is issued. '
My Workefs Compensation Insurance anicr and Policy number an:
Cartier. Policy Na.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need not M completed If the Permit is fm one hundred clothes(5100) '
or less.)
1 certify Nat In the perfmmenm of the work for which this Permit is issued.I shall not
employ any Penom in my muncrso as to bmTc wbjmt to the Worteri Compematon
Laws of Californlayato 9/h as /o G
Applicant G ��
NOTICE TO APPLICANT:IL after making this CcAOcate of Exemption,you should
become subject ve the Worked ComPemsadon pmviaons of the labor Code,you raw,
.7. 0 forthwith comply with such provisions or this permit be deemed cooked.
.Ziy CONSTRUCTION LENDING AGENCY
fir I hereby IMM that them la a eonsuncOM lending agencY(Of Use Perfermamn of
the work for which due permit is issued(Sec.3097,Civ.C.)
QUnder's Nam
0.z I.enoers Addose
U Q I certify the,I ban read this application and rote the,the above information is
W cornet.I More to comply wish all city and county ordinances and sun laws noting on
Ot, building convection,and lmreby authorim rrpmsmativcs of this city to enter upon the
r W shove mentioned progeny for inspection purposes.
91
(We)agree to save.indemnify,and keep hamtras Ne City of Cuperino apinst
nF.r M IiaNituce.udgmeou.cmuarMespoests which mayin.,.y.aSamaaul City
U z in consequence of the toot ng of this permit — /}
.. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date (f/
SOUR �GULA NS.
Re-roofs
Sigaaure of ApplianUConuacwr Date
HAZARDOUS MATERIALS DISCLOSURE .Type of Roof
Will the applicant or future building occupant mon or Mole haardow material
as delved by the Cupertino Municipal Cade,Chapter 9.13,ant the Health and Safety
Cam,Section 35533(a)? All roofs shall be inspected prior to any roofing material being installed.
C]Y" EK
41 Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit Musrdew air antaminsnu u defined by the Bay Area Air Quality Management all new materials for inspection.
District?
❑Yce 124 r-�,�/,,
1 have read the MaNrws materials requirements under Chapter 6.95 of the Califer.
nit HcaOh dr Safety Cade,Sedum 35515,33533 and 25534.1 undemmnd that if the building
does not currently ham a tenant.that It if my responsibility to retry dte occupant of the
requirements which most be mel Prior to oh CcrtiOcau of OcuPanry. Signature o
Ownf Applicant Date
u
Owner or ages 9 � �"6 All roof coverings to be Class"B"or better
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
4kUPERTINO
Building De artment
JOB ADDRESS: PERMIT #
2zooel Ockkale,\I PL CtArev4iM, CA 9s7-1 `4 O �Y
OWNER'S NAME: G ✓ace L, , PHONE # 405--118 —15;Lf89
GENERAL CONTRACTOR FAX # 406- 2,(,(. _,wal
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
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
Tile
� C 7/zj/e)6
Owner/Contractor Signature Date
CITY OF CUPERTINO
�m 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 32639005 . 00
DATE ISSUED. . . . . . . : 09/20/2006
RECEIPT # . . . . . . . . . : 36120
REFERENCE ID # . . . : 06090154
SITE ADDRESS . . . . . : 22009 OAKDELL PL
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : GRACE KIM
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : GRACE KIM
CONTRACTOR . . . . . . . : CHRIS CHANDLER LIC # 26602
COMPANY . . . . . . . . . . : ALL THINGS WIRED INC
ADDRESS . . . . . . . . . . : 630 GEORGETOWN CT.
CITY/STATE/ZIP . . . :TRACY, CA 95377
TELEPHONE . . . . . . . . : (806) 214-9473
•FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
BREMRECEPT NO. OUTLETS 1 . 00 1 . 20 0 . 00 1 . 20 0 . 00
BSEISMICRE VALUATION 350 . 00 0 . 50 0 . 00 0 . 50 0 . 00
EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 40 . 07 0 . 00 40 . 07 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
------------- ---- ------------ ------------------
OTHER 40 . 07 MASTERCARD
TOTAL RECEIPT 40 . 07
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
-------- ---------------------------- -------- ----------------------------
304 ROUGH ELECTRICAL 501 FINAL ELECTRICAL ENERGY
505 FINAL ELECTRICAL
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CITY OF CUPERTINO Ouoq D 15�
CUPEkTINO PERMIT APPLICATION FORM
JKPN# '324 - 39 CO J Date: le -167 6/
Building Address: Mailing Address (if different from building address):
22-o0 V• Pakelplil FIL . Cti ev+iho CA g54jµ
Owner's Name: Phone#:
C,RACE IL1M 400 - 366 - 1441
Contractor: pu �mcw, Wlrzep License #: 75L/55o G1
Contact: S Phon% Cupertino Business License#:
L Fax: 4o8- 71g.-9g6q
Building Permit Info:
Bldg ❑ Elect 21, Plumb ❑ Mech ❑
Job Description: 1 N5}all New IS AMP c12CvAi F Fvrz- arhc 6 u"-,j�—
Residential 3' Commercial ❑
Sq.Ft. Floor Area: Sq.Ft.:
Cost of Project: J`3 5 Occupancy Group:
Ig-,
Type of Construction: Please check this box if the project is a
lJ� second-story addition: ❑
ro'ect Size: Standard ❑ Large ❑ 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 Investigation fee BUILDING
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� �- CITY OF CUPERTINO
CUPEI�TINO 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 Pblg Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPINfERCEP 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 HeaterNent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfrn MECHANICAL
BREMAMIAN 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> 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 Ap liance ELECTRICAL
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�Q CITY OF CUPERTINO
CUPERTINO PERMIT APPLICATION FORM
uanti Fee ID Fee Descri tion
BREMSIGNADFee Grou
Rmdl Si s Add BranchELECTRICAL
BREMSIGNS Remodel Signs, Mar tree ELECTRICAL
BREMTHEATR Theatrical Li htin Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation S stems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial
BSEISMICREBUILDING
Seismic Fee Res BUILDING
BSPECIAL S ecial Ins ection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Temporary Power ELECTRICAL
BTEMPPERM Tem ora Bld Permit BUILDING
BTEMPSVCS Tem Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical s foot ELECTRICAL
EPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbin Permit Issue PLUMBING
PPLBG Plumbin Fees foot PLUMBING
PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING
PLLONGRNGR Planning Lon 1D..--
HG
an aHG Address Change BUILDING
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