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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 • 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 1 of 3 � �- 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 2 of 3 �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 • 3 of 3