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06090054 CITY OF CUPERTINO .w �r^r�� .. nom' '('i�" �t�u - BUILDINeDIVISION PERMIT �'£A+�L'1:°J..R�a: o5-! Y�'4O �' '� \ n.hk"'.'SQ&'', Bu1LDINCADDRESS: GENMOR PLUMBING PERMIT"°06090054 10109 OAKLEAF PL OWNER'S NAME: PERMIT ISSUE DATE JEW THOMAS S AND ALIPRAND JOAN3560 HAIG ST. JU 09/08/2006 ONE: SANITARY NO. CONTROL NO. (408) 855-8348 ARCHITECTIENGiNEER: BUILDING PER INFO BI EPO PO O pop LICENSED CONTRACTOR'S DECLARATION ]Ob D05CrIpL10n i u 1 bemby affirm that I am licensed under pmvismu of Chepser 9(commencing with Section 7000)of Division 3 ofthe Basi."PrefcaaaasC my license is inPoll rouse andu ` COPPER REPIPE SERVICE TO THE HOUSE 1113 License Class ue.d fy iF Dau Contractor '�vl qqq ARCHITECTS DECLARATION /J ( I understand my plans shall he used u public retards t t G Liconmd Profmasional OWNER-BUILDER DECLARATION I I Wrehy aRrm that 1 an Attempt from the Comismo/a License Law for the •O O following much.(Section 703 IS.Business and Prufessium Code:Any city or county Swhich Acquires,a permit in construct,alter.Improve,demallah,or mpoir try mature S5000 .xi prior in its issuance.&he require the applicant for much permit to fhle a signed summem < hat he is licensed potentials uthe previsions ofdoContinence,UceascLaw(charter 9 Sq.Ft.Floor Area Valuation I�$ (commencing with Section 70DO)of Division 3 of the Business and Profusion$Coal or that he ts exempt thmfrom and the basis for the alleged eu nialon.Any violation of Section 7031.3 by any applicant for a permit mitiacu the applicant in a civil penalty of Occupancy Type not mom data five hundred dollars($500). 0 1,u owner of the propony,or my emplayess with man u their mom compensation, will do the walk and Watmucmurt hot intended or offered foram(S", Business Required Inspections and Profemlm s Cade:The Convenor's Lt.=Law does ret apply m an owner of 9 P prepeny who buidsarimprovea thereon.and whoduessuchwork hlmulf m through his awn amploymA,provided the such imprevements tie asst intended oraaered for sale.IL however,se building or Improvement is sold within am year of camplcuan,me owner- builder will have time burden of proving that W did ret Wild or Improve for purpose of talc.). 0 1.as,owner of the property.am"elusively anomalies with licensed contra ens m construct the prefect(Sec.70x4,Business and Profutic.Code)The Contractor's Li. cense Law dose cot apply a an owner of property who Wilda or Improves theman,tad who contracts for such prejecu with a contrarur(U licensed Parham a me Conmcuts Lima.L.W. 0 I am eaempt under Sec. .B R P C for mis mason Owner Dau WORKER'S COMPENSATION DECLARATION 1 hereby air=under pemlty of perjury am of the following declamtioas: 1 have and will maintain a Cenifcmm of Consent m self-Wort(m WOrgeYsComPo- sadm,as provided far by Section 3700 of the Label code,for the performume of ton work for which this permit is heed. 0 1 have and will maintain Workees Compensation Witatice,as Acquired by Section 3700of the lobo Code.for the performanee armed work for which this remelt Is lasued. My Walker,Carder... Ou4atan �pRicrmd-Y is:pumber 2 CERTIFl—GTE OF EXEM�M moN{,RR1u vlll was mERS' COMPENSATION INSURANCE nbis secdm heed ret W compleml Irmo permit h foranc hundred dollar($100) or mss.) I cattily that in the perfomunee of the work for which mit permit u issued.I shall nm employ any person in any mmmerse,u u become subject to abe Walken'Compensidon Laws a(Caliromia.Dam Applicant NOTICE TO APPLICANT:IL after making this Cenificam of Exception,you should become subject to the Worker's Compensation provisions or the L or Cade,you miss Z forthwith comply withmuch provisions or this permit shall he domed mvmked. zO CONSTRUCTION LENDING AGENCY EI hemby 4117m,that h thea em a construction lending agency for tm on perluunce of > the work for which duffs permit is issued(So.3097,Or.C.) U] Q Undoes Name 0 z Under'.Address U 1 eenify that 1 have mad this application and sum this tbe above information is V.F coned.I agree to comply with all city and county ordinances and sate laws relating in 0U building construction and hemby maborim representatives of this city to enter upon hhe rH a above-mcmidgm Property(and expenses which ms,. (Wo)agree to save,indemnify and keep harmless the City of Cupertino against rF.r rA Iiebilivu,ju0gments.cosb and expenses which may In any way accrue against said City U,'z in consequence of the grading of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: 6i Date SOURCE REGULATIONS. Re-roofs Signamm of Applica tAContrenor Dam Type of Roof HAZARDOUS MATERIALS DISCLOSURE William applicant or future Wilding acupantmlae u or handle heNaus material u defined by ton Cupenine Municipal Code.Chapter 9.11,and the Health and Safety code,Semon 1ss31a)? All roofs shall be inspected prior to any roofing material being installed. ❑Yca Will me applicant or future Wilding Occupant me equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove ..it hvArdemm air cmamiaants sa damned by me Bay Am Am Quality Mmuagcmnst all new materials for inspection. District? 0 Yee p+T 1 have mail me he asswt matedalamquimnuns under Chapmr6.95 ofte,Califor- naHnith h SafetyCode,Seeuoru15505.15533 and 73534.1 underamd dualism Wilding alms not currently have a tenane Na It IS my mpomibllity m notify the,ocetmed of the Acquimmemwhkh must W met paiaruisstwccofa amarmam of 0ccupamy. Signature of Applicant Date Owner or authamcd.gem Dam 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 4JUPEkTINO Building De artment JOB ADD ESS: PERMIT # ©6O �d O-z2 6 �= I- OWNER'S NAME: PHONE(# GENERAL CONTRACTOR: FAX # I am not using any subcontractors: t�n ���P t -Q Q 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 Owner/Contractor Signature Date CITY OF CUPERTINO 1 of 2 PERMIT RECEIPT OPERATOR: bethe COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36203032.00 DATE ISSUED. . . . . . . : 09/08/2006 RECEIPT #. . . . . . . . . : 35966 REFERENCE ID # . . . : 06090053 SITE ADDRESS . . . . . : 1022 PENNINGTON LA SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : HAEHNEL ROBERT H AND BARBARA J ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4771 RECEIVED FROM . . . . : GENMOR PLUMBING CONTRACTOR . . . . . . . : GENARO MORALS LIC # 27101 COMPANY . . . . . . . . . . : GENMOR PLUMBING ADDRESS . . . . . . . . . . : 3560 HAIG ST. #2 CITY/STATE/ZIP . . . : SANTA CLARA, CA 95054 TELEPHONE . . . . . . . . : (408) 855-8348 IRE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW HAL ______ _____________ __________ __________ __________ __________ __________ BPERMFEE VALUATION 4, 000.00 104.76 0.00 104.76 0.00 BUSLIC FLAT RATE 1.00 105.00 0.00 105.00 0.00 PPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 __________ __________ __________ ---------- TOTAL PERMIT 248.13 0.00 248.13 0.00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 301 ROUGH PLUMBING 502 FINAL PLUMBING ENERGY 507 FINAL PLUMBING 0 CITY OF CUPERTINO F aREPIPE/SEWERS/MAIN SERVICE UPERTINO PERMIT APPLICATION FORM 06� APN # ba 03 03,2 Date: G Building Addss: �-- Cuyex [O?QTerNaTn : Phone#: 1 � CQ Contractor: Phone: Licens #: C' S'r3 Contact: Phone:' Cureifind Business License#: S . p A 7 0 Building Permit ter e \r\c `\10 \6 Q \Ide- Bldg ❑ Elect ❑ Plumb El Job Description: Residential 0' Commercial ❑ Cost of Project: 15 anti • Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE Bldg. Permit Fees BUILDING BPGAS Gas Piping System Fee PLUMBING PPERMITFEE Plumbing Permit Issuance PLUMBING BPREPIPE Repipe of Fixtures PLUMBING BPFIXTURE Pbl . Fixture PLUMBING BPWSVCS Main Water Service PLUMBING BPSEWER Sewers PLUMBING BPSEWAGE Sewage Disposal PLUMBING BUSLIC Business License BUILDING • CITY OF CUPERTINO 2 of 2 PERMIT RECEIPT OPERATOR: bethe COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 32618045.00 DATE ISSUED. . . . . . . : 09/08/2006 RECEIPT #. . . . . . . . . : 35966 REFERENCE ID # . . . : 06090054 SITE ADDRESS . . . . . : 10109 OAKLEAF PL SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : JEW THOMAS S AND ALIPRAND JOAN ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-1109 RECEIVED FROM . . . . : GENMOR PLUMBING CONTRACTOR . . . . . . . : GENARO MORALS LIC # 27101 COMPANY . . . . . . . . . . : GENMOR PLUMBING ADDRESS . . . . . . . . . . : 3560 HAIG ST. #2 CITY/STATE/ZIP . . . : SANTA CLARA, CA 95054 TELEPHONE . . . . . . . . : (408) 855-8348 &E ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ______ _____________ __________ __________ __________ __________ __________ BPERMFEE VALUATION 5, 000.00 115.56 0.00 115.56 0.00 PPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 __________ __________ __________ ---------- TOTAL PERMIT 153.93 0.00 153.93 0.00 METHOD OF PAYMENT AMOUNT NUMBER _________________ ____________ __________________ CHECK 402.06 2363 TOTAL RECEIPT 402.06 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ------- 301 ROUGH ROUGH PLUMBING 502 FINAL PLUMBING ENERGY 507 FINAL PLUMBING • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 is- Ty0t Fax(408)777-3333 4JUPE(�TINO Building Department JOB ADDRESS: PERMIT#65 p 'Foo r `I 0G 1 V� C Pe OWNER'S N PHONE 3- GENERAL CONTRACTOR FAX # I am not using any subcontractors: �Ye t Signature �— Date Please check applicable subcontractors and complete the following information: 21 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 Owner/Contractor Signature Date CITY OF CUPERTINO ' REPIPE/SEWERS/MAIN SERVICE CUPEkTINO PERMIT APPLICATION FORM o APN# Date: d� Building Address: Owner's Name: Phone#: Contractor: Phone: License#: Contact: Phone: Cupertino Business License #: 1- o Building Permit Info: Bldg ❑ Elect ❑ Plumb D' Job Description:. 11 Residential Commercial ❑ Cost of Project: • Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE Bldg. Permit Fees BUILDING BPGAS Gas Piping System Fee PLUMBING PPERMITFEE Plumbing Permit Issuance PLUMBING BPREPIPE Revive of Fixtures PLUMBING BPFIXTURE Pbl . Fixture PLUMBING BPWSVCS Main Water Service PLUMBING BPSEWER Sewers PLUMBING BPSEWAGE Sewage Disposal I PLUMBING BUSLIC Business License BUILDING •