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06090111
CITYOFCUPERTINO � ji•1 "''' '£ bUILDING'DIVISION PERMIT .Cil .CT(TRINF,OItMATkQN T .n<, BUILDING ADDRESS: IC MECHANICAL INC PERMIT No.06090111 19310 PRUNERIDGE AVE OWNER'S NAME: PERMIT SUE DATE APPLE COMPUTER 477 BURKE STREET 06 NE: SANITARY NO. CONTROL NO. (408) 792-2292 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH loo LICENSED CONTRACTOR'S DECLARATION - Job Description i tri I hereby Arnim that l Am licensed under provisions of CMPur 9(commencing with Section 7000)of Divislon 3 ofthe Business and Prokasiom Code.and my Ike.I. t�n dOsBfnraand.frem. NATURAL GAS PRESSURE TEST FOR EXISTING COMMERCI Ldmm a Le.P Can,raur 2 �B[IILDING Deis C ARCHITECTS DECLA ATI01 4 i I understand my plans shall he used a public mcorm )yU °o Licensed Professional spy OWNER-BUILDER DECLARATION f y I hereby a1Erm Not 11. exempt from the Contnaofs License Law for the .O O which re mason.(Saito 703 1.5,Business and ..dem li Code:Any city or county $ which requires;a permit m cammcs,inter.Imprnw,demolish,nr mash any m -Z'2 PriormitsIssuance,als�requimalMapplieamforsuchpermiuOfileaaignNAtatemeuumcn, ValDa[io SOO e < NatheulicensedpursuantWtheprovisionsofdu:Canuacmr'tLicenselaw(ChaNer9 Sq.Ft.Floor Area S 3 (commencing with Section 7000)of Division Sof the Business and Professions Code)of that he Is exempt therefrom and this bub ror the alleged exemption,Any violation of Section 7031.5 by any appllesnt for a permit subjects Ne applicant to A civil penalty arppN N�Ttuber Occupancy Type not man that five hundred dollar($500). 316 O 6 U 51 . 00 O I,As owner of the property,or my mpdyas with wages a their sok compensation. will do the work and the swmure boatimnded moEered for aale(Sec.7044.Business Required Inspections and Pmreasinoactana Code:The Cotes LkAmm Tao des ml apply d a awtur Of q P pmpmy wAn build.m Im prow thereon.and who does such waft himself or thmugh his own=play=,provided that such improwmats Am trot intended Warrant!An Ask U. however.the ddldi ut or Improvement is mid within oris year of completion,dse ower- builder MO low tM border of proving cast le did et build ar improve for Purpose of me.). O T,a Owner of the pmpeny am exclusively comraming with named contractors to concurrent the project(Sec.7044,Business ad Professions Cade:)The CoouanMs U- man Law does not apply W An mono of property who bonds or improves thereon,ad. who canuacu for such projects with a eomracur(U licensed pufmum to the Comralonl L'uema Law. O Tam cacmpt under Sea .B d:P C far Nis mmmn Owner Da, WORKER'S COMPENSATION DECLARATION I hereby&iRm under penalty of pctjmy one of the fallowing dcela timmc I ham and will maintain•Cestifimm of Content to AAINmme for woheYaCompen- sethan,a provided for by Section 3700 Of the Labor Code,for the performance Of the work for which this permit is Issued. O I have ad will maintain Worker's Compensation Incomes,a required by Section 37W Of the labor Cad.,far the per(mmmee of the work for which this permit is issued. My Worker's rC�OMnPenatian Insurance carrier and Policy number m: Grtier. D+/ Tor tf/fC •a'a-Policy Nm.: yU 401, CERTIFIC•ATE OFnON FROM WORKERS' COMPENSATION INSURANCE rrhb retie need nos he completed If this permit is(moon haskedId011m($100) nr lea) 1 certify the,in the performance of du work for which this pmmlt ts'..,..d.I Nall trot employ any person in my menerm As no became subject an the Workers'Compenadon Laws of Cahramia.Dau Applicant NOTICE TO APPLICANT:If,afar making this Cenifcae of Exception.you Mould become ablest An the Wafters Compensation provisions of the Labor Code you most .70 foMwids comply with such provisk.or this permit a hall M damW revoked. zCONSTRUCTION LENDING AGENCY � [—r IMreby Anne that them is a construction lerdmI.gency for the perfumtace of CL> the work for which this permit is issued(See.3197.Civ.C.) D1 Landers Have ' 7 z Lenders Address U C 1 certify Nn I haw mad this Applicant,W mm that the&hove information is correct.I agree to comply with all city and county ordinance and sate laws mlating to V building conswakm ad hereby authorise epresentalnea Of this city to enter Upnn one Cil above-mentioned properly for inspection purposes. CLs (We)agree to Save,indemnify and keep harmless the City of Cupenino ag+i.$L iF"y VI liabilities,judgments,costs ad expenses which may in any my acme against aid City fJ,'� in consequence of the granting this Permit. ti APPLICANT UNDERSTAN ANO W L COMPLY WITH ALL NON-POINT Issued by: Date �S SOUgcE LATION . / T�� ' 00,A& Re-roofs Nglrmurc of Applianooam Canr HAZARDOUS MATERIALS DISCLOSURE Type of Roof WIII the applicant or future building occupanlrore Or handle ha'ssmous material a defined by due Cupertino Municipal Code.Chapter 9.13,ad the Health ad Safely Code.Secuanvs32(A)7 All roofs shall be inspected prior to any roofing material being installed. p yes Will applicant or future building aceupam vane equipment a devices which If a roof is installed without first obtaining an inspection,I agree to remove the - coal,haardnes air cauminanu As dc0ed by the Bay Am,Air Quality Management all new materials for inspectio District? OyesWhen I hawmad the afctyCha>Srdoonsmaterials5505, requirements;mad nuunmrC7uperd.93 come Califon non Hcalthd:SafctYCaM,Satidu y5505.75537 ad ZSJM.I undcnuMthuemnal rthe does no,corm) Mw•uvun It b my res thilitY fy the cops,of the myuimmey nmRbe armissuy mf+Cenifmuofoompancy. Date / f!/ l r/D ignat e of App Ical C�yyd - 9 r.4- All roof coverings to be Class"B"or better Os,tharcnuthorimds m D!e' , Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 OUPEI�TINO Building De artment JOB ADDRESS: PERMIT # 3/a 12,UVX9/,6 v 060 �;;o(f l OWNER'S NAME: 114 P12rZ PHONE # 9Y-Agjd GENERAL CONTRACT FAX # I am not using any subcontractors: Si afore 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 • � _ 9-11—d1-0 OwnerrConYractor Signature Date G"s�2i5 1�i1.,t�S.+L L �Air 0B) 79Z. 2z-a� CITY OF CUPERTINO �m 1 of 2 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 31606051 . 00 DATE ISSUED. . . . . . . : 09/15/2006 RECEIPT # . . . . . . . . . : 36051 REFERENCE ID # . . . 06090111 SITE ADDRESS . . . . . : 19310 PRUNERIDGE AVE SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : APPLE COMPUTER ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : CHRIS DANIEL CONTRACTOR . . . . . . . : DON ISAACSON LIC # 21800 COMPANY . . . . . . . . . . : ICOM MECHANICAL INC ADDRESS . . . . . . . . . . : 477 BURKE STREET CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE . . . . . . . . : (408) 792-2292 4kEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- - --------- BPERMFEE VALUATION 500 . 00 83 . 16 0 . 00 83 . 16 0 . 00 BPFIXTURE UNITS 1 . 00 9 . 00 0 . 00 9 . 00 0 . 00 PPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 BSEISMICOM VALUATION 500 . 00 0 . 63 0 . 00 0 . 63 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 131 . 16 0 . 00 131 . 16 0 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 302 TUB & OR SHOWER 502 FINAL PLUMBING ENERGY 506 GAS TEST 507 FINAL PLUMBING • CITY OF CUPERTINO N00111 CUPEI�F PERMIT APPLICATION FORM N# —'�rj Date: 9/5_ //0G Building Address: Mailing Address (if different from building address): 9 310 I� u FZI & Avrz Owner's Name: / Phone#: Contractor: rLicense#: ,� eowl e�reflA-u eaG 4 �8(v2Z Contact:/r Phone(4" 79 z-2 207 Cupertino Business License#: L /Z;S -4/zAEG- Fax: 1 g2-W66 z� Da Building Permit Info: A)44ttmL- x45 Qrifts5 ufL& fin- tx i sTi �� Cbsua�ri,� Bldg ❑ Elect ❑ Plumb El" Mech ❑ /Jrca ��/ e- Job Description: Residential ❑ Commercial Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: SO© eo Occupancy Group: Type of Construction: Please check this box if the project is a second-story addition: ❑ ro"ect Size: Standard ❑ Large ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILER1 Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> I OOK 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<= I OOOA ELECTRICAL BELEC1001 Elec 600V> IOOOA ELECTRICAL BELEC200 Elec Svcs 600V<=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING I of 3 CITY OF CUPERTINO CUPERTINO 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 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 rinkler/Backflo PLUMBING BPSTORM Storm/Rain 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 BREMBUS WAY 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 Appliance ELECTRICAL 2 of 3 4acCITY OF CUPERTINO CUPERTINO PERMIT APPLICATION FORM uanti Fee ID Fee Descri tion BREMSIGNADFee Grou Rmdl Si s Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Mar uee ELECTRICAL BREMTHEATR Theatrical Li htin Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation S stems MECHANICAL BSCBLVD Scb S ccific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL S ecial Ins ection BUILDING BSWIM Swimmin Pool BUILDING BTEMP emporary Power ELECTRICAL BTEMPPERM Tem orar Bid Permit BUILDING BTEMPSVCS Tem Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical s foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanical s . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE PlumbingPermit Issue PLUMBING PPL BG Plumbin Fee s foot PLUMBING PLLONGRNGC Plannin LR Comme/Multi-Fam PLANNING PLLONGRNGR Plannia Lon Ran a Residential PLANNING ZADDCHG Address Change BUILDING • 3 of 3