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06010002Z m Z) Q U U Q U F, L CITY OF CUPERTINO U r^ g i C � Qr„thwith z Q r- 0V yahbvcme N ,'� c BUILDING DIVISION PE IT r CONTRACTOR INFQR`aTIQN .- .: emir» F`°LS •A' BUILDING ADDRESS: 1270 RATNRQW DR KE QIANG DING PERMIT NO, 06010002 'NER'S NAME: PERMIT I55UE DATE STEVE WANG 4174 ESTW 2006 PHONE: SANITARY NO, CONTROL NO. (510)445-0069 ARCHITEC tENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACrOR'S DECLARATION Job Description I Comby affirm that I am licensed under proved.. of Chapter 9 (commencing p with Section 7") of Division 3 of the Business and Professions Code, and my license is in full fares and effect. REMODEL BATHROOMS (MS & HALL) - LicenseCmss Lica Dam Contractor ARCHITECTS DECLARATION I understand my plans shall hm used as public records Licensed professional OWNER -BUILDER DECLARATION CmaroON I hereby affirm 'hot 1 exempt tram the Cnmmcmr's License Law for the following reason. ](131.5, Business and Profudo. Code: Any city m county aso 1. which requires encu t or repot, any uauu permit or cn.uun, alkn improve, $20000 h parmiiL t to prior. its issuance. iluantso togacdsm¢mcnl n the applicant forsuch Licenrile a se (Ch.pterY (comm iscingwidpursumunthe Sq. FL Floor Area Valuation oithe (commencing withhemion W W) of Divoiof 3 of the B.inexe and professions Cnde) or of Disi.. of the eBuiness nd Professions that he is that he u exempt therefrom and Nc basis for the alleged exemption. Any violation of r Occupancy Type Section 7031.5 by any applicant for a permit subjccu the applicant to a civil penalty of not more Nan five hundred d.11a,a ($500). o 1, u owner or die pmpenY. or my employees with wages u dor sale wmpcasoh n, Ins will do the work, and Ne suuctum is not intended or offered for sale (Sec. 70a4. Businsss and Professions Code: The Contrecto'k License Law does not apply to an owner of a aired ections q p property, who builds m improscs thereon, and who does such work himself a, through his own employees, provided that such impmvementl are not intended or offered fm sale. If. however. the building or impmvcment is sold within one year of completion. the owner, 3 builder will have the burden of proving that he did not Wild or improve for purpose or salt. 1, as awns, of the property, am eulusivelY contracting with licensed mnuulws b ona.ct the project (Sec. ]044, Business and Professions Code:) The Conuanor's Li cense Law doss not apply m an owner of propeny who builds or improves thereon, and who contracts for such pmjecu with a cmur or(s) licensed pursuant m the Canuacmrs License taw. ' 1 am exempt undo ee. . B & P for thi reason —W RK SCOMPENSATIOND TION Ihembyaffrmindr,,rudltyofperjury ane of she ollowing dedarali.ns: ❑ 1 have and will maintain aCenifiate of Consent to self -insure for Worlmes Compen- . station, u provided far by Section 3700 of the, Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain Worker's Compe.ado t Insurance, u required by Section 37W if Ne Labor Code, for Ne performance of the work for which this permit is issued. My Workers Compensation Ins omme, carrier and Policy number aa: Critic- Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thu section need not he completed lithe Permit Is fsuone hundred dollars ($100) nr lcrs.) 1 ecnify Nm in the perfmmanm of the work forwhich a permit is issued, I shall not ' erploy any I son in any mann�rsryut�mtt esub' Go the Workeei Compensation Laws of Cal.fr ' Applicant Q! �— ? NOTICE TOGA f; IL refile makt� ng Nm CcnlGcak of cmpuon, you should become subject to the Worker's Compensation provisions of l hm Cndm. you muse comply with such provisions or this permit shall be decmcd.raked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a eo.wction lending agency I'nr the performance or Nc wurk fur which this permit is issued (Sec. 30117, Civ. C.) Lindcls Name Lmnde,i Address ' 1 certify that 1 have read this application and sum that the shout infomudun is c.nem.1 agree to comply with all city and county ordinances and sum laws relating to building construction. and hereby authorim rtpresenmtives of this city to enter upon the property ror inspection purposes. (We) ague to save, indemnify and keep harmless the City of Cupertino against judgm equence cmtcosmang capcnus which may in any way accmc again said City in inconuqueme of NisDWI UNDERSTANDS APPLICANT UNDERSTANDS AND WILL COMPLY WITH A L NON -POINT SOURCE Issued by: Dale RE ULATIONS. I � Re -roofs Sigmt p an Con ror Date HAZARDOUS MATERIAL ISCLOSURE Type of Roof Will the applicant or future building occupant store or handle haardoux material as defined by him Cupenim Municipal Code, Chapter 9.12, and the Health and Safety We, Section 25532(a)7 Cr a ❑No All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future building acupam use equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove cout /mdous air ronmminams a defined by the Bay Area Air Quality Management all new materials for inspection. Diie Cl Yes E) No Hive mad the haaaNn.s matedidarequi¢mem , under Chapter 6.95 of Ne Califor- nice H.IN & Sofcty Code Sccdo.255f15, 25533 and 25534.1 undcnmd Nat itthc building dors nor currently hair, a lemim, that it is my uspomibility t. notify the occupant of the rcyuikm uwhichm.tbemnpdo issaanmearacenifink.rOcupanq.- Sy, Signature of Applicant Date g All roof coverings to be Class "B” or better or auo ¢cJ agent Doc • cmOFan or CUPE(itTINO 9 0 Assessor's Parcel Number: Name of owner. Project address. --I I Z-70 Contact person. Phone. L(O& Fax. C(F2 - 4- (,l Net square footage of lot. 2 Square footage: First floor:. Second floor: Garage: TOTAL: cSv Existing Proposed • Are there at least two 10 foot by 20 foot clear spaces inside the garage? --td Is privacy protection planting required for the project? • On what floor(s) is work beiing{ donee?i Brief description of work. WlAtis `� %1°C(�C�GJ (��Yy�"^ Code editions: 2001 CBC (Y - N)2001 CFC (Y - N)2001 CMC (Y- N) 2001 CPC (Y - N)2001 NEC (Y - N) Effective 11/1/02 Plan Review Process Work Book Page -8-Revised 4/28/04 Feb 17 06 12:23p Leslie Wang ARGONAUT GLASS & MIRROR, INC. AhP61 SARATOGA-SUNNYVALERD. ARATOGA, CA 95070il _ 408-777-8194,7:7-8197 Fax License# 780420 U e BILL TO Steve 4Yang 21270 Rainbow Drive Cupertino, CA 95014 408-891-9488 408-446-9309 QUANTITY 1 1 1 1 1 1 1 DESCRIPTION Q8-446-9309 �LLZK' o6c1 cvoZ SHIP TO P.1 rz 0_enrev',f �k 8eC,�j of o Invoice DATE INVOICE# 1/18/2006 1 9178 P.O. NO. TERMS 26 x 72 x 3/8 standard clear tempered shower door with flat polish, 2 -hinge cut-outs & 2 -holes 101/16 x 72 x 1/2 standard clear tempered inline panel with flat polish, polished mitre & notch 44 5/8 x 61 x 1/2 standard clear tempered return panel with flat polish & polished mitre 2 -Polished Chrome Pinnacle wall mount hinges, 8" rectangular back to back handle &. u -channel Total Cost, Install & Tax Incl. 94 5/8 x 38 13/16 x 1/4 Mirror with flat polish Total Cost, Install & Tax Incl. SALES TAX - CA RATE I Thank you for your business. I _ _ Total Heavy frameless shower enclosures are not 100°% leak proof -3 year limited warranty for hardware & 1 year for labor -Mirrors have 1 year warranty for defects & 1 year for labor - call office for details 0 1,200.00 295.00 8.25% PROJECT AMOUNT O.00T O.00T O.00T O.00T 1,200.00 0.00T 295.00 0.00 $1,495.00 ` CITY OF CUPERTI CITY OF PZ�RMIT APPLICATIONVORM CUPERJINO a60/D-cr�,5� Quantity Fee ED Fee Description Fee Group Date:l Building Address: f Mailing Address (if different from building address): 21 Z 0 MECHANICAL BBOILER2 Boiler > 100K to 500K Btu Owner's Name: BBOILER3. MECHANICAL Phone cao Boiler > IM to 1,75 M Btu MECHANICAL BBOILER5 Boiler > 1.75M Btu MECHANICAL Contractr• // ` BUILDING License M (X ( ✓L BUILDING BCONSTAXBQ Con. Tax for BQ Zone Contact: 0 P e:4J F Cupertino usiness License#: BUILDING Fax: cl p BUILDING Building Pemv Info:��t, ^ �� .� yo J M O vv Y� ALR- Bldg C' e,� Elect ELECTRICAL BELEC200 Mech S" Job Descriptio BENERGY Energy BUILDING Residential ( Energy Add Multi BUILDING Commercial ❑ Sq.Ft. Floor Area _ BUILDING q1t.: Cost of Proiect: Occupancy GrouD: ype of Co cti,on: �q VN Please check this box if the project is a o�t�1 �(o6 m ;roject yy`o second-sto addition: ❑ Size: Standard el/ Large ❑ Major ❑ Quantity Fee ED 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 > 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 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 ? Zs-Z�C .4lb6Y.I P CITY OF CUPER.TINO CITY OF CUPERT PT APPLICATION ORM uanti Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMN E 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 La -Am 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 Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reins ection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <=10,000 cfm MECHANICAL BREMAPPI)I Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Fumace > l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMLSC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non -Res Appliance ELECTRICAL BRFMPOLE 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 2of3 ..- CM OF CUPEfl`TINO CI*( OF CUPERTINO 0 PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Sigas, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Sin le Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEIS)UCOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUELDING BSPECIAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Elxtrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot I MECHANICAL / MPERMITFEE Mech Permit Issuance MECHANICAL PPERARTFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC PlanningLR Comme/ Multi-Fam PLANNING PLLONGRNGR PlanningLon Range Residential PLANNING ZADDCHG Address Change BU nqr-, P 3of3 1 • z z Q LU ? GA Z)z UO_ OU Fa �z BUILDING DIVISION PERMIT NAME: ifm Nal 1 am liaased under provisions of Chapter 9 (con of Division 3 of Me Business and Professions Code. and my License Class Lk. a Date Contractor ARCHITECTS DECLARATION 1 understand my plans shall W mad as public records Licensed Professioutl OWNER -BUILDER DECLARATION I hcmhy affirm Nat 1 am exempt from Me Contractors License Law for the following mason. (Section 7031.5, Business and Professium Cade: Any city at county which acquires a permit 'a construct. alter, W prose, demolish, or mpair any structure ptaf to its issuance, also mquiacs the applicant for such permit to file a signed sutemcnt Out he is licensed pursovn m Me provisions of the Contractors U.. Law (Chapter 9 (commencing wins Section 7000) of Division 3 of Ne Business end Profcuions Cade) or Jut he u exempt therefrom and Me basis for Me alleged exemption. My violation of Section ?031.5 by any applicant for a permit subjects Me applicant to a civil penalty of not more thin live hundred dallan (55001. ❑ h as owner of the property or my employees with wages m thein was compensation, will do the work, and thestaunum is not intended or offered (orate (Sa. 7044, Business and Professions Code: The Contractor's License Law dors not apply to in owner of progeny who builds c r im prom deacon, and who dans sue h wmk himsel f or through his own employees, provided Nat such improvements are not intended oroffead farsale. If, however, Ne building or improvement is sold within one, year of completion, Ne owner - builder will bays the burden of proving Nat he did not Wild or improve, for purpose of Lsale. ♦ u owner of Ne property. am exclusively contracting with licensed contractors at westmct the project (Sec. 7(364. Business and Professions Cade:) The Conkanmrs Li - came Law does not apply m an owner of propeny.who Wilds or improves memon, and who comrxets for such projects with a eonuxtor(s) licensed pursuant to the Contractor's License Law. ❑lam exempt uncle ee , B P m Owe Da¢ 1 O RK R'S COMPENSATION DE ATION I hereby a i m under Mostly of pcdury om of Jk ollowing dacWtio s: . nam and will maintain aCenificate ofComem msolf-insure for Workeri Compen- aton .. provided far by Satan 37M of Me Libor Cade, far the performance of the worst for which this permit is issued. ❑ 1 base and will demand Workers Compensation Insurance, as required by Section 37W of the Labor Code, for the paformarm of the work for which this permit is issued. My Workers Compensation Inandence carrier and Policy number are: Carrier. Policy No.: _ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need was W completed if Me permit is for arc hundred dollars 1$100) or kssJ I unity Nm in the performance of Ne work for wM1ic'h}�is permit isissued, 1 shall not employ an}'perso in any man ors 'Mcod�ub�sS to the Worker 'Compensation Laws of Caffam�Da-_. 1 Applicant 1 NOTICE TO CA : If, afmia Certificate of mption, you ahuuIJ become subject to me Workers Compensation previsions of Iter Cock, you mint forthwith comply with such provisinm or this permit shall W darned mated. CONSTRUCTION LENDING AGENCY 1 hereby strum mat Mort is a construction lending agency for to performance of Me work for which this permit is issued (Sec. 3097, Civ. C.) Lenders Name, KE QIANG DING ""N11""06010002 PERMIT ISSUE DATE 01/02/20 SANITARY NO. C, BUILDING PERK BLDG ELECT I t� t� Job Description REMODEL BATHROOMS (MS & HALL) HNALE® Required Inspections 1 mealy met 1 have mad this application and ser¢ that Me above information is correct. I agree to comply with all city and county ommanms and sack laws ra rating to Wilding consuuctioa, and hereby anchorite representatives of this city to enter upon the ahovc-mcntioned pmpcny for impaction purposes. (We) agm to save, indemnify and keep harmless the City of Cupertino against liabilities, judgments, cost and aspen... which may In any way •cense agamstsaid City in consequence of me granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH AIL NON -POINT Issued by: SOURCE REEULATIONS. (\ / i n Will the applicant or future Wilding occupants lam or handle hva lows material as darned by the Cupenina Municipal Code, Chapter 9.12, and the Health and Safety Gado, Section 25532(a)? oYcs ONu Will Me applicant or future building uccupam use equipment or dcvicas which havNnus air consminans as defircul by Me Bay Area Air Quality Management ❑Yes C] No 1 have real the to aaNam Mao docs not curmlly haw: a a nano that Re -roofs Type of Roof FEB 1 2006 Date /,-:Z: _ / — 2--U( All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant Date All roof coverings to be Class "B" or better