06070130 CITY OF CUPERTINO
B IIDINQ DIVISION PERNIIT CONTRACT �r R Il`TFOItMATiO
BUILDING ADDRESS: s JOHN WILHOIT ......ID6070130
10067 SANTA C'T.ARA AVE
OWNER'S NAME: PERMIT ISSUE DAT'`
Mk JOHN WILHOIT
NE: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
pQ LICENSED CONTRACTOR'S DECLARATION
q 1 thereby affirm d on I on licensed order PrOnSians of Chapter 9(commencing Job Description
IU it Section70M)of DiAsion3afte Busitimand ProfessionsCock.and mylienscis
in full rarteand effect. PROVIDE ELECTRICAL SERVICE TO EXISTING MAIN PAN
,ui x LicenseClassLic.0
F p Dam Canlranar
ARCHITECTS DECLARATION
i I undcrmand my plans shall be mad az puddle rccnrds
iyV
°ot', Licensed Pmfcaional
OatNEm exempt
I DECORATION
O C I hereby.(Sero tat 11. exempt from to Cononsmrs License c Law far to
p o which
mazan.Permit
h Wn L3.Business and Professions Cade:Any oily or county
3I-_ which rcquimu a permit re contact,deealcor,improve h Permit,
t or repair any su ent, $100
P, prior ic its issuance,ads.recut.to to dm applrtam for such permil m ties Law samment
< (commeacing wit
Sewantmtc provisions;of toto Business
iJcrcnxsumn(chapter,Cods)
Sq.FL Floor Area Valuation
1. (commencing is exempt
pttSeeirom and or Divoionr the
toeged essand Professions Cade?or
� and he u eumpt therefrom and the baso for to alleged exemption.Any violation of
Section 7031.5 by any applicant far a Permit subjects the appliCUL In a Civil Puulty of
not more tan Fin bundled dollars($501).
Occupancy Type
❑I.es owner of the property,or my employees was wages as their sole compenuuon,
will do to work.and to suucmrc is out intended or offered for ask(Sec.70N,Businua Required Inspections
and Professions;Code;The Co txkc h License n Law donot apply to an owhee nsr of q P
peoperty who bailda or i mprowa tucon.and who doessuch wart himself or through his
awn employees.provided that such improvemenu are not intended or offered forsale.If.
Irohowever.the building err improvement is sold within ane year of wmpve for to pwnca
d will have the burden of Proving to he did not build of improve for purpose of
sok`.
�1,as..,of to property,am exclusively contracting wit licensed rna..to
construct to project(Sec.7014.Business and Professions Cade:)TIC Contracwh Li.
cense Law does not apply he an owner of property who builds or Impmvv Norton,and
whence Lace[m such projects wiN tram
a canorta)licented pmoant m to Canh
trano /
License Law.
❑lamseam oder See .B A P C far tis rcazon O/
Owner Data p
/ WORKER'S COMPENSATION DECLARATION
reby aRnn under peradty of perjury arm of to following declarations:
I sw and will mainuina Certificate of Consent xlf-Infirm for Warder's Compcm
snioa,az provided for by Sccuon 37M of to tabor Code,far dm Performance of to
work for which tis permit is issued.
❑I ban and will maintain Workers Compensation Insurance,az required by Secunn
37W of to Labor Code,for to adfurmanec of to work for which tis permit Is issued.
My Warkets Compensation Was.ce amer and Paliry number are
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thisxetirn head sol beearepkmd if to permit 4 for me hundred dollars(SIM)
or less.)
I certify tut in to performance of to work ror which Nis Permit is issued.I shall nod
employany'pc in any man } o c ,mp subject to to Worker] ens
Compation
laws of Calif an
Applicant
NOTICET PP :It.attar making to Certificate or Exemption,you should
bttome )em m to Workers Compematio,previsions of to labor Code.you most
,J Z foMw comply with such provisions or to Permit shall W deemed revoked.
EM CONSTRUCTION LENDING AGENCY
'r+ 1 bcrchy aRrm tat tare is a caestmninn]ending a,.,far to Pc,formam:c ser
Q'. tc work for which this permit is issued(Sea 3047.Civ.C.)
CA tender's Name
M Lender's Address
U Q I certify tat I ban read tis application and sum to to above information is
IL f-' Concct.I agree m comply with all city and county oMnances and sum laws relating to
Q U Wilding conswetion,and hereby amharire represenaliwS or this City to cuter Ulan the
(Ll shove-meauumed properly for lns,xClim purposes.
W
(We)agree to save.indemnify and hick harmless dm y City or Cupertino against
p) liabiliti(We)aree judgments.to case.iand upcnsesd keep
may tany o City fCupansmdCity
UZ I.coexghencc or the granting of this Permit.
^
AP PL AT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Dale 4 6
SOU R I.A N " it
64 Re-roofs
Si arca! ppli anUContractor Data
HAZARDOUS MATTJUAIS OISCLOS RE Type of Roof
W iII dm applicant or(esu ni building e.Charlie,
9.1 or MMIC Health anmalerial
as de.&, o.tc Cupertino Municipal Code.CTapmr 9.12,and to Health and Safety
Code.Scotian 2553247T
❑Y0y. man- All roofs shall be inspected prior to any roofing material being installed.
40 Will to applicant or future building occupant use equipment or device;which If a roof is installed without first obtaining an inspection,I agree to remove
emit hurardnus air contaminants as dcfncd by to Bay Arca Air Quality Management all new materials for inspection.
DiaoictT
❑Yes
1 have mail to hvallous materials requirements under Chapmrti.95 of tc Califor.
nia Hcal d:Salcey Cade,SeNons 25505,25533 and 25534.1 undersand talirte building
dao no ccijrmntly haw a tenant that it u my ne'resihility m sandy the occupant of to
require—ane ichmua met arai f.cm]"Write.rogairevy Signature of Applicant Date
net or authorized g n, 2aO All roof coverings to be Class "B"or better
Jul 25 2000 1 : 40PM CRL-WESTERN PROP MGMT 4082468941 P. 1
I
i'
Ji I ist the FAX
x ,26 06
DATE: Jul25 2006
P.
TO: Bob S.
COMPANY:S i SsUL-,o ,,,r
FAX NUMBE]
fAy;'P►.(O
NUMBER OF fjuc- G COVER SHEET:_2
FAX FRO INS: Len Stromfeld
Regarding: 10067-10075''; (Fanta Clara Ave Cupertino CA 95014
Message:
i
Hi Bob:
Per the other Bob, I am ing you this letter. Please let me know
when I may get the need zeterfor this building. You may call me at
(408) 554-1818 or email eatLenS@Calwestern.com. I would
appreciate communicatio, from you.
Thanks,
Len Stromfeld
LL
CAL-WEpERN PROPERTY MANAGEMENT
1270 �,� Winchester Blvd. Suite 127
IS n Jose, CA 95128
I'.
PHONE: (408) 554-1818 ! FAX: (408) 246-8941
t
I '
1
I. i
Jul 25 2006 1 : 40PM CRL-WESTERN PROP MGMT 4082468941 p. 2
07/25/2008 13:32 FAX 4087382148 CABRITOSMXBISTRO 11002
Boydstun Electric
-06
OG O(�Boydstun Electric
337 Los Encinos Dr.
San Jose CA 95134
1-i c.#C 10-394235
Tele. 408-433-0999
Elecrrical Inspector
City of Cupertino
10300 Torre Ave.
Cupertino CA
Re: 10067-10075 Santa Cara Ave.
Cupertino CA.
Dear Sir,
I inspected the main met ed panel for a house meter. I also
Inspected the disconnect;; conduit, wiring, J-boxes and outlets
from metered switchboax to laundry room. I found them to be
properly installed to cods.
. I
Sincerely,
Jay Boydstun
Owner
•
CITY OF CUPERTINO
!m 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . 1 . : 32625011 . 00
DATE ISSUED. . . . . . . : 07/19/2006
RECEIPT # . . . . . . . . . : 35320
REFERENCE ID # . . . : 06070130
SITE ADDRESS . . . . . : 10061 SANTA CLARA AV
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : JOHN WILHOIT
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . . ,
RECEIVED FROM . . . . : JOHN WILHOIT
CONTRACTOR . . . . . . . : LIC # *OWNER*
COMPANY . . . . . . . . . . : JOHN WILHOIT
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
TELEPHONE . . . . . . . . :
•FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- --- ---------- -------- -- ---------- ---------- -- -------- --- -------
BENERGY PERMIT FEE 1 . 00 34 . 86 0 . 00 34 . 86 0 . 00
BSEISMICRE VALUATION 100 . 00 0 . 50 0 . 00 0 . 50 0 . 00
EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00
-- -------- ---------- ---------- ------ ----
TOTAL PERMIT 73 . 73 0 . 00 73 . 73 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------- - - - --- ------------ --- ---- - - - ------- -
OTHER 73 . 73 MASTERCARD
TOTAL RECEIPT 73 . 73
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
304 ROUGH ELECTRICAL 501 FINAL ELECTRICAL ENERGY
505 FINAL ELECTRICAL
•
CITY OF CUPERTINO
aTMOF PERMIT APPLICATION FORM O�016(�D
CUPERTINO
N# 3 Date: 1qlou
Building Address: A Mailing Address (if different from building address):
Owner's Name: Phone##:
Contractor: v/n License #:
Contac 1,4-11-110i T Phone:goJ--&4 7— S'9 Cupertino Business License#:
Fax:
Building Permit Info: /FL�c,— Srer�cc 7o f� sT�N� �i� ��9ye C�
Bldg ❑ Elect 2 Plumb ❑ Mech ❑
Job Description:
Residential ❑ .eriU/T reel-, .-,V Commercial ❑
Sq.Ft. Floor Area: zSq.Ft.:
Cost of Project: ®� Occupancy Gr up:
zav
Type of Construction: Please check this box if the project is a
second-story addition: ❑
*roject Size, Standard ❑ Large ❑ Major ❑
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> IOOK to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to IM 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<= IOOOA 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
Ehff OF PERMIT APPLICATION FORM
CUPEkTINO ,
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 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 Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfm MECHANICAL
BREMAIRHAN 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 Appliance ELECTRICAL
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a&mLsl, CITY OF CUPERTINO
CITY OF PERMIT APPLICATION FORM
CUPEkTINO
Quantity Fee ID Fee Description Fee Group
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Signs, Marquee ELECTRICAL
BREMTHEATR Theatrical Lighting Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
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 Electrical sq foot ELECTRICAL
EPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanical sq. foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issue PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING
PLLONGRNGR Planniniz Lone Range Residential PLANNING
ZADDCHG Address Change BUILDING
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