The URL can be used to link to this page

04110086 CITY OF CUPERTINO n�k,�T x`Ix�s7r� i^xda& �z R,}%^ ry"`='�'•"�< BUILDING DIVISION .PE14YUT iA_Q PTAAAAC�t ,R�INk'RMATION . .. { .'.. •.. BUILDING ADDRESS: ACE PLUMBING PB'M'TNtb4110086 1121 STEEPLECHASE OWNER'S NAME: PERMIT ISSUE DATE . STIMSaN HO 6307 MOUNTF SANITARY No. _-_-CONTROLNo._ .- (408) 226-2243 ARCHITECT(ENGINEER: - -- -"-- '- BUILDING PERMIT INFO -' --" . . BLDG ELECT PLUMB MECH . . .... - r -1 - ��; LICENSED CONTRACTOR'S DECLARATION bDescription 1(eroby"em that 1 em licensed under prowaim s of Chapter 9(commercial ing _ . -- ?� w m Secdm 70(0)o1D)vi,lon Sof tits Buri.uA PrefcWM Code,apd my licenm u In full farm and ene0. ( 6 REPIPE Z„ Licenm Clan Lic.p_a2 t' Deo;' Cantsav7or - -- ----- 411 - tg --+r�� RCHITE(.TSDECLA A ON p I understand my plans dull be used at public records - o .. .__- _ ✓ ._ ^_. ._.._ ._ . Licenced Rofessirtn,l 3 S Oat I am exempt from DEthe Committees om ION 0 y I hereby a(7Um that 11. )But from the Cantracm o :Any c 4w for the 02 follwhip regmason.(Semon 7W construct. Businvs and ere,de oli COM:Any city or county -, _ 1-$uv which requires a permit m cnnmud,alms improve,demolish.or repair anY structure, - - - _ _ . .. _ .. _ _ _ - FZ�, that M iuissvnce slw requires provisio ofubc Comment's Law(uument _ _ -,. ---- - � (com is licensedpSesosm7000)pmvisioiunfof ftBummsandPruchaw(Chapur9 Sq.Ft. Floor Area _: ;Valuation- � (comm POW)0ebasis for offt send Prornsdnna Cade)or .. that ha ta exempt thert(rem and Uta bare for the alleged exemptlan.my vialmon of Section 7071.5 by any applicant for a permit subjects the applicant to a civil pemlty ofOccupancy Type - not more than live hundred dollars(SSW). ❑.Lasownarofthepreperty,ormy)mployeut with wages as theirsole ranpewum, _ wiBdothewark,mdthesouaumisnotinw dmanemdfws (See.70N,Busiares and PrefeWam Cade:The Canmctors license Law does not apply m se awvr or ,,• ...--.Required Inspections,-_, > .. �-: 1 property who builds or i mpo rms thermn,end who does such work himml f ar through his ovecmploycet,provided nonsuch improvements art not mended oroRered formic.If. however,the Wilding or Mprevemm0 is sold within an year o(mmpMim,the owner- builder will have the burden of proving that he did not build or improve for purpose of - - •-^- ^ -- ---_r.__._ __ ___�..__. tale.), ❑1,as owner of the property,em exclusively contracting with licensed contractors to - construct the project(Sec.7044.Business and Profession,Code:)The Conmen's LI- ceme Law dues not apply to an owner of property who Milds or improves thereon,and - whocontracufor such prejecus with a comminor(s)licensed pursuant re it can0ecmrs License law. ❑tun exempt under See: B At P C for this reason Owner Data WORKERS COMPENSATION DECLARATION 1 hereby LRirm under penalty of perjury one of the following declarations: I ham and will maintain a Cenilkam of Covent to self-Insuw for Workers Cooper' cation,as provided for by Section 3700 of the Labor Code,for the perfoomme of We work for which this permit is issued ' ❑1 have and will maintain Work s Compensation Insurance.u required by Secuon - - 37Wafthe Taber Cod),for the peRormance ofthe work for which this permit is isamd. - My Workee omNumdon Insumrtce enter and Policy no bcr Canter. Policy No.: �+ Q Q -Z- CERTIFI ATEO ®EMPDON FROM WORKER COMPENSATION INSURANCE (This section need not M completed lithe Permit isforane hundred doflm(S I W) or less) 1 sonify that in the Performance of the work for which Nis permit is issued.I shell not employ any permni ymanvrso b Ida IjEry�the Workers'Compenuuon . Laws o(Califami au f Applicant / Ass, - -'- NOTICE TO APPLIG ,a cr Whg"this C 1ficam of EacmY�A ption.you should became subject to the Workers Compensation provisions of the Lahr Code.you must .,O raMwith comply with such provisions or this parent mail be deemed revoked. z tiCONSTRUCTION LENDING AGENCY f-t l hereby effort Net there iso cowcuthe runo lending agency for pntmmntm of (3r'> the work for which this permit is Issued(Sec.3097,Civ.C.) W Q Lenders Name ]z I<nder's Address C)Q 1 certify that 1 have read this appl)vtinn and sue that the above information is U,E correct.1 agree m comply with,II city and county ordinances and sou laws telating w Q rVbuilding construction.and hereby authorise representatives of this city 0a enter upon the W Glave-m)nuaned pmpeny for Inspection purposes. (W))since to save,indemnify and keep harmless the City of Cupertino again0 y in emecasts and ofpcvvwhtcb req In anY way ectm)aguiw said City C,7 A APPLICANT of UNDERSTANDS of this permit F7 APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POltff Issued by:3 �(4I7Z Dale souac Ecul.An Y`� 4��/� Re-roofs Signature ofA cant/C.mactor Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will tha applicant or rumor Wilding amupmt stare or handle hnardous mamrial as defined by the Cupemm Municipal Code.Chapter 9.11.and the Health and Safety Code,sc Yea zss3z(a)7 ��" All roofs shall be inspected prior to any roofing material being installed. ❑Yes {dna .. -. _. Will the applicant or fuium building occupant use equipment or devlms which If a roof is installed without first obtaining an inspection,I agree to remove, Idoes olt hamrdnm air contaminants as defined by the Bay Arta Air Quality Management all new materials for inspection. istrict? - ❑Ye `�Nu I have reed the ham d.maurtalirequirements under Clupurd95o(the Califor- s, ta Hntlth&entlyCmic.howa Sectimp dust 1,4 5533 my responsibility an mdfy Occup tof irg ft 4e-q-7, G 'yL�v•�1 �!f//Z16 not currently how a mnan4 tins it u my responsihility m mtifY tips occupant of de T�r� f •r_` 1 quirements which most the,met prior m issuance of a Cmifeau of Occupancy. Signature Of pplicant Date wrt)r or mmnrn=a ag<nt Date -- All roof coverings to be Class"B"or better - Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 aCF Fax(408)777-3333 �UPEI�TINO Building De artment JOB A ESS: PERMIT # 111z s epie chase U t' !(oa86 OWNER'S : PHONE # GENERAL CONTRACTOR: FAX # I am not using any subcontr or ignature 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 /Contractor Signature ate CITY OF CUPERTINO0o U REPIPE/SEWERS/MAIN SERVICE • CUPERTINO PERMIT APPLICATION FORM APN# 3�—/ 3 I ') '� Date: Building Addres . 1 z j Stec Cho-se- L &444 Cu Owner's N Phone#: -S-L-L ,5 b 9/)3 Contractor Phone: License #- 14 oz- u"t," 6 6 Cont Phone: / Cupertino Business License #: � S O Building Permit Info: Bldg ❑ Elect ❑ Plumb Job Description: C.0 %"R N.3 f � Residential ❑ v F Comffiercial ❑ Cost of Project:Tf� Qty. i A 1' a 1 Fee ID Fee Description Fee Group PPERMTI'FEE Plumbing Permit Issuance PLUMBING _ BPREPIPE Re i e of Fixtures PLUMBING BPERMFEE Bldg. Permit Fees BUILDING BPFIXTURE Pbl . Fixture PLUMBING BPWSVCS Main Water Service PLUMBING BPSEWER Sewers PLUMBING BPSEWAGE Sewage Disposal PLUMBING BUSLIC Business License BUILDING Z 7 6t) 2 07, q3 CITY OF CUPERTINO n�k,�T x`Ix�s7r� i^xda& �z R,}%^ ry"`='�'•"�< BUILDING DIVISION .PE14YUT iA_Q PTAAAAC�t ,R�INk'RMATION . .. { .'.. •.. BUILDING ADDRESS: ACE PLUMBING PB'M'TNtb4110086 1121 STEEPLECHASE OWNER'S NAME: PERMIT ISSUE DATE . STIMSaN HO 6307 MOUNTF SANITARY No. _-_-CONTROLNo._ .- (408) 226-2243 ARCHITECT(ENGINEER: - -- -"-- '- BUILDING PERMIT INFO -' --" . . BLDG ELECT PLUMB MECH . . .... - r -1 - ��; LICENSED CONTRACTOR'S DECLARATION bDescription 1(eroby"em that 1 em licensed under prowaim s of Chapter 9(commercial ing _ . -- ?� w m Secdm 70(0)o1D)vi,lon Sof tits Buri.uA PrefcWM Code,apd my licenm u In full farm and ene0. ( 6 REPIPE Z„ Licenm Clan Lic.p_a2 t' Deo;' Cantsav7or - -- ----- 411 - tg --+r�� RCHITE(.TSDECLA A ON p I understand my plans dull be used at public records - o .. .__- _ ✓ ._ ^_. ._.._ ._ . Licenced Rofessirtn,l 3 S Oat I am exempt from DEthe Committees om ION 0 y I hereby a(7Um that 11. )But from the Cantracm o :Any c 4w for the 02 follwhip regmason.(Semon 7W construct. Businvs and ere,de oli COM:Any city or county -, _ 1-$uv which requires a permit m cnnmud,alms improve,demolish.or repair anY structure, - - - _ _ . .. _ .. _ _ _ - FZ�, that M iuissvnce slw requires provisio ofubc Comment's Law(uument _ _ -,. ---- - � (com is licensedpSesosm7000)pmvisioiunfof ftBummsandPruchaw(Chapur9 Sq.Ft. Floor Area _: ;Valuation- � (comm POW)0ebasis for offt send Prornsdnna Cade)or .. that ha ta exempt thert(rem and Uta bare for the alleged exemptlan.my vialmon of Section 7071.5 by any applicant for a permit subjects the applicant to a civil pemlty ofOccupancy Type - not more than live hundred dollars(SSW). ❑.Lasownarofthepreperty,ormy)mployeut with wages as theirsole ranpewum, _ wiBdothewark,mdthesouaumisnotinw dmanemdfws (See.70N,Busiares and PrefeWam Cade:The Canmctors license Law does not apply m se awvr or ,,• ...--.Required Inspections,-_, > .. �-: 1 property who builds or i mpo rms thermn,end who does such work himml f ar through his ovecmploycet,provided nonsuch improvements art not mended oroRered formic.If. however,the Wilding or Mprevemm0 is sold within an year o(mmpMim,the owner- builder will have the burden of proving that he did not build or improve for purpose of - - •-^- ^ -- ---_r.__._ __ ___�..__. tale.), ❑1,as owner of the property,em exclusively contracting with licensed contractors to - construct the project(Sec.7044.Business and Profession,Code:)The Conmen's LI- ceme Law dues not apply to an owner of property who Milds or improves thereon,and - whocontracufor such prejecus with a comminor(s)licensed pursuant re it can0ecmrs License law. ❑tun exempt under See: B At P C for this reason Owner Data WORKERS COMPENSATION DECLARATION 1 hereby LRirm under penalty of perjury one of the following declarations: I ham and will maintain a Cenilkam of Covent to self-Insuw for Workers Cooper' cation,as provided for by Section 3700 of the Labor Code,for the perfoomme of We work for which this permit is issued ' ❑1 have and will maintain Work s Compensation Insurance.u required by Secuon - - 37Wafthe Taber Cod),for the peRormance ofthe work for which this permit is isamd. - My Workee omNumdon Insumrtce enter and Policy no bcr Canter. Policy No.: �+ Q Q -Z- CERTIFI ATEO ®EMPDON FROM WORKER COMPENSATION INSURANCE (This section need not M completed lithe Permit isforane hundred doflm(S I W) or less) 1 sonify that in the Performance of the work for which Nis permit is issued.I shell not employ any permni ymanvrso b Ida IjEry�the Workers'Compenuuon . Laws o(Califami au f Applicant / Ass, - -'- NOTICE TO APPLIG ,a cr Whg"this C 1ficam of EacmY�A ption.you should became subject to the Workers Compensation provisions of the Lahr Code.you must .,O raMwith comply with such provisions or this parent mail be deemed revoked. z tiCONSTRUCTION LENDING AGENCY f-t l hereby effort Net there iso cowcuthe runo lending agency for pntmmntm of (3r'> the work for which this permit is Issued(Sec.3097,Civ.C.) W Q Lenders Name ]z I<nder's Address C)Q 1 certify that 1 have read this appl)vtinn and sue that the above information is U,E correct.1 agree m comply with,II city and county ordinances and sou laws telating w Q rVbuilding construction.and hereby authorise representatives of this city 0a enter upon the W Glave-m)nuaned pmpeny for Inspection purposes. (W))since to save,indemnify and keep harmless the City of Cupertino again0 y in emecasts and ofpcvvwhtcb req In anY way ectm)aguiw said City C,7 A APPLICANT of UNDERSTANDS of this permit F7 APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POltff Issued by:3 �(4I7Z Dale souac Ecul.An Y`� 4��/� Re-roofs Signature ofA cant/C.mactor Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will tha applicant or rumor Wilding amupmt stare or handle hnardous mamrial as defined by the Cupemm Municipal Code.Chapter 9.11.and the Health and Safety Code,sc Yea zss3z(a)7 ��" All roofs shall be inspected prior to any roofing material being installed. ❑Yes {dna .. -. _. Will the applicant or fuium building occupant use equipment or devlms which If a roof is installed without first obtaining an inspection,I agree to remove, Idoes olt hamrdnm air contaminants as defined by the Bay Arta Air Quality Management all new materials for inspection. istrict? - ❑Ye `�Nu I have reed the ham d.maurtalirequirements under Clupurd95o(the Califor- s, ta Hntlth&entlyCmic.howa Sectimp dust 1,4 5533 my responsibility an mdfy Occup tof irg ft 4e-q-7, G 'yL�v•�1 �!f//Z16 not currently how a mnan4 tins it u my responsihility m mtifY tips occupant of de T�r� f •r_` 1 quirements which most the,met prior m issuance of a Cmifeau of Occupancy. Signature Of pplicant Date wrt)r or mmnrn=a ag<nt Date -- All roof coverings to be Class"B"or better - Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 aCF Fax(408)777-3333 �UPEI�TINO Building De artment JOB A ESS: PERMIT # 111z s epie chase U t' !(oa86 OWNER'S : PHONE # GENERAL CONTRACTOR: FAX # I am not using any subcontr or ignature 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 /Contractor Signature ate CITY OF CUPERTINO0o U REPIPE/SEWERS/MAIN SERVICE • CUPERTINO PERMIT APPLICATION FORM APN# 3�—/ 3 I ') '� Date: Building Addres . 1 z j Stec Cho-se- L &444 Cu Owner's N Phone#: -S-L-L ,5 b 9/)3 Contractor Phone: License #- 14 oz- u"t," 6 6 Cont Phone: / Cupertino Business License #: � S O Building Permit Info: Bldg ❑ Elect ❑ Plumb Job Description: C.0 %"R N.3 f � Residential ❑ v F Comffiercial ❑ Cost of Project:Tf� Qty. i A 1' a 1 Fee ID Fee Description Fee Group PPERMTI'FEE Plumbing Permit Issuance PLUMBING _ BPREPIPE Re i e of Fixtures PLUMBING BPERMFEE Bldg. Permit Fees BUILDING BPFIXTURE Pbl . Fixture PLUMBING BPWSVCS Main Water Service PLUMBING BPSEWER Sewers PLUMBING BPSEWAGE Sewage Disposal PLUMBING BUSLIC Business License BUILDING Z 7 6t) 2 07, q3