The URL can be used to link to this page

07060243CITY OF CUPERTINO $i 4 +q t..aa .'sN „:;: sea"" 5�' «�`'i ztt. BUILDING DIVISION pEjtlyll'r .tC®NTRACTORINFaURMAION'�;. '�*va *.¢ter• ".era*,,. ._tte."s_<.1. 3'hv..a`f".n sn e�^:v� BUILTNG ADDRESS: 0123 N WOLFE RD J T CONSTRUCTION PERMR NO. 07060243 NER'S NAME: PERMIT OWE DATE ORBIT RESOURCES INC 1720 OCALA AVE #B 02/08/2008 PHONE: SANITARY NO. CONTROL NO. (408) 234 -4340 ARCHI'DICrIENGINEER: BUILDING PERMIT INFO BLDG ELEcr PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description 1 hereby affirm Watt 1 tin licensed under provisions of Chaps, 9 (mmmaecing with Section 70(X) ofDiAsion 3 ofdm Business and ftfassiom Code,W my It--u EXTERIOR CORRIDOR AND NEW RAMP. NO PLUMBING ON uctoom xse `B� Lic.11 THIS PERMIT.10 /03/07 REFUNDED PLUMB PERMIT FEE Dow Contractor ARCHITECTS DECLARATION $38.37 SH NOT HAVE BEEN CHARGED. CK TO GO OUT I understand my plans shall bo tend as puhlic reeaNs Licensed Professional OWNER - BUILDER DECLARATION 1 barely affirm that I am exempt from dm Contractor's License Law for the fallowing muon. (Section 703 1.3, Business and Professions Cade: Any city or caunly, which mqulms a Permit to construct. alter, improve, dho olim, nor aeon any ,wctum prior m its iuuance, aian requires de applicant fonuch permit to rile a signed statement he is licensed the of the Commur'slJcenso Law(Chapter9 Sq. Ft. Floor Area Valuation [hat pursuanu0 provisions $151392 (commencing with Section 7000) of Division 3 of We Buda. and Professions Code) or that w is exempt Wcmfmm and dm basis fm the alleged ewnption My violation of 3 0 0 6 3 �'I Number Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of rot mom about five hundred dollars (SSW). 162 : ❑ I. uawnrafdia property, amyamploym with wages udeEmlecumpemdon, Required Inspections will do the wort atod We strunom is notlntanded oraRnd forule (Sec. 7044, Butiecu and Pmfeas am Code: The Contractor's Lt. Law don rot apply W an awmr of property who wltds m ire pmwa demon, and who does ouch work himself or through his own employees, prodded damages improvements ..at inmaded aroQered for We TL nowevv, ,bWildingarlmpmvsmenlhmld within one yeti of confident. de own. build: I tow dm burden of proving WI he riled rot with or Improve for purpose of sa - I, as owner of the property. tin eulustwly contracting with licensed mnuactosa to contme, the Project (Sec. 7041, Business and Professions Code:) The Chowders W- mnse Taw, don at apply to an owner of progeny Who builds or improves daemon. and, who contracts for such cis with torte linseed perouse, Thames Llceva Law . [3 1,- as —, .BkPCr n rcr 0. - 5 OA ENSA DECLARATI0&4 1 bereby aRNm under penalty of perjury, arm of the following .00 : 0 I no. ad will ..iaw. a Certificates of Consent to ulf -inure far Worker's Campers - aging, as provided for by section 37th of the Labor Code, for the performance of the wage for which this permit is named. ❑ 1 have and will maintain Worker's Compensation Issuance, u required by Sedan 37th of dm labor Code, far the performance of the work far which this permit is lssmd. My Worker', Compensation lnursne carrier and Policy number art: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE This acdm rcd act be mmphu d if ft permit I, (mane hundred dallan (SI W) or kss) I cenlfy that In the perform ce tw work ( ch dl ermI, u issued. I shall am employ any person in my n loatobc e'r'ect Wortrts'Compenutian Laws of California. Dates r Applicant N0710E TO APPLICA) L a er king I Ceni a of Eacmption, yate should become anbjen m the Waiter's Compensation provisions of the Labor Code, you mug forthwith comply with such provis om or this permit hall w deemed mwked. CONSTRUCTION LENDING AGENCY I hereby affirm that them is a mnnsuclinn lending agency for the performance of the wage for which this Permit u issued (Sat. 3097. Cl, C.) Lender, Name , Lendeh Address I cesdfy that I luau send din applicaum. ad vim dust the show Washington u ' co mum 1 agree W comply with W city and county oNlnumea and sum Iowa misting to Wilding cogwucdan, and hereby authagae representatives of this city to enter upon the above- mendimcd property for inspection purposes. (We) firm to sav4.d fy d tree leis de City of Cupertino agaimt Ilabilidn.Judgmcnu, caswnicn' yin any way annuo agalm 'd Cily in comegnnce of do tos roil. APPLICANT U DERS WI PLY WITH ALL N N -P TNT Issued by: Date SOURCE TIC Re -roofs Type of Roof ` _ _ Signature pl HAZARDOUS MATERIALS DISCLOSURE D WIN dm applicant or Nine building oceupantgom or Media nuaNnus material @fined by the Cupertino Moo' ' al Cede. Chapter 9.12 and the Health and Safety s °nu57�(a)' All roofs shall be inspected prior to any roofing material being installed. ❑Yen No If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future wilding occupant ase equipment or devices which emit hosaAam air cmWnin,nun u nd by de Bay Amer Air Quality Mxnagemenl all new mate ' for 1 t n. D uric1T ❑Yes u T have mad the he wdo srtqu' mcnuundcrCNpmr. 6.97ofde Glifor- 1 /031- nia Hcalth&SRit ,Seed: ,857 and 833d.I undcreandmg if wit erg Joe, nowwse a con d is y ,,ponsinilily he nodl'y me ant the oxiWeementa be err I u ofacourm.marOc Signatur o A li a t Date All roof coverings to be Class "B" or better Ownermanthorisedagenl Da CITY Of CUPEkTINO CITY OF CUPERTINO PERMIT APPLICATION FORM 0;�k�a(�3 7 APN # 3l !0200 (03 . Fee ID Date: 10/1 o-7 Building Address: 10 l OL3 m VJ 0 L*: e Mailing Address (if diff rent fro buHding addr ss): CRP Owner's Name: OR$ITIZ 0 v �4O Phone #: � � ! 30 8 % Contractor: \ ' Cot S I RUC;' 1 Q N V BBOILERI License #: Contact. Phone: 2 OE Tr-4At b Cupertino Business License #: 2'5 110 -A ,{ Fax: 2 _0 Building Permit Info: Boiler > 500K to 1M Btu MECHANICAL BBOILER4 / Bld g Elect Plumb El Mech lam' Job Description: MECHANICAL Residential ❑ Construction Tax Commercial 1CP> Sq.Ft. Floor Area: BCONSTAX Sq.Ft.: 2 BCONSTAXBQ Cost of Project: �S ^� BUILDING Occupancy Group: i Type of Construction: pr`s � Please check this box if the project is a emm IL 10 'i second-story addition: ❑ BUILDING BELEC1000 Project Size: StandardW Large ❑ Major ❑ Quantity Fee ID 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 > 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 <= 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 i b I CITY OF CUPf(i TINO CITY OF CUPERTINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING Q BNUCOMME New Comm Electric ELECTRICAL BNUCOMMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTEVE 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 Sprinkler/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 cfin MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL C' BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace > I 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 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 p y PLLONGRNGR Planning Long Range Residential PLANNING