Loading...
00090039 CITY OF CUPERTINO BUILDING DIVISION' PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMITNo Dili NANn10963 N WOLFE RD — APPLIoaION s )A n NON CUPERTINO VILLAGE E AVE SAN)I'ARYNO. 00 (. :xpi O�p RCIII'I'EC'III!NGINIili1<: — ISUILOING 1'F.Rb11T INFO x m_ III.D(1 ELEC1' PLUME MITCH FSH IJCIiNSEO CON'TRACTOR'S DECLAR6IION .lob Description 1 hereby affirm,hm 1 inn licensed ender pros'isiom of Cbapmr 9(eommmoemg with Seallonn]IXX))of Uivisinn 3 of the Business and Prot n,mr,Gals,nod my license Ix in lull fora:un Ie it I s e a Licrnsc CP s _ Dn.gy4t�o — Gm,m.mr_ SIGN ARCHITECT'S DECI.ARA'It t•-°5 1 mdcr.mnd my plaea shall be u,idr,public record, - ca p i Licensed Professional )INNER-BUILDER DECLARATION 1 hereby uffimn Jut I a crap,from the Contractor's Licence law for the b->a liglowin,re:oon.(Section 7031.5,Busimes%and Professions Gale:Any city or county ` p whJ 4 Ire Din , her, p donoubdi.or repi anyurnerme Tic i 3 TTI= prio ,.its mihanao,,do req re,he applic,onf ch psunit 1.Ile signed nuenn t dial h,I, won,d,ar,onal ton p IIN if[Ire CalrruaClaes L (Chapter9 Sy. Ft. FloorArea Valuation (commencing with Section 7(W)o,[)I%isum 3 of the Busimesa and Profession.C(Ac) or that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section]031.5 by my a,pl ram fora pvnni,nuhro,the uhpllcnm utaa,,I I punal,y of not more than Bvehundred dollars(S5a). APN Number Occupancy Ty - 01,as awns of,he property or my employees with wages as their sale compensation. will In me walk and the atmeura is not intended or offered for sale(See.70,14. B9.aaes.,and Pro@,sion..Gee:The Coatraeor,Li lo:a Law .,,I31605tTS does n ,apply t.an RLe4red Inspections owner of progeny who build, ,,impru.e,thereon,and who doe.such work himself oJaough Infix own employew.made that such imprmcmcnn are not intended or offered for sole.If,howocn the building ur improwrien,is sold within one year o1 101 — FOUNDAT ION �mnpetion,the—r enbuilder will have the burden of proving that be did m,build or mrova on'.ganaotmleL 103 — UFER ❑1,a,owacrnrthe propeny.anresamaivslycootmermgwidnlite taad"ruemm,m 104 — REBAR can.tme the prI(Sec.70,W,Basins and Profcsshans CWe:)'rne Contractor, emon.e Law dost not apply to as owner of pmlreny who builds or inipmvee thereon• 105 — ANCHOR BOLTS and wb..... in far such pmjeam with a cuntrazmr(O licensed pursuant ,,,he Conoat ILicen,eLaw 304 — ROUGH ELECTRICAL 0 I am aa.nyn under Sce. .B m p C tot,hi.ran.o.n 505 — FINAL ELECTRICAL owner Data WORKER'S conmENsnru)N nl:cl,nRAT1ON 514 — FINAL PUBLIC WORKS Ihereby fllorder1 'Iry fpcjuy ...I I,ll gd I r,Wo, ] I I d s pe t ' 1. i lmat t 1. t at s Ca f Wadere trope t n lo Por I,J f by tied ped f the Cattail Code, for ,he rf of lot work I,,, ti h,M1:scorait :issued. INS/ have tmJ rill maintain Worker eCompensation Insolence,r he[, hi, Section Ile< 'l]ql of the Luhnr Gx1.for,he per omarmeu of lbs d P for whi h Ibis permit is issued.My wbrkcls Compensauon I surunm nater and Policy neylynpyy ere: �r�r Cuniec �Palicy No.: C..RI1pICA1 ION Or EXEM VI'RI.N FROST WORKERS' COM PENSA I ON INSU IIA NCE fllnisctni m need nm be.......feed l he per nit is for one hundred dol lot. (S 1110)nr low.) I eerily that In the parfornumee of the work for which this perutlt ix Is,crd.I ,hull no,employ any p<o nt in any manner m z m free subjec,ma the W..lam, con 'Tion Laws of' imnvy np_�. e Apprnnt N)II IT, AITLI ANT:If., ler w ing this Cvdlhca,e of Limption.ritu.Mould or I, m,hu Worlcr's w otionpowkinmol'Ihe Laborc Ii,you oma p 0 ronnwit comply with such previsions or this permit shall ha deer"revoked. '. 4 CONSfRUMION LENDING AGENCY I hereby of inn that there is a conswclion lending agency l'or the performar m nl,be wad fill which,his,....I is issued(Sea.3097,Civ.CJ L Q Icnder'x Nam. D L Lender's Address V I certify that I have read his implication and sm,e,hat the above information is [s. emree.l agree an comply with all city trod county"o inanscs and sem laws relating C 1r.7 In building conumction,and herebymImn7e representatives ofihis city to interlopers y G the abovommniancd progeny for in"coon vno onus. F., a (We)agree..save,indemnify and keep harmi the city of Cu,,minm against Vrn Iiabi limas,judgmenw,costs and u..p.nw,winch ,toy in any way aceta.against'aid 'L Cay in consequence of the granting of permit. O APPLICANTUNDERS1' NDS ANDWILLCOMPLY WITHALLNO INT lssuedb Date SOURCE ATIn y' Signmme of AFphcmttf tnt at Re-roofs HAP OUS MAI HRIAIS DISCLOSURE Will the applicant or future Molding occupant ocam or handle haraNmu material Type of Roof us darned by the Cupertino Municipal Code,Chapter 9.12,and the l lcahh and Safe(, Cute,Section 25532(al" J C]Yaa idl"^ All roofs shall be inspected prior to any roofing material being installed. Will the a,liean,orftlembandingoccap:mt .,aegtdpm.atorde„ice,which If a roof is installed without first obtaining an inspection, I agree to remove ani,hamrdoa,atrcom:monams as defined by ba Bay Area Air Quality MI agc t ONImjO? all new materials for inspection. Applicant understands and will comply with O Yea �” all non-p int source regulations. I hove read the hnnmlons mwerialx requirements under Chapter 6.95 of the California ttr:J,h&Safety Gtdc.Sections 25505,255J3 mW 2537x. nnJentanJ that J if the bei Wing does na,surreally hwe a tenant,shat n is my resptmsibilhy to notify the occupant of the requiremams which nest he met odor at Iswimee of a Celitlem.at Occupancy Gi I //////tom Sig � e of lican[ Date own<roraatno-ae ages, ` to All roof coverings to be Class "B" or better 0 0 NNZ� � Q�H y a C= N wo > PE Q W F o ® Q A ELIVJ 3 °µwL N3oFr� wo w Q Sr W _ C7 A W << Z.rt1 N o G WG V N JO >R Z w z N U� lic A amo N3 z d ZO = i^y'1 ?y u^ Q a NSLA N F- Z tC Z O W HCD c ID d S J O z W O O '� L O J (v = 4] J 1U U W N a V In F Z w zO c' o s j Q�� op 11z W O F� .c s r•. to n j 'Q Lii J W 3 a N � NIwo W d m 7 F r m � zwn a z ami zw m ttX W Ow W Q W N < N W IN e � N W N L �_ 1L1 cn U W Hl J O O � N Q Q � � � � ;:�� ,. ,. . ;:;: � .. � • fir, 1'r .. . . • ti9::' i i; _ �.... c ��� \ '• d K� � �� ��� ��.� � R t� � v� .� 1 ti f • Y W �V���'� 6�P i.yk��.� I � "', '�� �L�i4� t.:3i � MI �MVsl r�: u � � ar� • a,q i r4r by,��' rF,J,"- F s v f �, i, !. .t � �f{�': � . � ��� , i a� r ' ';I„. �, �� SII ,� 'rr� ..I, � �' ';a I � �� i ,1!.. � � �� 1 ;,1,. i.i :',� � -;'s �. INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO _ BUILDING PERMIT INVOICE OPERATOR: karenb Sec: Twp: Rug: Sub: Blk: LOC:31605051.00 INVOICE DATE. . . ...: 09/11/2000 REFERENCE ID # . . . : 00090039 SITE ADDRESS .....: 10963 N WOLFE RD SUBDIVISION ....... CITY .. . . . .. . .....: CUPERTINO IMPACT AREA . . . . ... OWNER ... . . . . . . . ..: CUPERTINO VILLAGE ADDRESS . . . . . . . . . . : CITY/STATE/ZIP ... : CUPERTINO CA, CA 95014-3548 CONTRACTOR . . . . . ..: ALLEN LIN LIC 4 22174 COMPANY . . . . . . . . . . : ALLEN SIGNS ADDRESS .... . . . . . . : 1982 STONE AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95129 TELEPHONE ... . . . . . : (408)280-6500 FEE DESCRIPTION CHK TOTAL FEE PAID-TO-DATE BALANCE DUE --------------- --- --------- ------------ ----------- BREMSIGNS P 22.20 0.00 22.20 EPERMITFEE P 35.52 0.00 35.52 --------- ------------ ----------- 57.72 0.00 57.72 VOICE ID DESCRIPTION VOICE ID DESCRIPTION . .. ............................ ........ .....------..........------- FOUNDATION 103 UFER REBAR 105 ANCHOR BOLTS 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL 514 FINAL PUBLIC WORKS • CITY OF CUPERTINO V001 00 • dog ys- BUILDING PERMIT APPLICATION FORM Buildiinng3 dd ess: bb G - o - os Owner's Na e: Phone No: 0LLUA -6S Contra r: License No: Contact: Phone No: AWG� L. n -2,96 Architect/Engineer License No: Applicant/Cont ctor: S Building Permit Info: (circ! one) Bldg Elect Plumb Mech Job Description: -Ti st '(� vie Q Sy s Residential: Commercial: Sq. Ft. Floor Area: $/Sq. Ft.: APN,# (Must provide): 3i _ �S- _ S/ Valuation • Type of Construction: Occupancy Group: Qty. if Fee ID Fee Description Fee Group Applicable BTEMPPERM ITemporary Bldg Permit BUILDING BCONSTAX Construction Tax BUILDING BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BOVERTIME Inspection Overtime BUILDING BPERMFEE Bldg Permit Fees BUILDING BMITIGAT Housing Mitigation Fee BUILDING BPLANCHK Plan Check Fee BUILDING BPLANCKADD . Plan Check Add Multi BUILDING BPLANCKREP Plan Check Re eat Fee BUILDING BREINSPECT Reinspection Fee BUILDING BSCBLVD IScb Specific Plan IBUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res — BUILDING , BSPECIAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING • ZADDCHG Address Change BUILDING ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL • BELEC1000 Elec 600V <=1000A ELECTRICAL BELEC1001 Elec 600V >1000A ELECTRICAL BELEC200 Elect Svcs 6 <=200A ELECTRICAL BNEWMULTI Multifamily Reses ELECTRICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL Misc Apparatus ELECTRICAL BREMMISC Rem Non-Res Ap liance BREMNRAPP ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL Power Device/Apparatus BREMPOWER ELECTRICAL BREMRECEPT Rcptl, Switch &Outlets ELECTRICAL BREMRESAPP Remodel Res A pliance. ELECTRICAL BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lght Fix ELECTRICAL BSF&2FAM Single& 2 Family ELECTRICAL BTEMP Temporary Power ELRICAL BTEMPSVCS Temp Dist Svcs ECT MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL • BAPPL07HER Other Appliances MECHANICAL I Boiler <= 100,000 Btu MECHANICAL BBOILER BBOILERBoiler >100Kto500K Btu MECHANICAL BBOILER3 Boiler>500K To 1M Btu MECHANICAL BBOILER4 Boiler>1M To 1.75M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMVENFAN Vent an Single Duct MECHANICAL BMNEWMULTI New Multi Fams Res MECHANICAL BMNEWSF&ZF New Sf&2F Res Bldgs MECHANICAL BREMACOVER Ac Unit>10000Cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000cfm MECHANICAL BREMFURN Relocation of F, MECHANICAL Relo Furnace > 10K Btu BREMFURNOV MECHANICAL BREMINHOOD Installation Of Hood MECHANICAL BREMRELOCA Relocation Of Hood MECHANICAL Repair/Alter Heating MECHANICAL BREMREPALT BREMVENSYS Ventilation Systems PLUMBING PPERMITFEE Pembng Permit Issue PLUMBING S New ingl. BNUMULTI New ingl roily Resefamily Res PLUMBING • BNUSFD PLUMBING BPBACKFLOW Atmos heric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPFIXTURE PbIgGas Fixture PLUMBING BPGAS Gas Piping System Fee ixtu PLUMBING BPINTERCEP Ind Waste Ina for PLUMBING BPREPIPE Repipe Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn SprinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt Of Drain &Vent PLUMBING BPWATER Install/Alter Waterpip PLUMBING BPWHEATER Water HeaterNent PLUMBING BPWSVCS Main Water Service • • / 2� � ���� r K%g\ � \ [ � ( \ } } \ $ � kk3 � f [ a � \ � � 2 \ � � UJ © ; § § W ! \ - - \ � \ / 1 a \ \ \ \ \ 2 \ \ § \ \ \ \ ! ; j . - f . a \ � ® \ ! { ' \ - \ Nei ( \ ( \ �z \ / / \ yy MMOM* r �77� t til" 1 fA�r r,�.,f��'R�� . • �!litl�iy��'1.1rSair!1 ;r Bb , r t • I R