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06070127W :wC :Zw p v. f— tm_ tyL 11tO :Q Igo p .2� a�. 1 CITY OF CUPERTINO +M2r �'�• '��^" °" 3.�r"• r�CO VTRAC�°TQI2INFORMATIQN ; BUILDING bivisION PERMIT , BUILDINGADDRESS: DO' ADE ELECTRIC CO PERMRNO.06070127 1134 YORKSHIRE DR OWNER'S NAME: PERMIT ISSUE DATE SCOTT & DIEP MASER 16320 HARWOOD RD 07/19/2006 ONE: SANITARY NO. CONTROL NO. (408)377-2323 ARCHITECTYENGINEER: BUILDING PERMIT INFO BLDGELECT PLUMB MECH (� � L (� LICENSED CONTRACTOR'S DECLARATION o Job Description 1 hereby anion that 1 am licensed under provisions of Chapmr 9 (commencing P with Section 70110) of Divubm 3 of the Businessaw Professions Cade, and my 0celse us in fu[ifomc and cffec . b tote an Lie. a 200 AMP SERVICE CHANGE ADD 120V CIR & OUTLET FO A SPA Dam Co..., ARCHITECTS DECLARATION I urderwnd my plans shall ho used as public records Licensed Professional OWNER -BUILDER DECLARATION 1 be.6 Unrm that I am exempt from the Convactor's License Law for the following mason. (Section 703 L5, Business and Pmfessiom Code: Any city or county which requires a permit to Construct, alta, Improv, demolish, or ,pair any structure ! prior to its issuance. also mquires tW applies, formeh permit to file a signed statement W is licensed o the of the Conuamor's Lixonz taw(Chapter 9 Sq. Ft. Floor Area Valuatroii100 that pursuant provisions (commencing with Section7000)o(Division 3 ofthc Businessand Professions Codc)or I • that he u eaempt therefrom and the basis for the alleged exemption. My violation of t��`t {1�(er Occas ane T e P y yp Section 7031.5 by airy applicant for a Permit subjects the applicant to a civil penalty ofN five nut,ort thanve hundred doll. (15M). 30�pAIp�0NTT 00 ❑ I,uowxr of the pmperty.mmY employees with waguutheir sole eampensatioq Required Inspections will do the wort and the structure is not intended oroQered folsee (Sec. 7044, Bud. and Professions Code: The Conuacmrs License Law don rpt apply to an mvner or property who builds or improves thereon, and w ho does such work himself or through his ownemploys,provided Wtsuchimprove aalenotintendedaraQemdforsale.H, however. the building or improvement is sold within pin year of completion, the owner. builder will hose the Widen Of previa, that the did wt build Or improve for purpose of .,caw,;. vie1. ❑ I, u owner of Um propcny, am exclusively contrudin8 with IlceruW rontractpn b ��yyyd' cener ct the project (Sec. 7004, Business and Professions Code:) The Contractor's Li- taw dao eon apply je car sure of proper tube Wilds rs impmws [comm, andil Licata I.&W. for shellpmJCCts with atanpacbr(5)li[eeyd penpanlbthe epnlraetaY9 who rdcenw taw.�f a/Yrrp i{,L(SJ�a_" ❑ I am ucmpwndcr Sec , B & P C for Nu moon Owner Date ///��d 1 1p06 /.L yvJy �� WORKER'SCOMPENSATION OECt.ARATION It Ihembyal under penalty orperjury one dmrollonCforWdan's \J arm thaw cawwill main tains Cenifi7M of the caller Vlorkers Comp ere to Co souks, as Code. Out thi for by Section 3700 or the Labor Code. (m the per(pmlance of the hick Loh far which this permit u issued. ❑ 1 have and will maintain Workers Compevatien Insurance, as required by Section 3700 of the Leber Code, for the performance ofthe work for which this Peril is issued. ' My Worker a don ma Cartier and Policy number are: Cartier. Iiry No.:•�.[I—.V,109-21 ERT FICATE OF EX PTION FROM WORKERS ORKERS' COMPENSATION INSURANCE (Thu sedan need ret W completed fide, permit is Intone hundred dollen (1100) nr less) I certify that in the Performance of the work for which this Permit is issued, I shall not ca ploy any Person in any manner an as tu become fabjOel to the Workers Compensation Laws of Ceifomia. Dale APPlicanl NOTICE TO APPLICANT: If, aMr making this Cerhfinm of Exemption. You should become subject in the Woecla Compensation prevision of the Labor Code, you mum foMwith comply with such provisions or this permit shall he dsrmcd meted. j CONSTRUCTION 1 thereby then i cumamFNOINGAGENCY agcmy far the perfurman r of • rwhobit,!hat s cd (See. 30 7, Cine the Lurk fur which this permit u issued (Sec. J097, Civ. C.) 1 Lenders Name l.cndersAwrasi ' 1 I terrify that 1 have read this application and scale that the shout infotmatiun is corm. I agree to comply with all city and county Ordinances and sate laws milling m Wilding convection, and hereby authome reprecenutives of this City to enter upon the 1 ahovrmcnlinoodpropertyst furinspcNoo (We) agree to save, indemnity, and keep harmless the City or Cupertino against j ostsand which may may in my way secret against sdd City in inenitias,Jwx of the of the of this permit SthisDWI APPLICANT APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT UNDERSTANDS I$$Ded by: Date SOURCE REGULATIONS. Re -roofs -� 7 -/Dor sienmpR n HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future Wilding occupant mom or handle hazardous material as dented by the Cupenino Municipal Code, Chapter 9.12, and the Health and Safety Cade. o ea 25532(a)? T 6�0 All roofs shall be inspected prior to any roofing material being installed. Will hes ficantnrmtpre Wilding xa pp a prem use equipment m devices which If a roof is installed without first obtainingan inspection, I agree to remove P mit havaNnus air comormanu as wOned by the Bay Area Air Quality Management all new materials for inspection. D kt? �J ❑ Vca Nu 1 have mad the hmardou intecdaumyvirements under Chapter 6.95 pf the Califor- niaHcalth&Safmy Cede, SreUw25505.25533 andM5M. 1 understood that irdac Wilding docs not currently have a tenant that it is my mponaibility to notify the occupant of the mquimmmchmuR W outprintuiestraccofaccaultracvpamy. Signature of Applicant Date All roof coverings to be Class "B" or better ownermanthariaedasen, Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax (408) 777-3333 46UPE(,TINO Building Department 17, 0 JOBADDDRE yng PERMIT # 6a7d1 z� OWNER'S NAME: [ PHONE # 3Z7- 3 GENERAL CONTRACTOR: Cabinets & Millwork FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: 21 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical o 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 Owner/ Contractor Signature Date CITY OF CUPERTINO •em 1 of 1 PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 36208002.00 DATE ISSUED.......: 07/19/2006 RECEIPT #.........: 35317 REFERENCE ID # ...: 06070127 SITE ADDRESS .....: 1134 YORKSHIRE DR SUBDIVISION ......: CITY .............: CUPERTINO IMPACT AREA ......: OWNER ............: SCOTT & DIEP MASER ADDRESS ..........: CITY/STATE/ZIP .... , RECEIVED FROM ....: DON WADE ELECTRIC CONTRACTOR .......: WADE, DON LIC # 18388 COMPANY ..........: DON WADE ELECTRIC CO ADDRESS ..........: 16320 HARWOOD RD CITY/STATE/ZIP ...: LOS GATOS, CA 95032 TELEPHONE ........: (408)377-2323 •FEE ID UNIT QUANTITY AMOUNT PD -TO -DT BENERGY PERMIT FEE 1.00 34.86 0.00 BELEC200 METERS 1.00 29.43 0.00 BREMRECEPT NO. OUTLETS 1.00 1.20 0.00 EPERMITFEE FLAT RATE 1.00 38.37 0.00 BSEISMICRE VALUATION 2,100.00 0.50 0.00 TOTAL PERMIT ---------- ---------- 104.36 0.00 OPERATOR: amyw COPY # : 2 THIS REC NEW BAL 34.86 0.00 29.43 0.00 1.20 0.00 38.37 0.00 0.50 0.00 104.36 0.00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ CHECK 104.36 1368 TOTAL RECEIPT 104.36 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 304 ROUGH ELECTRICAL 501 FINAL ELECTRICAL ENERGY 505 FINAL ELECTRICAL • AL CITY OF CUPEkTINO CITY OF CUPERTINO w-0-1 ottl PERMIT APPLICATION FORINT APN # 3(v2- 60 -002 Date:. Building Address: I ✓VStikIr6 1V Owner' N e: Phone #: 5(0I'}�/if 0 - Contractor: Vvy? License #: C-� .161 D - 0 Contact: Phone #: h ✓, L4V0- 3��-232 Applicant/Contractor: kyx6 eek 'n Fax #: 0&(o-�9a32 n e C,-Lgm C,\ BUILDING Building Permit Info: Bldg E ect Plumb Mech Job Description: —� iliJ 12D\/ I (Z9'-ov Residential: ;-70OAmp VI a CH-A-P\06Commercial: S Sq.Ft. Floor Area: $/Sq.Ft.: Architect/Engineer: Valuation: Zl Type of Construction: Occupancy Group: W196, 5/Ab g fAMILLf Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances 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 > I OOOA ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL 1 BENERGY Energy. BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BMITIGATR Res. Housing Mit Fee BUILDING BMNEWMULTI New Multi -Family Res MECHANICAL BNEWMULTI New Multi -family Res ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING 1 of 3 A& CITY • CUPERfiNO CITY OF CUPERTINO PERMIT APPLICATION FORM 2 of 3 Ah A-, CITY OF CUPERTINO CITY OF PERMIT APPLICATION FORM CUPERTINO • Quantity Fee ID Fee Description Fee Group BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING / BSEISMICRE Seismic Fee Res BUILDING BSF&2FAM Single & 2 Family BUILDING BSFNA Single Family New Add BUILDING BSPECIAL Special Insection 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 Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Address Chane BUILDING 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 > 1.75 M Btu MECHANICAL 3 of 3 Ah •