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00040144 (2) CITY OF CUPERTINO IT/NO BUILDING DIVISION CONTRACTOR INFORMATION: " [,� 6 BUILDING ADDRESS: / ` 6 -1 `( Of3 /f/f &j,4 �y(/ /lam/L/ /�y /LC�IC�C, SAMTARYNO. APPLICATION SUBMITTAL DATE OWNER'S N.1ME: - - /TN 4t2t —0 NICCONTROL# qqp 0 s z ARCHITECT/LM1"ID ' / �0 /s�� qqqq (J BULDING PERMIT INFO �+ Wu i y i LICENSED CONTRACTOR'S DECLARATION , bneby aRw stir 1 w Ecrosed uMar provisions of Chapter 9(comrrcaisg Job Description �arc�SF5.uy9J with Satin]Opp)ofDivision3°/the Businasuq Pmfeuiom Code,aM my license is LicNil sNice und.Hat.G/U 3�O� Date-�1'IELT•S DEC TION `/A// J� �<a mdnadmypWaWibudaspbic«Ods f/-�� /{/(� C p Uceu.Pmfo.... o, OWNER-BUI DM DECLARAnON - 3< 1 bereby aRrm that I w camps from the Contractors License Law for the D following reason.(Section 7031.5.Bmina.and Rofasioes Code:My city m county i3$ wWchitsnuapennhcpores shewee,improve,h pmeit t ort spired summit Sq. FC Floor Area that he its nm,also don to she applicant for such pemm m Ne a signed tammrnt Valuation Area- that heencifinvd preuanuo Ne Of Divisiion I thea Stlwora Ucrose law(Clupter9 U ' !commencing with5«tion]000)of Division 3 of the Butinur and Rofeuio r Cnde)m that he's exempt thacfmm and um basis forthe alkg eleumpuon.Any violation of APN Number Occ panty Type Section]031.5 by any epp0cent fm a pnnit mbjecu Ne applicant to a civil Penalty of /� 316 ,- -56 -_ o � V" m moa thin Eve hurMd dollw(25(101. wiwil Lasnwmrnftnepec,orm mmy`N:endedwimwadIns Insulin I`70". aananas Required Inspections and Pathe ion.aM theaue c onummimendcd tiro&red fors apply a,1,Busima - W Property who Code:The timuheme Littera law Poo nam appty to ir thoo of his--who Wade a itnprovp thsuch i end who dues such woh ded o rof through Wa own employeee provided that row impros sold wish,w not,d m oame.for _ we.ILhowev wthe Widingmion a piwhi is sol heiOrcywounloose far the owrcr-builds will haus the buNm of proving than he did trot Wild m improve for pr- p«orala.l. ❑I,u owner of the propny,w exclusively contracting with littnsed ounnanma to .ansnuct the project(Sec.]OSA,Business and Frde oro Code:)Tfr Cornerstones contractors, in came law done nm apply to v owner of property who builds or improvas Nems.and who conuats for ouch proj«N with.m.ancons)licensed pursuant an IN,caurmiors ' Liana law. son exempt under Sm. ,B@PCfor this on �•+�•7 Owner Dam WORKER'S COMPENSATION DECLARATION I hereby afore under Penalty of Perjury orae Orate fallO,vug declensions:0Ihaaand will maintain a Cartri moofConc,ro m,f-insa, nWorkers Cone, cation,as provided for by Smuts,3700 of the IaWr Code,for the pMomsae of the , mth for which this peis issued jhave and will contain Waters Comperessu m luunvice,u empa ral by Section Kofthe labor Cade,for the pe mosom ache wank for which this parent is issued. MYW°rk Cj avian rimier and Pow policy number : Carrier.57•!J ,ra�a Policy No.: CERTIFICATE OF EXEMPnON FROM WORKERS' COMPENSATION INSURANCE alas.)!lids section needmr becompleta s ifthe Kronor from ohundred ddlus(SIM) I cmify thatin the Performsoceofm work forwhich thispeut is issued,l shall and employ any Person a say manner eco u to hecom subject to the Worken Compen- ution is ve.f Caliromia.Data Applicant NOTICE ID APPUCANT:If,after making N.C urdlW,of Exemption,you sl euld ' become whims to the Workres Cromem iou provisions of the Labor Code,gam man forthwith comply with Inch provisions or this Inank.hall W domed savokW. CONSTRUCTION LENDING AGENCY Z p Ihereby ulfion thu there is a moloncaon lending agency forth. atiom om of Z the work fm which this permit isis.md(Sm.NA],Civ.C.) [.. UndeM1 Name , p; } IaMer.Addae.. Wa Q 1 ttnily tha I Cao read the application and irate that to above iNormasim is corral 1 agro to comply wob all dry aM county ordiuncce and ewe laws slating e. building consu coon,all herebya dentim mpmanwives of this city toenur upon the U OeWvo-mmarsiored D."y for iupecuw purposes. QF (Wo eSmn in save,indemnify and kap harmhss tee City of Copeman,against V liabilities,judgments,contaand expenses which may in any way accrue against aid City } Li7 in mnsegmuce of the grand,of this pined, ' - - E APPLICANT. DERSTANOS AND WILL COMPLY WITH ALL NON-POI!{f� Sigaummof AppheannlConhectm a DOR HAZARDOUS MATERIALS DISCLOSURE Will the applicant or fuau,Wilding acapwstate Or undlc examen,matins, u Re-roofs defined! the Cupertino Municipal Code,Chapter 9.12,end the HCIth rent Seday Code,Section 25532(a)? ']gape of Roof ❑Yes -Tyr-\a�'' on Will the applicant Or Ktruildingmespent use equipment or devices which All roofs shall be inspected prior to any roofing material being nsuic.?hatouswconumiunuasdeapdpaysaeBayAruAvQuJltyMuug[mel installed. If a roof is installed without first obtaining an inspection oar,H❑Yca I a ree to remove all new materials for inspection. Applicant I n have od don haauK xd-resotTraner under Claier695°lNe Cali undg erstands and will comply with all non point source regulations. romie ealth A safety Code,Secuous 25505,25533 and 2553,1.I t aani nuad thd if the Wfaiu �gh��heto tning�fa4 in is my�144'maiwnn °/my atihc.m w(x.apay. Owmror euthnneW agentSignature of Applicant Dao Date All roof coverings to be Class"B"or better OFFICE Ory. it Applicable Fee 10 Fee Description 'Fee Group cl �B?ER�IFcE BLDG PERMIT FE=S IBUILD6VG IBCONSTAX 1CONSTRUCTION TAX BUILDING IBENERGY JENERGY IBUILDIING 1BENERGYAOD JENERGY ADD MULTI 1BUiLDING 1SOVERTIME JINSPECTION OVERTIME BUILDING BTEtvIPPERM TEMPORARY BLDG PEERMIT IBUILDING BNIITIGAT HOUSING MITIGATION FEE BUILDING ISPLANCHK PLAN CHECK FEE BUILDING ' SPLANCKADO PLAN CHECK ADO MULTI BUILDING BPLANCKREP PLAN CHECK REPEAT FEE BUILDING BREINSPECT REINSPECTION FEE BUILDING BSC8LVD SCS SPECIFIC PLAN BUILDING BSEISMICOM SEISMIC COMMERCIAL BUILDING BSEISMICRE SEISMIC FEE RES BUILDING BSPECIAL SPECIAL INSPECTION BUILDING BSWIM SWIMMING POOL BUILDING ZADOCHG ADDRESS CHANGE BUILDING EPERMITFEE JELEC PERMIT ISSUANCE ELECTRICAL BELEC1000 ELEC 600V =1000A ELECTRICAL BELEC1001 ELEC 600V>1000A ELECTRICAL BEI EC200 ELECT SVCS 600V c=200A ELECTRICAL SNEWMULTI MULTIFAMILY RES ELECTRICAL BREMBUSWAY REMODEL BUSWAYS ELECTRICAL • BREMFIXT LIGHTING FIXTURES ELECTRICAL BREMMISC MISC APPARATUS ELECTRICAL BREMNRAPP REM NON-RES APPLIANCE ELECTRICAL BREMPOLE POLE/PLATFORM FIXTURE ELECTRICAL BREMPOWER POWER OEVICE/APPARATUS ELECTRICAL SREMRECEPT . RCPTL, SWITCH &OUTLETS ELECTRICAL SREMRESAPP REMODEL RES APPLIANCE ELECTRICAL BREMSIGNAD RMOL•SIGNS ADD BRANCH ELECTRICAL BREMSIGNS IREMODEL SIGNS, MARQUEE ELECTRICAL BREMTHEATR THEATRICAL LGHTNG FIX ELECTRICAL BSF&2FAM SINGLE&2 FAMILY ELECTRICAL BTEMP TEMPORARY POWER ELECTRICAL BTEMPSVCS . TEMP DIST SVCS ELECTRICAL MPERMITFEE MECH PERMIT ISSUANCE MECHANICAL BAPPLOTHER OTHER APPLIANCES IMECHANICAL BBOILERI BOILER c= 100,000 BTU MECHANICAL BBOILER2 BOILER>t00KTO500K BTU MECHANICAL BBOILER3 BOILER>500K TO IM BTU MECHANICAL BBOILER4 BOILER>1M TO 1.75M BTU MECHANICAL SBOILERS BOILER> 1.75M BTU MECHANICAL BREMAPPLI APPLIANCE INSTALL MECHANICAL BREMHEAT HEATER INSTALLATION MECHANICAL BREMVENFAN VENT FAN SINGLE DUCT MECHANICAL BMNEWMULTI NEW MULTI AMILY RES MECHANICAL BMNEWSF&2F NEW SF&2F RES SLOGS MECHANICAL IoL2 F� ixa mass 9R�ibIAC0VCO QAC UN IT >IGOOG1�1=ri.NIC%.LI <= 10;OGCCFNI IMECr1ANICALI JBREMAIRHAN JA/C UNITS MECHANICAL I. t �BREtiIFURN RELOCATION I FURNACE �BREMFURNOV !: ::,LO i:FURNACE > 1CK BTU jNIECH NIC L BREMINHOOD INSTALLATION OF HOOD MECHANICAL BRENIRELOCA RELOCATION OF HOOO MECHANICAL BREMREPALT REPAIR/ALTER HEATING MECHANICAL BREMVENSYS (VENTILATION SYSTEMS (MECHANICAL 11 P 11 PERMIT11 F 11 E 11 E PLUMBNG PERMIT ISSUE PLUMBING BNUMULTI NEW MUUFAMILY RES IPLUMBING BNUSFD NEW SINGLEFAMILY RES PLUMBING BPBACKFLOW ATMOSPHERIC VACUUM PLUMBING BPCESSPOOL CESSPOOL PLUMBING BPFIXTURE PBLG FIXTURE PLUMBING BPGAS GAS PIPING SYSTEM FEE PLUMBING BPINTERCEP IND WASTE INTERCEPTOR PLUMBING SPREPIPE REPIPE 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 6 VENT PLUMBING BPWATER INSTALUALTER WATERPIP PLUMBING BPWHEATER WATER HEATER/VENT PLUMBING BPWSVCS MAIN WATER SERVICE PLUMBING ZDEVAGREE DEVELOPMENTAGREEMENT PLANNING ZDIRTM DIR TENT MAP PLANNING ZFULLHR FULLAPPLBASE+HR PLANNING ZFULLTM FULLADPL TENT MAP PLANNING ZFULLUP FULL ADPL USE PERMIT PLANNING PLANNING ZFULLZONE FULLAPPLZONING PLANNING ZGPAMEND GENERAL PIAN AMEND PLANNING ZLIMAMENO LIMITED AMEND PLANNING ZLIMTM LIMITED TENT MAP PLANNING z.UMUP LIMITED ADPL USE PERMI ZMA PUP MIN AMEND TEMP US ERM PLANNING ZMINHILLEX MINOR APPL HILL EXC PLANNING ZMINSIGNEX MISC SIGN EXCEPTION PLANNING ZMINTM MINOR APP TENT MAP PLANNING ZMINUP MINOR APPL USE PERMIT PLANNING MISC ARCH SITE PLANNING ZMISCASA PLANNING ZMISC MISC TM AND UP EXT PLANNING ZMISCFENCE MISC FENCE EXCEPTION PLANNING ZMISCGEN MISCELLAPPL GEN ERAL PLANNING ZMISCPCINT MISC PC INTERPRETATION PLANNING ZSIGN SIGN PERMI PLANNING ZTE►APSIGN TEMPORARY SIGN PLANNING ZVARIANCE DIRECTOR VARIANCE 2 oft µerica 311W" INVOICE INVOICE -INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE ,INVOICE T CITY OF CUPERTINO BUILDING PERMIT INVOICE OPERATOR: karenb n Sec: Twp: Rng: Sub: Blk: Lot:31630073.00 INVOICE DATE......: 04/24/2000 REFERENCE ID # ... : 00040144 SITE ADDRESS .....: 10534 N BLANEY AV SUBDIVISION ....... CITY ......... ....: CUPERTINO IMPACT AREA ....... OWNER CHANG YUNG TEH AND HUA YU ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014-2455 CONTRACTOR .......: MA, STEVE OOONG LIC # 19882 COMPANY ..........: ISAIAH ELECTRIC CO ,. ADDRESS ..........: 2555 HOMESTEAD RD CITY/STATE/ZIP ...: SANTA CLARA, CA 95051 TELEPHONE ........: (408)406-9725 FEE DESCRIPTION CHK TOTAL FEE PAID-TO-DATE BALANCE DUE --------------- --- --------- ------------ ---- -____ BREMPOWER P 44.40 0.00 44.40 EPERMITFEE P 35.52 0.00 35.52 _________ ____________ ___________ 79.92 0.00 79.92 �ID DESSCIPPTION ---- VOICE IO OCO9 .... SCRIPTIO.� ... .................... ...... ...... 305 FRAME 307 INSULATION 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS n n