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00020099 (2) CITY OF CUPERTINO PERMIT NO: BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: �O�a O�� p BUILDING ADDRESS: T/I V A, s�(,IM�(A�, SANITARY NO. APPLICATION sU MITTAL DATE /0230 �;oN �Jf�^] y�/ 1�lO/0 11,11'S NAME: I6 { I 1 f�IK�T�W� �� NIC CONTROLg HD 25 - �'AJJ �J CA gJl2�g Z CHIt[Cf/L•NGI E[R- �pp b BOLDING PERMIT INFO o oCt' H 6 N LICENSED CONTRACTOR'S DECLARATION O _G I hereby air.dhso 1 w licensed matt provisions of Chapter 9(commencing 'Job Description //�� rr,:�w wiNsaum'f000).f Division3of tiro Buu,au,W Pofeuiw�ujCade.utl mY lircueis '�/')� �//^ goQ O O �� O//t)C' ) wP Liter'eme Cl.- —1 Lia.«-429051 (�� f l,t/f'Zi G� >�3 a y Date C SDECLARATION Lv O S ARCHITECTSARCHITECTSDARATION yesy 1 understand my plans shsil the used es public rcmorda 6 O O Literate!PmfeulmW MI,16-11MDER DECIAMTION >' f hereby affirm Net 1 am exempt from the Contrsemfa Licence Lew for the C following reason(Sectim 1031.5,Rmsimss and Professions Code:Any city ca county 2 which rtquiaa a permit to cmuuuct,alar,improve,demolish,or repair my mn crave Sq. FL Floor Area -Valuation - prim to its issuaae,elro requirce the epPliohi fonmh permit m Rle uigmd.sstemem that he is licensed Wnuant to rhe provision of be Contractor's License law(Chapttt) Q (comoeming wide Satioa 7")of Division 3 ofJa Rusimss as Profcasima Code)a ane phi Nu her Occas Wt he is eseW,doom from as to basis for the alleged exemption.Any vioWion of p y Type. Secum 1031.5 by any applicmt for a Period subjects the applicant to a civil Emery of nn,more then five huate dollen($500). Lac owner of the property,m my employee.with wages u Nelraole"refemuim, Required Inspections will do the work,..d cremation,is rot inande.roffered for We(Sm.JOM,Rusimu - and Profassiom Code:The Contractois License Law does not apply to an owner of property who of or imptovo a th< os n,awho dead such work himself or thorough - M.own employees,ptovide tw much imprmemenss me na intended m offered fee sal..IL however,the building Or improvement is sold within one Veleof compluim,du owntt-0uilder will baa the burden of proving chat he did nm build Or improve for pm- poscofulw). ❑1,in owner of the property,un exclusively convecting with licenva commerce,to comvuct tete project(Sm.7044,Bmineas and Profemslom Cad,:)The Centre oxen Li. cause law time not apply no an owner of property who build. and!or improve.dexam,a sura c.s for such projects with amsorma.(a)license pu..act w the Contsacmta na LiaU. e se exempt undo Sec. .B 6 P C for this won 0. � Data 2� WORKER'S COMPENSATION DECLARATION / I hereby affirm under penalty of perjury one of the following declarations: o I Mve as will minen aCeniricate of Commt to ulf.insum fmrwork<r's Compeer O tion,m provide for by Section 3100 of the Labor Cee,for the p,rfe.of Ne work fm which this permit is issued. ❑1 have soul will mountain eared.Compensation Insumme,as reground by Section 3100 ofte labor Cone,for da ptrfwwae of the wort for which this Permit I,issues. v my Worier,Compensation Imuran.carrier and Polity number are: Cartier: Policy No.: , CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This action random be completed if crepemut is foronehuartddollan(g100) m Ito.) I conify toe in the perfmmence of the,work for which his permit isround.land not emptor YPeha minanycow• vMccomecubjz,m dic Warton'Compery main laws Calif a. JE G Applicant ho NOTICE 1'O AP NT' f.afar as this Cenificue of exempton,you should become mbjat to a In,Compenution provisions of the Labor Code.you rose funfewicr comply with such provisions or this permit shall he dame revokes. LBy CONSTRUCTION LENDING AGENCY \0IEttehy aniontat tan l..commsetim leading agency forte performance orL-1-toamtfor which Nis permit is issued(Sm.3M.Civ.C.)Lendefs None > Iaa,YxAddress EB 4 20005 1 unify Nu I have had Nis application and sae that the above infomution is mmuct.I agree to comply with all city and worry ordinances and slum laws relating toU0 building construction,and herely suthodre rtpocausativer mf this city to enar upon tomove-mentim ad property for inspection Imryosea. la. t,. (We)agree It save,im emnify and tap harmlo,to City of CUpnem..gaimt O V Rabihues,judgments,mass as expenses which may in any way accoe agawn said City �s W in crosequsece of Re gmntng of this Permit. [L•i 96 APPLICANT UNDERSTANDS AND WI LL COMPLY WItH ALT,NON POINT V SOURCE REGULN'IONS. , Sigmtme mf ApylimnVCmvutm Due 3 HAZARDOUS MATERIALS DISCLOSURE Will the appit.,orfumrt building ceps,nom or handle harardoms...is, Re-roofs as defined by the Cupertino Municipal Code.Chapter 9.12,arN the Health and safety Type of Roof Code,Section 25532(.)1 ❑Ya ON. r' Will the applicant or future Wilding Occupant uneequipment or devices which All roofs shall be inspected prior to any roofing'material being' ,mit hvardem,W comsoruhana as deRhad by the Rry,Asea Au Quality Management installed. If a roof is Installed without first obtaining an inspection District?OilYa ONn I agroe to remove all new materials for inspection. Applicant la heads hvuda.aawaregmircm m d rC.pa 695nfm G.i- understands and will cornply with all non point source regulations. forma Health&safety Code,Sections 25505,25533 ea 23534.1 undersand Nu if the �O h I Sdmsnotcomnllyhaveawni,NuItismympomibilitywnaifytomcupmt a rry mannwich most has mer prim to Women, f aCenificsoe d'OccuPutcy. _ r r- - Z- /Z a`18 7 Signa a of pp Ican Dale Ower ni age Data r All roof coverings to be Class"B"or better OFFICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE • CITY OF CUPERTINO • BUILDING PERMIT INVOICE OPERATOR: k.renb Sec: Twp: Rng: Sub: Blk: Lot:35911043.00 INVOICE DATE......: 02/15/2000 REFERENCE ID # ...: 00020099 SITE ADDRESS .....: 10230 BONNY DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: DOUG HERDA ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014-2904 CONTRACTOR .......: LIC # COMPANY ..........: ADDRESS ..........: CITY/STATE/ZIP .... , TELEPHONE ........: FEE DESCRIPTION CHK TOTAL FEE PAID-TO-DATE BALANCE DUE --------------- --- --------- ------------ ----------- BENERGY A 38.10 0.00 38.10 BPERMFEE P 127.00 0.00 127.00 BPFIXTURE P 24.99 0.00 24.99 BREMECEPT P 6.66 0.00 6.66 BREMVENFAN P 41.63 0.00 41.63 EPERMITFEE P 35.52 0.00 35.52 1TFEE P 35.52 0.00 35.52 f TFEE P 35.52 0.00 35.52 --------- ------------ ----------- 344.94 0.00 344.94 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ........ ............................ ........ ............................ 101 FOUNDATION 102 PIERS 103 LIFER 104 REBAR 105 ANCHOR BOLTS 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 203 UNDERFLOOR MECHANICAL 204 UNDERFLOOR FRAME 205 UNDERFLOOR INSULATION 301 ROUGH PLUMBING 302 TUB & OR SHOWER 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 305 FRAME 306 HOLDOWNS 307 INSULATION 308 SHEETROCK 309 EXTERIOR LATH 310 INTERIOR LATH 311 SCRATCH COAT 313 ROOF NAIL 501 FINAL ELECTRICAL ENERGY 502 FINAL PLUMBING ENERGY 503 FINAL MECHANICAL ENERGY 504 FINAL BUILDING ENERGY 505 FINAL ELECTRICAL 506 GAS TEST 507 FINAL PLUMBING 508 FINAL MECHANICAL 509 FINAL GRADE 510 FINAL PLANNING 514 FINAL PUBLIC WORKS Oty. if A plicable Fee 10 Fee Description Fee Group �BPERMFEE ISLOG, PERMIT FEES IBUILO6VG IBCONSTAX lCONSTRUCTION TAX ISUILDING ISENERGY JENERGY BUILDING ENERGYADD (ENERGY ADD MULTI ISUILDING ISOVERTIME JINSPECTION OVERTIME IBUILDING BTEMPPERM ITEMPORARY BLDG PERMIT IBUILDING BMITIGAT HOUSING MITIGATION FEE BUILDING SPLANCHK PLAN CHECK FEE BUILDING BPLANCKADD PLAN CHECK ADD MULTI BUILDING BPLANCKREP PLAN CHECK REPEAT FEE 03UILDIN G BREINSPECT REINSPECTION FEE G BSCBLVD SCB SPECIFIC PLAN BSEISMICOM SEISMIC COMMERCIAL G BSEISMICRE SEISMIC FEE RES G AL SPECIAL INSPECTION G BSWIM SWIMMING POOL G IADOCHG ADDRESS CHANGE BUILDING EPERMITFEE JELEC PERMIT ISSUANCE ELECTRICAL BELEC1000 ELEC 600V«t000A ELECTRICAL BELEC1001 ELEC 600V>1000A ELECTRICAL BELEC200 ELECT SVCS 600V<=200A ELECTRICAL BNEWMULTI 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 DEVICE/APPARATUS ELECTRICAL BREMRECEPT RCPTL, SWITCH &OUTLETS ELECTRICAL BREMRESAPP REMODEL RES APPLIANCE ELECTRICAL BREMSIGNAD RMDL SIGNS ADD BRANCH ELECTRICAL BREMSIGNS REMODEL SIGNS, MARQUEE ELECTRICAL BREMTHEATR THEATRICAL LGHTNG FIX ELECTRICAL SSF&2FAM SINGLE&2 FAMILY ELECTRICAL BTEMP TEMPORARY POWER ELECTRICAL BTEMPSVCS TEMP DIST SVCS ELECTRICAL MPERMITFEE MECH PERMIT ISSUANCE IMECtLNICAL BAPPLOTHER OTHERAPPLIANCES MECHANICAL BOILERI BOILER<= 100,000 BTU MECHANICAL BBOILER2 BOILER>100KTOSOOKSTU MECHANICAL BBOILER3 BOILER>500KTO 1M BTU MECHANICAL BBOILER4 BOILER>1 M TO 1.75M BTU MECHANICAL BBOILERS BOILER> 1.76M BTU MECHANICAL BREMAPPLI APPLIANCE INSTALL MECHANICAL BREMH T HEA INSTALLATION MECHANICAL BREMVENFAN VENT FAN SING DUCT MECHANICAL BMNEWMULTI NEW MULTI-FAMILY RES MECHANICAL • BMNEWSF&2F NEW SF&2F RES BLOGS MECHANICAL l oft Rnind 911019 BREMACOVER IAC UNI7>1GG0GCF`t 1�I=`ANIC L IBREMAIRHAN IA/C UNITS <= 10.000CF„I IMECH.h41CA_I IBRENIFURN IRELOCATION OF FURNACE (MECHANICAL•( BREMFURNOV IRELO FURNACE > 1C BTU (MECHANICAL BREMINHOOD JINSTALLATION OF HOOD IMECHANICAL BREhoIRELOCA RELOCATION OF HOOD MECHANICAL BREMREPALT REPAIR/ALTER HEATING IMECHANICAL BREMVENSYS (VENTILATION SYSTEMS MECHANICAL PPERMITFEE PLUMBNG PERMIT ISSUE PLUMBING I BNUMULTI NEW MULIFAMILY RES (PLUMBING BNUSFO NEW SINGLEFAMILY RES PLUMBING BPBACKFLOW ATMOSPHERIC VACUUM PLUMBING BPCESSPOOL CESSPOOL PLUMBING BPFIXTURE PBLG FIXTURE PLUMBING BPGAS GAS PIPING SYSTEM FEE PLUMBING lI II SPINTERCEP IND WASTE INTERCEPTOR PLUMBING BPREPIPE REPIPE OF FIXTURES PLUMBING SPSEWAGE SEWAGE DISPOSAL PLUMBING BPSEWER SEWERS PLUMBING BPSPRINK LAWN SPRINKLER/BACKFLO PLUMBING SPSTORM STORM/RAIN WATER PLUMBING BPTRAP KITCHEN TRAP PLUMBING BPVENT ALT OF DRAIN &VENT PLUMBING BPWATER INSTALVALTER WATERPIP PLUMBING RPVVHEATER WATER HEATER/VENT PLUMBING BPWSVCS MAIN WATER SERVICE PLUMBING • ZOEVAGREE JOEVELOPMENT AGREEMENT IPLANNING ZDI IDIR TENT MAP IPLANNING ZFULLHR IFULL APPL BASE+ IPLANNING ZFULLTM IFULL APPL TENT MAP PLANNING ZFULLUP JFLILLAPPL USE PERMIT PLANNING ZFULLZONE IFULLAPPLZONING PLANNING ZGPAMEND IGENERAL PLAN AMEND PLANNING ZLIMAMEND LIMITED AMEND PLANNING ZUMTM LIMITED TENT MAP PLANNING ZLIMUP LIMITED APPL USE PERM( *PLANNINGZMATEMPUP MIN AMEND TEMP USEPERMZMINHILLEX MINOR APPL HILL EXC MISC SIGN EXCEPTION INTM MINORAPP TENT MAP ZMINUP MINORAPPL USE PERMITGISCASA MISC ARCH SI GZMISC MISC TM AND UP G ISCFENCE MISC FENCE IXCEPTION PLANNING ZMISCGEN MISCELLAPPLGENERAL PLANNING ZMISCPCINT MISC PC INTERPRETATION PLANNING ZSIGN SIGN PERMI PLANNING ZTEMPSIGN TEMPORARY SIGN PLANNING ZVARIANCE DIRECTOR VARIANCE PLANNING 2 oft • P"ind 1V1d1"