06050026 (2) CITY OF CUPERTINO
sC01�ITRAi'%YvGTCPIt ieF 0It1kI'ATI
IN01 ;
BUILDGDIVISION PERMIT y ,
i
BUILDING ADDRESS: GENMOR PLUMBING PERMIT NO.06050026
10810 E ESTATES
OWNER'S NAME: PERMIT ISSUE DATE
KENNY & HOLLY TRAN 3560 HAIG S1 /2006
NE: SANITARY NO. CONTROL NO.
(408) 855-8348
ARCHITECTIENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0
Sap LICENSED CONTRACTOR'S DECLARATION Job D05CrlpllOn
� FFy I hereby.(bran that 1 w licensed under provinces of Claits.9 ment.tng
E with Section 70(10)of Division 3 afthe Business and Professions Cade.and my license is
-oro
I.fall q i3Q6� COPPER REPIPE
o$Z Liena.Clu Lie.R
tt-- Do.". Contractor
fq� ARCHITECTS DECLARATION
22 I understand my plans shall be used as public records
y6
y O Licensed Ptufeswoal
9 OWNER-BUILDER DECLARATION
1 hereby alliin that 1 am exempt from the Contractor's License Law far Ne
C O following reason.(Saban 7031.5,Business and Profession Code:My city at county
ZOO
$ which requires a permit to coruuuct,alter.Improve,dcmnluh,or repair any structure4 0 0 0
prior a its Women,also requires the Applicant forsmh permit tonic mall swemat
C that he is licensed pursuant to the provisions of the Concmrs Limmenlaw(Chapter 9 Sq.Ft. Floor Area t' n
�$ (comovedngwith Section 7000)of Division 3 of the Business and Profeuimu C.&)or
that he is eumpt therefrom and the ball for the Alleged exemption.Any violation of
Sodon 7031.5 by any appliss nt fa a permit subjects the applicant e n dvil Realty Of t - Occupancy Type
not mom than Rve hundred dollars(Sm0).
[11,a oww of Use pmpoty,ar my maployca with wages as their sole compensation,
will do the work and the souctum is not landed or offetd frsak(Sec.Toa,Bust. Required Inspections
and Profession Cade:The Conuaeme nsrs License Law does not apply k an Owner of q P
property who builds aimprovesthermn,sand wMdoessuch his
Men employees,provided thflauch Improvements roe not intended aaRerN for We.If.
hownsr,the Wildingar knprovemanl is veld within as your of cmopkdan.the owuet-
Wilder will have she Wrden of moving that M did not Wild or improve for purpose of
sale.).
❑1,as owner of the property am esclafmly conossUng with Rand antrsclers to
aarmct the project(Sen.7044,Business and FraMsions Code:)Tec Conroe ses U.
ante Law doss not apply e an owns of property who Wilds a Improves thereon.and
who cannot,(err such projects with aanmctor(s)licensed punum,an the Commoner
LAceac Law.
❑I en exempt under Sea .B k PC for this resan
Owner Dam
WORKER'S COMPENSATION DECLARATION
I hereby affirm under RHWIy of perjury Aro N the fallowing dais Wase
I ham esti will maintain a Certifiam ocoaent mself-issue f e Warkees Compen-
atim,as provided(a by Section 3700 of the labor Code,for the performance of the
work for which this permit is Would.
❑I have and will maintain Worker's Compensadon Wanner,a required by Section
3700 oft the Labor Code.for the perfamas,ofthe welt for which this permit is issued.
My Workers comp eaedon Wel.carrier and Policy number am: -
Carder. QPc3CA PolicyNo,: t
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
rrnu secUnn sed notbecampkkd if the Remit is foranchundrddollan($100)
ser lw)
1 certify that in Use Performance of Ute work for which this permit u toad,1"I nes
employ any person in any maaran as to become subject to the WorkeW Compensation
Laws of California.Date
Applicant
NOTICE TO APPLICANT:IL after making this Cotillion,of Eamptim.you should
become subject to the Worke m Compensation provisions of she labor Code,you most
.JO forthwith comply with rich provisions a this permit shall be deemeA malted.
z` CONSTRUCTION LENDING AGENCY
FIhemby aflim ten then ls4coatrueUnn lending agency forthcper(omameof
Cd
7 Ute wale for which this permit u lowest(Sic.3097,Civ.C.) '
4 QLenders Name
z Lenders Address
U0 I certify that I Nm and this application W sure that,the move infom•uun u -
gy P camel 1 agree to comply with all city and county ordinances and state laws mining M
0U Wilding construction,and hereby authorim nPrasentatims of this city to enter upon the
W aove-mentioned property for inspection purposes
(We)at.In am,indemnify and keep hamlon Use City of CupenmO against
W Iiabilidenjudgmenu,,mus and espouses which may in any way mare against aid City
()z in consequence of the Staring of this pemil
^' APPLICANT UNDERSTAN S AND WILL COMPLY WITH ALL NON-POINT Issued by: 6a Date
SOURCE REGULATION . 11
Yutn n P V6-31dRe-roofs
Signature afAppliantlContrac er Dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant an futon building acupatsare m handle heardoa maeriai
as de0red by the Cupot m Municipal Cade.CWpter 9.12.ad the North and Safety
Cade,section 25532(4)7 All roofs shall be inspected prior to any roofing material being installed.
❑yes 'E7NO
Will the applicant or future Wilding OCCUPOL use equipment or devises which If a roof is installed without first obtaining an inspection,I agree to remove
mit hwardnui air cmuminanu a defimd by the Bay Amo Nr Overtly Management all new materials for inspection.
D Vlcl7
L7yes ON.
I have teal de hanrdc us maurials mgdremta mdcrChapkr 6.95 of tbe Cailfa-
maHa1thkSafetyCaM,Socias25505.25533 and 25534.landowner Uwffdm building
not currently ham a khans than It is my responsibility to notify the occupant Of the
u mmcnu which mumetppnor W isauaeeof.counaz sle of Occupancy. Signature of Applicant Date
_ fdhnlrt L•ciar /oa/oX
Ower m6thoriod agent Dam All roof coverings to be Class"B"or better
'
CITY OF CUPERTINO
�m 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36922010 . 00
DATE ISSUED. . . . . . . : 05/03/2006
RECEIPT # . . . . . . . . . : 34227
REFERENCE ID # . . . : 06050026
SITE ADDRESS . . . . . : 10810 E ESTATES DR
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : KENNY & HOLLY TRAN
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-4534
RECEIVED FROM . . . . : GENMOR PLUMBING
CONTRACTOR . . . . . . . : GENARO MORALS LIC # 27101
COMPANY . . . . . . . . . . : GENMOR PLUMBING
ADDRESS . . . . . . . . . . : 3560 HAIG ST. #2
CITY/STATE/ZIP . . . : SANTA CLARA, CA 95054
TELEPHONE . . . . . . . . : (408) 855-8348
GFEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
BPREPIPE NO OF FIXTURE 4 . 00 36 . 00 0 . 00 36 . 00 0 . 00
PPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 74 . 37 0 . 00 74 . 37 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
CHECK 74 . 37 13
TOTAL RECEIPT 74 . 37
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
-------- ---------------------------- -------- ----------------------------
301 ROUGH PLUMBING 502 FINAL PLUMBING ENERGY
507 FINAL PLUMBING
•
Community Development
10300 Torte Avenue
' ; Cupertino CA 95014
N:
Telephone(408)777-3228
CITY OF Fax(408)777-3333
gCUPEkTINO
Building Department
JOB ADDRESS: PERMIT#
PAr 060 s66�-
OWNER'S NAME: PHONE # "0 g
GENERAL CONTRACTOR (' I FAX# 6�Q
I am not using any subcontractors: �11 v o lm a 4je 2
Signature Date
Please check applicable subcontractors and complete the following information:
60 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
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/ tractor Signature Date
CITY OF CUPERTINO
• WCE ' REPIPE/SENDERS/MAIN SERVICE
CUPERTINO PERMIT APPLICATION FORM
APN# ?40 -2--Z O Date:
Building Address:
CO- z
Owner's Name: Phone# �+
68) CJS'
Contractor: Phone: License#:
Contact: nn Phone: 8 Cupertino License#:
�' 9 Im
.r v rae- 8
Building ermit Info: r^ 1
Bldg ev
El Elect El ,J Plumbg& f
Job Description:
Residential ® k C mmercial ❑ r
�4no Clan �a
Cost of Project:
•
Qty. if
Applicable Fee ID Fee Description Fee Group
BPERMFEE Bldg. Permit Fees BUILDING
BPGAS Gas Pi inE System Fee PLUMBING
PPERMITFEE Plumbing Permit Issuance PLUMBING
BPREPIPE Re i e of Fixtures PLUMBING
BPFDCTURE Pbl . Fixture PLUMBING
BPWSVCS Main Water Service PLUMBING
BPSEWER Sewers PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BUSLIC Business License BUILDING
•
CHIPX INC 173 P01 MAY 30 106 09:50
CITY OF CUPERTINO I q-5
10300 Torre Avenue Telephone 777.3228
�f INSPECTION NOTICE
BUILDING DIVISION
JOB DATE ��'0�
�i?O ADDRESS JIMX TIME 4
DAILY REPORT CORRECTION NOTICE VIOLATION ❑
TYPE INSP.: BLDG.El ELK.C3LBG..X MECH.❑
g
500 C] STOP WORK ❑ REINSPECTION FEE
• L 9 / I—
�Ir /lid 1�, r / � � {, r ' f•
WEATHERS ��� INSP.
CARD TO REMAIN ON JOB•SITE
�cc r
�- 44 vsa,4e.r
. R.0jetrcks�
I<a
• 4 eyr.o 6
CHIPX INC 173 P02 MAY 30 '06 09:50
• � -7..,7 7 � ,33
Due to routine maintenance, a water main installation,
replacement or repair is scheduled to begin
• ADVANCED NOTIFICATION will be given for
traffic control and blockage of driveways.
•DAILY CLEAN UP and temporary paving willHtF.:
be performed throughout the construction project. '' �®ov" •y,o
• COMPLETION AND FINAL PAVING will
occur approximately 30-60 days(weather permitting)
after installation, replacement and/or repairs. ' rb'
• EVERY EFFORT will be made by San Jose
Water Company to minimize any inconvenience C`
to our customers.
CONTRACTOR FOR THIS PROJECT:
• ❑ Lewis and ltibbitts(408) 262-5595 ,
❑ Preston Pipelines (408) 262-1418
❑ Sanco Pipelines (408) 377-2793
❑ West Valley Construction (408) 371-5510
❑ San Jose Water Co. (408)279-7900
After maintenance work is complete and water service is fT.;
restored, mineral sediments which have been deposited
within the inner walls of pipes will sometimes break loose _'"
and cause rusty or dirty looking water. Additionally, air
may become trapped in the plumbing lines. To clear,
simply nm water for several minutes.This flushing should
resolve these problems.
If you experience reduced or uneven water flow at your
faucet(s), we suggest you clean all faucet aerators
(screens).Simply remove,clean and replace the aerators.
Plumbing which complies with the Uniform Plumbing
Code(UPC) and has been properly maintained should not
be permanently affected by most maintenance work perMEN
-
formed by San Jose Water Company.
If you are unsuccessful in your attempts to resolve the
problem, please call our Customer Service Department at
(408) 279-7900. Our service representative will be happy
to assist you. mer# Date-
ato
San Jose Water Company Cup
AM 374 West Santa Clara Street Address O 1 U
San Jose, CA 95198-0001
(408)279.7900 EmI # /(o aha Time
Webalte:www.sJwater.com p m
Office Hours 8:00am -5:30pm Mon-Fri
' CHIPX INC 173 P03 MAY 30 106 09:50
OUR SERVICE REPRESENTATIVE CALLED TODAY TO: SJWC WILL RETURN AT A LATER DATE TO:
Turn Water ❑ ON Q OFF Q Pick up boards/ban icades
❑ New customer Q Customer discontinuing service ❑ Pick up dirUmud/asphall/conerete
Q Inactive account ❑ For repairs-customer's responsibility ❑ Replace concrete/aggregate/asphalt/approximately 30.60
Q Meter registering days(weather permitting)
C1 Water ON at meter,but OFF at house valve ❑ Replace/reset damaged meter box/lid
❑ Water OFF at meter,no(or faulty)house valve Q Replace landscaping
(the house valve is usually located near front faucet) ❑ Clean mud off streettsidewalk/driveway (within 72 hours)
Q Verify meter number ❑ Read meter
❑ Check pressure @ hydrant psi ❑ Remove sandbags from curb/gutter/drain
@ customer's faucet psi WE WERE UNABLE TO PERFORM OUR SERVICES TODAY FDR
❑ Collect bacteriological sample,lab results will bemailed in7.10days THE FOLLOWING REASON:
❑ Check chlorine residual__ppm(up to 2.0 ppm is normal) ❑ Car was puked over meter box,or obstructing work area
INVESTIGATE/REPAIR LEAKS Q Dog was loose in yard Q Locked gate/fence
Q Meter indicated no leakage ❑ Landscape/shrubs needs to be trimmed around meter box
Q Replace meter gaskets ❑ Inlet leak-does not affect bill and/or hydrant
Storm drain overflow C1 Sewer back-up O Trimmings, dirt, debris, etc, were piled on meter box.
❑City landscape leak Please work with us in resolving these problems so we
C3�/e will refer problem to City or responsible agency may provide the necessary services. We will return in
Leak is on water company line referred to repair crew approximately 5 days from this notification. Thank you
for your cooperation.
13Meter indicated open plumbing fixture or possible leak
at a rate of—gallons per hour NOTIFICATION OF SHUTDOWN
❑ Re cervi TEMPORARY INTERRUPTION
( e�lrtce le�pg� ea meter valve OF WATER SERVICE
Q Repair/replace wheel or main line valve Due to water system maintenance, it is/was necessary
❑ Repair/replace hydrant to perform work on your street which will/did require
METERS, MER BOXES, MISCELLANEOUS the water service to be shut off for a short period of
time. We regret this inconvenience and thank you for
❑ Change meter Old# Read your cooperation.
New# Read _Your water service is scheduled to be on low pressure:
0 Replace/reset damaged meter box/lid _Your water service is scheduled to be shut off:
❑ 'rim foliage(clearance necessary to read and service meter)
Your water service was interrupted on:
❑ Pick up boards/barricades
n Pick up dirt/mud/asphalt/concrete DATE
Q Clean mud off streedsidewalk/driveway
❑ Replace concrete/aggregate/asphalt FROM AM/PM TO AM/PM
Q Locate and mark underground water lines
Comments