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06080185 (2)
CITY OF CUPERTINO BUILDING D(t'ISION PERMIT bCONTRACT� R INFQRMr1.TI3¢N y, BUILDING ADDRESS: STANFORD PLUMBING HEATING KcMWO06080185 1109 HUNTERSTON PL O ER'S NAME: PERMIT ISUEDATS WENDY BAKER 1965 KYLE PARK COURT 08/22/2006 E: SANITARY NO. CONTROL NO. (408) 286-8931 ARCHITECT/ENGINEER: BUILDING PERM"INFO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION lob Description I hereby affirm that 1 am Iiactmed under provisions of Chapter 9(commencing with Sectian7 of vsae7o(Nefludlm and erofeuio C�pr�� I11..is i �� in full fonts and IhJ• 7 ADD NEW 1 TON A/C UNIT 'Gz LI... I Lk.x �' Dam com r 9Iz4 C' CHTIELTS DECLA A 1 N i I undmusnd y plans Nall be used m public records u• Licensed Pmfcui...I tD OWNER-BUILDER DECLARATION I hereby ma m Not I am exempt from One ConmimoYs Lkcnro Law for the 40 a following msson.(Section 7031.7.Business and Profusions Code:Any city or county I$ which mqu oma,a permit On common,alma,improve.@mol W,or repair any structure $2000 .zs^ pdorm its issuance.also requires Neapplieant far such pemitb file a signed statementValuation j o Nat heulicensedpurem.1toNpu eavisioofNmeConUn'sIJeunseLaw(Chapter9 Sq.Ft.Floor Area (commencing with Section 7000)M Division 3 of the Business and Professions Code)ter s Out he is exempt therefrom and the basis 1a the alleged exemption.Any violation of Section 7031.5 by any applicant for a Permit subjects the applicant m a civil Penalty 01 ztAPNNMb1tr Occupancy Type not mart Nan Bve hundred dollars(5500). I,uownu of the poperry,amy wploym wild vngoruUeu wle eompewtion, will do thcwork arm thesaumurt is not rounded a trimmed forsale(Sec.70 u,Busircn Required Inspections and Profinamns Cade:The Cmurnorenu s LkLaw does mol apply N an owner of q P property who builds m impmiss thereon,and who does each work himself or through his owncmploymes.proWded that such improssmrnu art hot intended eroaertL formals.If, hawevea,the building or hnprovmnant is and within ere year of completions.Na owner. builder will ban Jac burden of proving that le did hot build or improve fa purpose of sslc.). ❑1,as owner of the properly,am exclusively contracting with licensed contractors N construct the pmkct(Sec.7000,Business and Professions Code:)The Committers Li- came Law door amt apply to an owner of pmany who build.or Impmves demon,and. who Conlrants for such pmjcms with a contracmr(s)Iiansed pursuant m Ne ConuacmYa License law. ❑I con exempt under Sec .B A P C for this muco er Data WORKER'S COMPENSATION DECLARATION 1 hereby amen under Penally of perjury one of that following decWurons: / Iban and will maintain a Certificates of Consul le self-house far WorkehCompen- ,as provided for by Section 3700 of the Labor Cede,for the Performance of the o for which this permit is issued. J have and will maintain Workers Compensation Iaswance,at required by Section 700.10m Labor Code.for the performance of the wort for which Nu Perris is issued. My Worker pe alio urarmmc 'm and Policy um tam: C}' Cartier. Policy _(J CERTIFICATE OFEXEMPi--. FROM WORKER - COMPENSATIONINSURANCE (This section need ret be completed if the permit h foronc hundred dollar(5100) or thea) I ce tiry Nat in he performance of the wart for which this NMI,is issued,)shall not employ any person in any mannerm to in become subject to use Wmken'Compensation Laws of California.Dam Applicant NOTICE TO APPLICANT:IL after making this Certificate of Exemption.you should become subject in the WorkcM1 Compensation provisions of the Labor Code,you muss Oforthwidu comply with such Provisions or this peril shall be dammed refuted. zrA CONSTRUCTION LENDING AGENCY F Ihereby affirm Out Nem its cmuuuction lending.gicq for the performance of IYs 7 the work fur which Nis Permit Is issued(Sec 5197,Civ.C.) W QLanders Name ' Dq Landers Address U O 1 caelfy that I have read this apptwaimn arta tum that the above informmlun I- U.F comeetr I agree to comply with all city and county ordinances and suite laws alming to OV building construction.and hereby anthmim representatives of this city to anger upon the W shove-mentioned properly for inspection purposes. 4 (We)agree to uve,indemnify and keep harmlus Ne City of Cupertino gains, Hh lubilidu.jud nu, osuandya.. wuwhichmayinmywayaccr Agliott.uid Clty / fJ 7 in corneal fNe RS hue 6S A3N ILL COMPLY WI7H LL NON- DINT Issued by: DateAPPLIC A SOUR CR G B V Re-roofs Signmum olAppliagorCmummor f Dau HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will Ne applicant m forum Cuse anumrc On"" ehuardew maudal 0mitfined by the Cupi nim Mun pal Cade.Chapter 9.13,and the HetlN and Safely Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. ❑Yu Will the applicant r furore building occupant we equipment or dcvmhe which If a roof is installed without first obtaining an inspection,l agree to remove hmardow it,conuminimsm6als d by Ne Bay Arta Air Quality Management all new materials for inspection. District? ❑Yu hevem ehuaNrequirements under Chapur6.95 ofdte Caller. ria it. & m ede, 23505,25573and25530.1andcrsundthmlrthe Wilding docs no a ant,0.111.m resp nubility m notify fle ocempant.f the 0 1. nu be met pd. u oeof.caifce f Signature of Applicant Date aaallon>r4 esem m. All roof coverings to be Class"B"or better owoer Community Development 10300 Torre Avenue 8 Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 ,UPEI�TINO Building Department JOB ADDRESS: PERMIT # // /<n-ke Yr � . aoo6o OWNER'S NAME: .clr e z / PHONE # GENERAL CONTRACTOR: f FAX # I am not using any subcontractors: VZ c� O Signature Date Please check applicable subcontractors and complete the following information 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/Contractor Signature Date CITY OF CUPERTINO 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN 36221007 . 00 DATE ISSUED. . . . . . . : 08/22/2006 RECEIPT # . . . . . . . . . : 35725 REFERENCE ID # • : 06080185 SITE ADDRESS . . . . . : 1109 HUNTERSTON PL SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : WENDY BAKER ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : ATLAS TRILLO CONTRACTOR . . . . . . . : TRILLO, STEVE LIC # 4269 COMPANY . . . . . . . . . . : STANFORD PLUMBING HEATING &AIR ADDRESS . . . . . . . . . . : 1965 KYLE PARK COURT CITY/STATE/ZIP . . . : SAN JOSE, CA 95125 TELEPHONE . . . . . . . . : (408) 286-8931 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BREMAIRHAN NO.UNITS 1 . 00 10 . 26 0 . 00 10 . 26 0 . 00 BREMRECEPT NO. OUTLETS 1 . 00 1 . 20 0 . 00 1 . 20 0 . 00 BENERGY PERMIT FEE 1 . 00 34 . 86 0 . 00 34 . 86 0 . 00 BSEISMICRE VALUATION 2, 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00 PPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 MPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 161 . 93 0 . 00 161 . 93 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ---------- ------- ------------ ------------------ CHECK 161 . 93 7964 TOTAL RECEIPT 161 . 93 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ___-_----------------------- 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL 508 FINAL MECHANICAL i CITY OF CUPERTINO OUC60I85 .�"Q � FURNACE/AC UPERTINO PERMIT APPLICATION FORM APN # 3/ 21 ^OCn Date: Building Address: / / 1. Owner's Name:la /-ev ��/I Id Phone 6 2 ,� Contractor: +� /, 1 / Ph o 3 —U /-Licen (� #: k� 3 7 Contact: Phon : Cupertino Business License#: Building Permit Info: Bldg ❑ Elect l Plumb lT Mech Job Description: K �—C `-7' - D CID c Residential Commercial ❑ For Residential Installations: Attic ❑ 151 floor ❑ 2nd floor❑ Adhere to min set back re uiremen r Commercial Installations: eplacement same weight ❑ Additional weight (structural calcs) ❑ Structural Calculations required for new installation New installation PlanningA royal Re uired ❑ Cost of Project: O b Type of Construction: Occupancy group: aLj t2- Strapped ❑ On Platform ®' Bonded El Sq.Ft. Floor Area: New Location ©� Replacement ❑ Qty. if Applicable Fee ID Fee Description Fee Group BENERGY Energy BUILDING BREMFURN Furnace MECHANICAL BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units<= 10, 000 cfm MECHANICAL BREMRECEPT Rec d, Switch & Outlets ELECTRICAL BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILIDNG EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPLANCHK Plan Check Fee BUILDING BPGAS Gas Piping System Fee PLUMBING BUSLIC Business License BUILDING OCT-16-2006 11:468 FROM:RTLAS TRILLO TO:5645710 P.2/2 Atlas-Trillo Heating and Air Conditioning �e SINCE 1953 cont. 688137 "WORKING HARD TO KEEP YOU COMFORTABLE" Property Address r p flea��6Z tZs ry 1-1 SaFt_1__205 x.3 5zo0 Electrical Cook Top.(220v) _5000 Electric Oven(220v) 6500 Electric Dryer. (220v) 4500 Laundry Circuit 1500 Garbage Disp/Dishwasher 1500 Spa Pool Small Appliances-LA5000 O Other • A/C(3tun) (220vZOkmp) KC Total Watts t.s 9.31760 -8000 <Subtract First 8000 Watts -8000 Balance of Watts 5.20 <Balance X 40% 2-3 ID 18 ,2 bO <Total (above)Total Divide by 240(volts) 76 Load should be within 80%of panel rating Back into total: Main Breaker. 00 `�, , X 80%= Maximum Load_ OCT -`\ 2pp6 I • 1965 Kyle Park Court San lose, CA 95125 Sunnyvale(408) 730-0516 San Jose(408)286-8931 Morgan Hill(408) 778-2387 Palo Alto (650)493-0317 www.atlasheating-air.com 7 Atlas-Trillo Heating and Air Conditioning SINCE 1953 cont. 688137 "WORKING HARD TO KEEP YOU COMFORTABLE" Property Address_ Sq Ft ?nb 3 S!OO Electrical Cook Top (220v) 5000 Electric Oven(220v) 6500 Electric Dryer(220v) 4500 Laundry Circuit f\\ 1500 Garbage Disp/Dishwasher 1500 , , Oct Spa a Pool '` 2066 Small Appliances—LX 1500 ~� / O Other A/C(_3ton) (220v?L_ b Total Watts 9.3,1 76 0 -8000 < Subtract First 8000 Watts -8000 Balance of Watts 0 b < Balance X 40 % (7 2 <Total (above) Total Divide by 240 (volts) 76 Tip Load should be within 80% of panel ratingp Back into total: Main Breaker /0 C) X 80%= Maximum Load • 1965 Kyle Park Court San Jose, CA 95125 Sunnyvale (408) 734-0516 San Jose (408) 286-8931 Morgan Hill (408) 778-2387 Palo Alto (650) 493-0317 www.atiasheating-air.com