Loading...
06050122 (2) CITY OF CUPERTINO BUILDING DIVISIONPERMIT XOl�IT12r� I'(1R Z xzMaT= olv *„. R 8•l�"N •ti ,w«: b.^ f^+„9k3Aa cx.i.. BUILDING ADDRESS: E G ELECTRICAL SERVICES PP'LMITNG'06050122 1127 HUNTERSTON PL OWNER'S NAME: PERMIT ISSUE DATE DUPORT JAMES R AND JUDITH S 115 SUPERIOR F: SANITARY NO. CONTROL NO. (800) 318-1975 ARCHDEC(ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 OM'z LICENSED CONTRACTOR'S DECLARATION Job Description F I hereby afMn Nw et 1 11¢vd Utter provisions Of CMper 9(enmmeacO in{ ?Z`uf with Samoa 70(10)of Division 3 of the Buttner ad$ofeaduw COM.aM my lkeweI. ;L1N Leon(arta a -lt SERVICE UPGRADE TO 200A �I����® s'q z Leon — Lr.aAs h, Dau Goatreernr ARCHITECT'S DECLARATION, )�G n I Me nd mY PWtssiWlMuudsspublic rtcnda JUN � - 2006 6 .G Licensed Professional3 OWNER-BUILDER DECLARATION 1 hereby affirm Nm 1 em wempt from Ne Canaectoh License Lew for Ne :00 following moan.(Soman Tin 1.5.Buttons and Prefcasmns Cdc:Any city or County 5.$g which n uirw a permli m c.ns .4 am4 W prove,dcmol W.or mpolr any muvum 19.0 0 iy prior to its issuanco,else requires tie applicant for Inch permit to Ne A signed amum.m s� G Our bus is licensed paramount to On provision of Ne Contractor's Um=Law(Chapter 9 Sq.Ft. Floor Area IOn:;q 2�$ (commencing with Section 7a W)of Division 3 AMA Busineuand Professions Coca)or y that M b exempt Used=and the bob for the alleged exemption.Any violation of Section 7031.5 by Ary applicant for a permit teb3ecu me spite”[to•Civil penalty of Occupancy Type not more Nan Bve hundred dollars(SM ❑1,ae career of the property,or my employees with"Sea u Nair Ink campensdon, will do Ne wort.and the Namure k not kuoded or offered for We(Sec.7OµBusiness Required Inspections and Professions Cargo:Tire Contractors Linn eLaw ae does not Apply to an away of q P property who builds ca improves Herron,and who dace ouch work himself a through his awn emplayces,provided that Inch improvements Am notinmded aro@sed for We.If. however,Ne Wilding or improvement is min within ate year of CamPktian.the ownv- W ild.will hew the Wrelm of proving NM M did not Wild or improve far puTate of ask.). ❑1.as owner of the property,am walusively contracting with Bamed rnnuacun to canstrct rise project(Sec.7044.Business ad Profnslmu Cade:)The Continuum's U- Cams law dean amtapply man ownerofproperty,who Wlidsm Wpmves teseo.,and. who convects rorsucb projects with a motractar(s)granted Peroral In tM Gendarmes ' License Law. ❑lm exempt ander See .B d P C far this recurs Owner Data WORKERS COMPa BATION DECLARATION I hereby dnm ander pvully of perjury aro of de following dalaraoes: I aveand w01 maintain•Ceninou of content to Alf-mus,forwohcfscompen- Amon,As Taovidd for by Sada.3700 of she tabor Cards.fm Ne Per(-m—of IM work far mach this permit is issued. ❑1 hoe ad will maintain Worker's Compensation humus,u mquited by Section 37M.fthe aborOmaj Ne cttarmues of Ne wkly which Nin pumiarissncd. ' My Wo Cam enotlanu mco rtier ad Policy n r ave cmRah It iv: Policy Z CERTIFICATE OF EXEMPTION FRO. - ERS COMPENSATION INSURANCE v Cnsr teflon reed rot M completed If tM permit bfeaoa hunNddoaen(g tall) or leas.) I sanity,door in the performance of Ne work fm which this Permit is issad.l Mall at employ anypenoa In any manner m As 0 become subject to the Worked Compewdan Laws of Caifamia Data IF least NOTICE TO APPLICANT.IL after making Nb CeNnale of Eumptian.YOU aboum become subject in the Workers Compensation provisions of We Labor Cade,you muse . .JO forthwith Comply with such provisions or Nb Permit shall W dared mwMd. Z^ CONSTRUCTION LENDING AGENCY [-+ I Worby affirm mu then is•cmmnsetinn kndkg at far the performance of ai 7 Ne mods for which da permit is Wad(Sec.3097.Ch.C.) IL3 Q Landers Noone 7 z Lammers Add-•• U0 I Conify Nat I have mad this application AM sum that me cove information Is tL F comeL i agree to comply with all City and county ordinances end Itsm laws relai.g to 0Ubuilding construction,and hereby authorim representatives Of this city to cmer upon Nc r LU ahove-mentioned property for inspe7A- h'iLC1'hPm.y oues (We)agree to sew,ind.a hamkss tM City of Cupertino agttnst o-Fi laA IiebilWes,Judgmcnu.cow Intl pein anywyaccrue gaiwt aid CBO Cm3•`� in cansegncnw of Na gond of NAPPLICANT UNDES COMPLY WITH ALL N -POT Issued by: Date SOURCEREGULA Re-roofs simmurtor AppliandC m Data ttyy ARDOUS ATERIALS DISCLOSURE Type of Roof 't.a Wllldeapp6a larfumn,Wilding occupantsomaadle hvadow materiel , As dented by the Cupertino Municipal Code.Chapter 9.11.And IM Health and Safety Cam.Sad..255320)? r All roofs shall be inspected prior to any roofing material being installed. [:1y. Will dna applicant m future Wilding occupant ute equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit huadnw ser conuminsntt as denncl by than Bay Amo Air Quality Management all new materials for inspection. District? !, ❑Yes I new mad Ute mamriaA mquiremevu under Chapura.95afms CAIifoa .bl5eshek sae 'oas355Q5,25537ad25334.iwdcnund Nmifde Wilding dao not cum seam4 ma it h my responsibility u madly Ne pant f Ue rtqube— be=I prior to issuance ofa CertiOcau of Signature of Applicant Date owarm.at Yaaa ant D All roof coverings to be Class"B"or better Community Development 10300 Torre Avenue r'- Cupertino CA 95014 ii Telephone(408)777-3228. CITY OF Fax(408)777-3333 OUPEkTINO Building Department JOB ADD S: PERMIT # OWNER'S NAME: PHONE #zj0Z - — 22 GENERAL,CONTRACTOR: t . FAX # I am not using any subcontractors: —� Signature Da Please check applicable subcontractors ed 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 !m 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 36221011 . 00 DATE ISSUED. . . . . . . : 05/15/2006 RECEIPT #. . . . . . . . . : 34408 REFERENCE ID # . . . : 06050122 SITE ADDRESS . . . . . : 1127 HUNTERSTON PL SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : DUPORT JAMES R AND JUDITH S ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : EDWARD GORGINIAN CONTRACTOR . . . . . . . : EDWARD GORGINIAN LIC # 24831 COMPANY . . . . . . . . . . : E G ELECTRICAL SERVICES ADDRESS . . . . . . . . . . : 115 . SUPERIOR DR, #C CITY/STATE/ZIP . . . : CAMPBELL, CA 95008 TELEPHONE . . . . . . . . : (800) 318-1975 �EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BENERGY PERMIT FEE 1 . 00 34 . 86 0 . 00 34 . 86 0 . 00 BELEC200 METERS 1 . 00 29 .43 0 . 00 29 .43 0 . 00 BSEISMICRE VALUATION 1, 900 . 00 0 . 50 0 . 00 0 . 50 0 . 00 EPERMITFEE FLAT RATE 1. 00 38 . 37 0 . 00 38 . 37 0 . 00 BUSLIC FLAT RATE 1 . 00 105 . 00 0 . 00 105 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 208 . 16 0 . 00 208 . 16 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ OTHER 208 . 16 VISA TOTAL RECEIPT 208 . 16 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- -------- ---------------------------- -------- ---------------------------- 304 ROUGH ELECTRICAL 501 FINAL ELECTRICAL ENERGY 505 FINAL ELECTRICAL • ' � CITY OF CUPERTINO DY050 X 22. CUPEfZTINO PERMIT APPLICATION FORM N# 0 � � Date: Building Ad r ss: Mailing Address (if different from building address): 1 Owner's Name: _ Phone#: 1 Co trac r: License#: LJ Contact: Phone: 21�)--2222. Cupertino Business License#: Fax: /� Building Permit Info: E0UCz —t D L 2CXO/v, Bldg ❑ Elect Plumb ❑ Mech ❑ Job Description: Residential Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: Occupancy Grou 1100 - Type of Construction: Please check this box if the project is a �_ second-story addition: ❑ ro'ect Size: Standard ❑ Laze ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL 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> 1.75M Btu 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<= 1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of 3 Q CITY OF CUPERTINO CUPEf�TINO PERMIT APPLICATION FORM QuantityFee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee' BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical ` MECHANICAL . BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING ' BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinkler/Backflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cf n MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace> I OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2 of 3 CITY OF CUPERTINO CUPERTINO PERMIT APPLICATION FORM uantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Inspection 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 PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING ZADDCHG Address Chane BUILDING • 3 of 3