The URL can be used to link to this page

03040066 (2) CITY OF CUPERTINO BUILDING DIVISION PERMIT "CorrrR PERMIT NO. BugDlg9"REDONG DOWN RD PRECISION REMODELING 03040066 PERMIT ISSUE DATq IN3[4MA. CHAIDANI 483 LELAND AVE 04/10/2003 ) E: (408) 924-0484 SANITARY NO. CONTROL NO. BUILDINO PERMIT INFO ARCHITEC IE.NGINEER: BLDG ELECT PLUMB MECH Ipp LICENSED CONfRACTOR'SDECLARATION Job Description I hereby. ma that I am licensed under provisions of Chapter 9(rommenCing withSWLton70(X)jufD Ixion7of tho0 eq in9u end Profession Code.end my liccnecle �'� /� �C® nppp in full(oaee of E)C! �� .3 � TERMITE REPAIR-BALCONY /�� G 51222q U. Cl a °a RCNITECT"' LARATIDN APR 1 5 2003 4 w undereunJ my�l ata ahJl k ustd as public-.cards s C Licensed Pm(essinnal , Oat I am exempt treat DECLARATION BUILDING I hcaso.(Sere(Section nt 11. exempt from tPr GanitnCo e:Anse law far the Co followinguiresAemitt7tonsm5.Business and w,r1ciul h,or Any city or county $ which aquina a peered to c lms the,alma Improve,de Permit t or repair any staucture tement Pdar In its luumce,also rcqulmuk applicant for such Crounrme to slant Law(Chapter S Ft.Floor Area $V'�`�`�Qn {F< that k is licensed pursuant to the pmvialom of dee Conlnetors Lucnse lsw(ChaNer9 q• vv C6� (commencing with Section 7000)of Division 3 of the Business and Protesslem Crop)or It dot he ie exempt rhuefrom end Be basis for the alleged exemption.My violation of A,py�p7v7�,�y,. Schon 7031.5 by any applicant far a Permitsubjem the applleanl to a civil Penally of A�4`d`k'U'Ul1 Lr 0 0 Occupancy Type not more Nen an hundmd dollen($500). ❑I,u owner of the pmpeny,army employcea wide veru a deeirwle eompenudon, willdo den work and dre structure is not inundedoroRered fonau(Sec.7044,Business 101 - FOUNDAGgTi bU Inspections end Pleuirms Code:The Comrurat's Um law does not apply to an owner of 10 2 — PIERS property who Wlldsorimproves mancon.and whodoessuch walk himself orth oughhis own employxs,provided that such improvements art not intended croaered for sale.It. 103 - UFER however,the building or Improvement is within one year of completion.the owner- builder will hove dm burden of proving that k did not Wild or Improve for purpose of 104 — REBAR iile) 105 - ANCHOR BOLTS ❑h As Owner of the property.am eacluslvely contracting with licensed contaton to construct he Project(Sec.7044,Business and Pmfoulons Code:)The Contactors LL 106 — SEWER & WATER Cave law does not apply to.0 own-. e of property who Wilds or improvlhemon,and, 202 — UNDERFLOOR PLUMBING who women,for such projects wide a eantanor(s)licensed pursuant to the Cantncto8 me U. 203 - UNDERFLOOR MECHANICAL J I arn exempt under See .B&PC far thismawn 204 - UNDERFLOOR FRAME Dam 205 - UNDERFLOOR INSULATION 1 e ERS COMPEN TION OEC�LAR��,'fION Ikmay ren under penalty of perjury aro of tl,drgtfawingdel"IM: 301 — ROUGH PLUMBING l neve end will m.inuin a cantata or Gnunt to sel6Lnum roe Workeh comp--. 302 — TUB & OR SHOWER u0on,m provided for by Section 3700 of the Inbar Code,for the Performance of dee 303 - ROUGH MECHANICAL work for which this permit Is tuned. 304 - ROUGH ELECTRICAL ❑1 have and will maintain Worker's Compression Insurance.as required by Section 3700 of the labor Code.fn,ik iscCurnnen of dee woo tar which this Permit is ivaed. 305 — FRAME M Wer Gmpconalon insurance Carrie end Per nalabor see: 306 — HOLDOWNS a CERTIFICATE OF FR MWORKERS' 307 — INSULATION COMPENSATI INSURANCE 308 - SHEETROCK (ITB section need not Wmerpleud lone Permit 4 form=hundreddallan(s100) 309 — EXTERIOR LATH PelCd6) 310 - INTERIOR LATH 1 cenify that in the performance of the work for which this permit is issued,I snail not employ any Pe yman mapper an u to become Subject to the Wmken'Comp-naanose 311 — SCRATCH COAT Law. fc Barer .m 313 - ROOF NAIL Apply you should NOTI A .I OMPACurr adlTrg nfidon aMsionsmtheLA Of ,lioda.youmost 501 - FINAL ELECTRICAL ENERGY krome wM1Jca to tk odetl ComPensadon provhiom of the uhor Ctbc.you must ,J'Z forthwith comply with such provisions or this Permitshill kdeemedmvoked. 502 — FINAL PLUMBING ENERGY ZN CONSfRUCDONLENDING AGENCY 503 - FINAL MECHANICAL ENERGY �—,.. rWebyan.Net then its conmmtinn lendinggnxy for tiro perfmmemcuf 504 - FINAL BUILDING ENERGY the work for which this Permit B issued(Sec.3097,Civ.Cd 505 - FINAL ELECTRICAL W A Lender's Name �z Leader'.Add. 506 - GAS TEST U O 1=try out 1 have red this application end sum Wt dee.hove Information b 507 — FINAL PLUMBING D+^ CD 11 egret to COmply who all city and county ordinances and suit It"mining m 0 VC Welding conmard..,.nd hereby authorise mpreenu0ves of this city to enter upon dee FIN MEC CAL W ebovcmendonr4 property for lmpection Pugwsea (We)agree in save,Indemnity and keep harmless the City of Cupertino against 09 F I CL [n liabilities,judgmenu,mese And expenses which may In any way accme against mid City 5 NG 1/ (.1 Incomegmnceofthe grantingofthis Permit. bete 1 APPLICANT UNDERSTANDS D WILL COMPLY WITH ALL NON-POINT Issued by:5 C WORKS S U EGULA S. Re-roofs Sin VC act �L Dak HAZARDOUS MATERIALS DISCL URE Type of Roof Will the applicant mfotum building oavPantammor haMh haralthA mamdd As donned by tiro Cupertino Municipal Code.Chapter 9.12,and the Health end Safely We,Section 25533p)7 All roofs shall be inspected prior to any roofing material being installed. 0 Yea f(No If a roof is installed without first obtaining an inspection,I agree to remove Will ft applicant attffuture building Occupant use equipment or devices which mit hauNuus air con entaint u defined by dee Bay Aro Air Quality Management all new materials for inspection. District? El yes $kis I have mad du husrdum materials requiremew under Chapter 6.95 of Um Celifor. rah Health&SafnyCode,SWUM 25505.25533 end 75531.1 undo arae!elm true,Wilding d not currently have a limns Net it is my rmpomi m nodi dr oecupant of NC cntwhieh at ctpoor beismanceaf.Cen r ro'ancy. Signature of Applicant Date `. ercot m All roof coverings to be Class"B" or better .aha ed f CITY OF CUPERTINO 3 ��zb o CUPWYOF O PERMIT APPLICATION FORM EkTAPN# �� D Date: Building Addr ssp: Dvl >' l.D� d-�wn W Q✓ 1 n0 Owner's Name: �Cr' ti i ac Contractor: �'G S,� (je,, �/ e e Contact: Cupertin Business License#: Q Zld ng Pe In o: Elect ❑ Plumb ❑ Mech ❑criptiorr Residential c r"-� Commercial El Sq.FtEFloor rea: ^ 0 /J $/Sq.Ft.: Cost t: �— Occupancy ro l 5�t�o Type of Construction: uantit Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BBOILER1 Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to IM Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Incl/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 BMITIGATC Comm. Housing Mit. Fee BUILDING /S`1o {. ?/S- 1 of 3 f3 77. 5 �� CITY OF CUPERTINO CITY OF PERMIT APPLICATION FORM CUPEI�TINO Quantity Fee ID Fee Description Fee Group BMITIGATR Res. Housing Mit Fee BUILDING BMNEWMULTI New Multi-Family Res MECHANICAL BMNEWSF&2F New Sf&2F Res Bldgs MECHANICAL BNEWMULTI Multifamily Res ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BNUMULTI New Multifamily Res PLUMBING BNUSFD New Single Family Res BUILDING 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 cinkler/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 HeaterNent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Apphance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Fumace> 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 1 2of3 CITY OF CUPERTINO cup TYOrwo PERMIT APPLICATION FORM QuantityRT Fee ED Fee Description Fee Group 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 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 Insection 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 Issuance PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Address Chane BUILDING 3 of 3