Loading...
06090251 (2) CITY OF CUPFRTINO BUILDING DIVISION PERMIT 'hC�i'["1< Tk� ^'RYA 1`d� �ZO`A` 31t. rx.xvy 1'� BUILDING ADDRESS: AC & SONS SANITATION IN PERMITNG.06090251 7554 NORMANDY WY OW NER's NAME: _ PERMIT ISSUE DATE ink CHENE MON-REN 3408 HILLCP_P AVE 09/27/2006 NE: SANITARY NO. CONTROL NO. (408) 379-5811 ARCHITECT(ENGINEER: BUILDING PERMIT INFO BLDG I l= ELECTO PLUMB 0 MO pop LICENSED CONTRACT'OR'S DECLARATION Job Description i F I hereby affirm that 1 am licensed under provisions of Chapur 9(commencing with Section 70M)of Dlvtsian 3 million Business and Profession Code,AM my lkeom is In mu fame and effee TEMPORARY POWER SERVICE Lke lw Lee 1135 Data Contncmr ARCHITECTS DECLARATION I understand my plans Mall he used As public records )yU O y� Licensed PNfCa510NI <l Oat I am aUILDER DECLARATION I hcrehy.sect that 11. eumpl from he Canuamor,Code:my c Law for the O O following uson.(Section 7031.5.Business and are.thalmu de,oAny city or aunty _ $200 fwhich mqulua•panni to uimft alter.Improv,h r4miii car repair cd nmmcnt -Zi dumselum ormiuiensedp)uanttotheNovisio of the, Law(Chapter Valuation F NmheislkgwithSmile. nuammdmpmvivionafdmConunless;(Lmn¢law(CMpta9 Sq.Ft. Floor Area ��$ (eat he is exempt Sectio rn and de bash f r of the alleged Runless;and prafesdane CMe)m a�.. that o u exempt therefrom and the per far the alleged eastpnt to Any violation of Section in. by yeuryreddontfsapemtitsbjttuNeappikstso•civilpenaltyof Occupancy Type not moo Nm five hundred dollars($300]. ❑I,as owner afthe property,or my amplaycn with wages as theft solcampesadon, will do thework AM the mother,is stimmnded mattered formic(S.C.70M,Business Required Inspections and Profession Cade:The CommitteesLiasue Law does rot apply m An awma of q p property who builds or i m prows themes.and who dao such work himael f m though his ownemployees,proNdedthalmhimpmnm uamatinwndedaroRemdforale.E. however.fee Wilding or Improvement Is sold within ons year afse pktion,the awes- wilder MB have the burden of proving Nat M did net Wild or improve fm purpose of Asks.). ❑1,As M.of the property,not exclusively cmnusaN{with liaised ammuanan An aansuum the project(See.7044.Busiass and Paftesion Cade:)The Contractors U• - - ans law don oat apply to An macer of properly,who Wilds or hnprows themon,rod, who conuacu for such prejems with a contractor(,)Ilcaad purswnt As Ne Contractors License Law. 0 1 am exempt under Sec ,B&P C for Nu won Owner Dau WORKER'S COMMNSA71ON DECLARATION /I hereby afRres under peaty of perjury oxo of the fallowing declarations: M, ham and will maintain A Certificate of Conant to wlGinuro for Workers Compere Asian,an provided for by Section 37M of the Labor Code,for the performance of not work for which this permit is sued. averkhaw and will maintain Worker,Carepemulan Insurance,u myuired by Entire . 3700 of the Labor Code,for the perfarmarale of the work for which this permk is Issued. My Wo lace C ensadan 1.; art. and Policy number am: Cam • & II,No.: ; CERTIFICATE OFEXEM ON FROM WORKERS' COMPENSATION INSURANCE Chiu section mod not becornpkmd If the permit is form hundud dollars(SIM) or less) 1 certify that in the performance of the work for which 01.Permit is issued.I"I ret employ any person in any mannerso An in become subject to the,Worsen'Compensation Lawn of California.Dam Applicant NOTICE TO APPLICANT:IL after making this Ccrdficato of Exemption,you Mould become subject to the Worker's Compensation provision,of dos label Code,you most .7. z forthwithComply with such provisions m this parmitshall Is,deemed uwscd. „ztO CONSTRUCTION LENDING AGENCY f'a I Wmby alarm that Neu Is a construction lending agency far the performance of Qi > tle work for which this permit Is Waste(Sce.3097,Civ.C.) Qlandar',Name 0.0 z Lenders Address U Q I cenify that I have read this Application AM sum Nat the above information is {1.E., eorrecL l agree to Comply with all city and county aNlnmes and stem laws slating to and aby U Wilding We)aation,n..indemnify nd keep of this of urachi upon the u7 above-mentioned propery,for inspection purposes. (We)ague to taw,indemnify And seep Isay in m t City of Cupcnst s id City 1F—tst fa/1 liabilities.jud{menu.cosu sdexpenva which may in my wyaecme•{sins said City U to consequence of Ne grslin{of this panic n APPLICA UNDERSTAN W L COMPLY WITH ALL NON-POINT Issued by: Date SOU.RcEv�GUL/ OfjIS G oofs (7 s mm�o An^Pplicil�tlCon I 9'p�-0 Re- of Roof HAZAR US MATERIALS DISCLOSURE Type WIII the applicant or futum building occupsutom or handle haaardous material as degud by the Copenino Municipal Cade,Chapter 9.11.and the Health and Safety Code,Section 15531()7 All roofs shall be inspected prior to any roofing material being installed. ❑Yrs WIII the applicant or Wilding oaupant Am Ctlalpmcat or dCvl.which If a roof is installed without first obtaining an inspection,I agree to remove emit hnvardnns air canuminsu as declined by due Bay Area Air Quality Management all new mate 'als for inspection. District? ❑Yn Q.6 At­ ve­ I have rand the husnfau materials nuquue ,underChapter695title DOW- ga JNHraIm&SafetyCSalm25505,15533u,pom25l5h3ll4ia.YIum dnmtsfy dNNc ocifcupcsholding oifdithnge 7/49 arot My . it recilm uwhc ranaoraCcstlkamafocSign ur ofAppicant Date� All roof coverings to be Class"B"or better Owner Aauthorizedagent Dau Community Development 10300 Torre Avenue alyor Cupertino CA 95014 Telephone(408)777-3228 Fax(408)777-3333 �UPERTINO Building Department JOB ADDRESS: PERMIT## Or ,05 155 -N�YrandW1 Wog OWNER'S NAME: I PHONE # 1 - GENERAL CONTRACTOR: "j FAX# 9-;5 Y1jI am not using any subcontractors: Cl -0 -cb gnature X 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 eem 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 3 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 36617065 . 00 DATE ISSUED. . . . . . . : 09/27/2006 RECEIPT # . . . . . . . . . : 36219 REFERENCE ID # . . . : 06090251 SITE ADDRESS . . . . . : 7554 NORMANDY WY SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : CHENE MON-REN ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : RONALD GALVIN CONTRACTOR . . . . . . . : YOUNGBLOOD, FRANK LIC # 742 COMPANY . . . . . . . . . . : ACME '& SONS SANITATION INC ADDRESS . . . . . . . . . . : .3408 HILLCAP AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95136 TELEPHONE . . . . . . . . : (408) 379-5811 *FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL --- --- ---- ------------- ---------- ---------- ---------- ---------- ---------- BTEMP FLAT RATE 1 . 00 62 . 10 0 . 00 62 . 10 0 . 00 EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 --- ------- ---------- ---------- ---------- TOTAL PERMIT 100 .47 0 . 00 100 .47 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER --- -------------- ------------ ------------------ OTHER 100 . 47 VISA TOTAL RECEIPT 100 .47 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- -------- ---------------------------- -------- ---------------------------- 103 UFER 304 ROUGH ELECTRICAL • CITY OF CUPERTINO cp(gp.,Z � - TEMP POWER •CUPEkTINO PERMIT APPLICATION FORM APN# 2 Law_ I—I— C/ „5 Date: Building Address: ALJ 75 rwt,4Nd r> Owner's Name: 1 Phone#: IJ - F-r3 - I eaNC Contractor: �� Phone: License#: ri G , e n X108- 3� L - 377 -r?�38Co Contact: ACi � Sn0tvW"one: Cupertino Business License#: Building Permit Info: Elect Lid'/ Job Description: PC) Vic Residential Commercial ❑ Cost of Project: oC7. 0� Qty. if Applicable Fee ID Fee Description Fee Group BTEMP Temporary Power ELECTRICAL EPERMITFEE Elect. Permit Issuance ELECTRICAL BUSLIC Business License BUILDING •