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26479 (2)APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY CITY OF CUPERTINO IBI.DRG-F.LECTRICA' PERMITNO. iAPPLICATION/PERMIT PLUMnIZ.-MECHANICAL �] A 7 C BUILDING DIVISION BUILDING PROJECT IDENTIFICATION G4 1 V l ©A�JtGbJ Lk . PHONE: HILL 2�C r� FA LICENSED CONTRACTORIS DECLARATION nwz Ihcrebyaffirmthmlam littnsed ondnprovisions of Chaptn9(commencingse F w gOF-- full force a0(y f Dwiision 3 of the Businessland `Prefesi'mrs Cade, and my license is i nd QLLL icen classI� Lic.M ? Zir Q o" a_ ales"Contractor 'LOy=ARCI HI'F.CTS DECLARATION O Z—G I and ... f.ad my plans shall be used as public records. Licensed Pmfessional K �< OWNER -BUILDER DECLARATION XOa V I hereby affirm that 1 ver exempt from the Co. s Lice m the W3wyafollowing reason. (Section 7031 nusmess sand Prnresnions ode ny oumy F-LLJ� J which rcyuircs a panni[ to conatrvcL alter, imprave, Jemoli c can. SYS prior m its issuance, also rtquims the applicant for such permit d aeV temens tI C Q p that he is licensed planned ed to the provisions of the ConVaLlI L' an (CTwpter dE: 9(cnmmencing with Sexism 700 Division 3ofthe Busine an Pmf s as Cade) W=m or that he is exempt therefrom and the basis for the alleged exempti Anyviolationof [-7.a Section7031.5byvnyapplicantforapermitsubjcctstheapplican m civilpenshyo 5❑ not more flan five hundred dollars (1500). K 22 ❑ I.asothe wrk. and epropcny.e isommploymosided withwag�eal(as th rsoe 01D,B sa a3— will dmhcwon, and the he C.misno[int kende Lav, dolor ( Jo44.Bu mas and property %h ons Code: The ves tracwls License Law docs n y to an o at of own enywyee,, pdsor ieddolmlherprove who Joe notch work himmHor ugh his employee,, the buiprovide improvemell ent iovememearene intended completio offeredon sale. B, however. the the burden of proving he id not build or improve erion heownn- builder will have the burden n(prnving thm he did not build or imprave f r purpose of ale.). ❑ Lasoe project (See n,14. Businessng C liven contractors to License et the project (Ser. oano Business and Poldfiessy who builds Cade: a Contractors License Law does not apply tuanownernfpmpeny whobuilds pins ovee Contrn,and whence Law. a .rnrsueM1 pmjafs with eeontrvelnr(s)liveried pury mthe Comreetor'n License nes ❑ 1 am exempt undtt Sec. . B & P C for this rtmmn Owner Dam WORKMAN COMPENSATION DECLARATION ❑ ]her e Y.ffimnth llhaveacerufeao e ofo-mscm [o self-inwm. orncenificere of arkcrs'r nipensation Insurance or cenlEed cupy thereof (Sec. 3800, Lab C.) which covers all employees under this pertnd. Policy N Company ❑ Certified copy is hereby famished. ❑ Cenif ieJ copy is filed with Ne city inspection division. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This cation need not be completed if the permit is fare. hundred dollars (1100) or less.) I certify that in the porksmaince of the work for which this permit is issued, l shall not employ any ,,an in any manner so as to became xobject to the Workers' Compensutionlswsof Califnmia. Dam O ,Z Applicant Z 0 NOTICE 'ED APPLICANT: If, after making this C<Nficate of Exemption, you should r(/] become subject to the Worker's Compensation provisions of the Inbar Cade, you must �> forthwith comply with such provisions or this —it shall be deemed tcvoked. C[� CONSTRUCTION LENDING AGENCY z 1 hereby affirm that them is a construction lending agency for the performance of U O the work for which this permit is issued (Ser. 3097, Co. C.) Under s Name Lenders Address U I ,cuby that I have mud this application and state [hut the throve iafoot is %' Da comtl. I agree to comply with all city and county ordinances and alma laws retatingm f•" building amsvoNon, and hereby iniffi erepresenosives ofthis city to enterurym the U z abuse mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against Iiabillties,jm1gmenss, e.n. and expenses which may in any way acome against said City nnscyucn rthe grumf fthis rmif. in i_?� -zi4-9Tt HAZARDOUS MATFRIAI S DISCLOSURE Will the applicant or future building occupant store or handle havtdous material as detmed by the Cupcnino Municipal Calc, Cl pfcr 9.12, and fhc Ihealth and Safety Code, Seenim 25532(a)Y ❑ Yes ❑ No Will the applicant or future building occupant use equipment or devices which emit " Nous air contaminants its defined by the Bay Area Air Quality Management Ism.? ❑ Yes ❑ No I have read the h mous materials reyuimments under Chapter 6.95 of Ne California Health & Safety Code, Sections 25505, 25533 and 25534. 1 understand that if she building does not currently have a tenant, that it is my responsibility to notify the x ,ora of 1M1c miltnerneu .s which mus, he act prior or issuunca of n Certificate of Dooluncy. Owner or awhcriud agent Date E]MRy TEMP. METER OR POLE INST. POWER DEVICES SWIMMING POOL ELECTRIC PIMETS - SWITCHES - FIXTURES NEW RESIDENTIAL ELECfIt _SQ. FT. El SQ. FT, FLOOR AREA 70 L -L% V"2, Cis PLUMBING PERMIT FEE FLUUUZONE APN PERMIT ISSUANCE ALTER - DRAIN & VENT - WATER IPA) FEE SUMMARY BACK FLOW PROTECT. DEVICE OUTSIDE I:P SANITARY Y N RECEIPT N yvivillavZoz.GOND. SCIirwLTAX Y N RECEIPT p 'URE - ER 9'RAPPARK PEC Y N RECEII'1'a GAS LA. SYSTEM -1 INC.OAUTLETS � fG- ,,,,,, ro.,,, ro..,—, ,t« GAS JSTEMA . (EA/ PLANCHECK FTE 0 ASTON , WAS INTERCL GRADING FEE GRP P kd�ClSOILS PTE SF.AM, *IT51RY- .200FT. ENERGY FEF. W TEA fNTh ECTR PAID prem Receipt p WATER SYSTEM/BEATING NEW RESIDENTIAL PLMB. SQ. FT. l'O'FAL: BUILDING FTE, Lk rN SEISMIC FEE ` ELECTRIC FEE \G� MECHANICAL PERMIT FEE PLUMBING FEE PERMIT ISSUANCE MECIIANICISSUANCE ALTER OR ADD TO MECH. CONSTRUCTION' 1' AS AIR HANDLING UNIT (TO 10,000 CFM) AIR IIANDLING UNIT (OVER 10,000 CPM) E HAUST HOOD(W/DUCI PAID Date Recap, is HEATING UNIT (TO 100,000 BTU) HEATING UNIT (OVER IM." BI U) TOTAL VENTILATION FAN (SINGLE RFSID) BOILER - COMP UUP OR 100.000 BTU) ISSUANCE DATE s % I, n BOILER - COMP (OVER IN ON BTU) NEW RESIDENTIAL MECH. SQ. FT. tEgr�r•►S.y✓ 10300 Torre Avenue Cupertino, CA 95014 Building Division (408)777-3228 Fax (408) 777-3333 September 20, 1995 Blaine Hill 21901 Oakview Lane Cupertino, CA 95014 Subject: 21901 Oakview Lane, Permit# 26479 Dear Mr. Hill, • According to our records the above mentioned permit has never been finaled by a i City Building Inspector. A permit is considered to be valid only six months from its last inspection date. If your permit shows that the final inspection has been completed please send a copy of the permit, along with this letter to 10300 Torre Avenue, Cupertino, CA., 95014, Attention Building Department. If your permit has not been finaled, please contact the Building Department by calling (408) 777-3228, so that we may arrange to extend your permit, and schedule a final inspection. In an effort to control the number of expired permits, the City of Cupertino requires a response in ten working days from your day of receipt of this letter. If we do not hear from you, the City of Cupertino's Building Department will have no alternative but to resolve your permit as expired and discard the records. Thank you for your assistance. Sincerely, City of Cupertino VJ\AQa2� Printed on Recycled Paper 10300 Torre Avenue • Cupertino, CA 95014 Building Division (408)777-3228 (408) 777-3333 (fax) April 23, 1996 Resident 21901 Oakview Lane Cupertino, CA 95014 Re: Expired permit (copy attached) Dear Resident: According to our records, the referenced permit has not been finaled by a City building inspector. • A permit is considered to be valid only six months from its last inspection date. If your permit shows that the final inspection has been completed, please send a copy of the permit along with this letter to: 10300 Torre avenue, Cupertino, CA 95014, attention: Building Department. If your permit has not been finaled, please contact the building department (408) 777- 3228, so we may arrange to extend your permit and schedule a final inspection. The City of Cupertino requires a response within ten (10) working days from the date of receipt of this letter. If we do not hear from you within this time, the building department will have no other recourse but to resolve your permit as expired and discard the records. Thank you for your cooperation, Building Department Staff, City of Cupertino 0 • • 0 Inspection Query for a Specfic Permit Print 11/5/96 PERMIT# ISITUS STJ SITUS STREET AVE,CT,ST,RD Lot# INSDESCRIPT I InsType 26479 21901 JOAKVIEW LN. FOUNDATION 1101 26479 21901 OAKVIEW LN. FOUNDATION 101 26479 21901 OAKVIEW LN. FOUNDATION 101 26479 21901 OAKVIEW LN. UNDERFLOOR FR 205 26479 21901 OAKVIEW LN. UNDERFLOOR PL 202 26479 21901 OAKVIEW LN. UNDERFLOOR INS 206 26479 21901 OAKVIEW LN. INSULATION 206 26479 21901 OAKVIEW LN. UNDERFLOOR INS 206 26479 21901 OAKVIEW LN. ROOF NAIL 316 26479 21901 OAKVIEW LN. ELECT -R 304 26479 21901 OAKVIEW LN. EXT LATH 312 26479 21901 OAKVIEW LN, FRAME 305 26479 21901 OAKVIEW LN. MECH-R 303 26479 21901 OAKVIEW LN. PLBG-R 301 26479 21901 IOAKVIEW LN. FRAME 305 26479 21901 JOAKVIEW LN. INSULATION(JJ) 26479 21901DAKVIEW LN. INSTLATION(L.O.) 306 26479 21901 OAKVIEW LN. INSULATION 306 26479 21901 JOAKVIEW LN. SHEETROCK 311 26479 21901 JOAKVIEW LN. STUCCO SCRATC 314 26479 21901 JOAKVIEW LN. WATER SERVICE( 318 26479 21901 JOAKVIEW LN. FINAL BLDG 26479 21901 JOAKVIEW LN. FINAL BLDG ENER 26479 21901 OAKVIEW LN. FINAL ELECT 26479 X21901 OAKVIEW LN. FINAL MECH 26479 21901 OAKVIEW LN. FINAL PLBG 26479 21901 OAKVIEW LN. EXTENDED FERMI 26479 21901 OAKVIEW LN.FINAL BLDG 26479 21901 OAKVIEW LN. FINAL ELECT 26479 21901 OAKVIEW LN. IFINAL ENERGY & 26479 21901 OAKVIEW LN. IFINAL PLMBG Page 1 • • Inspection Query for a Specfic Permit Print 11/5/96 DATEDESIRED DateDone Ins actor Units I Pass/Fail 8/12/94 8/12/94 JJ 2F 8/23/94 8/23/94 JJ 2 F 8/26/94 8/26/94 JJ 2P 9/15/94 9/15/94 JJ 2 P 9/15/94 9/15/94 JJ 1 P 9/20/94 9/20/94 JJ 2 F 9/21/94 9/21/94 JJ 2P 9/21194 9/21/94 JJ 2 P 10/4/94 10/4/94 JJ 2 P 11/9/94 11 /9/94 JJ 1 P 11/9194 11 /9/94 JJ 2 P 11/9/94 11 /9/94 JJ 2 F 11/9/94 1119/94 JJ 1 P 11/9/94 11 /9/94 JJ 1 P 11/10/94 11/10/94 JJ 2P 11/17/94 JB T 11/18/94 11/18/94 JB 1 N 11/21/94 11/21/94 JB 2P 11/28/94 11128194 JB 12/15/94 12/15/94 JV -2P 2 P 1124/95 1124/95 JJ 2 P 4/21/95 4/21195 JJ 2 F 4/21/95 4/21/95 JJ 1 P 4/21/95 4/21/95 JJ 1 P 4/21/95 4/21/95 JJ 1 P 4/21/95 4/21/95 JJ 1 P • 10/2/95 10/2/95 NS P 1/3/96 1/3/96 JB 1 H 1/3/96 1/3/96 JB 1 H 1/"'' 1 /3/96 JB 1 H 1/3196 1 /3/96 JB 1 H Page 2