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06070194 (2) CITY OF CUPERTINO aF�swn BUILDING DIVISION PERMIT zCONTiUi--TORI NF�ORMA.TION„ : BUILDING ADDRESS: MASTER CABINET CONSTRUCTI MITND.06070194 8119 PARK VILLA CL OWNER'S NAME: PERMIT ISSUE DATE SANKARA VENKATARAMAN 752 COMMERCIAL ST 7 27 2006 NE: SANITARY NO. CONTROL NO. (408) 441-7009 ARCHMSCDENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 pp LICENSED CONTRACTOR'S DECLARATION Job Description 1 hereby aRiren that I am licensed under Provisions of Chapter 9(commencing �Zt with Section 7000)of Division Sof that Basincss and Prefessiow Code.and my lkeadeis !may infull facts and affect. REPLACE KITCHEN COUNTERTOP AND CABINETS ONE SIN .y3 Litanies Class Lie# REPLACE COUNTERTOP AND SINK IN 2 BATHROOMS . •F o Dow Contractor ARCHITECTS DECLARATION i 1 understand my plans shall he=4 as public records iyU 1 a Licensed Professional gOWNER-BUILDER DECLARATION iI hereby mint Nm I am exempt fmm dm Contractor's License Law far the :C O following moron.(Section TIB 1.3,Business and Pmfcsdaw Cm4:Any city or wanly 3$LL which requires a Permit m eowWeL al@C improve,demerit,or repair any combine Z< prior an its issuance.alm requires the applieNl for such permit to Gk a signed statement that he is licensed purhaant to the,Proaisiaw of lha cemboclors Band'Law(Chapter 9 Sq.Ft. Floor Area Valu 3b6000 (commencing with Section 7000)of Division 3 of the Busineu and Pred=iow Cade)at Nal ha is exempt therefrom and the basis far the alleged..Pa..Any vic ladad of Section 7031.5 by airy applicant for a permit subject,the applicant to a civil penally of ppN N �e not ream than five hundred collars(M). 3 5 610� 9 r 0 0 Occupancy Type ❑Ido be wia f the property a my employees with wages u oe'u(See c ,Business will dofedons andthThe Coneisnots Liscod orawit fawkpply 70 an owner of Required Inspections and property who w Cade:The Contractor's License law does not apply tom owner it q P propertywhobuild orintprates Ih improvements andwho doessectwmk himselfor through bas two employees,.theiprovided that such improwmws ase not ink Aad aroRered for sale It. however.the building or improvement is halt within one year ed arepro afar the owner. f,�IT r{ p q [[[��� builder will have the burden of proving that he did nal build a improve(a purpose of I7 ,7YA y p sak.L FplJg^�' ��(�VWr� {rM,11�a m L as owner of the propeny,am eaelie ively mmuracuog with licensed..a.m.w cowtmct the project(Sec.7064.Bu,iness aro Profradow Cade:)The Cwmcoofs Ll- cards L caws law dors not apply to an owner of progeny who builds at improves Boman,and ���. ! 7�r1'T who contracts for such projects with a conustor(s)Ilansed pursuant to the Contractor's License law. ❑lam axcen"u ea See - .B&PC for Nis owner �k � � � 'R 'S COMPENSATION DECLARATION I hereby su m under Penury of perjury arc of the following dmlanliorm 1 have and will erainuin a CutiBca¢a(Co..,to selNusme for crannies Comper. station,as provided for by Section 3700 of the Labor Code.for Ne Performance of the work far which this permit is issued. ❑1 have and will maintain Worker's Compensation Inmance,as required by Section 37W of the labor Cade,fa the performance or the work for which this Permit is issued. My Wor,ce,Compewmim insurance canna and Policy number,ase: Caner: Polity No.: _ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE mussection wed not hen completed I(thc Permit is foram hundred dallan(3100) or less) 1 mini that in the Performance of the work for which this permit is burned,I shall not employ any peahan in my.#M,habject w the W^rFCn'Ca�;v".,tion Laws of California.But,- � Applicant �11A-9r0c10 NOTICE TO APPLICANT:IL after making Itis Cenificate of Fmininiorfliab,should berome aubjm to the Warkels Compensation provisions of the labor Code,you masa .,Q forthwith comply with such provisions or this permit abet he deemed mvoked. Zy CONSTRUCTION LENDING AGENCY [-� 1 beneby affirm that there is a construction lending agency for the perfumana of ce r7 the work for which this permit is issued(Sec.3097.Civ.C.) 0 Lander',Nuns Z Lender's Address U O I certify Nu 1 have,read Ws applieuion and task this the above infatuation is IycommNi .I agree to comply with all city and county onmwes k and aulaws misting to oU building eonsouelion,and hereby authoma mposenlaliver of this city to enter upon the yabove-mentioned property for inspection purlaaca. (We)agree to save,indemnify and tap harmless the City of Cupertino against h liabilities,judgmcnu.toss and expenses which may in any way accmc agaiwt.,it City U,Z in consequence of the arandng of this permit. ^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE REGULATI N : Re-roofs Signature OfA miCaMactor �DneL HAZARDOUS MATERIALS DISCLOSURE Type of Roof Witt the applicant or future building occupant son,ahandlc Window material as defined by the Cupertino Municipal Cade.Chapter 9.12,and the Health and Safety Cade,Section 25532(a)? ❑Yes a(,/ All roofs shall be inspected prior to any roofing material being installed. 41 If a roof is installed without first obtaining an inspection,I Will the applicant or future building occupant aha equipment w devices which g agree to remove P emit hwasdnw air cmuminans W dc0ried by the Bay Area Air Quality Management all new materials for inspection. Dlmllcl7 ❑Yes (0,N. I have read the haaaNms materials requimmens under Coup.,6.95 of the Califon nia Health&Safety Cade,Sections 25505,25533 aro 25534.1 understand thaz ifthe Wilding does act I be 11 h F tenant.ihat a 4 my respectability as beery the occupant or the Zinc It mete Teeum«ar,cmn;rmacarOm, Signature of Applicant Date All roof coverin s to be Class"B"or better Owar car mkomcd agent y,Dak' g Community Development s 10300 Torre Avenue ! � Cupertino CA 95014 Telephone(408)777-3228 CITY Of Fax(408)777-3333 4JUPEkTINO Building De artment JOB ADDRESS: PERM 8 � ici P4,P - VIr c.IRc-' ` C &6- ,J'o O 6 `7 O ?, OWNER'S NAME: S'nrJk 441 PHONE # OcP oZ5 CP oZ GENERAL CONTRACTOR: S FAX # I am not using any subcontractors: — 7i i e Date Please check applicable subcontractors and complete the following information 66 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork n 0 I DDoO (5 13 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 mer/Contractor Signature Date CITY OF CUPERTINO •m 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 35610059 . 00 DATE ISSUED. . . . . . . : 07/27/2006 RECEIPT # . . . . . . . . . : 35416 REFERENCE ID # . . . : 06070194 SITE ADDRESS . . . . . : 8119 PARK VILLA CL SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : SANKARA VENKATARAMAN ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : SANKARA VENKATARAMAN CONTRACTOR . . . . . . . : SANG THANH LE LIC # 25583 COMPANY . . . . . . . . . . : MASTER CABINET CONSTRUCTION ADDRESS . . . . . . . . . . : 752 COMMERCIAL ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE . . . . . . . . : (408) 441-7009 IWEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---- - - - -- - ------------- ---------- ---------- ---------- ------- - - - ------ ---- BENERGY PERMIT FEE 169 . 56 81 . 39 0 . 00 81 . 39 0 . 00 BPERMFEE VALUATION 10, 000 . 00 169 . 56 0 . 00 169 . 56 0 . 00 BSEISMICRE VALUATION 10, 000 . 00 1 . 00 0 . 00 1 . 00 0 . 00 BPFIXTURE UNITS 3 . 00 27 . 00 0 . 00 27 . 00 0 . 00 -- - ------- ---------- ---------- ---------- TOTAL PERMIT : 278 . 95 ; 0 . 00 278 . 95 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----- --- - - - - ----- --------- - -- -------- - - - ------- OTHER 278 . 95 AMEX TOTAL RECEIPT 278 . 95 • v c� Q Z Com_ c vJQF s�sa��t 0 p� c\; e Pa` ANi i I JUlc - v t 2006 C) O 1 v � � v Dov copy �� �-�-- O � (� - � � v -�- -� s � � � .-L s d � , U CITY OF CUPERTINO O(QO701 q'-E CITY OF PERMIT APPLICATION FORM CUPERTINO IkPN # 35(0- 10-059 Date: Z /-V7( p b Building Address: Mailing Address (if different from building address): l(L^1 U( LLFl qp CvYrr'rKo rrp [ Owner's Name: \ , Phone #: 5� k-OO Contractor: License#: Contact: Phone:A095C`DqD7 Cupertino Business License#: �zcr4 . Fax: Building Permit Info: (C�V(� 4-44...._ 4 cw i CF `^' f5 LFA S14 -V- --CO�wtt ✓ {'rl d Siv 'k �WO In Vgvt . c--5 Bldg (J� Elect ❑ Plumb l� Mech ❑ Job Description: Residential ❑ Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: Occupancy Clyoum (�,, r. Type of Construction: Please check this box if the project is a k232-,-/ second-storyaddition: El roject Size: F Standard Large ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> I OOK to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to I Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILERS 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 <_ I OOOA ELECTRICAL BELEC1001 Elec 600V > IOOOA ELECTRICAL BELEC200 Elec Svcs 600V<= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of 3 G .- CITY OF CUPERTINO CITY OF PERMIT APPLICATION FORM CUPEkTINO Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mech'anic'al" 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 Tmp 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 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Ligbting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL RUBREMREECEPT ISC Misc Apparatus ELECTRICAL RAPP Rem Non-Res A liance ELECTRICAL OLE Pole/Platform Fixture ELECTRICAL WER Power Device/Apparatus ELECTRICAL Rc tl, Switeb & Outlets ELECTRICAL LOCA Relocation of Hood MECHANICAL e air/Alter HeatingMECHANICALSAPP Remodel Res Appliance ELECTRICAL 2of3 d CITY OF CUPERTINO CITY OF PERMIT APPLICATION FORM CUPEkTINO 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 Mechanical sq. 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 Change BUILDING • 3 of 3 • u rA- •