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02100193 (3) CITY OF CUPERTINOry BUILDING DIVISIONpET 'GONTRAGTOR INFO JONvit v e.x•, .t,`,r t.ax�.. .. s-'3 Bm D CT B . K. DEVELOPMENT CORP . PERMITNO2100193 OWOR'SK,%ME:DEVELOPMENT CORP . APPLICATIPi!)S B�T 2002 ONE: SANITARY NO. CONTROL NO, ARCHITECT/ENGINEER: BUILDING PERMITINFO BLDG ELECT PLUMB MECH �00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under pmaisions of Chaptsr 9(commencingREVI.S'I ON (SID TI1Q�D JI'b 1 UCCO with Section 7(M),f Division Sof the Bmineasmd Professions Code,ud my license is in full form and effect. IN HOUSE USE ONLY, NO NEW PERMIT ISSUED r0 ) Lrcen=clms-s Contractor ORIG. 401100131 F ni; Dam ComracCL ARCHITECTS DECLARATION 1 understand my plata shell be used as public rmdNs n�LLOo J/ r Licensed Professional j OWNER-BUILDER DECLARATION 7—`illJ� u�0 1 botchy affirm that 1 1. exempt from tbe Convenor's License Lew for the 0 0 following recon.(Section]m mm Business and Improve, derions Cede:Any city or mummy a64$ which rtquimx n permit re c�res the on.improse,d[mnl'ub,or repair any amscoure mown F ZYY+ thiormi¢iensed issuance,alsorequires pro isionnl(or Contractor's tobleasLaw(Chapter tsmmem FF€o (co menccensed Forward to the of Diviousafof Comramorx Lianselso(C mO)or Sq. Ft.Floor Area 3139S1d11[tion N $ thamm is exewiNSauromad of Diviaionr ofdmBusiness and Professions Any Code)or — Nos he is comps-therefrom and the baso for the alleged exemption.Any violation of ' s�ecdon 7031.5 by any applicant for a permit subjects the applicant to a dull penally of not mom than five hundred dollars($500). be Occupancy Type ❑I.Mmurofinepmpcny,mmyemplayemwimwgasuN irulecomPemdon, will da ase work,and the swcium is nos intended m offered for We(Sm.7W.Bminen and Professions Code:The Contractors License Law does not apply to an owner of 102 - PIERS equired Inspections property who Wilds orimporns thereon.and whodaessmh work,himselforthrough his own employee,provided that such improvements Are not intended oroRcred for We.If. 103 — LIFER however.the building or Improvement is sold within oro year ofcomyletion,the owner- 104 — REBAR builder will have the burden of proving Nat W did wt Wild or improve for purpose of ale) 105 - ANCHOR BOLTS 01,As owner of Ne propeny,am exclusively contracting with licensed conranon to 106 - SEWER & WATER construct the project(Sec.7004,Business and Profealons Code:)The Contractors Li. cense Law does not apply to in Owner or property who Wilds or finaprom domon,and 202 - UNDERFLOOR PLUMBING who contracts for such projects with a contrutor(s)licensed pursuant to the Connectors Lkenselaw. 203 - UNDERFLOOR MECHANICAL ❑l am exempt under Sec. ,B&P C forthis reason 204 - UNDERFLOOR FRAME Owner Date 205 - UNDERFLOOR INSULATION WORKER'S COMPENSATION DECLARATION 301 - ROUGH PLUMBING I hereby afrsrm under penalty of perjury one of Ne following declarations: 302 — TUB & OR SHOWER a Ihave and will maintain a CenifConsent caw of Conseno aelf-imom for Workers Compen. station,as provided for by Section 3700 of the Labor Code,for the performance of tW 303 - ROUGH MECHANICAL wonmrwhichthispermivaissued. 304 - ROUGH ELECTRICAL ❑ I have and will maintain Workers Compensation Insurance,as required by Section 305 — FRAME 37W of the Labor Cottle.for do,performance of Ne work for which this permit is issued. My Worker,Compensation l...carrier and Polity number err: 306 — HOLDOWNS Caroler: Policy No, 307 - INSULATION cERnPICOMPENSATIOP`INSURANcsoRKERs 308 - SHEETROCK This amnon need not he complcmd ifthe Permit is mrone hundred reliant($100) 309 — EXTERIOR LATH lona') 310 - INTERIOR LATH I unify Nes in sbe performance of he work for which this Permit is issued,I shall not 311 - SCRATCH COAT employ any person in any mannerso as m become subject to the Worker,'Compensation Laws of CalRomla.Dats 313 - ROOF NAIL Applicant NOTICE TO APPLICANT.If,after making this Cenifcaw of Exemption,you should 501 - FINAL ELECTRICAL ENERGY O,Zbecome subject to the Worker's Compensation provisions of the labor Code,you must 502 - FINAL PLUMBING ENERGY foMwith comply with such 1mvixions or Nis permit shall he darned revoked. 0 503 - FINAL MECHANICAL ENERGY CONSTRUCTION LENDING AGENCY F"N'a I hereby affirm met there Is a construction lending Agency for the N'llumnince.1' 504 - FINAL BUILDING ENERGY a � dim W Q for which chthis pm i,issued(sec.3097.Cit.e.) Lder'sName 505 - FINAL ELECTRICAL ud sAaa ,jz 506 - GAS TEST J p I cenify that l have raw this application and xtsts that the shove information is 507 - FINAL PLUMBING correct I agree in comply with all city and county ordinances and state laws relating to 5 FINAL MECHANICAL Q building connection,and hereby authorise mpracntatives oflhiscity to enter upon me W above-mentioned property for inspection purposes- 09 FIN GRADE, lI FCy'a (We)agree m ave,indemnify and keep harmless the City of Cupertino against a,y y liabilities,judgments,casts and expenses which may in any way acemc against said City 5 F N L G V z A APPLICANT NDERf thA TAN of mit Permit 4V&APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by51 ORKS Date SOURCE REGULATIONS. Re-roofs 603 - OF BATTENS Signal..of Applic _HAZARDOUS MATERIALS DISCLOSURE um Date 1ypeof%Of4 - ROOF IN-PROGRESS Will the applicant or future Wilding occupant store Or handle havallous material As defined by the Cupertino Municipal Code.Chapter 9.12.and the Health'and Safety Code. e ❑No 25532(a)?)1 Oyer All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future building occupant sea equipment or devicas which If a roof is installed without first obtaining an inspection,I agree to remove it haramous air contaminants as dcrtned by one Bay Amo Air Quality Management all new materials for inspection. ❑Yes ❑No It ave read the haardous materials nquimments under Chapter 6.95 of the Califor- niaHcalth&Safely Cade,S dom25 5,2533md25534.1uMcrsundth ifft Wilding don not curmndy haus a tenant thus it ts my MSPoruiHlity tu WUry me occupat of Ne requirements which muss be met prior to issuance ora CcnlOcate of Occupancy. Signature Of Applicant Date Owner or amthmixed agent Dam All roof coverings to be Class "B" or better MARVIN D. KIRKEBY • 3249 STEVENS CREEK BLVD. #101 SAN JOSE, CA 95117 Q (408) 984-0331 OCT 1 6 2002 June 24, 2002 Job No. 20033 Building Department 10300 Torre Avenue Cupertino, CA 95014 Re: 1070 Wallin Ct., Lot 6, Tract No. 9335 Gentlemen; Per Section 7014 of the Uniform Building Code, we have inspected the rough grading for the subject lot and hereby state that it is in substantial conformity with the approved grading plan. Finished building pad was measured to be with 0.1 feet, plus or minus, of • the approved design grades. If further information is required please contact the undersigned. p�OFESS/pyo truly, �Q`�� N 0 �9 �L . �fT/`yG SSP 11 2 � m arvin D. Kirkeby * Exp, 343 /05 x Registered Civil Engineer Lr CIVIC- 9TF OF A\.'F • MARVIN D.KIRKEBY • 3249 STEVENS CREEK BLVD. #101 SAN JOSE, CA 95117 (408) 984-0331 June 24, 2002 Job No. 20033 i Building Department 10300 Torre Avenue Cupertino, CA 95014 Re: 1070 Wallin Ct., Lot 6,Tract No. 9335 Gentlemen; Please be advised that I have inspected the subject lot and hereby state that the building j pad conforms to the approved plan and the basement setback location and elevation conform to the approved site plans. • If further information is required please contact the undersigned. i ours truly, / Q�OFESSl0,y� � i � L2 o0.1 ` a Marvin D. Kirkeby 4001 Exp. 9 IMS Registered Civil Engineer � s9fF OF Cad\F�Q�\p • MARVIN D. KIRKEBY • 3249 STEVENS CREEK BLVD. #101 SAN JOSE, CA 95117 (408) 984-0331 June 24, 2002 Job No. 20033 Building Department 10300 Torre Avenue Cupertino, CA 95014 Re: 1070 Wallin Ct., Lot 6, Tract No. 9335 Gentlemen; Per Section 7014 of the Uniform Building Code, we have inspected the rough grading for the subject lot and hereby state that it is in substantial conformity with the approved grading plan. Finished building pad was measured to be with 0.1 feet, plus or minus, of • the approved design grades. If further information is required please contact the undersigned. 4Marvin trulyJe'b�y r QQ,OFES& D. D. W No.14001 Registered Civil Engineer * Exp. 9191/05 'rl CIVIC A OF CA��F�Q 0 • CITY OF CUPERTINO .m 1 of 2 PERMIT RECEIPT OPERATOR: conniew COPY # 3 Sec : Twp: Rng :: Sub: Blk: Lot : APN . . . . . . . . . 36218011 . 00 DATE ISSUED. . . . . . . : 10/30/2002 RECEIPT # . . . . . . . . . : 20223 REFERENCE ID # . . . : 02100193 SITE ADDRESS . . . . . : 1070 WALLIN CT SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : B . K. DEVELOPMENT CORP . ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, 95016 RECEIVED FROM B. K. DEVELOPMENT CONTRACTOR . . . . . . . : LIC # *OWNER* COMPANY B . K. DEVELOPMENT CORP. ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, 95016 TELEPHONE . . . . . . . . : SEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL - ------ --- -- - - --------- - ------- -- -- - ------ - ------ - - - - ----- - ---- --- - - ----- 13PLANCKREP HOURS 4 . 00 222 . 00 0 . 00 222 . 00 0 . 00 ---------- -- - - ------ -- - ------- - --------- TOTAL PERMIT 222 . 00 0 . 00 222 . 00 0 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 101 FOUNDATION 102 PIERS 103 UFER 104 REBAR 105 ANCHOR BOLTS 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 203 UNDERFLOOR MECHANICAL 204 UNDERFLOOR FRAME 205 UNDERFLOOR INSULATION -301 ROUGH PLUMBING 302 TUB & OR SHOWER 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 305 FRAME 306 HOLDOWNS . 307 INSULATION 308 SHEETROCK 309 EXTERIOR LATH 310 INTERIOR LATH 311 SCRATCH COAT 313 ROOF NAIL 501 FINAL ELECTRICAL ENERGY 502 FINAL PLUMBING ENERGY 503 FINAL MECHANICAL ENERGY 504 FINAL BUILDING ENERGY 505 FINAL ELECTRICAL 506 GAS TEST 507 FINAL PLUMBING 508 FINAL MECHANICAL 509 FINAL GRADE 510 FINAL PLANNING 514 FINAL PUBLIC WORKS 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS • 'J CITY OF CUPERTITO <. CUo 13 4PEkTiNQ PERMIT APPLICATION FORM APN# Date: /o Zgl 7Building.Address:1076 &W�/ i✓wner's ,e/ Phone#: 41eg-: X73- E7 ContractqLy License#: it/�}i✓ ��� 1—�L �9 Contact: 3�oi Phone#: f�2�i9ii/ �{ GL 5��8- Applicant/Contractor: 87D- S-,;>-741Fax #: Building Permit Info: -Bldg Elect Plumb Mech Job Description- Residential: Sq-Ft. Floor Area: r al: Archit ngineer: Valuation: TiCO iZrSSi ✓tomJ/ ' I✓ Typeo onstruction: Occupancy.Gro uanti Fee ID Fee Descri tion Fee Group BAPPLOTHER Other Ap2liances MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXB Con. Tax for.B Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax-Resi/Mobile BUILDING BELEC1000 Elec 600V<= 1000A ELECTRICAL bLLEC1U01 Elec600V>.1000A ELECTRICAL BELEC200 Elec Svcs 600V<=200A ELECTRICAL • BENERGY Ener BUILDING BENERGYADD ' Ener Add Multi BUILDING BINVESTIGA InVeSti ation fee BUILDING BMITIGATC Comm. Housin Mit. Fee BUILDING BMITIGATR , Res. Hous:- Mit Fee BMNEWMULTI BUILDING New Multi-Famil Res MECHANICAL BNEwMULTI New Multi-famil Res• ELECTRICAL BNUCOMME New Comm Electric, ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING Tyle Z �� vl'of3 '.•' • ,. ��z3 11,E 6 v6f 21 2 .