The URL can be used to link to this page

07010052 7777777. CI17 OF CUPERTINO BUILDING DIVISION PERMIT e� T1LT+aR { RMTI�N. PERMIT NO. BUILDING ADDRESS: 46 NOVEMBER DR FLORES F. PERMIT LSSUE DATE OWNER'S NAME: ERNEST HUA 781 JASPER ST 01/09/2007 SANITARY NO. CONTROL NO. ONE: (408) 29F-4817 BUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUM MCECH O p LICENSED CONTRACTOR'S DECLARATION Job Description VP I hereby affirm that I am licensed under provisions of Chapter 9(commencing 1z u", with Section 7000)of Division3oftheBusinessandProfessionsCode,andmylicenseis BATHROOM REMODEL NO STRUCTURAL res„ in full force and effect. j�A z License Class3 - Lie.#a Date Contractor ARCHITECTS DECLARATION mI understand my plans shall be used as public records U a L O y Licensed Professional yr OWNER-BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractors Liccnsc Law for the G o following reason.(Section 7031.5,Business and Professions Code:Any city or county j:00 rE which requires a permit to construct,alter.improve,demolish,or repair any structure z r prior to its issuance,also requires the applicant for such permit to file a signed statement $q Ft.Floor Area Valuation that he is licensed pursuant to the provisions of ft Contractor's License Law(Chapter 9 $9 5 2 0 nF (commencing with Section 7000)of Division 3 of the Business and Professions Code)or y that he is exempt therefrom and the basis for the alleged exemption.Any violation of A R Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 3 6 213 02S) .SJtJN Nll111ber Occupancy Type not more than five hundred dollars(5500). ❑I,as owner of the property,or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale(Sec.7044,Business Required Inspections and Professions Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended or offered for sale.If. however,the building or improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or improve for purpose of sale.). [11.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon,and, who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. ❑1 am exempt under Sec. B&P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: �]I have and will maintain a Certificate of Consent to self-insure for Worker's Compen- sation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑I have and will maintain Workers Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Workees�Czoommppensation Insurance carrier and Policy number am: Carrier .�r0 b Polity No.:L 013"20C3ry CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars($100) or less.) I certify that in the performance of the work for which this permit is issued.I shall not employ any pe in any manner so as to become subject to the Workers'Compensation Laws of Calif mi Dtc— Applicant v r NOTICE TO PLICANT:If,after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must ,J z forthwith comply with such provisions or this permit shall be deemed revoked. Z OCONSTRUCTION LENDING AGENCY (�Com. I hereby affirm that there is a construction lending agency for the performance of > the work for which this permit is issued(Sec.3097,Civ.C.) W Q Leader's Name 0 z Landers Address l certify that 1 have read this application and state that the above information is iU correct I agree to comply with all city and county ordinances and state laws relating to O Vbuilding construction,and hereby authorise representatives of this city to enter upon the above-mentioned property for inspection purposes. a (We)agree to save,indemnify and keep harmless the City of Cupertino against liabilities,judgments,costs and expenses which may in any way accrue against said City U Z in consequence of the granting of this permit. Date , —+ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued b): S R E REGULATIONS. / 9�D 27 Re-roofs gnatum of Applian✓Contaetor Date t HAZARDOUS MATMUAL.SDISCLOSURE Type Of hoof Will to applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Code.Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. C]Yes No Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove :mit hazardous air contaminants as defined by the Bay Area Air Quality Management all new r laterials for inspection. District? ❑Yes !u 1 have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Code,Sections 25505,25533 and 25534.1 understand that if the building docs not currently have a tenant,that it is my responsibility to notify the occupant of the requi nts which must be met prior to issuance of a Certificate of occupancy. $ignaturf:Of Applicant Date /-9--0All roof coverings to be Class"B"or better OlVr or authorized agent Date Flores Remodeling Contractoj-'s Lic. 545686 781 Jasper Street • San Jose, CA 95116 r. (408) 298-4817 Date _ l C b e -- �, 1 S G 2 — - I -- 111 ' It ct� L t1<2 f A ACCORDANCE ITH TN C!T01 N C DES ANO ORINA P ),A- E— I C, IG EU .,,l Ot p cl- 'I J ill c,mti'n, .;'li Vd.� .i� — `:e 0m; Of ;r !�i Oir�in,r rce r ' )t' e L Vw. _ _ T r; r — - I I � _ i i I 1 Community Development 10300 Torre Avenue a. Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 rUPEkTINO Building Department JOB ADDRESS: PERMIT # OWNER'S NAME: PHONE # E 46' GENERAL CONTRACTOR F(-o&j7S gjjyAWAII- ' FAX # I am not using any subcontractors: Si;;nature 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 er/Contractor Signature Date CITY OF CUPERTINO q0 106 5L CITY OF PERMIT APPLICATION FORM CUPEkTINO ,PN# Date: Building Address: Mailing Address (if different from building address): Owner's Name: Phone#: Contractor: License #: L© �2 Contact: Phone: 41 d e Cupertino Business License#: Fax: Building Permit Info: ) g dt�A 43- /� �� - T�/.8c�r��y-��,�,t jL t��-G%r��L �� `�2 Bldg Elect C�� Plumb 0--- Mech L� Job Description: Residential 0� Commercial El Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: Occupancy Group: Type of Construction: Please check this box if the project is a Z v second-story addition: El _'roject Size: Standard Z-- Large ❑ Major ❑ Quanti Fee ID :Fee Description Fee Grou BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boile:-> 100K to 500K Btu MECHANICAL BBOILER3 Boil,;r> 500K to 1M 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 Co i. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax—Resi/Mobile BUILDING BELEC 1000 El:c 600V<= 1000A ELECTRICAL BELEC1001 E lec 600V> I OOOA ELECTRICAL BELEC200 Elec Svcs 600V<= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of 3 s CITY OF C'UPERTINO t CITY OF PERMIT APPLICATION FORM CUPERTINO Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Corrin. Housing Mit. Fee BUILDING BNUCOMME N.w Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP r'ew Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW At nospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE BIdg Permit Fees BUILDING BPFIXTURE Pb1g Fixture PLUMBING BPGAS Ga;Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plm 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 Sprinkler/Backflo PLUMBING BPSTORM StOrm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT A It of Drain &Vent PLUMBING BPWATER Install/Alter Water Pipe PLUMBING BPWHEATER Neater Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfin MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Rf location of Furnace MECHANICAL BREMFURNOV Re]o Furnace> I OK btu MECHANICAL BREMHEAT :Seater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rer 1 Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Po"er Device/Apparatus ELECTRICAL BREMRECEPT Rc ►tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT R epair/Alter Heating MECHANICAL BREMRESA.PP Remodel Res Appliance ELECTRICAL of 3 CITY OF C+UPERTINO CITY OF PERMIT APPLICATION FORM CUPEkTINO Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Thc:atrical Lighting Fix ELECTRICAL BREMVENFAN Vejit Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD :)cb Specific Plan BUILDING BSEISMICOM Se smic 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 :-lectrical sq foot ELECTRICAL EPERMITFEE Ekc Permit Issuance ELECTRICAL MPERMFEE N=echanical sq. foot MECHANICAL MPERMITFEE Meeh 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