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070802070�Z op W I- VU :Z as taU . W 1.. ;ON ia0 1 ^ y exp CITE' OF CUPERTINO BUILDING DIVISION PERMIT Ci1'T'R��GTOR ITaRMTION BUIL I ESS: D1� D PERMIT NO. ESQUIRE PL A PERFECT CLIMATE 07080207 OWNER'S NAME: PERMIT ISSUE DATE DIEDE THOMAS AND NADEANE 8375 BRENTWOOD BLVD STE B 08/22/2007 -NE: SANITARY NO. CONTROL NO. (408)86'- 9545 ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is REPLACE FURANC E ADD AC TO SYSTEM in full force and cffect License Class Z Lic. ri Date g-2,!3 7 Contractor �`�!3 ARCHITECTS DEC A O I understand my plans shall be used as public records Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractors License Law for the following reason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement licensed to the Contractor's License Law (Chapter 9 Sq. Ft. Floor Area Valuation that he is pursuant the provisions of (commencing with Section 7000) of Division 3 of the Business and Professions Code) or $13478 that he is exempt therefrom and the basis for the alleged exemption. Any violation of ,N Number 3 2 6 4 4 0 2 E Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). CTV ❑ I, as owner of the property, or my employees with wages as their sole compensation, Required Inspections will do the work, and the structure is not intended or offered forsale (Sec. 7044, Business and Professions Code: The Contractor's License Law docs not apply to an owner of q P 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.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:) The Contractors 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(&) licensed pursuant to the Contractors License Law. ❑ i am exempt under Sec. , B & P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury ane of the following declarations: i_J I have and will maintain a Certificate of Consent to self -insure for Workers Compen- sation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ES&havc and will maintain Worker's Compensation Insurance, as required by Section 00 of the Labor Code, for the performance of the work for which this permit is issued. My Workers Compensation Insurance carrier and Policy nurmber arc: Cartier. ' � , 01--C., a , , Policy No.W2-(0Sde 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 person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 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.) Lender's Name Lenders Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs and expenses which may in any way acerae against said City in consequence of the granting of this permit. APPLJI'ANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Date S C REGULATIONS. Re -roofs " a�'`'9 Signature of pylic Contractor Date AZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant store or handle haaardous 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. ❑Yes If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or turc building occupant use equipment or devices which ,:mit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑ Yes 1 have read the ham ous erials requirements underChapter 6.95 of the Califor- nia Health & Safety code, coons 25mat505.25533 and 25534.1 understand that if the building docs nourjently have a tenant, that it is my responsibility to notify the occupant of the rcquir hich must M: met p ' issuance of a Ccrtiftcatc of Occupancy. Signature c f Applicant Date as —O All roof coverings to be Class "B" or better Owner or authorize agent Date CITY OF C'UPERTINO a4t,FURNACE/AC CUPEkTINO PERMIT APPLICATION FORM APN # � � Z � . C� 6 ZlU Y F nergy Date: Building Address: 0' z Z 'e-- S Q C "PL , Owner e: / BREMACOVER Phone #: V -0S9 K)-- 30 Y& Q X4 d f BREMAIRHAN 1JC Units <= 10, 000 cfin Contractor:Phone: C1,��.�� BREMRECEPT License #: 7z 3 /J er-��f BSEISMICRE 'seismic Fee Res Contact: Phone: BSEISMICOM Cupertino Business License #: BUILIDNG EPERMITFEE Flec Permit Issuance Building Permit Info: MPERMITFEE Bldg ❑ Elect Plumb Mech Job Description: '-17? e Cs �� :� e ci C( Residential Commercial ❑ BPERMFEE For Residential Inst ations: ❑ V9. ❑ BUILDING 2°d floor 1St floor Attic Ilan Check Fee Adhere to min set back requirement BPGAS For Commercial Installations: Replacement same weight ❑ Additional weight (s'ructural calcs) ❑ Structural Calculations required for new installation ❑ BUSLIC New installation Planning Approval Required ❑ BUILDING Cost of ProjectY7y Type of Constru,ti -37 Occupancy group: S%v� Strapped ❑ On Platform Er Bonded C} Sq.Ft. Floor Area: New Location Replacement -/W Qty. if Fee TD Fee Description Fee Group BENERGY F nergy BUILDING BREMFURN Furnace MECHANICAL BREMACOVER AIC Unit > 10,000 cfin MECHANICAL f BREMAIRHAN 1JC Units <= 10, 000 cfin MECHANICAL BREMRECEPT I:ecptl, Switch & Outlets ELECTRICAL BSEISMICRE 'seismic Fee Res BUILDING BSEISMICOM 'Seismic Commercial BUILIDNG EPERMITFEE Flec Permit Issuance ELECTRICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPLANCHK Ilan Check Fee BUILDING BPGAS Gas Piping System Fee PLUMBING BUSLIC Business License BUILDING CITY OF ';UPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: --Z Z � � � y`r� ` PERMIT # 0 -2- 0 OWNER'S NAME�- PHONE GENERAL CONTRACTOR: �fe- c{ C FAX # I am not using any subcontractors: Si ;natui " Date Please check avOicable subcontractors and complete the following information: Owner/ Contractor a Date 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 a Date 8 ITEMS OF 21 CITY OF �UPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN 32644026.00 DATE ISSUED.......: 08/22/2007 RECEIPT #.......... BS000002456 REFERENCE ID # ...: 07080207 SITE ADDRESS .....: 10522 ESQUIRE PL SUBDIVISION ....... CITY CUEERTINO IMPACT AREA ....... OPERATOR: CathyS COPY # : 1 OWNER ............: DIEDE THOMAS AND NADEANE ADDRESS ..........: 10E22 EQUIRE PLACE CITY/STATE/ZIP ...: CUPERTINO, CA 95014-1318 RECEIVED FROM EDWARD A GREGORY CONTRACTOR SMITH, BYRON E LIC # 21144 COMPANY A PERFECT CLIMATE ADDRESS 83,5 BRENTWOOD BLVD STE B CITY/STATE/ZIP ...: BRENTWOOD, CA 94513 TELEPHONE (408)861 9545 FEE ID UNIT QUANTITY liMOUNT PD -TO -DT THIS REC NEW BAL BENERGY ------ PERMIT FEE ---------- 1.00 ----------- 34.86 ------ 0.00 34.86 0.00 BREMAIRHAN NO.UNITS 1.00 10.26 0.00 10.26 0.00 BREMFURN NO UNIT 1.00 14.31 0.00 14.31 0.00 BREMRECEPT NO. OUTLETS 1.00 1.20 0.00 1.20 0.00 BSEISMICRE VALUATION 13,478.00 1.40 0.00 1.40 0.00 EPERMITFEE FLAT RATE 1.00 40.79 0.00 40.79 0.00 MPERMITFEE FLAT RATE 1.00 40.79 0.00 40.79 0.00 PPERMITFEE FLAT RATE 1.00 40.79 0.00 ---------- 40.79 ---------- 0.00 ---------- TOTAL PERMIT ---------- 184.40 0.00 184.40 0.00 VOICE ID DESCRIPTION -------- ---------------------------- 303 ROUGH MECHANICAL VOICE ID DESCRIPTION -------- ---------------------------- 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL 508 FINAL MECHANICAL