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07080262
CITE'OF CUPERTINO BUILDING DIVISION PERMIT C4) T1tACTOR INFURMA'I'ION• BUILDING ADDRESS: PERMIT NO. 22320 KENDLE ST SUPREME AIR SYSTEMS 07080262 OWNER'S NAME: PERMIT ISSUE DATE VINOD PERIS 8 0 G ILWaN AVE .08110/2n 7 )NE: SANITARY NO. CONTROL NO. (408) 376-0406 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH O p LICENSED CONTRACTOR'S DECLARATION W p I hereby affirm that I am licensed under provisions of Chapter 9(commencing Job Description zUJ U with Section 7000)of Division 3 of the Business and Professions Cade,and my license is REPLACE (E) A C UNIT H in full force and effect License Class Lic.S F p Date Contractor .-'J ARCHITECT'S DECLARATION Ed u�r< 1 understand my plans shall be used as public records aV C y Licensed Professional y OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the a o 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 ?< that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area Valuation [_- (commencing with Section 7000)of Division 3 of the Business and Professions Code)or $515 that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of �,pN Number Occupancy Type not more than five hundred dollars(asoo). 3 2 6131 L 0 . 0 0 p y yp ❑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 and Professions Code:The Contractor's License Law does not apply to an owner of Required Inspections 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 V owner of the property,am exclusively contracting with licensed contractors to t 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 Se ,B&P C for this reason Owner. Date C --'WORKER'S CO P ON 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 Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Worker's Compensation Insurance carrier and Policy number are: Carrier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars($100) or less.) 1 certify that in the performance of the work for which this permit is issued,1 shall not employ any person in any mann as be m su�ject to the Workers'Compensation Laws of Califo ' .Date Applicant NOTICE TO APPLICA :If,after making this Certificate of Exemption,you should become subject to theWorker's Compensation provisions of the Labor Code,you must O forthwith comply with such provisions or this permit shall be deemed revoked. s CONSTRUCTION LENDING AGENCY .4 1 hereby affirm that there is a construction lending agency for the performance of Y,> the work for which this permit is issued(See.3097,Civ.C.) Q Lender's Name z, Lender's Address C) 1 certify that I have read this application and state that the above information is Ew ►-' correct.I agree to comply with all city and county ordinances and state laws relating to D V building construction,and hereby authorize representatives of this city to enter upon the w W above-mentioned property for inspection purposes. y Cl~ (We)agree to save,indemnify and keep harmless the City of Cupertino against y rA liabilities,judgments,costs and expenses which may in any way accrue against said City Z in consequence of the granting of this permit. r APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued b3: Date SOUR TIONS: 7 Re-roofs Signatu ol'Appli D to HAZARDOUS MATERIALS DISCLOSURE Type,Of Roof Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal dc.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 o Will the applicant or future building occupant use equipment or devices which If a roof s installed without first obtaining an inspection,I agree to remove mit hazardous air contaminantsd by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes 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 a tenant,that it is my responsibility to notify the occupant of the requirements wh met prior to issuance of a certificate of Occupancy. Signature of Applicant Date owne or authorized agent' All roof coverings to be Class"B"or better INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO PERMIT INVOICE OPERATOR: CathyS Sec: Twp: Rng: Sub: Blk: Lot: APN 32513110. 00 INVOICE DATE. . . . . . : 08/30/2007 REFERENCE ID # . . . : 07)80262 SITE ADDRESS . . . . . : 22320 KENDLE ST SUBDIVISION . . . . . . . CITY CU?ERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . . VII4OD PERIS ADDRESS 22320 KENDLE ST CITY/STATE/ZIP . . . : CU:?ERTINO, CA 95014-1025 CONTRACTOR ALLEN SENNERT LIC # 21614 COMPANY SUPREME AIR SYSTEMS ADDRESS 80 GILMAN AVE CITY/STATE/ZIP . . . : CAMPBELL, CA 95008 TELEPHONE (408) 376-0406 FEE DESCRIPTION DUE FOR AMOUNT DUE PAID BALANCE --------------------------- ----------------- ---------- ---------- ---------- ENERGY APPLICATION 34. 86 34. 86 0. 00 A/C UNITS <= 10, 000CFM PRINTING PERMIT 10.26 10.26 0.00 FURNACE INSTALLATION PRINTING PERMIT 14.31 14.31 0. 00 SEISMIC FEE RES PRINTING PERMIT 0.50 0.50 0. 00 ELEC PERMIT ISSUANCE PRINTING PERMIT 40.79 40.79 0. 00 MECH PERMIT ISSUANCE PRINTING PERMIT 40.79 40.79 0.00 PLUMBNG PERMIT ISSUE PRINTING PERMIT 40.79 40.79 0. 00 ---------- ---------- ---------- 182 .30 182 .30 0. 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 301 ROUGH PLUMBING 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 501 FINAL ELECTRICAL ENERGY 502 FINAL PLUMBING ENERGY 503 FINAL MECHANICAL ENERGY 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL CITY OF CUPERTINO CUPEkTINO PERMIT APPLICATION FORM _ ?N# Date: �/S C)/© --7 Building Address: � �� K E n o(j E . _c n a C `� S r7 I j Owner's Name: v o I ��, y S Phon�09 9,-; WD e -- -- I,iccnse V. Contact: Phone: Cupertino Business License #: Building Permit nfo: Bldg ❑ Elect -4'lumb C;-- Mech El-- Job Description: Residential Commercial ❑ For Residential Installations: $R Attic 15' floor ❑ 2nd floor❑ Adhere to min set back requirement❑ For Commercial Installations: Replacement same weight ❑ Additional weight(structural calcs) ❑ suctural Calculations required for new installation New installation Planning Approval Required ❑ Cost of Project: Type of Construction: Occufancyloup: �x 51 -5 Strapped ❑ On Platform Bonded ET Sq.Ft. Floor Area: New Location ❑ Replacement Qty. if Applicable Fee ID Fee Description Fee Group BENERGY E:iergy BUILDING BREMFURN Fiimace MECHANICAL BREMACOVER A/C Unit> 10,000 cfin MECHANICAL BREMAIRHAN A/C Units <= 10, 000 cfm MECHANICAL BREMRECEPT Recptl, Switch & Outlets ELECTRICAL BSEISMICRE S:ismic Fee Res BUILDING BSEISMICOM S:ismic Commercial BUILIDNG EPERMITFEE Etec Permit Issuance ELECTRICAL MPERMITFEE N_ech Permit Issuance MECHANICAL PPERMITFEE P'umbing Permit Issue PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPLANCHK Y an Check Fee BUILDING BPGAS C as Piping System Fee PLUMBING BUSLIC Business License BUILDING Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 av OF Fax(408)777-3333 rUPEI�TINO Building Department JOB ADDRESS: PERMIT # 'Z 2 2< Ke nc�le S� -C� <�+ �f�,CA X50/ G?p? DOWNER'SNAME: j o e a S CPG P ris PHONE # /.f pg 93c> GENERAL CONTRACTOR:5u FAX # I am not using any subcontractors: g Sign Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSI:vESS 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 9170 Zc, 7 Owner �actor Signature Date