Loading...
07090018 CITE'OF CUPERTINO � Q ,AT BUILDING DIVISION PERMIT ,. PERMIT NO. BUILDING ADDRESS: 10414 LOCKWOOD DR UNIT A OMEGA CONSTRUCTION 07090018 PERMIT ISSUE DATE OWNER'S NAME: KENJI ARITA 451 FENLEY AVE 7 SANITARY NO. CONTROL NO. NE: BUILDING PERMIT INFO ARCHITECT/ENGINEER: REPLACE WATER HEATER & HLDG ELECT PLUMB MECH p z0 LICENSED CONTRACTOR'S DECLARATION Ob Description U I hereby affirm that I am licensed under provisions of Chapter 9(commencing z with Section 7000)of Divi ' of the Business and�essio Code,and y license is H in full fora and effect. v�z License C Lic•8 p Date Contractor F w CH CTS DECLARATI i < I undcrs a my plans shall he used as public records >yU tol- Licensed Professional •C< OWNER-BUILDER DECLARATION GI hereby affirm that 1 am exempt from the Contractor's License Law for the ,no following reason.(Section 7031.5,Business and Professions Code:Any city or county :I ff which requires a permit to construct,alter,improve,demolish,or repair any structure )"y prior w its issuance,also requires the applicant for such permit to file a signed statement S Ft.Floor Area Valuation ?a that he is licensed pursuant to the provisions of thc Contractor's Liccruc Law(Chapter 9 e F (commencing with Section 7000)of Division 3 of the Business and Professions Code)or ., that he is exempt therefrom and the basis for the alleged exemption.Any violation of Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of ApN Number not more than rive hundred dollars($500). ❑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 Conuactoes License Law docs 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.). ❑1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractor's U- 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 Conu wes License Law. ❑I 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: L3 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. ❑1 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 Com enact'on Insurance carr; and Polity Cartier. 1'rcy No.: (FICA EXEM ( FROMRWRMS 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,1 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 z forthwith comply with such provisions or this permit shall be deemed revoked. Z" CONSTRUCTION LENDING AGENCY ice. 1 hereby affirm that there is a construction tending agency for the performance of C>!+> the work for which this permit is issued(Sec.3097,Civ.C.) W Q Lendces Name �Z Lcndees Address U 0 I certify that I have read this application and state that the above information is w H correct.I agree to comply with all city and county ordinances and state laws relating to J U building construction,and hereby authorize representative of this city to enter upon the ahove-mentioned property for inspection purposes. a (We)agree to save,indemnify and keep harmless the City of Cupertino against Hliabilities,judgments,costs and expenses which may in any way accrue against said City - U Z in consequence of the granting of this perm' Date APPLICANT UNDERSTANDS AND L OMPLY WIrrL NON INT I Issued by: SOU NS. �� (� / Re-roofs _Sig of Applicant/Conuactor Dare T of R sof HAZARDOUS MATERIALS DISCLOSURE Type Will the 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;;hall be inspected prior to any roofing material being installed. El Yes If a roof i;;installed without first obtaining an inspection,I agree to remove Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminantdefined by the Bay Arca 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 does not currently have a ant.that i tent is' f epons bility to notify die occupant of the Date require[ lo4ir^teofoc o Signature of Applicant All roof coverings to be Class"B"or better Date Owner oiauth '.cd agent � CITY OF CIJPERTINO 0-709 0 () l CITY OF PERMIT APPLICATION FORM CUPEkTINO Q L.� Date: _ PN # a pq 0 ` () , r� � S �U Building A ress• �� Mailing ddress (if different from building address): m4A 4 Lo �w Owner's Name: Phone#: �SI Contractor:� License Contact: �' Phone: -` pertino Business License#:, -- - ')t)� Fax: �J Building Permit Info: Bldg ❑ Elect ❑ Pl--imb Mech ❑ Job Description: �d`.S Residential Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: So Occupancy Group _ Type of Construction: Please check this box if the project is a V2u second-story addition: El -oject Size: Standard ❑ Large ❑ Major ❑ Quantity Fee ID Fee Description Fee Grou BAPPLOTHER O:her Appliances MECHANICAL BBOILER1 Boil,-r<= 100,000 Btu MECHANICAL BBOILER2 Boiler > 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX C instruction Tax BUILDING BCONSTAX Ind/Off/Comm./Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH f[otel and Motel BUILDING BCONSTAXR Cowtax-Resi/lblobile BUILDING BELEC 1000 Ele,; 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec ,5vcs 600V<=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA vivestigation fee BUILDING 1 of 3 CITY OF CUPERTINO CITYOF CUPE ~T1N0 PERMIT APPLI�_ATION FORM Quantity Fee ID F.ce Description Fee Group BMISCELL Mi>cellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME Neve Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Ing ection Overtime BUILDING B.PBACKFLOW _ - 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 ReWa Of Fixtures PLUMBING BPSEWAGE Sewage-Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinkler/Backflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER Instal VAlter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT R,,—inspection 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 Relc,cation of Furnace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Hcater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Hisc Apparatus ELECTRICAL BREMNRAPP Rem: Ton-Res Appliance ELECTRICAL BREMPOLE Pol(s/Platform Fixture ELECTRICAL BREMPOWER Power-Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Rel)air/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2cf3 CITY OF CUPERTINO Cin of PERMIT APPLIC� NITON FORM CUPEkTINO Quantity Fee ID F�e Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remo 3el Signs, Marquee ELECTRICAL BREMTHEATR Theatical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ven tilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING _BSEISMICOM Seis nic Commerdai BUILDING ---- - BSEISMICRE S(4smic Fee Ides 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 E ectrical 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 PlanningLR Comme/Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING 3 c f 3 CITY OF CUPERTINO 3 ITEMS OF 7 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 34229040 DATE ISSUED. . . . . . . : 09/ )5/2007 RECEIPT #. . . . . . . . . : BSO )0002557 REFERENCE ID # . . . : 070)0018 SITE ADDRESS . . . . . : 104L4 LOCKWOOD DR UNIT A SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER KENJI ARITA ADDRESS . . . . . . . . . . : 10414 LOCKWOOD DR UNIT A CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : OMEGA CONSTR. CO .CONTRACTOR . . . . . . . : JUN: HUH LIC # 22317 COMPANY . . . . . . . . . . : OMEGA CONSTRUCTION ADDRESS . . . . . . . . . . : 451 FENLEY AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95117 TELEPHONE . . . . . . . . : (408) 243-0404 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ------------- ---------- ---------- ------- BENERGY PERMIT FEE 1. 00 34.86 0. 00 34 .86 0. 00 BPSEWER SEWER SYSTEM 1. 00 21.58 0. 00 21.58 0. 00 BSEISMICRE VALUATION 500. 00 0.50 0. 00 0.50 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 56 .94 0. 00 56 .94 0. 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ----- 502 FINAL PLUMBING ENERGY 506 GAS TEST 507 FINAL PLUMBING Community Development 10300 Torre Avenue :. Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 �UPEkTINO Building Department JO ADDRESS• PERMIT # 0 �� O R'S NAME: k PHONE # GENERAL CONTRACTOR: Q FAX# I am not using any subcontractors: Si€nature Date Please check applicable subcontractors and com lete 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 Owner/C actor ignature Date