The URL can be used to link to this page

07090184 ,777 CITY OF CUPERTINO Cfil 'Tk CTjC?R�� }RTI�J � BUILDING UIVISIGN PERMIT . PERMIT NO. BUILDING1""HOMESTEAD RD BLDG 28 #H PRO-CRFFT BUILDERS INC 07090184 L U r1 . PERMIT ISSUE DATE OWNER'S NAME: PROMETHEUS 761 MAEITRY RD STE 50 09/28/2007 SANITARY NO. CONTROL NO. JNE: BUILDING PERMIT INFO ARCHITECT/ENGINEER: BALCONS DEC REPAIRS BLDG ELECT PLUMB MECH ! CONTRACTOR'S O LICENSED CONTRACTOR'S DECLARATION Job Description w1 hereby affirm that I am licensed under provisions of Chapter 9(commencing ZU with Section 7000)of Division 3 of the Business and Professions Code.and my license is UJ t=H in full force and effect n vn z License CI Lle' p Date Contractor S ARCHITECT'S DECI A N i a< t understand my plans shall be used as public records )yU 9LLicensed Professional OWNER-BUILDER DECLARATION ja I hereby affirm that 1 am exempt from the Contractor's License Law for the _n o following reason.(Section 703 1.5,Business and Professions Cole: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 ; ,Ft.Floor Area Valuation that he is licensed pursuant to the provisions of the Comrsctoes License Law(Chapter 9 q a (commencing with Section 7000)of Division 3 of the Business and Professions Code)or i 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 APN Number 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 isnot intended oroffered for sale(Sec.7044,Business Required Inspections and Professions Code:The Contractor's 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 sate.). ❑1,as Owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Cade:)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(s)licensed pursuant to die contractors 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: ❑1 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 Worker's Compensation Insurance carrier and Policy number are: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for otic hundred dollars($100) or less.) I certify that in the performance of the work for which this permit is issued,l 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 Oforthwith comply with such provisions or this permit shall be deemed revoked. Z, CONSTRUCTION LENDING AGENCY E~" I hereby affirm that there is a construction lending agency for the performance of C~ the work for which this permit is issued(See.3097,Civ.C.) w Q Lender's Name aZ Lcndees Address U 0 1 certify that 1 have read this application and state that the above information is 11~F correct.I agree to comply with all city and county ordinances and state laws relating to 0 U building construction,and hereby authorize representatives of this city to enter upon the U above-mentioned property for inspection purposes. C>~ (We)agree to save,indemnify and keep harmless the City of Cupertino against tE" liabilities,judgments,costs and expenses which may in any way accrue against said City U Z in consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE REGULATIONS. Re-roofs / y Signature of Applicant/Contractor Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof 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 shall be inspected prior to any roofing material being installed. ❑Yes ❑No Will a roof is installed without first obtaining an inspection,.I agree to remove ill the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes ❑NO 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 requirements which must be met prior to issuance ora Certificate of Occupancy. Signature of Applicant Date All roof coverings to be Class"B" or better Owner or authorized agent Oate - CITY OF CUPERTINO 3 ITEMS OF 30 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Bl}:: Lot: APN 32( 09056.17 DATE ISSUED. . . . . . . : 09/ 28/2007 RECEIPT #. . . . . . . . . : BS000002810 REFERENCE ID # . . . : 07090184 SITE ADDRESS . . . . . : 20800 HOMESTEAD RD BLDG 28 #H SUBDIVISION . . . . . . • CITY CUPERTINO IMPACT AREA . . . . . . . OWNER PROMETHEUS ADDRESS 1900 S NORFOLK ST #150 CITY/STATE/ZIP . . . : SAN MATEO CA, CA 94403 RECEIVED FROM . . . . : PRO-CRAFT BUILDERS CONTRACTOR BILL L. FEDOR-THURMAN LIC # 28938 COMPANY PRO-CRAFT_ BUILDERS INC ADDRESS . . . . . . . . . . : 76__ MABURY RD STE 50 CITY/STATE/ZIP . . . : SAI7 JOSE, CA 95133 TELEPHONE (408) 441-1301 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- - --------- ---------- ---------- ---------- BPERMFEE VALUATION 3, 100. 00 104 .76 0. 00 104 .76 0. 00 BPLANCHK PERMIT FEE 104 .76 139 .80 0. 00 139 .80 0. 00 BSEISMICRE VALUATION 3, 100. 00 0.50 0. 00 0 .50 0. 00 - --------- ---------- ---------- ---------- TOTAL PERMIT 245.06 0. 00 245 . 06 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 CITY OF (: CITY OF CUPERTINO cuPER,Titv0 PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME Now Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME In:, ection Overtime BUILDING BPBACKFLOW 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 flan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plar. Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawl S rinklerBackflo PLUMBING BPSTORM S-orm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Al--. of Drain &Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reins ection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Romodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT H,;ater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Polo/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rcpt , Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2 of3 CITY OF C'UPERTINO CUPEkTF PERMIT APPLICATION FORM [Q-u_-a-n-tij Fee ID :Fee Description Fee Group BREMSIGNAD Rmdl Si s Add Branch ELECTRICAL BREMSIGNS Remadel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD �-cb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE "eismic Fee Res BUILDING BSPECIAL S)ecial Inspection BUILDING BSWIM ;')wimmin Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mochanical sq. foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plunibin Permit Issue PLUMBING PPLBG Plunbing Fee sq foot PLUMBING PLLONGRNGC Planning1�R Comme/Multi-Fam PLANNING PLLONGRNGR Planning ,on Range Residential PLANNING 3 o:'3