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07090185 CITY OF CUPERTINO BU11,DING DIVISION PERMIT �� �TQ���� ' ` '— PERMIT NO. BUfLDII6„ADI"fiOMESTEAD RD BLDG 29 #G PRO-CRAFT BUILDERS INC 07090185 G 2$41 U Yi PERMIT ISSUE DATE OWNER'S NAME: PROMETHEUS 761 MAFURY RD STE 50 09/28/2007 SANITARY NO. CONTROL NO. .)NE: BUILDING PERMTr INFO ARCHITECT/ENGINEER: BALCONY DECK REPAIRS BLDG ELECT PLUMB MECH p 0O LICENSED CONTRACTOR'S DECLARATION Job Description V 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing Z,� with Section 70W)of Division 3 of the Business and Professions Code,and my license is t y in full force and effect r rn Z License s Lic•# p DaterWb1 Contractor ARCHrmcrs DECLA ATION 1 understand my plans shall be used as public records )yU y Licensed Professional OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the jo O following reason.(Section 7031.5,Business and Professions Code:Any city or county e 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 Sq.Ft.Floor Area Valuation =Q that he is licensed pursuant to the provisions of the Contractor's Liccnsc Law(Chapicr 9 > F (commencing with Section 7000)of Division 3 of the Business and Professions Code)or L 3 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($500). ❑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 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 arc 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 Contraetoes 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 Contractors License Law. ❑[am exempt under See. 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 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. ❑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 Work rs Co pensation 1 rang carrier and� �� Policy1n-Policy A� 4-5 Cartier. � Poliry No.:w S1 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 Cock,you must Z forthwith comply with such provisions or this permit shall be deemed revoked. z O CONSTRUCTION LENDING AGENCY Ham+ I hereby affirm that there is a construction ending agency for the performance of 7 the work for which this permit is issued(Sec.3097,Civ.C.) w A Lender's Name 2 Lender's Address U 0 I certify that I have read this application and state that the above information is 0,1 cortcet.I agree to comply with all city and county ordinances and state laws relating to v U building construction,and hereby authorize representatives of this city to enter upon the W about-mentioned property for inspection purposes. Fi L1. (Wer)agree to save,indemnify and keep harmless the City of Cupertino against n,+rA liabilities,judgments,costs and expenses which may in any way accrue againstsaid City U Z in consequence of the granting of this permit. Date >-. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: SOURCE GULA ONS Y/ 2 Wb7 Re-roofs / u Signature of Applitant/Conuactor Date T of Roof 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. ❑Yes CfNo W If a roof i;installed without first obtaining an inspection,.I agree to remove Will the applicant of future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Arca Air Quality Management all new materials for inspection. District? ❑Yes Iu I 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 rnotcurrently have a tenant,that it is my responsibility a notify the occupant of the tc rcqu i hmustbc mftpn.or nissuanccofaCcrificatc rgZ dry 7 Signature of Applicant Date All roof coverings to be Class "B"or better Owner or authorized agent Date —— CITY OF CUPERTINO 3 ITEMS OF 30 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk : Lot: APN 32E09056 .18 DATE ISSUED. . . . . . . : 09/28/2007 RECEIPT #. . . . . . . . . : BSC00002810 REFERENCE ID # . . . : 07C90185 SITE ADDRESS . . . . . : 20E00 HOMESTEAD RD BLDG 29 #G SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER PROMETHEUS ADDRESS . . . . . . . . . . : 1900 S NORFOLK ST #150 CITY/STATE/ZIP . . . : SAN MATEO CA, CA 94403 RECEIVED FROM . . . . : PRC -CRAFT BUILDERS CONTRACTOR BILL L. FEDOR-THURMAN LIC # 28938 COMPANY . . . . . . . . . . : PRC)-CRAFT BUILDERS INC ADDRESS . . . . . . . . . . : 76'. MABURY RD STE 50 CITY/STATE/ZIP . . . : SAlf JOSE, CA 95133 TELEPHONE . . . . . . . . : (408) 441-1301 FEE ID UNIT QUANTITY INOUNT 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 CUPERTINO 0`7 0 9 O I _0UPEkT1N0 PERMIT APPLICATION FORM e-orp, P, ID w"0 r%seL *- Coq sa#4L+ APN# .-� ( Date: 3,2(,06?as S 'f—.Z y—o-7 Building Address: Mailing Address (if different from building address): v o `S EA n G Owner's Name: Phone#: E — l-l30► Contractor: License#: Ve_ 1 8,62- Contact: .51•LL Phone: .30 ,1_-, Z 1 Cupertino Business License#: Fax: Building Permit Info: Bldg Elect ❑ Plumb ❑ Mech ❑ Job D ription: Residential 154Le-01`J -pFG1e 9A19A10ZS Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: 3 00 Occupancy Group: Type of Construction: _ Please check this box if the project is a second-story addition: ❑ Project Size: Standard ❑ Large ❑ Ma joI•❑ Quantity Fee ID We Description Fee Group BAPPLOTHER Otner Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler 1 M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi EJUILIDJNG BCONSTAXBQ Con. 'Tax for BQ Zone BCONSTAXH Hotel and Motel BUIL BCONSTAXR Const 3x—Resi/Mobile BUILDIN BELEC 1000 Elec 500V<= l 000A ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec S-v cs 600V<=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 0f3 CITY OF CUPERTINO CUPEI�1"INO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Con un. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW At:nos heric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Uldg Permit Fees BUILDING BPFIXTURE Pb1g Fixture PLUMBING BPGAS Ga: Piping System Fee PLUMBING BPINTERCEP Inc Waste Interceptor PLUMBING BPLANCHK :Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plate Check Re eat Fee BUILDING BPREPIPE RE i e Of Fixtures PLUMBING BPSEWAGE S ewa a Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinkler/Backflo PLUMBING BPSTORM S torm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain & Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Writer Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfin MECHANICAL BREMAIRHAN A/C IJnits<= 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 BR.EMHEAT H,;ater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Von-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture . ELECTRICAL BREMPOWER Power-Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Re_ocation of Hood MECHANICAL BREMREPALT Rer air/Alter Heating MECHANICAL BREMR.ESAPP Remodel Res Appliance ELECTRICAL 2o.-3 CITY OF C±UPERTINO CUPEkTF PERMIT APPLICATION FORM uanti Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD c cb Specific Plan BUILDING BSEISMICOM Seismic 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 Electrical sq foot ELECTRICAL EPERMITFEE Ele,.- Permit Issuance ELECTRICAL MPERMFEE M.-chanical sq. foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE PlumbingPermit Issue PLUMBING - - -PPLBG -- Plumbing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING PLLONGRNGR Plannin :Long Range Residential PLANNING 3 o'3