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07090197 77777777 CITY OF CUPERTINO Bf�ILDING DIVISION PERMIT +�� ITRACTC'1�2 I�(}RIV�AtT��N' PERMIT NO. BUILDINGA4p9940MESTEAD RD BLDG 39 #E PRO-CRAFT BUILDERS INC 07090197 G U t5 lJ U 11 PERMrr ISSUE DATE OWNER'S NAME: PROMETHEUS 761 MAEURY RD STE 50 09/28/2007 SANITARY NO. CONTROL NO. iNE: BUILDING PERMIT INFO ARCHriECr/ENGINEER: BALCONY DECK REPAIRS BLDG ELECT PLUMB MECH 00 LICENSED CONTRACTOR'S DECLARATION Job Description VC I hereby affirm that I am licensed under provisions of Chapter 9(commencing z m with Section 7000)of Division 3 of the Business and Professions Cod/e,and my license is t>y in full force and effect. l�Z z License C1 Ll' p Datc Contractor F AR HML-17S DEC AT ON i a<t understand my plans shall he used as public records UJ 'u.H Licensed Professional O a OWNER-BUILDER DECLARATION ja 1 hereby affirm that 1 am exempt from the Contractors License Law for the p O following reason.(Section 7031.5,Business and Professions Calc:Any city or County e Pi which requires a permit to construct,alter,improve,demolish,or repair any structure a rn prior to its issuance,also requires the applicant for such permit to file a signal statement Valuation ?< that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 q.Ft.Floor Area e.F$ (commencing with Section 7000)ofDivision 3 of the Business and Professions Cade)or L 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). ❑1,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 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 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 thereat.and who contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law. ❑[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 Workers Compcn- 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 Wor�j s C nation►+�su�carrier and Policy nu cr re: �l Cartier.Ylt�Ot:�p� 1 \�Policy No.: 5 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars(S 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 Z forthwith comply with such provisions or this permit shall be deemed revoked. 7-- CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of a ' the work for which this permit is issued(See.3097,Civ.C.) W Q Lendces Name az Lender's Address 1 certify that 1 have read this application and state that the above information is tL O cortcct.I agree to comply with all city and county ordinances and state laws relating to U building construction,and hereby authorize representatives of this city to enter upon the W above-mentioned property for inspection purposes. (Wc)agree to save,indemnify and keep harmless the City of Cupertino against H+ liabilities,judgments,costs and expenses which may in any way accrue against said City U Z in consequence of the granting of this permit. Date ►+ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by SOURCEULA ONS. a,& Re-roofs Signature of Applicant/Contractor Dam 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 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 i 3 installed without first obtaining an inspection,.1 agree to remove emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new rr aterials for inspection. District? ❑Yes I have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health&SafctyCodc,Sections 25505,25533 and 25534.1 understand thatif the building docs not currently have a tenant,that it is my responsibility to notify the occupant of the rcuircin nts which must be'met`nor to uanceof a Certificate of occu $ignature of Applicant Date q ��,'�o � l '� 9/7 WO All roof coverings to be Class"B or better Owner or authorized agent Dare CITY OF ]UPERTINO 3 ITEMS OF 30 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 32609056.23 DATE ISSUED. . . . . . . : 09/28/2007 RECEIPT #. . . . . . . . . . BS000002810 REFERENCE ID # . . . : 07090197 SITE ADDRESS 20800 HOMESTEAD RD BLDG 39 #E SUBDIVISION CITY CUFERTINO IMPACT AREA . . . . . . OWNER PRCMETHEUS ADDRESS . . . . . . . . . . : 19CO S NORFOLK ST #150 CITY/STATE/ZIP . . . : SAID MATEO CA, CA 94403 RECEIVED FROM PRC-CRAFT BUILDERS CONTRACTOR BILL L. FEDOR-THURMAN LIC # 28938 COMPANY PRC-CRAFT BUILDERS INC ADDRESS . . . . . . . . . . : 761 MABURY RD STE 50 CITY/STATE/ZIP . . . : SAD JOSE, CA 95133 TELEPHONE (4C8) 441-1301 FEE ID UNIT QUANTITY 1MOUNT 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 1 CITY OF CUPERTINO 1 V CUPEf�TINO PERMIT APPLICATION FORM APN# TDate: Building Address: ]Mailing Address (if different from building address): � 0 044 S+,EAa � v Owner's Name: Phone#: E Contractor: License#: 'e- (�Z Contact: $ 1•Lt_ Phone: a q^4; z Cupertino Business License#: • Fax: _ Building Permit Info: Bldg Elect ❑ PI umb ❑ Mech ❑ Job D ription: Residential LG°''`� �FG� ��P'�"'�S Commercial ❑ Sq.Ft. Floor Area: Sq.Ft. Cost of Project: 1 Oo Occupancy Group: Type of Construction: Please check this box if the project is a second-story addition: ❑ Project Size: Standard ❑ Large ❑ Major❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Ap liances 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 Co istruction Tax BUILDING BCONSTAX Ind/Uff/Comm/ uasi EWING BCONSTAXB Con. 'Cax for BQ Zone BCONSTAXH He tel and Motel BUIL BCONSTAXR Consux—Resi/Mobile BUILDIN BELEC1000 Elec 1500V<= 1000A ELECTRICAL; BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec Svcs 600V<=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investi ation fee BUILDING 1 of? CITY OF C'UPERTINO cuPE�TiNO PERMIT APPLICATION FORM E:�-Uantity Fee ID ]gee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP Ncw Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum _PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE B Ag Permit Fees BUILDING BPFIXTURE Pb1g 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 Re ii a Of Fixtures PLUMBING BPSEWAGE Sema a Dis osal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM St:)rm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water HeaterNent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT R.,-inspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm 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 BREMFLJRNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT He ater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Nfisc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl. Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREmREsAPP--T Remc del Res Appliance ELECTRICAL 2 of'3 CITY OF CUPERTINO CUPEkTINO PERMIT APPLICATION FORM uanti Fee ID Fee Description Fee Group BREMSIGNAD Rmd' Signs Add Branch ELECTRICAL BREMSIGNS Remc del Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Vecttilation Systems MECHANICAL BSCBLVD Scab Specific Plan BUILDING BSEISMICOM Seismic Commercial _BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Insection BUILDING BSWIM Svlmming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temp3rary Bldg Permit BUILDING BTEMPSVCS T,-mDist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC El l-ctrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . 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 of