Loading...
08100064 CITY OF CUPERTINO �a�a,�� .a n -n�w[a�,. epi BUILDINGDIW.SION �• PERMIT ��L\p�J, �-^ Q44� Q4kY-g{41� 'y BUILDING ADDRESS: PERMIT N0. 20686 RODRIGUES AVE JOHNSTON ELECTRICAL 08100064 ' OWNER'S NAME: UU114 IPERMIT ISSUE DATE ONER, FORAY 1302 LINCOLN AVE STE 204 10/13/2008 E: (408) 266-0236 SANITARY NO, CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 fop" LICENSED COmRACIOR'S DECLARATION Job U 1 hereby affram Thal 1 w li¢nad undermm P—W-ns of Chapter 9(cmummODescription with Seems 70M).f Division 3oftho Best.and Professions Codi.aM my Buren¢IS INSTL A/C DISC&WIRE CIRCT BRKR, INSTL 2 GFIC PLGS in full force and,115m. 5 tgz Llansaaass Lk.g ON BOTH SIDES OF HSE BRNG EXTRA CIRCT TO KTCHN ARCHTIELTSDECLARATION &SPLIT KTCHN CNTR WALL OUTLTS INTO 2 ,SEP CIRCTS& I undi m ed my plans sl mn be used ss public ruroNa u a I.icrosbd Prof..umm] c 0.3 OWNER-BUILDER DECLARATION E 1 nertby mlBrm that I am exempt from the Contractors License law far the y e o fallowing won(Section 70 IS,Business and Pofessioer Codc:Any city in county t m(L which acquires a permit b conutrma,miner.improve.demWtslt.in Minor any structure prim m its boomse,alw acquires the.ppliam forsuch permit to file.migmd statement Fro that he is licensed pmsumnt to the provisions of the Commences LiaLaw w(Chapter9 Sq.Ft. Floor Area 3500 Valuation cl- (commercial,with Sued..7000)of Division 3 of the Burin man Prorated..Cade)or u59 9 that ne is exempt IMrefrarn and the baso for the alleged exempdan My Holauon of Section 7031.5 by may applicant fm a permit subjects the applicant in a civil penally of �,p�v7 Number Occupancy Type nm ma othan five hundred dollars(1500). 35911014 .tl G 01,as maner of the property.or MwPIC,.with wages as their robcampensati m win do the work,and the structure Is not intended or offered for side(Sec.70/4,Business and Prufessiom Coda,The Canuacmes Lir'.,a law docs not apply b an owocr of Required Inspections Property who bui Ida err im proves Naeem.and w ha docs such wart humanity through his awncmploy nue.provided that such improvements are not intended monored fm aefe R. however,lie building or improvement is said within am your of completion.No ownu- buklder will have the burden of poring that he did no,build or Improve(err purpose of sale.). 01.as mr.of the progeny,am ucleavelY contracting with licerued comractan he construct the project(Sec.7004,Business and Pmfmions Cade:)The Contacbr's II- came Law does at apply b.n owner of prnperty who builds of Improver thereon.and who contracts for much projects with aeonuacbr(s)licensed pursuant b tine Comracbh License law. Ola,exempt d Sae B k PC far this ran OwmrDab WO CER' Op DECLARATION I hereby.Ilirm neat penalty of perjury am of toe following declanuom: ham and will maintain a Cerniicate of Consent to self-Insure far Workeh Camper- . salon,n previded fm by Section 3700 of the labor Code.fm the performance of Na, wart for which this permit is Wood. - 0 I bave road will maintain Worker's Compensation I...as rcoviacd by Sectors 3700 ofthe Labor Code,for the performusce ofthe work fm which this permit is issued. ' My Workers Compensation Insurance anion and Policy number art: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE Inch;section need rot he completed none permit is froom hundmddavan(SIM) m mess) I comfy that in the performance of the work fm which this Permit is issued,I shall hit ' employ anypersen in any in wb'tecNO Ne Wartr compensator Lmwsof California Due Appncent NOTICE TO APPLICANT:If,after m W ng this Certificate of Eumpi an,you should become a.bjm b the Workers Compensation provisions of the Labra Come,you mail 0 faMwith comply with such formulation;in Nu permit acerin an demand revoked. Z` CONSTRUCTION LENDING AGENCY [-+ I heraby afNm that Vert b a construction lending agency for ft performance of FC the wart fm which Nis prrrair ts issued(See.3097,Or.C.) W� Q tenders Name - Z Lenders Address U Q 1 aNYY that I have rad this application and sate this Na,above marinade"is LL.^ comm" 1 agree N comply w'iN all city and county miniseries and sou laws retailing to CI building comsuuction.aab hereby auNarine reprerenutives of Nu city ban=upon Ne ahave-mcndoned property fm inspection purposes . (Wo)agree to sure,indemnify and keep harmles;the City of Cupertino mom, ,f".h f4A liabilider,judgments.cam and esiparmas which may in any way acvuc apWt said City U? APPLnICA of non 6STANDS Am N COMPLY WITH ALL NON-POINT Issued by: Dale SOUR O& (W NS. 6 1-- �—`— SiS,.of ApplianV 10 roe ARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant m future building occupant time or handler mistreats material as dcfimd by the Cupertino Municipal Code.Chapter 9.12,and the Hcalth and Safety creme.Section 25532(a)7 ❑Ya �tNo All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future building omupant me equipment or devices which, If a roof is installed without first obtaining an inspection,I agree to remove harardner air conumim ns a defined by the Bay Area Air Quality Management all new materials for inspection. "vitt? Oyes ON. 1 have man the hvaNhms materials requiaemcnts under Chaplin 6.95 of the Califor- ' nia Health&Safety ode,Sections 23 5.35577 rot 25S34.I undcmand thnifNc Wilding docs not c I ave I unan,Out' responsibility b miry dm occupant of tine require n rehmntbemm r tssoarccmf.eertnc.me '0, ry. Signature of Applicant Date /O 1 Owner err am0 a All roof coverings to be Class'W'or better uthoriate' . CITY OF CUPERTINO • 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35911014 . 00 DATE ISSUED. . . . . . . : 10/13/2008 RECEIPT # . . . . . . . . . : BS000006328 REFERENCE ID # 08100064 SITE ADDRESS . . . 20686 RODRIGUES AVE SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : ONER, KARAY ADDRESS . . . . . . . . . . : 20686 RODRIGUES CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2965 RECEIVED FROM . . . . : KORAY ONER CONTRACTOR . . . . . . . : BRIAN JOHNSTON LIC # 23411 COMPANY . . . . . . . . . . : JOHNSTON ELECTRICALCONTRACTOR ADDRESS . . . . . . . . . . : 1302 LINCOLN AVE STE 204 CITY/STATE/ZIP . . . : SAN JOSE, CA 95125 TELEPHONE . . . . . . . . : (408) 266-0236 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ------ ------ ---------- 1BREMRECEP NO. OUTLETS 1 . 00 81 . 58 0 .00 81 . 58 0 . 00 1BSEISMICR VALUATION 3 , 500 . 00 100 . 00 0 . 00 100 . 00 0 . 00 IEPERMITFE FLAT RATE 1 . 00 81 . 58 0 . 00 81 . 58 0 . 00 ITRAVDOC FLAT RATE 1 . 00 81 . 58 0 . 00 81 . 58 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 344 . 74 0 . 00 344 . 74 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 344 . 74 MC --------------- TOTAL RECEIPT 344 . 74 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- -- -------- ---------------------------- 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL car ..a.a?'.L ^-'f- -'+i' ♦ -.r1 ^ys^. ,s - r r-- �y x+- v '.`�4 �Y _N l4 A �5 va •� J - .lam~ < �1��F �yYG �" .%1 tl y}i•x-ff "� nt a."..�1 iris 'F".'. uy s �*i t } � r . r 7-e f �V`�'� 4r "� �x S' x a.. f•- �tR� M ✓ r d�+' r,�,i {�t^t i� y i d�` T ^'..P s "' r, .s s F.n #r �•t`' f t`r - a. PROJEC'Ir�C,�OVER�SHEET'��r ,�� ,,�'� Assessor's Parcel Number: Name of owner. )�a �9 X/F R Project address. 2—" Contact.person. re b,"et Li BDu 5 Phone. 0-2,361 Fax. 266- 633? 0,,,,1P/, : 4O�-373- I I I 9 Net square footage of lot. v 13 OC90 Existing Proposed Square footage: First floor: Second floor: Garage: TOTAL: �e there at least two 10 foot by 20 foot clear spaces inside the garage?/ Is privacy protection planting required for the project?, On what floor(s) is work being done? Brief description of work. 4 C (;Fir, o Y 6 cJ )kP ALe c k Q /`r�(jc(.,H n o/ , e ,7 /�697C coKn er W oK e 5 'lo spi, em. .`r 0 `/wo C}�cK1'15 � 7N6V v41 BN.fH Z`( Code editions: 2008 CBC (Y -N)2008 FG) �N)2008 CMC (Y-N) ea6e,v 2008 CPC (Y -r>)2oo8 NECK N) recpP I1��P �o �r�c W v 4 _plex Effective 1/1/08 OCT 13 pppB Plan Review Process Work Book Page-B-Revised 1/1/08 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 *UPER,TINO Building De artment J0B ADD2(rf 6 g7% 0�r� a�5 /'�f✓, - PERMIT# OWNER'S NAME: ka/�xf4 Q ,-, PHONE # 8— 3;3-I/4' (ce2l GENERAL CONTRACTOR: J !" e If/e- FAX # I am not using any subcontractors: /0 / 2 e Date Please check applicable subcontractors and complete the following " ormation: 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 er/ or Signature Date o p, CITY OF CUPERTINO CIN OF • CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM APN #j 6-91 / Ll. 0 U Date: i3 Building Address: htLOS � Ve Mailing Address (if different from buildinV address): Owner's Name: Phone#: Contractor: y J G Phone: „J o h S ✓ E6C� [ T' q b Fax: `6 Contractor License #: y� 96Q Cupertino Business License #: V // Contact: tE ��Gi �o�JUS Phone:4(H- 2a— t11336> - • Fax: 4(H- 2 - t113 36> Residential 9 Commercial El Job Descri tion: rru /4� Ci pj �r J3 C<<� 7 bred scription: J ns r1C©ry i!C W� Z c�ri Pl r Z_ 5 (� Z /G etc pis (G-� // ) Q.� 6Bc�! S, s Of/ lx ��se 3 gr,� �n G�xY rcl C �c�r �a �: hA.ii Coati-ler ' O Sfl,4 k, clhzn ® uv�er �rl� nw�le�s Ino Iwo ins.` a`(zr h h 3-- Ce Aver, AfPfjo e t..tilP 40 Building Permit Info: -P EK 16FIC - Bldg ❑ Elect ® Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type:: / 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-B — Valuation: Square Footage: [Project Size: ,Express �Standard ❑ . Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include in plan set& the sheet index. Points Achieved: • For help, contact Build it Green at www.builditgreen.org D ' _ n Revised 7/01/08 c., a10 CITY OF CUPERTINO CUPERTINO GENERAL BUILDING • PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1 BBOILERI For the installation or relocation of ea M boiler/compressor to & including 3 horsepower, or ea absorption sys to & incl 100,000 Btu/h (29.3kw 1 BBOILER2 Installation/relocation of ea M boiler/compressor over 3 horsepower to & incl 15 horsepower, or ea absorption sys over 100,000 Btu/h I BBOILER3 Installation/relocation of ea M boiler/compressor over 15 horsepower to & incl 30 horsepower, or ea absorption sys over 500,000 Btu/h to & incl 1,000,000 Btu/h 1 BBOILER4 Installation/relocation of ea M boiler/compressor over 30 hosepower • to & incl 50 horsepower, or for ea absorption sys over 1•,000,000 Btu/h to & incl 1,750,000 Btu/h I BBOILER5 Install ation/relocation of ea boiler or M refrigeration compressor over 50 horsepower, or ea absorption sys over 1,750,000 Btu/h 1BAPPLOTH For ea appliance or piece of equip M regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this code. 1 ELECINSP Other Electrical Inspections (per hour) E 1MECHINSP Other Mechanical Inspections (per M hour) 1 PLMBINSP Other Plumbing & Gas Inspections P (per hour 1MEETINGIHR Application Meeting B •