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08110044 CITY OF CUP NO 9 'r'uw�` + "n �" " ''""^ =' BUILDING DIVISION PERMIT co "•: BUILDING ADDRESS: PERMIT NO. 7588 ORANGE BLOSSOM DR AMC GLASS COMP OWNER'S NAME: PERMIT ISSUE DATE TTNT(` T T—(')-"r_ ANN u2RN G T T—Q2 L7 yNE: A O. CONTROL NO. (408) 288-8206 ARCNITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECN upQ LICENSED CONTRACTOR'S DECLARATION Ib Description F I hemby alBtm W.I w licemd under pmvitimu OeSCO of Chapter 9(commencing p with Sccdon 7OW)afDiAsm.3 of die Bud.and Profcssiov Code.and my licc.it + ,a, in full force andaffect. — ..3• WINDW RPLCMNT,ALL BDRMS MEET EAGRESS CODE&2007 q z License Clan Lic.g -F❑ Da¢ l Convenor A BLDCODE e' ARCHITECT-S DECLAR' U1 oMetvand my plana Nall be used az publie%eorda Licensed Pmfeaummal 5 OWNER-BUILDER DECLARATION I Wrathy affirm that I am exempt from tie Conuactoes License Law for the O o following roaron.(Section 7M IS,Business and Pmfc ons Code:My city w county e m Ewhich roquiros a permit to comuact,ter.improv,demmW,of rolm,any stmnute Lzi prism its iovnco.mv nopircs theapplinnt forsoch permilw IIIc asigncdauvmcul =EM NuhcisliccrucopursuammfpmNsi.aftConuacwr'aLicc.Law(Chap.9 Sq,Ft.Floor Area Valuation Yt-s (commencing with Semon 7000)ofDivuionJaf tie Businm and Profeuiov Code)w 6000 that hmpw e 4 duthfmm and tlti hour w for the alleged cnptianAny y violation of Section 70313 by arty appij.,lot permit mbjccu the applicant to a null penalty of APN Number Occupancy Type not mom than five hundtad dallarn(ss0)). 36611059 . 00 ❑1.u owner of die pmperry,a mY wPloym with maga az Ne"v anld compewtion, will do the walla and die NYnwe is mor mounded oraRLRd for tale(SGL.70M.End. and Pmr"'Kno,Cade:The eoolranar's Licottse Law doer ani apply in an awnct of Required Inspections Property who builds or impm thereom and who dm such work hitnamfar Waugh his awn orplaym,povldad that auch improvements are not immmdead oraRetW far sale IL hownwr.the building or impmmoent It sold within am)ear of completion,the ownu- builds will hose the humor of paring that an did not hold or improve for purpose of 1,v owner of the paptrtY-and,eatlutively contracting with liavad Moncton,to mvtmn tle pmjw(Sec 7044.Bnsmw and pterion ms code:)The coavaxwes Li. cove law docs not Way to an owour of property who Wilds ar impmws ti room.and, who convacu for auch pmjcm with a tmn racmr(s)liccved pursuant to tk Cenuw.7or's I lona,law. ❑Iwaeroptundusec ,B&PCfathtsrravn Owner Data WORKERS COMPENSATION DECLARATION I hereby tT=motor paalty of pujury arc of the following declaration: howand"I maintain a Certifim¢of Conan w aelf-ivurt far Wartda Compete - on,as pmviGA for by Section 37110 of tie labor Cade,far the perform.of tie wag for which our permit is issuad. ❑I base and will maintain Worker's Computsatiun Inwanco,as requited by Secdan 3700ofthe labor Cadc.la tho peRormanco of the work fa which Nu penniluissued. My Worker's Compnaadon hmvanco arra and Policy numler ere: Carver. 57A7P7--P Policy No.,Ak 3077k77 CE;mpfrkTE OF EKEMPnON FROM wORKERS COMPENSATION INSURANCE (Dtisseetian road notbecwPleted ifthe prmit Is four Woulmd dollen($103) or 4aa) 1 artif-y,that in W:performance of W:work for which Nis pmtit is ivucd.l Nall na, omPlayany Portion in any mamwrmss to a subject to th Workert'Canpvadon Laura of Califamia Date Applicant NOTICE TO APPLICANT:If.almr making this Ccoiriow of Exemption,you should become subject to the Worker's Cwpevhtion provisions of the Labor Code.you must O foMwida comply with such povidns oor this prmil Nall be tactual rooked. Z a; - CONSTRUCOON LENDING AGENCY [•+� Ihereby alF.that thete is a..do.lending agucy for de performan¢of W . the work for which thin permit in Wood(Sec.3097,Civ.C.) fat Q lances Nwc z landke.AM. U O I tardily that 1 hale road than application and sate that the W.information u Iy F soman.l agme to comply with all city and county aminanca and sou lawa totaling to .0 Wilding con an shoo,and hemby authotim RProasatallKs of this city m now upon de r 0. above-mentioned property,for inspection purposes (We)agroo to rase,indemnify and keep barook.lite City of Cupertino against h Iiabilitiea.ludgments,costs and exprun which may In any way accrue alainst.oid City U Z in conequence of the granting of this p cult. ^t APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE REGULA710 /-, / %2� Re-roofs Signuum of AppliuH HAZARDOUS Dam HAAZARDOUS MATERIAporndoDISCLOSURE Type of Roof Willapplicaforum Wilding occupantamrcor handle hmns omaterial az OeRrod byy ftCupertintu no Municipal Code.Chapter 9.12,and vaOre Health and safety Cock.Sccd.25532(x)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yv � o Will the applicant or mwm building asupm use equipment or dcvi=which If a roof is installed without first obtaining an inspection,I agree to remove likEL Juvardnn air canuminanu to dcfncd by the Bay Arca Air Quality Managemcnl all new materials for inspection. Pr rict7 E3 Y. ANO `y 1 have mad the bvardous materials requirements under impter6.95 of Ne Califor. niaHaI1h&SaIcYC0de.Sectiau 25505.25533 and 25534.1 undcntand thaif tie Wilding des net currcndy ham a un iso,that it It my rospatuthility to at,W occupant or on. roquitemcnu which must W mel prior to Issuance of a Ccrdlkam of Occupancy. Signature of Applicant Date i//roc e� Owner or authamsd ag Dam All roof coverings to be Class'W'or better CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36611059 . 00 DATE ISSUED. . . . . . . : 11/12/2008 RECEIPT # . . . . . . . . . : BS000006590 REFERENCE ID # . . . : 08110044 SITE ADDRESS . . . . . : 7588 ORANGE BLOSSOM DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : TING LI-CHUNG AND TENG LI-TEH ADDRESS . . . . . . . . . . : 7588 ORANGE BLOSSOM DR CITY/STATE/ZIP . . . : CUPERTINO CA, 9501425225 RECEIVED FROM . . . . : CHUNG Y WONG CONTRACTOR . . . . . . . : NATHAN TRUONG LIC # 27700 COMPANY . . . . . . . . . . : AMC GLASS COMPANY INC ADDRESS . . . . . . . . . . : 1999 MONTEREY RD CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE . . . . . . . . : (408) 288-8206 • FEE ID UNIT QUANTITY 'AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- -- --------- 1BSEISMICR VALUATION 6, 000 . 00 0 . 60 0 . 00 0 . 60 0 . 00 1WINREP EACH 8 1 . 00 367 . 00 0 . 00 367 . 00 0 . 00 ---------- ------ --- TOTAL PERMIT 367 . 60 0. 00 367 . 60 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER CREDIT CARD 367 . 60 VISA --------------- TOTAL RECEIPT 367 . 60 • I -- I - � LE I ! AD![ 8R INA I� be kept)on he e�.,s I mes;nd tis r rte . - hTI� is sio It 'll - p__ j iheibudling Ucp. , C;'.!, ,n Cup rtin 1J' V �aF i iu it_� v 06 U�L jDDal of he v olati n o ani pr�u I �I I ! — _� I 'Z ' Y"V-lrtity- �i2elnwte aw-I---©- Q. - Ell p -- -- - I -!-I---- - -- 3x3 ` _ -- S -,--- - i- �' I I o � Ilillillli III ; ; ; ! I II - ?L !_J_ -- os// oozy z CITY OF CUPERTINO • OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM APN # Date: ,3tP � � /U59 , � U Building Address: Mailing Address (if different from building address): Owner's Name: Phone #: — L�-Cl�un Tt n 7" cel b� 3/� ' Contractor: Phone: I EMC :r-n Fax: Contractor License Cupertino Business License#: c) Contact: Phone: ro hnotlw),� Truonj- 71Fa(� 8 —595— 90a • Residential Commercial Job Description: Building Permit Info: Bldg,K 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: ��071�J 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.buildit reen.or i Revised 10/20/08