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07030152CITY OF CU jrhR IL f.).'i v BUILDING DIVISION PERMIT BUILDING DDRESS: 20370 TORRE AV OWNER'S NAME: TAYLOR WOODROW HOMES NE: ARCHITECT/ENGINEER: Ig 0 LICENSED CONTRACTOR'S DECLARATION W t'- I hereby affirm that I am licensed under provisions of Chapter 9 (commencing Z with Section 7000) of Division 3 of the Business and Professions Code, and my license is e a. in full force and effect. j ? License Class Lhc. N p Date Contractor ? ARCHITECTS DECLARATION j a < I understand my plans shall he used as public records :av IL. y Licensed Professional • � a OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the jn oa following reason. (Section 7031.5, Business and Professions Code: Any city or county {i which requires a permit to construct, alter, improvedemolish, or repair any structure N prior m its issuance, also requires the applicant for such permit to file a signed statement - ? < that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 a= o (commencing with Section 7000) of Division 3 of the Business and Professions Code) or � :° 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 not morn 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 is not intended or offered for sale (Sec. 7044, Business 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,). I, as owner of the property, am exclusively contracting with licensed contractors to Li - TUC the project (Sec, Business and Professions Code:) The Contractors Li- cense Law does not�o to an ow r of property who builds or improves thereon, and who contracts for sdch projects with contractor(s) licensed pursuant to the Contractors License Law. B & P C for this reason ❑ lam exe n Owner - -- ---. Date �, - PERMIT NO. C & J CONTRACTING INC 1 07030152 —_ PERMIT ISSUE DATE 1506 DELI, AVE STE B 03/21/2007 SANITARY NO. CONTROL NO. (408) 374--6025 BUILDING PERMIT INFO BLDG ELECT PLUMB Job Description CHANGING OUT SALES OFFICE BACK TO GENERAL OFFICE SPACE, REMOVE DISPLAY, ONLY KITCHEN AND CHANGE CAN LIGHTS BACK TO FLOURESCENT S 1. Ft. Floor Area 36940017: I hereby affirm unrf�nalty of perjury one of the following declarations: ❑ I have and will maintain a Certificate of Consent to self -insure for workeescompen- 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 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 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 one hundred dollars ($ 100) or less.) I certify that in the oiman a of the work for which this permit is issued, I shall not employ a6�p o an m r ^ bjcet m the workers' Compcnaation Laws of ApplicanNOTICEA fuer making this Certificate of Exemption, you should become subject to the W is Compensation provisions of the Labor Code yrw must ,J `� forthwith comply with provisions or this permit shall he deemed revoked. Z - CONSTRUCTION LENDING AGENCY H rC,0,3.3 I hereby affirm that there is a construction lending agency for the performance of 7 the work for which this permit is issued (Sec. 3097, Civ. C.) W A Lender's Name 2 z Lenders Address I certify that 1 have read this application and state that the above information is U. correct. I agree to comply with all city and county ordinances and state laws relating to U building construction, and hereby authorise representatives of this city to enter upon the above-mentioned property for inspection purposes. ? a(Wc) a ndcmnify and keep harmless the City of Cupertino against liabilities, gmcnts, costs a expenses which may in anyway acerae against said Crty U Z in of the grantin of this permit. h-� nm� -le Ar 'r UN�ERSTA DS AND WILL COMPLY WITH ALL NON -POINT Issued by v-. --r- - IVC RD US MATERIALS DISCLOSURE Will the a{li or future building occupant store or handle hazardous material as defined by thelcyftnino Municipal Code. Chapter 9.12, and the Health and Safety Code,----- 25532(a)? ❑ Yes No Will the applicant or future b tiding occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District? ❑ yes u 1 havems&I'he hoz ous terials requirements under Chapter 6.95 of the Califor- nia Hcalth dti Safety Codc Sc tions 25505, 25533 and 25534. I understand that if the Into does not currently 4ave a ant, that it is my responsibility to notify the occupant or the re hu�rci WG?%*fi m met prior to issuance of a Certificate of Occtfancy.-� Re -roofs Type of Roof $46200 Occupancy "Type "Required Inspections f� All roofs shall be inspected prior to any roofing material being installed. If a roof s installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signaturc of Applicant Date All roof coverings to be Class "B" or better INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO PERMIT INVOICE OPERATOR: christya Sec: Twp: Rng: Sub: Blk: Lot: APN ....... 36940017.00 INVOICE DATE......: 03/21/2007 REFERENCE ID # ...: 07030152 SITE ADDRESS .....: 20370 TORRE AV ID DESURIPTIUN -------- 102 SUBDIVISION ...... 104 REBAR CITY .............. CUPERTINO SEWER & WATER 203 IMPACT AREA ...... 205 UNDERFLOOR INSULATION OWNER ............: TAYLOR WOODROW HOMES TUB & OR SHOWER 304 ADDRESS ..........: TORRE AVE -51 CONDOS 306 HOLDOWNS CITY/STATE/ZIP ...: , SHEETROCK 310 CONTRACTOR .......: CHRISTOPHER S RENO LIC # 27807 ROOF NAIL COMPANY ........... C & J CONTRACTING INC FINAL PLUMBING ENERGY ADDRESS ..........: 1506 DELL AVE STE B CITY/STATE/ZIP ...: CAMPBELL, CA 95008 TELEPHONE ........: (408)374-6025 FEE DESCRIPTION DUE FOR AMOUNT DUE PAID BALANCE --------------------------------------------------------------- ENERGY APPLICATION 246.74 ---------- 0.00 246.74 BLDG PERMIT FEES PRINTING PERMIT 514.08 0.00 514.08 PBLG FIXTURE PRINTING PERMIT 9.00 0.00 9.00 SEISMIC COMMERCIAL PRINTING PERMIT 9.87 0.00 9.87 ELEC PERMIT ISSUANCE PRINTING PERMIT 38.37 0.00 ---------- 38.37 ---------- ---------- 818.06 0.00 818.06 VOICE ID DESCRIPTION -------- ---------------------------- 101 FOUNDATION 103 UFER 105 ANCHOR BOLTS 202 UNDERFLOOR PLUMBING 204 UNDERFLOOR FRAME 301 ROUGH PLUMBING 303 ROUGH MECHANICAL 305 FRAME 307 INSULATION 309 EXTERIOR LATH 311 SCRATCH COAT 501 FINAL ELECTRICAL ENERGY VOICE ID DESURIPTIUN -------- 102 ---------------------------- PIERS 104 REBAR 106 SEWER & WATER 203 UNDERFLOOR MECHANICAL 205 UNDERFLOOR INSULATION 302 TUB & OR SHOWER 304 ROUGH ELECTRICAL 306 HOLDOWNS 308 SHEETROCK 310 INTERIOR LATH 313 ROOF NAIL 502 FINAL PLUMBING ENERGY 503 FINAL MECHANICAL ENERGY 504 FINAL BUILDING ENERGY 505 FINAL ELECTRICAL 506 GAS TEST 507 FINAL PLUMBING 508 FINAL MECHANICAL 509 FINAL GRADE 510 FINAL PLANNING 514 FINAL PUBLIC WORKS CITY OF CUPERTINO 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: christya I COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN ......... 36940017.00 DATE ISSUED.......: 03/21/2007 RECEIPT #.......... BS000000743 REFERENCE ID # : 07030152 SITE ADDRESS .....: 20370 TORRE AV SUBDIVISION ...... CITY ............. CUPERTINO IMPACT AREA ...... METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 818.06 visa --------------- TOTAL RECEIPT 818.06 OWNER ............: TAYLOR WOODROW HOMES ADDRESS ..........: TCRRE AVE -51 CONDOS CITY/STATE/ZIP ...: , RECEIVED FROM ....: RECEIPT INTERFACE CONTRACTOR .......: CF,RISTOPHER S RENO LIC # 27807 COMPANY ..........: C & J CONTRACTING INC ADDRESS ..........: 1506 DELL AVE STE B CITY/STATE/ZIP ...: CAMPBELL, CA 95008 TELEPHONE ........: (408)374-6025 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT ---------- THIS REC NEW BAL ---------- ---------- BENERGY ------------------------------------------- PERMIT FEE 514.04 246.74 0.00 246.74 0.00 BPERMFEE VALUATION 46,200.00 514.08 0.00 514.08 0.00 BPFIXTURE UNITS 1.00 9.00 0.00 9.00 0.00 BSEISMICOM VALUATION 46,200.00 9.87 0.00 9.87 0.00 EPERMITFEE FLAT RATE 1.00 38.37 0.00 ---------- 38.37 0.00 ---------- ---------- ---------- TOTAL PERMIT 818.06 0.00 818.06 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 818.06 visa --------------- TOTAL RECEIPT 818.06 OW Or CUPEI�TINO CITY OF C'UPERTINO PERMIT APPLICATION FORM I "103 0 / 5 Z CPN # cl Date: a---ZD2, \ Building Address: Mailing Address (if different from building address): BBOILERI Owner's Name: Phone #: -1 �D ` Contractor: License #: Boiler > 100K to 500K Btu Contact: Phone: (-1cb) •2%,:).gs43 Cupertino Business License#: Fax: MECHANICAL BuildingPermit Info: �X—C n t; Uq�, 6 CJaClti ' 5 — �ex�ncue. �� y ��r Q cJAr cO Bldg CEJ' Elect Plumb ❑ Mech ❑ Job Description: Residential ❑ Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: 4b , 2,00 0 Occupancy Group: Type of Construction: ,. Please check this box if the project is a BUILDING second -story addition: PrniPrt Ci7P• Ctancjarrl ❑ Laree ❑ Maior ❑ BUILDING Quantity Fee ID BAPPLOTHER Fee Description Dther Appliances Fee Group MECHANICAL BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler > 100K to 500K Btu MECHANICAL BBOILER3 Boiler > 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Poiler > 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Cc n. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax — Resi/Mobile BUILDING BELEC 1000 E' ec 600V <= l OOOA ELECTRICAL BELEC1001 F lec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD H-nergy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING of 3 0f CUPEkTINO CITY OF C'UPERTINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Corr. in. Housing Mit. Fee BUILDING BNUCOMME N:w Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP 1\ ew Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW At nospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE J11dg Permit Fees BUILDING BPFIXTURE Pb1g Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Incl Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plaa Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewa a Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Laura S rinkler/Backflo PLUMBING BPSTORM 'Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain & Vent PLUMBING BPWATER Inst,dl/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT :Zeins ection Fee BUILDING BREMACOVER A/(; Unit > 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL . BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT —ighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Rel,) Furnace > I OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rent Non -Res Appliance ELECTRICAL BREMPOLE Pcle/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Ri,pair/Alter Heating MECHANICAL BREMRESAPP Rerlodel Res Appliance ELECTRICAL 2 of 3 CITY OF CUPERTINO cuP��F PERMIT APPLICATION FORM ')uantity Fee ID Fee Description Fee Group BREMSIGNAD Rm ll Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Thi;atrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD 3cb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP T emporary Power ELECTRICAL BTEMPPERM Ten porary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL / EPERMITFEE Eli!c Permit Issuance ELECTRICAL MPERMFEE Mechanical sq. foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Pl imbing Fee sq foot PLUMBING PLLONGRNGC Plannin LR Comme/ Multi-Fam PLANNING PLLONGRNGR Plannin Long Range Residential PLANNING ZADDCHG Address Change BUILDING 3 of 3