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07050158 CITY OF CUPERTINO BUIL7ING DIVISION PERMIT C�ITg�,GTQR IORVTA�'ION• ;< BUILDING ADDRESS: 1470 ASTER CT PERMIT NO. JUST WAT] R HEATERS INC 07050158 OWNER'S NAME: RINEHART JOHN L AND CAROL A 4 0 0 PERMIT ISSUE DATE ONE: 3 INVEST (510) 293-9901 SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO m BLDG ELECT PLUMB MECH 00 LICENSED CONTRACTOR'S DECLARATION C� [� Q U U I hereby affirm that I am licensed under provisions°f Chapter 9(commencing Job Description 7 y with Section 7000)of Division 3 of dte Business and Professions Code,and my license is in full force and effect REPLACE 40 GALLON GAS WATER HEATER ? License Class Lic.# F a Date Contractor ARCHf1 ECTS DECLARATION to U I understand my plans shall be used as public records a o in Licensed Pmfcssional 0.art OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the 00 following reason.(Section 7031.5,Business and Professions Code:Any city or county m 94 which requires a permit to construct,alter,improve,demolieh,or repair any structure Z I prior k,its issuance,also requires the applicant for such permit to file a signed statement F~Z that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area $ (commencing with Section 7000)of Division 3 of the Business and Professions Code)or valuation r3• that he is exempt therefrom and the basis for the alleged exemption.Any violation of $914 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ) ppN Number 36616049 . ( 0 Occupancy Type E]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 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 Required Inspections 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 construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractors)licensed pursuant to the Contractor's License Law. ❑I 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: L]I have and will maintain a Certificate of Consent to self-insure for Worker's Compen- 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 arc: Cartier: Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE or less.) (This section need not be completed if the permit is for one hundred dollars(s 100) ' I certify that in the performance of the work for which this permit is issued,1 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 Codc,you must OC forthwith comply with such provisions or this permit shall be deemed rcvoked. s C4CONSTRUCTION LENDING AGENCY ^ v I hereby affirm that there is a construction lending agency for the performance of l Y. the work for which this permit is issued(Sec.3097,Civ.C.) 1 Q Lender's Name ]Z Lender's Address C) 1 certify that I have read this application and state that the above information is 4'" correct.I agree to comply with all city and county ordinances and state laws relating to D U building constructpro,and hereby authorize representatives of this city to enter upon the .r W above-mentioned property for inspection purposes. y p (We) agree to save,indemnify and keep harmless the City of Cupertino against v) liabilities,judgments,costs and expenses which may in any way accrue against said City Z in consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: SOURCE REGULATIONS. Date Signature of ApplicanUContractorRe-roofs HAZARDOUS MATERIALS DISCLOSURE Datc Will the applicant or future building occupant store or handle hazardous material Type,of Roof as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Code,Section 25532(a)? ❑Yes 0 N All roofs shall b:inspected prior to any roofing material being installed. Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit hazardous air contaminants as defined by the Bay Area Air Quality Management District? all new material:.for inspection. E:1 Yes E]No 1 have read the hazardous materials requirements under Chapter6.95 of the Califor- nia Health&Safety Code,Sections 25505,25533 and 25534.I understand that if the building docs not currently have a tenant,that it is my responsibility to notify the occupant of the rcquircments which must be met prior to issuance of a Certificate of Occupancy. Signature of Applicant Date Owner oramm°",.°dagent Date All roof coverings to be Class"B"or better CITY OF CUPERTINO 3 ITEMS OF 6 PERMIT RECEIPT OPERATOR: kiersaw COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot : APN 3661E 049 . 00 DATE ISSUED. . . . . . . : 05/1 /2007 RECEIPT ##. . . . . . . . . : BSO00001358 REFERENCE ID # 0705C158 SITE ADDRESS 1470 ASTER CT SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER RINEHkRT JOHN L AND CAROL A ADDRESS . . . . . . . . . . CITY/STATE/ZIP . . . : CUPER'PINO CA, 95014-5213 RECEIVED FROM . . . . : JUST NATER HEATERS CONTRACTOR . . . . . . . : GILROY, JOHN LIC # 15128 COMPANY JUST WATER HEATERS INC ADDRESS . 3400 :=NVESTMENT BLVD CITY/STATE/ZIP HAYWARD, CA 94545 TELEPHONE (510) ;193-9901 FEE ID UNIT ---- QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- _____ ----- ----- ---------- 0 . 00 34 . 86 0 . 00 ENERGY PERMIT FEE ---------- 1 . 00 34 . 86 BPWHEATER PER HEATER 1 . 00 10 . 79 0 . 00 10 . 79 0 . 00 PPERMITFEE FLAT RATE 1. 00 38 .37 0 . 00 38 .37 0 . 00 -----84 . 02 ------0 . 00 84 . 02 0. 00 ---------- TOTAL PERMIT ---------- VOICE ID DESCRIPTION VOICE ID DESCRIPTION ----- ---------------------------- --- ---------------------------- 502 FINAL PLUMBING ENERGY 506 GAS TEST 507 FINAL PLUMBING DSO 5 O)Gt) -City of Cupertino Buildinq Permit Application E-Mail Jobsite Address: 1470 Aster Ct. Date: 05-15-07 Owner's Name:---Carol Rinehart Phone No.(408)257-4481 APN#: 366-16-049 Project Valuation: S 914.00 Building Permit Info: Bldg___ Elect____ Plumb_( Mech .Job Descri tion FReplace 40 gallon gas .water heater. Contractor Irformation Company: Just Water Heaters Inc. Phone: (510)293-2012 Contact Name: Dulce Fax: (510)293-2022 Address:3400 Investment Blvd. E-mail: pennitdeptdPsbcglobal.net City,State and Zip: Hayward,CA. 94545 �1 State Contractor's License# 591329 Exp. Date: 3/31/08 Worker's Comp#: 044510091 Carrier:ACE Exp. Date: 4/1/07 Credit Card Information Credit Card #: 5474-6390-0047-866) Name on Card: ,Just water Heaters Inc. Expiration Date: 06/08 Visa MasterCard Comments � ,I Community Development ig". 10300 Tone Avenue Cupertino CA 95014 "5"-CITY Of Telephone(408)777-3228 'UPEkTINO Fax(408)777-3333 BuildiriDepartment JOB ADDRESS: PERMIT # 1470 Aster Ct. OWNER'S NAME: Carol Rinehart PHONE # 408-257-4481 GENERAL CONTRACTOR:JustWater Heaters FAX # 510-783-6360 I am not using any subcontractors: ;'' J- + `c-/v' -05/15/07 Sign ature Date Please check applicable subcontractors and complete the followin information: b(jSUBCONTRACTOR BUSINF SS 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 Just Water Hea:ers 591329 Roofing Septic Tank Sheet Metal Sheet Rock Tile 05/15/07 Owner/Contractor Signature Date 1(/28/03