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12060036 CITY OF CUPERTINO BUILDING PERMIT BUILDINGADURF.SS: 11497IANDYPI- CONTRACTOR:THE SOLAR COMPANY. PF.RMITNO: 12060036 INC OWNER'S NAME: 'TONG PFT'ER AND LINDA 20861 WILBF.ANI AVE STE 1 DATE ISSIIED:06/06/2012 OWNER'S PHONE: 4082525257 GASTRO VALLEY.CA 94546 PHONE NO:(510)214-9005 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r License Class ->' LicfHl S 4LGS F r _ MECH RESIDENTIAL COMMERCIAL r Contractor / u l- DaterL- 1 hereby JOB DESCRIPTION: UPGRADE MAIN ELECTRICAL SERVICI`-PANEL TO 225 alih-in that I am licensed under the provisions ol-Chapler 9 (commencing with Section 7000)of Division 3 of the Business&Professions AMP Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the fallowing Mn declarations: I have and will maintain a certificate of consent to self-insure for Worker's Compensation,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 provided for by Sq.Ft Floor Area: Valuation:$800 Section 3700 of the labor Code,for the performance of the work for which this permit is issued. APN Number:35624006.00 Occupancy Type: APPLICANT CERTIFICATION I certify that I have read this application and slate that the above information is correct. I agree to comply with all city and county ordinances and stale laws relating to budding construction,and hereby authorize representatives of this city to enter PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 1 g0 DAYS FROM LAST CALLED INSPECTION. granting of this perntt. Addi)iunally,the applicant understands and will comply with all non-point Ftmu ce re ulaliau per the Cupertino Municipal Code,Section ` 9.I8: Issued by: 567,9 Date: Date: Signa(ura� •9 ❑ OWNER-BUILDER DECLARATION RE-ROOF'S: All roofs shall be inspected prior to any roaring material being installed-If a roof is hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection.I agree to remove all new materials for the following Iwo reasons: inspection. 1,as owner of the property,or nmy employees with wages as their sole compensation, will do the work,and the structure is not intended or offered for sale(Sec.7044, Signature of Applicant: Date: Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to construct(he project(Sec.7044.Business&Professions Code). .ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1 hereby affirm under penally or perjury one of the following three declarations: IIA7,ARDOUS M ATF.RLALS DISCLOSURE I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Ileallh&Safety Code.Sections 25505.25533,and 25534. I will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Cade,Chapter 9.12 and the llealth& I have and will maintain Worker's Compensation Insurance,as provided for by Safely Code.Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for(he performance of the work for which(his Additionally,should 1 use equipment or devices which emit hazardous air permit is issued contaminants as defined by the Bay Area Air Quality Management District 1 will maintain compliance with the Cupertino Municipal Code.Chapter 9.12 and the I certify that in the performance of date work for which this permit is issued,I shall Ileallh&Safely Code,Seclious 25505,25533,and 25534• not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If,after making this certificate of exemption,I Ownr euthori74t gent': become subject to the Worker's Compensation provisions of the Labor Code,I must ✓ /I forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's I certify that I have read this application and stale that the above information is for which this permit is issued(Sec.3097,Civ C.) correct. I agree to comply with all city and county ordinances and state law's relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's.Address indeninil'y and keep harmless the City of Cupertino against I iabil ices,judgments, costs,and expenses which mayaccrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCIIITF.CT'S DECLARATION with all non-paint source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18_ Licensed Professional Signature Date CITY OF CUPERTINO 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35624006 . 00 DATE ISSUED. . . . . . . : 06/06/2012 RECEIPT #. . . . . . . . . : BS000017012 REFERENCE ID # . . . : 12060036 -- SITE ADDRESS . . . . . : 11497 LINDY PL SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : TONG PETER AND LINDA ADDRESS . . . . . . . ... . : 11497 LINDY PL CITY/STATE/ZIP CUPERTINO, CA 95014 RECEIVED FROM . . . . : WILLIAM DANENHOWER CONTRACTOR . . . . . . . : MARK R. DANENHOWER LIC # 31418 COMPANY . . . . . . . . . . : THE SOLAR COMPANY, INC ADDRESS . . . . . . . . . . : 20861 WILBEAM AVE STE 1 CITY/STATE/ZIP . . . : CASTRO VALLEY, CA 94546 TELEPHONE , . . . . . . . . : (510) 214-9005 FEE ID, UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW SAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- -ADMIN HOURS 1.00 41. 00 0.00 41 .00 0.00 1BCBSC VALUATION 800.00 1. 00 0 .00 1 .00 0 .00 1BSEISMICR VALUATION' 800.00 0.50 0 .00 0.50 0. 00 1EPERMITFE FLAT RATE 1.00 44 .00 0 . 00 44 . 00 0. 00 IERT2001K UNITS 1.00 65.00 0. 00 65 .00 0. 00 1TRAVDOC FLAT RATE 1.00 44.00 0. 00 44 .00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 195 . 50 0 . 00 195.50 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------- CREDIT CARD 195.50 VISA --------------- TOTAL RECEIPT 195.50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 103 UFER 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL F Community Development _ 10300 Torre Avenue j.• . Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 CUPEf�TINO Building Ile artment JOB ADDRESS: PERMIT# OWNER'S NAME: . ' OIL; j'`7 ,; PHONE # GENERAL CONTRACTOR:- FAX # I am not using any subcontractors: _KIeUC Signature Date Please check applicable subcontractors and.com Tete the following information: SUBCONTRAC'T'OR 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 �6-7 Owner/Contractor Signature Da e CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION 01 ADDRESS: 11497 Lindy PI DATE: 06/06/2012 REVIEWED BY: Sean APN: BP#: 'VALUATION: $800 *PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration /Addition / Repair PRIMARY SFD or Duplex PENTAMATION 1REAP3 USE: PERMIT TYPE: WORK Upqracle main electrical service panel to 225 amp. SCOPE APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES Services 1ERT2001K 225 Amps $65 TOTALS: $65.00 P/...,rb. /Yam Chis A Elec. Plan Check 0.0 1 hrs $0.00 Lha:!r, l'rnuir Fere /'Lund, Po F.,: Elec. Permit Fee: IEPERA4IT Udmr Llrrh. Ln p. Other Phmrd Insp. Other Flee. Insp. 0.0 hrs $44.00 ,lh(h, /tap, /4r' !'lamb. hop. Fr,'; lClrr. !n,/, li,.. NOTE: This estimate does not include fees due to other Departments(i.e. Planning, Public Works, Fire,Sanitary Sewer District,School District,etc. . These fees are based on the prelimina information available and are only an estimate Contact file Dept for addn7 info. FEE ITEMS (l-cc Itc.sohnion 11-053 ED' Ul.�ll) FEE QTY/FEE MISC ITEMS Phn'i 01,:(k I er: .4rrppl_ P( (i',: PME Plan Check: $0.00 I'cnnil l'�rr: Sup/+l. lre p Fc,: PME Unit Fee: $65.00 PME Permit Fee: $44.00 ('mull lit non Administrative Fee: IADMIN $41.00 Work Without Permit? O Yes 0 No $0.00 ,I'll 111( o/Plaimili", I ces: Travel Documentation Fee: ITRAVDOC $44.00 Sll"onP, Motion Fee: IBSEISMICR $0.50 Select an Administrative Item [31de,Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $195.50 $0.00 TOTAL FEE: $195.50 Revised: 05/01/2012 � Zvbc> v3� GENERAL PERMIT APPLICATION M E P COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 M I sc CUPERTI NO (408)TT7-3228•FAX(408)TT7-3333•buildingGncuoertino.orD PLUMBING MECHAMCAL ELECTRICAL MISCELLANEOUS PROJECTADDRESS OWNER NAME, PHONE I J/UG' /'�71t5T> JS • "z-- STREET ADDRESS CITY,SFA TE,ZP FAX ily -7 . }Y ,,�`� -� Esc, / CONTACT NAME ;;77 / PHONE E.�MAR. C-.S-s'��-y'YB''S'X 75 S' �Al/E.�Z4//6�tir ���fc'ScYd+'CC f.Qv STREET ADDRESS , CTTy,STATE, Z@ FAX ,2(i . L' .t,1 cdc AA C-,rS-A? - G:l ti'vs-�1L 7 -'S' '- 172C/y ❑OWNER ❑ OWNER-BUDDER ❑ OWNERAGENr 6CONJRAROR ❑CONTRACrORAGENT ❑ ARCHRECr ❑ENGINEER ❑ DEVELOPER ❑ TENANT CO CiOR NAME I LICENSE NUMBER LICENSE TYPE BUS.LIC R r stc !I NnJVY G/c 5' cD!.iPauY NAME E FAX JEJ'ZW1EC1.C! d 7J-1E 5''a'74 i J,_6 �i/ 9r?L STAFET ACfrYSj,ATEZIP PHONE LoG5 sf475W ARCHITEC(ENGINEER NAME LICENSE NUMBER BUS.uC R COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SFD m DUPLiDr ❑ MULTI.FAMI.Y PROJECT INWI DLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑ YES BURODJG: [3 COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME ❑NO DESCRIPTION OF WORK /(�CNr irLc 3 G� 4,4 J21 SEi ,icc f'liti%L. �•J to;l 1°il-A1k5-L- TOTAL VALUATION: GDU RECEIVED BY: By my signature below,I certify to tach o the o 'g: 1 anon' m n' petty owner or authorized agent to act on the property,owner's behalf. I have read this application and the information I hav ed cortect 1 have d he Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relatin 'n c 'on. I au odu represrntatives of Cupertino to enter the above. Sed pro ry for inspection puf�oscs. gn Applicant/Agent:g ' / �• �.7 � Si acute ofA IicandA rn[ iUi Date: SUPPLEMENTAL INFORMATION REQUIRED t OFFICE USE ONLY OVER-THE-COUNTER Y F ❑ EXPRESS u ❑ STANDARD U ❑ LARGE L ❑ MAJOR 1kEPMtscApp_201 Ldoc revised 06/21/11