The URL can be used to link to this page

07100054 CIT�! OF CUPERTINO ` ' �7� ' BUILDING DIVISION PERMIT +C�l�T� �� . .: _ . .. ,:: . :: PERMIT NO. BUIL �r��,��xES�� FELI PE RD JUST WA�'ER HEATERS INC 0 710 0 0 5 4 . OW NER'S NAME: PERMTT (SSUE DATE V INH TRAN 3400 IIV��ESTMENT BLVD � 10/05/2007 iNE: SANITARY NO. COMROL NO. (510)29:�-9901 ARCHiTECT/ENGINEER: BUILDWG PERMITINFO BLDG ELECT PLUMB MECH � 0 0 0 i p � LICENSED CON7RACTOR'S DECLARATION JOb DeSCCIptlOtl � V� I hcrcby afGrm �hat I am licanscd unJcr provisions oC Chaptcr 9(commcncing ; z� with Sccdon 7400) of Divisian 3 of thc Business and Profcssions Codc, and my liccnsc is RE PLAC E 7 5 GAL . GAS WATER HEATER �= y in full fo¢e and cCCecK. � v� Z Licensc Ciazs L�. # � �,,, � Datc Contracwr � ARCHITECI'S DECLARATION i a a I understand my plans shall Ac uud as public records )yU ' u. y Liccnscd Pn�fcssional � y � OWNER-BUILDER DECLARATION 1 hcrcby alTirm that I am raccmpi Crom �hc Contracmr's Liccnsc Law for U�c � p o following rasan. (Section 7031.5, Busincss and Profcssions Cafc: Any ci�y or county �,°, � which rcquims a pcmiit to conswct, alter, impmvc, dcmuli.eh, or repair any stcucturc ° Z} prior to iLS issuancc, alsu rcquires �hc applicant for such permit to filc a signcJ su�emcnt -< thai 6c is IiccnscJ pursuan� to thc provisions oI thc Conuactar's Liccnsc Law (Chaptcr 9 ,>q. Ft. Floor Area $14 2 8 Valuation X t �(commencing with Section 7000) of Division 3 oC �he Business and Professians Cade) or y�� that be is e:empt thcreftom and the batis !or the allcgcd exemption. Any violatian of Section 7031.5 by any applicant for a peanit subjects ihe applicant to a civil penalty of 3 4 2 2 2 0 9 .� � Number Oecupancy Type not more than fvc hundrcd dollars (5500). ❑[, as owncr oC ttrc property, or my employcu with wages az the'v solc compensauon, wilidothework.andihesuuctureisnotintendedoroffe:edforsalc(Sec.7044.Business Re uired Ins ections and Professions Cadc: The Conuactor's Licenu Law does not apply m an wmer of Q P property wha builds or improves thercon, and who does such work himselt ar Uwugh his own employces, provided that such improvemenLS are not imm�ded or atCe�ed for sak. IC. however, the building or improvement is soid within one year of comptcuon, die owner- builder will have the burden o[ proving that he did not build or improve [or pmpox of sa�J. ❑ I, as awner o[ the propeny, am exclusively conuacting with ticenud rnnuactas to conswct the projea (Sec. 7044. Businas and Professions Code:) The Coatnetnr's [.i• cense [aw docs no� apply w an ownu of propeny who builds or improves �heieon, �nd , who contrac�s Cor such pmjecu with a coninctor(s) liansed pursuant to Uie Conuactors License Law. 0 I am ezempt undu Sec. , B dc P C for �his rcawn Owner Date _ .. _ WORKER'S COMPENSATlON DECLARATION I heceby afiiem under penalty o( pe�jury one af the following decla� ❑ I hsve and will main�ain a Certificate of Conxnt to self-imme for Worlrcfs Compen- sation, as providcd for by Sation 3700 of the Labor Code, for �he performarce af i6e work (or which Ihis permit is issued. 0 I havc and will maintain Worker's Compensation Insurance, as rcquired by Section , 3700 oC the Labor Cade, for the performance of �he work for which this pemiit is issued My Worke�s Compensauon Insurancc carrier and Policy numbcr arc: Cartier: Policy No.: CERTIF[CATE OF EXEMP7ION FROM WORKERS' COMPENSATION INSURANCE (This section Med not be completcd if the permit is for anc hundred dallars (S 100) nr Icss.) ' I cenify thxt in thc performancc of �hc work for which �his {xrtnit is issucd, I shall not employ any person in any manner so as to become subject to �he Workers' Compensation Laws of Califomia. Datc Applicant NOTICE TO APPLICANT: 1f, aftcr making Ihis Ccrtificatc of Excmpdon, you shoulJ bccomc subjcct to thc Worka's Compcnsation provisions of thc La6ar Codc, you muu , O forthwi�h comply with such pravisions or this pecmit sha11 be deemed revoked. z '"'' CONSTRUCCION LENDING AGENCY Fr ► I hecchy afCirtn ihat there is a consuuction Icnding agency for the per[ortnarwe o[ , (� � thc work fur which this permit is iuucd (Scc, 3097, Civ. CJ LLl Q Lendcrs Namc ' � z L.cnder's Address () 0 1 certify �hat 1 have rcad �his applieation and sute ihat the above in(ocmatiun is �►-� cortect. 1 agree �o comply wi�h all city and county ontinances and siate Iaws relating to 0 U building conswction, and hcrcby authorim rcprescmativcs of this city to cntcr u{x�n Nc � W abo�c-mcntioncd property for inspccuon purposes. a (Wc) agrce to save, indemni(y and kecp harmlcss thc City of Cupcnino against H � liabilities,judgmcnu, cos�s and ezpenses which may in any way accruc againsl said City U z ia conseqcence o( the granting oC Ihis permiG Date � APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: SOURCE REGULATIONS. Re-roofs Signaturc of ApplicanUConvxtor �0� Type of R �of HAZARDOUS MATERIALS D[SCLOSURE Will Wc applicant or futurc building occupant starc or handlc ha•rudous ma�crial az dcfincd by the Cupertino Municipal Codc. Chap�cr 9.12, and �he Health md Safety Ca1c. Scction 25532(a)? All roofs :,hall be inspected prior to any roofing material being installed. ❑ Ycs ❑ No WiII the applicant or fuiure building occupant usc eyuipment or dcviccc which If a roof i:; installed without first obtaining an inspection, I agree to remove - cmit harardous air conWminants az dcfincd Ay �he Bay Arca Air Qualily Managcmenl all new m iterials for inspecr_ion. Distcict? ❑ Ycs ❑ No t havc rcaA the ha�ardcws maicrials requircmcn�t undcrChap�cr6.95 of ihc Cali[or- nia Hcalih & Safcry Codc. Scctions 25505, 25533 and 25534.1 undcrstand Ihat iCthc building docs �not currcntly havc a tcnan4 ihat it is my responsibility ta notil'y thc occupant of �hc rcyuiremcn�s which must bc met prior �o issuance oCa Ccnificaic o(Ckcupa�cy. S1g111tUre Of AppI1CS(lt Date Da � . All roof coverings to be Class "B" or better Owncr or authorizcd agcn� Cit of Cu ertino Buildin Permit A lication E-Mail Jobsite Address: 10535 San Felipe Rd. Date: October 3, 2007 Owner's Name:---Tran, Vinh Phone No (408)426-0571------ APN#: 342-22-092�-E`��----- Project Valuation $ 1,428. 00 Building Permit Info: Bldg___________ Elect___.________ Plumb______X_____ Mech___________ �ob DE�scri tion Replace 75 gallon gas w;�ter heater. Contractor Information Company: Just Water Heaters Inc. Phone: (510)293-2012 Contact Name: Fax: (510)293-2022 Address: 3400 Investment Blve. I:-mail: permits@justwaterheaters.net Ciry, State and Zip: Hayward, CA. 94545 State Contractor's License # 591329 =xp. Date: 3/31 /08 Worker's Comp#: Ol DKRM11001070 Car�ier: Nelos Exp. Date: 4/1 /08 Credit Car�� Information Credit Card #: �� Name on Card: �ust Water Heaters Inc. Expiration Date: 6/O8 Visa � Ma�;terCard � Comments CITY OF CUPERTINO 3 ITEMS OF 3 PERMI�P RECEIPT OPER.ATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Bl{: Lot: APN ......... 34�22092.00 DATE ISSUED.......: 10/05/2007 RECEIPT #.........: BS�00002906 REFERENCE ID # ...: 07100054 SITE ADDRESS .....: 10�35 SAN FELIPE RD SUBDIVISION ....... CITY .............. CU?ERTINO IMPACT AREA ....... OWNER ............. VI:JH TRAN ADDRESS ..........: 10�35 SAN FELIPE RD CITY/STATE/ZIP ...: CU?ERTINO, CA 95014 RECEIVED FROM ....: JU3T WATER HEATERS CONTR.ACTOR .......: GI:�ROY, JOHN LIC # 15128 COMPANY ..........: JU3T WATER HEATERS INC ADDRESS ..........: 34)0 INVESTMENT BLVD CITY/STATE/ZIP ...: HA�WARD, CA 94545 TELEPHONE ........: (5L0)293 FEE ID UNIT QUANTITY ,�MOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- PPERMITFEE FLAT RATE 1.00 40.79 0.00 40.79 0.00 PRWHEATR UNITS 1.00 24.48 0.00 24.48 0.00 TR.AVDOC FLAT RATE 1.00 40.79 0.00 40.79 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT : 106.06 0.00 106.06 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 106.06 MC --------------- TOTAL RECEIPT : 106.06 INVOICE INVOICE INVOICE INVOICE I]�TVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO PERMI`[' INVOICE OPERATOR: patg Sec: Twp: Rng: Sub: Blk: Lot: APN ......... 34:?22092.00 INVOICE DATE.. 10�05/2007 REFERENCE ID # ...: 07:L00054 SITE ADDRESS .....: 10'i35 SAN FELIPE RD SUBDIVISION ....... CITY .............. CU-?ERTINO IMPACT AREA ....... OWNER ............. VI]1H TRAN ADDRESS ..........: 10!i35 SAN FELIPE RD CITY/STATE/ZIP ...: CU:?ERTINO, CA 95014 CONTRACTOR .......: GI]�ROY, JOHN LIC # 15128 COMPANY ..........: JU:�T WATER HEATERS INC ADDRESS ..........: 34�)0 INVESTMENT BLVD CITY/STATE/ZIP ...: HA'CWARD CA 94545 TELEPHONE ........: (5:L0)293 FEE DESCRIPTION DUE FOR AMOUNT DUE PAID BALANCE --------------------------- ---------------- ---------- ---------- ---------- PLUMBNG PERMIT ISSUE PRINTING :?ERMIT 40.79 0.00 40.79 RESIDENTIAL WATER HEATER/VE 24.48 0.00 24.48 TRAVEL AND DOCUMENTATION FE 40.79 0.00 40.79 ---------- ---------- ---------- 106.06 0.00 106.06 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 101 FOUNDATION 102 PIERS 103 UFER 104 REBAR 105 ANCHOR BOLTS 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 203 UNDERFLOOR MECHANICAL 204 UNDERFLOOR FRAME 205 UNDERFLOOR INSULATION 301 ROUGH PLUMBING .�302 TUB & OR SHOWER 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 305 FRAME 306 HOLDOWNS 307 INSULATION 308 5HEETROCK 309 EXTERIOR LATH 310 INTERIOR LATH 311 SCR.ATCH COAT 313 ROOF NAIL 501 FINAL ELECTRICAL ENERGY 502 FINAL PLUMBING ENERGY 503 FINAL MECHANICAL ENERGY 504 FINAL BUILDING ENERGY . Community Development 10300 Torre Avenue �� "'�� Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 �'UPE T1�J0 �. _ Build:in De artment JOB ADDRESS: PERMIT # 10535 San Feli e Rd. �� -� OWNER'S NAME: Tran, Vinh PHONE # 408-426-0571 GENERAL CONTRACTOR: JustWater Heater s FAX # 510-783-6360 � ��.�..��, � C:.v�.. C3t.��r'J�. � I am not using any subcontractors: � � 10/03/07 � ignature Date Please check a licable subcontractors and coni lete the followin information: SUBCONTRACTOR BUSIIVESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass J Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Just Water Heaters 591329 Roofing Septic Tank Sheet Metal Sheet Rock Tile �- . t ', � , �,,', . � ��e�. �-�-� �-;�:�..C�.�:..�z�_,��.,�; 10/ 03 07 Owner/Contractor Signature D,�te 10/28/03