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06080017 - PUB
I A leo File Edit Actions Details Links Favorites Help `� ry III C'- J Permit Information Permit Number 106080017 t Status v Master Number] Project � ----_ - Notes j A Apply Date' F08/0 01 0 Operator kiersaw Permit Issue Date iO8/02/2006 Operator kiersaw Certificate Issued 09/0212006 Operator L Certificate Type Certificate Number Permit " Property Zoning j; Applicant Contractor' Defined Fields Location Information Address " 10150 N WOLFE RD City/State/Zip CUPERTINO APN L7 620038.00 Unit �--- --� -- 0,,,xier Entity Information Owner Name " VALLCO INTERNATIONAL Use Default Q Address Home City/State/Zip CAS 9-5014 Permit Details - - -- Purpose/Special Conditions Permit Type COMM✓L-NEW TEMP_ PERMIT FOR JC PENNY' S PARKING STRUCTURE DO NOT USE —� iTEMPORARY PERMIT EXPIRES 09/02/06 _ -- RENEWED 9/5/06 - NEW EXPIRATION 10/05/06 Usage Class" PUG1A1FR PUBLICGARAGES 1 A 1 FR SENT INSPECTION REPORTS TO MICROFILM 1/2010 Applied Value ` [_ "I FILMED FILE ONLY- 2011 SQUARE FT. Calculated Value 0 PLANS ON ORIGINAL PERMIT 06030076 US C-404 Type 321 tNEW_ PARKING GARAGE - - - - Permit Form rAUTOPERM -PERMIT v' Ownership 1 -Private v Project Size - I(EAdd Default Text i/ OK I Back In Contractors Fees 1 Plan Reviews 1,4lnspections Jag Print Permit Adjustments ("V` H olds IE�J Copy Permit l l0 Cross Permit Overrides Supplemental Fields INotes FrJ; Attachments l Enter permit status CITY OF CUPERTINO BUILDING DIVISION BUILDING ADDRESS: 10150 N WOL OWNER'S NAME: VALLCO INTERNATI PHONE: ARCHITECT/ENGINEER: p LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing tu with Section 7000) of Division 3 of the Business and Professions Code, and t9y license is rn in full force and effect f C�G z License CI Lic. x O Date Contractor AR rrECrS DECLARATION -� 1 understand my plans shall be used as public records 'V F' Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the i O following reason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct. alter, improve, demolish, or repair any structure } prior to its issuance, also requires the applicant for such permit to file a signed statement 3 0 that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 $ (commencing with Section 70f)0) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged c=pdon. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). ❑ I, as owner of the property, or my employees w ith wages at their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044. Business and Professions Code: The Contactors License Law does 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. lf, however, the building or improvement is sold within one year of completion, the owner - builder win have the burden of proving that he did not build or improve for purpose of sale.). ❑ L as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:) The Contractors Li- cense Law does not apply to an owner of property who builds or improves thereon, and. who contracts for such projects with a contractor(s) licensed pursuant to the Contractors License Law, ❑ 1 am exempt under Sec. . B & P C for this reason Owner Dale _ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 Luued. ❑ I have and will maintain Workers Compensation Insurance, as required by Section 3700 of the Labor Codc, for the performance of the work for which this permit is issued. My Workers/� o�mpensauon Insuramx carrier and Policy number ar : �OD Cartier. Te Policy No.: L CERT�7 ATE OF FROM W RKERS' COMPENSATION INSURANCE (cots section need not be completed if the permit is for one hundred dollars (S 100) or less.) 1 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 Workers Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec- 3091, Civ, C.) Lenders Name Leader's Address 1 certify that 1 have read this application and s the above information is correct. 1 agree to comply with all city and county or s and state laws relating to building construction, and hereby authon7 represe tiv of this city to enter upon the above -mentioned property for inspection rpou (We) agree to save, indemnify a9d keep ess the City of Cupertino against liabilities, judgments, costs an pe • whit m in any way accrue agai t said City in consequence of the grand f Ihi APPLICANT UNDER ST ,$S D L COMPLY WITH A ON OINT SOURCE REGULATI03 / fz Signature of ApplicanfCofftactOr Will the apphcant or fur as defined by the Cupertino Mudici Cock, section 25532(a)? ❑Ycs ®No Will the applicant .lute emit haxardnus air con or s ss District? ❑ Yes El N 1 have read ous at nisi Health &Serf ,Seed does not corm a ten L. a requirements use pnr occupant store or handle hrrardous material k. Chapter 9.12, and the Health and Safety SPECIAL. PROJEC2T LPI PERMIT" '06080017 01 (510)893-8337 PERMIT ISSUE DATE SANITARY NO. CONTROL NO. Job Description BUILDING PERMIT INFO ELECT PLUMB TEMP. PERMIT FOR JC PENNY'S PARKING STRUCTURE TEMPORARY PERMIT EXPIRES 09/02/06 Floor Area 31620038.00 Issued by: Re -roofs Type of Roof Required Inspections Valuation $ 0 Occupancy Type Date All roofs shall be inspected prior to any roofing material being installed. :upant use equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove the Bay Area Air Quality Management all new materials for inspection. bats requirements undcrQhaPtcrQ5 of the Cahror- 05,25533and 25534.1 Uidersumotat if the building it is my responsihjliN notif occupant of the : to issuance of az fixate oewwcy. Signature of Applicant Date All roof coverings to be Class "B" or better Owner or atithorized adnt - / / Date CITY OF CUPEkTINO OITY OF CUPERTINO PERMIT APPLICATION FORM OU CA60Dn- trilkJ_-- G60 --- do 0 7 6' APN # � 1 (0 --Zo Date: 5 - 2- © / Building Address: Mailing Address (if different from building address): ate u. 0 L F E Qo Owner's Name: L &ND MAQ. Ro ES I� Phone #: ,7 i Co ctor- License #: ik.m 1<0 vl (0 2- Cont ct: Phone: Cupertino Business License#: G 3 Ol Fax: Sla 2(p Building Permit Info: j EM? F( j -�-O (— �J C_Qern r\ �_ Bldg Z Elect Plumb ET,*, Mech Er Job Description: < i S"7RV C y t7 Tz Residential ❑ Commercial {� Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: Occupancy Group: -- 71 Type of Construction: L2 Please check this box if the project is a ❑ second-story addition: Project Size: Standard ❑ Large ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances 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 Boiler > 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax — Resi/Mobile BUILDING BELEC1000 Elec 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of 3 r-o- • alF CUPEI�TINO WITY OF CUPERTINOA PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pb1g Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain & Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reins ection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Buswa s ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace > 1 OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non -Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2 of 3