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09070219 - PUB��16 2 600000 J{� File Edit Actions Details Links Favorites Help Permit Information Permit Number " ' 09070219 F_ Status " C - Closed _ v Master Number - All -- --- Notes 112 — Project Apply Date ' 07/31 /2009 Operator patg Permit Issue Date 08121 /2009 — --- Operator SylviM a___ Certificate Issued 10/20/2009 _ Operator ALM Certificate Type Certificate Number Location Information - - Address " 10168 BYRNE AVE City/State/Zip CUPERTINO APN j35716098.00 Unit (� CA 95014 Owner Entity Information Owner Name iCALVIN & LESLIE NIEH j Use Default 11 Address Home -10168 BYRNE AVE v' City/State/Zip CUPERTINO CA �5014 2808 j Permit ` Property Zoning Applicant II Contractor " ,� Defined Fields Permit Details - Purpose/Special Conditions Permit Type " RBSP [cZJ HZX CROSSTPAINER (SWIM SPA) IN BACKYARD. 220/240 V - ----- SOAMP CIRCUIT_ GFCI BUILT INTO HZX CROSS TRAINER RES SWIMMING POOL PERMIT i SWIM SPA(PG_ 15 OF MANUAL) Usage Class ` -------- -- N/A Lq NON APPLICABLE _ Applied Value x I__— 35861 J SQUARE FT. 01 Calculated Value 0(31 US C•404 Type 329 NEW: OUTDOOR SWIMMING POOL Permit form JAUTOPERM - PERMIT v 0 wnership 1 Private Project Size EXPRESS EXPRESSl t Permit issued 08/2112009 Enter the purpose or any special conditions for this permit FILMED- 20111 A Add Default T Y JU4OK Back Contractors l Fees l Imo, Plan Reviews Inspections [ Print Permit Adjustments fib Holds Copy Permit lQ Close Permit Overrides Supplementalfields ,fjINotes J tl Attachments L CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 10168 BYRNE AVE I CONTRACTOR: JMC ELECTRIC PERMIT NO: 09070219 I OWNER'S NAME: CALVIN & LESLIE NIEH 1808 KIRKALDY CT I DATE ISSUED: 08/21/2009 1 OWNER'S PHONE: 4088739747 SUNNYVALE, CA 94087 PHONE NO: (408)971-7786 0 LICENSED CONTRACTOR'S DECLARATION r r F BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic. # j` r r MECH RESIDENTIAL COMMERCIAL Contractor Date I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature rem JOB DESCRIPTION: H2X CROSSTRAINER (SWIM SPA) IN BACKYARD. 220/240 VOLT 50AMP CIRCUIT. GFCI BUILT INTO H2X CROSS TRAINER SWIM SPA(PG. 15 OF MANUAL) Sq. Ft Floor Area: I Valuation: $35861 APN Number: 35716098.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by:Date: RE -ROOFS: Date All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. OWNER -BUILDER DECLARATION i hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: 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 & Professions Code) i, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regula ons per the Cupertino Municipal Code, Section 9.18. Signature '�� V ' Date I -21-10 Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should i use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sectiioons/25505, 25�3, and 25534. Owner or authorized agent: `dL-�� I:k Date: CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION i understand my plans shall be used as public records. Licensed Professional CITY 0 CUPEI�TINO Community Development 10300 Tone Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: 1 0 l6 S gy r--e J` Co,eQt` V,A0 LA 95 01 PERMIT # Q O C� OWNER'S NAME: (I�\,j ; PHONE # Lto g cty GENERAL CONTRACTOR: p , FAX # I am not using any subcontractors: Signature PIease check applicable subcontractors and complete the following information 1 l o C" `t o$ Date 60 SUBCONTRACTOR 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 Tile 0.-,t ) , i /( Owner/Contractor Signature 3 i oq Date o9o70Zt A CITY OF CUPERTINO SWIMMING POOL/SPA CUPEI�TINO PERMIT APPLICATION FORM APN # .35-q - Re - 09 a, 0 Date: .7 _3c7 -- zo61 Building Address: � o i 6 g �. y s- ,e. K� C -Y A 9S d �{ Mailing Address (if different from building address): Owner's Name: Phone #: �eSA�1e 4og ?i3 111y-1 mt 409 SO1'2S Contractor: ,M e` e`tri L Phone#: 40V a� 7796 Contractor License #: Fax#: C-ko -iO2'3L{(0 Contact: Phone#: eg g 7 3 9 1 q1 Cupertino Business License #: 40g 5 0�{ \ 15 -1 \,i e A � � A Fax #: Residential X Commercial ❑ Job Description: "2,)( (Sw % fA $Pik) Ir4 PC j,q p, � 12C>IZLt0 VC1\( t-i 2x c.RosS RA �� Sw► ��n S A ( .IS � Y��.n.�� Valuation (cost of project): Square Footage: 35, 861 Project Size: Express Standard ❑ Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building Checklist & attach it to the application or if applicable, include in plan set & the sheet index. Quantity Fee ID Fee Description Fee Group Permit Type 1POOLCOMM Commercial Pool B CBSP 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES I BSEISMICO Seismic Commercial B 1POOLVINYL Vinyl -lined (up to 800 s B RBSP 1POOLFIBER Fiberglass B CITY OF CUPERTINO SWIMMING POOL/SPA CUPEItTINO PERMIT APPLICATION FOR Quantity Fee ID Fee Description Fee Group Permit Type 1 POOLGUNITE Gunite (up to 800 sf) B 1 SPAPREFAB Spa or Hot Tub (Pre- fabricated B 1 SAUNA Steam Sauna B 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICR Seismic Residential B 1 PLMBLNCK Plumbing Plan Check P 1PPERMITFEE Plumbing Permit P 1 MPERMITFEE Mechanical Permit M 1 EPERMITFEE Electric Permit E 1 TRAVDOC Travel & Documentation 1BUSLIC Business License B Revised 01/07/09