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02100174T-111JIC }JJ1,,J�JJJ?'Ll'J1A - _ Jr EITJ F) =ile Edit Actions Details Links Favorites Help C,_rmil Iiti UGC?tIG Permit Number " 02100174 Status x C - Closed Zoning Master Number jaiNotes Project CA 95014 14a Back Apply Date " 10124}2002 Operator Permit Issue Date 11}0812002 Operator Certificate Issued Operator Certificate Type OWN Certificate Number 0 conniew suem of Permit' Property Zoning Applicant Contractor' Defined Fields Permit Details City/State/Zip CUPERTINO CA 95014 14a Back Permit Type ` COMML-TI !QI I Contractors DO NOT USE Usage Class' OWN ICLI OFFICES V N N DONT USE Applied Value " I¢.� Inspections 20000 SQUARE FT. 0 Calculated Value I'v'�'AdiIustments 0 ISI US C-404 Type 437 ICU TI --TEMP LIBRARY ALT: NCIN-RES, NON-HSKPG Permit Form " AUTOPERM - PERMIT Ownership 1 - Private Project Size 1COAdd Default T 'ermit issued 11 J08/2002 anter the purpose or any special conditions for this permit LO!=1i',_rr Address' 1 10441 BANDLEY DR OK City/State/Zip CUPERTINO CA 95014 14a Back APN 32633079.00 I Contractors Unit Fees U;,,rl_=r _rltit,ir-Il��r�ia4�s- Owner Name %I RON RANKIMPlan Reviews Use Default I¢.� Inspections Address Home - Print Permit City/State/Zip I'v'�'AdiIustments If' Holds Purpose/Special ConditionsIF%A, Copy Permit TI --TEMP LIBRARY �f Close Permit FILMED 5/2011 ' Overrides Supplemental Fields Notes �E]11 Attachments 1COAdd Default T G'�J R I nwz TUU Z v~iaa Z O2? OZ—o m0,U w a0 aXm� to—rz, hZQ fF0 a3� V CITY OF CUPERTINO BUILDING DIVISION PER CONTRACTOR INFOR ON: BUBTI�441]REsBANDLEY DR RYON COMMERCIAL INC PERMIT NO 2100174 OW?,(,DENAqZANKI M 1330 ORCHARD DR. APPLICATIpIOS/ 74TY 2 0 0 2 P14ONE: __F4_08) 590-8894 SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 LICENSED CONTRACTOR'S DECLARATION h Description I hereby affirm that I am licensed under provisions of Chapter 9 (commencing TI --TEMP LI BRAY with Section 7()00) of Division 3of the Bugij& and Professions Code, and my license is in full lifd effc- z -/ /72 4 License ass Lic. fl �7 T Datc�._.t2-O�C trac r J A'RCHITECT'S LAIRM understand my plans shall be use as public records Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the $20000 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 Ole a signed statement licensed Contractor's License Law (Chapter9 35i46Bt3I@6-b9 Alfa@ Valuation that he is pursuant to the provisions of the (commencing with Section T l) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of i uAPM N4M,6VDA770TT Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than Ove hundred dollars ($500). 102 — PIERS ❑ I, 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 Code: The Contractor's License Law does to of Required Inspections and Professions not apply an owner 104 - REBAR property who builds orimproves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, 105 — ANCHOR BOLTS however, the building or improvement is sold within one year of completion, the owner- 106 — SEWER & WATER builder will have the burden of proving that he did not build or improve for purpose of safe.). 202 - UNDERFLOOR PLUMBING ❑ I, as owner of the property, am exclusively contracting with licensed contractors to 203 - UNDERFLOOR MECHANICAL constrtct 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 ihemon, and . 204 — UNDERFLOOR FRAME who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's 205 - UNDERFLOOR INSULATION License Law. ❑ I am exempt under Sec. , B & P C for this reason 301 - ROUGH PLUMBING Owner Date 302 303 - TUB & OR SHOWER — ROUGH MECHANICAL WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 304 — ROUGH ELECTRICAL ❑ 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 issued. 306 — HOLDOWNS ❑ 1 have and will maintain Worker's Compensation Insurance, as required by Section 307 — INSULATION 3700 of the Labor Code, for the performance of the work for which this permit is issued. My m ns lion lnsurance carrt andyNoy number are: ""�j 308 _ SHEETROCK ieurke�C Y 9R9 Av�r� 3 09 EXTERIOR LATH CERTIFICATE OF EXEMPTION FROM WORKERS' ��frs. _ 310 - INTERIOR LATH COMPENSATION INSURANCE (Thissection need not he completed if the permit is forone hundred dollars ($IO0) 311 — SCRATCH COAT or less.) 313 - ROOF NAIL 1 certify that in the performance of the work for which this permit is issued, 1 shall not 501 - FINAL ELECTRICAL ENERGY employany person in any manner so as to become subject to the Workers' Compensation Laws of California. Date 502 - FINAL PLUMBING ENERGY Applicant 503 - FINAL MECHANICAL ENERGY NOTICE TO APPLICANT: If, alter making this Certificate of Exemption, you should become subject to the Worker's Compensation provisions of the labor Code. you must 504 - FINAL BUILDING ENERGY forthwith comply with such provisions or this permit shall he deemed revoked. 505 - FINAL ELECTRICAL CONSTRUCTION LENDING AGENCY 506 - GAS TEST 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, civ. C.) Lender's Name 507 508 — FINAL PLUMBING - F I NAL MECHANICAL Lender's Address 1 certify that 1 have read this application and state that the above information is 509 - F I NAL GRADE correct. 1 agree to comply with all city and county ordinances and state laws relating to 5 FINAL PLANNING building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. (We) agree to save, indcmnif and keep harmless the City of Cupertino against T1 4 FIN PUBLIC WORKS liabilNes,judgments, costs and seswhich may in anyway accrue against said City in consequence of the grantin is permit. APPLICANT UNDERST SAND WILL COMPLY WIT ALL NON -POINT SOURCE REGULATI Issued by: i 1 Date Cfi Re -roofs Type of Roof nature Applican actor Date HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safely Code, Section25532(a)? All roofs shall be inspected to any roofing material being installed. ❑ Yes No prior If a roof is installed without first obtaining an inspection, I agree to remove Will the applican or future building occupant use equipment or devices which emit hazardous air contaminants a cfincd by the Bay Arca Air Quality Management all new materials for inspection. District? ❑ Ycs No I have read the haz dous mate ' s uiremenls under Chapter 6.95 of the Califor- nia Health & Safety Code, Section and 25534.1 understand that if the building docs not currently have a ten , th rt is my respmsibilily to noti�(xcuPmtl'thc requir, Is which mus met orto issuance ofaCerificate of Signature of Applicant Date All roof coverings to be Class "B" or better Owner authorized agent Date C l,N iL• `. CITY OF CUPEkTINO CI'd'3t OF CUIDERTYNO Q o o � 7� PERMIT APPLICATION. FORM APN # Fee Description Fee Group . 3)6 -3307q �.Date: /D 2 �o Building Address /O4/��- BCONSTAX Owner's Name: BUILDING Phone #: ON x4'w'ow 4W Y6y 0330 Contractor: .Y��r .• ��G�� tee. BCONSTAXR License #: Contact: BELEC1000 Elec 600V <= 1000A Phone #: BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Applicant/Contractor: ELECTRICAL Fax #: Ener2v BUILDING BENERGYADD Buildi%g ermit Info: BUILDING BINVESTIGA Bldg Elect Plumb Meeh Jo escription: BUILDING BMITIGATR Residential: BUILDING Commerc- . Sq.Ft. Floor Area: MECHANICAL BNEWMULTI Architect/Engineer: ELECTRICAL BNUCOMME Valuation: Type of Construction: BNUCOMMM New Comm Mechanical Occupancy Gro p: Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances 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 Ener2v BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BMITIGATR Res. Housing Mit Fee BUILDING BMNEWMULTI New Multi -Family Res MECHANICAL BNEWMULTI New Multi -family Res ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP J New Comm Plumb PLUMBING tar ?sr 1 of 3 70 2 7s'.s�