06050100 FIWNER�
OF CUPERTINO *` &z . r `" 'P'"`"" '" ° a•n'
D.NG DIVISION PERMIT �CONTRACTORINF,ORMATIQN"_g;'.
ADDRESS: ` DENNIS LIU PFxMTTNO.06 O S O 100
7 AMISTAD CT
l AME: ]E MTI ISSUE DATE
DENNIS LIU QS/11 /2 06
SANTIARY NO. CONTROL NO.
ARCHMCTIENGINEEII: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
:o p LICENSED CONTI ACIDRS DECLARATION Job Description
�+ 1 hxbr,farm ,b 1 w Iicou,N vmMr pm vbu of Cl,per 9(mmmc„dn
t .Ith Sarim70W)ef D1vWoeJdthc Bui,Iu,ud 4
Prd..N„n.Code,W mylkcva
±�„ inrallreRe,Merrea. INSTALL CEILING LIGHT SWITCH AND ELECTRIC OUTLE
'nz_pOi efns"„a FOR DETATCHED STORAGE BUILDING. INSTALL SHEETRO
D.J ARCHITECTS DECLARATION
l 1 undusand my P4^.,b,n be,vN As public mc«A
yu
ud t, loomed P.41.oAl
3 OWNER-BUILDER DECft Cw ION
I hmcAOO.(S thu I i-aanpt from do Cminctafr Lkms L4.for ft _
C o folbwini woe.(S«rim 707 I3,B,ukeu,M PMesoore Code:Ary city ar a«mry
S3�i .hicb mQdro+,promo fo ctms ibo,.Ppl mp.ew.dm„dl�«,cpvir uy,muctmv
_2} PrMrb its i,tuarl¢.WU mQo lht,ppllOnlf«9Lh Pt'.rmilb Bk iLiICd NICnGn
pp < y,,,Nrhnr.�dpem..mmdKofDi „rdritc,11 «•ruanr<1t.(Co,1O) Sq.FC Floor Area a[
d�m (Ci,bol.et pt So ,,ri, )o dDAAO,f.tithe.Z dei s,nd ProfMylit Code)of
S,t h 7 cusp M Pr[J ud the 4O 1t the,Ikicd e,empdoa Any vP4 Y d
sWoerosLshy,er.wu«nrr«.pmh,obFwme,ppBWrm.6alp«.Rym h
mdd 342458B'T00 Occupancy Type
cot mc Wv fiw mmddMn am
❑L u a.ec of Jie p,aprny,«my wpb5eu.hb.,ta u the'v nk mmpem0m.
win&be.erL,r,,Iw ,berrshe°rInt- orofrrcdfor Ask(Sec.ro.B"°°"' Required Inspections
rod Pmf.A.Code:T io Cowr.-WI r M La.dao oar,wy b u aw,er or
Property.bo bulM,IX imPfowa thoeen,,rd who kosmch weft klmrlf«lhmeth tit
o.m=*,00.•prvMdod that such ImP,owmenu w n«'o,tonded orortcred f«uln B.
ka.mer.the bundle[«ijoitic mI,mMw.«eye.dcmpkum.theowno-
bulldo.W uw the burdo,of proNea dr,t M did not b,iM Or bnpfew far pu,poe at
ul�).
®®L u e.ner of ft p.Pmy,w uekmvely ema,crint MW 11¢m d cveucran b
Eol4a¢.Ibc project(Sec.7044.Boslneu,m Pmfealmr Cede)TOO Cmu,Cmf.lr
coos LAW d«4 ew Apply b,o owrer d paperty wbo bwMr or uePu`a We,emi.rod,
a•]e MV,CY fIX SYCb Pm)eN.hb l Cer,VYb((r)BC[Iltd pWID,nl W WC(•erlllCleYr
lJrcaz lJ..
❑IArm mde'ce BkPC �6
o
' 0 KERS C'OMPENSA 1 DECl.1RAT10N
I bertby,fnrm ander pe,ulty of Nfjwy one of,m folbwiet 0niu,tlaru:
I b,w,M WB mtlnuin,Conifiae al C« bzlf-Yruc for wokoo'.C«npon-
.,rim,n provided for by Sccd«,rW d tho Libor Code.ra Ih pmfoiio m of d.e
work f«.kith this pmmlt I,hued.
❑I hue,nd wIR,i isms WO A ompemulm IovR,rbe.As q.[.d by Savm .
3700 d 0e Mbar CoAo,for lm Perfarm,rbe tithe Weft fIX wbuh this P-114 ^,.d
My Workel,Cm,peawiae leruru,m arriv,od Nicy nunlDv ac
Curler. MIOY Na:
CERTIFICATE OF EXEMMON FROM WORKERS
COMPENSATION INSURANCE r
(IbusxOm oeW w 4 rnmpked I Ibc pmmk u f«ar,c bulled AtBm(SIOfn
«la.l
I cmrifY thv.in the praformul¢d the work fa.bkt this perMf h Inaed.I,Mn oar
mpkry u�T.Ip�crsm�yb.pm,¢,y m,omr.oumbccmoc srbj=wN�M' CNnocfrn,lon .
ADPIyof 1� Y.
r rn
NOTICE To APP 1...; m,kint Eaemptbw.yw. 41
bec«ne,ubjw to the W .Compim pforirimr d the LAba Code,ym—
.JO fanbwilb comply with such FVetoimu«Nu Permlf WR bo dm«.d m .
Z COVSfnIK'rJON LENDING AGENCY
[-n Ihemdy dnifinCW ertu,c«wrctim k,Imnt,icecy for the perfaro of
> the wart for which this pami,is Ivmd(s«.3097,CN.Cl
fdl 0 Lerke N•^-
z L4Mef.Adiu
ts
L)O 1 m.,:fy that I bums fad this,ppliafim W M1,Ohio rho Ab idorm,rim Is
D.E. Comtt.lAt=to MPIY With 01 City,M comty Orth u,nd,Iato h..rel,rintW
QU baildintmn.wmion,ud bemby,uthorire of Nis city Or cnbr iim db
0. abaw.,(WO)Atd property I.4nrrify pu,tp bi
(Wc),irs to O.inc,mnilY ud YrtPothe City of Cuprnino,ions
F Z 1. oateq Of
ft ras,M eapaso whiN m,ymer.,y avm,tJutsud Clfy
Uz to Ccealmbedlbe tranuet dlhu perma
^' APPLICANT UNDERSTANDS AND WILL MPLmSY WI ALL NON-POINT Issued by: Date
sou TIONS.
l...r”
Sitnrwc d
KAZARAppliacbr D,¢
HAZARDous MATERIALS Dlsa.osuRE Type of Roof
WIO d,e,ppllaa IX fwarc irol Co o«mpun 19 1«kaMk handout rl S-10Y
AA,IO.1 by d,e Cupertlm Mumrip,l Colo.Cb,pef 9.11,,nd the Halth all S,fmy
cMC.Salm ls3lx,)7 All roofs shall be inspected prior to any roofing material being installed.
❑Ya r l
Wm tha tpNinw ar im,irc bdMint om,paril uc equlpmm4IX de. .biro If a roof is installed without first obtaining an inspection,I agree[o remove
«nit hor4Nou ur mnwnl m is dcftcd by the Bay Aro Air Qallty Man.,iri all new materials for inspection.
amkn
❑Ya 1�No
Ihew m,d Ne luardrm roue+u4 fequvcmvu undo CMpu 6.95 aflhe C,llf«�
au FM41thk S,fctYCadc,Sntiau 35505.x5577 utd 25511.1 vldctunM dm Ids buikknt
dao rm curtcMy Ww,bnYll.thulium c"'j"c «Ifythc acuP,nt of d,c
q mmUp o d,cmu ab or Signature of Applicant Date
�a�� /a� All roof coverings to be Class"B"or better
Owbr«wtha M,irnt Dvb'
CITY OF CUPERTINO
*am 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 34245008 . 00
DATE ISSUED. . . . . . . : 05/11/2006
RECEIPT # . . . . . . . . . : 34359
REFERENCE ID # . . . : 06050100
SITE ADDRESS . . . . . : 10377 AMISTAD CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : DENNIS LIU
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . . ,
RECEIVED FROM . . . . : DENNIS LIU
CONTRACTOR . . . . . . . : LIC # *OWNER*
COMPANY . . . . . . . . . . : DENNIS LIU
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
TELEPHONE . . . . . . . . :
*FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- -- -------- ---------- ----------
BPERMFEE VALUATION 1, 000 . 00 83 . 16 0 . 00 83 . 16 0 . 00
BENERGY PERMIT FEE 83 . 16 39 . 92 0 . 00 39 . 92 0 . 00
BREMFIXT NO. FIXTURES 2 . 00 2 . 40 0 . 00 2 .40 0 . 00
EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00
BREMRECEPT NO. OUTLETS 10 . 00 12 . 00 0 . 00 12 . 00 0 . 00
BSEISMICRE VALUATION 1, 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00
TOTAL PERMIT 176 . 35 0 . 00 176 . 35 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
CHECK 176 . 35 2191
TOTAL RECEIPT 176 . 35
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- _______- _---------------------------
304 ROUGH ELECTRICAL 501 FINAL ELECTRICAL ENERGY
505 FINAL ELECTRICAL
see;c, tilt
grt'KC7 V Eu
iN ACCORDANCE WITH THE CITY Oi
CU ERTINO CODES AND ORDINANCE`
)AT
ilGtrEU � M
` Thislset of plans and spe
cilications
ne ept on the job at all times and it is
la ul to make any changes or alters'
V m dame without written permission
upertino•
Z he building Dept., City of C
Th( stamping of this plan and specdica
;H LL NOT be held to permit or to b
19 iroval of the violation oI any prov
l ,nv Gtv Ordinance or ,rate Law.
I
C�®Q
M Y 1 1 2006
� / 'SGP a�.d 2�cc G 6Ll�C
qF �azL
BJdi E- -
i
Sion
3
V
EIVED
MAY 1 12006
A 3S SOR Copy
'2 0 0 l Aj [_ C m :r C v cLQ
Community Development
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
UPER,TINO
Building De artment
JOB ADDRESS: O PERMIT #
560 .Sr1jo0
OWNER' NAME: A/i(/ S ( PHONE # .3d /
GENERAL CONTRACTOR FAX # 603
I am not using any subcontractors: l�
(/ p6b
Signature Date
Please check applicable subcontractors and complete the followinginformation
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
•
Owner/Contractor Signature Date
CITY OF CUPERTINO O(Z5 0 100
CUPEf�F PERMIT APPLICATION FORM
Date:
Buildi�
Add ss: ll" Mailing Address (if different from building address):
13
Owner's Nam(�)EA V Vr /L� /ci� Phone#: l- S 907
Contractor: OW heY License#`:7� O
Contact: e/lhI,S' l u, Phone:V(I 9O Cupertino Business License#:
Fax: —0 0
Bui I ding-Permit o: �7a-71d C
Reck
Bldg Elect Plumb Mech ❑
Job Description:
Residential 9 Commercial ❑
Sq.Ft. Floor Area: , — - - - Sq.Ft.:
Cost of Project: / a O Occupancy Gr__ zpollD: u
Type of Constru tion: Please check this box if the project is a
second-story addition: El
ro'ect Size: Standard ®- Laze ❑ Major ❑
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> l OOK to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to IM Btu MECHANICAL
BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL
BBOILERS 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 Elee Svcs 600V<= 200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
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(� CITY OF CUPERTINO _
cuP TYOF o PERMIT APPLICATION FORM
QuantityFee ID Fee Description Fee Group
BMISCELL Miscellaneous Fee BUILDING
BMTTIGATC 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 Pblg Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPINI'ERCEP 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 Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfm MECHANICAL
BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
22 BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN Relocation of Fumace MECHANICAL
BREMFURNOV Relo Furnace> l 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
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. aCITY OF CUPERTINO
CUPE��TINO PERMIT APPLICATION FORM
uanti Fee ID Fee Description Fee Group
BREMSIGNAD Rmd] Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Signs, Marquee ELECTRICAL
BREMTHEATR Theatrical Lighting Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL Special Inspection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Temporary Power ELECTRICAL
BTEMPPERM Temporary Bldg Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical sq foot ELECTRICAL
EPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issue PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING
PLLONGRNGR Planning Long Range Residential PLANNING
ZADDCHG Address Chane BUILDING
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