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06090212CITE OF CUPERTINO BUILDING DIVISION PERMITCO TRACTOR�IO,,RMATION BUILDING ADDRESS: A PERFECT CLIMATE PERMIT No- 06090212 10113 BERKSHIRE CT OWNER'S NAME: 'PERMIT ISSUE DATE DEVANG VASAVADA 10570 S DEANZA BLVD 09/21/2006 NE: SANITARY NO. CONTROL NO. (408)86119545 ARCHIECT/FNGINEEA: _ BUILDING PERMIT INFO BIG ELECT PWMB MECH 0 6 LICENSED CONTRACrORI DECLARATION lob Description C I hereby toff. not, 1. fie. m uNlcr P� or Chit- 9 (commcminL i NiLhSoedon]000)aDivldoo3oflhe Butinm and Pafebdom Coek,�mylicmscu REPLACE EXISTING FURNACE AND A/C run fowe am efrea Lkvuc Cl. Lie 9 Nio Camnmu ARCHITECTS DECLARATION < I undcroaod mY PW..MII k trmd u peblic r¢crd. U Liavcd Pvfcbdoml t, 3 OWNER-BUILDER."fr onDECLARATION I hcmby .(,,e N.t I.. eump. tP CmlramCotw. Lkcem t o f« dW O tov Pmfccvoli Cock: Any city m county nL wan. (Ssliol 1071.5.eL $13on 896 tilless o whichi4i"s. permit remtnnrun Ynrywc, amndw. teY s v,hich } vpficr. rk.-icotJ-ol P(InrWIl3LLm.n6'..3mr�YrtlNC.PP1{C.Nf«]LLhPLrrllnwnlC.dLm��•4'mcN Sq. Ft. Floor Area Valuation <N,r1�i�nr�medwrm.nlwucPm�'idaa,nrN�cnm�cwr.l�mml,.ram�v '.$ _ (eomtrcminl wiN Sadm]01)aDivi.ba Saf the Bvdrtasmd Pransiord Code)« dos he a exempt thaefs® and the bads fu Ne dkLcd mmopdoa Any violaGen a r Occupancy Type $aeon 70315 by •nY .Ppliant fu . permis mbjeas Nc .ppOcmt w . tlNl prnaBY a mt move Nm five hmdted dNlua (17004 ❑ L u awoa of ft pmpvty, or my employm yid, vM n Neur mte rnmpemWm, Required Inspections q Pe win mlive, work. .ndnote �„mtiw-r&d«offered for we(Sm.t .B®K.r and Prof. Code, To, conoamoM1 Llmte I-xv, dna" *Y W m meter a ,,,my who builds u impose. dmeoo, and vho doss s«h work bk=Xor IhmoLh hu ovn oreWyce , provided duet ash imprvleroenu R ml lumlmd or Wrereld for ala If. how r. the bvildin or lmpmvemmt I. and wi.hin arc Year or moliteei ,leeoweu- bu0dc vI0 bet Ne btcdm or proving "M did ms held or Imprvve for Ptvpoe a aka} El 1, a weer of the Property..ra esel®vely conv.ain min li ” bmoam w cotmrzt eve project (Sec 1061. Bu , ed Praadoos Code:) The Coem-o-es Li. Tense law dm ea.pp4y W.n ower a Pro Y wbo Mild. u ImPmva Nerrm, ano. who mtW.cu fa asset pmjeus wIN. mu or(s) licensed Psrwant to Ne fmusctars . uatm few. I. o IScc B &PCfor M / toe0 WORKERS COMPENSATION DECLARATION I bereby drum mWLr ptmdty of perjury, me of Ne 10WIVinL . I MR and roil menu(.. Certinae of C., W re f-Loom for Wmtef.C.Peo- adm, u providW for by Sccdon 711 a de, Libor Cade, re, the Perfe— of Nc wart f«Wh Nis permit U Lahti 1. Coeopeoetoon lonoce. n rnpdmd by Seaim I Enc W v R m.inido Wutrm . 3'1(10 of the Ltbm Code, for the PetfovmuWe a du wvrt f«.vei b Nu 1-4 et ivued. My Worrell Compeoudm Innu.rWe arrier and PnikY twmbet tee: Cartier: Policy Na: CERTIFICATE OF EX MON FROM WORK T COMPENSATION INSURANCE " (TTB scaim Pad ttu be covnpldad n the pumb b it hoodred di 011) or ) I cess(• dol N Ne puf«muta of Ne wart fu .Eich Ws pump I.laued. I sIW I not empldyaoy permninmrttuonermuWb¢mete mbjectw wren' pnu.dm Laws a C.Ilf AppOooa NOTICE TO APPLICANT: If, nk, making Nu CeNHcnc Of aeolPt . Yeo should becnoe .ubjcet w no, wor a Cuopmd.don prevldoos of dse IAbov, code yet mm ',Z foMwith comply wIN such provfdom or Nis permit"I be dm d makeQ CONSre IICTIONI AGENCY 1h. Writ a) for do perfmmm¢a tet dpe Neu Vacan(Sm3n .CN. d«k fu which this pemti. "v lvtWd (See 3041, CW. C) wh QIsndcfs Le Num ' Lmmis Address ' z C 1 certify Nat I Mve mad dirt WIveuion arld lute Nm sbc.bove ivf«m.um u , c«met- I, W cam ply v,0 .11 city and wunsy aNitun¢s.W sou law. rel.dng W l U bvilding cansuuctian. and hemby.uNonrz rep utdvvof Nis city N enter upon dm Gfi shove mendand property I« irrspecdon patp.. (Wc).Lree to eve. indemnify and tap harmless the City a(Cupertiw.L.iw fa/1 Ii Wilbia, Iodpmenu, ems aM upenca which may in my vaY.cNm.Ldeasaid Gty I .. 'n wnsegmtttt aNe rinLa Nis pumit. APP CANT UND STANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date �REGUl.1 NS. ^�/9� ({ Re-roofs lL� Si vet ofd l/Cmtm« Due HAZSRDOUSMATFJUALS DISCLOSURE Type Of ROOF Willy futore hes tomatted Minbelling .GUI 9.1«hWhic i1b, Cupeteo n MdrW by Ur Cupenioa Motticipal Cwde. Chaprm 9.12 aM the Hc.IN ted Safely Cam. s=uet 27531(.)? All roofs shall be inspected prior to any roofing material being installed. ❑Ya ON,, If a roof is installed without first obtaining an inspection, I agree to remove win Ne.ppliartt«future bowing ocrosp.0=eawpmwor dc. which emit M,v . dr cmumlrunu a mnmd by Ne Bay Ata Air QoutY MaoaLemeu all new materials for inspection. l3is11 - ❑Ycs (3 No I Mve scarf the M, ardourala mqu'verr-",. uodercbo Wr6.95aNc UKor. ,Savo9�f9}4��507,27777W23]76.1 ud thou( the WldinI nuY IN& Safety cam udmm doss rot cmrtndy Mac . Wn. 1, s u my tcryonsiGldr W ao iq do oatpmt a lit �r,omrtm r..nRaWa/ Date whch mug be isovNWc a, Signature of Applicant All roof coverings to be Class "B" or better ow .athatncdaLcn rote Community Development 10300 Torre Avenue -%` Cupertino CA 95014 Telephone (408) 777-3228 CITY OF Fax (408) 777-3333 $UPEI�TINO Building Department 0 JOB Al D 35: l �SVL� V e (.moi (.�� A�0, 11_ ( PERMIT # 2( D60 -� e OWNER'S NAME: VAfiVkD6PHONE # ' 140 T GENERAL CONTRACTOR FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information • .. ZI o,6 Date 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 • .. ZI o,6 Date am 1 of 1 CITY OF CUPERTINO PERMIT RECEIPT OPERATOR: amyw COPY # : 2 Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 34212105.00 DATE ISSUED.......: 09/21/2006 RECEIPT #••.......: 36155 REFERENCE ID # ...: 06090212 -- SITE ADDRESS .....: 10113 BERKSHIRE CT SUBDIVISION ....... 0.00 CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: DEVANG VASAVADA ADDRESS ..........: 0.00 CITY/STATE/ZIP .... , RECEIVED FROM ....: DHRUTI VASAVADA CONTRACTOR .......: SMITH, BYRON E LIC # 21144 COMPANY ..........: A PERFECT CLIMATE ADDRESS ..........: 10570 S DEANZA BLVD CITY/STATE/ZIP ...: CUPERTINO, CA 95014 TELEPHONE ........: (408)86119545 IkEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL BREMAIRHAN NO.UNITS 1.00 10.26 0.00 10.26 0.00 BREMFURN NO UNIT 1.00 14.31 0.00 14.31 0.00 BENERGY PERMIT FEE 1.00 34.86 0.00 34.86 0.00 BSEISMICRE VALUATION 14,000.00 1.40 0.00 1.40 0.00 PPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 EPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 MPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 TOTAL PERMIT ---------- ---------- 175.94 0.00 ---------- ---------- 175.94 0.00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ OTHER 175.94 ------------------ MASTERCARD TOTAL RECEIPT 175.94 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ______-- 301 ROUGH PLUMBING -------- 303 ---------------------------- ROUGH MECHANICAL 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL E �(a, Is CUPEk�TINO CITY OF CUPERTINO FURNACE/AC PERMIT APPLICATION FORM W Dq 0212-. APN # 2 1^ 12^ l o� Date: 1 Building Address: 10 1 g ks Co CvA1Q M so l Owner's Name: EVV Phone #: 4 O8- 3611- s24 I Contractor: PErgC-t C L I M N^ -I -E License #: 31S/ Contact: I f- 64N?A LES Cupertino Business License #: Building Permit Info: MECHANICAL Bldg Elect ❑ Plumb Mech LY Job Dc cription: fof kclq Corn YzWV) aill � - Residential Commercial ❑ BUILDING For Residential Ins allations: ❑ 1� Elec. Permit Issuance Attic 1" floor 2nd floor / MPERMITFEE Adhere to min set back requirement 2 MECHANICAL For Commercial Installations: Plumbing Permit Issue Replacement same weight M Additional weight (structural cales) ❑ Structural Calculations required for new installation ❑ Bldg Permit Fees New installation Planning Approval Required BPLANCHK Cost of Project: Type of Constriction: Occupancxgroup: Zj "A1 I S Stra ped U On Platform LZ Bonded Sq. Ft. FloorArea: ❑ 1J51ub New Location Replacement Qty. if Applicable Fee ID Fee Description Fee Group BENERGY Energy BUILDING BREMFURN Relocation of Furnace MECHANICAL BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10, 000 cfm MECHANICAL BRENIRECEPT Rec tl, Switch & Outlets ELECTRICAL BSEISMICRE Seismic Fee Res BUILDING EPERMITFEE Elec. Permit Issuance ELECTRICAL / MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING Ctiv Or CUPEkT.INO CITY OF CUPERTINO FURNACE/AC PERMIT APPLICATION FORM s 0