05120056 Community Development
aED
10300 Torte Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CUPEI�TINO CITY OF Fax(408) 777-3333
Building De artment
JOB ADDRESS: PES Z
20090 La Roda Ct. `su O
OWNER'S NAME: Cramb, Dale PHONE # 408-253-5591
GENERAL CONTRACTOR: Just Water FAX # 510-783-6360
Heaters 1
I am not using any subcontractors: �� �CQ �o ^ , 12/12/05
Signature Date
Please check applicable subcontractors and complete the following information:
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 Just Water Heaters 591329
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile 1
12/12/05
10/28/03
2
City of Cupertino Building Permit Application
E-Mail
jobsite Address: 20090 La Roda Ct. Date: 12-12-05
Owner's Name:---Cramb, Dale
Phone No.(408)253-5591
APN#: 369-34-033 Project Valuation: $ 775.00
Building Permit Info: Bldg Elect Plumb---X- Mech
Job Description
Replace 50 gal gas water heater.
Contractor Information
Company: just Water Heaters Inc. Phone: (510)293-2012
• Contact Name: Dulce Fax: (510)783-6360
Address:3400 Investment Blvd. E-mail: permltdeptgsbcglobal.net
City,State and Zip: Hayward,CA. 94545 -
State Contractor's License# 591329 Exp. Date: 3/31/06
Worker's Comp#: 1626288-05 Carrier: State Compensation Insurance Fund Exp. Date: 4/1/06
Credit Card Information
Credit Card #: 5474-6390-0047-8660
Name on Card: Just Water Heaters Inc.
Expiration Date: 06/08
Visa MasterCard
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