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00040011CITY OF CUPERTINO BUILDING DIVISION PERMIT, C ONTRACTOR INFORMATION: BUILDINGADDRESS: O L. L�- z`A ~IG OWNER'S NAM �{(' (/-t {i / /� T (/�• 40N- 0. Z-) rl- I`l8,�2�� ARCHITECT/ENGINEER w a LICENSED CONTRACTOR'S DECLARATION ZO z _' I hertby erimt Net 1 am licrmetl under provisions of Chapter 9 (ehmmeming r Job Description t•:Ctj, wiNSecrceand0ffetel isimJofthe Bueimca Rofea'a iC del, liaxeue is in full tome mtler<c y J GG GO1, TION 3 LicenasC Lic.N 5C.. SCIf —V. 02 Dale �a Contsac ~ LL C g I uncle mypfGs M 1'IF.CTS DE ubliccrrewNs " OWNER.BUB.DCR DECLARATION - 1 heirby M. Net 1 am exempt from the ContractoM1 License Law for the ,�❑ following mason. (Section ]031 3, Business and Protons., Cede: Any city or moot, y CCC which imports a permit to construct, alter, improve, demolish, or repur any immure » Sq. Ft: Floor Area Valuation prithe is iamedF also dant to the lhovisio softhesuchpamtit mice seL Law (Chapter 5 C J datheislicemed punu,nl to the of Drvionsof then, Burins License Lamis Code) in • thatrbeI...inilnsereien]oao)efD hate; norof NeBged!exaMe,nreea�taecnde)m' APNNumber u arc e that he is exempt thaefmm and the beats for Ne'slkgM ucmption. Any vmI& On of era '- _ ^ 1 _ P y • J p _ Section MIS by any sp ifiaat for a permit subjects hie applicant to a civil penalty of t more then five hundred doll. (SSW). ' ❑.1, as pwnm of me proprny. or my rmployeas with wages as Nei, sole turn ne ....... Required Inspections' will do the work, an l the swcttve is trot intended or trained far .1. (SmJ044, Box. - and Profession Code: The Conmemor's License law don'nm apply to an oarcr of propcdy who Wilde or improvas thereon, and who dons such work himxlf or through his own employees. Provided that such improvemente are not intended or offered for sale. If. howeverthe building or improvement is sold within one year of completion, IM 's 1'1( •V lC'�'�I•� � � ownerhilder will have thc butler of proving Nat ha did not Wild or improve fm par - pose of Wi,.). 7• (] 1, m owner of hie 'roped,, am exclusively contracting with licensed conventions 1. croswct hie project (Sm. 7044, Business and Professions Code) The Conu,c..e. Lt. ' c me taw does not apply to su owner of property who Wilds in improves thereon, and who contracts for such Frojmts with a contractm(s) licensed Fondant to the Comondici License Law.. ❑ I am exempt under Sec. . B Ar P C for this won Owner Data WORKERS a under COMPENSATION DECLARATION . I ad waRrmunde r Cemlty of oforymu of felf-mimving Worme.Cri ie.e and will for neCion 37 te of Cumenor.Coc ,forthe Wmketare of the Imoron, es hick Provided for permit Section 7]00 of the Labor, Code, loathe tformance of the _ R ink for which this 'emit is ;oared: - 371 have aid will meinforhe do .. code work hihhis pur, i Section P00 of the Labor Cade, for the perfa,mvtttof the work for which this permitis issued. ., - MYWmkm's sett !t�� W��mrtp�}��a�it Policy rum m aI Cv,riee WWTT.�d'Pblicy No.: + 'oPRT A OFEX MON FROMWORREBS' COMPENSATION INSURANCE or ]is . This .,I.. need tort W completed if the Permit is for no hundred dollars ($100) � IttdifY thin in the perforrnam of the wmk torn which this gamut isissund,l shut not employ any peaon in any manner m es m Wwme mbjxt ro the Wmteri Comprn- 1 ` Laws of Cdifmia. o Dam ApPli Applicant - NOTICETOAPPI.ICANTt If, after making this Cenificate of Exemption, you should s , become subject to she Wmince Compensation provisions of the Latur Cade, yw must forthwith comply wit such provisions or this permit shall W deemed mvokW. CONSTRUCTION LENDING AGENCY • ' -t Qs I hereby affirm thin them is a consuueiim lending agency for perfomuaoe of the work for which thiss permit I. Issued (Ste, 3097, Clv. C.) - s - r » 4ndaes Name a 7 IandeAAddrea •. ' W Q I certify that 1 have read this application and sate that the eWw, information is U O correct, l agree to comply with all city anal county ordinances and sate laws reining in c I ` s ' building mmuuctim, and hrreby mahm. repmenwives of thi,,ity to enter upon the _ above.mentimad property for impaction; purymes. W F. (We) agree mot. indemnify and kmP humless the City of Cupenfnn agumt C V liabiliues, judgments. costs and expmmswhlah may in any way accrue against said City >i W in consequence of the gmming of Nis prrmt. ` t [� fin APPLICANT UNDERSTANDS AND WI LL COMPLY WITH ALL NON -POINT SOURCE, REG ATIONS. Silian ontractm Da¢ ARDOUS MATERIALS DISCLOS F. Will the app/cant or future Wilding occupant store or handle haaindovs matedu R to fs , as defined by the Cupertino Municipal Coda, Chapter 9.12, and the Ha1ih and Safmy Code, Section 25532(a)+ Type of Roof Dyes Will tha applicam or future Wilding mmpmt use equipment or devices which All roofs §halllie inspected prior to an roofing material being emit hawdom air conaminena as defined by the Bay Ara Air Quality Management installed. If a roof is installed without first obtaining an inspection imi I agree to remove all new materials,tfor inspection. Applicant ❑Yea �,,%��J° ,. . (have rtaa Or haurdoue matmWrryuiamenu order Chapter 6,95 of Nr Cali. un erst ds and will comply with all non point source regulations. fmnih Health in Safety Cade, Sections 25505, 25533 and 25530.1 undentand that if the F Mining arren0y have tenant, that it is my responsibility a notify the occupant of the reyu nn whicWmrtbe.rttet p,iw to ou s" ofasen�a�e�dp�y�� nay )T —�_ '7"�;l 1 C�CI Signature fl pplicant "Dat '-� _Waffl 01 author., agFnr - Date .. • " . All roof coverings to be :Class "B" or better OFFICE'.... 7 vERMrr No. �6 00 t ,NITARY NO. APPLICATION SUB'. NIC 'CONTROL# ❑ BULDINO PERMITINFO w a LICENSED CONTRACTOR'S DECLARATION ZO z _' I hertby erimt Net 1 am licrmetl under provisions of Chapter 9 (ehmmeming r Job Description t•:Ctj, wiNSecrceand0ffetel isimJofthe Bueimca Rofea'a iC del, liaxeue is in full tome mtler<c y J GG GO1, TION 3 LicenasC Lic.N 5C.. SCIf —V. 02 Dale �a Contsac ~ LL C g I uncle mypfGs M 1'IF.CTS DE ubliccrrewNs " OWNER.BUB.DCR DECLARATION - 1 heirby M. Net 1 am exempt from the ContractoM1 License Law for the ,�❑ following mason. (Section ]031 3, Business and Protons., Cede: Any city or moot, y CCC which imports a permit to construct, alter, improve, demolish, or repur any immure » Sq. Ft: Floor Area Valuation prithe is iamedF also dant to the lhovisio softhesuchpamtit mice seL Law (Chapter 5 C J datheislicemed punu,nl to the of Drvionsof then, Burins License Lamis Code) in • thatrbeI...inilnsereien]oao)efD hate; norof NeBged!exaMe,nreea�taecnde)m' APNNumber u arc e that he is exempt thaefmm and the beats for Ne'slkgM ucmption. Any vmI& On of era '- _ ^ 1 _ P y • J p _ Section MIS by any sp ifiaat for a permit subjects hie applicant to a civil penalty of t more then five hundred doll. (SSW). ' ❑.1, as pwnm of me proprny. or my rmployeas with wages as Nei, sole turn ne ....... Required Inspections' will do the work, an l the swcttve is trot intended or trained far .1. (SmJ044, Box. - and Profession Code: The Conmemor's License law don'nm apply to an oarcr of propcdy who Wilde or improvas thereon, and who dons such work himxlf or through his own employees. Provided that such improvemente are not intended or offered for sale. If. howeverthe building or improvement is sold within one year of completion, IM 's 1'1( •V lC'�'�I•� � � ownerhilder will have thc butler of proving Nat ha did not Wild or improve fm par - pose of Wi,.). 7• (] 1, m owner of hie 'roped,, am exclusively contracting with licensed conventions 1. croswct hie project (Sm. 7044, Business and Professions Code) The Conu,c..e. Lt. ' c me taw does not apply to su owner of property who Wilds in improves thereon, and who contracts for such Frojmts with a contractm(s) licensed Fondant to the Comondici License Law.. ❑ I am exempt under Sec. . B Ar P C for this won Owner Data WORKERS a under COMPENSATION DECLARATION . I ad waRrmunde r Cemlty of oforymu of felf-mimving Worme.Cri ie.e and will for neCion 37 te of Cumenor.Coc ,forthe Wmketare of the Imoron, es hick Provided for permit Section 7]00 of the Labor, Code, loathe tformance of the _ R ink for which this 'emit is ;oared: - 371 have aid will meinforhe do .. code work hihhis pur, i Section P00 of the Labor Cade, for the perfa,mvtttof the work for which this permitis issued. ., - MYWmkm's sett !t�� W��mrtp�}��a�it Policy rum m aI Cv,riee WWTT.�d'Pblicy No.: + 'oPRT A OFEX MON FROMWORREBS' COMPENSATION INSURANCE or ]is . This .,I.. need tort W completed if the Permit is for no hundred dollars ($100) � IttdifY thin in the perforrnam of the wmk torn which this gamut isissund,l shut not employ any peaon in any manner m es m Wwme mbjxt ro the Wmteri Comprn- 1 ` Laws of Cdifmia. o Dam ApPli Applicant - NOTICETOAPPI.ICANTt If, after making this Cenificate of Exemption, you should s , become subject to she Wmince Compensation provisions of the Latur Cade, yw must forthwith comply wit such provisions or this permit shall W deemed mvokW. CONSTRUCTION LENDING AGENCY • ' -t Qs I hereby affirm thin them is a consuueiim lending agency for perfomuaoe of the work for which thiss permit I. Issued (Ste, 3097, Clv. C.) - s - r » 4ndaes Name a 7 IandeAAddrea •. ' W Q I certify that 1 have read this application and sate that the eWw, information is U O correct, l agree to comply with all city anal county ordinances and sate laws reining in c I ` s ' building mmuuctim, and hrreby mahm. repmenwives of thi,,ity to enter upon the _ above.mentimad property for impaction; purymes. W F. (We) agree mot. indemnify and kmP humless the City of Cupenfnn agumt C V liabiliues, judgments. costs and expmmswhlah may in any way accrue against said City >i W in consequence of the gmming of Nis prrmt. ` t [� fin APPLICANT UNDERSTANDS AND WI LL COMPLY WITH ALL NON -POINT SOURCE, REG ATIONS. Silian ontractm Da¢ ARDOUS MATERIALS DISCLOS F. Will the app/cant or future Wilding occupant store or handle haaindovs matedu R to fs , as defined by the Cupertino Municipal Coda, Chapter 9.12, and the Ha1ih and Safmy Code, Section 25532(a)+ Type of Roof Dyes Will tha applicam or future Wilding mmpmt use equipment or devices which All roofs §halllie inspected prior to an roofing material being emit hawdom air conaminena as defined by the Bay Ara Air Quality Management installed. If a roof is installed without first obtaining an inspection imi I agree to remove all new materials,tfor inspection. Applicant ❑Yea �,,%��J° ,. . (have rtaa Or haurdoue matmWrryuiamenu order Chapter 6,95 of Nr Cali. un erst ds and will comply with all non point source regulations. fmnih Health in Safety Cade, Sections 25505, 25533 and 25530.1 undentand that if the F Mining arren0y have tenant, that it is my responsibility a notify the occupant of the reyu nn whicWmrtbe.rttet p,iw to ou s" ofasen�a�e�dp�y�� nay )T —�_ '7"�;l 1 C�CI Signature fl pplicant "Dat '-� _Waffl 01 author., agFnr - Date .. • " . All roof coverings to be :Class "B" or better OFFICE'.... 7 INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO • BUILDING PERMIT INVOICE OPERATOR: karenb Sec: Twp: Rng: Sub: Blk: Lot:36921049.00 INVOICE DATE......: 04/05/2000 REFERENCE ID N ...: 00040011 SITE ADDRESS,.....: 10811 ALDERBROOK LA SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: CHANG. ADDRESS ..........: CITY /STATE /ZIP ...: LOS ALTOS CA, CA 94024 -7116 CONTRACTOR .......: FRANKS, SANDY LIC M 21349 COMPANY ..........: DELTA ELEC ADDRESS ..........: 724 COLLEEN DR CITY /STATE /ZIP ...: SAN JOSE, CA 95123 TELEPHONE ........: (408)224 -0176 ,FEE DESCRIPTION CHK --------- - - - - -- - -- BREMPOWER P EPERMITFEE P VOICE ID DESCRIPTION *. ROUGH-ELECTRICAL- 505 FINAL ELECTRICAL 40 TOTAL FEE P PAID -TO -DATE B BALANCE DUE --------- - ----- - -- - --- - ----- - - - - -- 35.52 0 0.00 3 35.52 79.92 0 0.00 7 79.92 VOICE ID D DESCRIPTION E • • Dry. if Applicable Fee 10 Fee Description 'Fee Group ISPERNIFEE JBLOG PERMIT FEES !BUILDING II IBCONSTAX 1CONSTRUCTION TAX 1BUILDING ISENERGY JENERGY JBUILDING BENERGYA00 JENERGY ADD MULTI IBUILDING 1BOVERTIME JiNSPtU TION OVERTIME IBUILDING BTEMPPERM ITEMPUKAKY BLDG PERMIT IBUILDING BNIITIGAT HOUSING MITIGATION FEE 1BUILDING 1BPLANCHK PLAN CHECK FEE 1BUILDING SPLANCKADD PLAN CHECK ADD MULTI BUILDING BPLANCKREP PLAN CHECK REPEAT FEE BUILDING BREINSPECT REINSPECTION FEE BUILDING BSCBLVD SCB SPECIFIC PLAN BUILDING BSEISMICOM SEISMIC COMMERCIAL BUILDING BSEISMICRE SEISMIC FEE RES BUILDING ESPECIAL SPECIAL INSPECTION BUILDING BSWIM SWIMMING POOL 1BUILDING ZAODCHG ADDRESS CHANGE IBUILDING JELEC PERMIT ISSUANCE ELECTRICAL BELEC1000 ELEC 600V < =1000A ELECTRICAL BELEC1001 ELEC 600V >1000A ELECTRICAL BELEC200 Et ECT-SVCS 600V —200A ELECTRICAL BNEWMULTI MULTIFAMILY RES ELECTRICAL BREMBUSWAY REMOOELBUSWAYS ELECTRICAL BREMFIXT LIGHTING FIXTURES ELECTRICAL BREMMISC MISC APPARATUS ELECTRICAL BREMNRAPP REM NON -RES APPLIANCE ELECTRICAL BREMPOLE POLE/PLATFORM FIXTURE ELECTRICAL BREMPOWER POWER OEVICE/APPARATUS ELECTRICAL BREMRECEPT . RCPTL, SWITCH &OUTLETS ELECTRICAL BREMRESAPP REMODEL RES APPUANCE ELECTRICAL BREMSIGNAD RMDL• SIGNS ADD BRANCH ELECTRICAL BREMSIGNS REMODEL SIGNS, MARQUEE ELECTRICAL BREMTHEATR THEATRICAL LGHTNG FIX ELECTRICAL BSF&2FAM SINGLE & 2 FAMILY ELECTRICAL STEMP . TEMPORARY POWER ELECTRICAL BTEMPSVCS TEMP DIST SVCS ELECTRICAL MPERMITFEE IMECH PERMIT ISSUANCE MECHANICAL BAPPLOTHER JOTHER APPLIANCES IMECHANICkLI BBOILERI BOILER � 100,000 BTU MECHANICAL BBOILER2 BOILER >100KT0500KSTU MECHANICAL BB0ILER3 BOILER >500K TO 1M BTU MECHANICAL BBOILER4 BOILER >1M TO 1.75M BTU MECHANICAL SBOILER5 BOILER > 1.75M BTU MECHANICAL BREMAPPU APPLIANCE INSTALL MECHANICAL BREMHEAT HEATER INSTALLATION MECHANICAL BREMVENFAN VENT FAN SINGLE DUCT MECHANICAL BMNEWMULTI NEW MULTI- FAMILY RES MECHANICAL BMNEWSF&2F INEW SF&2F RES BLDGS MECHANICAL I oft PnIscd LId99 <= 1 I �BRENIFURN RELOCATION OF FURNACE �MECHANICAC Il. JBREMFURNOV IP•ELO FURNACE > 10K STU Iib1ECHANICAL BREMINHOOD INSTALLATION OF HOOD IMECHANICAL BRENIRELOCA IRELOCATION OF HOOD INIECHANICAL BREMREPALT REPAIR/ALTER HEATING MECHANICAL BREMVENSYS VENTILATION SYSTEMS INIECHANICAL IPPERMITFEE PLUMBNG PERMIT ISSUE PLUMBING SNUMULTI INEW MULIFAMILY RES JPLUNIBING BNUSFD INEW SINGLEFAtvIILY RES PLUMBING BPBACKFLOW ATMOSPHERIC VACUUM PLUMBING BPCESSPOOL CESSPOOL PLUMBING BPFIXTURE PBLG FIXTURE PLUMBING BPGAS GAS PIPING SYSTEM FEE PLUMBING BPINTERCEP IND WASTE INTERCEPTOR PLUMBING BPREPIPE REPIPE OF FIXTURES I PLUMBING BPSEWAGE SEWAGE DISPOSAL IPLUMBING BPSEWER SEWERS IPLUMBING BPSPRINK ILAWN SPRINKLER/BACKFLO IPLUMBING BPSTORM STORM/RAIN WATER IPLUMBING J. BPTRAP KITCHEN TRAP PLUMBING BPVENT JALT OF DRAIN & VENT PLUMBING BPWATER JINSTALIJALT ER WATERPIP PLUMBING BPWHEATER WATER HEATER/VENT PLUMBING BPWSVCS IMAINWATERS ERVICE PLUMBING ZDEVAGREE IDEVELOPMEN T AGREEMENT PLANNING ZDIRTM DIR TENT MAP PLANNING ZFULLHR FULLAPPLBASE *HR PLANNING ZFULLTM ZFULLUP IFULL APPL TENT MAP IFULL. APPL USE PERMIT PLANNING PLANNING ZFULLZONE IFULLAPPLZONING PLANNING ZGPAMEND IGENERAL PLAN AMEND PLANNING ZUMAMEND JUMITED AMEND . PLANNING M UMITEO TENT MAP PLANNING P UMITED APPL USE PERMI PLANNING EMPUP MIN AMEND TEMP USEPERM PLANNING ILLEX MINOR APPL HILL EXC PLANNING IGNEX" M MISC SIGN EXCEPTION MINOR APP TENT MAP PLANNING PLANNING NZIMISCASA P MINOR APPL USE PERMIT PLANNING ASA FENCE PCINT PSIGN . ZVARIANCE MISC ARCH SITE PLANNING MISC TM AND UP PLANNING MISC FENCE EXCEPTION NNGEN MISCELLAPPLGENERAL PLANNING MISC PC INTERPRETATION PLANNING SIGN PERMI PLANNING TEMPORARY SIGN PLANNING DIRECTOR VARIANCE PLANNING 2 ct2 Mbcd N 10199. WI 0 i