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06120122r i-Z U Ial I� m 'ca IU 'LLy .o :O �m -2 iF z F a a 5 U U. 0 F U CITY OF CUPERTINO r r.: + r a Ca.� BUILDING DIVISION PERMIT C CONTRACTOR INFORMATION , T4 BUILDING ADDRESS: P PERMIT NO. OWNER'SNAME: c c s. Tn PATRICK HO 1 1965 KYLE PARK COURT 1 12/21/2006 PONE S SANITARY NO. CONTROL NO. (408)286 -8931 ARCHITEC (ENGINEER: B BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION J Job Description 1 bcrebY affirm Ilut 1 am licensed under provisions of Chapter 9 (commencing P P wit section 7Q7p)MDhdoO.3afthe Buancss amd Pmics-ons cade.and my littlest is A ADD A/C in full eons and an fL iZ License bas Lk. g Da¢ Cnnpacmr A C { CIS DECLA ATI 1 1 understand my plans shall he used u public records Licensed Professional F CITY OF #UPEkTINO • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777 -3228 Fax(408)777 -3333 Building Department JOB ADDRESS: PERMIT # OWNER'S NAME: KU PHONE q-te 6 -167 GENERAL CONTRACTOR: Q r) L e FAX # I am not using any subcontractors: Z—,---A l-2 al Signature Date Please check applicable subcontractors and complete the following information Owner /Contractor-Signature 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 e Owner /Contractor-Signature Date • 8 ITEMS OF 8 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 34248037.00 DATE ISSUED.......: 12/21/2006 RECEIPT #.........: BS000000054 REFERENCE ID # ...: 06120122 SITE ADDRESS .....: 22600 ALPINE DR SUBDIVISION ......: CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: PATRICK HO ADDRESS ..........: CITY /STATE /ZIP ...: CUPERTINO CA OPERATOR: kiersaw COPY # : 1 95014 -0838 RECEIVED FROM ....: RECEIPT INTERFACE CONTRACTOR .......: TRILLO, STEVE LIC # 4269 COMPANY ..........: STANFORD PLUMBING HEATING &AIR ADDRESS ..........: 1965 KYLE PARK COURT CITY /STATE /ZIP ...: SAN JOSE, CA 95125 TELEPHONE ........: (408)286 -8931 • FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL BENERGY PERMIT FEE 1.00 34.86 0.00 34.86• 0.00 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 BREMRECEPT NO. OUTLETS 1.00 1.20 0.00 1.20 0.00 BSEISMICRE VALUATION 2,800.00 0.50 0.00 0.50 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 PPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 TOTAL PERMIT ---- - - - 176.24 - -- - --- - - - - -- ---- 0.00 - - - --- ---- 176.24 - -- 0.00 - -- METHOD OF PAYMENT AMOUNT -- --------- - - - - -- --------------- CHECK 176.24 --------------- TOTAL RECEIPT 176.24 VOICE ID DESCRIPTION -- - - - - -- -------------------- -- -- - - -- 301 ROUGH PLUMBING REFERENCE NUMBER --------------- - - - -- 8347 VOICE ID DESCRIPTION -- - - - - -- ---------------------- - - -- -- 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 501 • 502 FINAL PLUMBING ENERGY 503 505 FINAL ELECTRICAL 507 508 FINAL MECHANICAL FINAL ELECTRICAL ENERGY FINAL MECHANICAL ENERGY FINAL PLUMBING r gmi. CITI 6 -F CUPERTINO IR CITY OF CUPERTINO FURNACE/AC PERMIT APPLICATION FORM 0(0)901 as APN# b4a-46-o3-T I Date: Building Address: ;202 (pD (,� 4 ( / �4 e y BUILDING Owner's NameA P e # Furnace MECHANICAL cot,t dcto r: 77.1 0 V -+,one:3q BREMACOVER Contact: Phone: Cupertino Business License #: p /l YL. BREMAIRHAN Building Permit Info: MECHANICAL ^ / -- / Bldg El Elect"p -- Plumb L� Mech Job Description: M d Ala ELECTRICAL Residential Commercial ❑ BSEISMICRE For Residential Installations: Attic ❑ 1st floor ❑ 2 "d floor ❑ BUILDING Adhere to min set back requirement BSEISMICOM or Commercial Installations: eplacement same weight ❑ Additional weight (structural calcs) ❑ BUILIDNG Structural Calculations required for new installation ❑ EPERMITFEE New installation Planning Approval Required ❑ ELECTRICAL Cost of Project: T e of Construction Occupancy )up: Strapped ❑ On Platform n I Bonded LJ Sq.Ft. Floor Area: New Location K Re lacement'❑ PPERMITFEE Qty. if Applicable Fee ID Fee Description Fee GrouD BENERGY Energy BUILDING BREMFURN Furnace MECHANICAL BREMACOVER A/C Unit > 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10, 000 cfin MECHANICAL BREMRECEPT Rec tl, Switch & Outlets ELECTRICAL BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILIDNG EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMII'FEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPLANCHK Plan Check Fee BUILDING BPGAS Gas Piping System Fee PLUMBING BUSLIC Business License BUILDING