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04010178 CITY OF CUPERTINO BUILDING DI VISION pETR RIVA �CO.NACT�O, NF- ,, N ' BUILDING ADDRESS: EUROPENAN AUTO PERFORMANCE "'U"'05010178 ER'S NAME: PERMIT ISSUE DATE . PHONE: SANrIARY NO, CONTROL 10. ARCHTFECT/eNG1NEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH op LICENSED CONTRACIOR'SDECLARATION Job Description �u C 1 bertby,aRum tar 1 am immand under provisions of Chapter 9(Commencing tr with Second 7")of Division 3 of NC Bulinus and Professions Code.and mybecame u �Z isand erten. REVISION--IN HOUSE USE ONLY ;—;'o Licensea„ �.g GMVacbr NO NEW PERMIT ISSUED ORIG. #04090049 syARCHECTS DECLARATION 1 undemsnd my pR lans shall he used u pubo rcerds U C Licensed Profruioml 5 OWNER-BUILDER DECLARATION 1 hereby affirm that I am escrept from Ac Conrmnors License law for the O O f011mvi j roam..(Suedes 70713,Business and Refusions Cork:Any sits or county $_ which expo.a pumir ro ennmuel alter,improve,demolish,or repair any tonsure zi prior u its issuance.else tedious llc applicant fm such Permit W file a signed sou'res 0 that he is licensed Persian".the provisions of the Conuaeurs PAan¢Law(Capter9 Sq. Ft. Floor Area Valuation $p (Commencing with Section 7")of Division 3 of the Business and Profusions Code)or $ But he is exempt therefrom and the basis for tie alleged exemption My vitthdium of Section 7031.5 by any applicant for a permit subjects late appllant to a civil Penalty of APN Number Occupancy Type not come Nan five hundred dollars($5007. pL,owar or Be pmpeay.amy wploycx with w.g,arlhe'vmkcomPensWm, 36938002 . 00 will dothewort andtoarmcturtaser,Liccrd, O.dosa. (Sect Oso.Busneu W Rdtudons Code Tlrc convalesce,od,and Law aro or apply f an Owmi Of Required Inspections property who Wildsar improvm ch hopo and wM mi nm in nce himself edthrough his awn ne,.A euiprovided Nat such Inpimemons art not intended oroffered for owvmI f. however,Ne building sur imofprovingaid stheiiinoayur or cparova foron.the owner- (v We.). will have the burden of proving Wr he aid not ddd or improv for purya¢of .ale1, ❑I,u owner of las property.am,elusively comuctlng with:)'Tclicensed Comucmn b Cosse La the Project apply ]Osis.Business and Refusions Code:)Mm Actio n I e Come hes date not apply a an owns of property wW Wilds or improv,Corton,and who eom Law.for such projects with a eonucmKs)licensed pursuant m the Conuattofs L Lew. am eze t d,See. .Bd:PC forNb won .r Date g-b WORK S CCWENSAnON OECLARATPON I hereby aR7no under penalty of perjury one of the fallowing dmilanifons: p P handed will maintain aCanlOmte of Comenua self insure for Worms Compen. .tion,as Provided for by Section 37M of the Labor Code.for the perhormance Of the wok far which this permit is issued. Q 1 ban and will maintain Wort .Compensation Insurance,as required by Scrim 3700 of the Labor Cod,for the perforans of rhe wok for,which this permit is issued. My WOkefa Competitor.bvm.Univ and Policy number sic: Cartier. Polity No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thu swoon sed not W cornpleted if the permit u rorarshundrnd dollas OIOG) or less) 1 certify Not in the performance of the wok for which this Permit is issued,I cost nue employ anyperson in any manner an as to become subject to the Woken'Compensation Laws of California Dau Applicant NOTICE TO APPLICANT:If.after mating this Certificate of Exemption,you Amid became subject to Ac Wetter,Compensation provisions of An Labor Coda you mute Z fonhwith Comply with such proormov Or Nu permit mall W decreed sensed. )` CONSTRUCTION LENDING AGENCY ;> I hembyarllrm that there iso consuuNon lemdingagemy for An pufmmanauf the wdu4 fa which this permit u iuurd(Sc.J09i,Civ.C.) 1 0 Leaders Name Z undeh Address 0 I c rafy last 1 have dad this application and state that the above information is F coma I sire to comply with sl city and county ordinances and sate laws relating to �U Wilding construction,and hereby authodm mpreaenuovu of this city In enter upon the s N•1 aWve-mentioned proper for inspection pmpona CL (WC)agree In lave,indemnify and tecp har4ss the City of Cupertino agafut a i,i liabiliou,judgmonu,<ots and eapcow whiN maythany waysmuc agsnst said City Z mcamequnsc O(Weg fi.gof Ai$PC.iL ^ APPLICANT UNDERSTANDf 6ND WILL COMPLY WITH ALL NOWPOINT Issued by: Date SOOU fgE REGULATONS. Z! Oil- " g"�T� Re-roofs nisaz mor Appl w Cap Dau HAZARDOUS MATERIALS DISCLOSURE Type of Roof 1.1.1Will dt appit.,or future Wilding Oce rmat imre or band).havrdOcs material fued by las Cuper irm Municipal Code.Chapter 9.13.and las Hasth and Safety seeaan3553x(a)T All roofs shall be inspected prior to any roofing material being installed. ❑Ym nmlw Will the applicant or future Wilding Occupant use equipment ar devices which If a roof is installed without first obtaining an inspection,I agree to remove to hamdnu air ccmu o mos ss Joined by the Bay Area Air Quality MarbCcmcnr all new materials for inspection. tT ❑Yu Mbin_ I have road the ha>ardous maenalarequiremcnu underCapter G95 orthe Califon k Safnycede.Scedms]3505.]5533 am135536.1 uMeramd dutifthe Wilding n t curntiy hose a reran t n u my reapomibility m notify de occulunt or the oc whist no rnimanecaf,cttire.tesurahP ^yv Signature of Applicant Date 1 All roof coverings to be Class"B"or better , suthoms age Date • CITY OF CUPERTINO Item 1 of 1 PERMIT RECEIPT OPERATOR: conniew COPY # 3 Sec : Twp: Rng: Sub: Blk: Lot : APN 36938002 . 00 DATE ISSUED. . . . . . . : 01/28/2005 RECEIPT # . . . . . . . . . 28422 REFERENCE ID # . . . : 05010178 SITE ADDRESS . . . . . : 10550 DE ANZA BLVD SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : EUROPENAN AUTO PERFORMANCE ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : GERA CONSTRUCTION CONTRACTOR . . . . . . . : LIC # *OWNER* COMPANY . . . . . . . . . . : EUROPENAN AUTO PERFORMANCE ADDRESS . . . . . . . . . . : ® CITY/STATE/ZIP . . . CUPERTINO, CA 95014 TELEPHONE . FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- --- --- ------- --- ---------- - --------- - --------- BPLANCKREP HOURS 1 . 00 87 . 14 0 . 00 87 . 14 0 . 00 --- ---------- -- -- ------ - --------- TOTAL PERMIT 87 . 14 0 . 00 87 . 14 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ---------- --------- --- ----- ------------- CHECK 87 . 14 509 ------------ TOTAL RECEIPT 87 . 14 it-, Q- CITY OF CUPERTIN# ( s y' � �� 7 ' `f nr OF PERMIT APPLICATION FORM ® CUPERTINO APN # . Date: 39 002- Building 02Building Address: Mailing Address (if different from building address): 10-1550 5 k Ar Owner's Name: Phone #: Gv o ✓aUTo ='2 o 1-i cc— -/ 7/67 Contractor: License #: t4 I- Contact: Phone: Cupertino Business License#: Fax: Building Permit Info: - Bldg ❑ Elect ❑ Plumb ❑ Mech ❑ Job Description: _ Residential ❑ CLANnf I LTL P/_VA Commercial ❑ Sq.Ft. Floor Area: $/Sq.Ft.: j Cost of Project: Occupancy Group: — _5 � ype of Construction: Please check this boz if the project is a second-story addition: ❑ Project Size: Standard ❑ Large ❑ - Major ❑ Quantity Fee ID Fee Description Fee. Group , BAPPLOTHER rou - BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu . MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL - BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 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 Elec Svcs 600V <=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee ( .,pBUILDING t GB 2- Z l of 3 t&&m • CITY OF CUPERTINO CITY OF PERMIT APPLICATION FORM CUPERTINO Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING - BOVERTWE 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 BPINTERCEP 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 rinkler/Backflo 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 BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Fumace MECHANICAL BREMFURNOV Relo Fumace > I 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 2of3 aum OITY OF CUPERTINO CITY of PERMIT APPLICATION FORM CUPERTINO Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Sips 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 Insection 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 Per Issue PLUMBING PPLBG._ =`t' Plumbin Fees foot - PLUMBING —4 _ZADDCHG --.Address Change BUILDING .Y'r v;�. .T ♦ i • Yom., ` . .. , - - 3 of 3 _ I I < £� .� a-,+. aro is lilk. 40 i ' I L s v . i M to O 7 f i 2 LL U I v3 ab' a-os � 1 Uf _ Al . 1 u`� _ n nju G LO - pp _ r `' \ � • �q �p � I � �_1 1 •�-� -___ __ j Z � •may ` pp��JJ�` �l rV f•I y � ct cl ;015-w " e obi rye /--� J J-P ''-a uro LAM ` 0 ��