Loading...
00040051 CITYBUILDING mySiON CONTRACTOR INFORMATION: PERMIT NO. PERMIT'. _ BUILDINC9AUURFSS: Cc C /J 0 j� - SANITARY NO. APL ATI B SMIITAL DATE (� i_ ell, r Y/(`�F.d(�,f Lr! OWNER'S A E: -••) 'g� ( 3 / '/ zV/' w.0 NO CG r NTROL II 0AHIT ^' �! � N' / ��� / BOLDING PERMIT INFO_. F.Cf/EJ r4 � I NGINEER Fac- . / 6 t. Z LICENSED CONfRA=R'S DECLARATION ZD Z= 1 hereby affirm that 1 em licensed trader provisions of Chapter 9(commestmi Job Description F_1_u with Section)000)of Division 3 of the Business anal profession,Code.end my license is 4yf"'1 in Nil force end elf Liceve �y Lic.N u�3 eaz 0"y One-.jf.�— �.Convamr ��✓/N ,�/- z++f'� N/rvl z` 0 o I moderated my plus Nva t W uauewblic thakands '� Cl VQ�4!-1\ ,�✓/�� OWNER-BUILDER DECIARATION 4442 Q 1 bemby aRnn mr,I am exempt from the Convectors U..".for the _ Q following mown.(Section 7031.3.Box.,and Prufnsiom Code:Any ar,or county, Fa.3 which requires a permit m construct,alter,improve,demolish,to repair any ntucmre Sq.F[.Floor Area Valuation pdmtomies..alwrof.imssWappgunt for such permit w Elle slgnndmamem - •1 met he is licensed pursuant to de pmvimom of Im Convamora License law(Cluptn 9 CJ Q (commcnci."do Section T ).f..0lmSof the Binfieza and Prefeasiom Create, APN umber Occu enc e WW is.e t mPt therefrom and the basis for Ne alleged exemption.Any smisom of -7 um _ m p y Typ Section 7031.3 by any aPPRcot for•pe rrduubjmu the applicant me civil penalty or s mere slum five hundred dollen($W). ❑1..owner of the property,or my empl.yns with wages an their role compematim, Required Inspections will do the work,endthmtrmen.is nm maende im.ffered Nestle(Sm 9Df0.Busimla and Pofesalom Code:The Contractors I.keme law men trot"Ply tam owner m property who builds or improv.thereon,W wW don wch work himself.through his own employees,provided Nan such improvements ere am intended or offered for nle.If.however,ape building or improvement timid within one year o(completion,the owo.-Wilder will haus the Wrden of proving Net W did not Wild or improve fee pur- 'poseof real s). ' ❑1,an owner ofthenproperty,,B exclusively convecting with:)TIM Connector's U. El 1,an Na project(Sm.e UCO,m exelmusine.and profession;Code:)The tmaducha to came law docs rot apply to m owas.of property wW Wilds or improves thereon,and -, who contracts for such projects wish a convectorfs)Warned pointed to Ne Contractors Limme law. ❑lam exempt under Sec. _.B R P C for this moon Owner Dea WORKER'S COMPENSATION DECLARATION 1 hcmby affirm under penalty of perjury one of de fallowing declination: Ilareand will trainWna Certlfi.a of Comut to if-mom fiewaince.c.anim- - C REa and fer by Sudo.3700 of the Ulu Code,for the performance of de wor which this permit is issued. love end will maintain Wadmrs Compematim Imuretmc istimintorcil by Sutton 3900of the labor Cade,for Neff fNe wqt My Wo hid is perosit is iswW. '• tion t^. d�;®f Canriee !C// Policy O CERTIFICATE OF ER "PON MOM WORKER COMPENSATION INSURANCE (mi.reComnam rot Wcomplet9d athe permit is freom hundeal"Ina(3100) , or let..) I certify that in IforrmsueoIeN�e�ywork for which this permit is iaued,I shall - notemployanypen m ymmmr war/u� ee{todmWohen'Compen- wionlawaofcdi i Dare Applicant - NODCE TO A .IL a i,Are.,IftifftEffilture of E.cmpum,you should , become,subject to the Worker"Compensation provisions of that UW,Code,you mann Nallrwith comply with wch provisions or this permit Pall W demand rooked. z CONSTRUCTION LENDING AGENCY c 'O O I hereby affirm mat them is a construction leading agency for the performance of - - z the wank fm which this permit is iuued(Sec.30YI.Civ.C.) ' E:e lender.Name - CL Lenders Address . Liz Q 1 unify Nan 1 have read Nis application and ewe that the above intermarket is a. cadect.I amen to mi with ell city and county ordimues and sum laws mhdng to ;D z building comboction,oral hereby wdariu repreeenwivesof Niscity manor ren Ne V O abovememiomd property for inspection perform. W tr. (We)agree he save,indemnify and kap hanmless the City of Cupertino ageiot C' O V Eehilidn,jndgmena.cosaandexpenes which may in wY way accme against laid City �ra W 'o conerapore of the groaning of Nis permit. _ n 0. APPLICANT UNDERSTANDS AND WILL COMPLY WITH AIJ,NON-MINT V z SOURCB REGULATIONS. ^ Signature of Applicam Centnctor Dau HAZARDOUS MATERIALS DISCLOSURE Will the applicant minute Wilding occupant store rehandle herandom manenial Re-roofs ` as definad by the Cupertino Municipal Compiler 9.12,and the H.Ith and Safety Code,Smile.2553811)? Type of Roof ❑Yes. p W01 Ne applicmtrerumre Wading mcupmt ula muiPmem ord.ices worn All roofs shall be inspected prior to any roofing material being emit hewdom eirconwminamu ax de Arm d by Ne Bay AAir Q.wity Ma 'w Management installed. If a roof is installed without first obtaining an inspection DistrictQ Y. p - Iaggr remove all n - terials for inspection; Applicant • ;' ghm.,loomdoommavn'ala immenuund.Chapur6.93oftMCali- and rst ds and wil o y with all non point source regulations.tomoeCademoa ,25333 end 25330.I sand 6.95 o ton if cthe'ee to .thm it is mynzporuibility to why the oximiemwhich mnss r 'uwuwerce ofeCenific fOeeupeuy. ei c Sig lure of Applicant Dat andlefired.lim V )raw `All roof coverings to be Class"B"or better OFFICE CITY OF CUPERTINO .>m 1 of 1 BUILDING PERMIT RECEIPT .OPERATOR: nancyc COPY # 1 SOC: Twp: Rng, sub: Blk: Lot:35611065.00 DATE ISSUED.......: 04/10/2000 RECEIPT #.........: 11934 REFERENCE ID # ...: 00040051 SITE ADDRESS .....: 929 LIBERTY CT SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: JOHNSTON LAWRENCE L AND JOAN V ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO CA, 95014-4018 RECEIVED FROM ....: JERRY CONTRACTOR .......: LIC # COMPANY ..........: ADDRESS ..........: CITY/STATE/ZIP .... , TELEPHONE ........: FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEN SAL _______ __________ __________ __________ __________ __________ BPREPIPE NO OF FIXTURE 1.00 8.33 0.00 8.33 0.00 BUSLIC FLAT RATE 1.00 90.00 0.00 90.00 0.00 PERMITFEE FLAT RATE 1.00 35.52 - 0.00 -- -35.52 -- 0.00 'AL PERMIT 133.85 0.00 133.85 0.00 METHOD OF PAYMENT AMOUNT NUMBER _________________ ____________ __________________ OTHER 133.85 VISA ............ TOTAL RECEIPT 133.85 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ........ ............................ ........ ............................ 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 502 FINAL PLUMBING ENERGY 507 FINAL PLUMBING • CITY OF CUPERTINO �m 1 of 1 BUILDING PERMIT RECEIPT OPERATOR: nancyc COPY N 1 Sec: Tap: Rng: Sub: Blk: Lot:35611065.00 DATE ISSUED.......: 04/10/2000 RECEIPT R......... : 11934 REFERENCE ID # ...: 00040051 SITE ADDRESS ...... 929 LIBERTY CI SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER .... ........:.JOHNSTON LAWRENCE L AND JOAN V ADDRESS ........... CITY/STATE/ZIP ...: CUPERTINO CA, 95014-4018 RECEIVED FROM ....: JERRY CONTRACTOR .......: LIC N COMPANY ..........: -ADDRESS ..........: CITY/STATE/ZIP .... TELEPHONE ........: FEB ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEN SAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPREPIPE NO OF FIXTURE 1.00 8.33 0.00 8.33 0.00 BUSLIC FLAT RATE 1.00 90.00 0.00 90,00 0.00 .PPERMITFEE FLAT RATE 1.00 35.52 0.00 35.52 ---- -0.00 AL PERMIT 133.85 0.00 133.85 0.00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ OTHER 133.65 VISA .. • TOTAL RECEIPT 133.85 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ........ ............................ ........ ............................ 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 502 FINAL PLUMBING ENERGY 507 FINAL PLUMBING • INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO • BUILDING PERMIT INVOICE OPERATOR: nancyc Sec: Twp: Rng: Sub: Elk: Lot:35611065.00 INVOICE DATE......: 04/10/2000 REFERENCE ID # ...: 00040051 SITE ADDRESS .....: 929 LIBERTY CT SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............ : JOHNSTON LAWRENCE L AND JOAN V ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO CA, 95014-4018 CONTRACTOR .......: LIC # COMPANY ..........: ADDRESS ..........: CITY/STATE/ZIP .... , TELEPHONE ........: FEE DESCRIPTION CHK TOTAL FEE PAID-TO-DATE BALANCE DUE _______________ _-_ --------- ------------ __________- SPREPIPE P 8.33 0.00 8.33 BUSLIC P 90.00 0.00 90.00 PPERMITFEE P 35.52 0.00 35.52 _________ ____________ ___________ 133.85 0.00 133.85 ..ID . .. DESCRIPTION ........ VOICE ID ------- DES-CR--I-PT--IO-N-...... ...... ........ ............... 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 502 FINAL PLUMBING ENERGY 507 FINAL PLUMBING I SREMACOVER IAC UNIT >I000GCF41 IN Erne NIC ALI ' I IBREMAIRHAN IAIC UNITS <= 10,OGCCFibI IMEC.HANICAL I IBREMFURN IRELOCATION OF FURNACE IMECHANICAL I • IBRENIFURNOV. IP.ELO FURNACE > 10K STU Iib1ECHANICAL BREMINHOOD JINSTALLATION OF HOOD IMECHANICAL BREIVIRELOCA IRELOCATION OF HOOD JIVIECHANICAL BREMREPALT IREPAIRALTER HEATING MECHANICAL BREMVENSYS IVENTILATION SYSTEMS MECHANICAL PPERMITFEE JPLUMBNG PERMIT ISSUE PLUM8ING BNUMULTI NEW MULIFAMILY RES PLUMBING BNUSFD NEW SINGLEFAMILY RES PLUMBING BPBACKFLOW ATMOSPHERIC VACUUM PLUMBING BPCESSPOOL CESSPOOL PLUMBING BPFIXTUREPBLG FIXTURE PLUMBING BPGAS GAS PIPING SYSTEM FEE PLUMBING BPINTERCEP IND WASTE INTERCEPTOR PLUMBING SPREPIPE REPIPE OF FIXTURES PLUMBING SPSEWAGE SEWAGE DISPOSAL PLUMBING BPSEWER SEWERS PLUMBING BPSPRINK LAWN SPRINKLER/BACKFLO PLUMBING SPSTORM STORM/RAIN WATER PLUMBING BPTRAP KITCHEN TRAP PLUMBING BPVENT ALT OF DRAIN &VENT PLUMBING BPWATER INSTALUALTER WATERPIP PLUMBING BPWHEATER WATER HEATERNENT PLUMBING • BPWSVCS MAIN WATER SERVICE PLUMBING ZOEVAGREE DEVELOPMENT AGREEMENT PLANNING ZDIRTM OIR TENT MAP PLANNING ZFULLHR FULL APPL BASE+HR PLANNING ZFULLTIVI FULL APPL TENT MAP PLANNING ZFULLUP FULL APPL USE PERMIT PLANNING ZFULLZONE FULLAPPLZONING PLANNING ZGPAMEND GENERAL PLAN AMEND PLANNING ZLIMAMEND LIMITED AMEND PLANNING ZUMTM LIMITED TENT MAP PLANNING ZUMUP LIMITED APPL USE PERMI PLANNING ZMATEMPUP MIN AMEND TEMP USEPERM PLANNING ZMINHILLEX MINOR APPL HILL EXC PLANNING ZMINSIGNEX MISC SIGN EXCEPTION PLANNING ZMINTM MINOR APP TENT MAP PLANNING ZMINUP MINOR APPL USE PERMIT PLANNING ' ZMISCASA MISC ARCH SITE PLANNING D-1 S—C-0 ff MISC TM AND UP EXT PLANNING ZMISCFENCE MISC FENCE EXCEPTION PLANNING ' ZMISCGEN MISCELLAPPLGENERAL PLANNING ZMISCPCINT MISC PC INTERPRETATION PLANNING ZSIGN SIGN PERMI PLANNING ZTEMPSIGN TEMPORARY SIGN PLANNING ZVARIANCE IDIRECTOR VARIANCE PLANNING 2 of2 Revised NIG" Fee Oescrl tion 'Fee Group pry, i/ Applicable Fee 10 P IBP�RNIF== (BLDG PERNII T FEES IBUILDING I ISCONSTAX (CONSTRUCTION TAX IBUILDING • IBENERGY (ENERGY IBUILDING BENERGYA00 ENERGY A00 MULTI [BUILDING I80VERTINIE INSPECTION OVERTIME IBUILDING BTEMPPERM TEMPORARY BLDG PERNIIT IBUILDING BNIITIGAT HOUSING MITIGATION FEE IBUILDING BPLANCHK PLAN CHECK FEE BUILDING BPLANCKADO PLAN CHECK ADD MULTI BUILDING BPLANCICREP PLAN CHECK REPEAT FEE BUILDING BREINSPECT REINSPECTION FEE BUILDING BSCBLVD SCB SPECIFIC PLAN BUILDING BSEISMICOM SEISMIC COMMERCIAL BUILDING BSEISMICRE SEISMIC FEE RES BUILDING BSPECIAL SPECIAL INSPECTION BUILDING BSWIM SWIMMING POOL BUILDING ZADDCHG ADDRESS CHANGE BUILDING EPERMITFEE ELEC PERMIT ISSUANCE ELECTRICAL BELEC1000 ELEC 500V <=1000^ ELECTRICAL BELEC1001 ELEC 600V >1000A ELECTRICAL BELEC200 ELECT SVCS 600V <=200A ELECTRICAL BNEWMULTI MULTIFAMILY RES ELECTRICAL BREMBUSWAY REMODEL BUSWAYS ELECTRICAL BREMFIXT LIGHTING FIXTURES ELECTRICAL BREMMISC IS- APPARATUS ELECTRICAL BREMNRAPP REM NON-R S APPLIANCE ELECTRICAL BREMPO POLE/PLATFORM FIXTUR ELECTRICAL BREMPOWER POWER DEVICE/APPARATUS ELECTRICAL BREMRECEPT . RCPTL, SWITCH &OUTLETS ELECTRICAL BREMRESAPP REMODEL RES APPLIANCE ELECTRICAL BREMSIGNAD RMDL SIGNS ADD BRANCH ELECTRICAL BREMSIGNS REMODEL SIGNS, MARQUEE ELECTRICAL BREMTHEATR THEATRICAL LGHTNG FIX ELECTRICAL BSF&ZFAM SINGLE&2 FAMILY ELECTRICAL STEMP 'TEMPORARY POWER ELECTRICAL BTEMPSVCS . TEMP DIST SVCS ELECTRICAL MPERMITFEE MECH PERMIT ISSUANCE MECHANICAL BAPPLOTHER 12THER APPLIANCES MECHANICAL BBOILERt BOILER<= 100,000 BTU MECHANICAL BBOILER2 BOILER>100KTO500KBTUMECHANICAL BBOI 3 BOILER>500K OIMBTU MECHANICAL BBOILER4 BOILER>1M TO 1.75M BTU MECHANICAL BBOILER5 BOILER> 1.75M BTU MECHANICAL BREMAPPLI APPLIANCE INSTALL MECHANICAL BREMH HEA INST 0 MECHANICAL BREMVENFAN VENT FAN SINGLE DUCT MECHANICAL BMNEWMUL11 NEW mUL'n4lAmILY RES MECHANICAL BMNEWSF&2F NEW SF&2F RES BLOGS MECHANICAL • t oft n..t�e class