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06090061!0C •Z§ i 'Z !' zi� i� t6(FF' j0V y� :at ;se -zi CITY OF CUPERTINO a �� « '"` 3 77 ' � ;,p R.1V,TA.TI©1�l BUILDING DIVISION PERMIT.GOJC.CT„QR.TNk'U BUILDING ADDRESS: CONDITIONED AIR PERMITNO. 06O9OO61 10731 WUNDERLI D OWNER'S NAME: PERMIT ISSUE DALE MIGUEL SOLORIO 1701 LITTLE ORCHARD NE: SANITARY NO. CONTROL NO. (408)291-2220 ARCHITER/ENGINEER: BUILDING PBRMITINrO BO BO PLUMB MECH O LICENSED CONTRACTOR'S DECLARATION job Description hereby art.. that I w licensed under pmvisimu of Cbepter 9 (commencing with Section 7000) of Division 3 of the Bustnev and Pro@tame Cade. and my license is I. fe0 force a ad affect. REPLACE FURNACE ADD.A/C License Gla Lie. / Dale seri Or�•�• WECr ARCHITECTS TS DECLARA ON 1 undcraunJ my Plans shall hm mind u public records Licensed Pmfaaata..I OWNER -BUILDER DECLARATION I bunchy alum that 1 w exempt from the Comfwofs License Law for the fallowing mason. (Seed.. 711313, Bear. and Proressiom Cade: My city of roomy $8500 which requir= a Permit m cnruuuct eller. improve. demolW, er mpoif any structure Sq. Ft. Floor Area Valuation prior m its issuancaabu requires the applicant for such permit in Olc aalgced stwmem License Law that he is licensed Foment to the proviaons of the Conuacmfa (Chapter9 (commencing with Section 7000) of Division 3 of the Business and professions COdel or that he is exempt therefrom and the basis for the alleged exemption. Any violNon of Section 7031.5 by any applicant fm a permit subject are applicant a a civil penalty Of r Occupancy Type mat mom than Rve hundred dallen (5500). ❑ 1, as owrcr of the property, or my employ= with mages as Weir sale compensation. Required Inspections q P will do the work.. ad thesuucwrt la nm inuuled or Offered far sale(Sec. 7044, Butlw+ and Professions Code: The Conuxbr's License Law date not appy a an owner of property who Wild, m im proves Ihercon, and who does such work himsel f or through his own employe=, provided thmanch Improvements art nut intended proffered foreie. If, however, the building or improvement is sold within art year of completion, the mi builder will have the burden of proving that he did not build or improve for purpose of u1e.). ❑ 1. as owner of the propany, am exclusively contracting with licensed convectors, b construct the project (Sec. 7044. Business and Pmfesslaro Code:) The Contractor's Li - cave law docs not apply u an owner or property who builds or Improves Woman. and, who commune for such project with a comuacer(s) licensed purwant in the Convector's Lleense law. ❑ 1 w exempt under Sea , B di P C for this mason Owner Data WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 he. and will maintain a CeNO=e of Consent m,elf-Insure for WarkersCornpea- antion, an provided for by Section 37M of the Labor Code, for the performance of the work for which this permit is issued. I haw and will maintain WorkCrY Compensation Insurance, as required by Section ' 3700 of ft Lamm Code, for me performance of the work for which this permit b issued My Workm's Compensation Insurance carrier and Policy number are: Carrier. KlM%n� Polity No.:n1 C00lFrf !jCo l CER GTE 0 EX PION FROM WORKERS' COMPENSATION INSURANCE (This auction need not he completed If the Permit Is furoe hundred collaus ($IM) or lest) 1 ecnify that In the perfomunee of the work for which this Permit b Issued. 1 shall not employ any person in any manner e u to become subject to the Workers' Compenedon Laws of California. Dat Appli=nt NOTICE TO APPLICANT: IL after meking this Certificate of Exemption, you should become subject in the Workces Compensation provisions of the labor, Code you moa ' forthwith comply with such provisions Of the Permit shall to duamed invoked. 7 CONSTRUCTION LENDING AGENCY 1 hereby dor Wert b a construction 7Ming agency for the performance of whathero 30 ' to work which this permit b issued (Sac. 3097, CH. CJ Na shwa ' boulUmier's lendels Address 1 cvtify that I haw mad this application and stat that the shave information is ' cauecc I agree to comply with all city and county milmamxs and rot laws relating to building mouuction. and hcmby smharim mpr=Cnetiwe of this city to enter upon the far inspection album mentioned property pm,vixa . (We) agree to save. indemnify and keep harmless We City of Cupenino agsimi I Iiebilities, judgmente,cost and expenses which may in any way accrue gains, aid City F in consequence of the of this pewit. granting APPLICANT UNDERSTANDS AND WI L COMPLY WITH ALL NON -POINT Issued by: Date REGULATIO Re -roofs Type of Roof C) 6 tgn arApplicaregiCtaimao9K Dna HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building accupanutom Or handle luxurious metrial ss dented by the Cupertino Municipal Code. Chapter 9.12. and de Heath and Safety Code. Section 25532(a)7tet/ All roofs shall be inspected prior to any roofing material being installed. Yes If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future building Occupant use arbitration Or devices which malt haerdous air caneminant as dcOned by the Bay Are. Air Quality Management all new materials for inspection. District? OYCS 6u I haw read the hmmdVou`smmamdals mquimmcnt under Chaper6.95 of the Califor- ma Health&SafctyCade, Secdmt 25505.25533 atu125534. 1 undenund that Ifthe xildiig it t eurmn0y haw a unam, Wal It In my responsibility an ratify the occupant of the I qui entewhichmustbcmelpnat manceaf CenifiesearOcaFancy, Signature of Applicant Date )t All roof coverings to be Class "13 or better Owner air uthoriut agent Date' 1 CITY OF *UPEkTINO • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 BuildinDepartment JOB AD. - BUSINESS NAME BUSINESS LICENSE # M• I am not using any subcontractors- g• t �6 Signature Date Please check applicable subcontr tors complete the following information: Owner/ Contractor Signature a.11 -o6 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 M Painting / Waller Plastering/ rRoc�k Owner/ Contractor Signature a.11 -o6 Date CITY OF CUPERTINO !m 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # : 2 Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 37529002.00 DATE ISSUED.......: 09/11/2006 RECEIPT #.........: 35974 REFERENCE ID # ...: 06090061 SITE ADDRESS .....: 10731 WUNDERLICH DR SUBDIVISION ...... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: MIGUEL SOLORIO ADDRESS ..........: CITY/STATE/ZIP ...: RECEIVED FROM ....: CONDITIONED AIR CONTRACTOR .......: RICHARD READ LIC # 22334 COMPANY ..........: CONDITIONED AIR ADDRESS ..........: 1701 LITTLE ORCHARD ST CITY/STATE/ZIP ...: SAN JOSE, CA 95125 TELEPHONE ........: (408)291-2220 •FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL 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 BENERGY PERMIT FEE 1.00 34.86 0.00 34.86 0.00 BREMRECEPT NO. OUTLETS 1.00 1.20 0.00 1.20 0.00 PPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 BSEISMICRE VALUATION 9,000.00 0..90 0.00 0.90 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 TOTAL PERMIT ---------- ---------- 176.64 0.00 ---------- ---------- 176.64 0.00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ OTHER 176.64 ------------------ VISA TOTAL RECEIPT 176.64 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 301 ROUGH PLUMBING 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL • 11 WA WUPEkTINO CITY OF CUPERTINO FURNACE/AC PERMIT APPLICATION FORM oUogoo( i APN # 3�5 - Enerav Building Address: q 5D ILI 1 c Owner's Name: Phone #: id BREMAIRHAN Contractor: Phone: License #: IRvr Rec tl, Switch & Outlets Cupertino Business License #: Contact: Phone: \a t/-3 S�1mC BUILDING Building Permit Info: Seismic Commercial Bldg ❑ Elect q!f�� Plumb 0� Mech Job Description: AVO ELECTRICAL %IY�bOe qrv& Mech Permit Issuance Residential �� Commercial ❑ PPERMITFEE For Residential Installations. ❑ ❑ ❑ PLUMBING Attic 1" floor 2"d floor Bldg Permit Fees Adhere to min set back re uiremenil!f-- BPLANCHK or Commercial Installations: BUILDING Replacement same weight ❑ Additional weight (structural calcs) ❑ I Gas Piping System Fee Structural Calculations required for new installation ❑ BUSLIC New installation Planning Approval Required BUILDING Cost of Project: Type of Construction: Occupancy group: Strapped On Platform U Bonded El Sq.Ft. Floor Area: New Location 21-- Replacement Z;�— {r L Qty. if Annlinshle Fee ID Fee Description Fee Group BENERGY Enerav BUILDING el BREMFURN Furnace MECHANICAL BREMACOVER A/C Unit > 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10, 000 cfm MECHANICAL / BREMRECEPT Rec tl, Switch & Outlets ELECTRICAL BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILIDNG EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPLANCHK Plan Check Fee BUILDING BPGAS I Gas Piping System Fee PLUMBING BUSLIC I Business License BUILDING