The URL can be used to link to this page

07020063 CITY OF CUPERTINO ' BUILUIrrG DIVISION PERMIT ��TR��TeI�I�OI�M�kTIEI�1. BUILDING ADDRESS: PERMIT NO. 1139 YORKSHIRE DR GENMOR PLUMBING 07020063 OWNER'S NAME: PERMIT ISSUE DATE VINCENT JAMES H AND CAROLE L 3560 HAIG ST. #2 Q2/12/2007 ONE: SANITARY NO. CONTROL NO. (408) 855-8348 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH O Q LICENSED CONTRACTOR'S DECLARATION Job Description v I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing z with Section 7000)of Division 3 of the Business and Professions Code,and my license is COPPER RE P I P E w infull Coree andeffec License r — Lic.8 Date Contractor ARCHITECTS DECLARATION i a a 1 understand my plans shall be used as public records )WU U. in Licensed Professional %y OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the p O following reason-(Section 7031.5.Business and Professions Code:Any city or county Pi which requires a permit to construct,alter,improve,demolish,or repair any structure prior w its issuance.also requires the applicant for such permit to file a signed statement _z r Valuation that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area i FE a t- (commencing with Section 7000)of Division 3 of the Business and Professions Code)or $7000 y that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty ofN Number Occupancy Type not more than rive hundred dollars(S500). 3 6 2 0 7 018 .`�c7 ❑1,as owner of the property,or my employees with wages as their sole compensation, will do the work,and the structure is not intended or offered for sale(Sec.7044,Business Required Inspections and Professions Code:The Contractor's License Law does not apply to an owner of q p property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended or offered for sale.If. however,the building or improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li- cense Law docs not apply to an owner of property who builds or improves thereon,and. who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. ❑1 am exempt under Sec. B&P C for this mason OwnerDate WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑1 have and will maintain a Certificate of Consent to self-insure for Worker's Compen- sation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. f I have and will maintain Worker's Compensation Insurance,as required by Section 3700 oC Labor Code,Cor the performance of the work for which this permit is issued. My Work_s Co ensatio Insurance carrier and Policy umber arc: Cartier: - Policy No.: CERTIFICATE OF EXEMPTION FROM WORKER ' COMPENSATION INSURANCE (This section need not be completed if the permit is for anc hundred dollars($100) or less) 1 certifv that in the performance of the work for which this permit is issued,1 shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California.Date Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must ,J O forthwith comply with such provisions or this permit shall be deemed revoked. Z, CONSTRUCTION LENDING AGENCY E"CA I hereby affirm that there is a construction lending agency for the performance of a > Lite work for which this permit is issued(Sec.3097,Civ.C.) WCL A Lender's Name .7Lender's Address U O 1 certify that I have read this application and state that the above information is LU P- correct.I agree to comply with all city and county ordinances and state laws relating to 0Vbuilding construction,and hereby authome representatives of this city to enter upon the above-mentioned property for inspection purposes. W W (We)agree to save,indemnify and keep harmless the City of Cupertino against Hto liabilities,judgments,costs and expenses which may in any way accrue against said City V Z in consequence of the granting of this permit. Date APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued b): SOURCE REGULATIONS. & Re-roofs Signature of Applicant/Contractor Dam Type Of I:OOf HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Code,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. ❑Yes P No Will If a roof s installed without first obtaining an inspection,I agree to remove ll the applicant or future building occupant use equipment or devices whic emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes &No 1 have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Code,Sections 25505,25533 and 25534.1 understand that if the building docs not currently have a tenant,that it is my responsibility to notify the occupant of the requirements which must be et prior to issuance of a Certificate of Occupancy. Signature: of Applicant Date nAkm ��—� All roof coverings to be Class"B" or better Owner or authorized agent Date t Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 'UPEKTINO Building Department JOB ADDRESS: 1 139 j PERMIT#a-70200(PS OWNER'S N �- PHO V GENERAL CONTRACTOR: FAX # X4 am not using any subcontractors :--\--.,,exvp Signature Date Please check applicable subcontractors and com Clete the following information: 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 Tile Owner/Contractor Signature Date CITY OF CUPERTINO 2 ITEMS OF 8 PERMIT RECEIPT OPERATOR: amyw COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . . 36207018. 00 DATE ISSUED. . . . . . . : 02/12/2007 RECEIPT #. . . . . . . . . . BE000000440 REFERENCE ID # . . . : 07020063 SITE ADDRESS . . . . . : 1139 YORKSHIRE DR SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . OWNER . . . . . . . . . . . . : VINCENT JAMES H AND CAROLE L ADDRESS . . . . . . . . . . . CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4916 RECEIVED FROM . . . . : RECEIPT INTERFACE CONTRACTOR . . . . . . . : GENARO MORALS LIC # 27101 COMPANY . . . . . . . . . . : GENMOR PLUMBING ADDRESS . . . . . . . . . . . 3560 HAIG ST. #2 CITY/STATE/ZIP . . . : SANTA CLARA, CA 95054 TELEPHONE . . . . . . . . : (408) 855-8348 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 7, 000. 00 137 .16 0. 00 137 .16 0. 00 PPERMITFEE FLAT RATE 1. 00 38.37 0. 00 38.37 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 175 .53 0. 00 175 .53 0. 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 301 ROUGH PLUMBING 502 FINAL PLUMBING ENERGY 507 FINAL PLUMBING CITY OF ��UPERTINO O�02OdU REPIPE/SI �I�� S/MAIN SERVICE 3 CUPEI�TINO PERMIT APPLICATION FORM APN # -39W-0-1-018 —0-1—0`8 Date: Building Address: Owner'sName: Phone#: Ty , fnN Contractor: lv Phone: (License #: Contact: Phone: Cupertino Business License#: Building Permit Info: Bldg ❑ Elect ❑ Plumb Job Description: Residential Commercial ❑ Cost of Project- ` ls� "00o �S Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE Bldg. Permit Fees BUILDING BPGAS Gas Pipin System Fee PLUMBING PPERMITFEE Plumbing Permit Issuance PLUMBING BPREPIPE Repipe of Fixtures PLUMBING BPFIXTURE I'blg. Fixture PLUMBING BPWSVCS Main Water Service PLUMBING BPSEWER 'ewers PLUMBING BPSEWAGE 'Sewage Disposal PLUMBING BUSLIC Business License BUILDING—)