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14040007 (2)CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10183 ALHAMBRA AVE I CONTRACTOR: PLUMBING TECH INC PERMIT NO: 14040007 OWNER'S NAME: WEYHE ROBERT I AND SHEILA A ' 278 E GISH RD I DATE ISSUED: 04/01/2014 I OWNER'S PHONE: 4087721928 I SAN JOSE, CA 95112 1 PHONE NO: (408) 437 -6207 I LICENSED CONTRACTOR'S DECLARATION License Class Lic. # 91 'cj d. —7 Contractor Date I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self - insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9 18, Signature / Date I. ❑ OWNER- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: I, 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 & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self - insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9 18. Signature Date JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL DUPLEX 10183 & 10185- COPPER REPIPE FROM METER TO UNITS. Sq. Ft Floor Area: I Valuation: $6000 APN Number: 32623026.10183 1 Occupancy Type: PERMIT E IRES IF WORK IS NOT STARTED WITHIN YS OF PERMIT ISSUANCE OR 180 DAY M LAST CALLED INSPE TION. Issued by: Date: RE- ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25 59 25533, . rd 25534. / Owner or authorized agent. Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building acuoer ino.org MEP � MISC r7lx— ,„,.,— I7 �, - =awrrnAr nP'rPrTRIrAI. nMISCELLANEOUS LJ YLUN1D llVV V iru�na sa.a au u� PROJECT ADDRESS APN # �f /3 tl Z� do () f 3 OWNERNAME RO 2 I ' 1 Q ` � i w PHO (/00 % 12 '- � I Z � /, FrMAII STREET ADDRESS CITY, STATE ZIP. FAX CONTACT NAME L PHONE /D (��3 S6d E -MAIL /Q� Q l STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER- BUIIAER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHMCT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME �� ^ LICENSENUMBER - LICENSE TYPE BUS. LIC # C` 5 � �.J COMPANY NAME E -MAIL FAX i STREET ADDRESS C S h I Y G+ CITY, STATE ZIP n \ 0's ��' / Z J PHOh �v /q 3 ARCHITECT/ENGINEER NAME LICENSE NUMBER. BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI -FAmmy PROJECT IN WIIALAND ❑ YES PROJECT IN ❑ YES ❑ IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO BUILDING. ❑ COMMERCIAL - URBAN WCERFACE AREA ❑ NO FLOOD ZONE NO DESCRIPTION OF WORK , ��-1,::. TOTAL VALUATION: L j k ,- By my signature below, I certify to each of the following: I am the property owner or authorized agent to act property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is a ate. I agree to comply with all applicable local ordinances and state laws relating to building. construction. authorize representatives of Cupertino to enter the above - identified property for inspection purposes. Signature of Applicant/Agent: Date: Y. / • / -/ SUPPLEMENTAL INFORMATION REQUIRED =�g� ;50:a..- a IN �g-ftfi y ,. _EXPRESS �� 1 �` I r WEIke Ems= _ARGE -�� MEPMiscApp_2011.doc revised 06/21/11 CITY OF CUPERTINO LTVU 11 Q9rFX4 A Tll112 — RAFT ."INC TITVTCT(1N LAADDRESS: 10183 alhambra ave DATE: 04/01/2014 REVIEWED BY: Mendez APN: I BP #: *VALUATION: 1$6,000 xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex Suppl. PC Fee: (F) Reg. ® OTT PENTAMATION 1 RPRP PERMIT TYPE: USE: $0.00 PME Plan Check: $0.00 wORK duplex 10183 & 10185- copper re i e from meter to units... Permit Fee: SCOPE Suppl. Insp. Fee: Reg. ® OT alums.,.. c':; oO Fee: Od,c, scch, { %•� .t?cL'1 Trsh. t CC Plumb. Plan Check 10.0 1 hrs $0.00 Plumb. Permit Fee: IPPERMIT Other Plumb Insp. 1 0.0 1 hrs 1 $47.00 Plural). haj). Fc'e: Isle °, °. 1wp. n_L_ ..L NOTE: This estimate does not includejees due to other Departments (i.e. rtannLng, ruutic rrvrna, c, . .,y ...,.• .., ,�••��• ____ ,...,i ,,..,. •,,,t.. •.., !'n mrt tho nont far addn'i info. '"139f LL:L, GLI. lLLCUC cca w.c .,uvcw v ...... .............. FEE ITEMS jFee Resolution 11 -053 Eff. 711113) .........�_______. _________ FEE - QTY/FEE MISC ITEMS Plan Check Fee: $0.00I�' J # $14.00 Plumbing IPRREPIPE Re -Pipe Interior Suppl. PC Fee: (F) Reg. ® OTT 0.0 hr's $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee: Reg. ® OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $47.00 Administrative Fee: 1ADMIN $44.00 G Work Without Permit? ® Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential Building or Structure A Travel Documentation Fee: ITRAVDOC $47.00 Strong Motion. Fee: IBSEISMICR $0.60 Select an Administrative Item Bldg Stds Commission .Fee: IBCBSC $1.00 $139.60 $14.00 TAL FEE: $153.60 Revised: 01/15/2014 APR 14 '14 09:14 FROM:DA4'. EVCON CONSTRUCTION INC. 4082622342 T -233 P.01 /O1 F -543 / Building Department leg] City Of Cupertino ! / 1 0300 Torre Avenue �i1 j �h Q/2 Cupertino, CA 95014 -3255 l� �iQn — �(/� -577 A / T3 Telephone: 408 - 777 -3228 C U PE RTI N O Fax: 408- 777 -3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: Apple CC1 - 4th FLoor 'Z0,3 vv L— PERMIT # 14020163 OWNER'S NAME: Apple, Inc. PHONE g 408 - 942 -8200 GENERAL CONTRACTOR: Devcon Conshuction, Inc. BUSINESS LICENSE # 11068 ADDRESS: 690 Gibraltar Drive CITY /ZIPCODE: Milpitas, CA 95035 uul 111UNIMItrai CUUe 1'equn'es an nuslnesses Ivorking to the city to [lave a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: - -�I�� Date 19 SUBCONTRACTOR BUSINESS NAME BUSYNESS LICENSE # Cabinets & Millwork Mission Bell Manufacturing, Inc. Cement Finishing X Electrical RedwoodElectdc Group 21108 Excavation Fencing X Flooring / Carpeting R.E. Cuddie Co. 1429 Linoleum / Wood X Glass / Glazing Grand Prix Glass X Heating United Mechanical, Inc. 27361 Insulation Landscaping Lathing Masomy X Painting / Wallpaper C$O Painting, Inc. 501 Paving Plastering Plumbing Roofing Septic Tank Sheet Metal X Sheet Rock Magnum Drywall 28212 Tile - -�I�� Date 19