06070018 CITY OF CUPERTINO
BUILDING DIVISION PERMIT •rONTRAGTQR INFORMATION
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BUILDINGADDRESS: —AIK QUALITY HEATING & AIR ""No06070018
21907 ALMADEN AVE
OWNER'S NAME: PERM"L95UE DATE
ENGKEE KWANG 714 NORTHRUP ST 07/06/2006
NE SA ARY NO. CONTROL NO.
(408) 293-7138
ARCHITER/PN('INEER: BUILDING PENMrr INFO
-REDO ELECT PLUMB NECH
+op UCENSED CONfRACURS DECLARArION lob Description
u I brrtb,afMm 0o Wt I sOao4 unk lao•of ChaPlcr 9(c«nmsMng P
t " vll Szui°n]IXp)of DlvWon Sof le Brodmann Profeumns Code:and my lkraxu
ay inrWr«acaMetre�_� ���& 2 ROOF MOUNTED ATTIC FANS
]�� Llccsue CTw — .
Canlrslr 'T
untscrvand my plans alull be tscd u plUlic rtcaNa
y�U
sad Lkxvcd Pm(cui0n.1
50t,t3 OWNER-BUILDER DECLARATION
N I hereby alil.thu I am uwp from the Cen.10a.Lkcue I-1v far dx
ofdbrvtg moan.(S«vun]Bl I.S.Businaa and Pmfctsivu Cdc:Any c Y or county
3 e; whim mgWtu a Permit I°cotuuaeL sUxr,impose,demolish,v mpav ny muaurt
$1950
_i Sn micrio lu issuanc'c.slot,uclWma ft.pplicam formch prmil mfik aupdsutorrctu
<
mat lculiunadto.,Wthcpovidava unl Conlncl«'alr Us (C*W9 Sq. FL F1oorArea Valuation
F�G (c.ndni with Swfon]e00)a DiW l of the Bual«u and Professlw
lbu he U earmpt Nwlrm aM the basis fa lh shoed—Pd—My tiNatlon of
Section Tol l s by am•ppB fm.pnmlt mbjecaa the apphont 10 anvil PewlYOf - Occupancy Type
not mmc dun fisc hundmd Wiao,s($100).
1.uow0a of 1it pmpsay.or my wPlo Wwil rag.as tlev sok caopmdoo,
vlB do the rarL,aM the uructum is not lmsodcd«offoaul for sat,(Sec.]°"•Buauteu Required Inspections
W Profud0u Crack:Th CaauacmYs Low=�dm ant apply n m ovar of q P
poppy ,bo WOds«imposts IhercOoaaMvh0 doe a a0cbwvrt hlvwJrm foatu but �®
ho wPby bui Psoaidcd Ihvlatm imposow art notnaended vtaQeut.for oak.R.
hoaesc.le bW ldvug«Impos®snt V sold.ilii am yev of umpvtiaa.tb onc-
buffs r m hme the huaden M proving thou m oBd ttv�W v lmp f«porpoae a
sale.)
❑1,as suns M ft p.pny..m oslusis y c°nuri0 f vitb Ik,,s mvvaem n
cvumm the rojoct sec. Btuulm sad P ossoau Code)The Ctssuu is U- JUL 1-9-
. 211Q6
Law dao sat apply W..awser of paapcny who W iWs v'vnpvan lertan.arta
v00 cansracl fur aucb p°jem vita cmvuwr(s)Hamed p.,.t n We C°mrag°h ��'Qy®�
Kaes Uw. C
❑Ino cvmpt tendo Sec ,B k P C for this wan
Owoa Due t9}t IBJ
WORKERS COMPENSATION DECLARATION ING
s 1 hereby a1Rum under quit,ar perjvy m of le raB .S uaxlraslms:
1N m andwJlifoaby S Ce+d 3a °f Caysnl Cuss.
noof
ft
sadm,u b"dint far by Ss ist 3T00 d Ne Labor Code.for la psfaman¢N the
rah fm rhkh lis prmit is iaued. '
❑I base U4 w01 mahtlaln Wae.3 Compe oulon 1 v ,as m,uirtd by Somi. .
amt of dx I abor Code.four lc prfamulee of la vvrk I.wlkh tbu pumil is lamed.
My Woh ,Commosastia luwvcx comer apd�Polkyynumbcr sac.
Urrn.a/,..IC- T/Kf{/�/TdIIE
C�RnFlCATE OF OPTION FROM WORKERS
COMPENSATION INSURANCE
(fbla sealm std act be eampkzd If the ptmil U rarmx huotdrtd doBan(Slt]Ol
or ss)
I¢ni(y lit ie le pafo m W tie vnrk for which lis prmit is ls-ic4 I shall var
employ any qua^u any uavxrmu n bscooe mbjal to le WOrkM'C.MPas• m
L of California.D.0
Applh,am
NOTICE TO APPUCAN.If.a(kr making INS Ccrffc of E Ptam,You shauW
bo m subjol n the W° a Canpvutian PnoyWou of do Labor Code,you to
.JZ Itcomp,wit such pvv v l'u pmiL"I be d«mM rtmkN.
ZO^ CONSTRIfCf1014 LENDING AGENCY
t—t 4 I hemby afnrm that l Uscvuh .k dingaPesT f«the perfvm.na of
W > the wrk I.which lis pmtil aivvA(Sa.3097,CivC)
W Q umuk s Nunc
,z I<sldrYa Addma
U0 I Certify lath I haw tW Ibis applieain nd sate dtu the'hose INmuliln V
Uy F" corms I.pa to comp[,vii Al city and calmly ordinv es uW cute I.rn rtladng b.
OU building coumvnion.and bemby autharias tspreanuti.rs of lu City to enter upon the
Uantra-mcntitvxd poppy fur isupcd«purpeca.
(We)agree w ave.IMcmoify ted ksp ba-mleu the City of Cupertino agaiml
aF-t Ii.WI6et Jodg u.eosu.nd espnaa w ,,b may In any wy acvue nainuuk City
U Z in coeaegtmsee of the gsanbng of Nis pamll.
APPLICANT UpSPANDS AND WILL COMPLY WrrH ALL N-POM Issued by: Date
soyyL�ftEEREGt it U 11 li a LNS
Re-roofs
Sia(Apph HAZARDOUS MA DISCLOsuRE Type of Roof
Wil the app tvu«fal«e hudl0g aavput save v butAc haallom ntakrial
u&AnsA by le Cupertino MtmiaiW Cock.Chaper 9.11 soul the Howl ant Wely
case.seedan 25532(tW
Yo - All roofs shall be inspected prior to any roofing material being installed.
Wd1 le applies err mtw miwng oxupa tae eyWpnal or 6k im whim If a roof is installed without firs[obtaining an inspection,I agree to remove
.mit Warlatf air c°numvtanu o tk(vab by Ihs Bay Arta Air Quality Maougemem allnew materials for inspection. '
Diurict]
O�
I but mad le hvaNws masrub requvetnems tmda Qvpa&91 of ft Calif«
w Holl&Way Calc.S<tiw 15101.21133 arW 21511.1 aMavnd dmif lc!tiling
dm mr carremly h.ax a mtant dtu it u my ms onsibdity to notify Ne oaupam a dr
mwi mmunboxl ren aaCad/'noar _ - Signature of Applicant Date
All roof coverings to be Class "B"or better
O« «aular'v<d w u
Community Development
10300 Torre Avenue
Cupertino CA 95014
Is-It Telephone(408)777-3228
CITY OF Fax(408)777-3333
`UPEkTINO
Building Department
JOB ADDRESS: PERMIT #
o2 D 0 -706( e-
OWNER'S NAME: 4e,e XWPHONE # Yor _
GENERAL CONTRA R _ w ; FAX #
I am not using any subcontractors:
Signatureg Date
Please check applicable subcontractors and complete 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/Contract r Signature Date
CITY OF CUPERTINO,
!m 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 35715105 . 00
DATE ISSUED. . . . . . . : 07/06/2006
RECEIPT # . . . . . . . . . : 35122
REFERENCE ID # . . . 06070018
SITE ADDRESS . . . . . : 21907 ALMADEN AVE
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : ENGKEE KWANG
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : AIR QUALITY/HEATING
CONTRACTOR . . . . . . . : MATTHEW FARBER LIC # 22791
COMPANY . . . . . . . . . . : AIR QUALITY HEATING & AIRCON
ADDRESS . . . . . . . . . . : 714 NORTHRUP ST
CITY/STATE/ZIP . . . : SAN JOSE, CA 95128
TELEPHONE . . . . . . . . : (408) 293-7138
�EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---- -- - - - - - - - ---------- ------ ---- ---------- - --------- ---------- ----------
BPERMFEE VALUATION 1, 950 . 00 83 . 16 0 . 00 83 . 16 0 . 00
BENERGY PERMIT FEE 83 . 16 39 . 92 0 . 00 39 . 92 0 . 00
BREMRECEPT NO. OUTLETS 1 . 00 1 . 20 0 . 00 1 . 20 0 . 00
MPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00
BSEISMICRE VALUATION 1, 950 . 00 0 . 50 0 . 00 0 . 50 0 . 00
EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00
TOTAL PERMIT 201 . 52 0 . 00 201 . 52 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----- - - ---------- ---- - - ------ ------- -----------
CHECK 201 . 52 52397
TOTAL RECEIPT 201 . 52
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
_---------------------------
303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL
503 FINAL MECHANICAL ENERGY 505 FINAL ELECTRICAL
508 FINAL MECHANICAL
•
CITY OF CUPERTINO oynca,3
`FIN FURNACE/AC
SCUPEkTINO PERMIT APPLICATION FORM
APN # — 15Date: (0 ).9 fD
Building Address: 1 Q '0 /
n (� /
Owner's Name: / Phone #:
u�wn D
Contractor: 1 Ph ' e: y D$_(9-q 3_ 1)a na License #:
Contact: Phone: 7 Cupertino Business License#:
Gl, 0. 0 - C/?)- '/
Building Permit Info: �/
BldgEJ/ Elect Plumb El Mech `Lf
Job Description: ..,y�
Residential F7, Commercial ❑
For Res' entiial Installations:
Attic I" floor ❑ 2"d floor❑
Adhere to min set back requirement❑
For Commercial Installations:
Replacement same weight ❑ Additional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Cep ction: Occup cy gr�p:
Strapped 0 On Platform El Bonded LJ Sq.Ft. Floor Area:
New Location Ej] Replacement ❑
Qty. if
Applicable Fee ID Fee Description Fee Group
BENERGY Energy BUILDING
BREMFURN Furnace MECHANICAL
BREMACOVER A/C Unit> 10,000 efm 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 Gas Piping System Fee PLUMBING
BUSLIC Business License BUILDING