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06040096 CITY OF CUPERTINO } yw .i.Y BUILDING DIVISION PERMIT �1C0N;TRAGOR INF�ORMATIOt..x BUILDINCADDRESS: RESIDENTIAL HEATING AND A C'lhlM006040096 10440 OAKVILLE AV OWNER'S NAME: PERMIT ISSUE DATE SHENG LIANG 65 CRISTICH IN 04/18/2006 ONE: SANITARY NO, CONTROL NO. 4083774073 ARCHITECT/ENGINEER: BULECTO PERMIT INFO BO EO PLUMB MEOCH 3 o O LICENSED CONTRACTOR'S DECLARATION i tiF 1 lately M.that l set licenced under provisionmm s of Chapter 9(commenting Job Description , with Section 70110)Of Division 3 Of do Busmen and Profasdmu Code,md my licenmb �® am in fail forceaad affect. — REPLACE EXISTING FU L jg: Licence Cl Lk.N +`O Dam M .u¢br t�aa+7W —ARCHITECTS DECLARA710N < I understand my plan shall he used u public racor0 MAY - 2006 tut; Licenced Proluximual b0� OWNER-BUILDER DECLARATION n i I 1 hereby affm that I am exempt Bum the CmlranaYs Licenx law for de C O o fallowing reason.(Section 703 I.S,Business and Profassian Calc:Any city ar coumyRI III S 9 tat+ which inquires a permit to construct.alter,improve,demolish,or repair my structure 1913 _zi prior m its issuance.also re quiets Ne such applicant for penult to file a signed statement€< then he b licensed pursuant to the provision of cite Contractor's lJanse,law(Chap=9 Sq.Ft. Floor Area he pg $ (commencing with Section 7000)of Division 3 of the Business and Pvollmeion Code)-1 Y — dart be b exempt thmefrom and Ne bull fa the alleged exmapdon.Any violation of Section 7031.5 by any applicant for a permit mbjccu cite applicant in a civil penalty of Occupancy Type not mom Nan five hundred dollars(5500). ❑1,as owner of den property,or my employ.with wages as Nell amts compensation. will do the work.and de muc,ure boot intended or offered for said(Sec.7044,Bninen Required Inspections and Rufesdon Code:The COnummm n esb Ya I arIAw dot apply an owensr of q P propcnywho Wilds ortmproves thereon,andwM d.suchworkhuaaJfa thrngh his own employ.,provided dmlauch improvements ere.untended aaRned(usaia IL however,the building or improvement Iawld within am year of completion.the mvnr. builds will have the burden of proving that he did Out hand or improve for purpose of sale.). ❑1,as Owner of the propeny,am uclusively contracting with licensed conuutin in construct We project(Sec.7014.Bonsirms,and Profession Coda)The Committe's Lt. c.Law it.am apply in so owner of property who Wilds ar improves thernn,and, wad comment fur such projects with a eonuanat(al Iiceaed P., the Cnuators Lice.law. ❑1 am mantra under Sec. .B&P C forNis recon Dw. Data WORKERS COMPENSATION DECLARATION 1 hereby air=under penalty of perjury an of the following declination: ❑]ham aad will maintain a CertiBmm of Conon,mself-Intim forwaheYscompen. urian,a provided(a by Sectio 3700 of the labor Cade,In,the performance of the work for which this permit is issued. ❑1 have and will maintain Worker Compensation Iaurence,a required by Sacdn 3700 arms Labor Code,Im use performance of Ne wart fa which this permit is Issued. ' My Workef,Compensations lnu aana carrier and Policy number are: Carrier. V�Y � �� Policy No.: C Z On lone --s. CATE OF IXFFAIPIION FROM WORKERS' COMPENSATION INSURANCE r (fhb wcdnn sued nmbe completed if the permit is formic hundaddallan(SIM) or len) 1 certify amt In the performance of rix work for which this Permit es wood.1 shall est employ any pawn in my mmnr an u b Woman subject to to Work.'Compensation Laws of Califamia.Dam Applicant NOTICE TO APPLICANT:If.after making this Couticau of Eacmptim.you should become subject to the Workar'a Composition provision of that tabor Cada you mm ,J Q forthwith comply with such provision or Nb permit shall be dcemrA mored. Ley ti CONSTRUCTION LENDING AGENCY (-, IhemhyalTmn that dem is conswcdnn lending agency far the rind....f Ix r7 the work for which this permit is issued(Sec.3097,Ci,C.) W Q Lander's Nanna 7 z landefs Addax+ U0 I certify that 1 have read this application and stem that the AO.information Is k[.H caste 1 qma to comply with all city ad county ordinances and side,laws relating b OU building construction.ad hereby amhorm represomadvea of this city to enter upon do W alwve-mentioned propcny for inspection purposes (We)Aetna to cave,indemnify and keep historical the City of Caperton stain, rr ,4 liabilities judgments,ants and expenses which may In my say accrue against said City t)z, in eomequa.of the grmting of this permit. .. APPLICANT UNDERSTANDS AND WILL COMPLY Wf7}I ALL N N�;f Issued by: Date ��ja-U SOURCE��EECULATIONS.`7 -zn � � i Re-roofsSigmure of AppliaWConuanot Da HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will out applicant or future building aceupanmom orhandle ha utlom material as de0nd by the Cupertino Municipal Code.Chapter 9.13,and the Health and Safety Cade.Suedan 25535(a)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yes ON* Will the applicant or future Wilding use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit Waldo air canwninnts a deOKd by one Bay Am Air Quality Mengemen, all new materials for inspection. District? ❑Yes k1Nu 1 have read die hoardon materials requiremanu thdcrChipter6.95 ofthe Califon. me R alth B Sa1my Code,Seedon25305.35533 and 2153/.1 unicameral Nuif t c Wildbg does not currently have a tenant.Nat It Is my responsibility in andry the n cupent of de milulturactuu,isiddmainbemipriorw�iy ute�can�eN"no cap Signature of Applicant Date ��� ft f g All roof coverings to be Class"B"or better Owncraf Am n]ld�m Dam CITY OF CUPERTINO •em 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36913008 . 00 DATE ISSUED. . . . . . . : 04/18/2006 RECEIPT # . . . . . . . . . : 34030 REFERENCE ID # . . . : 06040096 SITE ADDRESS . . . . . : 10440 OAKVILLE AV SUBDIVISION . . . . . . : CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . : OWNER . . . . . . . . . . . . : SHENG LIANG ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-4519 RECEIVED FROM . . . . : RESIDENTIAL HEATING CONTRACTOR . . . . . . . : CATHY HAIRE LIC # 21161 COMPANY . . . . . . . . . . : RESIDENTIAL HEATING AND A/C IN ADDRESS . . . . . . . . . . : 65 CRISTICH LN CITY/STATE/ZIP . . . : CAMPBELL, CA 95008 TELEPHONE . . . . . . . . : 4083774073 •FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 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 BSEISMICRE VALUATION 1, 913 . 00 0 . 50 0 . 00 0 . 50 0 . 00 PPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 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 164 . 78 0 . 00 164 . 78 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ CHECK 164 . 78 21616 TOTAL RECEIPT 164 . 76 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ---------------------------- 204 UNDERFLOOR FRAME 301 ROUGH PLUMBING 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL 514 FINAL PUBLIC WORKS • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 aClOF Fax(408) 777-3333 40UPERTINO Building De artment JOB ADDRESS: PERMIT # 10yl-A0 O kms ' lve, ©G a `-( oo OWNER'S NAME: PHONE # GENERAL CONTRACTOR a FAX # I am not using any subcontractors: J p `-1 Signature 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/Contractor Signature Date %o�oti CITY OF CUPERTINO FURNACE/AC �UPER,TINO PERMIT APPLICATION FORM APN# Date: Building Address: Ibgq ; v 0 er's Name: Phone#: n L a;s y of ontractor: Phone: Lice!j 4. S� �{ n ' a fv Contaj, Phone: Cupertino Business License#: Building Permit Info: Bldg ❑ Elect [�r Plumb Mech Job Descriptio, Residential Commercial ❑ For Residential Installations: Attic ❑ ls` floor-9-2"d floor❑ dhere to min set back requirement El For Commercial Installations: Replacement same weight ❑ Additional weight(structural calcs) ❑ Structural Calculations required for new installation ❑ New installation Planning Approval Required ❑ CostProject: Type of onstrucctn ti : Occupancy group: -3 Strapped ❑ On Platform ❑ Bonded ❑ Sq.Ft. Floor Area: New Location ❑ Replacementl Qty. if Applicable Fee ID Fee Description Fee Group f BENERGY Energy BUILDING BREEMFURN Relocation of Furnace MECHANICAL BREMACOVER A/C Unit> 10,000 c$n 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 I BUILDING BUSLIC Business License BUILDING