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020301330C CC uC 2 w u rYE :mfil'O LLOt I60C iFC CITY OF ERT DWGDIVISION PERM14 CONTRACTORINFORMATI BUILDING ADDRESS: PERMIT N0, 7408 STANFORD PL JOSEPH J CHEN 02030133 OWNER'S NAME: APPLICATION SUB DATE JOSEPH J CHEN 03/25/2002 'PHONE: SANITARY NO. CONTROL NO. ARCHITECiENGINEER: pp� X'V BUILDINGPERMITINFO 4'BLDG 'ELECT- PLUMB MECH L-=) I_. 1"t, L=— . uLICENSED LICENSEDCONTRACTOR'S DECLARATION 1 hereby aRmn that 1 em licensed of Chapter 9 (co ILO Job Descri '� - p pT f� under Provisions a erming with Section 7000 of Division 3 of the Business and Professions Code. and my license fT O LU U( CHIMNEY REPAIR . is in full force and effect. License Clns Lic. e Data Contractor ARCHITECT'S DECLARATION gUILD�+VG 1 understand my plans shall be used as public records Licensed Professional OWNER -BUILDER DECLARATION 1 hereby dorm Nat 1 em exempt from the Conmctor's Licarwe Law for the following reason. (Section 703 1.5. Business and Professions Code: Any city or county $15000 construct, requires a permit to consct, alter, improve, demolish, or repair a'mu'much",ny 'much", . poor to its Issuance. also requires dC applicants the such permit to file a signed minimums. _ $,f3�sk �.J�a� t�rBa; -, • Valuation that he is licensed pursuant to the provisions ofthe Convenor's License Law (Chapter 9 (commencing with Se Non 7")of Division 3 of the Business and Professions Code) or that he is exempt thertfmrd and the basis for IM alleged uemgimi. My violation l ) 1379'B L'U �2iC. ' of Smtion ]031.5 by any opplicem for a pcmdt subjens the applicom to a civil penury 'err not m°re than ave hundred dollars SSW). l 0 3APN N�AT I ON , Occupancy Type O I, as owner of the property, or my employees with wages as their sole compensation, will do the work; And the swcturc is hot intended or offered for sale (Sec. 7044, Business and Professions Code: The Comorw m'a License Law does not apply so an 514 — FINAL P1 24lg7r& Iu'If IRXii8ns owner of property, Who builds or improves torcon. and who does such work himself or Through his own employees, provided that such improvements we not intended or offered four sald. IC however, the Wilding or improvamem is sold within care year of - completion, the owner -Wilder will have the burden of proving that he did not Wild or improve for part of tale.). ❑ I, es owner of the property. am exclusively contracting with licensed eonvacmrs to - - conswct the project (Sec. 70 . Business and Professions Code:) The Contractor's License Law does not apply to an owner of property who Wilds or impmvas thns,on, and who contracts for such projems with • comm"ot(s) licensed pursuCnt to the - -- Conunctor'a License Law. ❑IemexemptunderSec. ,B&P C for this reason - FONALE® Owner Date WORKER'S COMPENSATION DECLARATION a r� a] 3 q Q APR O 20OZ Iheraby.!firmunderpenaltyofperjuryoneofthefollowingdalentions: 1 have ind will mainaln a Certificate of Consent to self -inure for Worker's Compensation, u provided for by Section 3700 of the Labor Code, for Lha BUILDIi�� performance of the work for which this permit is issued. ❑ 1 have and will maintain Worker's Compewtian Insurance. as required by Senion 37W or the labor Code, for be performance of tha work for which this peter issued. My Wort Compcmation Insurance carrier tad Policy number sac: :r Carries: : �� . .,, .!: :.. 'Policy No.: CERTIFICATION OF EXEMPTION FROM WORYERS' • ). ...,. _: COMPENSATIONINSURANCE'; - .... .... _... ....__.. . f (This section need not W maple'.toll if the permit is for one hundred dollars - (1100) m less.) t 1 cenploy an in the performance of e work for eh this permit is issued, 1 e con Coll nes employ any Forest in any manncr se, u to baotnc wbjett to the Worked ' Compensation Laws of CJifomie. Date , Applicant NOTICE TO APPLICANT, If, after malting Cenifi of Exemption, you should ' provisions of the Labor Code, you mus become subject the Work n p s o Colons such pr in runs forthwith comply with such provisions or this permit shall W deemed revoked. y .1 CONSTRUCTIONLENDINGAGENCY ' 1 hcteby af(Inh that there is a construction lending agency for the performance - of the work for which this .it is issued (Sec. 3097. Civ. C. .Lant Name Lendm.a Address" 1 certify that 1 base rend this application and cute that the above information is �maea. I agree t° comply with it[] city and county ordinances and state laws mising to Wilding constmetion, and hereby awronee representatives of thus city to enter upon to above-mentioned pmperty for inspection purpose. (We) ogres, on save, indemnify and keep humless the City of Cupesinc against liabilities, judgments, cont, and espemes which may in any way acerae against said ''. City in consequenoe of the granting of thus pennis. APPLICANT UNDERSTANDS AND, WILL COMPLY WITH ALL NON -POINT" "' Issued Date Y' SOURCE REGULATIONS: sigmmmofAppIicwwCmwxctor '.• '. ..-Date' Re roofs . ' HAZARDOUS MATERIALS DISCLOSURE - " W Ito appBcant m future buiklbiY occupant sae m handle hal dress mnerial Type of Roof .. .. . defined by the Cupwrw Mwtcipd ode, Chapter 9.11, and Ne Hulth and Sdery _ Cade. `D SJ1(g7: C � " . .:' Yu a. �° ��' ' ,,.,.All roofs shall be inspected prior.[o.any roofing material being installed. 'gWill the applicant or future 9u,ilding occurpaint use equipment or devices which '1 If a roof is installed without first obtaining an inspection; I agree to remove emir li ardous air contamiaunu u defuirA by the Bay Area Au Quality Management Diaysct7 all new materials for inspection. Applicant understands and will comply with ore,;,;0No: ,„ ' all non -point source regulations. t'hive read the ha>iAous materials require... under Chapter 6.95 of the Califomia Health & Safety Code, Section 15505, 25533 and 25534. 1 understand that if the Wilding does not currently have a sawn, that it is my tesponsibiliry to notify the occupant of the requirements which must W act point o issuance of is CutiOate of ' °G•`uw�`y. -- of Applicant Date - _Signature All roof coverings to be Class "B" or better ' owner n, anthodaca.gent .. Data . OFFICE 0 CITY OF CUPERTINO I1• 1 of 1 PERMIT RECEIPT OPERATOR: conniew COPY # : 3 Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35932028.00 DATE ISSUED.......: 03/25/2002 RECEIPT #...••••••: 17732 REFERENCE ID # ...: 02030133 • SITE ADDRESS .....: 7408 STANFORD PL SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: JOSEPH J CHEN ADDRESS ..........: CITY/STATE/ZIP ...: , RECEIVED FROM ....: JOSEPH CHEN CONTRACTOR .......: LIC # *OWNER* COMPANY ..........: JOSEPH J CHEN ADDRESS ..........: CITY/STATE/ZIP .... , TELEPHONE ........: 0E PD THIS REC NEW BAL ID UNIT QUANTITY AMOUNT -TO -DT ---------- --------- BPERMFEE -------- ---------- VALUATION 3,750.00 ---------- 97.00 ---------- 0.00 ---------- 97.00 0.00 BPFIXTURE UNITS 1.00 8.33 0.00 8.33 0.00 BENERGY PERMIT FEE 97.00 29.10 0.00 29.10 0.00 BPGAS OULETS 1.00 4.44 0.00 4.44 0.00 PPERMITFEE FLAT RATE 1.00 35.52 0.00 35.52 0.00 BREMRECEPT NO. OUTLETS 1.00 1.11 0.00 1.11 0.00 BSEISMICRE VALUATION 3,750.00 0.50 0.00 0.50 0.00 EPERMITFEE FLAT RATE 1.00 35.52 0.00 35.52 ---------- 0.00 TOTAL PERMIT ----------•---------- 211.52 0.00 ---------- 211.52 0.00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- OTHER ------------ 211.52 ------------ AMEX TOTAL RECEIPT 211.52 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 101 FOUNDATION 312 ________-_------------------ CHIMNEY REBAR & STRAPS 514 FINAL PUBLIC WORKS • CITY o CUPEkTINO CITY OF CUPERTINO • b Z PERMIT APPLICATION FORM APN # F51 3 2 D 2 p Date: 3 2S D Fee Group o Building Address: 70 057�s1j kOwner's Oih—erAppliances MECHANICAL I Name: Ion V ✓ � Phone #: 00 BUILDING Contractor: // License #: `U51 A Contact: Phone #: MECHANICAL Applicant/Contractor: Fax #: MECHANICAL Building Permit Info: Bldg lect Plumb Mech MECHANICAL Job Descript Residential: Commercial: Boiler> 1.75M Btu Sq.Ft. Floor Area: $/Sq.Ft.: � 3 7rD Construction Tax Architect/Engineer: Valuation: Ind/Off/Comm/Quasi, Type of Construction: Occupancy Group: Con. Tax for BQ Zone Quantity Fee ID Fee Description Fee Group BAPPLOTHER Oih—erAppliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler > 500K to IM Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi, BUILDING BCONSTA)MQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax— Resi/Mobile BUILDING BELEC1000 Elec 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee I BUILDING BMITIGATC Comm. Housing Mit. Fee I BUILDING 1 of -# ( 773 ?- E • V%• 11W8ns N I_ Ei �Lj I i I l Zoo? c z avw j APPROVED Ili ACCORDANCE WITHDTHE CITY OV DRD NANCES I `� CI�P. CODES MAN SI IED c;E:cations MUST j TI set of plans b sept on t'r,: } i c c ; hn:'s and it at un doo Mao or alteration ul to ia c Cc.mssion c same cj.lE, Cupertino. ' _ -- 1 ( i It. builtlit�C.-w �14AIU QUD4as w;e . d. p . n , n; specto e to blit at, t, po,m.il 1 rovlsron' pl¢wail ¢l the vada[: n of any p j a; -- ,�aaw C• . n:�tr..rlr•'r or, Stata I 'I r1I Al E 0 0 N YI ++__ I o ! :• 00 l_J Q Ica } M's4a0VIED W ACCORDANCE WITH T'icc—GIIY Ofi I .4 C JPERTINO CODES AND ORDINANCES I; a pcc hcations MUST i -lop � 1 Lres and it is onIN ON ! i ��I Y �y �i t. lll���✓✓✓ t. RILL RCMA .s or alterations ! I`HIS PLAN SH f: r-- :mission from I ITHf ,^gt�_T ALL TiMSS DURING "_,oerfino. i ' — o INSTRUCTION. spzdf .Val ai :c t.^. f c"Y grmiaioas f.ih� 0"3i:}:�aa yr St�a L= AR 2 5 2002 �U M 5 ' SUBMITTAL z z� E; WW's a t4z v -o U _z CITY DIVIOF CONTRACTOR INFORMATION: SION PERMIT BUILDING ADDRESS: PERMIT NO. 7408 STANFORD PL JOSEPH J CHEN 02030133 OWNER'S NAME: APPLICATION SUR DA'I'S JOSEPH J CHEN 03/25/2002 PONE: SANITARY NO. CONTROL NO. ARCHITECDENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR 'S DECLARATION Job Description I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Seaion]OW7of Division3of the tlusincss and Professions Codc, end my licence CHIMNEY REPAIR. in fun force and effect. License Class Lic. a Dae Contractor ARCHITECT'S DECLARATION I understand my plans shall be used as public records Licensed Professional OWNER -BUILDER DECLARATION I hercby .!firm the, 1 am exempt fro the Commnor's License Law for the follow ing maser. (Section 7031.5. Business and Professions Code: Any city or County $15000 which requires a permit In cou,nect, cher. improve, demolish, nr repair any orucwre -prion. ill iuoawe.alm mr,drestheepplicam forsucM1 permit m filevalgnedsmmmem, ,....31�5�'rd�t'®a 1� &�.-:,..a,. ("1,J 5 1 i \.e{, Valuation that he,i: �icena(d pursuant tothp provisions of the Conuactors License Law ICh.Ner 9 fc ingwdh sectionfninc7")of ansCwe) ert the leged midi ba. An End the basis far the alleged demdhoto Any violation that the basis or Sect he Is ekempt any 1, applicant P.5 vi any applicant for v permit subjects the applicant m °civil Penalty - of Section 703 than wlmlm"re man TL -e hundred dollars ($500). 10 IAPB ��iR1P1�DATION "ll, � � Occupancy Type 01, as owner of the property, or my employees with wages as their sole compensation, -will do the work, and 'the .amcmre'is not intended offered for smr(sac.-tow:.. •Business and Professions Code : The Contractor's License Law does not apply lo an - 514 — FINAL PIRB4I II I6igRKSns owner of pr"peny Who builds or improves thereon, and who does such work himself or through his own employees. provided That such nproveme I t intended or "-offered for siiiII however, the Wilding onmpro.xmem is sold with!. one ycv oY '' ' s •' 1 completion, the owneobulWer will have The burden of proving that he did not build or improve for purpose of sale.). .as owner .Rio the p(Sec. Business CodIaTh 704th and Professions onti (Sec. ]B14, Business and Professions Code:) The to consumer the wjeContractors no propemy who builds improves thereon, does improves thereon, License Law data of apply to an owner with se fLasuch pmjats with ..comracmrtx) licensed personal to.thc. ,add who m License Centimeter's License Law, A ❑late exempt under Sec. ` 1 n II this reason � � � A'®�®P,` I ��'' //B&PCfor Owner, O ER'Sam COMPENSATIONIOECLAR°Dr ■ APR p 2 2002 1 hemby affirm under penalty of perjury one of the following dalantions: - 17 I hese °rad'will"moimnn v CeAfirde of Consent to self -insure for Worker's Compensation, as for by Section 37W of the Labor Code, far the BVIL✓'gag BUILDING performance of the work fee which this permit s issued. ❑ 1 have and will maintain Worker's Compen:a;on Insurance, as requited by Section 37W of the '"We Code. for the performance of the work for which this pcmvt is issued. My Worker's Compensation Insurance carrier and Policy number arc: hiPolicY t. ( ac �� ,:..;CERTIFICATION OF E%EMFIION PROM'WORRERS':I --,,., ;,I r-• Art! .'. s_ s,.,. .�, .. ,... COMPENSATION INSURANCE' -"'IO ''" _ _ _ (1nd"action reed not be complemA if the permit is for one hundred dollars s 1 - - SIM., lnsa) , 1 i'eri fy th I n the f a (th k f i s nmed T , o become shall not employ any Person any c s w become subject (th Wnrkcrs on Laws of California. Dam .' Applicant „�fl, •... ... Applicant. L IL e C of io Yen NOTICE TO APPLhe •' youshould Compensation sio de, st hi of theLaborCode, must Work isiohi o Labor bechwithcsubjectpto the Worker's Cions is or Perm forthwith comply with such provisions or his Permit shall be dimmed revoked. • ,CONSTRUCTION [.ENDING AGENCY "" ' " • " I hercby affirm that there ea'a communion lending agency for the peffoonmtce of Ne work for which this Permit is issued (See 7097, Civ. C.) Lenders Name •... ,_....- _ .. _._. __. _._. ... ..._ _.... _.. _._... _.._.. .. • I certify that 1 have mad this application and state that above information is carnal: I agree 10 empty with III city and counlY ordinances and state laws relating m building conswai.n, and hereby duthmiu represematives of this city to enter upon the ebuvWc)emiomed property for inspection purposes. -,_ I gra to save , indemnify and keep harmlen the City of Cupenina against liabilities, judgments. costs and expenses which may in any way acaue against said vel City in consequence of the granting of this p.I,. : ' "' .. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT, .. Issuedb : r Date —� Y SOURCE bLATfO s. w s;gnalure Iiea Cmt ,m' ..".' "', ".--,d,' .,'."Dae ' Re -roofs ' HAZARDOUS MATERIAL$ DISCLORE d applicant fru b Iilog tic p Il or handl hamrd material _ ._ .Type of Roof. .. - - -_ ..• . "• as deflmu by the Cupertino Municipal cod Chapter9.12. and theHealth d Safety Codc S❑ctior 255n2(a) ;. - _ , l I'..,. 1 .� -.r 1 r ".'.• ter ".�•, f]N .!•. )', 4`. „Ifl i 1 t ,., :., ... '_ \. -9- All roofs shall be inspected prior to.any roofing material being installed. _ th pplicam.r future hu Idmg c pard use equipment devices which If a roof is installed without first obtaining an inspection;d agree to remove mit hazardous 'r contaminantsas defined by the Bay Area A Qua! y M gement Is6let? , all new materials for inspection. Applicant understands and will comply with .1 all non -point source regulations. I' 1 have mad the bazard.us'materials req. remenes unde Chapin 6.95 of the Califemia Health & Safety Code, Sections 25505, 2553] and 8534. 1 undsremnd ilia ifthe building does not Current ly heveorenanl, that it is my msp.nsibilirymnolify the _ "" '" "'- , - " pcea, i t of the requirements which must h tact pnor to tss6am'e of a Certificate of °""p°"`y • :. - - Signature of Applicant Date All roof coverings to be Class "B" or better g Ownc uthorizeda t' Dam OFFICE .. .. _ ... .... ..... _ _ .-.