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03090112 (2) CITY OF CUPERTINO .�-- BUILDING DIVISION PIiRMl` 'CONTRACTOR INFORMA N , BUILDING ADDRESS: """"03 ERMIT"03 0 9 0112 106C17 10HAN2RN DR -R'S NAME: PERMIT ISSUE DATE PHONE. SANITARY NO. 36 Z 2 CONTROL N0, ARCHMICI7ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH o 0 0 fop LICENSED CONTRACTOR Eeomx of hap ON wp 1 hereby arfrm that 1 am licensed enter rnvixmnx nr cnamdo v(<nmmenang Job Description �z with SCclionA ))nf Division 3 of the❑uviI .andPdo.'inns J yliccnxis wlrnra n rr<n f,�'�- REVSION--IN HOUSE USE ONLY License CI Lin.K -rc Dam cumm<wr NO NEW PERMIT ISSUED/ORIG. #03070079 •S Q ARCHITECT'S DECLARATION I a understand my plans shall x used as public records lyU C G Licensed Professional OWNER-BUILDER DECLARATION - .t a E . 1 hereby arfrm that I am emmpl from the Cnmractor's License Law for the Ho following reason.(Section 703 1.5,Business and Profession Code:Any city or county i m which rcquias a permit it,construct,alter,improve,demolish,Or repair any strac rre pnono its issuancc.also requires the applicant for such permit to file a signed statement azp mat he is licensed pursuant to minme pm.iaOf Coamdmrs License Law(Chapter 9 Sq. Ft. Floor Area Valuatiq�l07 2 - (commencing with Section 7")of Division 3 of the B usiness and Professions Code)or that he is exempt memfrum and the basis for the alleged cmirgd on.Any violation of Section 7031.5 by any applicant for a Permitsubject,me,applicant to a civil penalty of 3'AON�"tzrOO not mom man five hundred dotter= Occupancy Type -- - - ❑I.as owner of the pmpeny,Or my cmploydss with wages u their sole compensation, will do me work,and me spot is nal intended or offered for sale(Sec.7044.Busi=a and rosiest ions mdocs ion:Code:The Coactors License Law not apply to an owner of Required Inspections property who nilds or improves thercun.and who dors such work himwronhrough his 101 — FOUNDATIUN ^. own employees.provided that such impromemeou;are not intended or offered for sale.If. lO2 — PIERS however,me building or improvement is sold within one year of completion.Be owner- builder will have die burden of proving mat he did not build or improve for purposd of 103 - OF ER 01. 104 - REBAR 1,as owner of the property,am eadusiv<ly concocting with licensed contractors to untrua the project(See.7044,Business and Pro¢ations Code:)The Conmacmr's 13. 105 - ANCHOR BOLTS cense Law does not apply to an owner of progeny who wilds or improves thereon.and 106 - SEWER & WATER who eommdt,for such pmjccn with a somata r(s)licensed pursuann,me Contractors License Law. 202 - UNDERFLOOR PLUMBING 1 am exempt under Sec. .B&PC for this reason 203 - UNDERFLOOR MECHANICAL Date204 - UNDERFLOOR FRAME WORKER'S COMPENSATION DECLARATION "'-"- Ihereby affirmcodes Pcrally ofpedid,moe of inemuowmgd¢amitimis: 205 - UNDERFLOOR INSULATION Alban and will maintain acanmamoremtsemmselfheard for WortraCompon. 301 — ROUGH PLUMBING cation,ss provided for by Section 37W of the Labor Code.for she performance of me 302 - TUB. & OR SHOWER work for which mix pmmil is issued. ❑I have and will maintain Worker's Compcnation Insurance,is required by Section 3 03 - ROUGH MECHANICAL 37W of the lormonsCode.for and gerformance of me work for which mix Permit is caused. 304 - ROUGH ELECTRICAL My Worker Cor�penstinnmavmntt canter andPolicyna,tymge����v^�- 305 - FRAME Ca`a SCE IFICADeOFEXEMPI'IOIvWOMWGORKERS' 306 - HOLDOWNS COMPENSATION INSURANCE 307 - INSULATION Inmsi) (This section odea not w completed it the Permit is mound hundred dollars($IQB 308 - SHEETROCK 309 - EXTERIOR LATH e m ploy mm or me performance mann of sa work ort whim this permit is issued,1 xhau ren employ 310 - INTERIOR LATH Laws of California.Dam 311 - SCRATCH COAT Applicant NOTICE TO APPLICANT:If,at making this Centrax of Exemption,you should 313 - ROOF NAIL become subjcn to the Worker's Compensation provisions of the Labor Code,you must ] Z mnhwimcomplywithsuchpmvislonsotthispdrmitshallwdeemedovoked. 501 - FINAL ELECTRICAL ENERGY z CONSTRUCTION LENDING AGENCY 502 — FINAL PLUMBING ENERGY I hembyamrm thatthereisaconoucfinn leadingagency fnrshct,crformanmof 503 - FINAL MECHANICAL ENERGY Z the work but which this pcdmu is issued see.3097,Civ,C.) 4rUnder',Name 504 - FINAL BUILDING ENERGY Lcndcr'sAddmss Z)z. 505 — FINAL ELECTRICAL_ 1 codify that I have read this application and some that did above information is 506 — GAS TEST .L Coneet.1 agree to comply with all city and county on inances and stale laws relating to building construction,and hereby arthoom representatives of this city to enter upon the �U abmomemomedpmpcny far inspection proposes. FIN PLUeIN ago, v<,indemnify and keep harmless me City of Cupertino against FI L N su andcsperdses which may broad,way accede agai0 i staid City J z anting of this peropi 5% 1Z ^ STAND AND COMPLY WITH ALL NON-P01 Issued by: Date S Re-roofs 4 NAL PUBLIC WORK S' amrc or APPlic UCom Dam HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will theapplicantm future building e.Chaptscoreor handle Health anmaterial az donned io the 32(a)?nn Municipal Code.Chapter 7.12,ant the Health and Safely fwd,o er2ss3z(a)? All roofs shall be inspected prior to any roofing material being installed. Will the applicant or fmurcubuilJing occupant use equipment or obviates which If a roof is installed without first obtaining an inspection,I agree to remove mit horaNnus air contaminant,as dcfncd by the Bay Area Air Quality Management all new materials for inspection. District? ��//�� [3 Yea �u I moo dm<hararJnusmamrialsayviamcnu under Chapmr 695of me Califon nia Hmhh& tyCode Sccdom 25505.2V33 and 25534.i undcrsmnd ma if me wilding does ad,/y5dy have a tcnan that it citify responsi hility m nastily the Intupan of me which am,,, I or sxuadeeoracdNfua urOcdrn Signature of Applicant Date D �J- er ser solhonmd or, am All roof coverings to be Class "B" or better =pePOPA ENGINEERS Inc. STRUCTURAL ENGINEERING CONSULTANTS fiiva mutt tl�z4 r1� ,9-rcE�rbc 7r-t!7-- A"C-W �vr���� s�s��� • //mT 7-7� 5itMe � '6 is / R�cona n r h'ic ��®�f i 7tr O 34- fifo /7- W fV4,6 -- lf IN 7 QEt QRCFESSlp 5� ;ANN R +� m CC No.C0366 p Exp.3/31 5 �qT CIVI ��a�P FOFCAIl� _ e GOLDEN VALLEY OFFICE CENTER 2542 South Bascom Avenue • Suite 102 • Campbell, California 95008 Phone: (408) 559-4202 • FAX: (408) 559-3628 CITY OF CUPERTINO Ite 1 of 1 PERMIT RECEIPT OPERATOR: conniew COPY # 3 Sec : Twp : Rng : Sub : Blk: Lot : APZV . . . . . . . . : 37537065 . 00 DATE ISSUED. . . . . . . : 09/16/2003 RECEIPT 4 . . . . . . . . . : 23160 REFERENCE ID # . . . : 03090112 SITE ADDRESS . . . . . : 10697 JOHANSEN DR SUBDIVISION . . . . . . : CITY . . . . . . . . . . . . . : IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : DAVID & JUDY CANO ADDRESS 10697 JOHANSEN DR CITY/STATE/ZIP . . . . , RECEIVED FROM . . . . : IBRAHIM YILMAZ CONTRACTOR . . . . . . . : LIC # COMPANY . . . . . . . . . . . ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . , • TELEPHONE . . . . . . . . : FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ----- - - - - - ------- --- --- - - -- - --- - --- BPLANCKREP HOURS 4 . 00 222 . 00 0 . 00 222 . 00 0 . 00 TOTAL PERMIT 222 . 00 0 . 00 222 . 00 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER -------------- --- ---- -- - - ---- - -- ---- - - - OTHER 222 . 00 VISA TOTAL RECEIPT 222 . 00 • C ts�"r�. x'03 0 7(, o 7 S 1 � �ITY OF CUPERTINO CU CITY OF NO PERMIT APPLICATION FORM b2— e APN # 375 - 57 -eq& j Date: Building Address: I DroF=-�7 PE Rry NO, CA 9 S 104- Owner's Name: Phone #: 17aVv4 ,aJDY cAt4G (4o&� 49(0 - 0767 ContractorN. License#, Contact: Cupertino Business License#: Building Permit Info: Bldg E ❑ Plumb ❑ Mech ❑ Job Description: Residential rg G- Commercial ❑ Sq.Ft. Floor Area: $/Sq.Ft.: Cost of Project: Occupancy Group Type of Construction: Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> IM to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ 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 BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING Iof3 � � � OITY OF CUPERTINO CITY OF PERMIT APPLICATION FORM CUPEkTINO Quanti Fee ID Fee Description Fee Group BMITIGATR Res. Housing Mit Fee BUILDING BMNEWMULTI New Multi-Family Res MECHANICAL BMNEWSF&2F New Sf&2F Res Bldgs MECHANICAL BNEWMULTI Multifamily Res ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BNUMULTI New Multifamily Res PLUMBING BNUSFD New Single Family Res BUILDING BOVERTDAE Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE" Bldg Permit Fees BUILDING BPFIXTURE Pb1g Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER WaterHeater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cf n MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Fumace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL 2 of 3 r C IkITY OF CUPERTINO* On°F PERMIT APPLICATION FORM CUPERTINO Quantity Fee ID Fee Description Fee Group BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Insection BUILDING BSWIM Swinuning Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issuance PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Address Chane BUILDING • 3 of 3 :kKlGiuliani & Kull , Inc. . San Jose - Oakdale - Auburn November,2003 Job No. 03285 Ibrahim Yilmaz IMT Group Builders, Inc. 141 Thyme Avenue Morgan Hill, CA 95037 Subject:: 10697 Johansen Drive, Cupertino This letter is to confirm in writing that Giuliani & Kull Inc., provided construction staking for the property corners located at 10697 Johansen Drive, in the unincorporated portion of the City of Cupertino. In addition, we also checked the foundation form work in relation to the property lines. The results of that survey are as follows: Front building corner: 20.51 feet to property line Right side building corner: 5.00 feet to property line Left side building comer: 7.48 feet to property line Rear building corner: 12.41 feet to property line If you have any questions please do not hesitate to contact our office. Sincerely, GIULIANI & KULL, INC. �SS�ePpIALHF0oG�G o 'er 'yF< ��� '4- NO 7078 Mark A. Helton, P.E., P.L.S. f,Pi1! T9T.�or CCN • 4880 Stevens Creek Blvd., Suite 205 San Jose, CA 95129 (408) 615-4000 Fax (408) 615-4004