The URL can be used to link to this page

10060058CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1 118 YORKSHIRE DR OWNER'S NAME: TAMING & ERIC WU OWNER'S PHONE: 4088911249 I LICCENSED CONTRACTOR'S DECLARATION License Class G Z19 Lic. # !98 Contractor Lest L.4VA Date Ito zz( Q 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 1 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 ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1, 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 -ion the above mentioned property for inspection purposes. (We) agree to save lemnify 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. Date CONTRACTOR: SANDIUM PERMIT NO: 10060058 223 VERDIGRIS CIR DATE ISSUED: 06/10/2010 AN JOSE, CA 95134 PHONE NO: (408) 894-9072 OB DESCRIPTION: RESIDENTIALZ OMMERCIAL 11 REPLACE FURNACE AND ADD A/C I, q. Ft Floor Area: Valuation: $8700 E,PN Number: 36208007.00 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED IN TgI�W Issued by� Date: V RE -ROOFS: f.11 roofs shall be inspected prior to any roofing material being installed. If a roof is i istalled without first obtaining an inspection, I agree to remove all new materials for i ispection. c ignature 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 I lealth & 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 v ill maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and t re Health & Safety Code, Sect' �is125-505, 2 and 25534. l / ( owner or authorized ager- t: Date: C w 1 L CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of v ork's for which this permit is issued (Sec. 3097, Civ C.) I ender's Name I ender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO 6 ITEMS OF 6 PERMIT I.ECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 3620E007.00 DATE ISSUED.......: 06/1(/2010 RECEIPT #.........: BS00(,010598 REFERENCE ID # ...: 1006(058 SITE ADDRESS .....: 1118 YORKSHIRE DR SUBDIVISION ...... CITY .............: CUPEPTINO IMPACT AREA ...... OWNER ............: TAMING & ERIC WU ADDRESS ..........: 1118 YORKSHIRE DR CITY/STATE/ZIP ...: CUPEI'TINO, CA 95014 OPERATOR: SylviaM COPY ## : 1 RECEIVED FROM ....: SANDIUN CONTRACTOR .......: MICHI,EL LEE LIC # 28867 COMPANY ..........: SANDIUM ADDRESS ..........: 4223 VERDIGRIS CIR CITY/STATE/ZIP ...: SAN FOSE, CA 95134 TELEPHONE ........: (408) 894-9072 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- 1BCBSC ------------- VALUATION ---------- 8,700.00 ---------- 1.00 ---------- 0.00 ---------- 1.00 ---------- 0.00 1BREMAIRHA NO.UNITS 1.00 63.00 0.00 63.00 0.00 1BSEISMICR VALUATION 8,700.00 0.90 0.00 0.90 0.00 1MFR=<100 UNITS 1.00 126.00 0.00 126.00 0.00 1MPERMITFE FLAT RATE 1.00 42.00 0.00 42.00 0.00 1TRAVDOC FLAT RATE 1.00 42.00 0.00 42.00 0.00 TOTAL PERMIT ---------- 274.90 ---------- 0.00 ---------- 274.90 ---------- 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 274.90 --------------- 274.90 VOICE ID DESCRIPTION -------- ---------------------------- 505 FINAL ELECTRICAL 508 FINAL MECHANICAL REFERENCE NUMBER -------------------- visa VOICE ID DESCRIPTION -------- ---------------------------- 507 FINAL PLUMBING CITY Of CUPEI,TINO CITY OF C'.UPERTINO FURNACE/AC PERMIT APPLICATION FORM APN # Date: ("A. 210 Building Address: Owner's Name: Phone #: ( 12th Contractor: Phone #: $ f d 7 2 Fax #: Contractor License #: Cupertino Business License #: Contact: Phone #: 40-9 gq4qo7z Fax #: Building Permit Info: Elect Plumb Mech , Residential Commercial ❑ Job Description: f - For Residential Installations: Attic ❑ 1St floor ❑ 2°d floor ❑ Adhere to minimum setback 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 Construction (Usage Class): Strapped ❑ On Platform Bonded [ New Location Replacement Project Size: Express and ❑ Large ❑ Major ❑ Valuation: i ??v t? Green Building: Please complete relevant portion of the Green Building Checklist & attach it to the application or if applicable, include in plan set & the sheet index. Revised U1/U//U9 CITY OF CU'ERTINO al FURNACE/AC CUPEkTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type AIR CONDITIONING FURN/AC 1BCAIRHAN Commercial A/C Units <= IOk CFM B 1MCRAA Commercial Mech R(-,pair/alt/add M 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICO Seismic Commercial B 1PGASCOM Commerical for ea gas piping System 1-4 outlets P 1 PGASRES Residential for ea gas piping system of 1-4 Outlets P 1BPGAS For each gas piping system of 5 or more per outlet. Comm/Resid P / / 1 BREMAIRHAN Residential A/C units <= l Ok CFM B 1MRRAA Residential Mech Repair/alt/add M 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1 BSEISMICR Seismic Residential B 1 EPERMITFEE Electric Permit E / 1 MPERMITFEE Mechanical Permit M 1 PPERMITFEE Plumbing Permit P 1TRAVDOC Travel Documentaticn B 1BUSLIC Business License B CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: g PERMIT # OWNER'S NAME: ` PHONE # 4- ? 2 GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: CITY/ZIPCODE: "Our municipal code requires all busingses working in th( city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY IN";PECTION(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: l Signal ure Date Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile _ 61 *AV(Z> Owner / Contractor Signature Date