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060801480, 0 Z a a U U W F U CITY OF CUPERTINO�! BUILDING DIVISION PERMIT s ' nNTRACTORINFORMATION ' wa._,,`%::,Ar.•,,...e.°.�,. •w&`k 3. tAi, r`^ eh u -Y< PFAMITN°.06080148 BUILDING ADDRESS: DRAEGER CONSTRUCTION INC 11023 CANYON VISTA D2- OWNEWS NAME: PERMIT ISSUE DATE RANCHO DEEP CLIFF HOA 605 COMMERCIAL NE: SANITARY N0. CONTROL N0. (408)536-0420 ARCNITECr/EN0INEER: BUILDING PERMIT INFO BLDG ELECTO PLUMO MO LICENSED CONTRACT'OR'S DECLARATION Job Description hereby affirm that I am thousand onlar provLd.m of Capter 9 (commencing with Section TOM) of DiAsion 3 of the Bummood Prefmakns Code, and my license is in full fame Ind affect. REMOVE 3 TO 4" OF TILE, FELT & BATS. INSTALL NE o0- ;en —c Nr ANTI -POUNDING, FELT & BATS. ROOF REPAIR. ARCHITECTS DECLARATION 1 understand my plans mall W used as public maria Licensed Prafenla0ai OWNER -BUILDER DECLARATION 1 amby anirm that I em exempt Isom the Convectors License Law for the fallowing moron. (Sayan 7031.5, Business and Profemons Code: My city or aunty . which requires a permit to common, slie, hopmw. demmlmh. or repair any svuctum prior w he issuance, also (equims IW applicant forwah Permit o file a signed comment Liam! Law(Chapter9 SQ. f'[. F100[Alea Valuati�14 2 0 8 that he is licensed prmuentto the preASI-ns of the Commerce' (commendng with Secvon 70001nf Oivulon7 n(thc Busmen xM Proleuiam Codc)or that he is tempt thcmfmm and the bull for the alleged exemption. Any vloladon of Number Occupancy Type Section 7031.5 by any sppllant for a permit objects the aPPlkat M a civil Penslty of not mom Nan Bw hundred mllan (3500). R,5 yyppN 3 .D b 28041.00 wi L u owns of 1W property, m with wages tai( com.emam., Required Inspections q p Is r eco. 111 will do On worit.cion of trawrs License Law dose not apply lf an owner of .d. nmmuml, tam'intended., Lkanerea s Act apply to -0 0.00, and Pro(esslons Cade: Ta progenywW WTMs ns lfm Waugh his amasuchwded i ed that sutirzreom,andwW awn oro intense. IL poashimprowmauerenotIntendedmphomn.ffered bonen. the building m unprovement 4 told wlNk one year of ampkdon. the awner- m.th building I ��� bullmr will arc the burden of proving that he did mat Wild m improve far purpose of eek.). ❑ 1, as owner of the property, w sxelusinly coaaacting with licensed WhImm om to Code:) The Conemrs Li- the (Sec. 7044. Business and Pmfesamu m j a] � rsi'I but construct project cense Law deal not apply to an owner of property who Wilds or impmva thereon. and, ' J t� who coned for such pmjea0 with a conmstor(s) Ronald pursuant to the Con raemr'm lam sereno, undm Sa , 1wwr Law. BUILDING 0 DaBkPCfmthisreuon Owns( u N WOR KBRS COMPENSATION DECLARA770N I hereby affirm under penalty of perjury, one of lW following declaaaum: and will mainum a Cutifiai of COMA, to self-insum far Workers Compen- sation, as provided for by Section 3700 of Ne Labor Cade, for to Perfomanm of the woh for which this permit is issued. 1 haw, and will maintain Workers COMI.MLIM Inmratice, Is reyvired by Section 37W of the Labor Code. for the performance of the work for which that permit is blued. My Workers Compenavon lmua artier and Paltry number are: Carrier.,_%- ..tA,r�� CERTIFl N FltAN WORKERS' O E%TION COMPENSATION INSURANCE CO I ' (Thu inion mea noted completed if the permit is forone hundred dollar, ($100) or las.) ' 1 cenify that in the perfarmenee of the work for which this permit Is blood, ) mall not employ any person In my mater an as an become subject to W Wohcm' Compensation Laws of Califarnh. Dal. Applicant NOTICE TO APPLICANT: If, after making 036 Certificate of Exemption. you should become subject rc the Workers Compcnation proisiam of fee Labor Code, you must forthwith amply with such previsions or this permit shall W deemed rented. i CONSTRUCTION LENDING AGENCY I hereby affirm Nat Nem Is construction lending agemy for the performance of s ' work far which this permit b issued (Sec. 7(197. Civ. C.) Le Name - I<nmrs Aaere. I..&?, j I cenify that I ban read this almilmsun and sum that the aeon Information Is ' comct. 1 agree to comply with all city and county ordinances and mm laws relating to Wilding construction, and hereby authorise mpmsenutins or this city to cnmr upon the ahovc-mcntiuned pmpcny for inspection purposes - (We) agree to an, indemnify and keep hernia. the City of Cgrcnina !gains, j Iiahlliaa.Judgmcnm,cosb dna mpemm which rosy In any way accrec against ala City ' in consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Date - -az sON Re -roofs Type of Roof :�'5� -21-6C, Dau Signatum ofAirplicamlConittemor HAZARDOUS MATERIALS DISCLOSURE Will sae appliam m future Wilding aavpantstore mandle haaardous rudmial u defined by the Cupertino Municipal Code. Chapter 9.11, and Use Health and Safety Cam. Secti..15531(a>7 All roofs shall be inspected prior to any roofing material being installed. [:3 Y. Na If a roof is installed without first obtaining an inspection, I agree to remove Will Na applicant or future building Occupant use equipment or mvicea which MAIL hmudous air contaminants to de0(md by Ne Bay Area Air Quality Management all new materials for inspection. District? 0 y $Nff— I ban mad the intentions materials requirements under Chapter 6.95 of the Califor. nil Heal" Safety Cam, Sections 15505,25533 and 15534,1 undem sed that if go Wilding does net CuR.ndy Ilan I nab Mat It Y my Impam ldllty to eadfy the maga, of the requimme him. ,b melpnarwi.amleaaraeerdneamafOccupancy. Signature of Applicant Date - 1 -O(n �- ' All roof coverings to be Class "B" or better Ownerw euNo agent Date VF 1 of 10 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35628041.00 DATE ISSUED........: 08/18/2006 RECEIPT #.........: 35685 REFERENCE ID # •.. 06080148 SITE ADDRESS .....: 11023 CANYON VISTA DR SUBDIVISION ...... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: RANCHO DEEP CLIFF HOA ADDRESS ...........: CITY/STATE/ZIP ...: , OPERATOR: amyw COPY # : 1 RECEIVED FROM ....: DRAEGER CONSTRUCTION CONTRACTOR .......: DRAEGER, JOHN EDWARD LIC #,21895 COMPANY ..........: DRAEGER CONSTRUCTION INC ADDRESS ..........: 605 COMMERCIAL ST CITY/STATE/ZIP ...: SAN JOSE, CA 95112 TELEPHONE ........: (408)536-0420 SEE ID UNIT QUANTITY --------------------------------- BENERGY PERMIT FEE 115.56 BPERMFEE VALUATION 5,000.00 BSEISMICRE VALUATION 4,208.00 TOTAL PERMIT : 0 AMOUNT PD -TO -DT THIS REC NEW BAL ---------- 55.47 ---------- 0.00 ---------- 55.47 ---------- 0.00 115.56 0.00 115.56 0.00 0.50 0.00 0.50 0.00 ---------- 171.53 ---------- 0.00 ---------- 171.53 ---------- 0.00 CUPEkTINO (WCOF CITY OF CUPERTINO agoec lqg PERMIT APPLICATION FORM N# - I Date: 1 0B 18 O Building Address: Mailing Address (if different from building address): ViStn 110,93 Tk— Owner's Ne: Phone #: BBOILERI 6G Contractor: License #: Urq rn 1rc. Conwo Contact: Phone: 825'313-0100 I a�Ol 1 A Fax: Cupertino Business License#: ZI Building Permit Info: Bldg Er'RCOfi Elect ❑ Plumb ❑ M h ❑ Job Description: Ve, Residential [Er Y'Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: 11�4 �Q D Occupancy Group: Type of Construction: Please check this box if the project is a BCONSTAX second -story addition: ❑ o'ect Size: Standard Laze ❑ Major ❑ BCONSTAXBQ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL 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/OfFComm/ uasi 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 1 of 3 CUPEkTINO (Wl' CITY OF CUPERTINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS as 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 Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfm MECHANICAL BREMAMIAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREWURN Relocation of Furnace 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 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 2of3 CITY OF CUPERTINO CUPEf�F PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group 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 Inspection BUILDING BSWIM Swimming 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 Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/ Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING ZADDCHG Address Chane BUILDING W111k]