Loading...
06080144 CITY OF CUPERTINO '�'°^ '- BUILDINCDIVISION PERMIT �£CONTRA.CTQR�IN�QTRMATION BUILDING ADDRESS: s DR E12 CONSTRUCTION INC PERMIT N006080144 11062 CANYON VISTA DR PERMIT ISSUE DATE OWNER'S NAME: RANCHO DEEP CLIFF HOA 605 COMMERCIAL ST 08/18/2006 NE: SANITARY NO. CONTROL NO. (408) 536-0420 ARCHTIECT/ENGINEER: BUILDING PERMITINPO 'BLDG ELECT PLUMB MECH �op LICENSED CONTRACTOR'S DECLARATION Job Description ib 1 hereby affirm that 1 am licensed under providons of Chapter 9(commenting i� to uSection ll orceandd streeDivision Sof uta Business n nsend Professions Code.and my licenmu REMOVE 3 TO 4 " OF TILE FELT & BATS . INSTALL NE LiemacCass ANTI-POUNDING FELT & BATS . ROOF REPAIR. Dao: Z— 1�—Contractor r , ARCHITECTS DECLARATION i I understand my plans shall he used as public nom da a V o G Licensed Pmressionel 5 Oat I am exempt DECLARATION 1 Mushy.(Sect that I I.S.exempt favus the Qomlanel License Law for the :00 following mason.Permit t 703 LBusiness and profession Code:Any airy s manly ism o which iUIsu•e,also reconatmcLahaicimprov,k Perlia errerepair my edmmctum _I< prior m its censed p rsuant a the thovisio s of for amh Permit micense caw(Chapter s�G that heiscing it pursuantmthe of Divisioof the4 B mores License Law(Chapter9 Sq.Ft. Floor Area Valuated@208 5 $ (eat he is(commencing with Sectionrn and the Division of Ne egad.ad Proon.M Actedns de)or _ that k u exempt IMmfrom and the bash for be alleged eamption.My violation of Section 7051.5 by A"applicant for a permit subjects the applkauo a civil penalty of 3 OV 8TIer 0 0 Occupancy Type not mom than firs hundred dollars(SSW). 5 6 2 8 i azownerof the property car my gmunrces withwage ea Heirmk ca .Butdoom and dvrsubmsCde:Tim Com is nmlLicensulcol oraw dismed ntapplyade In so Required Inspections and property wh ora Cade:The m themmr's Liaise Law don ret apply lo r or t owner of q P own emy who b,provided"Inch i m r and who docsaahwork oraffr edthrough his awn employees,prowled nut such improvements art rot Intended uvRerctl for alter, builder Veuvebuilding.,timprovement is amid withinrm yearcarimprovefo,Neownm- sam.).r wi0l�w the buadm of proving that he did int build or improv far puryase of ' sok.). ❑1,as owner of the property am amfi sively contracting with Earned contractors to Construct the project(Sec.7004,Business and Pretnslan Cotler)The Comrmmr's I.I. cone law does not apply m an owner or property who builds or improve themun.and, who contracts for such pro ce s with a eommctor(O llunsed pursuant to nae Consumer License Law. ❑ Iamescreprundm5ee, .Bh PCRuthurcason Owner Date k1 WORKER'S COMPENSATION DECLARATION ON hereby affum under penalty of perjury mm of esu following declarmivn: ham and will maintain a Certificate of Consent m a1f-inuro for wafter comped action,as provided for by Section 77W of the labor Cade,for the performance of the work for which this permit is issued. rT Fhdbe and will maintain Worker Compensation Insurance,u required by Section 761 W of the labor Coda far the performance of the work for which this permit is is u ch My Workees Compenauo.Inau nee carticr and Policy number are: Gmer. Poliry No.: 'b In CERTNFE TE OF EKEMPI70N FROM WORKERS' COMPENSATION INSURANCE (This section need not he complemd If the permit is force`hundred dollars($1 00) or less.) 1 certify that in the performame of the work for which this permit is issued,1 shall not , employ anyperan in my manor so as b become subject to the Worka s'Compensation Laws of califomia.Dam Applicat NOTICE TO APPLICANT.IL after making this Certificate of Exemption,you should become subject to the Workeh Compensation provisions of the labor Code,you mum .J z forthwith comply with such provide.or this permit shall he deemed revoked. Z O CONSTRUCTION LENDING AGENCY [-� Thereby affirm that Vert is a eonaumtion lending agency for the Performance of I5i .moi the work for which this permit is Wood(Sec.5097,Civ.C.) ' Q Landow Name z Lender's Address U C) I coor,that 1 have mad this application mal ware Net the about information is W P correct.I agree to comply with all city and county ordinances and some laws rekting to �Ubuilding construction.and hereby authorize mprescnatives of this city to corupon enter the r W shove-memiuned property for inspection pugvus. F LL (We)agree m save,indemnify ad keep harmless tht City of Cupertino against In liabilities,judgomms.casts and espouser which may in my way accrue against said City U Z in consequence of the granting or this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SO ONS Re-roofs Signaaieo ppicant/Coetractor Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building acupantmom or handle haurdqus material as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health ad Safety Code.Section 75553(.)? All roofs shall be inspected prior to any roofing material being installed. ❑r tri.- 41 Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit hvardnus air mdmmimmus as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yea _Qilt- 1 have read Ne hanrdwsmaerials mquimmemu under Chapter 6.95 of the Califor- - maHealth&Safety Code.Somlau 25505.25557 and 75574.1 undersand thmirthe building does net currently have a tams that it u my responsibility to notify the oaupat of the q .m It dormiesemmeacerurmaeaoccupancy. Signature of Applicant Date own¢or amthnrisd asst Dam All roof coverings to be Class"B"or better I CITY OF CUPERTINO n- 7 of 10 PERMIT RECEIPT OPERATOR: amyw COPY # 1 ' Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 35628034 . 00 DATE ISSUED. . . . . . . : 08/18/2006 RECEIPT # . . . . . . . . . : 35684 REFERENCE ID # . . . : 06080144 SITE ADDRESS . . . . . : 11062 CANYON VISTA DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : RANCHO DEEP CLIFF HOA ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , 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 •EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BENERGY PERMIT FEE 115 . 56 55 . 47 0 . 00 55 . 47 0 . 00 BPERMFEE VALUATION 5 , 000 . 00 115 . 56 0 . 00 115 . 56 0 . 00 BSEISMICRE VALUATION 4 , 208 . 00 0 . 50 0 . 00 0 . 50 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 171 . 53 0 . 00 171 . 53 0 . 00 CITY 'OF CUPERTINO CUPEkTINO PERMIT APPLICATION FORM N# Date: -0 0� Ig Ol0 Building Address: Mailing Address (if different from building address): o ViStz1 Owner's N Phone#: Oo—ntractor f W License #: Contact �}-, �1 Phone:g25'313-010q Cupertino Business License#: Ily� Ot I�vl Fax: 21 Building Permit Info: Bldg C<ti�Ofi Elect ❑ Plumb ❑ M h ❑ Job Description: Ve, sto -h'llt, Residential Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: L 41 Occupancy Group: Type of Construction: Please check this box if the project is a second-story addition: ❑ oject Size: Standard 2"- Large ❑ Major ❑ 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> 1M 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 BE\VESTIGA Investigation fee BUILDING 1 of 3 „ CITY OF CUPERTINO -' CUPEI�TINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Grou 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 BOVERTINIE Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE PbIg 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 Water Heater/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 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN 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 2 of 3 CITY OF CUPERTINO CUPEI�TINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Sips 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 MPER I= 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 Change BUILDING • 3 of 3