06080157 CITY OF CUPERTINO
a` BUILDING DIVISION PERMIT CQNTRAC' (;T�tI TP`Q•RMA' �_N ''`
BUILDING ADDRESS: , DRAEGER CONSTRUCTION INC PERMIT No.06080157
10951 KESTER D
OWNER'S NAME: PERMIT ISSUE DATE
RANCHO DEEP CLIFF HOA 605 COMMERCIAL
NE: SANITARY NO. CONTROL NO.
(408) 536-0420
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BO ELECT PLO MEOCH
u000 LICENSED CONTRACTOR'S DECLARATION Job DOSCilpt100
w❑ 1 booby affirm Nat I am licensed undo,provisions of Chapter 9(commenein{
iU with Section 70M)of Division 3 afthe Busineu and Professions Code.and my license is
n<� inrtllfareeameerteet. REMOVE 3 TO 4" OF TILE, FELT & BATS. INSTALL NE
j�_ license Clau Lic.N 6�7/ lt7
�� Data7 —o t comrxmr ANTI—POUNDING, FELT & BATS . ROOF REPAIR.
illo ARCHRELTS DECLARATION
I understand my plans shall be used u public omnis
JyU
g t; Licensed Professional
S OWNER-BUILDER DECLARATION
f 1 hereby affirm that I am exempt from Ne Contractors License Law for the
no following mason.(section 7031.5,Business and Pm(cssiom Codc:Any city or county
SA which requires a permit to canumct alter,Improve,demolish,ar repair any Structure
Z y prior tat its issuance,also imports the applicant rorsuch permit m file a signed statement
< that he is licensed pursuant to the provisions of the Conbu:tur II3cense Law(Chapter 9 Sq.F FFloor AValuati$ 2 O
yZF$ (commencing with Section 7M(y)of Division 3 of the Business and Professions Code)or
It there
r3 that he exempt from and the basis for the dinged exemption.Any violation of
Section 70315 by any applicant for a permit subjects the applicant m a civil penalty of APN Number Occupancy Type
on mare than r hundred dollars($500). 35628023 . 00
❑L,u owner of the property,army employees with wages u theirsok eompe aeon.
will do the work.and Nesumose is nnintanded araQered foraale(So..7044,Bviness Required Inspections
and Professions Cade:The Contactors License Law does not apply N e an owner of q P
property who buildsorimproves lhemon,and who doessuchwark hitmelforthrough his
own employees,provided that such improvements tae notin ended oraffered formic.If.
however,the building or improvement'msald within one year o(completion.the owner.
builder will have tim burden of proving Nn M did nut Wild or Improve for purpose of
sak.).
❑1,an owner of the property.am exclusively connoting with licenead conlnetars to
construct the prefect(Sec.7044.Business card Professions Code:)The Contactors Li.
cave taw dors not apply to an ownm o(property who Wilds or improve themen.and,
who contracts for such projects wild anomnnar(s)licensed pursuant to the Contractors
License Law.
❑I Sam exempt under See. .B k P C for this mssan
Owner Dau
41 WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury obo or the following declaration:
J rIIhave and will maintain a Cardinals ofeovent m self-insure for Worker's Coupon.
Sudan.as provided for by Section 3700 of the Labor Code,for the performance or the
we&for which this permit is issued.
have and will maintain Workers Compevx0on Insurance,as myvimd by Section
3700 of the Labor Come,far the performance of the work for which this Introit is Issued
My Workers Camperssauon Ivo non carrier end Policy number ars: -
Cam Policy No.:7(3j5 "O 9OnJ
RTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
mitemetion bond not W completed ifthe permit is forone hundmddoihrs(SIM)
or leas.)
1 comfy,that in the fulmination of the work for which this Permit is issued,I Shall not
employ any person in any mannerso as in became subject to Ne Workers'Compensation
Laws of California.Dau
Applicant
NOTICE TO APPLICANT:IL after making this Certificate of Exemption,you Should
become subject in the Worker's Compensation provisions of the Labor Code,you must
.J O forthwith comply wit such provisimts or this permit shell W domed uvaked.
'y ^' CONSTRUCTION LENDING AGENCY
[r
4 I hereby alRrm Nat them its construction lending agency for the performance of
CG.tea the work for which this Permit is issued(Seo.3097,Cie C.)
Q Lenticr's Name
a z Lentlers Address
U 0 i certify that 1 have road this application and sou Nu Ne above information Is
correct,l agree to comply with all city and county ordinances and mu laws relating to
V building construction,and hereby authorim mpmsenutives of this city to enter upon the
Ct7 ahove-mcouuncd property for inspection purposes.
g), (We).,me to save,indemnify and keep harNass the City of Cupertino again,
tFi rA liabilities,judgments.ousts and expenses which may in any way accrue again,,mid City
L)Z in consegec..of Ne granting of Nis permh.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
Re-roofs
Sigiffluareo App spRData
HAZARDOUS
xAZARDOUDOUb MATERIALS tm mo handl Type of Roof
Will the applicant m future building e.Chapter
tume or handle Health an materiel
v defncd by tW Cupertino Municipal Code.Chapter 9.12,and the HCSIN and Safety
Code.Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed.
❑Y. 9-Har—
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 haardous air comaminants u defiant by the Bay Amo Air Quality Management all new materials for inspection.
Distr ct7
Oyes
I have mad the Wa dams matarials reqummunts undcrchapus6.95 of the Califon
niafhuhh&,Safety Code Secuov 25505.25533 and 25534.I understand Nuifihe building
J bow a octans Nu it u my mspovihility u notify the,occupant of the
u'mmcros whit or in announce of a Ceruficau ar Occupancy. Signature of Applicant Date
(_19All roof coverings to be Class "B"or better
Owner or authomed agent Data'
CITY OF CUPERTINO
-0m 10 of 10 PERMIT RECEIPT OPERATOR: amyw
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 35628023 . 00
DATE ISSUED: . . . . . . : 08/18/2006
RECEIPT # • • • • . • • • • : 35685
REFERENCE ID # . . . : 06080157
SITE ADDRESS . . . . . : 10951 KESTER 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
WE 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
METHOD OF PAYMENT AMOUNT NUMBER
- ---------------- ------------ ------------------
CHECK 1715 . 30 123214
TOTAL RECEIPT 1715 . 30
•
CITY OF CUPERTINO
CUPEI�TINO
C1 or PERMIT APPLICATION FORM
411PN Date: ple>IIzIO�D
Building Addr ss: Mailing Address (if different from building address):
5 r
Owner's N Phone#:
hGl�� To=te �'� }�c
Contractor: License #:
UI-1(.o 10 �
Contact: Phone: Cupertino Business License#:
Fax:
Building Permit Info:
Bldg W teZV�iElect ❑ Plumb Nech ❑
Job Description: $'To - 1 1
Residential K' -V Commercial ❑
Sq.Ft. Floor Area: Sq.Ft.:
Cost of Project: Occupancy Group:
Type of Constriction: Ls�LJ Please check this box if the project is a
second-story addition: ❑
•o'ect Size: Standard 'B"' 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> IM to 1.75 M Btu MECHANICAL
BBOILER5 Boiler> 1.75MBtu MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX hid/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
•
1 of 3
CITY OF CUPERTINO
CUPEf�F PERMIT APPLICATION FORM
QuantityFee 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 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
BREMAIlZHAN A/C Units <= 10,000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
r BREMFURN Relocation of Furnace MECHANICAL
BREMFURNOV Relo Furnace> l OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Mise 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 A liance ELECTRICAL
2of3
CITY OF CUPERTINO
CUPS OF INT
PERMIT APPLICATION FOR
uanti 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 Insection 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 Change BUILDING
•
3 of 3