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08080204CITY OF CUPERTINO - t+t,•.�+c• A,75;r ,' w 3 » •mss' �f"' tl ::• m' BOILDING DIVISION PERMIT CONTrR'AOT'PRA ORMATION., BUILDI ADDRESS: �J�3S PERMrr NO. PUMPKIN CT SOUTH BAY PLUMBING 08080204 NER'S NAME. - PERMIT ISSUE DATE I.�¢t3 KENNETH 441 N CENTRAL AVE STE 3A 08/25/2008 PHONE: - SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: - BUILDING PERMIT INFO INSTALL TWO WAY HOME CLEAN BLDG ELECT FLUME MECH LICENSED CONTRACTOR'S DECLARATION GUT Job DBSCrIphOn I hacby Nal I m Ikeved under provisions of Chapter 9 (commencing 0) of Nc Bualnrsa and Professions Cade.and mylieensc Is with Sarre ndX1)o(DivlsianJof la full forty and ,Rett Ucanm clue Lie.g Dem ConT'S DEtor CLARATION ARCHI'la(TS DECLARATION 1 understand my Plans Nall he card as public mash Licensed perfusional OWNER-BUILDER DECLARATION 1 hereby affirm that i am exempt from the Conuscmr's License law for the following moon. (Scedon 1031.5. Business and Professions Code: Any city or =only which requires a permit to convect, alter. Improve, demolish. or repair any structure prior m its i.suanm, alw require the applicant for such permit to file asigned su co um "I bat Is licensed pusm.ntm Use provisions of Ne Camracmr, Liao¢ Law (Chapter 9 Sq. Ft. Floor Area Valuation (commencing with Section 7000) of Division 3 of the Business and Prorruiuns Code) or Inaba u exempt therefrom and to bub for Use alleged exemption. Any violad'on of APN Number Occu ane T P y y� SWUM 70313 by airy applicant for a permit subjects Ne applicant be a civil penalty of oat mart Man 0w hundred dallus (5500). ❑ 1. u owner of the pmpeny, m my employees with wgea u Weir mle compeuadm. will da the work and the nnmum b rot imm�d ar aRued fmsale (Sec.7044, BudKes and Prefeado , Code: The Conummes Llanse law doss rot apply W an owrrr of Required Inspections propeny who builds m improwa mcmon, and wh. dws .ah work himself e, trough bla own employee, provided that such improvements art not Intended reoffered forsde. If. hem., the building m Wpmvemant braid within me year of mmptedon• the owner- Wilder MB nave Use Wsden of proving that k did rot Will or Improve for purpose of EIEark 1, u owner of We pmpeny, em udu,ively con4 ing vim IlanaW comrenaa to . Use projm (See 71114. Business and Professions Cade:) Toe Contraction. U. . cents Law doe not apply W an awter or progeny who builds or improve theow, and, who contracts for such project] with a eontomor(O licensed Forswears W the Caricatures Licensed law. ❑Iw r .BRPCF Nu nu Dau ZTG WOR 5 OI IPERS A ON DECLARATION 1 hemby affim under penalty of perjury oK of The following declarations: ❑ Ilnwand will remmuieaCmlOcaseof Omseniteself-Insum forworker's Compere aatl.. as provided fur by Section 3700 of the labor Code. for be penamma of Ne , work for which this permit Is issued. ❑ 1 haw and will maintain Worser's Compeuadan Iu trona, u required by Section 3700 of Ue labor Cade, for the pcnmcom. of Ne more for which this permit is issued. My Worker's Compeuadon Insseence artier and Policy number are; Carder: Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Thtsmcdon Ked mthe completed if the Permit Is foram, hundred dollar, (SIM) as local I certify that in the pmformanee W me work for which this Permit is issued. I shall not employ any person ibkct W the Workus'Compensadon Law of Califomie��' ='Y becomes TO AP CSA Wifmr rKA&S i0am o o you Mould - . ca's become subject Worlh CompeudrnproWeioof wLanracoue. you most faMwiN comply with such Providons Or this parols Nall he dcemrd revalued. CONSTRUCTION LENDING AGENCY P hemhy.ffirm bear dem ba coutmction landing.posy far Ne perfomanm of the work fa which Nis permit Is issued (Sec 3W 7• Civ, C) I.Moces Name ' Lanese. Add. I cattily that I Mw send this applicadan and sum man Nc show information is ' conn. l agree to amply with all city and county oNinmas and sum law mladog W building convection, and hereby authorise mpresenudwat of this city to enter upon We above-mendoKd property for inspection purposes. (Wc) atm, N save: indemdfy and kap harmless the City of Cupertino agdml liabilities, judgments, cnsts and expenses which may In my my rent against said City in conrgamcc of the Standing of this Mend. APPLICANT UNDERSTANDS #ND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE S�J 0 Re-roofs Type of Roof Signa HAUS MATERIALS DISCLOSURE am Will Ne applicant or future Wilding occupamnoro or handle hawdous mamnal u donned by Ue Cmantim ,unlcipal Code. Chapter 9.13. and de Health and Safety .SWUM 25532(07All ❑Ne Ye roofs shall be inspected prior to any roofing material being installed. If'a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future building occupant use, equipment or devices which Md' huardws all Movements u domed by the Bay Arta Al, Quality Management all new materials for inspection. Diart:0 <No ❑Yes 1 have mad the hauWau matedah mquirtmenss under Cluplar6.95afde Califer. Code. Seed 2550 mJ 25534.1 ondcnuand tharifNc WilWnj lila Health Sr�n'c does not cuhaw a ane Nat It b possibility N notify the occupant of Ne mqumrKnusemea nisCandle, SignatureofApplicant bate moi'--Y All roof coverings to be Class '%q." or better owerm,eagen, Date CUPERT IN0 CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE PERMIT APPLICATION FORM N6 kO2n4/ APN # (PZ DZ Q Z .O� Date: „2s- �9 dC zone Building Address: D 7 C1 s / %//il�L�i� C-7 C(/OC0-711W r r.Q 9ra i Owner's Name: Phone #: t/= �G 71 Td Contractor: Phone4: y P 1CPSS Fax #: Contact: (/ Phone #: P Fax #: Contractor License #: Cupertino Business License #: Job Description: � v "71rANP- ,��lly�Al7fi�j t�j /�v Residential Commercial ❑ Valuation: IL Project Size: Express Standazd Lazge Major 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. Green Building Points: Quantity Fee ID Fee Description Fee Group Permit Type 1PCSEWER Commercial building sewer/sanitary sewer P 1CPSS 1BPREPIPE Commercial re -pipe per fixture P 1CPRP 1PGASCOM Commercial Gas Piping System 1-4 Outlets P IBSEISMICOM Seismic Commercial P 1BSEISMICR Seismic Residential P IPRSEWER Residential building sewer/sanitary sewer P 1RPSS V CUPERTINO CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type 1PRREPIPE Residential re -pipe per fixture P 1RPRP 1BPWSVCS Water Service P 1CPWS or 1RPWS 1PPRSEWG Private Sewage Disposal System P 1PCESS Cesspool P 1BPWATER Install/alter Water Pipe P 1BPFIXTURE Plumbing Fixture P IPGASRES Residential Gas Piping System 1-4 Outlets P 113PGAS Gas Piping System 5+ Outlets P 1PPERMITFEE Plumbing Permit Fee Issuance P 1PLMBLNCK Plumbing Plan Check P 1PLMBINSP Other Plumbing/gas Insp. P 1TRAVDOC Travel & Documentation Fee B IBUSLIC Business License B Revised 6-16-08 ►!J ® 3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN I.......: 36202042.00 DATE ISSUED.......: 08/25/2008 RECEIPT #.........: BS000005896 REFERENCE ID # ...: 08080204 SITE ADDRESS .....: 7995 PUMPKIN CT SUBDIVISION ..... CITY CUPERTINO IMPACT AREA ....... OPERATOR: SylviaM COPY # : 1 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 61.69 --------------- 61.69 VOICE ID DESCRIPTION -------- ---------------------------- ,106 SEWER & WATER ,REFERENCE NUMBER -------------------- 6628 VOICE ID DESCRIPTION -------- ---------------------------- 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 400 SEWER/LATERAL 507 FINAL PLUMBING OWNER ............: LEE KENNETH ADDRESS ..........: 7995 PUMPKIN CT CITY/STATE/ZIP ...: CUPERTINO, CA 95014 RECEIVED FROM ....: KENNETH LEE CONTRACTOR .......: RICK PERKINS LIC # 22605 COMPANY ...........: SOUTH BAY PLUMBING ADDRESS ..........: 441 N CENTRAL AVE STE 3A CITY/STATE/ZIP ...: CAMPBELL, CA 95008 TELEPHONE ........: (408)370-3535 FEE ID ---------- UNIT QUANTITY ------------- AMOUNT PD -TO -DT THIS REC NEW BAL IBSEISMICR ---------- VALUATION 1,300.00 ---------- ---------- 0.50 ---------- 0.00 ---------- 0.50 0.00 1PRSEWER UNITS 1.00 .. 2,0.40 0.00 20.40 0.00 1TRAVDOC FLAT RATE 1.00 40.79 0.00 40.79 0.00 TOTAL PERMIT ---------- ---------- 61.69 ---------- 0.00 ---------- 61.69 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 61.69 --------------- 61.69 VOICE ID DESCRIPTION -------- ---------------------------- ,106 SEWER & WATER ,REFERENCE NUMBER -------------------- 6628 VOICE ID DESCRIPTION -------- ---------------------------- 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 400 SEWER/LATERAL 507 FINAL PLUMBING •i J City of Cupertino Attn.: Building Department 10300 Torre Ave. Cupertino, CA 95014-3202 Subject: Install Property Line Clean -Out Name: Lee Residence Address: 7995 Pumpkin Ct APN: 362-02-042 Permit No. 08080204 • Videotape and Property Line Cleanout No additional Inspector: George Santos/ Roger Santos/ J Sullivan ............................................ Date: ... 09-04-2008 ................... cc: Property Owner File: I CuSD —MOP Building Dept. — Cup by the RPL 4' Depth 4' Length 46' SUPPLYING SANITARY SEWERAGE SERVICES FOR! CITY OF CUPERTINO, PORTIONS OF THE CITIES OF SURROUNDING UNINCORPORATED AREAS Td WH90:OT 800E b0 'daS £2_TS£SE804: 'ON XUd OARD OF DIRECTORS WILLIAM A. BOSWORTH JOHN M. GATTO CURTIS B. HARRISON WENDELL H. KERR, JR. CHRISTOPHER C. LEE. SUNNYVALE, LOS ALTOS AND 10I a1S I G1,aUl I NHSON I1213dno : WOad spNITAO,B'� DISTRICT MANAGER -ENGINEER R�. MARK THOMAS COMPANY, INC. RDK. TAN RICHATANAKA DISTRICT COUNSEL t' :Y I RVPCP. �l,�eLfB ATKINSON • FARASYN, LLP. HEQ 10`� HAROLD S. TOPPEL 20833 STEVENS CREEK SOULEVAR , SUITE 104 CUPERTINO, CALIFORNIA 950 42164 (406) 2537071 PHONE (406) 25 6179 FAX WWW. cuper(irrosanitarydist ict.com City of Cupertino Attn.: Building Department 10300 Torre Ave. Cupertino, CA 95014-3202 Subject: Install Property Line Clean -Out Name: Lee Residence Address: 7995 Pumpkin Ct APN: 362-02-042 Permit No. 08080204 • Videotape and Property Line Cleanout No additional Inspector: George Santos/ Roger Santos/ J Sullivan ............................................ Date: ... 09-04-2008 ................... cc: Property Owner File: I CuSD —MOP Building Dept. — Cup by the RPL 4' Depth 4' Length 46' SUPPLYING SANITARY SEWERAGE SERVICES FOR! CITY OF CUPERTINO, PORTIONS OF THE CITIES OF SURROUNDING UNINCORPORATED AREAS Td WH90:OT 800E b0 'daS £2_TS£SE804: 'ON XUd OARD OF DIRECTORS WILLIAM A. BOSWORTH JOHN M. GATTO CURTIS B. HARRISON WENDELL H. KERR, JR. CHRISTOPHER C. LEE. SUNNYVALE, LOS ALTOS AND 10I a1S I G1,aUl I NHSON I1213dno : WOad