Loading...
08010032 (2) CITY OF CUPERTINQ BUILDING DIVISION PERMIT •Cd)k�ITRe�.C>a"I'aIt INFOIiMATIOIV BUILDI�I�y�gss�REENLEAF DRPERMIT NO. TBD — TO BE DETERMINED 08010032 OWNER'S NAME: PERMIT ISSUE DATE FRANK TSHU 01/07/2008 VE: - SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 !Op LICENSEDOatI..ONTRACTOR'SDECVsRATION Job Description i SSC 1 on70(d)GI Nm1amlived underact Piulemofs Cox 9 my Ike=4 p tJ iNSemion]OMI)ofDivinian3afNCBusiness andPmfcasiomCade,andmylkemcis PROPERTY LINE CLEAN OUT is full lose an ffecd. Z s$z License 1 IM.g Fes Dam a CSDEC 2 ARCHRECI•S DEC R 'ION W< 1 undersand my plana shall W used ss public rernrds se V u. Licensed Pmfessionel y 3 atIam OWNER-BUILDER DECLARATION <E I hemhy.(Seco that 11, pumps from to Cesiond is License Lew for dbo Q O following massa.(Section 703 1,5,Business and Improve, &d Call Code:Any city or mond S$ which its Issuance. a dermis to ennswet alcor.improv,M Permit i ri wash any suunum •iy poor to iaiensedpalw squire Ncidthlapplicant forsuch due Comoducle wfilca Law(saemevd S Out Wislicensedpuntion7IWofDiviopofNcConuinesssL3masclaw(Codd)9 Sq.Ft. Floor Area $ Valuation `F$ (come I.camng wiNSectirn]BW)of Division3 O theBusiness and Anyvila&m of 2rJQ0 — that he r campy daemfrom and far aper for be cut live exemption Any l peation of Section 7031.5 five any red Bolla s(o permit subjecu Ne applicmn w a civil petulsy of not more Nan Ties haMred dollars(SSW). 3260901DAM Number Occupancy Type do ownerk the pmpeny,ar my 1mouce mr.weep ( canpenm. will M Nc want end e,The num r my mmndns ora w do formic a(pec.7016,ausinnm and property who Code:The Communnor'smthemant Lim"•taw uch not apply b on awdsv of Required Inspections own eny Che W iprovildismd d Oat loch improvements who am not ch warthimselfor forage his awn employee,provided Nat,uch improwmenta in not ear ofc orraffacd for ala d. hfle.). the building orimprowmemrmld within one year of mmpkdon.the owner- builder will here the burden of am Nu W did ac Wild it improve for purposed of cmade ....MMMM'�AAnn 1I ❑Las owner of ct Pee.704 .B sinus ad pomading Codd Hceosed mans m's i. connmcs the project(Sea 7009,Busies,and Profwiae Code:)lite Conuecmr,Li- ' come taw does nay applyad en owner of property who Wilds or impmvp Centra,and. who contracts for such pmjam with aconuswr(o)licensed pursuant to the Contractors Licensense pe Law. ❑Ismexempimulm Set ,B&PCfm Nrrusoa Owner Dade - WORKERS COMPENSATWNDECtdRATION _. I hereby afford under penalty of perjury are of the following declvWorde 1 haw and will maintain a Cenifean df Comen,m oco self-1farworkeo- Ys Compe ion,as provided for by Section 37M of de Labor Code,for the perfarmlaux of the work for which this permit is issued. ❑ 1 have and will maintain Wml,cel Compensation Immrance,as required by Section 37W fNe Labor CodC,fm Ne perfmounce of Ne work for which Of.permit is ' My Workers Compensation Inmrama Cartier and Policy number arc: Canoe'l�A 1 "icy'41A2 cOSPTON FROM �C l WORKERS' COMPENSATION INSURANCE (ITr section need not W camplewd if the permit r fmane hundoMdoOan(SIOD) Ica.) 1 cenify that in the perf dennce of the work for which this Permit is issued.I shell not craployenyperwn in any manncrw as wlau me.wbject on the Worken'Campewtion Laws of Califumia.Dam Applicant NOTICE TO APPLICANT:IL alter making this Cenifmae of Exemption,you abound become subject to the Workers Cmdrama dun provisions of the tahm Code,you muss .J,Z fothwith comply win such provisions a this permit shall W deemed rooked, OCONSTRUCTION LENDING AGENCY F I hemhy affirm that,Nem is a cmauunion lending agency tor Ne perfmmame of L✓7 Ne were for which this permit is issued(Sec.3097.Civ.C.) - CQ Lenders Name z Lender's Addreas O 0 I ceniry Nal I have mad this application and spm Nm the above infamadun is f^ Correct.1 agrcc to comply with all city and county oolimmees and some laws rearing in J building construction,and hereby amhonm moesenusiwa or Nis city to enmr upon the 0. mop c rnemiuned pmperty Ire inspcnion purposes. (We)agree to save,indemnify and ycep bmmless the City of Cupertino against rn liabilities,judgments,costs and expemo which may in any way accrue spinet said City / U in Consequence of dive grarling of permit '—' APPLICANT UNDERSTANDS AIND WILL COMPLY WITH ALL NON-POINT Issued by: Date .I Re-roofs si6pwm a HAZARDOUS MATERIALS DISCLOSURE Dem Type of Roof Will the applicant or fuwm Wilding occupant store or handle hmW ow mammal ' as defined by dm Cupertino Municipal Code,Captor 9,IR.and 0m Health land Safety Cale,Section 2553](a)] EYP '--d No All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an ins ection,I Will the applicant or future building occupant use equipment or devices which g P _ agree to remove it h tdomos air contamimmus ss Mined by Ne Bay Area Air Quality Management all new materials for inspection. n7 ❑Yee No I have mad the harame-,rda,lho aquindr eau underchmat,6.95 ofd.Califm- rut Health&SzfetyCoIc,SecMm 25505.25533 and 25534.I undersand Na if Ne Wilding does not cturaMy ha mane Nat is r my responsibility w notify the o¢upam of dm loh ma m)pdarmi..once ofa C..kate rQeup ey. Signature of Applicant Date I o own)ar,trNa ,c ,gem Dam All roof coverings to be Class "B"or better t d �Dl OC� �Z CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPEftTINO PERMIT APPLICATION FORM APN# Date: Building Address: O CT Owner's Name: Phone#:: Contractor: Phone#:L40.9 - 4a. goo G CcS Vw- i Setter c Fax #: 24 O� Contact: Phone#: Lj o$, - 4 0 m 2 8 Oct ^o Fax #: Lfo9 419 p Contractor License'#: Z /� Cupertino Business License#: Job Description: Ah Residential Commercial ❑ Valuation: AS0a Green Building Check list must be completed and attached to this application. Green Building Points: Quantity Fee ID Fee Description Fee Permit Type Group 1PCSEWER Commercial building P 1CPSS sewer/sanitary sewer 1BPREPIPE Commercial re-pipe per fixture P 1CPRP 1PGASCOM Commercial Gas Piping System P 1-4 Outlets 1BSEISMICOM Seismic Commercial P 1BSEISMICR Seismic Residential P / 1PRSEWER Residential building P 1RPSS sewer/sanitary sewer CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPERTINO FEE SCHEDULE Quantity Fee ID Fee Description ftFePermit Type 1PRREPIPE Residential re-pipe per fixture1RPRP 1BPWSVCS Water Service 1CPWS or IRPWS 1PPRSEWG Private Sewage Disposal System P 1PCESS Cesspool P 1BPWATER Install/alter Water Pipe P IBPFIXTURE Plumbing Fixture P 1PGASRES Residential Gas Piping System P 1-4 Outlets 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 1BUSLIC Business License B e CITY OF CUPERTINO 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 32609010. 00 DATE ISSUED. . . . . . . : 01/07/2008 RECEIPT #. . . . . . . . . : BS000003630 REFERENCE ID # . . . : 08010032 SITE ADDRESS . . . . . : 20889 GREENLEAF DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER FRANK TSHU ADDRESS 20889 GREENLEAF DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : JOSEPH BECHWATI CONTRACTOR . . . . . . . TBD - TO BE DETERMINED LIC # 00096 COMPANY TBD - TO BE DETERMINED ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . , TELEPHONE . . . . . . . . : ® FEE ID UNIT QUANTITY AMOUNT PD-TO-DT , THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 2, 500. 00 0. 50 0. 00 0.50 0. 00 1PPERMITFE FLAT RATE 1. 00 40.79 0. 00 40.79 0. 00 1PRSEWER UNITS 1. 00 20.40 0 . 00 20.40 0. 00 1TRAVDOC FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 102 .48 0. 00 102 .48 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CASH 102 .48 --------------- TOTAL RECEIPT 102 .48 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 106 SEWER & WATER , 202 UNDERFLOOR• PLUMBING 301 ROUGH PLUMBING 507 FINAL PLUMBING m Community Development _ 10300 Torre Avenue i Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 CUPEkTINO Building Department JOB ADDRESS: PERMIT # at IF % q Grc Lacs !7 CJgo( 0 0 3 2 OWNER'S NAME: T SHV PHONE # o$ 6 J4 o aR o o GENERAL CONTRACTOR: < FAX # o8 V14i 9 I am not using any subcontractors7— I -;zO gnatureDI ate Please check applicable subcontractors and complete the following information: 69 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood ® Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature bate FROM :CUPERTINOSANITARYDISTRICT FAX NO. :4082535173 Jan. 25 2008 Oe:34AM PS `�O SpNlrq poloBOARD OF DIRECTORS DISTRICT MANAGER-EN INEER �'� %0F '(Pp MARK THOMAS&COMP NY,INC. A STEPHEN C.ANDREWS DAVID E.RD99 � ' WILLIAM A.SOSWORTH YEAJOHN M.GATTO DISTRICT COUNSEL SB �m CURTIS B.HARRISON ATKINSON•PARASYN. LP. �rAB(tg„EO ti9 WENDELLH.KERR,JR. HAROLD S.TOPPEL 20333 STEVENS CREEK BOULEVARD.SUITE 104 CUPERTINO,CALIFORNIA 580142154 (408)283.7071 PHONE • (408)2635173 FAX www,cupeWoos enitarydlstrict.com File: CuSD –MOP Building Dept. –Cupertino City of Cupertino Attn.: Building Deportment / 10300 Torre Ave. Cupertino, CA 95014-3202 Subject: Install Pro erty Line Clean Out Name: Tshu Residence Address: 20889 Cre-nleaf Drive APN: 326-09-010 Permit No. 0801003 ■ Videotape n id Property Line Cleanout inspected. No additi nal conditions/requirements by the District. Inspector: George Santos/Roger Santos........................ ............ Date:-01- 5-2008................... Sanitary Sewer Location: 6' Lt PIL cc: Property Owner 35' Long 4' Deep SUPPLYING SANITARY SENE AGE SERVICES FOR:CITY OF CUPERTINO,PORTIONS OF THE CITIES OF SARATOGA,SUNNYVALE,LOS ALTOS AND SURROUNDING UNINCORPORATED AREAS