04040004 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMI' CONTRACTOR INk'ORMAT
s_3 „ire R
BUILDING ADDRESS: DRAEGER CONSTRUCTION INC PERMIT N004040004
19500 PRUNER DAVE
ER'S NAME: PERMITISSUEOATE
IRVINE APARTMENT COMMUNITIlIS605 COMMERCIAL ST 04/14/2004
PHONE: SANITARY NO. CONTROL NO.
(408) 536-0420
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 t 0 0
!rOo LICENSED CONnRd orders DECLARATION JobI Description
I hereby reform that I am of the
under provision ofsCode. 9(commencing F P
n� with Stoned adCffr Division 3of the Busincen and Prafessinns CnJc,and my license is w , w ��®
n L Bmu(omaand errecx STAIR REPAIR '`Y■H
j J Z License Class Lic,p
gr„ Dale Cumrucmr
9 ARCHITECTS DECLARATION
U 1 understand my plans shall he used as public records NOV - 1004
o Licensed Professional
Oat I am BUILDER DECLARATION
00 1 hereby.(Sero ohm 1 1. exempt from the Contrns Co License Low for the
00 following mason.(Section 11131.5,Business and Profcssiuns Code:Any city or countyBUILDINM
m which rcquiru s pcemit m Cnnstrum,alter,improve,demolish,or repair any structure $38409
_Zj, Prior In its issuance,.1m,rcyuircs the applicant forsuch permit m Blcasignedstammcat
that he is licensed pursuant to the provisions of the Connector's Licensa Uw(Chapter 9 Sq. Ft. Floor Area `Valuation
x�rc (C(ptmencing with Section 7")of Division 3 of the Business and Profession Calk)or
y $ that M is exempt therefrom and Ne buts for the alleged exemption.Any vinlauon of
Section 9031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not mare than Rvc hundred dollars($500). Occupancy Type
I u owner of the property,or my employees with wages u Nair sale compensation,
Ne work,and Ne structure is not intended or offered for sale(Sce.104I,Business
L
Pmrauma Code:The Cconjo M1 License Law dose nal apply to an owner or Required Inspections
Property who builds or improver thereon.and who Coes such work himself or through his
own employees,provided that such improvements art not intended or offered for sale.If,
however,Ne building or improvement is sold within one year of comPlnion,the owner.
builder will have the burden of proving that he did not Wild or improve for purpose of
sale.),
❑1,as owner of the property,am exclusively contracting with licensed contractors to
coutrun the project(Sec.1644,Bminess and Professions Code:)The Contramr'a Li.
cesue taw Coca not apply to an owner of property who builds or improves fleemon,and
who comacm for such projects with a COolo ctor(s)licensed pursuant o Ne Contractor's
License Law.
❑Ism exempt 'St, ,BJk PCfar has"
on
r Da¢ I
0 'SC PE S TIONDECI.ARATION
I hereby affi riven of rj ry one of He following declarations:
❑I have and will maintain a Certihced of Consent m edr-iuuso for Wofker'a ComPen-
..
cation,as provided far by Section 3100 of the Labor Cade,for the performance of the
work for which this permit is issued.
1 have and will maintain Worker'Compensation Insurance,as required by Senion
3700 of the Labor Code,(or Ne performance of the wrote for which this permit is issued.
My Worker's Cnmpenmtion Insurance carrier and Policy number am:
Cartier. Policy NO.:
CERUFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This sectinn need not t,CenmPICLed If the Permit Is for one hundred dollars PI R10)
tor less.)
1 cenify that in the performance of the work for which this Permit is issued.I shall not
employ any person in any manner sat u to become subject to the Workers CamPensalla r
Laws of California.Data
Applicant
NOTICE TO APPLICANT:If.after making this Cel iftcate of Exemption,you should
'keepme subject to the Worker's Compensation provisions of the labor Code,you muse
,JO forthwith comply with such provisions or this Permit shall IN,deemed revoked.
Z"' CONSTRUCTION LENDING AGENCY
Er l herchy option Nat there its construction lending agency for the performance of
7 the work fur which this permit is issued(Sec.3091,Civ.C.)
U, Q Lcndcr'1 Name
Un
Z Lender's Address
U Q 1 ecnify that I have rcatl this application and state that the about information is
u.F correct l agree to comply with at l city and county ordinances and sum laws relating 1p
building Construction,and hereby morcrim representatives of this city to enter upon the
0U
[r7 ahovcmentioru d property for inspection purposes �K((we)agree to am.indemnify and keep harmless the City of Cupcnino against
f1 liabilities,jud menu.costs and expenses which may in a acemeagainst mid Cit
N s th Yi YwYY
Uz incanse coca.(the raTA of this permit.
APP Ni RSTA SAND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOU E TIO
1. 014 Re-roofs
Sign h 6re,r
IF ie ant t De
IfAZAD SMATgectuSDISCLOSURE Type of Roof
Will Be sure bparCure,Chapter 111,
handlh Health
ad lately u darned by the 32(.)?no sepal Code.Chapur 9.R,and the Health and Safcry
ode,Scmion23572(e)? All roofs shall be inspected prior to any roofing material being installed.
❑Yes
Will the applicant or ionic building oeeapant u,cequipment ordevfen which If a roof is installed without first obtaining an inspection,I agree to remove
Call hazardous air contaminants or JeOned by the Bay Arca Air Quality Management
District? all new materials for inspection.
❑YcsNo
I have mail the hasar ouemamnxls requirements under Chapter 6.95 of Ute Caiifor.
nix Hcol &Safer Codc,Sectio.255)5,25533 and 25534.1 understand that ifun,building
docs U ave a moan,;B011,my responsibility a notify the aCr,.t of the
rcgai ��L�.,rl�nmatprariaaaneaoracenircaloracP �eyQ..//�J, Signature of Applicant Date
owner aamr .ed em CalkAll roof coverings to be Class"B"or better
%ITY OF CUPERTINO*
CITY OF PERMIT APPLICATION FORM
CUPEIZTINO
APN# Date:
316-06-032, 316-06-037 March 31, 2004
Building Address: (Building 4# 3
Mailing Address (if different from building address):
19500 Pruneridge Avenue, Cupertino, CA 95014
Owner's Name: Phone#:
Irvine Apartment Communities, L.P.
Contractor: License #:
Draeger Construction, Inc.
Contact: Phone: 408-392-4100 Cupertino Business License#:
Chris Young Fax: 408=392-4120
Building Permit Info:
BldElect ❑ Plumb ❑ Mech ❑
Job ascription:
Residential ❑ Commercial ❑
Sq.Ft. Floor Area: VH $/Sq.Ft.:
Cost of Project: Occupancy Grou
$ 38,408.56
Type of Construction: Please check this box if the project is a
second-story addition: ❑
Quand Fee ID Fee Descri tion WMECHANICAL
Group
BAPPLOTHER Other A pliances
BBLDGFEE Bld Permit sq. foot BUILDING
BBOILERI Boiler<= 100,000 Btu
BBOILER2 Boiler> 100K to 500K Btu
BBOILER3 Boiler> 500K to 1M Btu
BBOILER4 Boiler> 1M to 1.75 M Btu
BBOILER5 Boiler> 1.75M Btu MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/Off/Comm/Quasi BUILDING
BCONSTAXBQ Con. Tax for BQ ZoneBUILDING
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 Ener y BUILDING
BENERGYADD Energy Add Multi BUILDING
BIN VESTIGA Investigation fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
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mgq,u- &ITY OF CUPERTINO i
CUP TYOF O PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Group
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMIvvIA4 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
BREMAIRHAN A/C Units <= 10,000 cftn MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN Relocation of Furnace MECHANICAL
BREMFURNOV Relo Furnace> IOK btu MECHANICAL
BREN=AT 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
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Signs, Maz uee ELECTRICAL
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*CITY OF CUPERTIN4
cl
CUPEkTINO PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Grou
BREMTHEATR Theatrical Li tin Fix ELECTRICAL
i
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
ZADDCHG Address Chane BUILDING
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