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04040007 (3) CITY OF CUPERTINO �.T" �..y. �s,� BUILDING DIVISION PERMI "'I �)La� T11a��QA` � BUILDING ADDRESS: DRAEGER CONSTRUCTION INC PERMITNo.04040007 ERS NAME: PERMITI55UEDATE IRVINE APARTMENT COMMUNITI IS605 COMMERCIAL2004 PHONE: SANITARY NO. CONTROL NO. (408) 536-0420 ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 :00 LICENSED CONTRACTOR'S DECLARATION Job De I EI herby from that 1 am fdo.Br under previsions of Chapter 9(commencing SIAL E D with Section 70(xf of Division 3 of the Business and Professions Codc,and my license is i imm�mmeanaerRa STAIR REPAIR �n Dole Clens Com LE� Date TSDECr 3 [ ARCHITECTS DECLARATION /V 7004 1 understand my plana(hall be used as public recnNs a. 1 JyU oN Licensedrebsainna' BUILDIN S OWNER-BUILDER DECLARATION <4 I hereby affirm then 1 our exempt from the Cnmramor's License Law for the ❑O follnwinason.(Section 7031.5,Business and Professions Codc:Any city or county P7,65 K6 re m which requires a pctmit m construct,alter,improve.demolish,or repair any stmcum prior mils ismincc,als.rcyuireafhcaplicant forsuch Imrmiuu file a xi'malintemcm gg < that he is licensed ninmana In the pr virwr. fth.CWhaetur'sLicense Lav,(Chipter9 Sq.Ft. Floor Area Valuation z � (commencing with Section 7")of Division 3 of the Business and Professions Code)or that he is exempt thcmfrom and Ne basis for the Alleged exemption.Any violation of Stenon 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 3 h(PRO,QMer00 Occupancy Type not more than five hundred dollars($500). ❑1,as owner of the property,or my employees with wegen ss their sole compensation, will do the work,and Ne ssmnum is not intended or offered for sale(Be..7014,Business ani Professions Code:The Comacros'a License Law does not apply to an owner of Required Inspections property who builds or improves thereon,and who does such work himselfor through his own employees,provided that such improvements ase not intended oroffered for sale.If, however,the building or improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or improve for purpose of salt.). 1,as owner of the property,am exclusively contracting with licensed contractors to on et the project(See.7W.Business and Professions Code)The Contfacmr's Li. ecoic law docs not apply to an owner of property who Wilds or improves Nemo and who contracts for such projects with a cur,Remits)licensed pursuant to the Contmmoes License La ❑lam ex to or cc. ,B&PC r his re on latr on OR R' OMPENSATION DECLARATION the ya rent oder Ity of perjury one of the following chdamthus: ❑l haveandwlllmainmina ertlfrcate of Consent to self-insumBar Workers Compen- indent,as provided for by Section 3700 of the Labor Code,for the parfmmance of the work for which this permit is issued. ❑1 have and will maintain Workers Compensation Insurance.as required by Section 3700 or the Labor Code,for Ne performance of the work for which this permit is issued. My Worker's Compensation Insurance carrier and Policy number am: Camey. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed Bthe permit Is for one hundred dollars($IQB or Ices.) I certify that in the perrormann,of the work for which this permit is issued,l shall not employ any person in any manner so as in become subject a the Workcts'Compensation Laws of California.Date Applicant NOTICE TO APPLICANT:If.after making this Cenific(¢of Exemption,you should become suhjen m the Worker's Compensation provisions of the Lam,Code.yodmus .JO forthwith comply with such provisions or this permit shall be deemed mvuked. „z„ CONSTRUCTION LENDING AGENCY OG f I hereby affirm that there is a construction lending agency for the performance of - Ci> the work ror which Nis permit is issued(Sec.3097.Civ.C.) W�Q Lender's Name z Lender's Address C)Q 1 certify that I have read this application and sum that the above information is LL,F correct.I agree to comply with all city and county ordinances and state laws relating to V building eonsu uction,and hereby authoorm representatives of this city to enter upon the Oil ahovomentinned property for inspection purpoxcs. (We)agree m save,indemnify and keep harmless the City of Cupertino ageinn .a laq liabilities,judgments,costs and expenses which may in any way scram against said City U lnannmgnen conegmmingnnMsDWI Issued by: Date' APPLICA U N SAND WILL COMPLY WITH ALL NON-POINT SOURCE Re-roofs Signamrc o Ap ¢at/ tr t r et Han R S MATERIALS DISCLOSURE Type of Roof Will the plicantuComeron ni ipal Code,Chapter r ate 9.12, andhanthe Health rs and Safety al As tlefincd by the Cupertino Municipal Code,Chapter 9.13,and the Health and Safely ode,Section 25533(a)? All roofs shall be inspected prior to any roofing material being installed. ❑Ycs 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 hazardous air contaminants As deoned by the Bay Arca Air Quality Management all new materials for inspection. District? `/ ❑Ycs I hove read the hazardmu materials requirements under Chapter 6.95 of the Cali for, nix Health Safmy little,Sections 25505,25533 and 25534.1 understand that if the building docs not ru a action,that it is my responsibility m nobly the occupant of the requo-en musstM or I.ixrvmeeof.anificamofaen �r' Signature ofApplicant Date Owner ar as nr .CJs e t Date I All roof coverings to be Class "B" or better SkITY OF CUPERTINO'* CUP EI ., PERMIT APPLICATION FORM v � o O APN# Date: 316-06-032, 316-06-037 March 31, 2004 Building Address: (Building # 6 ) 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: Bl Elect ❑ Plumb ❑ Mech ❑ Job Description: Residential ❑ Commercial ❑ Sq.Ft. Floor Area: $/Sq.Ft.: Cost of Project: Occupancy Group: $ 55,365.10 Type of Construction: Please check this box if the project is a second-story addition: ❑ Quanti Fee ID Fee Descri tion Fee Group BAPPLOTHER Other A11`11— MECHANICAL BBLDGFEE Bldg Permit sq. foot BUILDING BBOILERl 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/C=ZoueBLULDING BUILDING BCONSTAXBQ Con. Tax fBUILDING BCONSTAXH Hotel anBUILDING BCONSTAXR Constax- BUILDING BELEC1000 Elec 600VLECTRICAL BELEC1001 Elec 600VECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGAI U Comm. Housing Mit. Fee BUILDING 1 of 3 �5�� okr -ErM WITY OF CUPERTINO+ CUPEf�TINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group 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 rinkler/Backflo 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 cfin MECHANICAL BREMAIRHAN A/C Units<= 10,000 cfin MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Fumace 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 BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL 2of3 Ed CITY OF CUPERTIN(* CUPEf�TINO PERMIT APPLICATION FORM QuantityFee ID Fee Description Fee Group 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 i ZADDCHG Address Chane BUILDING { 3 of 3 i