The URL can be used to link to this page

07080013 CI'T'Y OF CUFERTINO BUILDING DIVISION PERMIT PERMIT NO. BUILDIN1G flTTS:MIRA VISTA AVE PLUMBERS ON CALL 07080013 }7 _�— PERMrr ISSUE DATE OWNER'S NAME: BOCCHIERI CARMELO J AND ADELE 520 E MC3LI SAN TT RYN . CONTROL NO. (408) 879-0483 BUILDING PERMIT INFO ARCHITECT/ENGINEER: B�� ELECT PLUMB MC� Job Description Z � LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am liccnscd under provisions of Chapter 9(commencing REPLACE WATER PIPES TO COPPER with Section 70!10)of Division 3 of the Busine s and Professions Code,and my license is a in full force and cffec Lic.M z Licensc Class Contractor o Date ARCHITECTS DECLARATION a I understand my plans shall fie used as public records V Licensed Professional a OWNER-BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the Oa following reason.(Section 7031.5,Business and Professions Code:Any city or county ti which requires apermit to construct,alter,improve,demolish,or repair any structure Valuation prior m its issuance,also requires the applicant for such permit to Glc a signed statement S Ft.Floor Area $4742 a that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 1' (commencing with Section 7000)of Division 3 of the Business and Profcssiuns Code)or Occupancy Type that he is exempt therefrom and the basis for the alleged exemption.Any violation of Number Section 7031.5 by carry applicant for a permit subjects the applicant to a civil penalty of 3570204- A�V not more than five hundred dollars($500). ❑1,as owner of the property,or my employees with wages as their sole compensation, Required Inspections will do the work,and the structure is not intended or offered for sale(Sec.7044.Business and Professions Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended or offered for sale If, however,the building or improvement is sold within one year of completion,the dwvner- or improve for purpose of builder will have the burden of proving that he did not build sale.). p 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions ICoddeimproves Contractor's Law docs not apply to an owner of property pursuant improves the Contractor's who contracts for such projects with a contractors)licensed License Law. B&P C for this reason I am exempt under Sec Date Owner WORKER'S COMPENSATION DECLARATION I hereby afrum under penalty of perjury one of the following declarations: I have and will maintain a Certificate of Consent to self-insure for Workman ce Of the ompen- sation,as provided for by Section 3700 of the Labor Code,for the performance of rite work for which,this permit is issued. SAN Ry I have and will maintain Worker's Compensation Insurance,az required by Section 3700 oC the labor Code,for rite perfoTA rmance of the work for which this permit is issued. My Worker's CCompensaatio�n Insurance carrier and Policy number are: Cartier. 7 /Y Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars($100) or less.) I certify that in the performance of the work for which thispermit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of Caliromia.Date Applicant P ou should NOTICE TO APPLICANT:If,after making this Certificate of Exem tion,y become subject to the Worker's Compensation provisions of the Labor Code,you must Z forthwith comply with such provisions or this permit shall be deemed revoked. 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of > the work for which this permit is issued(Sec.3097,Civ.C.) a Q Lender's Name - Lender's Address �z I certify that I have read this application and state that the above information is .-. correct.1 agree to comply with all city and county ordinances and state laws relating to Ubuilding construction,and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. ' W (We)agree to save,indcmmfy and keep harmless the City of Cupertino against . liabilities,judgments,costs and expenses which may in anyway accrue against said City Date VF )t� z inconsequence orthe granting of this permit. ND APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issue 'f: SOURCE REGULATIONS7 VAof; �S o Date Type �2oof Signature of Applicant/Contractor HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Code,Section 25532(a)? ^! shall be inspected prior to any roofing material being installed. ❑Yeso 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 emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. Dist?ict? ❑Yes ° 1.have read the hazardous materials requirements under Chapicr 6.95 of the Cali[or- nia Health&Safety Code,Sections 25505,25533 and 25534.I understand that if the building Date docs not currently have a tenant that it is my msponvbility to notify the occupant of the S ignatu'e of Applicant rcyuircmcntc which must_be met poo t�Alolelo issuance o[a Ccrti_fica!m2 cyp All roof coverings to be Class B or better Date Owncr or authomzd agent CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: B1R : Lot : APN 3502041 . 00 DATE ISSUED. . . . . . . : 08/ 02/2007 RECEIPT #. . . . . . . . . BS( 00002240 REFERENCE ID # 07080013 SITE ADDRESS 10_,53 MIRA VISTA AVE SUBDIVISION CITY CUPERTINO IMPACT AREA . . . . . . OWNER BOCCHIERI CARMELO J AND ADELE ADDRESS CITY/STATE/ZIP . . . : CU:?ERTINO CA, 95014-2718 RECEIVED FROM PL'JMBERS ON CALL CONTRACTOR R0:3IE DOBKINS LIC # 27158 COMPANY PLUMBERS ON CALL ADDRESS . . . . . . . . . . : 52) E MCGLINCY LN CITY/STATE/ZIP CAMPBELL, CA 95008 TELEPHONE (4D8) 879-0483 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ---------- ---------- BPREPIPE NO OF FIXTURE 9. 00 81 . 00 0 . 00 81. 00 0 . 00 PPERMITFEE FLAT RATE 1. 00 38 .37 0 .00 -----3837 - ---- ---------- ---------- TOTAL PERMIT 119 .37 0 . 00 119.37 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- ----- CHECK 119.37 #15071 --------------- TOTAL RECEIPT 119.37 VOICE ID DESCRIPTION VOICE ID DESCRIPTION __ _ -------- ---------------------------- -- --------------- 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 502 FINAL PLUMBING ENERGY 507 FINAL PLUMBING CITY OF CUPERTINO 0-70(,f %WFREPIPE/ � 1- .� /MAIN SERV CE CUPki NU PERMIT APPLICATION FORM APN# /n / / Date: -7 V557 D� v �! r oV / Building Address: 9 �j Owner's Name: Phone#: Contractor: Phone: License #: � 1 �� -' pec?- `7/2 '?-/,((/ C 3� Contact: Phone: Cupertino Business License#: - 7 s Building Permit Info: Bldg ❑ Elect ❑ Plumb Job Description: Residential Commercial ❑ Cost of Project: Z Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE Bldg. Permit Fees BUILDING BPGAS Gas Piping System Fee PLUMBING PPERMITFEE Plumbing Permit Issuance PLUMBING BPREPIPE Repi e of Fixtures PLUMBING BPFIXTURE I'blg. Fixture PLUMBING BPWSVCS Main Water Service PLUMBING BPSEWER Sewers PLUMBING BPSEWAGE Sewage Dis osal PLUMBING BUSLIC 13usiness License BUILDING AUG-10-2007 16:2? MARK THOMAS CUP 4082535173 P.01i01 la11 RlTAAP1 �`�►O ®js BOARD OF DIRECTORS DISTRICT MANAGER-ENGINEER �� r STL'pHEN G.ANDREWS MARK THOMAS aY COMPANY.INC. �. WILLIAM A.BOSWORTH DAV1D E.ROSS r JOHN M.GATTO Yi:?1:i DISTRICT COUNSEL �► ' I-r b� CUSS B•HARRISON ATKINSON*FARASYN,LLP. '��(1liH6O 1� WEND>rU.H.KERR,JR. 14AROLD S.'TOPPEL 2OS33 STEvF-NS CREEK BOULEVARD.SUITE 104 CUPERTINO,CALIFORNIA 950t 42154 (408)253.7071F n oHE 0 08)5253-51 FAX WWW.Cup File: CuSD—MOP Building Dept.—Cupertino City of Cupertino Attn.: Building Department 1�' 10300 Torre Ave. ` �1 Cupertino,CA 95014-3202 Copper Subject: Replace Water Pipes to Copl Name: Bocchieri Residence Address: 10353 Mira Vista Avenue APN. 357-02-041 Permit No. 0708001.3 No additional conditions/requirements by the Distrid. Inspector: George Santos/'cony Soaresq Joe Sullivan Date:...08-10-2007................... Sanitary Sewer Location: cc: Property Owner TV inspection waived. SUPPLYING SANITARY SEWERAGE SERVICES FOR:CITY OF CUPEIMNO,PORTIONS)F THE CITIES OF SARATOGA,SUNuVALE,LOS ALTOS AND SURROUNDING UNINCORPORATED AREAS TOTAL P.01 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 Fax(408)777-3333 C1TY OF :UPEkTINO Buildin De artment JOB ADDRESS: PERMIT # OWNER'S NAME: PHONE # �'/ 3Sj'-3Z GENERAL CONTRACTOR: S" Gam* Lc FAX # I am not usingany subcontractors: Si;;nature Date Please check applicable subcontractors and complete the followinOinf INESS LICENSE # SUBCONTRAC'T'OR BUSINESS NAME BUS 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 2 7 l S p< Plumbing v Lry Roofing Septic Tank Sheet Metal Sheet Rock Tile owner/Contractor Signature Date