The URL can be used to link to this page

10030072 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 820 HOOSHANG CT CONTRACTOR:DRAEGER PERMIT NO: 10030072 CONSTRUCTION INC 'WNER'S NAME: MC CLELLAN ESTATES HOA 605 COMMERCIAL ST DATE ISSUED:03/11/2010 oWNER'S PHONE: 4085405050 SAN JOSE,CA 95112 PHONE NO:(408)536-0420 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL 11 License Class (o 1-7 (o 10 Lie..# 1�6 REMOVE APPROX.400 SQ FT OF STUCCO OFF WALL 24w,'� f(a� ,� ` AND Contractor ,s Date I(LI 0 REPLACE IT I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$8000 I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this APN Number:35902009.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: ";(inatur Date 43 Q All 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 all new materials for inspection. 13OWNER-BUILDERDECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I,as owner of the property,or my employees with wages as their sole compensation, will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505 25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized agent Date: I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize representatives of this city to enter 7 the above mentioned property for inspection purposes.(We)agree to save mnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date f I CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35902009. 00 DATE ISSUED. . . . . . . : 03/11/2010 RECEIPT # . . . . . . . . . BS000009922 REFERENCE ID # . . . : 10030072 SITE ADDRESS . . . . . : 820 HOOSHANG CT SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER MC CLELLAN ESTATES HOA ADDRESS . . . . . . . . . . : 820 HOOSHANG CT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5123 RECEIVED FROM . . . . : JOHN LEMON CONTRACTOR . . . . . . . : DRAEGER, JOHN EDWARD LIC # 21895 COMPANY DRAEGER CONSTRUCTION INC ADDRESS 605 COMMERCIAL ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE . . . . . . . . : (408) 536-0420 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 8, 000 . 00 1. 00 0 . 00 1 . 00 0 . 00 1BSEISMICR VALUATION 8, 000 . 00 0 . 80 0 . 00 0 . 80 0. 00 1STUCOAPP SQ FEET 400 . 00 443 . 00 0 .00 443 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 444 . 80 0 . 00 444 . 80 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 444 . 80 MC --------------- TOTAL RECEIPT 444 . 80 CITY OF CUPERTINO CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM 3COI APN # �55� O Date: Buildiadd�ss: 6 v Mailing Address (if different from bu ding address): Are Hazardous Materials being used as part of this project? Yes ❑ No R HOA: (Exterior work only)- Yes R No ❑ If yes, provide letter from HOA Owner's Name: Phone#: 6/f Ile. 4s v -17'0f_5 L°0--� 5(3 Contractor: Phone: `1`U " a-u — g ev- ��b "CG✓\ L, Fax: 7 Contractor icense#: 1 01 Cupertino Business License#: ) 7c, S _ Contact: Phone: 1-0 Fax: Residential 91 Commercial ❑ Job Description: ,pn vp, cyp Naga S4-v-Qf-� Ok via ax,.k Y-efdi a uoe' ct Building Permit Info: Bldg Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-B P L-, Valuation:�$S-uv Square Foptage: Project Size: Ex ress Standard ❑ Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist& attach it to the application or if applicable, include in plan set& the sheet index. Points Achieved: For help, contact Build it Green at www.buflditgreen.org Revised 07/14/09 J CITY OF CUPERTINO Cin OF GENERAL BUILDING APPLICATION CUPE1�TiNO FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1STUCOAP Stucco Applications (up to 400 sf) B additional stucco application 1 WINREP Replacement windows/sliding glass B door (ea 8 windows) 1 WINMEWSTR New Window-structural shear B wall/masonry(includes plan ck fee) l EPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pln Ck(hourly) E 1 MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M 1PLMBLNCK Stand Alone Plumbing Pln Ck(hrly) P 1 STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B when not over counter) hourly-stand alone 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1 BSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B 1 TRAVDOC Travel &Documentation B 1BUSLIC Business License B 5 of 5 Community Development 10300 Torre Avenue amm-, Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 ;UPEkTINO Building Department JOB ADDRESS: PERMIT � ,Lb 14 o &):3co �r OWNER'S NAME: A Q—llac h C04,@.S PHONE # GENERAL CONTRACTOR: e -end— FAX# -- 'rt I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: 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 PlaS er(.K Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date Susan Winslow To: jlemon@draegerconstruction.com ;c: Patricia Garcia; Sylvia Mendez; Beth Ebben; Traci Caton; Robert Sabich Subject: Remove contractor Hi John I received your letter from Draeger Construction asking to be removed as the general contractor for 820 Hooshang Ct. , permit#10030072. Your name has been removed from the permit. Sincerely, Susan Winslow City of Cupertino Bldg Dept. 1