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07100083 CITY OF CUPERTINO ' ' 7�� BUILDING DIVISION PERMIT ���� ������ ' ;: _. ._ :. . PERMIT NQ. BUILD Z w � n ��� ss HOMESTEAD RD UNIT #209 DRAEGE� CONSTRUCTION INC 07100083 • pERMIT LSSUE DATE OWNER'S NAME: , HOME OWNERS ASSOCIATION 605 CO�IERCIAL ST SANiTARY NO. CONTROL NO. NE: BUILDING PERMIT INFO ARCHITECUENGINEER: REMV � REPL i�. �E WATER DAMAGE BLDG ELEC'f PLUMB MECH � 0 � � i p p LICENSED CONIRACTOR oECUeanoN b_D�gscription � V � I hcrcby aCfirm tha[ I am liccnsed undcr provisions oC Chap�cr 9 (commencing ^ — ^ —• -^ - - -^ ^^ � . .^ , ^ ^ � ; Z� wi�h Scction 7000) of Division 3 of thc Busincss and Profcssians Codc, and my liccnsc is �� y in fu0 force and e(Cec �� b`� � v� z Licensc Class � L�. # . �� L : �, � Datc 1�_(L�— Contractnr � ARCHiTECTS DECLARATION j a Q i undcrstand my plans shall be uxd as public rccor� )qU ° u� y Licenscd Pmfessional ; � < OWNER-BUILDER DECLARATION � a� 1 hcrcby alTirm lhat 1 am cxcmpt Gum thc Contractors Liccnsc Law far �he p O following rcuon. (Scctioa 7031.5, Busincss and Profc.csinns Ca1c: Any city or couniy �°� �i which rcquires a pcimit to conswct, altcr. improvc, dcmoli.eh, or rep�ir any suucture �" N prior to i�s issuancc. alsu rcquires thc applicant for such permit to filc a signed sta�ement , F[. F]OOC AI'e3 Valuation �?< �ha� hc is liccnxd pursuanl lo thc ptovisions of lhc CoNtacto�'s Licentc Law (Chap�r 9 �>q Y t �(commcncing wi�h Scction 7000) of Division 3 of ihc Busincss and Profcssions Codc) ar y�� that he is ezempt thecefrom and �he buis Cor the allcged eumption. Any violation o[ Section �031.5 by arty applicant Cor a pecmit subjects ihe applicant to a civil penalty of APN Number Oceupaney Type not more chan five hundred dallars (5500)• ❑ I, u owncr of ttie pcoperty. or mY emP�oycw with wages u Weir solc compensauon, will do thc work, and the structuce is not inunded or oftem� forsalc (Sec. 7044.8usi�ss Required Inspections and Professions Code: The Conuactors License Law docs �rot apply to an owner of propeny who builds or improves tAeccon, and wha does such wort himsel[ or tluough Ais own employccs. providcd tAat such improvemen�s are not in�ended ar ottered Cm sale. If. however, ihe building or improvemen� is sold wilhin one year oC complcaon, tlte owner- buiider will have the burden o[ proving �hat he did noi build or improvc for parposa of salc.). ❑ I, as owur of the property, am ezclusively convacting wiih ticensed wnvactors to construct �he pmjea (Sec. 7044. Business and Protessions Code:) Thc Contncwrs Li• ccace Law docs not apply w an owncr of property who builds or impmves lhereon, and . who conuacts Cor such projects with a convactor(s) licented pursuant to the Convactors License Law. � I am aempt under Sec. . B& P C for this mason Owner Date _ . - WORKER'S COMPENSATION DECLARA170N , 1 hereby �rm under penalty o[ pe�jury onc oC the fotlawing declarations: �] 1 hsve and will maintein a Certificate of Conscnt to self-inswc for Workers Campen- sation, as provided for by Section 3700 of tha Labor Code. (or �he pedormance oC the work [or which Ihis permit is issucd. ❑ I havc and will maintain Worker's Compensation Insuranec, as required by Scction , 3700 of the Labor Cade, Cor the pedormance of the work for which this permit is issued. My Worker's Com rancc carricr and Poliry number are: O J � Cartier.�l�/ �./ �• Policy No.: W G �� 0 v CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATIONiNSURANCE (fhis section necd not bc completed it the pertnic is for onc hundred dollars (S 100) nr IcssJ I cenify that in thc performancc of Ihc work for which Ihis permit is issucd. ( shall not employ any person in any manncr so az a bccomc wbject io �he Workcrs' Compensation Laws ot Califomia. Date Applicant NOTICE TO APP(1CANT: If, attcr making ihis Ccrtificatc of Excmplion, you should become subject to the Worker's Compenstition provisions of Ne Labor Cade, yau must � z fonhwi�h comply wi�h such provisians or this pccmi� shall bc dccmed revakcd. z � CONSI'RUCTION LENDING AGENCY (.~.� ►�-. I hcreby alTirm U�at thcre is a consuuctian Icnding agcncy tbr the perfurtnancc uf - a, � �hc work Cur which this permit is iuucd (Scc. 3097, Civ. C.) , W Q Lendcr's Namc � � L.endet's Address U � I ccrti[y ihat 1 have read this applieation and sta�c thu �hc abovc in(ormatiun is w � correct. 1 agree io comply with alI city and counry orciinances and sta�e laws relating �o � U building conswctioa, and hereby authori�e representativcs of Ihis cily to cmcr upon lhc � W abovc-mcntioncd property forinspccuon purposes. a (Wc) agree t save, indcmni(y and kecp harmless the City of Cuperuno against �,E"�„� � liabiliti �udgmcn costs and expcnscs which may in any way accruc agains� said Ciry V z in con �q c c oC c ranung of ihis permit. �(� ��' � APPLIC U E STANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date � �� SOU GU S. 1 1 � �1 t 0- — � Re-roofs Signa ot pplic Can tor � 'I' of F.00f � AZ OUS MATERIALS DISCLOSURE YP Will Ihc ap icant futwc building occupant storc or handlc harardous matcrial as defincd by �he C no Municipal Codc. ChaQ�cr 9.I2. and thc Hcalth and SaCcty coa�. SccUon 25532(a)? � All roofs shall be inspected prior to any roofing material being installed. ❑ Ycs . Will thc applicant or Cuturc building occupant usc cyuipmcnt or dcvices which If a roof s installed without first obtaining an inspection, agree to remove emi� harardous air contaminan�t as dcfincd by the Bay Area Air Quality Managcmcnt all new n�aterials for inspeccion. Disvict? ❑ Ycs [�!�{u� 1 havc rcad the rdous mauerials �cquircmcn�s undcr Chaptcr 6.95 o(U�c CaliCor- nia Hcal�h & 5 ty C, ctions 25505, 25533 and 25534.1 undcrstand U�u iC ihc building docs not c n y h a nan4 �hat i� is my rcsponsibility to nodCy thc occupant nf Ihc myuir mc w' usi me� rior usuancco[a�c�fica�co(Occu;anry• G Signature of Applicant 11 Date � J � ��' �•� All roof coverings to be Class "B or better Owncr or authorizcd agcn Da�c ' , ��� a °7i o c� � � -3 . .. � "� . CITY OF C'UPERTINO ��n�F pERMIT APPL=[CATION FORM CUPE�TINO �PN# � � �9 ��9 � �� �j Date: 1�- a�p Building Address: Mailing Address (if different from building address): ��D r 7 eoA� �� I f 2 D�I Owner's Name: Phone #: C� � �s � sS� c, �'r a � G .rr G --�� r � — � �C � Contractor: License #: �t�A �—(� �C�2- ��Sf �'tca� 1 J(, �o �"7 C� i O C�o�n� Phone: 4�0�-�-��-5'�`h4 Cupertino Business License#: G � y S - tN� t► �'cJZ,�) r� ���Z- Fax: � ° ?� - 5"31 � -� �fi � � 4 ` Building Permit Info: Bldg Elect ❑ �'lumb ❑ Mech ❑ Job Description: e�HOJ1�, c* 0 Q.��lAGf� �4TE'� b4n4 bC L+!'i� ��'Z- ���_ �°4''t-i'q C., Residential s���N 4n17 7�M - c�oa, • Commercial ❑'(' c�;�r- (.��,,, Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: Occupan_�,,y G�up: ��---- Type of Construction: Please check this box if t� project is a <--� � LLtV second-sto addition: .'roject Size: Standard,� Large ❑ Major ❑ Quanti Fee ID Fee Descri tion Fee Grou BAPPLOTHER Other Appliances MECHANICAL BBOILERl Bo ler <= 100,000 Btu MECHANICAL BBOILER2 Boile-> 100K to SOOK Btu MECHANICAL BBOILER3 Boil:r > SOOK to 1M Btu MECHANICAL BBOILER4 Boiler > 1M to 1.75 M Btu MECHANICAL BBOILERS B�iler > 1.75M Btu MECHANICAL BCONSTAX ��onstruction Tax BUILDING BCONSTAX IncVOff/Comm/Quasi BUILDING BCONSTAXBQ Co i. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Co�istax - Resi/Mobile BUILDING BELEC 1000 El�,c 600V <= l 000A ELECTRICAL BELEC1001 E lec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD �;nergy Add Multi BUILDING BINVESTIGA [nvestigation fee BUILDING 1 of 3 ��: a g CITY OF C'UPERTINO - ����� pERMIT APPL=[CATION FORM CUP�I�TINO Quanti Fee ID Fee Descri tion Fee Grou BMISCELL 1�liscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNLJCOMME N�;w Comm Electric ELECTRICAL BNLTCOMMM Nev�� Comm Mechanical MECHANICAL BNLTCOMMP New Comm Plumb PLUMBING BOVERTIME In�pection Overtime BUILDING BPBACKFLOW At�nospheric Vacuum PLLJMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Eld Permit Fees BUILDING BPFIXTURE Pbl Fixture PLUMBING BPGAS Ga� Piping System Fee PLiIMBING BPINTERCEP Inc!� Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Pla�i Check Repeat Fee BUILDING BPREPIPE R�� i e Of Fixtures PLUMBING BPSEWAGE ��ewa e Dis osal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK La� n Sprinkler/Backflo PLUMBING BPSTORM � torm/Rain Water PLUMBING BPTRAP Kitchen Trap PLLTMBING BPVENT A_t of Drain & Vent PLUMBING BPWATER Inst:ilVAlter Water Pi e PLUMBING BPWHEATER V� ater Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT lZeinspection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfin MECHAI�IICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHAIVICAL BREMAPPLI .�ppliance Install MECHANICAL BREMBUSWAY R_emodel Busways ELECTRICAL BREMFIXT ],ighting Fixtures ELECTRICAL BREMFURN . Re .ocation of Furnace MECHA1vICAL BREMFURNOV Rel�� Furnace > lOK btu MECHANICAL BREMHEAT �[eater Installation MECHANICAL BREMINHOOD In �tallation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREn�INRAPP Rerr Non-Res Appliance ELECTRICAL BREMPOLE Po le/Platform Fixture ELECTRICAL BREMPOWER Powcr Device/A aratus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Re:pair/Alter Heating MECHANICAL BREMRESAPP Reniodel Res Appliance ELECTRICAL 2 of 3 CITY OF C'UPERTINO Cu�PF T�NO PE�IT APPL=[CATION FORM � 7uanti Fee ID Fee Descri tion Fee Grou BREMSIGNAD Rmcil Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Mar uee ELECTRICAL BREMTHEATR The:atrical Lighting Fix ELECTRICAL BREMVENFAN Ve�it Fan Sin le Duct MECHANICAL BREMVENSYS Vc�ntilation S stems MECHANICAL BSCBLVD :>cb Specific Plan BUILDING BSEISMICOM Se:smic Commercial BUILDING BSEISMICRE 3eismic Fee Res BUILDING BSPECIAL � pecial Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Tem ora Bld Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC ]3usiness License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elr,c Permit Issuance ELECTRICAL MPERMFEE N[echanical sq. foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plu mbin Permit Issue PLUMBING PPLBG Pl .�mbing Fee s foot PLUMBING PLLONGRNGC Plannin LR Comme/ Multi-Fam PLANNING PLLONGRNGR Plannin Lon Ran e Residential PLANNING :> of 3 CITY OF CUPERTINO 2 ITEMS OF 4 PERMI7' RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Bl}:: Lot: APN ......... 32E;59999.00 DATE ISSUED.......: 10,09/2007 RECEIPT #.......... BS(100002948 REFERENCE ID # ...: 07_.00083 SITE ADDRESS .....: 22;�30 HOMESTEAD RD UNIT #209 SUBDIVISION ....... CITY .............. CUl'ERTINO IMPACT AREA ....... OWNER ............: HOT1E OVJNERS ASSOCIATION ADDRESS ..........: 22:530 HOMESTEAD RD UNIT 209 CITY/STATE/ZIP ...: CUl'ERTINO, CA 95014 RECEIVED FROM ....: DRi1EGER CONSTRUCT CONTRACTOR .......: DRIIEGER, JOHN EDWARD LIC # 21895 COMPANY ..........: DRI�EGER CONSTRUCTION INC ADDRESS ..........: 60!i COMMERCIAL ST CITY/STATE/ZIP ...: SA]1 JOSE, CA 95112 TELEPHONE ........: (4�)8)536-0420 FEE ID UNIT QUANTITY .�'IOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BP�RMFEE VALUATION 7,800.00 147.96 0.00 147.96 0.00 BSEISMICRE VALUATION 7,800.00 0.80 0.00 0.80 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT : 148.76 0.00 148.76 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 297.52 #132695 --------------- TOTAL RECEIPT : 297.52 • �: �� � . :u 8-ct D� . n� t��n� ., � �� , '��' or�miz� 444 First Street #A (650) 917-9911 �,J��ANRGFn�7ENT LOS FiZtOS C�. 94�2� , F'nx 4l_'7–UUQI PROMPT, COIIRTEOUS SEI2VICE -- IINIFORM ENF�RCEMENT OF RULES -- TMMACULATE ENVZRONL�NT UCLOD2r' 2i . L U U! � .+ �,,,. � .... t..Li i Vi \.Vr. i'.IiZ1.L1YV � n� n n Ts+rv�r. T.r.-.+-,...-. Cupertino,�CA Re: Balcony Repairs Woodspring HOA 22330 Homestead Road Cuper�ino, CA 95014 _— --�ccd'��t3 _B���tITte12�.-�������_ ' --------- ----------- --- __----- ��@_�.—__ ------------ --------- .. . ---- -------- The Woodspring Condominium HOA :1as contracted with: Draeger Construction Incor��orated 605 Commercial Street San Jose, CA 95112 to perform dry rot repairs to trim boards prior to pain�ing. If dry ro� damage extends int:o structural members, Draeger Construction is authorized to �erform repairs. Please cooperate with Draeger Construction foY permits and inspec�ions where necess y. Kindly i ours , i j . _ . ._.__. ___.._._____ _._ — � ___ DO INIC FERRARI, Property Manag�r On Beha f of the Board of Direc=ors Woodspring Homeowners Associati�n Community Development ' < � .; - 10300 Torre Avenue ��� � .� = Cupertino CA 95014 Telephone (408) 777-3228 CI71( OF Fax (408) 777-3333 ';UPEt�TINO Buildin De artment JOB ADDRESS: PERMIT # 233o H e.oc►� U�tt' ��`� v°� OWNER'S NAME: 1-� �l5 o c�crTl��• PHONE # yn � -ZOq-S 6 `t µ GENERAL CONTRACTOR b (.o �[f�1 0� FAX #'f� �- 53 b- o`f� Z-5� �Uv - I am not using any subcontractors: ��'�1 Si gna Date Please check a licable subcontractors and com �lete followin information: SUBCONTRACTOR BUSIr1ESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing IIectrical 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 lnJ i-��.�.,J4�1��2- 1 D -q -o �i Owner/Contrac i ature Date