Loading...
07100154 CITY OF CUPERTINO � ' h,� BUILDING DIVISION PERMIT �+������ ����� ' ,;;, ,::: < , ,.... PERMIT NO. BU1LD �"��'���IOMESTEAD RD #226 DRAEGER CONSTRUCTION INC 07100154 . PERMIT LSSUE DATE ��ER'S NAME: , HOMEOWNERS ASSOCIATION 605 CONMERCIAL ST 10/19/2007 SANITARY NO. CONTROL NO. PHONE: BUI(.D WG PERMIT INFO ARCHITECT/ENGiNEER: Rj�j�J & FEPLACE LIKE FOR LIKE BLDG ELECT PLUMB MECH � CJ � L� O ; o o LICENSED CONTRACTOR'S DECLARATION JOb DeSCTIptlOfl '�� I hcrcby affirm that 1 am liccnscd undcr pmvisioas oC Chaptcr 9(commcncing � z� with Scction 700U) of Division 3 0( ihc Busincss and Profcssiuns Codc. and my licensc is :� y in full foree and eftec � Q � � ? Licenx C1ass ��• � p Da�c Contracmr �..Q�[�-� : �"' � • ARCHITECI'S DECI.ARATION j a ,a a 1 undcrswnJ my plans shall hc uscd as public rccpnis )aU ' a y Licensed Pm(cssional . � a OWNER-BUILDER DECLARATION '}� 1 hcrcby alTirm �hat 1 am cxcmp� Crom �hc Con�raaors Liccnsc Law for ttic � p O Collowing rcuon. (Scctian 7(YS I.S, Busincss and Profcuiuns Ca1c: Any city or county u^�i which requims a permit to conswct, altcr, improve, dcmolish, ar repair any swcmre prior ui i�s issuancc, alw ccquires thc applicant for such permit to file a signed sutemen� �' Ft. Floor Area Valuation -?< t h a t h c i s l i c c n s c J p u r s u a n t t o � h c provisions o! �hc ConuacWr's [rccnse Law (Chapicr 9 Y I �(commcncing wi�h Scction 7000) of Division 3 of Ihc Busincss and Profcssions Cadc) or i�� �hat he is exempt tAerefrom and the buis for the allcgcd exemptioa Any violauon ot Section 7031.5 by arry applicant Cor a peimit subjects the applicant to a civil penalty of APN Number Oeeupaney Type not more than five hundred dollars (5500). ❑ I, as owncr o[ tlie propccty, or my employces with wages as tha'v solc campensaUon, witt do thc work, and the stmaum is not inunded or eRercd tor sale (Sec. 7044, Business Required Inspeetions and Professions Code: The Conuactar's License Law does not apply W an owner of property wha builds or impraves thercon, and wM does such work himxlf or through his own employces, providcd that such improvements are not in�ended or o[fercd for sala It. however, the buitding or improvement is sold within one year oC complcuon, the ownu- builder witl have the burdm ot proving that hc did wt build or improvc (or purpax af sakJ. � I, as owner of the property, am exdusively conuacting wi�h liansed convutars to construct the pmject (Sec. 7044. Business and Professions Code:) The Conuactor's Li- cense Caw docs not apply to an owner of propeny who builds or improves ihemon, and , who contracu Cor such projecls with a conuactor(s) licenued pursuant to �he Convactors License Law. [ am ezempi undu Sec , B 8c P C for this reason .,wner Date _ . - WORKER'S COMPENSATiON DECURATION 1 hercby affim� under penalty o( perjury onc o[ the folbwing declsrations: ❑[ h:.�e and will mainiain a Cenificate of Conscnt to self-insum for Worker's Compcn- satian, as providcd for by Sectian 3700 of the Labor Code, for We performance o( the work (or whieh Ihis pertnit is issucd. ❑ I have and will maintain Worker's Compensation Insunnce, as �cyuimd 6y Section . 3700 of thc L.abor Cadc. Cw thc performancc of the work [or which �his permit is issued. My Worku's CompensaGon Insurance cartier and Policy number� uc_ ' 2 � r^ � t' � j j v lJ Cartier. �/�� ) V� � Poliry No.: CERTiFICATE OF EXEMPI70N FROM WORKERS' COMPENSATION INSURANCE (Chis scction necd not be completed if the permit is for anc hundmA dollars (S 100) nrlcssJ 1 cenify th�t in thc performancc of thc work for which ihis permi� is issucd, 1 shall not e.^.iploy any person in any manncr so az to bccomc subjcct to ihe Workcrs' Compcnsation Laws of Califomia. Date Applicant NOTICE TO APPLICAM: [f, aftcr making ihis Ccrti�catc of Excmptian, you should become subject to lhe Worker's Compensadon provisions of �he Labor Code, you must � O forthwiih comply wi�h such pravisions or this pecmit shall 6c deemed Rwoked. CONSfRUCC10N LENDING AGENCY (.~-� i-�. I hcsby a[firtn Wat thcre is a constnxdon Icnding agcncy Cor thc perfortnancc of - ��`✓ ihe wurk fur which this permit is iuucd (Scc. 3097, Civ. CJ , W Q Lendcr's Namc � z (,ender's Address V � I certiCy �ha� 1 have rcad this application and siatc ihal thc abovc information is w F cortcct. 1 agrce to comply with all city and county oNinances and sute laws �clating io O U building conswction, and hercby authori�e represenutivcs of this city io cnter upon thc � W aM1ovc-mcntioncd property for inspcctioa purposes. a (Wc) agree �o save, indcmni(y and kup hazmless ihe City of Cupertino against �� liabilitiu, j mcn�s, c Is and expcnscs which may in any way accruc againsl said City �� U z in conseq oC �hc e�g ar m�s ����. Date /0 �� -/ ►-� APPLICA U D ANDS AND WILL COMPLY WITH ALL ON-POINT Issued by SOURCE GU A O l Q 9 �� Re-roofs � Signuu a App � ��� T e of R oof H DOUS MATERIALS D[SCLOSURE YP Will the applicant or futwc building occupant uorc or handlc harardous matcrial kfincd by the Cupenino Municipal Codc. Chapler 9.12. and Ihe Hcal16 and Safcty ..�a�, Scction 25532(a)? All roofs �hall be inspected prior to any roofing material being installed. �y� ❑No , wll thc applicant or future building occupant ucc cyuipmcnt or dcviccs which If a roof i� installed without first obtaining an inspection, I agree to remove cmii harardous air conuminan�s as cicGncd by thc Bay Arca Air Qualiiy Managcmcnt all new m aterials for inspec ilOil. Disvict? ❑ Ycs ❑ Nu I havc rcad the rdcws maicrials rcyuircmcn�s undcr Chap�cr6.95 of ihc Califor- nia Hcalih af C tians 25505, 25533 and 25534.1 undcrstand ihat if ihc building docs not nt ha a an4 ihat it is my rcsponsihiliry io noul'y Uu occu ani of ihc rcyuirem wn m�x��P�o�w�5��,«arac�r�a�aro��� . SignatureofApplicant Date °' Q � All roof coverings to be Class "B" or better Owncr auth ' Datc C����c���� � ' .` � CITY OF (:UPERTINO ����F pERMIT APPLICATION FORM CUPEf�TINO APN # , � Date: ���� lo--lq-01 Building Address: Mailing Address (if different from building address): Z3� O � —SCTc.d, 7 �v �7 2 Z So Owner's Name: Phone #: � �o � — S3 �-o�Z �o Contractor: License #: I� LA (G � lG� C.n'� �'�R �`I �, U/ �'I � D � ontact: Phone: �fog -'t�4-s6 upertino Business License#: q 1J ��2r�/,. IIJ�(C. L Fax: W°`'3 - 5� �o -oy' Building Permit Info: Bldg Elect ❑ Plumb ❑ Mech ❑ Job escription: ��w►o���Q,�r1a��- VI�tG— F'-oz.... V��2= Residential 2,� wt �ai�1 L— �'— Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: ��,�,�s��T' Cost of Project: I ��� � Occupancy Group: Type of Construction: Please check this box if th project is a second-stor addition: Project Size: Standard Large ❑ M��jor ❑ Quanti Fee ID Fee Descri tion Fee Grou BAPPLOTHER Other Appliances MECHANICAL BBOILERI Bc�iler <= 100,000 Btu MECHANICAL BBOILER2 Boil�;r > 100K to SOOK Btu MECHANICAL BB OILER3 Boi ler > S OOK to 1 M Btu MECHANICAL BBOILER4 Boil�r > 1M to 1.75 M Btu MECHANICAL BBOILERS l3oiler > 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Irid/Off/Comm/Quasi BUILDING BCONSTAXBQ C��n. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Cc�nstax — Resi/Mobile BUILDING BELEC 1000 E lec 600V <= l 000A ELECTRICAL BELEC1001 l:lec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of 3 4 � CITY OF (;UPERTINO � �►n oF pERMIT APPL [CATION FORM CUPE{�TINO Quanti Fee ID Fee Descri tion Fee Grou BMISCELL P�Iiscellaneous Fee BUILDING BMITIGATC Cor�an. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM Ne�v Comm Mechanical MECHAIVICAL BNUCOMMP rdew Comm Plumb PLLTMBING BOVERTIME Ir�spection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE :gld Permit Fees BUILDING BPFIXTURE Pbl Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interce tor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Pl �xi Check Add Multi BUILDING BPLANCKREP Pl�ui Check Repeat Fee BUILDING BPREPIPE F:e i e Of Fixtures PLUMBING BPSEWAGE Sewa e Dis osal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK La��vn Sprinkler/Backflo PLUMBING BPSTORM Stonn/Rain Water PLUMBING gpTg�p Kitchen Tra PLUMBING BPVENT f�lt of Drain & Vent PLUMBING BPWATER Ins�:alUAlter Water Pi e PLUMBING BPWHEATER `Vater Heater/Vent PLUMBING BPWSVCS P✓Iain Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A� C Unit > 10,000 cfin MECHANICAL BREM�,IRHAN A/C Units <= 10,000 cfin MECHANICAL BREMAPPLI Appliance Install MECHAIVICAL BREMBUSWAY Remodel Busways ELECTRICAL B��'�T Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Re lo Furnace > l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD I nstallation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL B��App Rem Non-Res Appliance ELECTRICAL BREMPOLE F ole/Platform Fixture ELECTRICAL BREMPOWER Po`ver Device/A aratus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT ]Zepair/Alter Heating MECHANICAL BREMRESAPP Rf;model Res Appliance ELECTRICAL 2 of 3 � CITY OF t:UPERTINO ` �►n�F pERMIT APPLICATION FORM CUPEI�TiNO Quanti Fee ID Fee Descri tion Fee Grou BREMSIGNAD Rrr dl Signs Add Branch ELECTRICAL BREMSIGNS Rer.lodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Sin le Duct MECHANICAL BREMVENSYS V entilation S stems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM S��ismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL S eciallnspection BLTILDING BSWIM Swimming Pool BLTILDING BTEMP 'Cem orary Power ELECTRICAL BTEMPPERM Tein ora Bld Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE :vlechanical sq. foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Pbimbin Permit Issue PLUMBING PPLBG F lumbing Fee sq foot PLUMBING PLLONGRNGC Plannin LR Comme/ Multi-Fam PLANNING PLLONGRNGR Plannin Lon Ran e Residential PLANNING 3 of 3 CITY OF CUPERTINO 3 ITEMS OF 36 PERMIZ RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk.: Lot: APN ......... 32E59999.21 DATE ISSUED.......: 10/19/2007 RECEIPT #.........: BSC00003036 REFERENCE ID # ...: 07]00154 SITE ADDRESS .....: 22:30 HOMESTEAD RD #226 SUBDIVISION ....... CITY .............. CUF'ERTINO IMPACT AREA ....... OWNER ............: HOr[EOWNERS ASSOCIATION ADDRESS ..........: 444: FIRST ST #1 CITY/STATE/ZIP ...: LO:� ALTOS, CA 94022 RECEIVED FROM ....: DR��EGER CONST. INC. CONTRACTOR .......: DR��EGER, JOHN EDWARD LIC # 21895 COMPANY ..........: DR��EGER CONSTRUCTION INC ADDRESS ..........: 60`_� COMMERCIAL ST CITY/STATE/ZIP ...: SP,tI JOSE, CA 95112 TELEPHONE ........: (4()8)536-0420 FEE ID UNIT QUANTITY. ��MOUNT. PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ----------- ---------- ---------- ---------- BENERGY PERMIT FEE 83.16 39.92 0.00 39.92 0.00 BPERMFEE VALUATION 1,800.00 83.16 0.00 83.16 0.00 BSEISMICRE VALUATION 1,800.00 0.50 0.00 0.50 0.00 -�--------- ---------- ---------- ---------- TOTAL PERMIT : 123.58 0.00 123.58 0.00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 101 FOUNDATION 102 PIERS 103 UFER 104 REBAR 105 ANCHOR BOLTS 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 203 UNDERFLOOR MECHANICAL 204 UNDERFLOOR FRAME 205 UNDERFLOOR INSULATION 301 ROUGH PLUMBING 302 TUB & OR SHOWER 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 305 FRAME . 306 HOLDOWNS 307 INSULATION 308 SHEETROCK 309 EXTERIOR LATH 310 INTERIOR LATH 311 SCRATCH COAT 313 ROOF NAIL