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07100152 CITY OF CUPERTINO ' ' BUILDING DIti1S10iV PERMIT �� , ,< , ,:.. .:,... :,:._.:._ _ _ PERMIT NO. BU1L0 � ° �`.�'�� E �fOMESTEAD RD #307, 309 DR.AEGER CONSTRUCTION INC 07100152 , PERMIT LSSUE DATE 1ER'S NAME: HOMEOWNERS ASSOCIATION 605 COM MERCIAL ST � 10/19/2007 SANITARY NO. CONTROt. NO. PHONE: BUILDING PERMITINFO ARCHITECC/ENGiNEER: RMV & R E PLAC E L I KE FOR L I KE a�DC e�cr PLUMB MECH � 0 � � i p p LICENSED CONT'RAC1'OR'S DECLARAT[ON T � �� „ � T __�„ „_ �. , i V� I hcrcby �rm lhat ! am liccnscd undcr provisioas oC Chaptcr 9(commencing Job Description , Z� with Scction 7400) of Division 3 of thc Busincss and Prafcssiuns Codc, and my liccnse is :� y in full force and ef(ep� ��' 0 � v� Z Licensc Class �-- L�. � p Da�c 1 �n ..•TA ,-O'�_ Contractor, �� "" -- : � � �`�- ARCH[TECI"S DECLARATION j a� I undcrswnd my plans shall Ae uud as public rcconLs )yU ' u. y Licensed Profcssianai . � a OWNER-BUILDER DECLARATION '}� 1 hcrcby alTrm �hat 1 am cxcmpt Gum �hc Contractor's Liccnsc Law for thc • � p O (olbwing reuan. (Sccdon 7031.5, Busincss and Profcuions Cafc: Any ciry or county �,°, � which rcquiccs a permit w conswct, alicr, improvc, dcmolieh, nr repair any sirueture �"� priar ui i�s issuance, alsu requires the applicant for such pertnil to file a signed s�alement `, Valuation � Z a � h a t h c i s l i c c n s c d p u rs u a n t to thc provisions o[ thc Contracwr's Liccnsc Law (ChaMcr 9 ,q. F[. Floor Area � t �(commencing wiih Section 7000) of Division 3 0( the Business and Professians Code) or y�'. that he is exempt therefrom and the basis for ihe allcgcd ezempdoa Any violation ot Secuon 703I.5 by airy applicant Cor a permit subjccu �he applicant to a civil pcnalry of APN Number Oecupaney Type not more �han fivc hundred dollars (55�0). ❑ I. as owncr oC ttie propectY. ar my employces with wages as the'v solc compensadon, will do Ihe worlc, and the swctum is not intendcd or oftered for salc {$ec. 7044, Business Required Inspections and Peo(essions Code: The Conuacwr's L'uense Law docs not apply a an aanu of propeny who bai►ds or improves the�con, and who does such work himse![ar iheough his own employccs. providcd that such improvemen�s are not in�ended or oC(ered [ar sala lf. however, ihe building or improvement is sold within one year o[ complction, ihe owneo- builder will have the burdeo o[ proving that he did not build or improvc for pmpose af salc J. ❑ I, as owner of the property, am exclusively convacting wi�h littnsed convactors m consl�vct �he projen (Sec. 7044. Business and Professions Code:) The Conlrxtors Li• ccnu Law does not apply to an owner of propeny who builds or improves tAemon. and . who contracls for such projecu with a convaMOr(s) licensed pursuant to �he Conuxto�s License I.aw. ` am uempt under Sec . B& P C for this rcasaa _ .+nu Date _ . _ WORKER'S COMPENSATTON DECLARATION I hercby affirm under penalty of perjury onc of the (ollowing declanlims ❑[ hsve and will main�sin a CertiCcate ot Canscnl to xlf-insure [or Workers Canpen- sation, u provided for by Sectian 3700 of the Labor Code, for the pedortnance ot the woric for which this pertnit is issucd. ❑ I have and wiU maintain Workcrs Compensation Insurance, as reyuircd by Scction , 3700 oC ihe Labor Cade, Cor the perCormance of �he work for which this permit is issued. My Warke� , s �Compensation Insurance carticr and Policy number are: � Cartier. �'�+V�� PolicyNo.: 7I�G�v�� CERTIF[CATE OF EXEMPf[ON FROM WORKERS' COMPENSATION INSURANCE (fhis section necd not bc completcd i( the permit is for anc hundred doltacs (S1U0) or IcssJ 1 certi[y tha� in thc performancc of ihc work for which this pertnit is issucd. ( shall not e�ploy any person in any manncr so u w bccomc subjcct ta the Workcrs' Compensation L.aws of Califomia. Datc Applicant NOTICE TO APPLICANT: lf, aftcr making this Ccrti[ica�c of Exemp6on, you should become subjcct ta ihc Worker's Compcnsation provisions of thc Labor Codc, you must � O forthwith comply with such provisions or this permi� shall bc dccmed ccwkc3 z �"" CONSTRUCTION LENDING AGENCY E- �-�. I hcrcAy alTirm �hat thcre is a consuuction Icnding agenry [or thc performancc of - pC, � thc wurk for which this permit is issucd (Scc. 3097, Civ. C.) , W Q Lendcr's Narnc � � L.ender's Address (� Q 1 ccrti(y �hat i havc rcad Wis application and siatc that thc abovc infortnation is w � cortect. I agrce to comply with all city and county oniinances and sute laws relaung to O U building conswetion, and hereby authori�e represenutives o( �his cily to enter upnn �hc � W abovc-mcntiuncd properly for inspccuon puqwses. a (Wc) agrce io save, indemni(y and kecp hartnless the City o[ Cupenino against H � liabilitiu, judgments, costs and expenses which may in any way acccue against said City J Z in wnseq nc oC thc granGng of �his permit. i� �i _� ►� APPWC NDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date �� c SOU ONS. � o� ��f ° Re-roofs �,� Signaturc of ApplicantlConuactor � T e of R oof HAZARDOUS MATERIALS DISCLOSURE YP Willlhc applicant or futurc building occupant storc or handlc harardous ma�crial sfincd by the Cupenino Municipal Codc. Chap�cr 9.12, and the Hcalth and Safcty ,a� Scction 25532(a)? �/,� All roofs �hall be inspected prior to any roofing material being installed. ❑ Y� J� "" - < If a roof i� installed without first obtaining an inspection, I agree to remove Will thc applicant or fuwrc 6uilding occupant usc cyuipmcnl or dcvioes wbich cmi� harardous air contaminants az dcfincd by the Bay Area Air Quality Managcmcnt all new m aterials for inspec±ion. District? ❑ Ycs Nu I havc rcad ihe ha�ard<nu maicrials requircmcnts undcrChap�cr 6.95 a(thc Califor- nia Hcalih & Safcty Codc. Secuons 25505, 25533 and Z5534. ! undcrs�and �hat iCd�e Eui�d�oB docs not rrenlly �c a tcnan4 U�at it is my responsibility co notiCy thc accupanc o( �hc rcyuirem ic u metpriortoissuancco(aCcniGcamo�Occupancy. $�gngtUre Of APj�i1C2IIt 11 Date � All roof coverings to be Class "B or better O r o au agcnt , Datc . ��i��'�z- � � '�p CITY OF CUPERTINO CUP�I�T��10 PE�IT APPLI CATION FORM APN # �� n � . � �.., Date: �,� Building Address: Vlailing Address (i different from building address): 22'�3 0 �o*�►�s�iGA� �o� � �� 3 0� . �3 0`� Owner's Na e: Phone #: � � �.{- � ; _ S 3 ` —o �f 2 0 Contractor: License #: 1�12q �C-.. - C�'��T�1 t,'j � v�. . �� J �o � d Contact: Phone: �-Z-O; 'S `{' Cupertino Business License#: �p� �-} Fax:4�a3-S3b••o�FzS' ' Building Permit Info: Bldg Elect ❑ F lumb ❑ Mech ❑ Job escription: LG M o J( D� s e�o � � i C : q�� L- � C-JC �-o `` ��-trc- Residential ❑ �1i "� l- �u r� � 1�� 1 • Commercial ❑ C v b Rr °F 10 'r�a �� 7 Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: �_ I �,� o �. Occupancy Group: Type of Construction: Please check this box if the project is a second-stor addition: � Project Size: Standard Large ❑ Maj �r ❑ Quanti Fee ID ]�ee Descri tion Fee Grou BAPPLOTHER ()ther Ap liances MECHAlVICAL BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler > 100K to SOOK Btu MECHANICAL BBOILER3 BoilE;r > SOOK to 1M Btu MECHANICAL BBOILER4 Boiie -> 1 M 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 Kotel and Motel BUILDING BCONSTAXR Coiistax - Resi/Mobile BUILDING BELEC1000 Elf;c 600V <= 1000A ELECTRICAL BELEC1001 E] ec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD F-nergy Add Multi BUILDING BINVESTIGA nvestigation fee BUILDING 1 of 3 ��_,� �.� � s° - CITY OF CUPERTINO ��n�� pERMIT APPLI CATION FORM C�1PfR�T1�l+(� Quantit Fee ID l�ee Descri tion Fee Grou BMISCELL N iscellaneous Fee BUILDING BMITIGATC Corrvn. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP N Comm Plumb PLUMBING BOVERTIME In:,pection Overtime BUILDING BPBACKFLOW Atr lospheric Vacuum PLLTMBING BPCESSPOOL Cesspool PLtJMBING BPERMFEE Bld Permit Fees BUILDING BPFIXTURE Pbl Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Pla�i Check Add Multi BUILDING BPLANCKREP Plar� Check Repeat Fee BUILDING BPREPIPE Rf i e Of Fixtures PLUMBING BPSEWAGE S ewa e Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn Sprinkler/Backflo PLLTMBING BPSTORM Storm/Rain Water PLUMBING BpTRAp Kitchen Trap PLUMBING BPVENT A]t of Drain & Vent PLUMBING BPWATER InstalVAlter Water Pi e PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT F:eins ection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfin MECHA1vICAL BREMAIRHAN A/C Jnits <= 10,000 cfm MECHAIVICAL BREMAPPLI r�ppliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL gREMFIXT I,ighting Fixtures ELECTRICAL gRE1VIFURN Relocation of Furnace MECHANICAL BREMFURNOV Relc� Furnace > l OK btu MECHANICAL BREMHEAT � eater Installation MECHANICAL BREMINHOOD In:ctallation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREl��INRAFP Rem Non-Res Appliance ELECTRICAL BREMPOLE Po e/Platform Fixture ELECTRICAL BREMPOWER Powf r Device/A aratus ELECTRICAL BREMRECEPT Rc �:1, Switch & Outlets ELECTRICAL BREMRELOCA R:location of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Rerr�odel Res Appliance ELECTRICAL 2 of 3 � � CITY OF C UPERTINO \ � pERMIT APPLI=CATION FORM cuP�� r�o Quantity Fee ID ]�ee Descri tion Fee Grou BREMSIGNAD Rmc l Signs Add Branch ELECTRICAL BREMSIGNS Rem �del Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vei�t Fan Sin le Duct MECHANICAL BREMVENSYS Ventilation S stems MECHANICAL BSCBLVD � cb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE ��eismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BSWIM 3wimming Pool BUILDING BTEMP T �m orary Power ELECTRICAL BTEMPPERM Tem orar Bld Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC ��usiness License BUILDING ELECTRIC J?lectrical s foot ELECTRICAL EPERMITFEE Elf c Permit Issuance ELECTRICAL MPERMFEE N:echanical sq. foot MECHANICAL MPERMITFEE Me��h Permit Issuance MECHANICAL PPERMITFEE Plu�nbin Permit Issue PLUMBING PPLBG Phimbing Fee sq foot PLiJMBING PLLONGRNGC Plannin LR Comme/ Multi-Fam PLANNING PLLONGRNGR Plannin Lon Ran e Residential PLANNING : of 3 CITY OF CUPERTINO 3 ITEMS OF 36 PERMI'I RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk. Lot: APN ......... 32E59999.12 DATE ISSUED.......: 10/19/2007 RECEIPT #.........: BSC00003036 REFERENCE ID # ...: 07100152 SITE ADDRESS .....: 22:30 HOMESTEAD RD #307,309 SUBDIVISION ....... CITY .............. CUF'ERTINO IMPACT AREA ....... OWNER ............: HOb[EOVJNERS ASSOCIATION ADDRESS ........... 44� 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,r� JOSE, CA 95112 TELEPHONE ........ (4(ig)536 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 1,500.00 83.16 0.00 83.16 0.00 BSEISMICRE VALUATION 1,500.00 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 .2-03 UNDERFLOOR MECHANICAL 204 UNDERFLOOR FRAME 205 UNDERFLOOR INSULATION 301 ROUGH PLUMBING 302 TUB & OR SHOWER 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 305 FR.AME 306 HOLDOWNS 307 INSULATION 308 SHEETROCK 309 EXTERIOR LATH 310 INTERIOR LATH 311 SCRATCH COAT 313 ROOF NAIL Community Development `� ' " 10300 Torre Avenue .� �' �';� Cupertino CA 95014 Telephone (408) 777-3228 CIT1f OF Faz (408) 777-3333 CUPEf�TINO Buildin De artment JOB ADDRESS: � PERMIT # 2.2�3 0 �ro r-I �� '-0 4� 3 9 i 3 o CS � � 0 o i��. OWNER'S NAME: �-�-0� " c�J -�,.'s qSs o t,l�'ra'J PHONE #�'04� - 53 �_ o�zo GENERAL CONTRACTOR: I��41� 4 ° � rL (�oW.s , I-f �# 'f'� �-�3 b-�� 2--`�� I am not using any subcontractors: �� p-Lq - 01 Si Date Please check a licable subcontractors and com �lete the followin information SUBCONTRACTOR BUSIrTESS 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 Plumbing Roofing Septic Tank Sheet Metal Sheet Rock ile . � 10-(�i-a� Owner Co actor Signature Date