The URL can be used to link to this page

13100150CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10007 SPANISH OAK CT CONTRACTOR: QUICK PLUMBING INC PERMIT NO: 13100150 OWNER'S NAME: ALAN KUTACH 1044 MARTIN AVE DATE ISSUED: 10/23/2013 OWNER'S PHONE: 4155056798 SANTA CLARA, CA 95050 PHONE NO: (408)732-1220 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL License ClC —� 6 Lic. # S76 COPPER RE -PIPE Contractor Date 8 3 I hereby affirm that I a censed 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 Sq. Ft Floor Area: Valuation: $3800 performance of the work for which this permit is issued. 1 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: 34232081.00 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 RMIT 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, 180 DA)Y>MIM L CALLED INSPECTION costs, and expenses which may accrue against said City in consequence of the Is Date: granting of 's permit. Additionally, the applicant understands and will comply with all n -po t source r gu tions per the Cupertino Municipal Code, Section 9.18. --- RE -ROOFS: Signature Date ac7/ 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. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of 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) I, 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. I 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 definedb the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance wi t Cupertin Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health &Safety Code, S tion 2550 , 5 33, d 25534. Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Owner or authorized agent: Date: �0 3 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 CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, [ 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 upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, 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 v✓� GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION (�O 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 �V GUPERTINO (408) 777-3228 • FAX (408) 777-3333 • buildingCa�cupertino.org misc PLUMBING —1 MECHANICAL —]ELECTRICAL ❑ MISCELLANEOUS PROJECT ADDRESS D /7) Q R 7 �SpA% 1S 4O [' (L4-1�G A /t - APN # 2 L( ^ OWNER NAMEF7 t Iv P O / 9 E MA,JIL STREET ADDRESSjo, r CITY, STATE, ZIe FAX / CONTACT NAME Q• 'lc / ) 3 _ 67 / i/ n PP/NS E-MAIL STREET ADDRESS , �_l CITY,GSSTATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CO CTOR NAM d'yv LICENSE NUMBER �D.SSZ (o LICENSE^Y BUS. LIC # r ° tom..,. L � ANY �j E-MAIL prp77�� J In ti.4m !N ;,4C Coln / "�g�—�O� pNR� CITY, STATE, ZIP , TT `1? • `THV 0 3 Z _ / ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD .,DUPLEX ❑ MULTI -FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑ YES IS THE BLDG AN ❑ YES BUILDING: ❑ COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑ NO EICHLER HOME? ❑ NO DESCRIPTION OF WORK 6 TOTAL VALUATION: Q Le 1 ka,151m- By my signature below, I certify, t h of the following: I am the property owner or authorized agent to act on the property owner ehalf. I have read this application and the information I ave p vided is c ect. I h�re#he Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating o buil ng cons do I aimes f Cupertino to enter the above- identified property for inspection purposes. Date: Signature of Applicant/Agent: SUPPLEMENTAL RMATIONREQUIRED roFcEUs$o� �EXPRES$ N a 11119 r't A 1F01"RR.R ayetR V, rv❑. Gp4 - 1��: r a 4 MEPMiscApp_201 1. doc revised 06121/11 r CITY OF CUPERTINO rm--7 FEE ESTIMATOR — BUILDING DIVISION APPLIANCE / EQUIP TYPE ADDRESS: 10007 SPANISH OAK CT DATE: 10/23/2013 REVIEWED BY: MELISSA UNITS APN: 342 32 081 BP#: ''VALUATION: 1$3,800 *PERMIT TYPE: Plumbing Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: $14 PENTAMATION 1 RPRP PERMIT TYPE: WORK COPPER RE -PIPE SCOPE APPLIANCE / EQUIP TYPE FEE ID Plumb. Plan Check 0.0 1 hrs $0.00 QTY UNITS BP FEES Re -Pipe Interior 1PRREPIPE Or,Swr t;r'c(. l,zv,. Li 1 # $14 P��nrt t�crc�: PME Unit Fee: $14.00 PME Permit Fee: $47.00 COIIVVIWIiOt7 KIX. Administrative Fee: 1ADMIN $44.00 Work Without Permit? 0 Yes 0 No $0.00 TOTALS: Travel Documentation Fee: ITRA VDOC $14.00 '. NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the nreliminary information availahle and are only an estimate Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E .' 7/1/13) if �ch 1 Stan C Plumb. Plan Check 0.0 1 hrs $0.00 P/oo C'h, cJ( Plan Check Fce: Plumb. Permit Fee: IPPERMIT LiOther Plumb Insp. 0.0 hrs $47.00 Or,Swr t;r'c(. l,zv,. Li alexia InsU. /'��re� f'hrnrh /r�>p. I�c�t<: Llec. l��sp I�e NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the nreliminary information availahle and are only an estimate Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E .' 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fce: Suly) . PC 1-'e,t' PME Plan Check: $0.00 P��nrt t�crc�: PME Unit Fee: $14.00 PME Permit Fee: $47.00 COIIVVIWIiOt7 KIX. Administrative Fee: 1ADMIN $44.00 Work Without Permit? 0 Yes 0 No $0.00 cIvom-c(l h/o171t/n5? Fees: Travel Documentation Fee: ITRA VDOC $47.00 Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $153.501 $0.00 TOTAL FEE:'' $153.50 Revised: 10/01/2013