13120085 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 22998 CRICKET HILL RD CONTRACTOR:CONSOLIDATED PERMIT NO:13120085
PLUMBING INC
OWNER'S NAME: KIRSTEN ESPE 3732 CHARTER PARK DR STE D DATE ISSUED:12/10/2013
OWNER'S PHONE: 4085591977 : SAN JOSE,CA 95136 PHONE NO:(408)978-3093
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL
Lic.# // REMOVE&REPLACE(E)SANITARY LINE(CUPERTINO SANITARY
License Glass
��— %CLa-- �� (�-Z PERMIT OBTAINED ON 12/10/13)
Contractorf]/f
Dated
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:$20000
x/111 I have and will maintain Worker's Compensation Insurance,as provided for by
fVN/ Section 3700 of the Labor Code,for the performance of the work for which this ApN Number:34241004.00 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 ssued b Date: �a 3
granting of this permit. Additionally,the applicant understands and will com
with all non-point source re lations per Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature Date 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$elf-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 Cul,_ertino MuniJc de,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Seed 5 ,253M aod 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized a Date
permit is issued.
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,I
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
collect.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 perthe Cupertino Municipal Code,Section Licensed Professional
9.18.
Date
Signature
GENERAL PERMIT APPLICATION MEP
COMMUNITY DEVELOPMENT DEPARTMENT r BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 \�
(408)777-3228•FAX(408)777-3333•building(Qcupertino.org MISC
CUFF-Iter NO
PLUMBING ❑MECHANICAL ❑ELECTRICAL ❑MISCELLANEOUS
PROJECT ADDREss ZL7qAPN# / / o O
Q
OWNERNAMEj l � - PHONE �S LE-MAIL
STREET ADDRE1SS, /�\/) A CI�T1djTEA�' d FAX
CONTACT NAME �� PHONE ,j® - E-MAIL /
STREET ADDRESS CITY,STA ,ZLP F
❑OWNER ❑ OWNER-BUILDER WNERAGENT '•CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME LICENSE NUMBER /� LICENSE TYPE_ / BUS.LIC#
GG�N df C (�
COMPANY NAME E-MAIL FAX V-20,0 6/
STREET ADDRESS CITY,STATE,ZIP PHO923 6
NE
ARCHITECTIENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑SFD or DUPLEX ❑ MULTI-FAMILY PROJECT IN wB.DLAND ❑ YES 7ROOIECT
YES IS THE BLDG AN ❑YES
BUILDING. ❑COMMERCIAL URBANINTERFACEAREA ❑ NO OD ZONE ❑NO EICHLER HOME? ❑NO
DESCRIPTION OF WORK
'L
Ta 'g
TOTAL VALUATION: RRCEIVEDB ;
rz ,'
By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have prot: I have escription of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating t I ding ons xl0 autho' presentatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agen Date:
O ION REQUIRED o �rsE oY� r
� XPRESS
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MEPMiscApp_201 Ldoc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 22998 CRICKET HILL RD DATE: 12/10/2013 REVIEWED BY: MELISSA
APN: 342 41:004 BP#: "VALUATION: $20,000
*PERMIT TYPE: Plumbing Permit PLAN CHECK TYPE: Alteration /Addition/ Repair
PRIMARY Buildino is PENTAMATION 1RPSS
USE: Multi-Family Dwelling >3 Stories ® Yes No PERMIT TYPE: i
WORK REMOVE& REPLACE (E).SANITARY LINE CUPERTINO SANITARY PERMIT OBTAINED ON
SCOPE 12/10/13)
APPLIANCE/EQUIP TYPE: FEE ID QTY UNITS BP FEES
Sewer, Sanitary1PRSEWER 1 # $24
TOTALS: -
;Leech Plan(,heck Plumb.Plan Check 0.0 hrs $0.00 Elec.Plan Check
Mech.Permit Fee: . Plumb.Permit Fee: IPPERMIT Flee.Permit Fee:
F1erMech.Insp. Other Plumb Insp. 0.0 hrs $47.00 Other Elec.Insp.
.Ins1�.1`'cae: Plumb. hisp.Fee: F.lec.Insp.Fee:
NOTE:This estimate does not inchide fees due to other Departments(La Planning,Public Works,Fire,Sanitary Sewer District,School
District eta). These fees are.based on the prelimina information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS
Plan Check Fee
Suppl. PC Fee
PME Plan Check: $0.00
Permit Fee:
Suppl. Insp Fee
PME Unit Fee: $24.00
PME Permit Fee: $47.00
Constrztction Tax .
Administrative Fee: 1ADMIN $44.00
Work Without Permit?
O Yes 0 No $0.00
Advanced Planning Fees:
Travel Documentation Fee: 1TRAVDOC $47.00 i
Strong Motion Fee: IBSEISMICR $2.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
.,. _._
$165.00 $0.00 � � $165.00
. � F R.
�y�a�.
Revised: 10/01/2013
Rick
Subject: FW: Deanza Oaks 11-20-13
Attachments: 3860 001.pdf
From: Bill Hubbard [mailto:BHubbard(&communitymanagement.com]
Sent: Wednesday, November 20, 2013 11:04 AM
To: Denise Colby
Cc: Rick
Subject: Deanza Oaks 11-20-13
R�ckiBoard has ag --__r, =c b�gxi I Asa thethree locations circled on attached
agreement,I also : -z 'cat"tngpref gyred location for stagmgJhydro excavating
e
nwplacement �o spaces on ex't 5iderof S grey Circle parking area Please let
�rneknow#if thtwo- c e .' . P easepost not�ceson,aun#s one weuekuin advanced
Bill Hubbard
Community Management Services, Inc.
1935 Dry Creek Road
Campbell,CA 95008
408-559-1977
fax 408-559-1970
From: Webrunner Service
Sent: Wednesday, November 20, 2013 11:03 AM
To: Bill Hubbard
Subject: Attached Image
i
CPI
Consolidated Plumbing,°Ina"Lic.#C36-505162
g, Proposal & Contract
November 15,2013
i
Community Management Services Job Site:
Att:Bill,-Hubbard DeAnza Oaks
1935 Dry Creek Rd. 10096 Lamplighter Sq.
Campbell,CA 95008 Cupertino,CA
Sanitary Sewer Repairs
1 &2&3
SANITARY SEWER REPAIRS 1.2 &3
Consolidated Plumbing,Inc. is pleased to:present the following estimated costs for hydro-excavation to repair
the first three(3)address that were noted with major offsets located during the sanitary sewer video investigation.
The budged costs in this estimate are based on our previous experience on site having to perform hydro-
excavation to expose and make repairs to the sanitary sewer lines.The presence of extensive utilities in the direct
path of excavation to expose the pipe and severe tree roots has rendered conventional excavation impossible.This
does not mean that all of the lines noted for repairs,wpuld require the exact same methods but based on the
locations of the sewer lines and utilities it is 1""
The three(3)locations fisted below have been based on the severity of the compromised conditions found during
the video investigation.For tliis estmiate.of repaus,we have used pnor work as a baseline budget cost for the
addresses listed below.Depending on the actual conditions at the site of each`of the three locations will vary in
cost from each other.We are proposing to perform the work on a Time&Materials Basis which we would track
on an ongoing basis during the work If your-pre.erence would be to have a solid bid for these locations I can go
out and view each property and put a specific scope together based on the.conditions at each property.
SELECTED LOCATIONS FOR PHASE 1
L 22998 Cricket Hill.,@ 12'minor offset at ABS-Clay connection.Major breaking clay pipe at 14'
at 6'—3"deep by PG&E box on grass. (This one should probably be considered for more
immediate rgpahi)(Day 6, 06/06/2013 Recording
2. 10206 Camberley:@ 8"major offset at ABS-Clay connection. 5' 8"deep in lawn near
telecommunication's Christy bo..Line holding Water. (This one should probably be considered for
more immediate:'repairs);(Day 8, 0611012013 Recording
3. 10147 Lamplighter:@ 24-25"offset. Then another major offset at 27. 4'deep under the lawn
near the sidewalk:,(This one should probably be considered for more immediate repairs)(Day 11,
0611412013 Recordings
Please see the following for typical scope of work associated with these repairs.
1
3732 D Charter Park Dr., San Jose, CA. 95136(408) 9 78-3 093 Fax(408) 9 78-3 096