13120084 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10147 LAMPLIGHTER SQ CONTRACTOR:CONSOLIDATED PERMIT NO:13120084
PLUMBING INC
OWNER'S NAME: DALY MICHAEL3732 CHARTER PARK DR STE D DATE ISSUED:12/10/2013
OWNER'S PHONE: 4089731597 SAN JOSE,CA 95136 PHONE NO:(408)978-3093
13 LICENSED CONTRACTOR'SiDECLARATION JOB DESCRIPTION:RESIDENTIAL E) COMMERCIAL ❑
License Class G- L�� REMOVE&REPLACE(E)SANITARY LINE(CUPERTINO SANITARY
3 Lie.# ;0� ,76 Z PERMIT OBTAINED ON 12/10/13)
Contractof���/ � Date '
I hereby affirm.that I am licensed under the provisions of Chapter 9
(commencing with Section 7000)of Division3.6f the Business&.Professions t
�1
Code and that my license is in fullforce and effect.
I hereby affirm under penalty of perjury one of the following two declaraf
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.: q.Ft Floor Area: Valuation:$20000
I 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:34242008.00 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 DAY -AS LED 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 Is-Sued ed b ate: Z ie) I
granting of this permit.,Additionally,the applicant understands and will comply
with all non-point source regulations 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 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 defined by the Bay Area Air Quality Management District I
performance of the work forwhich this permit'is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and.
I have.and will maintain Worker's.Compensation Insurance,as provided for by the Health&Safety Code,7Sections25534.
3
Section 3700 of the Labor Code,for the.performance of the work for which this Owner or authorized agen Date f—o�
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 soas 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 Workers 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
GENERAL PERMIT APPLICATION
EP
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333•building
(a.cupertino.org MISC
CUPERYINO \
LUMBING ❑MECHANICAL ❑ELECTRICAL ❑MISCELLANEOUS
PROJECT ADDRESS Z12A 7 e^Al
APN# 2 Gy
OWNER NAME /J/J ,^ . / r. PHONE ,// /�Q E MAIII
STREET ADDRESS a(C, 1 CITY, STATE,ZIP 7 FAX
CONTACT NAME PHONE ?��J'7 E�-
L
STREET ADDRESS CITY,STATE,ZIP F r
1 . `!
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR N • LICENSE NUMBER LICENSE TYPE BUS.LIC#
COMPANY NAME E-MAIL FAX � �
STREET ADDRESS _ CITY,STATE,ZIP PHONE 4
ARCHITECT/ENGINEERNAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑SFT)or DUPLEX ❑ MULTI-FAMILY PROJECT INWILDLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑YES
BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑NO -
DESCRIPTION OF WORK r
•
,.• �, r ,a .x, q
TOTAL VALUATION:
By my signature belo ,I certify tc each of the following: I am the property owner ora IZed agent ct on the prope this
application and the information I have prod I have D ription of Work and verify it is accurate. I agree to comply with all applicable oc
ordinances and state laws relating to ing construct' uth pres tatives of Cupertino to enter the above-identified property for inspection purposes.
Signature ofApplicant/Agent Date:
S L NT TION REQUIREDFx oc sEonLY '
a
3�o ILTa couNT., �
ff! 111EXPJ2ES n:
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y� ,3yIAJOR
MEPMiscApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 10147 LAMPLIGHTER SQ DATE: 12/10/2013 REVIEWED BY: MELISSA
APN: 342 42 008BP#: *VALUATION: $20,000
*PERMIT TYPE: Plumbing Permit PLAN CHECK TYPE: Alteration/Addition/ Repair
PRIMARY Building is PENTAMATION 1 RPSS
USE: Multi-Family Dwelling >3 Stories ® Yes (D No PERMIT TYPE:
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, Sanitary 1 PRSEVIIER 1 # $24
� s k
.TOTALS: $24.00
Mech. Plan Check Plumb.Plan Check 0.0 hrs $0.00 Elec.Plan Check
L1ech. Permit Fec:: Plumb.Permit Fee: IPPERMIT Elec. Permit(ee:
C)ther:19c ch.InOther Plumb Insp. 0.0 hrs $47.00 Clther Elec.Insp. Li
fkhh. Ins,I Fee: Plumb. Insp. Fee: Elec.Insp,Fee:
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District etc.). These fees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info,
FEE ITEMS(Fee Resolution 11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS
Plan Check Fee:
Suppl. PC'.F(,e
PME Plan Check: $0.00
Permit.Fee:
Su1)p1. Insr)Fcc
PME Unit Fee: $24.00
PME Permit Fee: $47.00
Construction Tali:
Administrative Fee: IADMIN $44.00
Work Without Permit? . ®Yes'0 No $0.00
Advanced Planning Fees:
Travel Documentation Fee: ITRAVDOC $47.00
Strong Motion Fee: IBSEISWCR $2.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
- $165.001 $0.00 _ 0 $165.00
Revised: 10/01/2013
Rick
Subject: FW: Deanza Oaks 11-20-13
Attachments: 3860_OO1.pdf
From: Bill Hubbard [mailto:BHubbard(dcommunitymanagement.com]
Sent: Wednesday, November 20, 2013 11:04 AM
To: Denise Colby
Cc: Rick
Subject: Deanza Oaks 11-20-13
Rick Board has ag r eg ,re airsto�thethreelocatons circled on attached
3k xN aCc =
agreement ,I also.e o �e a . a. nchlca.t'ngpr..eexcavating;
-O { k 3s h
fell place �nt1 bot: s, .ace o exit side ofi Sur y C�r�c e parka g area .Please let
me knoW;if that Wo
.e 1e., e: se post notices onunM1i#sone week in advance';
Thanks`
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
1
PI
Consolidated Plumbing°Ina Lic.#c36'505162 Proposal & Contract
November 15, 2013
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 severetree roots has rendered conventional excavation impossible.This
does not mean that all of the lines noted for repair would require the exact same.methods but based on the
locations of the sewer lines and uhhties it is likely
The three(3)locations fisted below;have been based on the severity of the compromised conditions found during
the video investigation.For this estunate'of i00-Ails we have used prior work as a baseline budget cost for the
addresses listed below.Depending ori;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 preference 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 CricketHill.@ 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 repab (Day 6, 06/0612013'Record n�
2. 10206 Ca»iherley:,@ 8"major offset at ABS—Clay connection. S'-8"deep in lawn near
telecommunkation's Christy box Line holding water. (This one should probably be considered
for
more immediateie 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,
06/14,2013 Recording
Please see the following for typical scope of work associated with these repairs.
1
3732 D Charter Park Dr., San.Tose, CA. 95136(408) 978-3093 Fax(408) 978-3096