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14060148CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10148 RIDGEWAY DR CONTRACTOR: CONSOLIDATED PERMIT NO: 14060148 PLUMBING INC OWNER'S NAME: QUITORIANO, JOHN 3732 CHARTER PARK DR STE D DATE ISSUED: 06/24/2014 OWNER'S PHONE: 4084462335 SAN JOSE, CA 95136 PHONE NO: (408)978 -3093 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL INSTALL PROPERTY LINE CLEAN OUT License Class (f ' 6 Lic. # SOS` /d 2 Contractor U wr 1?710:► Date Y ' `r 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 erformance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $17500 have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 34241012.00 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this 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 WIT 180 DAYS 0 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 DA FROM LAST CALLED INSPE TION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, _ °" � costs, and expenses which may accrue against said City in consequence of the Id b Date: Issued y' granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulati ns per the Cupertino Municipal Code, Section RE- ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is 9 18. Signature Date 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 for which 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, Sections 25 05, 2553 , and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: G z Y-1 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 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 PE IT APPLICATION CO:UNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ON KIM % 103,0070RRE. AVENUE - CUPERTINO, CA 95014 -3255 (408) 7774228 • FAX (408) 777-3333 • buildtno0cupertho.or-0 MEP MISC .WEP.A,fiscXpp_2011.doc revised 06121111 CITY OF CUPERTINO FV- W--7A 1R1RF VQTIIMATnR — RIT11,I)ING DIVISION ADDRESS: 10148 ridgeview dr FEE ID DATE: 06/24/2014 REVIEWED BY: Mendez APN: BP#: *VALUATION: F$17,500 PERMIT TYPE: Plumbing Permit 1PRSEWER PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Du plex # PENTAMATION 1 RPSS USE: PERMIT TYPE: WORK roperty line clean out SCOPE �install PME Unit Fee: APPLIANCE / EQUIP TYPE FEE ID - - ---- QTY/FEE QTY UNITS BP FEES A Sewer, Sanitary A 1PRSEWER 1 # $24 PME Unit Fee: $24.00 PME Permit Fee: $47.00 TUx: Administrative Fee: IADMIN $44.00 Work Without Permit? 0 Yes 0 No $0.00 TOTALS: Travel Documentation Fee: I TRA VDOC $24.00 Strong Motion Fee: IBSEISMICR Plumb. Plan Check 0.0 hrs $0.00 Alc- Prl""'7 11 en) if bee: Plumb. Permit Fee: IPPERMIT I Other Plumb Insp. o-o F h r—s ] $47.00 Lj Wc'Jz' lm'!;- P'&c: 111100'), Fee: F,-�:: NOTE: This estimate does not include fees due to other Departments (i.e. Fianning, rumie works, rtreaamiary aewurulaotrt". UU FEE ITEMS (Fee Resolution 11-053 a. 711113) - ----- -- - --- --- - FEE - - ---- QTY/FEE MISC ITEMS A PME Plan Check: $0.00 PME Unit Fee: $24.00 PME Permit Fee: $47.00 TUx: Administrative Fee: IADMIN $44.00 Work Without Permit? 0 Yes 0 No $0.00 Travel Documentation Fee: I TRA VDOC $47.00 Strong Motion Fee: IBSEISMICR $1.75 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.001 kg. $164.75 TOTAL $0.00 TO FEE: 1 $164.751 Revised: 04/01/2014 : Rick Subject: FW: DEANZA OAKS PHASE 6 r 1. 10148 Ridg �� 0408= 446 -2335 _< _ _. — 2. 10168 Ridgeway— Shishir Chavan 408 - 996 -7446 COM31+fUNITY MANAGBMENT SERVICES To Whom It May Concern March 18, 2014 Re De Anza Oaks Homeowners Association Dear Sirs: Consolidated Ptumb:ing, Inc. has the association's permission to seek permits for the repairs of any domestic waterlines or sewer thies located within the De -Anza Oaks community. Sincer .may Services, Inc. Bill I ubb�wd Association Manager De An' Oaks Homeowners Association BH /st cc: Board of Directors 1935 Dry Creek Fioad, Suite 203 w Campbell, CA ■ 95008- 3631 a voice (408) 559 -1977 • fax (408) 559 -1970 Y Address SMOKE / CARBON MONOXIDE ALARMS QWWER C "ERTWICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • buildingna.cupertino.org Permit No.��d" PURPOSE This affidavit is a self- certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with -2013 CRC Section R314 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single- family and multi- family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and /or Carbon Monoxide Alarms be installed in the following locations: I AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel- burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing- dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above - referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. t have naarl and arrree to eomnlv_with the terms and conditions of this statement Owner (or Owner Agent's) Name: Signature .... .......... ......... ........ ................................. ............................... Dater. .�.:.... . ontracto Name: a �..Si r ......... ..... .... ............................. Lic. #�4�r .��a'...Z........ Date: % % ... Smoke and CO form.doc revised 03118114