Loading...
14060180CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22900 CRICKET HILL RD CONTRACTOR: CONSOLIDATED PERMIT NO: 14060180 PLUMBING INC OWNER'S NAME: SMITH GLADYS E 3732 CHARTER PARK DR STE D DATE ISSUED: 06/27/2014 OWNER'S PHONE: 4089967730 SAN JOSE, CA 95136 PHONE NO: (408)978 -3093 SEP LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL REPLACE (E) SEWER LINE & INSTALL (N) PROPERTY License Class C— 3 Lic. # LINE Contractor r© nso II&Ae z71Vr ate �- 2 �G/ CLEANOUT 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. bAN TAR 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: $17500 of the work for which this permit is issued. Rrfiormance 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: 34235014 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 IT 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 D LA ALLED INSPEC ION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the s d by: Date: granting of this permit. Additionally, th applicant understands and will comply with all non -point source regulations r the Cupertino Municipal Code, Section 9 18. RE- ROOFS: Signature ate 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(x) 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 o Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Section 2550 2 3, an 5534. Section 3700 of the Labor Code, for the performance of the work for which this / �% �/ Owner or authorized agent: 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 Compensation laws of California. If, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY 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 Gfl RAL PERMIT APPLICATION - V` CWMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION O m P 10300 TORRE AVENUE • CUPERTfNO, CA 9'5014 -3255 \ Aft C C "UP>r t'i1N0 (408) 777 -3228 FAX (408) 777.3333 • bulld n4 ancugertino.ora l.X\ . 9�:bT t:nrtrari:.rr�. r1e.:i ^".1ar1:.11 M 71. PR0mCT ADDRESS APN k Y 0/1 OWTERNAME m PHONE -1996 _ &MOIL STREET ADDRESS 9 / CITY, STATE, ZIP I FAX CONTACT NAME PHONB E•h,LAJL STREET ADDRESS CITY, STA`r- ZIP FAX ❑ Oq"t,ER 'D,.OAT7ER�SUtii:DER -L❑ OwNcRAGwr CI CONTRAaop O- CONIRACTORAGEN7 D ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR N "' LICENSE NUMBER LICENSE TYPE�p BUS. LTC k COMPANY NAME O E MAIL FAX STREETADDRESS • > ZIP P ONE ae ARCHITECT/ENGINEERNAME LICENSE NU)'BER- BUS. LTC k COMPANYNAME EMAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF D SFD or DtiPi.E7C ❑ MMTI•FAMILY BtlII:DINO: COMM6RG(A'L PROTECT II.'- WILDLAND ❑ YES URBAN 1), MRFACE AREA ❑ NO PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THEBLDG AN ❑ YES EICHLFR HO1:B7 ❑ NO DESCRIPTION OF WORK r�r r a �i` - TOTAL VALUATION: - q glil By my signattue below, I Celt #iy to theb of the following: fain the property owner or authorized agent to act on the property off I have read this ` application and the, infOrnlatiCln I have pioyid " ' ct..I hayj-jerdlFe cription of Work and verify it is accurate. I ag to comply with all applicable local ordinances and state laws relat {n'g to b --ngoons ,%etion. '— repr ntativeS of Cuperino to enter the above identified pro rty for inspection purposes. Signature of Applicant/Agent: Date: - 'PLEIIETA 4ATION REQUIRED e' I i } it - VEPMisc 1pp_2011.doc revised 06121111 19M CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ig* ADDRESS: 22900 CRICKET HILL DR FEE ID DATE: 06/27/2014 REVIEWED BY: MELISSA APN: 342 42 023 BP #: *VALUATION: 1$17,500 *PERMIT TYPE: Plumbing Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: # $24 PENTAMATION 1 RPS PERMIT TYPE: WORK REPLACE E SEWER LINE & INSTALL N PROPERTY LINE CLEANOUT SCOPE APPLIANCE / EQUIP TYPE FEE ID Plumb. Plan Check 0.0 hrs $0.00 QTY UNITS BP FEES Sewer, Sanitary 1PRSEWER oF /,F,,, 1 # $24 PME Unit Fee: $24.00 PME Permit Fee: $47.00 -FT CC }n fI`ticliopZ Administrative Fee: 1ADMIN $44.00 Work Without Permit? 0 Yes 0 No $0.00 TOTALS: Travel Documentation Fee: 1TRAVDOC $24.00 Strong Motion Fee: IBSEISMICR . s ........................... . h. T', «n C'hec k T71 Plumb. Plan Check 0.0 hrs $0.00 P"j" ", Piwl c` /ac�cle a.�,>-,_ Pero it Fee: Plumb. Permit Fee: 1PPERMIT ),11r °c—h. ln'v; Other Plumb Insp. 0.0 hrs $47.00 oF /,F,,, iaci> hzgf Phalli). Fear: $0.00 NOTE: This estimate does not include fees due to other Departments (i.a Planning, Public Works, Fire, Sanitary Sewer District, School District etc.). These fees are based on the prelimina information available and are on1v an estimate. Contact the Dept or addn'l info. FEE ITEMS (Fee Resolution 11 -053 E(f.' 7111131 FEE QTY /FEE MISC ITEMS SOPpl' Fee PME Plan Check: $0.00 PME Unit Fee: $24.00 PME Permit Fee: $47.00 -FT CC }n fI`ticliopZ Administrative Fee: 1ADMIN $44.00 Work Without Permit? 0 Yes 0 No $0.00 - "(r.7t CStfC F(`.E'b. Travel Documentation Fee: 1TRAVDOC $47.00 Strong Motion Fee: IBSEISMICR $1.75 Select an Administrative Item Bldp- Stds Commission Fee: IBCBSC $1.00 aw, �f $164.751 $0.00 TOTAL FEE; $164.75 Revised: 04/01/2014 COIvIIvIi1N MANAGEMENT SERVICES To Whom It May Concern March 18, 2014 Re: De Anza Oaks Homeowners Association Dear Sirs: Consolidated'Plumt . ng, [nc has the association's permission to seek . permits for the repairs of any domestic waterlines or evVer lines located within the De Anza Oaks community?. Col rnunity Manage(nent Services, Inc. Bill 1 itbhard;'s Assoc iation Manager De nu Oaks Homeowners Association BH /st cc: Board of Directors 1935 Dry Creek l3oad, Suite 203 • Campbell, CA s 95008 -3631 ■ voice (408) 559 -1977 ■ fax (408) 559 -1970 Rick Subject: FW: DEANZA OAKS / CITY OF CUPERTINO From Bill Hubbard [ mailto: BHubbard 0communitymanagement.com] Sent: Thursday, June 26, 2014 10:19 AM To: Rick Subject: RE: DEANZA OAKS / CITY OF CUPERTINO X11 o _ �i 4�f50 0 10157 CL —Atul and Vinita Pande, 408 -446 -9412 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERTINd 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building aC-cupertino.org Address 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: AREA SMOKE ALA M CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X Si nature......... 1 ................ ................ Date: X On every level of a dwelling unit including basements X X Within each sleeping room X U 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. I have read and aaree to comoly with the terms and conditions of this statement 61 Owner (or Owner Agent's) Name: ' & Si nature......... 1 ................ ................ Date: N Ttratot .... ...... ........;zoo Si ..........................Lic.# . ................. ............ Date: % /.�!••. .... Smoke and CO form.doc revised 03118114