06040057 CITY OF CUPERTINO
BUILDING DWISION PERMIT £CONMOTOR INFORMATION" . .
BUILDING ADDRESS: SPEEDY ROOTER PLUMBING 'FRm7N006040057
10245 ANTHONY PL
OWNERS NAME: PERMIT LSUE DATE
AHMADIEH, ALI 701 ALDO ASTF 4-1 n4 /ii /2o66
HE SAKTTARY NO. CONTROL NO.
(408) 234-8134
7ARCH=/ENGINEEFt: BULECT PER PLUMBO
BLDG F1ECf PLUMB MECH
�LICENSED COITMACTORS DECLARATION Job Description
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WORKERS COMPENSATION DECLARATION
I lvcby>Q atmr Pendry of P.Jury not th fdluaing dal u
�]Ih,rtmd Wll milrn.i.,CertiTlaeofc.mwxf-:-.....fa Wa .Cotop
a.dm,u pr WW fa by Sahm 37W of Ne lobo,Code,fa dr Per(moure Of tK
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CERTIFICATE OF IXFAIPnON FROM W ,
COMPENSATION INSURANCE ,
(Thio acaim cotta rot bcmmpkmd B the pea.h u fa am luma,edao0ee(S 100)
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NOTICE
N0T7CE of Ne taa CAPPLICANT:If.,Ret W.1 Nit C of EawPC o you ohm"
biome ubjw w tic Workcra Comps.. ,.,Provivo^a of hoddou ymm
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rmit t he damrd mated.
'z CONSTRUCTION LENDING AGENCY
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�U bu.d ruJ000d an.u,bctebyum.p rtprvicewi.et afNuCity to cnar upon Nc
LLI . (W,,)qa to nw,fmwpay itoJk nma .
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APPLI UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Dale
SOUR ULATIO,vS. .
f II �bt Re-roofs
dApp1 I R OUSMATEawsDlscLosuaE Type of Roof
WII Ne.pplinnt a future bulldioj a s WLRa.c«h.nd4 h.a a a a a m.wri,1
u Eofinca by ftCuprnim Mumu Code,Ch.Pcr 9.11.and Ne Hddt�"S,fmy
code,semen 25-53x,)7—- All roofs shall be inspected prior to any roofing material being installed.
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✓` / If a roof is installed without first obtaining an inspection,I agree to remove
WiO tK•PPliam«TaOti Noccupant vse eq"p«atah.laa.bkh
omit bvvdow ilr cmtwln.na tum u d by the Bay Aro Mr Quaity Maujcmcrt all new materials for inspection.
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a553334.1d" hWdi-s,Sacha15.it4 M33and15A111Yto drY to atutMWortbj.�OLot,.Nat It umy mapooaic=wtwdry tK aeupun of tkb me p «w vuu¢or.Cs rncar l_ .OSignature of Applicant Date
n D„o- - All roof coverings to be Class "B"or better
CITY OF CUPERTINO
I&M 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 34212073 . 00
DATE ISSUED. . . . . . . : 04/11/2006
RECEIPT # . . . . . . . . . : 33930
REFERENCE ID # . . . : 06040057
SITE ADDRESS . . . . . : 10245 ANTHONY PL
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : AHMADIEH, ALI
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-5646
RECEIVED FROM . . . . : SPEEDY ROOTER
CONTRACTOR . . . . . . . : SPEEDY ROOTER PLUMBING LIC # 23086
COMPANY . . . . . . . . . . : SPEEDY ROOTER PLUMBING
ADDRESS . . . . . . . . . . .. 701 ALDO AVE, STE 43
CITY/STATE/ZIP . . . : SANTA CLARA, CA 95054
TELEPHONE . . . . . . . . : (408) 234-8134
*FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- - ---- ---- ------ ------ ---------- ----------
BPWSVCS WATER SERVICE 1 . 00 9 . 00 0 . 00 9 . 00 0 . 00
PPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00
-
--- -- -- - -- ---------- ---------- ----------
TOTAL PERMIT 47 . 37 0 . 00 47 . 37 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ---------------
CHECK 47 . 37 366
TOTAL RECEIPT 47 . 37
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
----------------------------
106 SEWER & WATER 202 UNDERFLOOR PLUMBING
301 ROUGH PLUMBING 302 TUB & OR SHOWER
502 FINAL PLUMBING ENERGY 506 GAS TEST
507. FINAL PLUMBING
•
Community Development
' '' 1 `,.i
10300
mn
I oCA 95014
tl Telephone(408) 777-3228
ICRY OF Fax(408)777-3333
WUPEkTINO
Building De artment
JOB ADDRESS: Q�ToN PERMIT #
1w—LA 5 ` 06 0 'c 0,0-`
OWNER'S NAME: pt(,\ pum Pp LEr4 PHONE # 'cj S —Cj�p c ,D
GENERAL CONTRACTOR 2,�PT6- FAX #
I am not using any subcontracto : �
Signa Date
Please check applicable subcontractors and complete the followinginformation
60 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
• Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing -1 ti
Roofing
Septic Tank
Sheet Metal
eet Rock
• it O
Owner/Contractor Signature bate
r
CITY OF CUPERTINO
REPIPE/SEWERS/MAIN SERVICE
OF
CUPEkTINO PERMIT APPLICATION FORM
APN# 3 q 2 – 2 ' o7-3
Date:
Building Address: I
d ZY
Owner's Name: C1Phone#: C
t � 7 L-( L/—
Contractor: Phone: License#:.
Co tact: Phone: Cupertino Business License #:
.4r e 1 � 96c-r o
Building Permit Info:
Bldg ❑ Elect ❑ Plumb D—
Job Description: C eO -
Residential E3-/ Commercial ❑
Cost of Project:
•
Qty. if
Applicable Fee ID Fee Description Fee Group
BPERMFEE Bldg. Permit Fees BUILDING
BPGAS Gas Piping System Fee PLUMBING
PPERMITFEE Plumbing Permit Issuance PLUMBING
BPREPIPE Re i e of Fixtures PLUMBING
BPFD{TURE Pbl . Fixture PLUMBING
BPWSVCS . EBusinces
in Water Service PLUMBING
BPSEWER wers PLUMBING
BPSEWAGE wa Dis osal PLUMBING
BUSLIC License BUILDING
1-4 -7, ,3 �