06090211CITY OF CUPERTINO
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BUILDING ADDRESS:
QUALITY PLUMBING
P"'"N0 06090211
19711 AUBURN CT
0 W NERS NAME:
PERMrI IMUE DATE
KAREN PAPAS
1860 ALMADEN RD
09/21/2006
E:
SANRARY NO. CONTROL NO.
(408)267-9330
ARCHITECffENGINEF]t:
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BUILDING PERMR INFO
BLDG ELECT PLUMB NECH
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LICENSED CONTRACTORS DECLARATION
lob Description
I hereby ,f Ono Jul 1 w IlvxaN i n es pcmivmis of CLapur 9 (mmleenue t
T(IOU)WDrvisaa]af Je Budctea ad Pm( Code mylkcnscb
in fun I.
b r�u�rorteW �'��1
REPIPE- GALVANIZED TO COPPER
Dae Con
ARcxnECrs DEc n N
1 undlei,gand my plant anal m aaJ � pawm me«da
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Licensed Pmfcsdonal
OWNER-BUILDER DECLVIATK)N
T`i•f`/
I hcrthr arum Jul I j. rumps fmm Je CmtrxtCor License:MyLow ran the
rolbwing ucaan. (SecJa1 T(131.s. Bualtess Pmfeuivo My m croute
0
li, . an
wlricn mgWrm a permit to caw+c4 aha, aipma, dmoofuh, v rtpmr any structure
mp
pflIX b;lf iElOnR.,ISU M1gmms ihcappl%Yn f0r A1C11 Pt(mil bflk aSlLn«I Yl1[mC➢1
Is—Ul
Sq. Ft. Floor Area
Valuation
Jude lslkcnsd p,tLanl to lar pm.ifiom a the contractor', (cai9
(acotncneN rite SccLm 9080) of Divi,bn S of Jtc Budrcss ad Pm(Catw Cam) v
Jul b< b eaemp th efrmi ad Jc bub fan the alleged —litat MY vielauon of
Section 70 Y3IS M ave apprcut fan a pmJt rvb)eeu Iho ,ppfimm m a evil pvuhy Of
r
Occupancy Type
twl mace tbu Uve YunAed dWlass (M).
1, u owner of tie p wca y, v my —Pbyva walla "cm as Ihd ale cannpenuJad,
Required Inspections
q P
wW a be w,,k and b, ,,e,iem brat intended v offered far Wo( Sec. 7014, Bualom,
and Profesinau Cade, Tate eanuacals Dame Lew dead,Cot apply a an wner ar
ptoputy wba build, abnpraea thmeen, anddoe+auch voct Wmvdf ser ti rough bar
awn enPiyr pmvimd Wa adebexec nminkMrd veQmd fer sale. If.
however. debanding vin ow,orm bWit w .aceyearofrnapleJoo,memntec-
bWlder v arae the burden of pmWng that M did nm build v "vnpa a r« Puryou W
utc.).
❑ I. u owner ser the v,aperty taa extlaflvely covinnbe walla GQ,taed rnnuanva n
corauxt de Projen (See. 1064. Bunnca ad Pmfeuinni Cade:) Tbc Cense ues LL
cane Law dm va apply u as — W prcl who build, en bnpwves tnemn, and
wino centacu far such pajecn um. manmar(D fiensed pmsum in the CSunaHur,
.
Llan La,
❑ I ora exempt under Sc .B&PC Tar nib mann
Dau
WORKERS COMPENSATION OECLARATbON
1 bemby alarm oder pemity of p r*ry ac ed Tine fWlorng
sf-iosmc fan Worters Compen-
n ad munuin a Cearfif eefeoacm m tef
1 ud w
-
ndm, m provided fan by Section ]210 W de e LubCade, fan the Perfamauta of the
wart r« winch Ilau Permit is hued.
Fl 1 have ad w;R maintain Wo lice, Cuotpcmulnn Inwn«x. u,rymrd by Sanson
.
37(x) W Jc L iba, Code, ran the Perikern. W the wan fvrvhieh thin RQt�m,v/u��u tavd.
My Ware
or CmnpemaJm lnwovrs artiv ad Pdicy umbrae.-Y-sem
CTT«: Penley NO.: ?1;'?
CFATI^ FEKEMMONPROMWORRFRS'
COMPENSAnON INSURANCE
(TMs mWm need not be mmpkxJ U the pamit !!orae, IuaNd mJtaa ($IOM
«k t)
1 eert f, tut in the petf«m. of tare wan fan whkb Wb permit u iaord. I Nall nrot
employ any penin in my ma«cr an as in lc,mme abject b Ne WOrkcrS COCCP�
Luwa of California Date
A
NOTICE TO APPLICANT: IL sfW mating Nb certificate W EacmPunn; you abauld
becmte,ubj= u for Worker, Campeoaden Pmvidom W the LAbee Cede, ra in-
...
faNwiib romps, vied nocla povlrlam v Wb lmil,IWl he dcaad mwkd.
CONSfRUCTIONLENDING AGENCY
I MmwYlim JPeNem b, cmmkndlnseg yerribcrcNamanaser
> the wort fan which this prmilt bwd (Se'....n (sec. ]07'1. Civ.. G)
z
'
Addnc
Lenders Adders
Lender,
L
1 u ire dart I have mad this aPPllcaimi and sue Jut to above ;Wamatiun b
comxt 1 ago a mmPly with all city and roomy aNinuncm ad sue lays relating b
Wilding comuuction. and hertby authori,e Mp natives or this city to curer upon Je
above mentinad pmperty for imi emuon par p
(We) acme in am indemnify ad Peep lanalcu the City or Cupet ina agaimt
nIiAKIitiesjWt em.cowad eap,,m, wbkar may in any way accrue aealau aid City
Z, wcvuux,, eof the Itavuo of Nis pc TdL
N
'-' APPLICANT UNDER AND WIII. 0 PLY WITH ALL NON POUrf
Issued by: Dale - 2
v SOU E REGl1LAnONs. I
`L
G 1
Re -roofs c% `
Type of Roof
sig °rI'cbWcnnaCadej Dae
muLS
IuzARnouSMATDISCLOSURE
Win tie W Dllex^t v faauc building ay.-uPam atmc v haeme htaaudvu ma erial
as dcMd by the Cupenivo MuWdpal Cdr. CTaptcr 9.12 and the Health tail Safety
cam. 255324)?
All roofs shall be inspected prior to any roofing material being installed.
o� 6Na`
If a roof is installed without first obtaining an inspection, I agree to remove
Will tic tppfir i «foam baudlng occulim ate cguipoenl «devices -hien
ems, naua,dook all canami.1, u defined by the Buy Aea Air Quality M,naceneat
all new materials for inspection.
DR n
❑Ye, �1'a/
I have anal Je ha ndom materials m,,uCmnn, W unJe+Cuper6.95 W the Califa-
niaHalN65af«ycade, 25M 25533 and 23574.Iwvfvsund that lite bwalhng
Jur, ml ca,vnlybate a -Wu It b m rt,)vulWlllr a oedfy Jc oatgmt of the
vhkbmua pdo'in' avant Wocegmey
Signature of Applicant Date
All roof coverings to be Class "B" or better
Ovnervauthom ,gem Date.'
amwd
CITY OF
4SUPEkTINO
r1
LJ
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
.:...R
I am not using any subcontractors: c -Z
a Date
Please check applicable subcontractors and complete the following information:
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
I am not using any subcontractors: c -Z
a Date
Please check applicable subcontractors and complete the following information:
Owner/ Contractor Signature
Date
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
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/ Contractor Signature
Date
0m 1 of 1
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 31632003.00
DATE ISSUED.......: 09/21/2006
RECEIPT #.........: 36153
REFERENCE ID # ...: 06090211
SITE ADDRESS .....: 19711 AUBURN CT
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OWNER ............: KAREN PAPAS
ADDRESS ..........:
CITY/STATE/ZIP ...
OPERATOR: amyw
COPY # : 2
RECEIVED FROM ....: MARTIN SATALINO
CONTRACTOR .......: SATALINO, MARTY LIC # 21526
COMPANY ..........5 WATER QUALITY PLUMBING
ADDRESS ..........: 1860 ALMADEN RD
CITY/STATE/ZIP ...: SAN JOSE, CA 95123
TELEPHONE ........: (408)267-9330
Is
FEE ID UNIT QUANTITY AMOUNT
---------- ------------- -----------
BPERMFEE VALUATION 4,100.00 115.56
PPERMITFEE FLAT RATE 1.00 38.37
TOTAL PERMIT 153.93
PD -TO -DT THIS REC NEW BAL
0.00 115.56 0.00
0.00 38.37 0.00
---------- ---------- ----------
0.00 153.93 0.00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ -----------
OTHER 153.93 VISA
TOTAL RECEIPT 153.93
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ----------------------------
301 ROUGH PLUMBING 502 FINAL PLUMBING ENERGY
507 FINAL PLUMBING
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CIN OF
CUPEkTINO
X0211
CITY OF CUPERTINO
REPIPE/SEWERS/MAIN SERVICE
PERMIT APPLICATION FORM
APN # ! j
Date:
Building Address: 211 J /
L
Gas Piping System Fee
Owner's Name: are P�d ,jy
PPERMITFEE
Phone #:
Contractor ,/{ r IiLQ lC � hone:
Y
License #:���� c�
Contact: y��? l� e r Pone:
/l
Cupertino Business Licensee #:
Building Permit Info:
Bldg ❑ Elect ❑
Plumb
Main Water Service
Job Description:
tri'
c(�7
Sewers
Residential 35(z�— Commercial ❑
BPSEWAGE
Sewage Disposal
Cost of Project: L` 0 0 b p
i
Qty. if
Annlirahly Fee TY)
Fee Descrintion
Fee Group
BPERMFEE
Bldg. Permit Fees
BUILDING
BPGAS
Gas Piping System Fee
PLUMBING
PPERMITFEE
PlumbingPermit Issuance
PLUMBING .
BPREPIPE
R i e of Fixtures
PLUMBING
BPFIXTURE
Pbl . Fixture
PLUMBING
BPWSVCS
0
Main Water Service
PLUMBING
BPSEWER
Sewers
PLUMBING
BPSEWAGE
Sewage Disposal
PLUMBING
BUSLIC
Business License
BUILDING
0