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HomeMy WebLinkAboutBLD-2022-0442_Sanitary ApprovalAppro ��p``�4 SANINO, ,.: CUPERTINO SANITARY DISTRICT By fmartinez at 11:00 arm Mar 14, 2022 20863 Stevens Creek Blvd #100, Cupertino, CA 5UT4'- en Tel (408) 253-7071 - Fax (408) 253-5173 Jr��lIsNro1°� CUPERTINO SANITARY DISTRICT PERMIT LETTER Cupertino Sanitary District has adopted Resolution No. 1263 and Ordinance No. 123 Building Permit Request (Over -the -Counted ® Single Family Project ❑ Multi -Family Project ❑ Commercial Project Project Address: 1132 Derbyshire Dr APN: 362-21-032-00 City Permit Number: \L') -2o22- " O y 2- District Permit Number: 22-523 Scope of Work: Install a property line cleanout Owner/Applicant Name: Alan Pound Address: 1132 Derbyshire Dr Date: Mar 8, 2022 Prepared By: Phone: 408 373-2805 Email: alan_pound@comcast.net ./9A - City Authorized lepresentative 1, as property owner or authorized agent, acknowledge that all Cupertino Sanitary District requirements will be met, and all required fees will be paid prior to the approval of final inspection for proposed project. Date: Mar 8, 2022 Signature: Alan T. Pound Owner I Authorized Agent CUPERTINO SANITARY DISTRICT OFFICE USE ONLY ❑ Pre -inspection Required © Final Inspection Required Date Scheduled: Conditional Approval By: Authorized Representative Cupertino Sanitary District Date: District will notify owner of the required fee within 5 business days after Pre -inspection has been completed and cc City of Cupertino. All fees are non-refundable and payable by check or cash only. Inspection Fees: ® $400/unit - Single Family Residential already connected, but new cleanout is required O $300/unit - Single Family Residential already connected with existing cleanout in working order O $800/unit — New Lateral Installation with CCTV Included LJ $300/unit Grease Trap Inspection CuSD Comments $600/unit — Grease Interceptor/Oil Separator Inspection Property line cleanout must be $250/each — Disconnect and/or abandon lateral service installed to District's t d d S Plan Check Fees: ❑ $300 — Lateral Plan Check O $800 — Grease Control Device Plan Check Cl Change in Use Fees. Actual Amount: ® Fee Paid Date Paid: 3/14/2022 sanars ee detail sheet #7 Final Approval By: a 7�t2a.Y Date: 3/14/2022 Authorized Repres ative Cupertino Sanitary District