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06080131 CITYOF,CU;o PERTINO a w'C bU1i:!LVI LDSION PERMIT OCRACTOR�`IN 'U MATIQNd` xs Ns�•a, ,t.ro, '�...>17 r eh .=:wr, r. e €auy, BUILDING ADDRESS: s DRAEGER CONSTRUCTION INC PERMIT N0.06080131 22325 RANCHO DEEP CLI D OWNER'S NAME: PERMIT IS'UE DATE Ik RANCHO DEEP CLIFF HOA 605 COMMERCIAL ST 08/18/2009 ONE: SANITARY NO. CONTROL NO. (408) 536-0420 ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 baa LICENSED CONTRACTOR'S DECLARATION lob Description I ua C 1 heuby affirm Nat 1 am lian¢d under novitloM of Chapmr 9(cammcndog p =y with Scrnna�ffecDiviaionlaf Ne BusinevaM PmfessimsCade.aedmylicenseio License Claes Lk.g �-( � l�^ IC2 REMOVE 3 TO 4" OF TILE, FELT & BATS. INSTALL NE t'c Dam SC-�� - ; ContractorANTI-POUNDING, FELT & BATS . ROOF REPAIR. ARCHITECTS DECLARATION i I undersunl my plans Nall be dud.public recruits ' iyU Licensed Professional OWNER.BUILDER DECLARATION F I hereby alarm Nal 1 am exempt from the Contractors License Law for Ne . :00 following recon.(Section 703 LS,Business and Professions Code:Any city or county S fi which requires a Permit ed construct,aIW,improve,demolish,or repair my structure xi prior b its issuance also requires the applicant for each permit m file a signed sOkme . m Out he is decreed pursuant to Jt provisions of Nc Contractor's U..Law(Chaprer9 Sq.Ft. Floor Area Valuat$)d 208 I,� (commencing with Sendon 70M)of Division 3 of the Business and Profession Cook)or $ that he u exempt therefrom and the hard for the alleged exemption.Any violation of Section 7031 J by any applicant for a permit subjects the applicant N a civil penalty of ON Number � Occupancy Type not ream than five hundred dollar(ssGgl' 3 5 6 02041 . 00 Luawner ofJk progeny,or my maployees wish wpuNoir ole mmpensstion, and dathssimis and Ne ih Cominats License 0a.Business Required Inspections and Prty who ns C.C.The Canuxmr.License Law dao ret apply N an owner is q p propcoywhobuilds i improvesch amn,andwho doseouchwork himself.through his ownc er,the Net vent imPrownsmts are not ear ofed mplati n.foe owner.however,the buildingmimpmmnmtg sold year ofhapro tioo,Ne aw.n builder will haw tit Wooden of proving Nat he did not build m ImProw far purpose of ,ash.) FINALE® ❑1,.owner of the property am exclusively contracting with licensed mmracton m Cosmo the project(Sec.7014,weer of sed nywho ts Cade:)Theves dooms, Li cense law dao not apply a an owner of property who builds or Improves thereon,and who concocts Formica projects wish a mnuamar(s)licensed purewnt an Jre Conuecmrs License Law. i�I �v ❑Ionsxem ept under See .B&PC for Nio rtssan v Owner Dat BUILDING rrsaaa WORKERS COMPENSATION DECLARATION BUILL DING /1 hereby a1Rtm under pevlty of perjury one of Ne following dechntions: 1 ham and wfil maintain a Certifram of Cansenna ulf-Insum far Wark es Compen- sedan,as provided far by Section 3700 of On Inbar Code,(or On pedaona.e of the work for which this permit is issued. I have and will maintain Wo C,'a Cion q allon Insunnce,u required by Schon 37W of the labor Cade,for the performance of the work far which this Permit is issued. My Workers Compensation I.uunc artier and Policy number art: Cartier. 1 Policy No.: CERTIFl ATE OF XEMPDON FROM WOR ERS' COMPENSATION INSURANCE (Thleection need not he completed if the permit is faro.hundred dollar($IW) or less.) I certify that in the Performance of the work for which this permit is issued,l shall nut employ any penton in any manner so as N became subject a Ne Workere'Compensation fawn of California.Dat Applicant NOTICE TO APPLICANT:If,after making this Cenificam of Exemption,you should become subject in the Worker's Compensation provisions of the Labor Code,you mux Oforthwith comply with such p.,isimu Or this Permitahall he deemed revoked. Z CONSTRUCTION LENDING AGENCY (-r Ihereby.M.Nat there is a construction lending agency for the performance of rl.7 the work for which this permit Is issued(Sec.3097,Civ.C.) W�Q Lenders Name M z Lenders Address U Q 1 certify that I have read this application and sot that the above information is corecs.l agree to comply with all city and county on inances and sok laws mlating to V building construction,and hereby authorize mpresemmiws of Nis city to enter upon the r a above-mentioned property,for inspection purpnses. (We)agree it.save,indemnify and keep harmless Ne City of Cupertino againn FTA liabilities,judgments.costs and expenses which may in any way scenic against mid City C.1Z in consequence of the gmming of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date (. ru.&RmZdby EGULATI _Q Re-roofs S.C. Applidan rARDOU Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof the a Captur or future building aecupant sort or handle Halloue metrial y the Cupertino Municipal Code,Chapmr 9.13.and the HeaIN and Safety n 35533(.)+ �� All roofs shall be inspected prior to any roofing material being installed. es the applicant car future Wilding Occupant use equipment or dcviaa which If a roof is installed without first obtaining an inspection,I agree to remove mis air contaminants ss dc0ncd by the Bay Arta Air Quality Ma.gement all new materials for inspection. ❑Yes 0 N (have mal NAeitdrmsmaterialmquim=nuunder Chapmr6.95of Ne Califon ni.k]Lh&Softly Ca ,Sadoos35505.25533wd25534.lunJcr thaifNe Wilding dm ret currently haw a tens a that it l mY respomibiliry m notify th acuPant of Ne my in house mo priorwissua.c ora C.mfi,mofampa.y. Signature of Applicant Date �I� �_j I a� Owner or authomte0 ager All roof coverings to be Class "B"or better Dam' CITY OF CUPERTINO J� 4 of 10 PERMIT RECEIPT OPERATOR: amyw COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 35602041 . 00 DATE ISSUED.. . . . . . : 08/18/2006 RECEIPT # . . . . . . • • • : 35683 REFERENCE ID # . . . : 06080131 SITE ADDRESS . . . . . : 22325 RANCHO DEEP CLI DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : RANCHO DEEP CLIFF HOA ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : DRAEGER CONSTRUCTION CONTRACTOR DRAEGER, JOHN EDWARD LIC # 21895 COMPANY . . . . . . . . . . : DRAEGER CONSTRUCTION INC ADDRESS . . . . . . . . . . : 605 COMMERCIAL ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE . . . . . . . . : (408) 536-0420 WE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL -------- -- ------------- ---------- ---------- ---------- ---------- ---------- BENERGY PERMIT FEE 115 . 56 55 .47 0 . 00 55 . 47 0 . 00 BPERMFEE VALUATION 5, 000 . 00 115 . 56 0 . 00 115 . 56 0 . 00 BSEISMICRE VALUATION 4 , 208 . 00 0 . 50 0 . 00 0 . 50 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 171 . 53 0 . 00 171 . 53 0 . 00 • aCEO CITY OF CUPERTINOCUfINT PERMIT APPLICATION FOR N# Building Add res : Mailin d ress (if different from building address): 22325 poncho � Owner's Name: Phone#: w-anchotee oni -9-�- Contractor:TyQ owy&raction lnG License#: 1pl-1 { O C 3af Contact: Phone:126-313-0100 Cupertino Business License#: H"llclnb Wsgt a Fax: 218q Building Permit Info: Bldg ER"WDRElect '❑ Plumb PMech ❑ Job Description: stow, Pli - t Residential Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: . Cost of Project: Occupancy Group: Type of Construction: Please check this box if the project is a / secon -story addition: ❑ o'ect Size: Standard Laze ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL — BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax-Resi/Mobile BUILDING BELEC1000 Elec 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING • 1 of 3 ammm",, CITY OF CUPERTINO CUPEfiaTINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housin Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Dis osal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM Stoml/Rain Water PLUMBING BPTRAP , Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER . WaterHeater/Vent I PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfin MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Fumace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2of3 *115 CITY OF CUPERTINO cuPEINT �Zr1No PERMIT APPLICATION FOR Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING E BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Insection BUILDING BSWIM Swimming Pool BUILDING BTEMP ' Temporary Power ELECTRICAL ' BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING ZADDCHG Address Change BUILDING • 3 of 3