The URL can be used to link to this page

06080138 .CITY OF CUPERTINO +is^"-v'�: BUIDDINC DIVISION PERMIT 'CONTRA CTORANFORMA.Tt�ONNNN� 7xyz.7, x&n"�>,_ TiYi3%' ss .,v''^S z^R .a.ta^zaf+ BUILDINGADDRESS: s DRAEGER CONSTRUCTION INC PERMIT NO.06080138 22436 RANCHO DE OWNER'S NAME: PERMIT ISSUE DATE RANCHO DEEP CLIFF 605 COMMERC NE: SANITARY NO. CONTROL NO. (408) 536-0420 ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 loo LICENSED CONTRACTOR'S DECLARATION Job Description F I hereby affirm Nal l am licensed under provisions of Chapter 9(commencing i� infell Section dn cBuancnnProfessinCOd.andmylkttb enREMOVE 3 TO 411 OF TILE, FELT & BATS . INSTALL NE ;'qz Lice class Lkg )�1Gt0 ANTI-POUNDING, FELT & BATS . ROOF REPAIR. f, Dam �'/J -Contr actor ARCHfTEC'S DECLARATION i 1 undo uxend my plans shall be used As public¢cards V a LicenttJ Professional OWNER-BUILDER DECLARATION I herehy.(Sero on I em exempt from the resum,CContractor's License Law for the j O o following mason.(Section 703 am Business and Professions Cod.:Any city or county - 5$ which qui.n e.Also re cnnwucL oke rat forty,dcmr it t m e a sig any awmare ,dw prior miu issuance.also requires the applicant forsuch Permit fill aaigncd statement yvrf2�8 Nal he u licensed pursuant O the provision o(Ne Contractor's License Law(Chapter 9 Sq.F1. Floor Area ValuaC e� (commencing with Section 7000)of Division 3 of the Business and Profcasintu Cade)or Nat he u exempt therefrom and the basis for the Jlryed exemption.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to A civil penalty a( pPN Number Occupancy Type not more than firs hundred dollars(5500). 3 5 602053 . 00 D 1,As owner of the property,or my employe"with wages As their soleeompewdmi, will do Ne work,and the structure is notimenMd waffered fonale(Sec.7044,Busitxss Required Inspections And profession Cade:The Contractors License Law do"not apply a an Owner of q P property who builds Omoom es themon,end who doesouch work himselforthrough his own employe".provided that well improvements are not intended aronesad forsak.It. ' however.the building or Improvement is sold what.0.year of completirr,the owner- builder will have the,burden of proving ttit k did not build or Improve fur purpose of sally D 1,as owner of the property am exclusively convecting with licensed cenoxtors b Cotswct the project(Sec.7014,Business and PmicsSIon Cade:)The COMenitera Li- cane law does not apply 0 in owner of property who builds or improves thereon,sod who contracts for such projects wit a contsaMr(a)Reemad pursuant to the Contractors License Law. D I oro exempt under Sec. .B A P C far Nie moon Owner Data WORKER'S COMPENSATION DECLARATION qm1 hereby arm under penalty of perjury one of tie following declarations, ve and will maintain a CartKtcam of Consent to selr4asure for Warkers Cmnpem sation,a provided for by Section 37W of the Labor Cade,for she performance of Ne wart for which this permit is issued. a'f have and will maintain Worker's Compensation Insurance,as required by Section 37M of the labor Code,for the performance of the work for which this permit is Issued. My Workers Compensation lou race.artier sod Paltry number am: Cartier Policy Na.:�f i rng'j�/C7 CERTIRCATE FEKEMPIIONppGMWORKERS' COMPENSATION INSURANCE (Thu section reed not he complcted if the Ise.I,Is fora..hundred do0asa(SIM) or less.) 1 ccnify that in the performance of the work for which this permit Is issued,I shall not employ any Person in any mennerso As to become subject to the Workers'Compenradon Laws of California.Date Applicant NOTICE TO APPLSCANT:If.After making this Cenincae of Ezamption,you aauld become subject in the Worker's Compensation provisions of the IaMr Code you mtw .JO Eforthwith Comply with such provision or this permu shall W domed tewked. Z 5 CONSTRUCTION LENDING AGENCY (~ 1 hereby dram Net there its C.As racum.knding.,A,for the perform..of fx 7 the work for which this permit Is issued(Sec.3097,Civ.C.) 0 Lender's Name ' .7 z Lenders Address V Q I certify that I have r"d Nis application and sate Nn Ne shove let.noA dun is torten.l agme to comply with all city and county oNinancea and state laws relating to QU building construction,and hereby aun tho ,e mpresenum tivea of this city coat upon the r W show mentioned property for impaction purposes. 6. (We)Agree to xve,indemnify and keep harmless the City of Cupertino ageins F'h liabilides,judgmenu.crsu anderpens"which may in any wayacrnseag.,art an, City U z in consequence of the granting of this permit s..i APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date ULATIO — - — Re-roofs Signature of AppliCont/Contractor Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will use applicant or futurebuilding occupant atore orbandle hazardous materia As defined by the Cupertino Municipal Code,Chapter 9.13,and Ill.Health and Safety NCode.Section 255324)? All roofs shall be inspected prior to any roofing material being installed. Dyes Ea 41 Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove cmlt haxandous air contaminants As Jefncd by the Bay AMA Air Quality Management all new materials for inspection. District? D Yes 1 have read the hoamom Answials requiremcm under Chapter&95 ofute Calif.. riabial"SdOy Cade,Socurva M3.25533 and 25534.1 undersand doirl'Nc building docs not currently haw,a enwt that it u my responsibility to nmRy the Occupant of the �re�s,t�m °�� to�nt epnartoiswanaOf.CcMreax.fOeceparay. Signature of Applicant Date 7�-2-) 6(� All roof coverings to be Class "B" or better Owner or authorized agent Data CITY OF CUPERTINO I� 1 of 10 PERMIT RECEIPT OPERATOR: amyw COPY # 1 Sec : Twp: Rng: Sub: Elk: Lot : APN . . . . . . . . : 35602053 . 00 DATE ISSUED. . . . . . . : 08/18/2006 RECEIPT # . . . . . . . . . : 35684 REFERENCE ID # . . . : 06080138 SITE ADDRESS . . . . . : 22436 RANCHO DEEP CLI DR SUBDIVISION . . . . . . : CITY CUPERTINO IMPACT AREA . . . . . . OWNER RANCHO DEEP CLIFF 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 &E 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 • CITY OF CUPERTINO �Q C TY F CUPEkTINO PERMIT APPLICATION FORM JDPN 3�� OZ' � Date:C&I15�IO(D Building Address: Mailin AdAlress (if different from building address): lD Pl oncho LDERC \ Owner's Name:n"Q ko p) CI t +�D Phone#: Contractor:'W n 0��udiOn 'n License #: W (�. WIL010 C 39 Contact: . Phone:926-313-0100 Cupertino Business License#: 1-{'I{G1no W%i�an Fax: 2189 rp Building Permit Info: Bldg �eC00ROq Elect ❑ Plumb Mech ❑ Job Description: 3tp4 1% lit , % 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 second-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> IOOK to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILERS 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 <= 1OOOA 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 CITY OF CUPERTINO CUPEkTINO PERMIT APPLICATION FORM uanti Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing 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 Cessliool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pb1g Fixture PLUMBING BPGAS Gas Pi2ing System Fee PLUMBING BPINTERCEP Ind Waste Interce for 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 Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER . Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cin MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BR.ENTFURN Relocation of Furnace MECHANICAL BREMFURNOV R Jo Furnace> I 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/A aratus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res A2pliance ELECTRICAL 2of3 , CITY OF CUPERTINO CUPEIi`F PERMIT APPLICATION FORM . Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Mar uee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBL'VD Scb Specific Plan BUILDING _ BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Ternp 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 Aft PLLONGRNGR Planning Long Range Residential PLANNING IMF ZADDCHG Address Change BUILDING 3 of 3