BLD-2022-1023_SignedPermitBUILDING PERMIT
CITY HALL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: APN: PERMIT NO:
OWNER’S NAME:
ROOTER HERO PLUMBING
2022-06-06 Jasmine Archbold 13992
ROOTER HERO PLUMBING 1028886 07/31/2023
CAROL ANGUIANO
4
4
4
4
Jun 6, 2022
CUPERTINO SANITARY DISTRICT
20863 Stevens Creek Blvd #100, Cupertino, CA 95014
Tel (408) 253-7071 ꞏ Fax (408) 253-5173
SANITARY DISTRICT PERMIT LETTER
Cupertino Sanitary District has adopted Resolution No. 1263 and Ordinance No. 123
Building Permit Request
(Over-the-Counter)
Single Family Project Multi-Family Project Commercial Project
Project Address: ______________________________________________ APN:____________
City Permit Number: _______________________ District Permit Number: ________________
Scope of Work: _______________________________________________________________
Owner/Applicant Name: ________________________________ Phone: _________________
Address: __________________________________ Email: ____________________________
Date: ____________ Prepared By: _____________________________________________
City Authorized Representative
I, 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: ____________ Signature: _______________________________________________
Owner / Authorized Agent
CUPERTINO SANITARY DISTRICT OFFICE USE ONLY
Pre-inspection Required Final Inspection Required
Date Scheduled: ________________
Conditional Approval By: ___________________________ Date: ______________
Authorized Representative
Cupertino Sanitary District
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
$300/unit - Single Family Residential already connected with existing cleanout in working order
$800/unit – New Lateral Installation with CCTV Included
$300/unit – Grease Trap Inspection
$600/unit – Grease Interceptor/Oil Separator Inspection
$250/each – Disconnect and/or abandon lateral service
Plan Check Fees:
$300 – Lateral Plan Check
$800 – Grease Control Device Plan Check
Change in Use Fees. Actual Amount: _______________
Fee Paid Date Paid: ________________
Final Approval By: ___________________________ Date: ___________________
Authorized Representative
Cupertino Sanitary District
366-11-127
x
7552 Peach Blossom Dr, Cupertino, CA 95014
BLD-2022-1023
INSTALL TRENCHLESS SEWER LINE BETWEEN FOUNDATION AND PROPERTY LINE
Rooter Hero 408-515-3837
6/2/22 Phuong Devries
permit@Rooterhero.com
x
x
22-556
CuSD Comments:
No record of an existing property line
cleanout. One must be installed to
District's standards. See detail sheet #7.
6/03/2023
6/03/2023X