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BLD-2023-1846_ApplicationCONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • permitcenter@cupertino.org PERMIT #B CUPERTINO I REV# DEF# ❑ NEW CONSTRUCTION ❑ADDITION © ALTERATION ❑ T.I. ❑ MEP ❑ RE -ROOF ❑ SWIMMING POOL/SPA I I PROIECr ADDRESS I APN # 21820 Eaton Place Cupertino 32619122 OWNER NAME PHONE AIL Virginia sun 4087878061 virE-Miiasun203@Vahoo.com STREET ADDRESS CITY, STATE, ZIP 21820 eaton place cupedino ca 95014 OCONTRACPORNAME []OWNER -BUILDER COMPANYNAME LICENSE NUMBER LICENSE TYPE Steven Albert Peninsula Siding Company l IO0298 d STREET ADDRESS CITY, STATE, ZIP 763 Polhemus Road #2 san mateo ca 94402 E-MAIL PHONE BUS. LIC # office@peninsulasidingcompany.com 6502874208 bl-001718 ❑ARCHITECT ❑OWNER ❑OWNERAGENT OCON'IR ORAGEMI]ENGINEMLIDEVELOPEROTENANT CONTACT NAME E-MAIL Gina Campanile gina@peninsulasidingcompany.com STREEr ADDRESS CITY, STATE, ZIP PHONE 763 polhemus road #2 san mateo ca 94402 6507300169 DESCRIPTON remove shingles and trim on right side of home. Make minor repairs to portions of front of home. install truwood shingles and kelleher trim to match existing siding and trim. like for like changes. TOTAL VALUATION: $17,000 IESINGLE-FAMILY/DUPLEX ❑ MULTI -FAMILY []INDUSTRIAL []COMMERCIAL USE TYPE OCC SQ.FT. VALUATION($) EXISTINGUSE EMSTUNCSF NEWFLOORSF PORCHSP DECKSF DEMOSF STORIES# TOTALNETSF single family 1480 REMODEL REMODEL KITCHEN I REMODEL OTHR GARAGE ATTACHED BATHROOM SF SF SP SF DETACHED EXISING OYES FIRE SPRINKLERS [I NO EICHLER AYES ❑ NO NO SECOND STORY ADDITION 0 DWELLING SECONDDWELLING AYES []ATTACHED❑DETACHED OTHER UNITS UNIT ADEBTON: [I NO SF POOLS ❑ FIBERGLASS Q VINYL -LINED ❑ GUNITE [] PREFABRICATED POOL -SP SPA -SP SPA ATTACHED E3 YES ❑ NO TOTAL -SF_ RECEIVED BY: Connumbl or MOB Fmefla B,dldhm rvif, A,Nie Sruirnrnine Pools remrires Dm,h,,eat o(Enuirnrunenfal Heath aomooal RE -ROOF EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ ASPHALT SHINGLES[] WOOD SNAKES❑WOOD SHINGLES❑TILE OTHER(SPECIFY) REMOVE /REPLACE❑NO IF NO PLYWOOD 0'6" ❑3/8" PLYWOOD TYPE: PITCH ROOF CLASS j] YES # OF LAYERS THICKNESS ❑ 5/8" OTHER ❑OSB ❑ COX OTHER — • 12 A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF 11ASPHALT SHINGLES ❑ WOOD SHAKES OWOOD SHINGLES ❑OTHER "Provide a signed copy of the Cupertino's Tear -Off Policy SF #ot SQUARES By my signature below I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. I acknowledge and authorize all information contained on this application form to be made available for public reco QJ Signature of Applicant/Agent: Date:8/15/2023 SUPPLEMENTAL INFORMATION REQUIRED 'New SFD/Second Dwelling Units/Multifamily Dwellings: A Demolition permit is required prior to issuance of a building permit for all new construction. "Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. 'Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. •HOA-Provide a letter of approval from the Home Owner's Association BldgApp_2017.doc revised 01101121