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BLD-2025-0980_JobCard.pdf(2)4c,41.19s� CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • permitcenter@cupertino.org PERMIT #1 - REV# 6 DEF # ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION ❑ T.I. ❑X MEP ❑ RE -ROOF ❑ SWIMMING POOL/SPA PROJECT ADDRESS 7848 JEANETTE COURT APN # OWNER NAME LEILA MATTINGER PI ION E 4084808701 E-MAIL LEILA-MATTINGER@COMCAST.NET STREET ADDRESS 7848 JEANETTE COURT CITY, STATE, ZIP CUPERTINO, CA 95014 ■ CONTRACTOR NAME ■ OWNER -BUILDER COMPANY NAME SERVICE CHAMPIONS LICENSE NUMBER 817040 LICENSE TYPE C20 STREET 7020 ADDRESS COMMERCE DR CITY, STATE ZIP PLEASANTON, CA 94588 E-MAIL PMITCHUM@IPERMITCA.COM PHONE 916-573-7555 BUS. LIC # 401210 • ARCHITECT • OWNER ■ OWNER AGENT © CONTRACTOR AGENT ■ ENGINEER ■ DEVELOPER • TENANT CONTACT NAME PHYLLIS MITCHUM (#640596979) E-MAIL PMITCHUM@IPERMITCA.COM STREET ADDRESS 31225 LA BAYA DR #213 CITY, STATE, ZIP WESTLAKE VILLAGE, CA 91363 PHONE 9165737555 DESCRIPTON R/R 4 TON 18 SEER HEAT PUMP AC IN RIGHT SIDE YARD, 4 TON COIL, 90K 96% FURNACE IN GARAGE, ADD NEW 1 TON 17 SEER DUCTLESS MINI SPLIT IN RIGHT SIDE YARD, 1 AIR HANDLER TOTAL VALUATION: 38640 © SINGLE-FAMILY/DUPLEX • MULTI -FAMILY • INDUSTRIAL • COMMERCIAL USE TYPE OCC SQ.FT. VALUATION ($) EXISTING US! EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES # TOTAL NET SF REMODEL BATHROOM SF REMODEL KITCHEN SF REMODEL OTHR SF GARAGE M SF • ATTACHED DETACHED EXISING FIRE SPRINKLERS ■ YES ■ NO EICHLER U YES • NO SECOND STORY ADDITION ■ YES • NO DWELLING UNITS # SECOND DWELLING ❑ YES • ATTACHED!:DETACHED UNIT ADDTTON: ❑ NO S F OTHER POOLS! • FIBERGLASS E VINYL -LINED • GUNITE • PREFABRICATED POOL - SF SPA - SF SPA ATTACHED • YES • NO TOTAL - SF Commercial or Multi -Family Buildings with Public Swimming Pools requires Department of Environmental Heath approval RECEIVED BY: RE -ROOF I EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ TILE OTHER (SPECIFY) REMOVE /REPLACNO E ❑ YES IF NO # OF LAYERS PLYWOOD ❑ '�Z" ❑ 3/8" THICKNESS ❑ 5/8" OTHER PLYWOOD TYPE: ❑ OSB ❑ CDX OTHER I'll • 12 ROOF CLASS A PROPOSED ROOF TYPE: • BUILT-UP ROOF • ASPHALT SHINGLES . WOOD SHAKES . WOOD SHINGLES • OTHER *Provide a signed copy of the Cupertino's Tear -Off Policy SF #of 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 relatin• to building construction. I authorize representatives of Cupertino to enter the above -identified property for i ge and authorize all information contained on this application form to be made available for public record. Signature of Applicant/Agent: Date: 5/22/23 SUPPLEMENTAL INFORMATION REQ *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 01 /01 /21