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05050044 CI'CY OP CUPERTINO s ", `M'"`"' "'�"'' d�aaRSP " BUILDING DIVISION PEA&T �,�Cb, NT UCT R INffiO TIO BUILDING ADDRESS: PERMIT NO. VANNI BROTHERS CONSTRUCTIOl 05050044 PERMIT ISSUE DATE OWNER'S NAME: 911 HYDE ZONE: SANITARY ROL NO. BUILDING PERMIT INFO ARCHITECrIENGINEER: BLDG ELECT PLUMB MECH 0 0 0 0 �Op LICENSED CONTRACTOR'S DECLARATION IOS DOSCrIpI100 RE1 hereby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section 1000)of Division 3 ofthc Businesaand Professions Code,and my license is in full(once and off L J �'q? License Class �5/ Lies S >'7'�1`'a*� KITCHEN REMODEL ^p Dam 5 r`. CT'S D CL v�•a; /?.' '_:. / 7W ARCHITECTS DECLARATION e a 1 understood my plans shall he used as public records iv0 Licensed Professional a< OWNER-BUILDER DECLARATION (�/ 1 tetchy affirm that 1 oro exempt from the Comms Co License Law for the � l CC followwhich guires a Perm(Secit ofion coma c,,atess and die,deio l Code:Any city or county / s m� wM1ich requires a Permit m cnnswcl.alma improve,dcmnlish,of repair any nmcture prior toim issuance,also requires the applicant for such Permit o B le a signed statement that he laricensedpursuant vtthe proviaonanrlife cnmmetm,ucenseLaw(Chapter y Sq. FL Floor Area Valu loo zHC (commencing with Section 7")of Division 3 of the Business and Professions Code)Sur Nfrom - y _ at he is exempt thereand thth SIM basis for e allegeem d exption.Any violation of Section 1031.3 by any applicant for a permit subjects the applicant m acivil penalty of 3 e10 0 Occupancy Type not more than five hundred dollars(5500). 0 I,as owner of the property,or my employees with wages as their sole compensation. will do the work.and rhe swaure is nut Intended of offered for Sale(See.]044,Business Required Inspections and Professions Code:The Convector`s License Law does not apply to an owner of q p Property who builds or improves thereon,and who does suchworkhimselfor through his Own employees.provided that such improvements are not intended moRered for sale.If, however,the building or improvement is sold within one year of completion.She owner, Wilder will have Ne burden of proving that be did not build or improve for purpose of sale.). 0 1'as awner of rhe property,am exclusively contracting with licensed contractors to construct Ne project(Sec.7044,Business and Professions Code:)The Contractors Li. ecene Law docs not apply to an owner of property who Wilds or improves thereon,and who contracts for such projects with a contranor(s)licensed pursuant to the Contractors License Law. 0n.am exempt under See. ,B&P C for this reason Owner Data - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a Cent fcam of Consent to self-insure for Worker's Compen- sation,as provided for by Section 3700 of the Labor Code,for Ne performance of the work for which this permit is issued. 0 I have and will maintain Worker's Compensation Insurmw,as required by Section 37W of use labor Code.for of,peefvrmanee office work for which this permit is issued. My Worker's Compensation Insurance carrier and Policy number art: Carrier: Policy No.: CERTIFICATE OF EKEM MON FROM WORKERS COMPENSATION INSURANCE (This suction need nm he completed If the permit is forma hundred dollars(SIM) less.) 1 codify Nat in the performenee of the work for which this permit is issued,l shall not employ any person in any rri; a sovasmlxtom subjeetao the Workers''Compcnsauon Lawsof Califon Oam� `+ L Applicant k �'^y^I 'h n.5. ")TICE TO APPLICANT:IL after making this Cenifieam of Exemption,you should become subject to the Worker's Compcwtion provisions of the Labor Code,you must .J O forthwith comply with such provisions or this acrmil shall W deemed revoked. ' Z P�1 CONSTRUCTION LENDING AGENCY I thereby affirm that them is a comtruminn lending agency for the perfurmance of C4 the work for which this permit is issued(Sce.3097.Civ,C.) , W Lender's Name 0. Lenders Address U Q I omify that I have read this application and sum that the above information 6 W correct.1 agme to comply with all city and county ordinances and sole laws relating to 0V building construction,and hereby authorim representmives Of Shia City to enter upon the W above-mentioned property for inspection purposes. (We)agree to Save,indemnify and keep harmless the City of Cupcnino againstnF,r� Iiabili0es.judgments,costs and expenses which may in any way accmc against said City U z in consequence of the Standing of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURc,E AEGULA NS. _ _ LC«�c S —i=C Re-roofs Signawre of Applicxnt/Contmemf Dale HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant store or bandit hazardous material as defined by the Cupertino Municipal Code.Chapter 9.12.and the Health and Safety Code,SeNon 25532b0? All roofs shall be inspected prior to any roofing material being installed. O Yes ©No Will the applicant or future building occupant um cyuipmotor devices which If a roof is installed without first obtaining an inspection,I agree to remove mit hazardous air contaminants as defined by the Bay Arca Air Quality Management all new materials for inspection. Disvintp Dyes 0'�u 1 have mad fire hamrdousmairrials requirements under Chapter 6.95 of the Califor nix Health&Sakty Code,Secuons25505,15533 and 25534.1undersund Nat time building does not currently have a Lenart.that it is my responsibility m notify be Wcupaal or the reyuir<mcntsw ren rens bc�etpdnr to issuance of`s Certificate or Occupancy. Signature of Applicant Date All roof coverings to be Class"B"or better Owner of awhmvcd a,.( Das (m, 0 CITY OF PERTINI CUP TYOF O PERMIT APPLICATION FORM APN # 3562- $02 6 Date: Building Address: Mailing Address (if different from building address): 169�z C�<.r -"j .sem 1)r. Owner's Name: Phone#: /�lr -fo .✓ . 1�elo� Contractor: License #: n/� Contact: I Phone: 6�S-sus Cupertino Business License#: MG( / Fax: 253-7az8 Building Permit Info: Bldg ❑ Elect Q--� Plumb 9— Mech kl-' Job Description: �- Residential 0'- Commercial ❑ Sq.Ft. Floor Area: $/Sq.Ft.: Cost of Project: 'Ka v as Occupancy Group: Type of Construction: Please check this box if the project is a second-story addition: ❑ Project Size: Standard Er� Large ❑ 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 BB0ILER4 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 4 � � e � 1 of 3 0 CITY OF CUPERTIIO CITY OF PERMIT APPLICATION FORM CUPERTINO ak Quantity Fee ID Fee Description Fee Group Nor 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 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 Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinkler/Backflo PLUMBING BPSTORM Stonn/Rain Water PLUMBING Ak 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 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo 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/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL WS BREMRESAPP Remodel Res Appliance ELECTRICAL 2of3 �. (ITY STY OF CUPERTINO OF PERMIT APPLICATION FORM CUPEf�TINO 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 BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Insection 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 / S 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 • 3of3 CITY OF CUPERTINO m 1 of 1 PERMIT RECEIPT OPERATOR: conniew COPY # 3 Sec : Twp : Rng: Sub: Blk: Lot : APN . . . . . . . . : 35628026 . 00 DATE ISSUED. . . . . . . : 05/09/2005 RECEIPT # . . . . . . . . . : 29606 REFERENCE ID # . . . : 05050044 SITE ADDRESS . . . . . : 10922 CANYON VISTA DR SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : DELORIS KINGSTON ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3909 RECEIVED FROM . . . . : NEIL VANNI CONTRACTOR . . . . . . . : VANNI , MICHAEL LIC # 18307 COMPANY . . . . . . . . . . : VANNI BROTHERS CONSTRUCTION ADDRESS . . . . . . . . . . : 914 HYDE AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 ® TELEPHONE . . . . . . . . : (408) 253-7028 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL --- -- --- ----- ----- ---------- ---------- BPERMFEE VALUATION 24 , 000 . 00 320 . 76 0 . 00 320 . 76 0 . 00 BPLANCHK PERMIT FEE 1 . 00 83 . 16 0 . 00 83 . 16 0 . 00 BSEISMICRE VALUATION 24 , 000 . 00 2 . 40 0 . 00 2 . 40 0 . 00 BENERGY PERMIT FEE 320 . 76 153 . 96 0 . 00 153 . 96 0 . 00 ELECTRIC SQUARE FEET 125 . 00 10 . 00 0 . 00 10 . 00 0 . 00 PPLBG SQUARE FEET 125 . 00 10 . 00 0 . 00 10 . 00 0 . 00 EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 MPERMFEE SQUARE FEET 125 . 00 10 . 00 0 . 00 10 . 00 0 . 00 MPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 PPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 --- ------- - --------- ------ - ---- TOTAL PERMIT 705 . 39 0 . 00 705 . 39 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----- - -- - - - - - - - -- - - -- --- ------ OTHER 705 . 39 M/C TOTAL RECEIPT 705 . 39 Mm IN-2 19M, :K 111MW I L z' IIII0,1111,"IMIN M ENOT CUPERT C, 0 IN0 Assessor's Parcel Number: 0 2 Name of owner. Project address. V/ 5,L-q Contact person. AJ Phone. GGS -SSS Fax. ;Z 5- 3 - 7,:, Z e Net square footage of lot. Existine Proposed Square footage: First floor: Second floor: Garage: TOTAL: Are there at least two 10 foot by 20 foot clear spaces inside the garage? N Is privacy protection planting required for the project? Y On what floor(s) is work being done? S-4-- Brief description of work. Code editions: 2001 CBC (Y - N)2001 CFC (Y - N)2001 CIVIC (Y-N) 2001 CPC (Y - N)2001 NEC (Y - N) Effective 11/1/02 Plan Review Process Work Book Page -8-Revised 4/28/04 05/09/2005 15: 07 4082263406 COMPASS PAGE 01 ® ( ancho Deep Ci f Jfomeowners Association FAX May 9, 2005 City of Cupertino Fax No. 408-777-3333 RE: 10922 Canyon Vista Drive Vanni Construction Company To Whom It.May Concern: The Association and the Management has approved interior remodel work to be completed at the above mentioned properly. The interior work does not have an effect on the exterior of the unit, so Management is not requesting architectural approval or a permit for this work. If you have any questions regarding this issue, please contact me at 408-226-3300. Sincerely, RAN!CHO DEEP CLIFF HOME WNERS ASSOCIATION Lyle Peddicord ��� Association Manager cc: Board of Directors Unit File 20 Great Oaks Blvd.,Suite 220,San Jose,CA 95119,Phone: 408.226.3300,Fax: 408226.3406 PLOT PLAAS • 7 C 6 O/ CHECKED BY PLANNING E ATE ren. DEPT. kl ® MAY 9 2005 i ' I I ' i 0 r� r / i I i n ow f £n ' 10922 Ca ll sig d , ff � ni-111sW ni-AlaW 19ao10 192010 �1Sfs8 ie12sM � I k x x \ VA mooibe8 VA mooib98 'Tr x s.r r -arxsr t dPe� n90 rbnusJ_ mooA gniviJ� E r x a.s r /Yl Z • z r x a.as , d enini0 :c a nsrloli?i o eesisc7 ArXor Q, - M - 0 r 2N01203M10 MOOR 03TAMIT23 1\, 5 r >S CITY OF CUPERTINO BUILDING DIVISION PERMIT CONTRACTOR INFORMATION �wn,Pl' w has BUILDING ADDRESS: PERMIT NO. VANNI BROTHERS CONSTRUCTIOR 05050044 A.N*eM VISTA DR OWNER'S NAAII ME: PERMIT ISSUE DATE 7T.npTq KINI22TON 914 HYDE AVE E: SANITARY OL NO. ARCHITEC TNGINEER: BUILDING PERMIT INFO BLDG ELECr PLUMB MECH �Oo LICENSED CONTRACTOR'S DECLARATION qddw��lo?w ,,,,jjjj����O O O w 1 hereby affirm Nat 1 nm of Me B.M. isions of Chapter 9(commencing Jo IJju' e i� with Sation]itk)of Division 3ofthe ,rea artd Professions Code.and.1 license is a ��5II�1� [E in full fora tone cff S'3--v 5'r.? Licensc Clus _Lie.. 'zS<S' KITCHEN REMODEL �Fa Dau 4`e"7—ev Conuv4or Vsii-men,: /.7i't•�. ry ARCHITECTS DECLARATION '— 200[ 1 urrderemnd my plans shall he uud.public records ,1 JyU ;off Licensed hereProfby oriel {I ��Q �p OWNER-BUILDER DECLARATION `9pQ:1Cy1 gGyl9 Oat 1 hereby.('sero on I am exempt from the Contras Co License Law for the B�p6fgg pO following reason.(Section]0mmo Business and Professions Code:Any city st county m LJ which its issu a permit to sones the alter improve,demolish.or e a sig any structure, -�< prior m its iseracd p also m.to Me the applicant for such permit m Ole signed statement thend he(commisranrtapSectiot7")ofDis;o�nrMe ofMeB Business auanrtuonCodtcry Sq.Ft. Floor Area Valu ton C. Marne (commencing with Screfroon 7")ofof the Boniness ands.Profession Cods)or C.3$ Nat he u ea1.5 b ncortfrom and the burs for the alleged pprica iuo.Any violation of Session]031.5 by any hundred for a permit subjects the applicant m a civil Penalty of 3��3erO 0 Occupancy Type not mart than five hundred dollars($5110). ' ❑1,as owner ofthe property,or my c eployces with wages as their sole compensation, willdo the work and the structure is nutimmuded ororzcred formie(Sce.7144,Business Required Inspections and Professions Codc:The Corrector'se License law docs not apply in an owner of q P property who builds or improves onermn•end who does such work himaelf or through his Man employees•provided that such improvements arc not intended oronered forsak.If. however.Ne building or improvement is sold within one year of completion.Ne owner. builder will have the burden of proving that he did not build or improve for purpose of sale.). 1,as owner of the property.am uclusivclY contracting wish licensed rnnuacwrs to construes Ne project(Sec.7064,Business and Profwions Code:)The Conmemr's Lb Comes law docs not apply u an ownu of prepany who builds or improves Nemo,and. who contracts for such projects with a convactor(s)licensed pursuant o the Conustors License law. 12M exempt under Sec. .B&P C for this mason Owner Data 137WWORKER'S COMPENSATION DECLARATION 1 hereby alri,m under penalty of perjury are of the following declarations: Itsm and will maintain a Cenifieau Of Consent ro self-insure for Workers Compcmn,u provided for by Section 3]00 of the labor Code,for Ne performana of the for which this permit is issued. have and will maintain Workers Compensation Insurance,u required by Section ofthe lobar Code,for Ne performance of Ne work for which this permit is issued. Worker's Comperumion Iner mnse Cartier and Policy number veer: Policy No.: CERTIFICATE OF E(EMPTON FROM WORKERS' COMPENSATION INSURANCE (Thu action need not becomplcted if iter permit is forms hundred dollars(SIM) or Tess.) I certify Nat in Ne performance of the work for which this perm it u issued.I shall not employ any person in any manner'ergs m bepome subject so the Workers'Compensation Laws ofCalilotry Dau�•' �'0 Applicant V••�NN f i6}s5 NOTICE TO APPLICANT:If,after making this CeniEeste of Esemption,you should become subject to the Worker's Compensation previsions of the labor Crile,you must .,Z foMwith Comply with such provision on this permit shall be deemed¢voted. Z O CONSTRUCTION LENDING AGENCY PI hamby oRirm that there is a C..Iion lending agersy fpr the performance of Ne work for which this permit is issued(See.3097,Civ.C.) W Qlcndcr's Namc = z Lendc,'s Address - U Q 1 certify Mn 1 have read Nis application and tiers that the above mfmmaoon is W P corsets.l agree to comply with all city and county ordinances and sou laws relating to - 0U building construction.and hereby mmons representatives ofthu city to enter upon Me W above mentioned pmperp for inspection purposes. (•-' CL (Wer)agree m sive•indemnify and kap hnmless the City of Cupertino against ,l liabilities.judgmcnu,costs and C.N.which may in my way accroe against said City U in eonuquntceof the granting of this .it. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURG ULAjiOfIS. /I(%lr/(•LGS_ �(a «�n S -j-"� Re-roofs Signature of ApplieanUContracmr Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant em,e or handle hrtandous material u domed by the Cupertino Municipal Codc.Chapter 9.11,and the Health and Safety C-. ada, DCuty.zss3z(a)]' All roofs shall be inspected prior to an roofing material being❑Yes pNu " P P Y g g installed. Will Ito applicant nr future building Occupant use equipment or dcvlees which If a roof is installed without first obtaining an inspection,I agree to remove hazardous air commitments o darned by the Bay Area Air Quality Management all new materials for inspection. District' ❑Yes E116u 1 have mad Ne hanrdous materialsreqirt umun ems der Chaps,6.95 Cor Ne Cithor nu Health&SafetyCose.SCMiOme15505.25533 and 25534.1 understand Muifde Wilding docs not et memly have a omni,Not n is on,respomeihility,to pool,Or occupant of de rogAmus. ich nor MCICIppnorwissuance oraCertificate nrOccupany. Signature of Applicant Date `—�� Owner u authonud agent Dam All roof coverings to be Class"B"or better