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03070210 (2) CITY OF CUPERTINO ""+ a �a'._ x ` BUILDING DIVISION PERMIT• �dNT,, A"QT0R1L1I✓ R1�r,lC?TA " BUILDING ADDRESS: - PERMIT NOL.3 0 7 0 210 NNER'S NAME: PERMIT ISSUE DATE KANEKO OSAMU AND NAOKO 07/2912003 PHONE: SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECr PLUMB MECH e K Z In t� t� 0 a00 LICENSED CONTRACTOR'S DECLARATION lob Description 1 hereby affirm that T am licensed under p 1 visions of Chapter 9(commencing P ��� with Section 7IXl11)nf Division Sof NC eusineesa dPmfcssiuns Cope,antlmylieenuis in fullfnrcean eat HOUSE CORNER REPAIR (VEHICLE DAMAGE) j�? LicenseC C Licab E at"d�S CON' L RVICES, INC ARCHIIECTS HTE DECLX ATION w U I mragrOland my pISO..h.11 W used as public rends da t; Licensed Professional JUL 2 12003 bOg OWNER-BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the E m following reason.(Settle.71)31.5,Business and Pmfexsiems Code:Any city nr county �— which requires a NOOOL to construct,shot,improve,demolish,or repair-any,stmemm BUILDING _I oO prior o its issuance,also requires the applicant for such permit to file a signed[mtema.. EF< that he is licensed pursuant to the previsions it(the Contractor's License Law(Chapter 9 Sq.Ft. Floor Area Valua"g OO (commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permilsubjecs the applicant to a civil Penalty of 3$"0LLi38tter0 0 Occupancy not marc Nane an five hundred dollars(E500). P Y Type ❑1,as owner of the properly,or my employers with wages u their sole compensation, will do the work.and dr unamom is not intended or offered for sale(See.7044,Business R �❑ and Professions Code:The Convector's License Law does not apply 1.an owner of 101 - FOUNDA'P,Mgd Inspections property who builds or improves thereon,and who does such work himself or through his a own employees,provided that such improvements rap not intended or offered for sale.If, 102 — PIERS however,the building or improvement is sold within one year of completion.are owner- builder will have the burden of moving that he did not Wild or improve for purpose of 10 3 - UFER "l`')' 104 - REBAR ❑Lae owner of the property,am exclusively Professions with licensed convectors 1. ceacc La does notaply to anwner of pandrop Professions Ca de i The Contractor's Li- 1 0 — ANCHOR BOLTS cense Lawdocsr Such lyman lits aafpropeny who sedpafimpro the Neuron,and . 106 — SEWER & WATER who conhach(or such projccu withacomracmr(¢)lianud pursuant NC Conhectora License Law. 202 — UNDERFLOOR PLUMBING ❑I am exempt under See. ,B h P C far this reason 203 — UNDERFLOOR MECHANICAL ner Data 204 — UNDERFLOOR FRAME WORKER'S COMPENSATION DECLARATION I hereby affirm under Penalty of perjury one of the following declarations: 205 — UNDERFLOOR INSULATION ❑IhaveanJwill mainuinaCcnlfiwtc of Consen4o self-insure for Workcr'¢Compcn- 301 — ROUGH PLUMBING salid ,as provided for by Section 3700 of the labor Code.for the performance of the 302 — TUB & OR SHOWER work for whimmispermlusissued. 303 — ROUGH MECHANICAL 0 1 have and will maintain Worker'.Compensation Insurance,us required by Section 37W of the Labor Code,far the performance of the work for whim this permit a issued, 304 — ROUGH ELECTRICAL My Workers Compensation lnsumnce carrier and Policy number arc: - 305 — FRAME er sraYm C-li1yQ PafiorNQ/J42,-0925 306 — HOEDOWNS CERTIFICATE OF EXEMPTION WORKERS' COMPENSATION INSURANCE 307 - INSULATION or leas.) (Chis staind need not W completed if the permit is for one hundred dollars IS 100) 308 - SHEETROCK 309 — EXTERIOR LATH employ that in the performance of the work for which this permit is issued,I shall not Law oanypersoninanymanncrena¢lohccomesubjccltotheWorkcriCompensation 310 — INTERIOR LATH Lawaorcahromia.Data 311 — SCRATCH COAT ApPlicam NOTICE TO APPLICANT:IL after making this Cedifcam of Exemption,you should 313 — ROOF NAIL become Subject to the Worker's Compensation provisions of the Labor Code,you must �Z rarthwilh comply with such provisions or this Permit shall W deemed revoker. 501 — FINAL ELECTRICAL ENERGY ZOCONSTRUTIONLENDINGAGENCY 502 — FINAL PLUMBING ENERGY xA HarchyathrmNatNeuisaconswctinnlcnJingagcncyforthcPcrfofmanreuf 503 FINAL MECHANICAL ENERGY ' > the Work far which this permit is issued(See 3097,Civ.C.) Tondo's Nam. 504 — FINAL BUILDING ENERGY T]Q Lender's Address Z 505 — FINAL ELECTRICAL Up 1 certify Nat 1 have read this application and dtest Be above information is 506 — GAS TEST y(~ torten.l agree to comply with all cityNiva and County ordinances and state laws relating to pU building construction,and hereby uuthorieerepresentativesofthis city toenter upon the FIN PLUMBIG J+a above-mentioned property for inspection purposes. (We)agree to save,indemnify and keep harmless the City of Cupertino against 0 8 FINWNG L liabi liacs,judgment,cash and.xpeded.which may in say way Scapa against said City 5 in eonseq c of Nc g u of this Permit. APPLIC N UNDER DSA D WILL COMPLY WITH ALL N�N-POINT Issued by:5 Date / OU CE GULAT — �r�z r�x Re-roofs gnat cof Applica Comremor Data HAZARDOUS MATERIALS DISCLOSURif Type of Roof Will the applicant or future building Occupant store or handle hazardous material as refined by the Cupertino Municipal,Code.Chapter 9.12,and the Health and Safety Id de.Bowie.2ss3xa)7❑Yea '%NO All roofs shall be inspected prior to any roofing material being installed. Will the Sergeant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove croft hazardaus air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. Duties, ❑Yes No Ihave mad a m,andaus materials requirements under Chapter 6.95 oft he Cali for L nia HoSM&Saf9q(y ode,Se Re 25505,25533end25534.1undcrstand Natiftae Wilding pats not admen w ,to n that it's my responsibility to tartly the Occupant of the rcyuircht6>,uwmust tpri isspencc ofa Certificat.\Occupancy. Signature of Applicant Date M 3 owbcr or aallonved.Boot ,4 All roof coverings to be Class "B" or better �• AY OF CUPERTINO � �� � 7 e 210 CITY OF PERMIT APPLICATION FORM • CUPERTINO APN # Date: o —oZ 7 /Z-1A3 Building Address: Mailing Address (if different from building address): v4Z4 MtiKn.E Wovu DR. Owner's Name: Phone#: Os"mw KAiJEKo c 72 S• f6Z01,V, A Zpe- Contractor: License#: C-M segv4 Contact: Phone:4o6.3�9-yq 3o Cupertino Business License#: nl v r� Fax:qc,3. 3tn9 •79 3'1 (ding Pe it Info: d d� 1 ct C� Plumb ❑ Me h ❑ Job D pt esidential f� / ` cco 1 A Sq.Ft. Floor Area: tj $/S .Ft.: Cost of Project: Occupancy broup- Type of Construction: Please check thikbox i oject is a second-stnaddition: ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> I OOK to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 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> I OOOA ELECTRICAL BELEC200 Elec Svcs 600V<=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housing Mit. Fee �7 BUILDING lof3 3� � 7 P!fflloe COY OF CUPERTINO CUP TYOF O PERMIT APPLICATION FORM QuantityFee ID Fee Description Fee Group BMITIGATR Res. Housing Mit Fee BUILDING BMNEWMULTI New Multi-Family Res MECHANICAL BMNEWSF&2F New Sf&2F Res Bldgs MECHANICAL BNEWMULTI Multifamily Res ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BNUMULTI New Multifamily Res PLUMBING BOVERTDAE Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTUR.E 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 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 BRENLUU AN 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 Fumace> l 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 2 of 3 CITY OF CUPERTIlA CUP TYOF O PERMIT APPLICATION FORM QuantityFee ID Fee Description Fee Group • BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Sips, Marquee ELECTRICAL BREMTHEATR Theatrical Ligliting 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 Inspection BUILDING" BSWIM - Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp 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 Issuance PLUMBING PPLBG PlumbingFees foot PLUMBING ZADDCHG Address Chane BUILDING • 3 of 3 { OWN WN . .. JUL 2 9 UMN4 zoo" 3 APPR9YED IN,ASiC-Q..PA 1WfFHiFHE'tCl '06cU► 2IN_ ,ANI RDI Ica DQf B+.IT¢Y S�fiJdttiU - __ ?ESP-�M Tf?ts of �(an and spycificab I�US7 6e k?Pt va theob at all times and ''is urr, ij?FK#yj t9 (flake any changes or, a 'ons Q 01 10Or ��� i he i„y�fi�7Y, from w I @tPM!i- ept, city of d spe n fY T The stamping of this plan and specif tions Q � SHALL NOT"be held to permit or to a aR approval of the violation of any pr siotu Z If any city nce or State Lair. � r''�2CJ-t J J o.Qrv. c� t�b+,�oG� � REPo.rIG "ScE 4TTaCirE FS ?%c-ruez% . 2i=PA1Q VEW. DdH-1Kw� U5/�.1[j. UK& C'ldl� pdF- Y-IN0 anla GLud.t-try MZTE24af.5 Tb .McTGN >aXISTI� GONSTPJ C,TfOA! . $6E OTTALHfG � aP�. _ r---------------- - I I F—L_O_s+4t�lu� _ ErKO I I tt.TS"" t�fSG�VE4t`13.�1dlaE _. _ �,s -,3c. ri"s xt^� _ _=w3�;.`? e i'. .Y: _ a�.T`.a.�$"+"5` Z .`is.: ��t� .G ». .� � "_ - r�t �y.a:.r1� _ ,. e �.' • CPR Services, Inc. tires za, 544 McGlincy Lana#I , Campbell,CA 95008 ` 408-369-7930 408-369-7937 fax • Lic#741809 rF Type ofFstimate: VEHICLE Client: Kaneko,Osamu ' Property: 6424 Myrtle Wood Dr. ,f¢ Cupertino,CA 95014 i '✓^;r Vis^ Operator: DON l x,��',• � Estimator. Huckvale, Donny Business: (408)369 7930 Business: 544McGlinceyUne#1 Campbell,CA 95008 t Reference: CortopassyBob ' ' ` Company: Farmers Insurance Group " Date Entered: 7/23/2003 .Price List: CASBIS313 = n Estimate: KAN642H ; File Number: CLAIM#1003477648-1 ; E! 1 ,t This is a preliminary estimate pending rough inspection from building dept. It should take approx.3 weeks to complete the repairs after the permit is acquired and the contract is s igned. tt Enclosed is the estimate to repair the danjage at�your property . I also sent a copy to your adjustor at Farmers Insurance Group.If you have any questions orwoA l lata schedule the repairs,please contact me at 408-369-7930. Thankyou forthe <f: opportunity to assist you with this loss. COT Since 4" DonHuckvale Q Zv r C L y�. .li, ,..• {{ CPR Services,Inc. 544 McGlincy Lane#I Campbell,CA 95008 408-369-7930 " 408-369-7937 fax • •c., , Lic#741809 ; 3 KAN642H Room: Front Elevation Formula Elevation 29'0" x ... x 16'0" • 1 .� •. 404.00 SF Walls SF Ceiling 404.00 SF Walls &Ceiling SF Floor' SYFlooring 25.00 L.FFloor Perimeteri 464.00 SF Long Wall 464.00 SF Short Wall ;( 29.00 LF Cel Perimeter app .- *" Mssing Wall: 1 - 5'0" X 4'0" Opens into Mssing Wall: 2 - 3'0" X 2'0" Opens into Mssing Wall: 1 - 4'0" X T0" Opens into Goes to Floor Note:The dimensions for this elevation include the porch. 1 1.00 EA Siding-hardboard-sheet 40 40.00 SF Shutters-Repair and reset redwood shutter 1 1.00 EA tTrimboard- 1" x3"-installed redwood -Painting included in walls 44 44.001,E Trim board-I"x6" -installed(redwood)-with decorative cut 8 8.00 LF <<:•• '' Paint shutter-2coats (per side) 1 1.00 EA E¢erior-paint one coat-includes porch roof. W-40 364.00 SF . Exterior-paint two coats 40 40.00 SF 4 Exterior-seal or prime and prep for paint 40 40.00 SF NOTES: x• rf " Room: Left Elevation Formula Elevation 24'0" x ... x 10'0" 288.00 S ,7�ljl SF Ceiling i 288.00 S?aW j&Ceiling SF Floor ' Sy,Floonng 24.00 LF Floor Perimeter i ' 288.00 5 1 �Wall 288.00 SF Short Wall F 25.30 LS��WPerineter Foundation vent-'installed in wood fiam ng 1 C 1.00 EA Siding-hardboard-sheet 80 r— 80.00 SF " Trim board- 1"x3"-installed(redwood)-Painting mclu alis 96 � FA 96.00 LF t;•,. Wood fence 5'-6'high-Cedar or equivalent-close off. 6 M 6.00 LF Exterior-paint one coat W-80 c Q 208.00 SF E#erior-paint two coats wood 80 80,00 SF r KAN642H 07/23/2003 Page: 2• CPR Services, Inc. 544 McGlincy lane#I Campbell,CA 95008 408-369-7930 408-369-7937 fax • Irc#741809 CONTINUED -Left Elevation r,! Exterior-seal or prime and prep for paint 80 80.00 SF Exterior-seal or prime then paint with two finish coats at fence on (6'6)'2 72.00 SF both sides. NOTES: , „t. Room: Bedroom LxWxH 13'6" x 11'0" x 8'0" w—? 262.00 SF Walls 148.50 SF Ceiling 410.50 SF Walls &Ceiling 148.50 SF Floor 16.50 SYFlooring 32.50 LF Floor Perimeter 108.00 SF Long Wall 88.00 SF Short Wall 49.00 LF Ceil.Perimeter Mssing Wall: 1 - 5'0" X 4'0" Opens into E • ilMssiug Wall: 1 - 2'6" X 6'8" Opens into Goes to Floor J' iVTssing Wall: 1 - 2'0" X 6'8" Opens into Goes to Floor , Mssing Wall: I - 6'0" X 6'8" Opens into Goes to Floor Subroom 1: Closet 1 LxWxH 710" x 2'6" x 8'0" 112.00 SF Walls 17.50 SF Ceiling 129.50 SF Walls&Ceiling 17.50 SF Floor 1.94 SYFlooring 13.00 LF Floor Perimeter, 56.00 SF'Long Wall 20.00 SF Short Wall .., „ 19.00(,4U Perimeter Mssing Wall: I - 6'0" X 6'8" Opens into Cces to Floor Electrical repair-Minimum charge-Rewire 3 outlets, I phohe nd 1 1 1.00 EA cable outlet. t! • W v Batt insulation- 4"-R13- 1 long wall and 1 short wall minus window 17 r_ vi 176.00 SF i opening. 1/2" drywall-hung,taped,texture,ready for paint 17 F a 176.00 SF Acoustic ceiling(popcom)tenure C CM 0 166.00 SF Paint walls- 1 coat-walls not damaged. 12 0 C�E 124.00 SF Seal/pritne the ceiling-one coat w 166.00 SF 'u Seal then paint walls (2 coats)-new walls only. 17 176.00 SF KAN642H 07/23/2003 Page: 3•', ft. '. . CPR Services, Inc. 544 McGlincy lane#I Campbell,CA 95008 iA`A; 408-369-7930 408-369-7937 fax . e' Lic#741809 ,41 3 ' CONTINUED -Bedroom al''• IF Baseboard-2 1/4" stain grade 25 25.00 Stain&finish baseboard 25 25.00 LF Screen and coat wood floor F 166.00 SF Interiordoor-Detach&reset-slab only 3 3.00 EA ,.. V , ; NOTES: .4, Room: Hallway LxWxH 16'6" x 3'2" x 8'0" < 314.67 SF Walls 52.25 SF Ceiling 366.92 SF Walls &Ceiling 52.25 SF Floor 5.81 SYFlooring 39.33 IF Floor Perimeter, -tu 132.00 SF Long Wall 25.33 SF Short Wall -y. 39.33 LF Ceil.Perimeter Subroom 1: Offset 1 LxWxH 3'0" x 2'6" x 8'0" 88.00 SF Walls 7.50 SF Ceiling 95.50 SF Walls &Ceiling 7.50 SF Floor 0.83 SYFlooring 11.00 LF Floor Perimeter 24.00 SF Long Wall 20.00 SF Short Wall 11.00 IF Ceil.Perimeter Screen and coat wood floor F 59.75 SF "+ Interior door-Detach&reset-slab only 1 1.00 EA NOTES: _. C " , ec jz KAN642H 07/23/2003 Page: .r `'. CPR Services,Inc. 544 McGlincy Lane#I - Campbell,CA 95008 408-369-7930 408-369-7937 fax • Lic#741809 Room: Entry LxWxH T6" x 3'10" x 810" 28.75 SF Ceiling 181.33 SF Walls g ; 210.08 SF Walls&Ceiling 28.75 SF Floor 3.19 SY Flooring 22.67 LF Floor Perimeter 60.00 SF Long Wall 30.67 SF Short Wall 22.67 LF Ceil.Perimeter F 28.75 SF Screen and coat wood floor NOTES: S�„• t . . Room: Living Room LxWxH 19'2” x 13'6" x 810" " 258.75 SF Ceiling 522.67 SF Walls g 781.42 SF Walls &Ceiling 258.75 SF Floor • ' 28.75 SYFlooring 65.33 LF Floor Perimeter, 153.33 SF Long Wall 108.00 SF Short Wall ; 65.33 LF Ceil.Perimeter Y' y, a<<. o Screen and coat wood floor F 258.75 SF " I' Interior door-Detach&reset-slab only 2 2.00 EA' NOTES: L . o o i '; I4 t KAN642H 07/23/2003 Page: '5* r1.. ' I; CPR Services, Inc. 544 McGlincy Lane#I s'. Campbell,CA 95008 408-369-7930 408-369-7937 fax • lic#741809 Room: GENERAL Asbestos test fee-full service asbestos abatement 1 1.00 EA ArehitecturaVlhaRing fees (Bid item) l 1.00 EA Taxes,insurance,permits&fees (Bid item) 1 1.00 EA General Demolition-per hour 0.00 HR Haul debris -per pickup truck load-including dump fees l 1.00 EA Content Manipulation charge-per hour 0.00 HR Landscape repairs. 1 1.00 EA Framing repair-replace approx.8 studs,top plate tie in with metal l 1.00 EA strap,3-4x6 posts at porch with metal post base and cap to replace damage wrought iron supports and reset 4 x6 lateral support in metal bracket. Clean with pressure/chemical spray-light 692 692.00 SF NOTES: u1' 1.r. ,.: . . 7371-ong Walls 513.25 SF Ceiling 2,685.92 SF Walls &Ceiling Floor 57.03 SYFlooring 232.83 LF Floor Perimeter Wall 1,044.00 SF Short Wall 260.63 LF Ceil.Perimeter i m t r ;' eo FIRC -^ N O �wj W KAN642H �J 07/23/2003 Page: 6 r 4 IN n� is Y3 JUL u� x F .. �'�✓x.a k i. c� wv— � �e Y r C y x 1 'Y' C } �" LAt x i