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08040032Y�2 CC w 0 u ase C g5= CITY OF CUPERTINO/+.- �NY� 0,1]x: BUIaDINGDIWSION PERNUT �COg]f1 V�TlIR . BUB-plbfcbApp'aF PANI SH OAK CT TBD — TO BE DETERMINED 08040032 , OWNERS NAME: PERMIT ISSUE DAM JENKINS LISA D 04/07/2008 PHONE SANITARY NO. CONTROL NO. RCHITECr/ENGINEER: BUILDING PERMIT INFO BLDG BLEU PLUMB - MECH LICENSED CONTRACTOR'S DECLARATION - Job Description esCn P I hereby affirm that I w lixnsed under pmvisimet of Chspler 9 (mmmmming with Section 10f10) of Division 3ofthe Bunnetaaw Profatiom Coda, and my licenseo INSTL PARTN WALL PER ATTCHD DRAWINGS in full fora and a@ct. -77a 3gz Lbamse 1p� ca tractor G IQn m eg Dae / CONTRACTOR, CALIFIA BUILDERS PD FOR BUS LIC 4/7/8 'T— ARCHnECPS DECLARATION $110 I understand my plans shall he used u public recoNa Licensed Pmfestional OWNER -BUILDER DECLARATION I hereby ailuro that I em exempt from We Contractor's License Law for the - following mason. (Section B131.5, Business and Profession Code: Any city or aunty which rtquira a permit w eommuco, after. improve, demolish, or repair any s.uetwo prior W its issuance. atan esquires the applicant for Such permit to file a signed su .mem Wes is licensed W the of Contractor's license Law 9 Sq. FL Floor Area Valuation he pursuant previsions the (Chapter $112 3 (commencing with Section 7000) of Division 3 or We Business and Prukaslom Code) or thu he is exempt Wuefrom and mm basis for the alleged eaemption. Any violation of e,pN Number 34232083 Occupancy 1rpe Section 1011.5 by uryaPPII=t(On a Pannit subjema du.tiglian. m a civil Porosity of nos mese Wan five hundred wIlas(SSl11B. .)ff 0 I. a caws of mm pmpm y. w my=mPloyca with wags u Weir sok eompewdon, e ns Required Inspections will do thework.som the soot[.. lsnminuMedoroRered fonale(Sec.'/0a4,Bunnea and Pmfeaniona Code: The Consommes Llceme Law doe not apply o an owner of q P property who build, orimprovestheron, and who doessuchwork himselfor though his owncmployrrs,provided Wn such imprevemaoam not intended wo@rod forWeir, however.in building arimpmsememissold mwyer or mprowf rWeowner- he builda win Nve mese WNen of poving that k aid .rat build r improve for puryase or eek). 0 1, as manor of dw property. am exclusively cornu od"s with licensed conmmaan . construct the project (Sec. 7W. Business and Professions Code:) The Conmctors U. ane law moa net apply. an owner or property who builds or improves mammon, and, who conmcu for such pmjecle with a conuac.r(0 licensed pursuant in the Contractor's License law. O lamaemprunda5ee ,BAPCforthomasun Owns Dau WORKER'S COMPENSATION DECIMATION 1 hereby dorm under Penalty of perjury, oro of the fallowing declaraiom: 1 have and will maintain •Ccrdrmak of Covent to sciNnatum for Workch Common - r Cade, for this perre rom il of man I. u provided for by Section 5100 of the Labom re for which this permit is banned. 0 1 haw and will maintain Workers Compensallon Insurance, u required by Sermon ' 1100 or We Labor Cock. for thC perforlanR of We were for which this permit Y Issued. My Workers Compenationnllmurwtea carrier ud Policy number arts: �Tp —Vo carrier. S-�4'e. Nnj PoIIry Na.: � D CERTIFICATE OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCE rDruuedon wed not Wcanple.d if the Permit is furrow hundrtddaRan (SIOW or kis) I comity drum in the Performance a the work for which this permit o bawd. I shall not employ any Person In any manner an as in become subject in the Worken' Compcwmmn Laws of Calir..m. Dam Applicant NOTICE TO APPLICANT. If. after making this Contra= of Exemption, you should Income subject to the Worker's Compensation provisions of We labor Ced4 you mesa forthwith comply with such provinces or this permit shall M deemed revalue. AGENCY ord ft.UComaxI lead I hereby alum We Wert i ending agemy far met peRormarla of We wericma's for which this permit o issued (Sec. 7071, Civ. C.) s ed (Sec. 30 ' Lenders Name , Lenders Addrm I 1 testify that I haw read this application and sista that dm show Information is ' coma I agree in comply with all city and county oNinarces and sok laws mining in Wilding construction. and homey cathode, represe .tows ofthu city in onus upon mm above-mewoned Property for inspection purposes. (We) agree to saw, indemnify and kap ha ormas the City of Cupertino agaimm j liabilities, judgments, cam and expenses which may in my myaccruc against said Cityin camse,wrice, of the I APPLICANT UNDERSTANDS AOf IND WILL COMPLY WITH ALL NON -POINT y Issued by: Date SOUR REOU6ATT�NS. / . 1'_..- 7/O� Re -roofs Type of Roof SI moor Ap i6 VCmn"'C'm Dam HAZARDOUS MATEAIAU DISCLOSURE Will da applicant or future building aaupan. cum or handle harandous materia as defined by the Calcium Municipal Cade. Chapter 9. 12, and da Health and Safety Code. Scam z55320)1 All roofs shall be inspected nor to an roofing material beim Installed. P P Y ❑Ya ON. g B If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or fumm building occupant use equipment or devices which Wed II hoardair contamts inanu defimd by the Bay Ams Aur Qualby MMSement all new materials for inspection. ct1 QYes No I have mad We haeordous materials mqulrermm under Charter 6.95 cfthe Califor. ilia Health&Sdc.yCw4Sec a..M505,x5533and15534.1uwmtawthmirlM Wilding docs not currently hum s memo, that it is my responsibility in mufy, du mcupant of the requirements which most be met pin to refs certirc.m ror a Signature of Applicant Date All roof coverings to be Class'W' or better ow rare. ,g=ilt Dam • 4 ITEMS OF 4 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 34232083.00 DATE ISSUED.......: 04/07/2008 RECEIPT #.........: BS000004373 REFERENCE ID # ...: 08040032 SITE ADDRESS .....: 10027 SPANISH OAK CT SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 0 OWNER ............: JENKINS LISA D ADDRESS ..........: 10027 SPANISH OAK CT CITY/STATE/ZIP ...: CUPERTINO CA, 95014-5623 RECEIVED FROM ....: TOMMY J FULCHER CONTRACTOR .......: TBD - TO BE DETERMINED LIC # 00096 COMPANY ..........: TBD - TO BE DETERMINED ADDRESS ..........: CITY/STATE/ZIP .... , TELEPHONE ........: •FEE ID UNIT- QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- 1BSEISMICR ------------------ VALUATION 1,123.00 ---------- ---------- 0.50 0.00 --------- 0.50 ---- --- 0.00 lELCPLNCK HOURS 1.00 122.38 0.00 122.38 0.00 1EPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 1PARTIR<=3 LINEAR FEET 1.00 428.00 0.00 428.00 0.00 TOTAL PERMIT ---------- ---------- 591.67 0.00 ---------- 591.67 ---------- 0.00 METHOD OF ----------------- PAYMENT AMOUNT REFERENCE NUMBER CHECK --------------- 591.67 -------------------- #1479 TOTAL RECEIPT --------------- 591.67 0 0 • 40 .R, ao CUPERTINO CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM OFOC/ 3 a APN 11 I/ a a C 2 0 Date: / Builld0ing Address: ©0 9� k C ailing Address (if different from building address): Owner's Name: Phone #: &A In kivt s qW 3 31130 Contractor: Phone: rr (7;O Mkj f u)c.% er li i e,- Fax: Contractor License#: —7-7a 38; Cupertino Business License #: Contact: Phone: L10$' (a(vl 007a rntt Fax: Residential Commercial Job Description: Jit S to l � f af(l�iavl In%a I � Per A-rfacl eel d r-ow;r5s Building Permit Info: Bldg Rr' Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class):Occupanc`ynType: 1 FR, I1FR E]11, 111, VAHR [-]11, 111, 1V V -N V Valuation: Y Square Footage: [Projectize: Standard ❑ Large ❑ Ma•or ❑ CITY OF CUPERTINO CUPEI,TINO GENERAL BUILDING PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or IGENCOM 1BTEMPPER Temporary Building Permit (good for B 30 days) 1BBOILERI For the installation or relocation of ea M boiler/compressor to & including 3 horsepower, or ea absorption sys to & incl 100,000 Btu/h 29.3kw IBBOILER2 Installation /relocation of ea M boiler/compressor over 3 horsepower to & incl 15 horsepower, or ea absorption ss over 100,000 Btu/h 1BBOILER3 Installation/relocation of ea M boiler/compressor over 15 horsepower to & incl 30 horsepower, or ea absorption sys over 500,000 Btu/h to & incl 1,000,000 Btu/h 1BBOILER4 Installation/relocation of ea M boiler/compressor over 30 hosepower to & incl 50 horsepower, or for ea absorption sys over 1,000,000 Btu/h to & incl 1,750,000 Btu/h IBBOILER5 Installation/relocation of ea boiler or M refrigeration compressor over 50 horsepower, or ea absorption sys over 1,750,000 Btu/h 1BAPPLOTH For ea appliance or piece of equip M regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this code. IELECINSP Other Electrical Inspections (per hour) E 1MECHINSP Other Mechanical Inspections (per M hour) 1PLMBINSP Other Plumbing & Gas Inspections P (per hour 1MEETINGIHR Application Meeting B e • CITY OF CUPERTINO CUPEf�TINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1 GENCOM ACOUSTICAL REVIEW IACOUSFDW SFDWL/Duplex New B IACOUSRESAD SFDWL/Duplex-Addition/Alteration B IACOUSCOM Multi-Family/Commercial B CHIMNEY'S 1 CHIMNEY Chimney B 1CHIMNEYR Chimney Repair B FENCES 1FENCE>6FT Non -masonry, over 6 ft in height B 1FENCEMAS>6 Masonry, over 6 ft in height B FIREPLACES IFIREPLMAS Fireplace Masonry B 1FIREPLFAB Fireplace Pre-Fabricated/Metal B 1FLAGPOL>20 Flag pole (over 20 ft in height) B 1MODUSTRU Modular Structures B FOUNDATIONS 1FOUNDREP Foundation Repair B 1PILECAST Pile Foundation Cast in place concrete B 1PILEDRIV Pile Foundation Driven (steel, pre- stressed concrete B 11 3 of 5 CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or I GENCOM RETAINING WALL(CONCRETE OR MASONRY 1RETSTN Standard (up to 50 ft) B 1RETSP310 Special Design, 3-10' high (up to 50 `) B 1RETSP10 Special Design, over 10' high (up to 50' B 1RETCRB< Gravity/Crib Wall, 0-10'high (up to 50 ft B 1RETCRB> Gravity/Crib Wall over 10' high (up to 50 ft B SIDING 1SIDESTBK Siding, Stone & Brick Veneer (interior/exterior) B 1 SIDEOTHER Siding all other B SKYLIGHTS 1SKYL<10 SF Skylight less than 10 sf B 1SKYL>10SF Skylight greater than 10 sf or structural B ISTAIRS Stairs -first flight/ea addt'l B STORAGE RACKS 1 SRACKS<=8 Storage Racks 0-8' high (up to 100 sf) B 1 SRACKS>8 Storage Racks over 8' high (up to 100 st B 1STUCOAP Stucco Applications (up to 400 sf) additional stucco application B 4of5 • 11 CUPERTINO • CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1 GENCOM 1 WINREP Replacement windows/sliding glass door ea 8 windows) B 1WINMEWSTR New Window -structural shear wall/masonry includes plan ck fee B IEPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pln Ck (hourly) E 1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M 1PLMPLNCK Stand Alone Plumbing Pln Ck (hrly) P 1 STPLNCK-(3 Hr Min when not over counter) Standard Plan Check (when no E/M/P) hourly -stand alone B / / 1BSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B 1TRAVDOC Travel & Documentation B 1BUSLIC Business License B • 5of5 'f fo 30J.F AI92s,� : I rpk 113 0 F� APPROVED edP&MAgM "M THE CUT ap GIIPWOO CODES Atli) (1mrM ce )ATE 41 7 .,CW SIGNED This set of plans and specifications MUS, De kept on the job at all times and it is un lawful to make any changes or alteration, an same without varilten permission iron. the building Dept., City of Cupertino. The stamping of this plan and specification, SHALL NOT be held to permit or to be ar approval of the violation of any provision �aay City Ordinance or )tate I.aw 8 r o `�� -L � 0 8 LP -_ APPROVED edP&MAgM "M THE CUT ap GIIPWOO CODES Atli) (1mrM ce )ATE 41 7 .,CW SIGNED This set of plans and specifications MUS, De kept on the job at all times and it is un lawful to make any changes or alteration, an same without varilten permission iron. the building Dept., City of Cupertino. The stamping of this plan and specification, SHALL NOT be held to permit or to be ar approval of the violation of any provision �aay City Ordinance or )tate I.aw 8 r o `�� -L � 0 8 m 3� � ao� N 3 N p 1. N • WOO ------- - - - - - A • wooipag Bi Iqs x_g C J Renv/e!s woawee puwas I�I esolo x h wooapag MeN C x 0 � h daq sW Z�C J-,q-x"q I .ferouooa MON fO IIeM x ' �O ------------ N 8,9x9,6 JBSO/O `Q wooipag k aa�seW iA co x ' ,B-9xwLl-,6 wowipe N WOO 0 scv n U E • Fp 1( S�cssoR r e �L6� opY 9 ----------- - --- a_ wc> i i K,\ I Z 1( S�cssoR r e �L6� opY 0 0 WOO � x e h uaooapeG MeN ,fenvlelS x Q— 0 h WOO L�� „B ,9X„LL ,6 8.9X.,9 Z PPI SW �. E________,____ _______ !I0SEV AenvoopM8N IIeM \ x � x • to � -, N N ____ ___________ 9X.9 ,Z .8-,9X,9,6lesolo 0 wooaPeG x waelsekv o � z w� u,ee t wooipa8 ,��es x 5144 SIX3 4lee ' wool iV ,------- lesop 0 e� co OF UPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: 1 PERMIT # OWNER'S NAME: L;S4 I PHONE # (bG — G GENERAL CONTRACTOR: � �� FAX # I am not using any subcontractors: t [— I, G O ign tune O Date Please check applicable subcontractors and complete the following information: • Owner/ Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile • Owner/ Contractor Signature Date