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08100027 CTTY OF CUPERTINO g�?t���!�.an�..�,�a�*xTf�`r�" ���'rx ��T� n,� �(+�� �"' � _ BUILDINCDWISION -. PERMIT rR��1\gllu'sCROR�,+�ty�Q�Y��I.Y,�,�N�.�: BUILDING ADDNFSS: PEItMR NO. 906 NEW HAVEN CT TBD — TO BE DETERMINED 08100027 . OwNEA'SNAME: PEfi'wTL4UEDAiE ' � DENTINGER FREDIC� AND PATRICIA � 10/06/2008 NE: SANffARVNO. CONI%OLNO. ARCHiTER/ENGINEER: HUIIDING PENMR RlFO �BLDG ELECf PUIMB MECH � � � � u00 UCENSEOCONfriACTOR'SDECI,ARATION ' IObD0SCf1 �lOp ��C Y1 1 hucb�Nim Wu 1 w Ii�cvN uniler pm�iso'u of Qap�cr 9(mmmcncin6 {7 z�� ms���ona>oro� la(ihe9utincvuNPm(csuvmCade.+Mmyl¢ux� REMDL 2 BTH(1115Q) ;MOCELIN �CONST PD BUS LIC �,� x full fmce at . ;qz u«��n.,. �.��b4`1C27� 100608 �,,, D�m Convsbr A CNIiECI'SDECLARATION ��� . 1 unMmund my ppn�ah�ll Ic u�ed u PuM1lic rtsar� ;o� Licc�ucU Rofessianel . 5 OWNE14BU1IDERDECLA0.ATION 1 Irrtby�ITum N��i em uemp�fmm Nc Canuana��Liccnx I�w for Ne �O O folbwine won(Srrian]Ip I.f,Budncss anC Refcatiolu Code:My ci�y m mun�y �$� w�ic6 mquims a pcmiit w conWuct�Iter.im�na�e.EcmulW,m�cpvir eny�wcm�e ' _Zj, priorbiL�isswncc.JsurtquimsJx�pplinmfor5uchpcemi�iafikasiCnWsu�cmcni. £s� No�hculicevWpmwmuoNcryodsiomafNeConUectNSLiccvel�w(Chap¢r9 Sq.Ft. FloorArea Valuation yF (commentlngwiNScNan]000)of0ivi�ionJnlNc9usinus�ndPrakuinmCadc)ur �Z�.�Q� Q�3$ Nn he u e¢mpt Nnefmm uW Ne E�su fw�he allc{cd eRemptiai.AnY viola�on of s�o��m�s M�n,av���ro,.���nc���,�i��w,ri.n R�•i�r or Number Occupancy Type ��moR wa rK n��aw amw.issoox 3 5 6110 51 .� ❑1,u arrct of Jc pvpmy.a my wpla�'co wiN wa5a a�Ne'vmic campcvaYov. wi0 da ibe aart.�nA�heiwnwe�w�intcMed otoRemA fmvle(Scc.](W.6uvw Na a�r�o�.cm�rn�ca�v.�r:��..e���.�ir e,��•��r Required Inspections nmpeny.n,wnm o��mpmw Nma�.Ne.no a«..ucn.,o.t wmuu m wa�N nu own anpbycn.pmWded iAu mc�imP�mrntf ue notin�endW moRemd fm W�If, � however,Ne Wi1EinL or impmvemm�u wIE wiNin ane yur af compkuon,Ne owxr- buil0er wip Mvc thc buNen of qvving N�t Le EIC ro�Wild tt impmve far purywe of . ub.). �yy�i.u wm a(Ne P^RrtY.w ovJuvvclY convv.tinL viN lian�ed conuxiois b . �� WKIIOCI NC PVJCLY($K.IOSC.BuLKC�CE ROICStiON COdG)TC COOYaMjS LI� a�uc I�M dor�not�ppb b an ow�of D�^W�Y vbo Euildf ar imD��ea Nerton.�nE. ��U — wAo<anuacu(or sucli paKcu viN a eanuaaor(tI Il�enaC pawam w ihe Conu�cmh � Lirevel�c. �IJ — t.2ilo ump�unEnSec ,6$PCfmNismuon /— Owner Due ORKFFS COMPENSATION DECLAM'ItON i by um uMer pevilq of pc7mY arc of Ne folbuint 4cluviau: w�nd uill munuin�Certifia¢ofCnven�b�clf.iiuurt(mWarYch Canprn- .a pmvided fm LY�uon 3'!00 W Ye labor CaOe.(m Ne peRaimmc a(Ne woh far whicb Nu pumil u isweE. ❑1�avc unE will m�inuin Workefe Campnu�Uon Wurmce,u rtyuim0 Ey Senion J]00 of e LaEarCode.(or Ne peRarmmce of Ne vmt far which Nie pumit ii IxmeQ ' MY Wo f Com n Ma artiv uW Poliry number ue: � Cartiv Poliq No.: FECEMPIIONFlIOM WORKERS' PFNSAi10NINSURANCE . (nlli Y4t�p1 KCQ Ipl EC fAl11p�CLL'I���IhC pl.'Ifll�l�S�IXPIC�1YOQICd QO�N(f�� OI�CfL) . 1¢Nh Nat in Ne perfo�meMc af Ne work fw which Ni�pc�mit 0 LssueE.I ehtll nm . cmpleyanypc nin�nymenxrs� co �iaNeWahen'Cwnpenulion � . L�w�of Glifo .Due Apption� NOfiCE 70 APP Ccnifin¢of Eaemption,you NwW become subjec�b Wor:eh pe an pm.vioiu a(Ne IaEw Cadc)ou muv .J O faMwiW eamplr wIN sue�pre 'o�u or Nu ptemil NYI Ec CamW matcQ ' ?"" CONSfitUCfIONLFNDINGAGENCY [—i� IM�ebYoR�mW�Nerti��emulrvctlnnlenAinya�eMyfarNeperfo�meMxu( � c4 > ��„�rtm�wm�nw.v������acs�.ws�.c..c.) � a� ��a�rs N.� � . a z t�,w.r:nad�. � U O ��rr wt�mve ma wu+wrwion w:um uw�Ee.eow wfoem,�w�u � �y^ cartct 1�pa�a complY hN YI o�Y N4 rounry oNiwxxa ub tu�e Im�claun�b 0`� EuilEinecon5wnian.mEhe¢bywihorisrtprtaenVu`etofNucirymcniuupnnNe . W vhow.menGOMA pmpenylar impecGan pmpmei �y (Wc)a6rte W aw.indemniy md keep humlev Ihe Ciry of Cupenina�yimt �q IiaEilitlu.Iudgmenu.co�umdeapemuwAlchmerinmymyunueo6�nst�tiECy Uz incaiueqwnceo(J�ejrenun{ofNupvmi� / L A ICANT UNDERSGNDS AND WILL COMPLY WITH ALL NON�POINT Issued by: Date D "(J ��/ ' SO CE R U S. � �� ��/��� Re-roofs 5i 0 MAiENIALSDISCLOSURE � Type af Roof WIII Ne�pplinn�a futwe EuildinC�0^^t fw�c w hanEle harvEaus m�¢rial � u EeMcd by Ihe Cupenino Muniriryl CaAc.LTap¢r 9.13.�nE Ne Heal�h mJ Sa@ty . cou�.s�n;o�zss3ze,>+ All roofs shall be inspected prior to any roofing material being installed. ❑Yn wwn�.�u�,��a.mwR nwmmi ott„w���w��a����•��M��h If a roof is installed without first obtaining an inspection,I agree ro remove i h.rvdnw urconumi�unu n defrce by Ne Bay Amatir QiWi�y M�nq=mrm all new materials for inspection. a���t O� � 1 havc reaf ihe he�Nuu mveri�b requi�emenu vnJcrChapMr6.95 ol�AcGlifoa nie FIcaIN&Salc�yCode,Szuau25505,25533 vu12S53C.1 uMersunE NazJNe EuiWine . u�cu'rtnJY�M��'^�^4 w�i�u my fe.�poiulhiliiY b notifY Nc occup�Ne ' mrn whic tpnarmissmncconceni�r�¢of SignatureofApplicant Date d (O All roof coverings ro be Clus'%Q"or better o. �� u,m CITY OF CUPERTINO � 3 ITEMS OF 3 � PERMIT, RECEIPT� OPERATOR: patg COPY # : 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35611051 . 00 DATE ISSUED. . . . . . . : 10/06/2008 RECEIPT # . . . . . . . . . : BS000006281 REFERENCE ID # . . . : 08100027 SITE ADDRESS . . . . . : 906 NEW HAVEN CT SUBDIVISION . . . . . . . � � � CITY . . . . . . . . . . . . . : .CUPERTINO � IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : DENTINGER FREDIC AND PATRICIA ADDRESS . . . . . . . . . . : 906 NEW HAVEN CT CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4023 � RECEIVED FROM . . . . : MOCELIN CONSTRUCTIO . 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 21, 000 . 00 2 . 10 0 . 00 2 . 10 0 . 00 1BUSLIC FLAT RaTE 1 . 00 110 . 00. 0 . 00 110 . 00 0 . 00 1REMRESBAT SQ FEET 111 . 00 551 . 00 0 . 00 551. 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT : 663 . 10 0 . 00 663 . 10 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECx 663 . 10 #1490 --------------- ' TOTAL RECEIPT : 663 . 10 � � �.' � o e � ����0�� C�Op� � � � � �,�-, . , �- Q `�.: ,.. � ,� � � J � � v . c1NJ � � � p � �R Wt W 2 a - -�; '`� � � -� . � �Lc� � 3 c��� �` z . . � . QC VJ.�? � _� _ �F� 3 . & � ?�`'�J. � 's � �,�j � ��. o ���� c � � � t � �y �jAr . �5 w � oF� 3 Z �- �U � I '__ _ _ ^nf � ' Q� Q' CUU .� C R �� C� � I `i C � . � ;'+c U c m\� �Q ` � �o c, ,',;, c Q o ., �1i � � � �� $�? c -. c� � r' 4 0.o c "1'� � (�'�: '�,��� 1�: �O �' � 'r D � � � a 41 o c m �a o 'C� a O� �. d � o� 3 �Q°°�� e � �L: � � � �� �\����� ��{+Q3► �: � � � _ �' �� P) �� . ��c�g'���_ v � � ;-",. � y�, . . � �l " .� .;°� � e � '� Q� � j�, �•'` � .� Z � .� 5:.�z � �, � � ��j —' ,_.w , _� � � � _ . '� • � � � � _ � � � ' � o (I�"��i 1���7i y— ti�. � ; �� ` . -�� 1 � � � � � � � � , : , � � �- -�- -�. �:� � � ' � � � � t �� � �� i �_� � _� � � � � , i� i, , � � �- �� � �} � � � � � 4._� : �� � �� �� � � o�o� � � /�.. � � '� o � ��r� �� �� _ � � � � � .�t� � � , � � ,, � �. s �� . • � �� � � � � �. z�� I � � � ,� � �;�� , ��- �� � � .,.� Z'd 9GVS 4S£ 807 ns�iweunw euuy e��:�� gp gp /eW r� � ) Q � �� � .� . . � . . • � �� � � � �� � � J � �� � � �t�t�� °° �--- �°���C �.�i ~ ;' U. ��� � � - ��� �� � �-�,, � �� ��_. Z - � � U� � � � ��2 � . z� � ��� ��--.� � ���-u � � � , � _ , ! _ • ' � � � :� ��- u � � � .. � ���, � 1 � b� �. v- �-- } 1� �ii - �� �� ; ` � � � ���� s � �� � � � �� � �� � y � �_ �-�,' � . �� � � � � �_ � . t� .� . � z�� � � � ���,. �� o k � `` '����� �--� � � �:�i: � . :� n.0� ��� v�. ��, a�� ���� : r`o :�o �-{�-. � , ;; .. � ��; 3 _ _ , £'d 974S bSE 804 ns�iweunw euuy e��:�� gp gp ,(eW v�� �ov�� , � CITY OF CUPERTINO �"���" ADDITION/REMODEL ` CUPE�TINO PEl2MIT APPLICATION FORM APN # Date: �l/ o ��� o� � , c� B ']ding Address: � -� a �- - � Mailing Address (if different from uilding address): Owner's Name: Phone# : � - `� Contractor: Phone#: yOQ���a03 -C��3� CG L CO�U ' Fax #: og -(p(o � Contractor License#: Cu e�o B s n��icense#: Contact: Phone#: �!O$� aU3 -O�S�( ?C7C O�`.Z-1 fJ Fax #: b - (c5 � Building Permit Info: Bld . Elect. � Plumb. � Mech. Hiliside ❑ Job Description: Addition (adding sq footage): � What is being remodeled (not including addition)? a� 3Ai-i-1 {�tw�c�pZS Remodel Includes Re-Roof: Yes ❑ No � If yes list number of squazes Remodel Includes Structural: Yes ❑ No � Do you have the pre-application planning approval? Yes ❑ No ❑ If es, lease rovide a co of our lannin a roval letter. Planners name: Square Footage: Addition: Porch: Deck: Gazage: Detached Attached Remodel: Kitchen Bath�� Other Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ IUIIUV-A ❑ ]UIII B, IV-HT, V-B [[� Valuation: Z( O� ^ Please check this box if the project is a second-story addition ❑ Pro'ect Size: Ex ress �Standard ❑ Large ❑ Major❑ Please complete relevant portion of the Green Building Checklist& attach it to the application or if applicable, Green Building Points A�chieved: include in lan set& the sheet index. ***For Offlce Use Only*** Over-the-Counter ❑ Revised 7/15/08 r-- CITY OF CUPERTINO � : '�`��D� ADDITION/REMODEL CUPEI�TINO FEE SCHEDULE + Quantity Fee ID Fee Description Fee Group Permit Type S Ft ADDITIONS 1R35FDADD PLLONGRNGR Long Range PL Plannin esidential 1R3INSP Dwellings Inspections B 1R3PLNCK Dwellings plan check B 1R3REPINSP Dwellings Repeat B Ins ection 1 R3REPPLNC Dwellings Repeat Plan B Check 1R3HINSP Dwellings Hillside B ' ins ection 1R3HPLNCK Dwellings Hillside plan B , clieck ' 1R3HREINSP Dwellings Hillside B Re eat Ins ection • 1R3HREPLNC Dwellings Hillside B Re eat Plan Check 1R3ALTINSP Dwellings Altemate B Materials Ins ection 1R3ALTPLNC Dwellings Altemate B Materials Plan Check 1PCESS Cesspool P 1PPRSEWG Ea. Private Sewage P Dis osal System 1PRSEWER Sewers P 1BPSPRINK Lawn SprinklerBackflow P 1BPWSVCS Main Water Service P 1BSEISMICRE SeismicResidential B DECKS 1R3SFDADD OR 1R3SFDREM iDECKWOOD Deck (Wood)-Each B (Each) • I DECKRAIL Deck Railing-Each B . (Each)