The URL can be used to link to this page

12050112CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10406 AVENIDA LN CONTRACTOR: SOK HOME SOLUTIONS, PERMIT NO: 12050112 INC. OWNER'S NAME: MAPLES KENNETH R AND SUSAN K 3801 CHARTER PARK CT STE 13 DATE ISSUED: 05/11/2012 OWNER'S PHONE: 4082188614 SAN JOSE, CA 95136 PI IONE NO: (408) 264-6964 ❑ LICENSED CONTRACTOR'S DECLARATION IORDESCRIPTION: RESIDENTIALU COMMERCIAL 11 License Class Liaq — REPLACE 10 WINDOWS AND 4 PATIO DOORS, REVISE 1 J WINDOW INTO A DOOR AT KITCHEN. REMOVE AND Contractor Date REPLACE I hereby affirm that I am licensed under the provisions of Chapter 9 3,600 SQ FT OF SIDING AND INSTALL NEW OSB AND (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the fallowing two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the Sq. F1 Floor Area: Valuation: $43000 performance of the work for whichthis permit is issued. 1 have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 34245034.00 Occupancy Type: pem,il is issued. APPLICANT CERTIFICATION �O 1 certify (hat I have read this application and slate that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED corrccl. I agree to con,plywith all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the .{ granting of this permit. Additionally, the applicant understands and will comply Issued by: with all non -point source regulations per the Cupertino MunicipalC de, Section 9.18. r RE -ROOFS: Signatur Date _ All roofs shall be inspected prior to any roofing material berg installed. If a roof is installed without fust obtaining an inspection. I agree to remove all new materials for inspection ❑ OWNER -BUILDER DECLARATION Signature of ApplicantDale: : 1 hereby affirm that 1 am exempt from the Contractor's License Lew for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, as owner of property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safeiv Code. Sections 25505, 25533, and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code. Chapter 9.12 and the declarations: Health & Safely Code. Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District 1 performance of the work 1'or whichthis permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code. Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this permit is issued Owner or authorized agent: V Dat1. , 1 certify Ihm in the performance of the work for which this permit is issued, I shall not employ any' person in any manner so as to become subject to the Worker's Compensation laws of Cali forma. If, after making this certificate of exemption, I CONSTRUCFION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must 1 hereby affirm that there is a construction lending agem:y for the perfomhance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I eerily that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to budding construction, mid hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indenmify and keep harmless the Cily of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of tris permit. Additionally, the applicant understands and will comply with all nun -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18 - Signature Dale CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO. CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinG(cDcupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION M ALTERATION /TI ❑ REVISION /DEFERRED 12C)5 OII Z ORIGINAL PERMIT H PROJECT ADDRESS / O ! 0 n C _ / /A/ V APN N ^Z L J � L1 ()3(_) `�J-%1� OWNERNAME E/v /A4- J.L&-� N/ PHONE/ _ E-MAIL STREET ADDRESS /Dgo(v f1YE-N/O^ LIVI Cf1Y STATE,ZIP e.PC77.nr-o C� 9S�1 FAX CONTACT NAMEPIIpNE MAIL STREET ADDRESS CrTY,STATE, ZIP FAX X ❑ OWNER ❑ OWNER BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ACONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME UCENSE UMBER_ LICL .TYPE BUS, LIC k /C OM Sole'/wn S 8 -C/ CJV-PAN0M.5H oe'V(- EMAIL FA%l10 6-zG -JrLArvMJfN) ,/L STREET ADDRESS fK/L GT CITY. ZIP2O 5-A/J,Ost (5f C? pzo"6- ARCHITECT(ENGINEER NAME LICENSE NUMBER BUS. LIC a COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK '& )e D J 1)o DR S C'W c -O .-Si _v LrCU ..� �E`,� S �/A16 fiN V::> Osa' �� JI%f2Q/e %/L4z-AC • 5/�z/-F %IL//-rP EXISH use PROPOSE Se CONSIR TYPE tlSTO �s�� J USE TYPE OCC. SQ.FT. VALUATION (5) EXISTG AREA NEW FL000. AREA DEMO AREA TTOT'A.L^^ R W1r-.Dpws 11012 1 T V BATHROOM KrrCFB:N ;OTTOR REMODEL AREA REM REMODEL AREA PORCH A DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA LIDETACH ATTACH 9DWELUNGIINTR' IS A SECONDUNR. BEING ADDEm NO SECOND STORY - ❑YFS ADDTON! NO / NY'I PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF PIANNINGAPPLM-F NO PLANNING APPROVALIErIPA ISTREBLDGAN AYES EHCHLER HOME. QI NO RECEIVED BY:TOTALV / LUATION: !!' D D (a By my signalure 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 pmv'ded is I have Had the Description of Work and verify it is acewate. I agree to comply wish all applicable logl ordinances and! laws relating to Hs ion. 1 authorize representatives Of Cupertino to enter the above-idenlif; pmpc for ins ion purposes. Signature of Applicant/Age n: a Dale: X SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE BOOING SLIP �f - New SFD or Multifamily dwellings: Apply for demolition permit for _ existing building(s). Demolition permit is required prior to issuance of building OVER -COUNTER J& BUILDING PLAN REVIEW - (❑ permit for new building. ❑'EXPRFSS PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑'PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. -` ❑ LARGE _ ❑-FIRE DEPT- —Copy of Planning Approval Letter or Meeting with Planning prior to -- 11 MAJOR SANfiARV SEWER DISfiUCT submittal of Building Permit application. .❑. ❑' ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 �� CITY OF CUPERTINO Imo% I FEE ESTIMATOR - BUILDING DIVISION r. ADDRESS: 10406 Avenida Ln DATE: 05/11/2012 APN: BP#: REVIEWED BY: Sean 'VALUATION: $43,000 °PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: Fltr.. Permit Fee: PENTAMATION 1GENRES PERMITTYPE: WORK Remove and place 10 windows and 4patio doors. Revise 1 window into a door at kitchen. SCOPE Remove and replace siding and install new OSB and hardie plank siding and trim. r. d lralr, l9mr Cher 6 Plumb, Plan Cheek h.7e,:. Plan Check M•eh. Permit l'ca: PIumL. Permit N -e: Fltr.. Permit Fee: Other-.lhrh. lncp- Other Plumb Insp.Li I Ocher F,lcr. hill. :Nsh. /n,p. N,'C: Plumb. b"p. /iter. /n,p. Feer NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.. Thesefees are based on the prelindna information available and are only an estimate. Contact the Dent for addn 7 info. FEE ITEMS (Fee Resohaion 11-059 Elf 71111 /1 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 3,600 s f $1,960.00 Siding ISIDEOTHER All Other Suppl. PC Fee: Q Reg. 0 OT TO.0 Uhrs $0.00 PME Plan Check: $0.00 15 # $522.00 Window / Sliding Glass Door IIVINRFP I Replacement Permit Fee: $0.00 Suppl. Insp. FeelD Reg. Q OT 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consu action Tax: Adjninlsn retire Fee. O E) Work Without Permit? Q Yes Q No $0.00 Advanced Plannine Fee: $0.00 Select a Non -Residential Building or Structure E) 0 Truro! Documentation Fees: Strove Motion Pce: IBSBISMICR $4.30 Select an Administrative Item 131dg Sids Commission Fee: IBCBSC $2.00 SUBTOTALS: $6.30 2,482.001 TOTAL FEE: F$2,488,301 Revised: 04/01/2012 CITY OF CUPERTINO 4 ITEMS OF 4 PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ......... 34245034.00 DATE ISSUED.........: 05/11/2012 RECEIPT #.........: BS000016797 REFERENCE ID'# ...: 12050112 SITE ADDRESS .... 10406 AVENIDA LN SUBDIVISION ....... CITY CUPERTINO IMPACT AREA ....... OPERATOR: SylviaM COPY # : 1 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : 'AMOUNT --------------- 2,488.30 --------------- 2,488.30 REFERENCE NUMBER -------------------- CHK OWNER ............: MAPLES KENNETH R AND SUSAN K ADDRESS ...........: 10406 AVENIDA LN CITY/STATE/ZIP ...: CUPERTINO, CA 95014 RECEIVED FROM ....: SGK HOME CONTRACTOR .......: VLADIMIR MERABIAN LIC # 30341 COMPANY ..........: SGK HOME SOLUTIONS, INC. ADDRESS ...........: 3801 CHARTER PARK CT STE B CITY/STATE/ZIP ...: SAN JOSE, CA 95136 TELEPHONE ........: (408) 264-6964 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW SAL ---------- 1BCBSC ------------- ---------- VALUATION 43,000.00 ---------- ---------- 2.00 0.00 ---------- 2.00 ---------- 0.00 1BSEISMICR VALUATION 43,000.00 4.30 0.00 4.30 0.00 1SIDEOTHER SQ FEET 3,600.00 .1960.00 0.00 1960.00 0.00 1WINREP EACH 8 15.00 522.00 0.00 ---------- 522.00 0.00 TOTAL PERMIT ---------- ---------- 2488.30 0.00 2488.30 ---------- 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : 'AMOUNT --------------- 2,488.30 --------------- 2,488.30 REFERENCE NUMBER -------------------- CHK CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 4 ' PERMIT # OWNER'S NAME: PIIONE # GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: 2 / CITY/ZIPCODE: ' / *Our municipaf code requires all businesses working in the city to have a City of Cupertino busincfs license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL U)3CONT ACTORS HAVE OBTAINED A CITY OF UPE TINO BUSINESS LICENSE. 1 am not using any subcontractors: StuS' nature Date Please check applicable subcontractors and com lete the following information: / Contractor Signature f� Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile / Contractor Signature f� Date Name: %� C�� A-P L rS Address: Email: rSu- T&)q < Phone: u 8 - !- G+ / _I -_I II -I ITI �l-i- -I =i- I I I -T �- - _ _I� IT I - I- - -t- _ _.�._._.�._ ITI I 1 1 I �, 1 1 I, 1 1 _,-�-'-J-am ITI 1 I I-'11-1-1 ITI I ITI I ITI I - - -�-- I I I - =��_-a-1=�-,-iH-- !_i_i--i ---- iTi=1 i= I I_I_I —I I_TI •� � h=_;___ Te� I , I ' i_I-I_ _I/�r I_ I I I _—�-•-• I I I Ip- -7 j -+r ILIII_II_I_ j—)_I_ � -T--- _I_NI _I_ ll C_I_ _I_I=1 I L I I I I I I 2 \ ii t -J :��JI_L s ❑_TI_I=ITI HI } ITIC_•ITI _ I -1I _I�_ _' _ __ _L3�mb1W � I�1m�lo-_ __Ir I�rOk ce I_If T�I_II _1I I �_I I_1I 1-1 �_II___ 1_I___II _L = _1_ 1_=I1_6 I_ =3 ��-�-I_I_,- ° _I ITI I- --•-I � ! ! � �--- I �5 � n- ml Tm Q Icrn_1 "-z 1=iTi_i_!_i_!-�_I_I_i_i { _ _I 1 -I aI El— ,r ''-� x� -1 Hl_I izl�-- �ti-•T•-•-T i_I_I * _I � -r I_ - I- mII ! !_!_-I-1- r I I I 11 I_ I ,-I_-!-_ I , I I_� I_J 1 -1T I-I-,� f _ISI I I I I I_ ... I I - I-I� 1p �I _�� i ��_I J, ml Y I _I I I= I-,_I-�_I I J -_I- ITI I_I__I I_ITI I_IiI 1-7 �I �I ISI I -,_I I 7 I�. I_I I if T_ ITI-!- -' I_ _ TI - -�-_r I _ 1 1 1 1 1 1 1-I l I I-�_ -!-I- 1- I- - I_I] --=!_I• -h 1_" 1--- !-I--I- -� _i_i_I_TI_I_ TI -I�---I�-,"�-��I I I I I 1J 1 -I TI I �� I $_I�i IJ -I -i- 11} f _,_I=!_!_;_l_A�LTi=i=1 i i -I} 1 i 1 I �' !_}II I I1j { I�/"�1I 11 ITrI� I_ITI LI 1 1Tl IIT!_I �I --I-I-!-- 1L 1 1!-ITI l 1 1 IL 1 1111-1T + T )_ITI_I _I 1 _' iTl 1_I_I-I-I�i �- f=1=} =I t {I_LI 1 i—r r;_i_1 _I_I 1 f 1 I f 1_I_I�1 1_ f, fI_I.- I �_ �� =!____-!=!=-I_i==i_i-i_I_!-I_i=J-i_i=i=!= 1511RI- -1_ I f l TT -- FI F -H HH-� I_T1 T'—I 1_1_1_1 T_1__,_ -I1 1_!_i.=i= - —!——I 11 —!-1J,TI 111 = 1 1 - ' = _;_x 1 I_I ! I _ _ _ _L—I L� L. _ 'J I_'•—I 1/2 inA= 1 Foot Off: 408-264-6964 www.sgkhomesolutions.com Fat: 408194-6126 Name: `` 1=y Address: Email: Phone: 2 / S— ;j Z / y 112 inch = 1 Foot Off: 408-264-6964 www.sgkhomesolutions.com Fax: 408-264-6126 ---•—t=� 41 --t-- � 1 } )1 �1 LT 61 — _ • I JI _1 I BI I� 191 T�I — 111 �_ JJ ..L pl I�—T- 1111 I11� Ia _ - - j�-'-}�-� -� Tr IF TTiT I_�i ;Tl I- P -f-I r� -,- f- t+ �_ 10� iiiiii I� T I I_ TTI I I T I I I I I _ FI I •Cj��.f—I�—Ijl` r i 1 + �— --I_Irt 1 i jT = j _ _ _ �J _I iT - - Tf�iL _{- L -L-LA L1 Iii 112 inch = 1 Foot Off: 408-264-6964 www.sgkhomesolutions.com Fax: 408-264-6126