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12050129CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7938 CRANBERRY CIR CONTRACTOR: LOS ALTOS BUILDERS PERMIT NO: 12050129 OWNER'S NAME: YOSHINAKA KIYOSHI 131 EEL CAMINO REAL DATE ISSUED: 05/15/2012 OWNEWSPHONE: 4084460922 MOUNTAIN VIEW, CA 94040 PHONE. NO: (650) 390-9615 ❑ LICENSED CONTRACT'O'RII'SS DECLARATION JOB DESCRIPTION: RF.SIDENTL�L COh111IERC1A 1. License Class Lic.0 �`� -5b (1-S REPLACE KITCHEN CABINETS, UPGRADE ELECTRICAL I\�j 1�f��I� �� i�„^I, Contractor I S ` Ut Date AND PLUMBING, REMODEL 90 APPROX SQUARE FEET IN Q I hereby affirm that 1 am licensed under the provisions of Chapter 9 KITCHEN (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 penally of perjury one of the following two declarations: 1 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. Ft Floor Area: Valuation: $8500 performance of the work for which this 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 permit is issued. APN Number: 36203015.00 Occupancy Type: APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. l agree to comply with 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�� 7 granting of this permit. Additionally, the applicant understands and will comply Issued Dale:�� / -- with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. RE-ROOFS: Signature Date All roofs shall be inspected prior to any roofing material being installed. Ira roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Dale: 1 hereby affirm that 1 em exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A” OR BETTER 1, 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 the 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 & Safety Code. Sections 25505.25533, and 25534. 1 will 1 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 & Safety Code, Section 25532(a) should 1 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 I performance of the work for which this 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, S 107 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner permit is issued. or authorized agent I certify that 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 fomia. If, alter making this certificate of exemption, 1 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance 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 certify that I have read this application and stale that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S ITE(T'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 this perm(. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinaCdcuoertino.org ❑ADDITION RATION/TI El El NEW CONSTRUCTION /o? 050/�(I ORIGINAL PERMIT N PROJECT ADDRESS 7q33 APN4 -03-015 OWNERNAME PIIONE `IO'� IqJ 27 l� 27-1 E-MAIL E-MAIL STREETADDRE55 T-K�'Y �� CITY. S"LATE. ZIP / jjd� FAX ` CONTACT NAME Y/i N/J' PHONTE 7�%f)L'766r- IJV EI�.YAMAIL/-/�,./Y!L'r4/9 � JIIG G7C iF-� I�pl-f �r 1 $TREETADDRE$5 L'L C/a-/LINV „ilQ(� ST //�V�� Ck"'1'JJ �i¢IOj 94_o4o FA '50.jo- C1. 50,- 0 50 ..., // 13 OWNER OWNER-BUILDLR OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT 1113a CONT CTOR M �i� LIC F.N U B LIC%-S E TVP: ro BUS. LIC4 r� �2 5s COMPANY NA Eh?MA LT�S 13�J1��a2� G- �2ff3TIC,L' �u.Cm FAX in.n7�s� SIRF,ET,1 -'SS I E EC C4PI.Vo 12 i: /4L1tvArhlti CITY.STATE.ZIP VIeW Cp �4�4� PHO\F t" &so. ir6 . cvy3 ARCHITECT/ENGINEER NAM/T LICENSENUMBER BUS. LICu COMPANY NAME E-MAIL FAX STREET ADDRESS CITY. STATE, ZIP PHONE w DESCRIPTION OF WORK n P 2e /0.LL- EXISTING USE PROPOSED USE CONSTR. TYPE 1 4STORIES 115E TYPE OCC. SQ.FZ'. VALUATION (S) AREANEW AREA FLOOR AREA DEMO AREA TOTAL NET AREA V I� �- BATHROOM REMODEL AREA KITCHEN/� OTHER REMODEL AREA 9,0 REMODEL AREA 8 SO C, PORCH AREA DECK AREA TOTAL DEC JPOORCH AREA GARAGE AREA. DETA2 ATTACI I n DWELLING UNITS', ISASECONDIINIT YES SECOND STORY DYES BEING ADDED? DNO ADDITION? DNO PRE -APPLICATION DYES IF YES, PROVIDE COPY OF PLANNING APPL0 DNO PLANNING APPROVAL LETTER IS THE BLDG AN DYES EICHLER HOME? DNo .RECEIVEDBY TO LVALUATION. � By my signature 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 provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and stale laws relating to building const orize re eseSteliYesvf enter the above-identifiedproperty for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFOR REQUIRED " P CHECK TYPE` - - - ` - - "ROUTING SLIP ..'_ OVER -THF -COUNTER - ' LI[LDING PLAN REV¢W '- _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS I S' ❑tiPLANNING PLAN REVIEW A _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure❑ STANDARD e ❑ `PUBLIC WORKS _ form if any Hazardous Materials are being used as part of this project.-- ❑ LARGE: ❑,'RIMDEPnI t. Copy of Planning Approval Letter or Meeting with Planning prior to '- ��'1• ❑ MAJOR I., �' "-`-� - `- ❑?SANITARY SEWER DISIAICT submittal of Building Permit application. r -, 1 - SI -❑�iENVIRONMENTAL HEALTH.' B1dgApp_2011.doe revised 06/11111 CITY OF CUPERTINO Ob ��ag I!I,' FEE ESTIMATOR—BUILDING DIVISION NOTE: This estimate does not includejees due to other Departments (Le. Planning, Public Works, Fire, SanitarySewer Disrrict, School District, ere). These lees are based on the oreliminary Information available and are on/v an estimate Contact lite Dent for addn'l info. FEE ITEMS (Fee Re.sohnion //-053 EB' 7/l/ll) ADDRESS: 7938 Cranberry Cir DATE: 05/15/2012 APN: BP#: REVIEWED BY: Sean 'VALUATION: $8,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: F. PENTAMATION 1R3SFDREM PERMIT TYPE: WORK Kitchen remodel 90 sq ft SCOPE lzcp. F"'. NOTE: This estimate does not includejees due to other Departments (Le. Planning, Public Works, Fire, SanitarySewer Disrrict, School District, ere). These lees are based on the oreliminary Information available and are on/v an estimate Contact lite Dent for addn'l info. FEE ITEMS (Fee Re.sohnion //-053 EB' 7/l/ll) Ur J,. I'lun (4nrk l'hurlh. lYun C. 1"."A Llr,'. /'l,or C5,'ck .�1,•dh. 1'.a it ht's l'Imnh. m I C,t Frc.- F. (h4,, Slrrh. LnT, Udaa' Plumb /n,vp. iJldrr lilrr. Lnp.ET lzcp. F"'. h/c, br.,p. /Sr_ NOTE: This estimate does not includejees due to other Departments (Le. Planning, Public Works, Fire, SanitarySewer Disrrict, School District, ere). These lees are based on the oreliminary Information available and are on/v an estimate Contact lite Dent for addn'l info. FEE ITEMS (Fee Re.sohnion //-053 EB' 7/l/ll) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 90 s.f. $588.00 Remodel, Kitchen (<=300 sf) IREMRESKIT Suppl. PC Fee: Q Reg. () OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 t_wwl it, rioil Tm. iii 1111oll.,1P0(h Work Without Permit? O Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure g (� Q I 7ruit'l l.)nlvunanrnlinn h�c.c: Shone Motion Fee: IBSEISMICR $0.85 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $1.85 $588.00 TOTAL FEE: $589.85 Revised: 04/01/2012 3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng:;Sub: Blk: Lot: APN ......... 36203015.00 DATE ISSUED.......: 05/15/2012 RECEIPT 4.....!...: BS000016834 REFERENCE ID # ...: 12050129 SITE ADDRESS .....: 7938 CRANBERRY CIR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: YOSHINAKA KIYOSHI ADDRESS ..........: CITY/STATE/ZIP ...: , OPERATOR: counter COPY # : 1 RECEIVED FROM ....:.LOS ALTOS BUILDERS CONTRACTOR .......: GREG SHARP LIC # 32355 COMPANY ..........: LOS ALTOS BUILDERS ADDRESS ..........: 131 E EL CAMINO REAL CITY/STATE/ZIP ...: MOUNTAIN VIEW, CA 94040 TELEPHONE ........: (650) 390-9615 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL --------------------- 1BCBSC VALUATION 8,500.00 ------------------------------ 1.00 0.00 1.00 ---------- 0.00 1BSEISMICR VALUATION 8,500.00 0.85 0.00 0.85 0.00 1REMRESKIT SQ FEET 90.00 588.00 0.00 588.00 0.00 TOTAL PERMIT ---------- ---------- ---------- 589.85 0.00 589.85 ---------- 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- CHECK 589.85 -------------------- 13088 --------------- TOTAL RECEIPT 589.85 139 �E? 0 0 ViceM� c�p�. \ago Vo on9o�°Not \aosaons o Seo o \�0guo�`SSN� �a�\av+• \s50 d0a9ooV, spplova\dePe°\f \°,o s or2'9 Nµ�° \ao ao a� aPp b Oe a om °\\�-01 \o y GM Ot stampk09. �e°t e J Cr�Ore\aQtOVS\° of aoy S� 1 S 0 VP, Pc\p. PE Existin Proposed A jAY 15 2012�� cup.RTINo SCOPE OF WORK: Building Department -Remodel Work Area 90 sqft MAY 15 2012 -Upgrade Electrical and Plumbing REVIEWED FOR CODE COMPLIANCE -Rip out and Replace cabinets Reviewed BY eA I I I L Designer: Yana Mlynash Contact: (408) 761-4926 Drawn by: Yana Mlynash Los Altos Builders 131 E. EI Camino Real Mountain View, CA 94040 Project: Yoshinaka Residence 7938 Cranberry Cncle Cupertino, 94014 Date: 5.15.12 jAY 15 2012�� cup.RTINo SCOPE OF WORK: Building Department -Remodel Work Area 90 sqft MAY 15 2012 -Upgrade Electrical and Plumbing REVIEWED FOR CODE COMPLIANCE -Rip out and Replace cabinets Reviewed BY eA I I I L VIIEW CLL w {5 Electrical V'Aow. �ec�ic��erk Gl,i S� • CUPERTIN Sullding Dopiftero MAY 15 2012 REVIEWED FOR CODYC MPLIANCE Reviewed By Legend De5icjner: Yana Mlynash Outlet with ground fault circuit interrupter Contact: (408) 761-4926 i Drawn by: Disposal Yana Mlynash $ Three way switch (controls 2 switches) Los Altos Builders VIIEW CLL w {5 Electrical V'Aow. �ec�ic��erk Gl,i S� • CUPERTIN Sullding Dopiftero MAY 15 2012 REVIEWED FOR CODYC MPLIANCE Reviewed By I CcGrtb)(, Mun CW pu- UP) 2m)4C c ec-le' IM, Legend De5icjner: Yana Mlynash Outlet with ground fault circuit interrupter Contact: (408) 761-4926 G" LED CAN C. F( . Wd Drawn by: Disposal Yana Mlynash $ Three way switch (controls 2 switches) Los Altos Builders CFL Under cabinet light o 131 E. EI Camino Real Line I Mountain View, CA 94040 Project: Yoshinaka. Residence 7938 Cranberry Cricle Cupertino,9401,4 ' - 5.15.12 I CcGrtb)(, Mun CW pu- UP) 2m)4C c ec-le' IM, Legend race Outlet with ground fault circuit interrupter PUC light G" LED CAN C. F( . Wd eGarbage Disposal 5ing1e pole switch $ Three way switch (controls 2 switches) CFL Under cabinet light o tWater Line I Phone Jack I CcGrtb)(, Mun CW pu- UP) 2m)4C c ec-le' IM,