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09050098 CITY OF CUPERTINO T �r BUILDING DIVISION PERMIT C� TlAT+QR L� � Tlll r BUILDING ADDRESS: PERMIT NO. 7551 T f,FR OWNER'S NAME: PERMIT ISSUE DATE PHO A CONTROL NO. 408) 674-2306 'CHITELTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH u p p LICENSED CONTRACTOR'S DECLARATION mI hereby affirm that I am licensed under provisions of Chapter 9(commencing Job Description Z with Section 70(10)of Division 3 of the Business �cssions Code,andaaty license is y in full Cara and effect. �lf1l (/{ ADD SH EETROCK TO EXTNG. GARAAG STRUCTURE ADD GFC I j Z License Class Lic.#t �Fa Date Contractor TO CODE (OUTLETS) NO LIGHTS U ARCHrIECTS DECLARA YP < l understand my plans shall be used as public records �yQ Z.O In Licensed Professional n OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the 00 following reason.(Section 7031.5,Business and Professions Code:Any city or county m IZE which requires a permit to construct,alter,improve,demolish,or repair any structure prior to its issuance,also requires the applicant for such permit to file a signed statement _< that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft. Floor Area Valuation F-$ (commencing with Section 7000)oC Division 3 of the Business and Professions Code)or y that he is exempt therefrom and the basis for the alleged exemption.Any violation of 82200 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type not more than five hundred dollars($500). ❑I,as owner of the property.or my employees with wages as their sole compensation, 36230036 . 0 0 will do the work and the structure is not intended or offered for sale(Sec.7044,Business and Professions Cock:The Contractor's License Law does not apply to an owner of Required Inspections property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended or offered for sale.If, however,the building or improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. ❑I am exempt under Sec. B&P C for this reason OwnerDate WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑1 have and will maintain a Certificate of Consent to self-insure for Worker's Compen- sation,as provided for by Section 3700 of the Labor Code,for the performance of the ,ark for which this permit is issued. I have and will maintain Workers Compensation Insurance,as required by Section j700 of the Labor Code,for the performance of the work for which this permit is issued. My Workers Co pe on urance ca er and Policy number O� Carrier. � -� �t' Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Mis section need tot be completed if the permit is for one hundred dollars($100) or less.) I certify that in the performance of the work for which this permit is issued,l shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of Califomia.Date Applicant NOTICE TO APPLICANT:If.after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must 0 forthwith comply with such provisions or this permit shall be deemed revoked. Z" CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance or a the work for which this permit is issued(Sec.3097,Civ.C.) W Q Lenders Name Lenders Address U 0 I certify that I have read this application and state that the above information is LL,"" correct.1 agree to comply with all city and county ordinances and state laws relating to 0 U building construction,and hereby authorize representatives of this city to enter upon the W above-mentioned pmperty for inspection purposes (We)agree to save,indemnify and keep harmless the City of Cupertino against iaz� liabilities,judgments,cos xpenses which may in any way accrue against said City U Z in consequence of the gran o is permit. l h-c APPLI DERSTAN NO OMPLY AL NO -POINT Issued by: Date r ! rJ SOU REGUL S. 5 ! (� l Re-roof:,j Signature of Appli t/ ontractor V Date OUS MATERIALS DISCLOSURE Type of Roof Will the appli t or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Code,Section 25532(x)? All roof;shall be inspected prior to any roofing material being installed. C3 Yes No Will the applicant or future ilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit hazardous air conumunallts as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes %ma 'als 1 have read the hazardous requirements under Chapter 6.95 of the Califor- nia Health&Safety Cade,Sections 25505,25533 and 25534.1 understand that if the building does not mly have a k t it is my responsibility to noLi1)LLb1occqpa#t of the require cots ch mu m r t cera or t G11 Signature of Applicant Date gem Dam All roof coverings to be Class'R•'or better Owner or out orizc IDENT pa � Assessor's Parcel Number: G 2— 3 O OS Name of owner. 1 Project address. S ��©k-T �J Z Contact person. Phone. Li �`' ,—63 -Z 3 0 �' Fax. Net square footage of lot. Existing Proposed Square footage: First floor: Second floor: _ Garage: _ TOTAL: Are there at least two 10 foot by 20 foot clear spaces inside the g --Y--`N Ts privacy protection planting required for the project? N On what floor(s) is work being done? Brief description of work. 1A-I --C L kb T) � - GAIT 1QfL� Code editions:2008 CBC (Y N)2008 CFC �N)2008 CMC (Y-N) 2008 CPC (Y -N)2008 NEC Y Nib � � ED 4���0 MAY 18 2009 Effective 1/1/08 �� g�� IX, BY: � s �a CA .`�� ear �o\a e a :P O J � "j � `\G \a. Plan Review Process Work Book Page-8-Revised 1/1/08 wa - - • ►!il/[�' ';1' i/!.''i./C+!!iA■w!■war■a■/!■ ■!!!- mmm MEN!!!!w■iiiiiii iiiliiRNMEM■■MEw■��� ■!!ll�wtw!!!!!■!!w■ ■■!!!!■■iliiiiiiiiii ■■■■!!!!!!!■!!!!l■ ■!■!!■w!■!!!!!!!!!■■ ■!■r!■!!w!■■!w■■ ■■■l�r��e�•■ �r:�w�r�!■�■■ ■■■■■■■■■■w!■■o■■ ■■lwi�wrr■�r �w�■�e.�ri■w ■■i■!■/!•2aIIIa`:-!1 011!4/!'a z fmt111!`*!i!!M!■!! !!l11�11i!ll�w�iii��l� iii■!■����i�lwliri�ii/!!■ !■!■�/.�.lidiili!ll�;iil�!■ :"yl,�!!!!!!!!l�wl�ll�la!■ !■!li��li.�iiiil��ii�i! �iu�fiiiiiw�i�iiii■i�iM.��i■■■■ !wawa■!■■■■■r■!�� ■■w!t!■■■■■■r_a��■t�!■■■ !■!■■!!!Ll 1%�l�i" i■ialru:!■■■w■!■■■!■■ 1/!:'I:![��T]/�l�'!l�. 'lEi�; �ll��i::�f�[7l,'JiL'��.!�t1iL,i!■ ■■■■■■►•i■mow�ca•�■■!■ ■■�tnw!!■w■w����ar,��!■ ■■■■■!■■■ria■/20■ ■■!■■■■!■■■!■■1Rl�l�!l.�MM1�..1■ ®!■■■■■a■wawa■!■■ ■■■■■■rrbr�■�!!��■�►��j■■ !!!!■!!a■!■■■■■■ ■■■■aa■■■►�■.�w���■r�■■ !■!!■wtw■■■■■w■w!r ■!■!!■■■`� •c� ��:::�■! ■!■■■!!!■■!a■w!■ ■!!!!!!!■.��a �,.�; �.:■■ !!a!!!!!■■■■!!a!■ ■■■■a!■■■i■■■■■■!■■■ MEN MUM■!!■■■■■w■■ ■!■■■■■!■■■■■■!■■a/■ MAY-15-2009 07:49P FROM:MHA CONSULTING ENGR 4E87331548 TO:8666722 P.2,13 -2 0 FT /GF, OU FLE 1 110 JTLET 00 TR JSS@ 24' o/c 2401 6' F OU 'LE DETAIL A 2x6 LEEGER w/ 2-16d @ EACH TRUSS VERT LUCATIO TRUSS ROWS ERT TRUSS BRACES 18200,9 ERT NI) TRUSS 81d V 9 CJ/ a 103 <5/8SU ':G:YPSUM B pROFESSyO Coftm* DETAIL - A 6*&-Zito LEDGER AT SIDE OF END TRUSS MHA CONSULTING ENGINEERS Inc M, mss= m IMM VMWvlff AVEMM. SU14NWMX rA 06M cummmo. C"W=m 4=a-M-1=4. 440-723-lNS FAX SO-1 atLast CARMN MUM AM CX=0 EDAM a. Assessor's Parcel Number: 0 61-21 3 O o- Name of owner. Project address. S S ©u-TZL-!Jya . Contact person. Phone. Li 6-7 9 -Z 3 0 Fa:: Net square footage of lot. Existing Proposed Square footage: First floor: _ Second floor: _ Garage: TOTAL: Are there at least two 10 foot by 20 foot clear spaces ins:de the gN Is privacy protection planting required for the project? N On what floor(s) is work being done? Brief description of work. �M- (D-FL-1 �OAr no I, �,_ ki Code editions:2008 CBC (1�)N)2008 CFC N)2008 CMC (Y-N) 2008 CPC (Y -N)2008 NEC N) Effective 1/l/08 +;C ' Plan Review Process Work Book Page-B-Revised 1/1/08 MAY-15-2009 03:52P FROM:MHA CONSULTING ENGR 4037331548 TO:7773333 P.2/3 0 FT F I ❑U LE ❑ TLET ROOF' TR SSSS @ 24' o/c 24' 6' F QU LET DETAIL - A MAY 2x6 L1=DGER w/ 2-16d @ EACH TRUSS VERT L❑CATI❑ TRUSS ROWS VERT TRUSS BRACES ND TRUSS 801 @ 8' D/C/ 5/8' GYPSUM BD 5�YROFESslo �Oses S. N& ��yc COW0Z n+ DETAIL - A * Exp, 14/Q LEDGER AT SIDE ❑E END TRUSS DATE 9/18/02 SCALE = N.T.S. MHA CONSULTING ENGINEERS Inc 7551 1IOLTZEN DR j- �,. C 1023 WRIGHT AVENUE, SUNNYVALE CA 94087 CUPERTINO, CALIFORNIA 408-736-1624, 408-733-1549 FAX SKS-1 mhaent�att.net GARAGE CEILING ADD CEILING BOARD 0?05 oc CITY OF CUPERTINO CITY OF CUPEkTINO GENERAL BUILDING PERMIT APP]--jICATION FORM APN # Date: �q o(D3 (, , o 5115/ 1 Building Address: -7 5 C i K O UT ZC- jlJ L4L Mailing Address (if different from building address). Owner's Name: -:S\Vr Q Phone#: HOA: (Exterior work only) Yes ❑ No If yes, provide letter from HOA bk, Contractor: Phone: Lj Og _(6 Fax: Contractor License#: C1 Cupertino Business License#: Contact: �q5G, �,� � ,��L Phone:y oq -0 -Z3L�E, Fax: Residential Commercial El Job Description: Building Permit Info: Bldg Et- Elect L"7' Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-B Di V—C,S�bU- 0--y k AL�- Valuation: Z Z"010 0-0Square Footage: Project Size: Express Standard 0 Large ] Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist& attach it to the application or if applicable, include in plan set& the sheet in Points Achieved: For help, contact Build it Green at www.buildj reen.or Revised 02/05/09 r CITY OF CUPERTINO CITY Of GENERAL BUILDING APPLICATION CUPEf�TINO FEE SCIILEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM PARTITION WALLS 1 PARTICOMM Partition Int,;rior Commercial B 1PARTICOMM IPARTIR Partition Int.,-rior Residential B 1PARTIR<=30 RETAINING WALL(CONCRETE OR MASONRY 1 RETSTN Standard (up to 50 ft) B IRETSP310 Special Design, 3-10' high (up to 50 `) B I RETSP 10 Special Design, over 10' high (up to B 50') 1RETCRB< Gravity/Cri')Wall, 0-10'high (up to B 50 ft) 1 RETCRB> Gravity/Cri:)Wall over 10' high (up to B 50 ft) SIDING 1 SIDEST/BK Siding, Stone & Brick Veneer B (interior/ex:erior) 1 SIDEOTHER Siding all other B SKYLIGHTS 1 SKYL<10 SF Skylight less than 10 sf B 1 SKYL>10SF Skylight greater than 10 sf or B structural 1STAIRS Stairs-first flight/ea addt'l B STORAGE RACKS 1 SRACKS<=8 Storage Racks 0-8' high (up to 100 sf) B I SRACKS>8 Storage Re cks over 8' high (up to 100 B st) r 4 of 5 1 CITY OF CUPERTINO Cin OF GENERAL BUILDING APPLICATION CUPEl�TINO FEE S(:HEDULE Quantity/Sf Fee ID Fee Des cription Fee Permit Type Group 1GENRES or 1GENCOM 1STUCOAP Stucco Applications (up to 400 sf) B additional stucco application 1 WINREP Replacement windows/sliding glass B door (ea 8 windows) 1 WINMEWSTR New Wii idow-structural shear B wall/masonry (includes plan ck fee) E IEPERMITFEE Electrical Permit Fee E r 1 MPERMITFEE Mechani,;al Permit Fee M 1 PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pln Ck (hourly) E I MECPLNCK Stand Al one Mechanical Pln Ck (hrly) M IPLMBLNCK Stand Alone Plumbing Pln Ck (hrly) P 1 STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B when not over counter) hourly-sl and alone 1 BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES I BSEISMICR Seismic Residential B 1BSEISMICO Seismic '-ommercial B l TRAVDOC Travel &. Documentation B IBUSLIC Busines,, License B r2 >- �X-L C-7 c' C= P t 5 of 5 M.Indoor Air Quality and Finishes; INPUT Resources Energy IAOHealth 1.Use Low/No-VOC Paint 1 IAQ/Healthis es p 2.Use Low VOC,Water-Based Wood Finishes yy 0 21AQ/Health pts y=yes 3.Use Low/No VOC Adhesives 3 IAQ/Health is y=yes 0 4.Use Salvaged Materials for Interior Finishes y—y 0 3 Resource ptss y=yes p 5.Use Engineered Sheet Goods with no added Urea y Formaldehyde 61AQ/Health is es 1 IAQ/Health p 6.Use Exterior Grade Plywood for Interior Uses pts y=yes 0 7.Seal all Exposed Pat 0 board or MDF 41AQ/Healthy-y is es B.Use FSC Certified Materials for Interior Finish p 0 9.Use Finger-Jointed or Recycled-Content Trim 4 Resource pts y=yes 0 10.Install Whole House Vacuum System 1 Resource pts y=yes 0 3 IAQ/Health pts y=yes 0 N.Flooring oi— 1 1 1 1.Select FSC Certified Wood Flooring 13 Resource pts y=yes 2.Use Rapidly Renewable Flooring Materials 0 ��Resource pts y=yes p 3.Use Recycled Content Ceramic Tiles Resource pts y=yes 4.Install Natural Linoleum in Place of Vinyl 0 �IAQ/Health pts y=yes 5.Use Exposed Concrete as Finished Floor Resource is 0 6.Install Recycled Content Carpet with Low VOCs p y—yes 0 q Resource pts y=yes 0 011 1 1 1 Total Points Available: 140 —130157 Total Points Project Received: 0 0 0 [ 0 GAatalprogs/greent jilr ingguidelines/remodelers/greenpointsfinal2.12.D4protected.xls