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11090120 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10439 BONNY DR CONTRACTOR:ARGONAUT WINDOW& PERMIT NO: 11090120 DOOR,INC OWNER'S NAME: CONNELLY SUSAN E 1901 S BASCOM AVE STE 800 DATE ISSUED:09/20/2011 'ER'S PHONE: 4082574114 CAMPBELL,CA 95008 PHONE NO:(408)378-4018 LICENSED CONTRACTOR'S DECLARATION y�D.� BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.# �`j S� �� `"""'� / ��pMECH r RESIDENTIAL r COMMERCIAL r Contractor AX94k r 6 0 Date 4LZIt I I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: 10 WINDOW REPLACEMENTS,NON-STRUCTURAL (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 following 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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$6395 I 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:35913015.00 Occupancy Type: APPLICANT CERTIFICATION I certify 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 PERMIT EXPIRES IF WORK IS NOT STARTED to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save WITHIN 180 DAYS OF PERMIT ISSUANCE OR indemnify and keep harmless the City of Cupertino against liabilities,judgments, 180 DAYS FROM LAST CALLED INSPECTION. costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-points urce regulat s er the Cupertino Municipal Code,Section Issued by Date: 9.18. Signature a Date RE-ROOFS: OWNER-BUILDER DECLARATION All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for I hereby affirm that I am exempt from the Contractor's License Law for one of inspection. the following two reasons: 1,as owner of the property,or my employees with wages as their sole compensation, Signature of Applicant: Date: 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 ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE declarations: I have read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain a Certificate of Consent to self-insure for Worker's California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain Compensation,as provided for by Section 3700 of the Labor Code,for the compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& performance of the work for which this permit is issued. Safety Code,Section 25532(a)should I store or handle hazardous material. 1 have and will maintain Worker's Compensation Insurance,as provided for by Additionally,should I use equipment or devices which emit hazardous air Section 3700 of the Labor Code,for the performance of the work for which this contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534. not employ any person in any manner so as to become subject to the Worker'sh rized agent: Compensation laws of California. If,after making this certificate of exemption,I ler o a"�,I •[1 CVW— Date: 4Z become subject to the Worker's Compensation provisions of the Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of Hork's APPLICANT CERTIFICATION for which this permit is issued(Sec.3097,Civ C.) I certify that I have read this application and state that the above information is Lender's Name 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 Lender's Address upon the above mentioned property for inspection purposes.(We)agree to save -mnify and keep harmless the City of Cupertino against liabilities,judgments, .,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit.Additionally,the applicant understands and will comply I understand my plans shall be used as public records. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Licensed Professional Signature Date //U CONSTRUCTION PERMIT APPLICATION ILE] COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•build ing(ftupertino.org ❑NEW CONSTRUCTION ❑ ADDITIONALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT AD RESS � APN# n '_ / 14 ✓ n / OWNERNAME E cl' STREET ADDRESS CITY, STATE,ZIP FA 140 kJ 9 Bo/1i1' ole CONTACT NAMEPHO E-MA[ STREET ADDRE$h CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACT M � LICENSE O D l7�6 LICENSE TYPE BUS.JAC# D COMPANY NAME � ^ �� / E-MAIL t ql ` � � FA© STREET ADDRESS _,__ J n CITY,STATE,ZIP f/-��„� PHONE ARCHITECT/ENGINEER NAME Cx/�'�Ji r� l G LICENSE NUMBER ((� BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR.TYPE 1 #STORIES USE TYPE OCC. SQ.FT. VALUATION($) NEW FLOOR DEMO TOTAL �� AREA AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREADECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES VED BY: TOTAL VALUATION- PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO 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 state laws relating to buildi construction. 1 authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Ls%i!Jcl-� Date: 9 r oze SUPPLEMENTAL INFORMATION REQUIRED _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. ❑ VCMESS [ PtA, NN046 PtA*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 submittal of Building Permit application. El MAJOR ❑ SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10439 bonny dr. DATE: 09/20/2011 REVIEWED BY: bobs. FMAPN: BP#: 'VALUATION: 1$6,395 'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PENTAMATION 1GENRES USE: PERMIT TYPE: WORK 10 window replacements non structural. SCOPE Lj I NOTE. This estimate does not include fees due to other Depts(i.e. Public Works,Sanitary Sewer District,School District,etc.). Thesefees are based on the preliminary in ormation available and are only an estimate. Contact the De t or addn7 info, FEE ITEMS (Fee Resolution 11-053 Qf 7'1,11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 10 # Window/Sliding Glass Door Suppl.PC Fee: E) Reg. 0 OT 0.0 hrs $0.00 $522.00 1WINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Feer Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? 0 Yes E) No $0.00 Advanced Planning,Fee: $0.00 Select a Non-Residential t) Building or Structure i Stronf?Motion Fee: 1BSEISMICR $0.64 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.641 $522.00 TOTAL FEE: $523.64 Revised: 09/02/2011 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION-CUPERTINO APPROVED This set of plans and specifications MUST be kept at the PROJECT DATA - RESIDENiR*6 during construction. it is unlawful to make any changes or alterations on same,or to deviate COMMUNITY DEVELOPMENT DEPARTMEN �hepey bbgNARb`(PJ$Oroval from the Building Official. 10300 TORRE AVENUE -CUPERTINO, CA 95014-3255 ` (408)777-3228 • FAX(408)777-3333 • buildin cgI �„g$f this plan and specifications SHALL NOT C U P E RTI N O rr`ilit or to bean approval of the violation of any provisions of any Ci Ordinance or State Law. PROTECT ADDRESS U� a�� n D E OWNER N v PHO - = G e- STREET AD�SS� �� CITY TATE, � FAX � L,� Lz APPLICANT NAME� t / PHONE E-MAIL STREET ADDRESS y P 4,,^ CITY,STATE, ZIP I-�7„p4 av C- (r7sec Ck ISS ❑ OWNER ❑ OWNER-BIM ER ❑ OWNERAGENT O-CONTRACTOR ❑CONTRACTORAGENr ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT DESCRIPTION OF WORK /Idyl EXISTING USE(S): PROPOSED USE(S): OCCUPANCY(S): TYPE OF PARCEL CONSTRUCTION: AREA: FIRE Y N WUI AREA: Y N FLOOD AREA: Y N SIESMIC AREA: Y N SPRINKLERS: Existing Proposed Floor Area: First Floor: s.f. s.f. Second Floor: s.f. s.f. Garage s.f. s.f. TOTAL: s.f. s.f. Are there at least two 10 feet by 20 feet clear spaces inside the garage? Y N Is privacy protection planting required for the project? Y N Governing Codes: 2010 California Building Code (based on the 2009 International Building Code, 2010 California Residential Code (based on the 2009 International Residential Code) --' ----- 20 '-- -2010 California Plumbing Code(based on the 2009 Uniform Plumbing Code) 2010 California Mechanical Code(based on the 2009 Uniform Mechanical Code) 2010 California Electrical Code(based on the 2009 International Electrical Code) 2010 California Energy Code 2010 California Green Building Standards Code Cupertino Municipal Code ProjectData-ResidentiaLdoe revised 03109/11 V4 71� TV Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: PERMIT# OWNER'S NAME: PHONE # GENERAL CONTRACTOR: BUSINESS LICENSE# ADDRESS: jL-( �, ��.-j�4 '��. « C: � '/-Z- CITY/ZIPCODE: C%74,r- ` l *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SU13CONT TORS .HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. 1 am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/ Carpeting Linoleum /Wood i Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile ( Owner/Contractor Signature Date