11100035CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 22265 CARTA BLANCA ST CONTRACTOR: VAGGIONE PROPERTIES PERMIT NO: 11100035
OWNER'S NAME:
SARATOGA, CA 95070 PHONE NO: (408) 393-1785
LICENSED CONTRACTOR'S DECLARATION r
y�
BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class. / 6 Liicj. # YC/j� 9
Contractor V A �iBi o�C Fr G/I�'✓fi [3�te 1 O
I hereby affirm that I am licensed under the provisions of Chapter 9
(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.
MECH F RESIDENTIAL F COMMERCIAL r—
JOB DESCRIPTION: REMOVE WALL ADD OPENING BETWEEN FAMILY AND
KITCHEN
I have and will maintain Worker's Compensation Insurance, as provided for by Sq. Ft Floor Area:
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
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
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,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the pplicant understands and will comply
with all non -
Date
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
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.
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.
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 California. If, after making this certificate of exemption, I
become subject to the Worker's Compensation provisions of the Labor Code, I
Date:
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of Hork's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Add
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Signature Date
Licensed Professional
CITY OF CUPERTINO
FM_7 FEE ESTIMATOR - BUILDING DIVISION
imlADDRESS:
22265 carta blanca st.
DATE: 10/06/2011
REVIEWED BY: bobs.
APN:
BP#:
"VALUATION:
1$5,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
USE:
PENTAMTION 1GENRES
APERMIT TYPE:
WORK
remove wall add opening between family and kitchen.
SCOPE
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NOTE. This estimate does not include fees due to other Departments (Le, Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc). These fees are based on the Dreliminary information available and are only an estimate- Contact the DeDt for addn'l info.
FEE ITEMS (T'ee Resolution 11-053 Eff. 7/1./11)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
=#
$392.00
New Door Opening
IDOORSTRUC Shearwall / Masonry
Suppl. PC Fee: Q Reg. 0 OT
0.0
1 hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee-.0 Reg. Q OT
0.0 1
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
.4clnr:nis'tr[r" ve Fee.
0
E)
Work Without Permit? 0 Yes (F) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
E)
0
i
Travel 1'7fi< Frrrx�rnt�trEo)rr i ('.)
Strong Motion Fee: IBSEISMCR
$0.50
Select an Administrative Item
Bldg; Stds Commission Fee: IBCBSC
1 $1.00
SUBTOTALS:
1 $1.50
$392.00
TOTAL FEE:
1 $393.50
Revised: 10/01 /2011
MS Engineering &Associates, Inc.
S
2105S. BASCOM AVE. SUITE 260 (408) 377-6504
CAMPBELL, CA 95008 (408) 377-6518 (Fax)
DATE: October 21, 2011
PROJECT ADDRESS:
OWNER:
22265 Carte Rlanca .Ct
r
11 I bw 3S -
Cupertino, Ca
Martino Residence
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Gentleman,
The contractor requested from our office to look at the pictures taken from the site and
approve the new added footing under the new ceiling beam. The pictures show adequate
amount of reinforcement and foundation size. Required mechanical connectors seemed
provided and sufficient.
Please call me if you have any questions.
Regards,
Efe Sozkesen
MS Engineering & Associates, Inc.
Mahmoud Sanatkhani, PE