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10100179CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18614 LOREE AVE OWNER'S NAME: ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lic.4 Contractor Date I hereby affirm that 1 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. 1 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. 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. 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 applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date "I IDN Y( OWNER -BUILDER DECLARATION I hereby affirm that 1 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 con ct roect (Sec.7044, Business & Professions Code). I hl y i in 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 shal I 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 must forthwith comply with such provisions or this permit shall be deemed revoked. 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 applicant understands and will comply with all non -point so cc regulations per the Cupertino Municipal Code, Section 9.18. Signature Date_ CONTRACTOR: KAHROBAI BABEK 18614 LOREE AVE CUPERTINO, CA 95014 PERMIT NO: 10 100 179 DATE ISSUED: 01 /27/2011 PHONE NO: BUILDING PERMIT INFO: BLDG r ELECT i PLUMB r MECH F RESIDENTIAL i COMMERCIAL i JOB DESCRIPTION: SFD ADDITION OF 897 SF FOR LIVING AREA, KITCHEN, BATH & BEDROOM, 1005 SF REMODEL OF BEDROOMS, LIVING AREA, BATHROOMS, REROOF INCLUDES 5 SQUARES, 3/15/11- REV42 -REMOVE EXISTING GARAGE SLAB/FOOTINGTOUR NEW FOOTING/SLAB. REMOVE & REPLACE ABOVE FOOTING/SLAB- 3/15/11 REV#2 ISSUED Sq. Ft Floor Area: I Valuation: $100000 APN Number: 37525073.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued j>'y. _r— -- Date_3�_/_/,�-- // RE -ROOFS: 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 inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(s) should 1 store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. ftatyorau orize ent• Date: 1 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of %ork's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 18614 LOREE AVE CONTRACTOR: KAHROBAI BABEK PERMIT NO: 10100179 OWNER'S NAME: CUPERTINO, CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL LJ COMMERCIAL License Class Lic. it Contractor Date 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. 1 hereby affirm under penalty 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 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. 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 applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature 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 ofexemption, I 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. 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 applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature 1 7 I SFD ADDITION OF 897 SF FOR LIVING AREA, KITCHEN, BATH & BEDROOM, 1005 SF REMODEL OF BEDROOMS, LIVING AREA, BATHROOMS, REROOF INCLUDES 5 SQUARES, Sq. Ft Floor Area: I Valuation: $100000 APN Number: 37525073.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by Date:/ RE -ROOFS: 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 inspection. Signature of Appl Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, a d 25534. 1 Owner or authorized agent: 1 �%— CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18614 LOREE AVE I CONTRACTOR: KAHROBAI BABEK I PERMIT NO: 10100179 OWNER'S NAME: CUPERTINO, CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r 1 License Contractor Lic. # 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. 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. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. 1 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 applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature. 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) 1, 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: 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 C 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 must forthwith comply with such provisions or this permit shall be deemed revoke MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: 02/22/11 REVISION #]- REMOVE THE ROOF SYSTEM INCLUDING FRAMING & REBUILD. REVISING ROOF PITCH TO 4/12 PITCH STRUCTURAL CHANGE TO THE FOUNDATION, & FRAMING REINFORCEMENT. NEW ROOF 25 SQS. ORIGINAL DESCRIPTION — SFD ADDITION OF 897 SF FOR LIVING AREA, KITCHEN, BATH & BEDROOM, 1005 SF REMODEL OF BEDROOMS, LIVING AREA, BATHROOMS, REROOF INCLUDES 5 SQUARES, Sq. Ft Floor Area: I Valuation: $100000 APN Number: 37525073.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: / Date: Z__2 Z — RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, 1 agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Oyor ut p ized agent: 2-t f VS 'V ( I AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO I,+I FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 18614 loree ave. DATE: 02/02/2011 REVIEWED BY: bobs. APN: BP#: 4.3 - / 0/00 'VALUATION: 1$15,000 FPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: PENTAMATION 1GENRES PERMIT TYPE: WORK revise sfd roof pitch to 4/12 pitch structural change to the foundation framing reinforcement new roof. SCOPE lVlrch. Plan C.'hecA- P/zimb. P/rmCheckF-F I,1 4�. Man Chrck tLI-11 . Permil Fee: Plumb. Permit lee: lacc. Permit rce: Ocher Ah,1h. Insp. Uth r Flw. " I�;�r�. 0Mer Elec. Insp. Li o'ech. Ln.,p. /.ec: plumb. hasp. l er: Elce. Insp. FCC: NOTE. These fees are based on the Preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 09-051 EK. 711110) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes E) No $0.00 0 hours Plan Check, $126.00 ISTPLNCK Hourly Suppl. PC Fee: 0 Reg. © OT 0.0 hrs $0.00 PME Plan Check: $0.00 2,500 s.f. Re -roof $325.00 IREROOFRES Permit Fee: $0.00 Suppl. Insp. Feed Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consivitclion Te7Y Acoustical Fee: 0 Yes 0 No $0.00 Q 0 Work Without Permit? 0 Yes 0 No $0.00 Planning Fee: $0.00 3 hours Inspections, $378.00 1INSPMIS Hourly Q Standard Inspections i Travel Docionentation Fees: Strong_ Motion Fee: IBSEISMICR $1.50 1 # $633.00 IREVRESREM Revision Remodel Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $2.50 $1,462.00 TOTAL FEE: 1 $1,464.50 Revised: 01/15/2011 ��,���� CITY OF CUPERTINO ICI FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 18614 lorre ave. DATE: 03/15/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: 1$7,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: PENTAMATION PERMIT TYPE: WORK revise garage slab/foundation. SCOPE NOTE: These fees are haled on the nreliminary intormntion availahle and are only an estimate_ Contact the Dent for addn'1 info_ FEE ITEMS (Fee Resolution 09-051 Eff 7/1170) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: G Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-.0 Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 (Imstru •tioo 7�r.� Acoustical Fee: 0 Yes 0 No $0.00 Q Work Without Permit? Q Yes 0 No $0.00 Planning Fee: $0.00 Select a Non -Residential Building or Structure Q 1'r?+,i 17{ :runz>r,€crtirirt.l r' .5; Strong Motion Fee: IBSEISMICR $0.75 0.0 hrs $0.00 Inspections Standard Inspections Bldg Stds Commission Fee: IBCBSC $1.001 SUBTOTALS: $1.75 $126.00 TOTAL FEE: $127.75 Revised: 01 /15/2011 CITY OF CUPERTINO FMR7 FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 18614 Loree Ave DATE: 10/25/2010 REVIEWED BY: Traci APN: 37525073 BP#: 10100179 *VALUATION: $100,000 "PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Du lex USE: P OVER THE COUNTER? 0 Yes 0 No PENTAMATION 1 R3SFDADD PERMIT TYPE: WORK 897 sf addition to living area kitchen bedroom & 1005 sf remodel to living room bedrooms bath SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f, PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,III-B,MV-B 897 $2,349.00 IR3PLNCK $1,474.00 IR3INSP TOTALS: 897 1 $2,349.00 1 1 $1,474.00 MECEWWURLY 0 Yes E) No PLUMB, HOURLY 0 Yes !- No ELEC, HOURLY Q Yes Q No 1.1 _ck I _M1 ChecF Phimii�. Plan Check Plan. Citnc!: ,,, , Pejfnit E c:°: 11horo. PerinitFec EIec. Permit Fee. Oth,�r _�i:tch. Insp, 07-- Oth.,rr T'brmh In,t%. Ut'a. r L� lec. Irt p.I I I Wech. Insp. Fee: Pllrm,h. Gasp. Fe"'. FA14". Insp. Fee NOTE: These fees are based on the Preliminary information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 09-051 Ejf: 711110) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,349.00 999 s.f. $569.00 Remodel, Other IREMRESOTH Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 0 s,f. $13.00 Re -roof /REROOFRES Permit Fee: $1,474.00 Suppl. Insp. Fee'O Reg. 0 OT 0.0 1 hrs $0.00 _ e PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax Acoustical Fee: 0 Yes 0 No $0.00 Q Work Without Permit? 0 Yes 0 No $0.00 Planninp, Fee: PLLONCRNCR $116.61 Select a Non -Residential Building or Structure Q 0 i Travel Documentation Fees: Strong Motion Fee: IBSEISMICR $10.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $4.00 SUBTOTALS: $3,953.61 $582.00 TOTAL FEE: $4,535.61 Revised: 10/17/2010