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10110013 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10197 DENISON AVE CONTRACTOR:BAY AREA CUSTOM PERMIT NO: 10 1100 13 BUILDERS INC `ER'S NAME: PHILIP BOHANNON& EMILY UNDERWOOD 1002 S DE ANZA BLVD STE Al DATE ISSUED: 11/02/2010 OWNER'S PHONE: 4085647893 SAN JOSE,CA 95129 PHONE NO:(408)446-1200 ❑ LICENSED CONTRACTOR'S DDEtC,LARATION BUILDING PERMIT INFO: BLDG F ELECT F PLUMB License Class Lie. r MECH RESIDENTIAL COMMERCIAL� Contractor/ /�La Cv v l�`w,�Date —at—&n d I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:KITCHEN REMODELING(142SQ);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:$35000 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:31628022.00 Occupancy Type: APPLICANT CERTIFICATION R 0 5 1 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-point source regulations per the Cupertino Municipal Code,Section Issued by: Date: 9.18. r' -�ture 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. I 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 maintain compliancg_wjth the Cupertino Municipal Code,Chapter 9.12 and the permit is issued. Health& Code,Section 25505,25533,and 25534. 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 Owner(r authorized t. P� Compensation laws of California. If,after making this certificate of exemption,I Date: L 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 work'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 the above mentioned property for inspection purposes.(We)agree to save mify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION costs,and expenses which may accrue against said City in consequence of the 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 CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 31628022 .00 DATE ISSUED. . . . . . . : 11/02/2010 RECEIPT #. . . . . . . . . BS000011898 REFERENCE ID # 10110013 SITE ADDRESS . . . . . : 10197 DENISON AVE SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER PHILIP BOHANNON & EMILY UNDER ADDRESS . 10197 DENISON AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-2426 RECEIVED FROM . . . . : BAY AREA CUSTOM BUI CONTRACTOR . . . . . . . : CHARLES BALANOJ LIC # 31905 COMPANY BAY AREA CUSTOM BUILDERS INC ADDRESS 1002 S DE ANZA BLVD STE Al CITY/STATE/ZIP SAN JOSE, CA 95129 TELEPHONE (408) 446-1200 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC --NEW-BAL - ---------- ------------- ---------- ---------- ---------- ---- 00 1BCBSC VALUATION 35, 000 .00 2 .00 0 .00 2 . 00 0 • 1BSEISMICR VALUATION 35, 000 .00 3 .50 0 .00 3 .50 0 .00 1REMRESKIT SQ FEET 142 .00 570 .00 0 .00 570. 00 ------0_00 ---------- ---------- ---------- TOTAL PERMIT 575.50 0 .00 575.50 0 .00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- -- --------------- ----- CHECK 575 .50 #2009 --------------- TOTAL RECEIPT 575 .50 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 'C PERMIT# OWNER'S NAME: , PHONE GENERAL CONTRACT R: YL BUSINESS LICENSE# ADDRESS: a_j - Vc4 SA vk je,• c ck CITY/ZIPCODE: *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 SUBCO CTORS VE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. to I am not using any subcontractors: ` ignature 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 Glass/Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date -73 1 l Zoom 3 oO �� fa m rr ri o na _ mc Q i 7 Z C C O N aN Z � o'' °= c m Q C3 D co 03 o _�J � q rp 7 7 C rn o � 1 I O � l i M.Indoor Air Quality and Finishes - '' 1 IAQ/Health pts y=yes p 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 ' 31AQ/Health pts y=yes 0 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 61AQ/Health pts y=yes D 6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes D �. �Jli[il)lF 41AQ/Health. pts y=Yes 0 B.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0 10.Install Whole House Vacuum System 3 IAQ/Health pts y--yes 0 1 i 1 N.Flooring 1.Select FSC Certified Wood Flooring B Resource pts y=yes 0 4 Use Rao*Renewable HoofM Materials 4 Resource pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 Resource pts y--yes 0 4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes D 5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0 6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0 1 1 1 Total Points Available: r 1401 130 57 Total Points Project Received: " 01 0 G:data/progsrgreenbuildingguidelines/remodelers/greenpointsfina1212.D4protected.xls CITY OF CUPERTINO FEE ESTIMATOR BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: *VALUATION: $35,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARYSFD Or DU lex t '_ PENTAMATION 1R3SFDREM USE: p J'1Ot)1 (n t �: PERMIT TYPE: WORK SCOPE lF� i. I'k�;e f'rie _, 1 'rr f r"c',__ d �",� Fic, l`: 1_ Pcc NOTE: These ees are based on the preliminatUy in ormation available and are only an estimate. Contact the De t or addn'1 in o. FEE ITEMS(Fee Resolution 09-051 Ef. '%UIO) FEE QTYIFEE MISC ITEMS Plan Check Fee: $0.00 1K2 s.f. Remodel,Kitchen(<=300 sf) Suppl. PC Fee: E) Reg. 0 OT OTJ hrs $0.00 $570.00 IREMRESKIT PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee10 Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Co1:S N'Ih liO17 1 dA_ Acoustical Fee: Yes Q No $0.00 0 Work Without Permit? 0 Yes E) No $0.00 Planning Fee: $0.00 Select a Non-Residential E) Building or Structure 0 (tt�i e'/�Ot'1ff11c'yZtUtff3Tt f`�'f',�- / Strong Motion Fee: IBSEISMICR $3.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $5.50 $570.00 TOTAL FEE: $575.50 Revised: 10/17/2010 STORMWATER POLLUTION CONTROL AND NOISE CONTROL COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERT{NO (408)777-3228• FAX(408)777-3333•building(aD-cupertino.org GENERAL INFORMATION All construction work must meet certain conditions related to maintaining environmental quality and public health and safety. This policy described the two most common inquiries regarding construction: Stormwater Pollution Control and Noise Control. STORMWATER POLLUTION CONTROL State law requires that the City of Cupertino, along with 12 other Silicon Valley cities, Santa Clara County and the Santa Clara Valley Water District control stormwater pollution. Educating local residents and businesses and enforcing stormwater pollution control laws are key parts of the City's compliance efforts. Stormwater pollution prevention: It's up to us! In northern Santa Clara Valley, storm drains flow directly to local creeks and into the San Francisco Bay without going through a water filtering/treatment process. Stormwater pollution is a serious problem for wildlife dependent on our waterways, for people living near streams and baylands, and for the local water supply. Common sources of stormwater pollution include; • Dripped oil, fuel, and antifreeze from vehicles and heavy equipment; • Construction debris, including dirt, concrete and paint; • Landscaping runoff containing pesticides or weed killers; and • Any material dumped or spilled into streets or storm drains. The property owner and the contractor share ultimate responsibility for activities occurring at a construction site and will be held responsible for any environmental damage caused by subcontractors or employees. For more information on construction-related stormwater requirements, see the Stormwater Quality Regulations section of the City of Cupertino website at: http://www.cUcrtino.org/index.aspx?paize=487 COMMUNITY NOISE CONTROL Construction noise is limited to: • Residential daytime noise levels from complaint site—60 dBA • Non-residential daytime noise levels from complaint site—65 dBA Daytime hours are defined as being between the following hours: • Weekdays—7:00am to 8:00pm • Weekends—9:00am to 6:00pm Construction, other than street construction greater than 750 feet of a residential area, is prohibited on holidays, except that construction conducted by a homeowner or resident of a single family dwelling using domestic construction tools is allowed on holidays between the hours of 9:00am to 6:00pm. For more information on noise control, please refer to Chapter 10.48 of the Cupertino Municipal code, which can be accessed at hgl2://www.amlegal.com/cupertino ca. Stormwater/Noise Control 2010.doc revised 09/22/10 C C) C) � CITY OF CUPERTINO ADDITION/REMODEL CUPER71NO FEE SCHEDULE APN# _ 2-2— Date: 2 l Is a 2° unit beim added? Yes ❑ No f yes, please fill out the permit application for 2"d unit. Building Address: a C L424 S' L CC Mailing Address (if different from building address): Owner's Name: Phone# L� Jr� D; 1.I , Contr ctor: Phone#: l Lit=`5) LI Lt&K k Z Fax#: Cu ertino Business License: State Contractor License#: 2 ._. i, 4 Contact: Phone#: Fax#: Landscape Ordinance Compliance: Landscape area in sq. ft. (includes all irrigated areas): If 2,500 sq. ft. or less, compliance with the Landscape Water-Efficiency Checklist is required. If more than 2,500 sq. ft., a complete Landscape Project Submittal is required. Compliance Method: ❑ Plant Type ❑ Water Budget Building Permit Info: Bldg. ❑ Elect. Plumb. Mech. ❑ Hillside ❑ Job Description: Addition-What is being added?(Be Specific): What is being remodeled (not including addition)? k;;�` �tt `'`''``` rye' " Y-W, l- S( X V C:*,*zz-�1 Remodel Includes Re-Roof. Yes ❑ NoIf yes list number of squares Remodel Includes Structural: Yes ❑ No Do Do you have the pre-application planning approval? Yes ❑ No ❑ If yes, please provide a copy of your planning approval letter. Planners name: Square Footage: Addition: Porch: Deck: Garage: Detached Attached Remodel: Kitchen � Bath Other Type of Construction(Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ IVIII B, IV-HT, V-B [l'' Valuation: Please check this box if the project is a Project Size: Express Eg--St`andard ❑ Large ❑ Major ❑ second-story addition ❑ Please complete relevant portion of the Green Building Checklist& attach it to the application or if applicable, Green Building Points Achieved: include in plan set& the sheet index. Revised 05/18/10