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10090115 CITY OF CUPERTI NO BUILDING PERMIT BUILDING ADDRESS: 10162 BILICH PL CONTRACTOR:PSG FENCING INC PERMIT NO: 10090115 OWNER'S NAME: FRANK SOARES 1133 N 10TH ST DATE ISSUED:09/15/2010 VER'S PHONE: 4088420260 SAN JOSE,CA 95112 PHONE NO:4089953397 LICENSED CONTRACTOR'S DECLARATION r /Q �/ BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.# IOr MECH RESIDENTIAL COMMERCIAL Contractor �1�1 G%I Date 9-15--116 . I hereby affirm that I am licens under the provisions of Chapter 9 JOB DESCRIPTION:REPLACE EXISTING FENCE TO MATCH EXISTING WOOD (commencing with Section 7000)of Division 3 of the Business&Professions FENCE WITH FEW MINOR CHANGES TO INCREASE THE LIFE EXPECTANCY&REDUCE THE RISK OF DRY ROT(166 LINEAR 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 Sq.Ft Floor Area: Valuation:$4934 permit is issued. Q Z APPLICANT CERTIFICATION APN Number:31621064.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point ounce regul tions per the Cupertino Municipal Code,Section 9.18. _ Issued by:, Date: Signature U Date OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one o' All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. Compensation laws of California. If,after making this certificate of exemption,I O become subject to the Worker's Compensation provisions of the Labor Code,I mug t w er or a thoriz agent: 1h Date: forthwith comply with such provisions or this permit shall be deemed revoked. / C014STRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relatin; for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save ir'-mnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address and expenses which may accrue against said City in consequence of the g.-.ding of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF C:UPERTINO PERMIT RECEIPT OPERATOR: patg 3 ITEMS OF 3 COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 3162-1064 . 00 DATE ISSUED. . . . . . . : 09/15/2010 RECEIPT #. . . . . . . . . BS030011469 REFERENCE ID # 10090115 SITE ADDRESS 10162 BILICH PL SUBDIVISION . . . . . . . CITY CUFERTINO IMPACT AREA . . . . . . . OWNER FRFNK SOARES ADDRESS : 10362 BILICH PL CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . SOC�REENCING CORPORA K LIC # 20995 CONTRACTOR . . . . . . COMPANY . . . . . . . . . . : PS(3 FENCING INC ADDRESS . 11:33 N 10TH ST CITY/STATE/ZIP SAN JOSE, CA 95112 TELEPHONE . . . . . . . . : 4039953397 FEE ID UNIT QUANTITY .%MOUNT PD-TO-DT THIS REC NEW BAL -------- ---------- ------------- -- - --------- ---------- ------ 0 .00 1BCBSC VALUATION 4, 934 .00 1 . 00 0 .00 1 . 00 1BSEISMICR VALUATION 4, 934 . 00 0 .50 0 . 00 0 .50 0 .00 1FENCE>6FT LINEAR FEET 166 . 00 443 .00 ---- 443 . 00 ------ -- -- TOTAL PERMIT 444 .50 0 .00 444 .50 0 .00 METHOD OF PAYMENT AMOUNT - --REFERENCE NUMBER --------------- CHECK 444 .50 #25338 --------------- TOTAL RECEIPT 444 .50 CITY OF CUPERTINO FEE ESTIMATOR--BUILDING DIVISION ADDRESS: I DATE: REVIEWED BY: APN: I BP#: "VALUATION: $4,934 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition/ Repair PRIMARY _T1 (�I;11, PENTAMATION 1GENRES USE: SFD or Duplex /'100R A1,[;J PERMIT TYPE: WORK SCOPE 77T1-f,cat. t'Iarr t'irt ck r itartl. 1'(m (71c R l as;C'ft;'ci tic<:h. Perm 1 F'<>r_ F'lr;=h.I'c'rrnit ts: LjEltx. I'crrait J °e- o,,1wr 1h,,fir, Imp Ot1,c°r�I'r'umb 11"" > 0/hu..1.7_'t.Itmp lk"h.Imp 1"'c. Phrnrh. lay, I.C", !>1ec.Imp. Fcc. NOTE. These fees are based on the preliminary information zvailable and are onl an estimate. Contact the De t or addn7 info. FEE ITEMS (Fee Resolution 09-05! Eff. 7,11I0j FEE QTY/I MISC ITEMS Plan Check Fee: $).00 166 j l.f. Fence Suppl.PC Fee: 0 Reg. OT 0.0 hrs $).00 $443.00 ]FENCE>6FT Fence,Non-Masonry>6' PME Plan Check: $).00 Permit Fee: $10.00 Suppl. Insp.Feed Reg. ® OT 0.0 hrs $).00 PME Unit Fee: $).00 PME Permit Fee: $).00 (`onsiruciion Tax 171 Acoustical Fee: 0 Yes (F) No $0.00 0 Work Without Permit? 0 Yes (F) No $0.00 Planning Fee: $0.00 Select a Non-Residential Building or Structure 0 71-ovel 0oc'11117("Pit liol'7 Fccs: Strong Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item B1dg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS:: $1.50 $443.00 TOTAL FEE: $444.50 Revised: 9/14/2010 Mnor AIr Quality an "has _ I.Use Lov,,/fJo-vpC Pint 2,Use Low VOC,Water-based Wood Finishes 1 IAOJHealth pts y=yes 21AQ/Healthis es D 3.Use Low/Nc)VOC Adhesives p y=y p 3 lAQ/Health pts 4.Use Salvaged Materials for Interior Finishes y=yes 3 Resource pts y=yes D 5.Use Engineered Sheet Goods with no added Urea D Formaldehyde B.Use Exterior Grade Plytwood for Interior Uses B lAQhiealth Pts y=yes 11AQ/Health is es D 7.Seal all F�osed�riiol�board 13r MDF p y_y p B.Use FSC Certified Materials for Interior Finish — 4 IAQ/Health ots y=yes 4 Resource pts y=yes D 9.Use Finger-Jointed orRecycled-Content Trim p 1D.Install Whole House Vacuum System 1 Resource pts y=yes D 3 IAQ/Health pts y=yes ' D N.Flooring 1.Select FSC Certified Wood Flooring 2.Use t3 tdi i 3enewabie Flooring Materials B Resource pts y=yes D ec _Y 4 Resource pts y=yes 3.Use Recycled Content Ceramic Tiles D 4.Install Natural Linoleum in Place of Vinyl 4 Resource pts y=yes D 5.Use Exposed Concrete as Finished Floor 5 IAQ/Health pts y=yes D S.Install Recycled Content Carpet with Low VOCs D 4 Resource pts y=yes 0 4 Resource pts y=yes Total Points Available: 140 55F 57 Total Points Pro'ect Received: 0 0 G:data/pro9s/9reen'rulidnoguidelines/ramodelersigreenpointsfinai21204p inted.rds IN AC ;p�.� APF'rj(>VE[� CUF)l RTIN�`AN( I •!,01 1 H CITY DATEgqUUf AND opf)jNC,v 'SIGNE(�(,� w T4 et Of Plan,, r:l�1 '(Dei+hc �r� •_,nlawt I��cn >-It lfl t-t", ; US r V make-j , i on same with ' `hanr�,�; �r the Bi�rldin o'" w"ttr r.peu r r'I Ion t The Stam ��partrnt„u l'rt 0 ircrr�; SHAt l p�n9 o thl”Ntsl'art,f, 4(- 0 t r��Pertino NOT b,,h�t t r„ t�+'alieat�on� aDRroval Of the vlol.rr,�, GIe,r„lt')r to he an 1w1'rCwiS�6;1 [SAMPLE ELEVATION (7-FT, FENCE) 8' o.C. xx 6 ox(o •. F "�' prPssurz tr��t�-d s r Or redw0 o d p O A I All 12" Note: For seven foot high fences without lattice, the post hole depth shall be 3'-6". \j ItJ 4- Requo for :Permit Re4uest for Permit to rebuild an existing ft nce, as follows: + side fence between neighbors.A and B, • back fence between neighbors'A and C J D. The replacement fence is to be the same design as the existing fence, only with a slightly deeper base board to avoid water being trapped at the foot of the vertical boards. The fence is 7' high plus lattice. A permit is needed foz a fence over 6"high. .._........ Reidel PL 4 Neighbor C Neighbor D Fence. 111 rl f rfl!f Il!11//11/N//1 f I r J r Neighbor A r Neigh nor B 10162 101.42 .._.� _.Bilich PL The following neighbors have agreed to th new fence. Neighbor A: Joan Chin, 10162 Bilich PL, 95014 Neighbor B: Sue Chau, 10142 Bilich.PL, ')5014 _ If Neighbor D, Reidel PL, i O't,,i3 Owners of house C.(not owner occupied)give permission, see email attached. Property Manager: ATTN 3enni Fer Vail WA Krauss & CO, PO.Box 2396, Sunnyvale, CA 94087 Fax 408-737-2825 (408)737-23 30 l CITY OF C:UPERTINO C1Tt OF CUPEKINO GENERAL BUILDING PERNHT APPLICATION FORM APN# (A I Date: Building Addre s` � of �o�- ��, Y^t Mailing Address (if different from building address): Are Hazardous Materials being used as part of thi: project? Yes L No HOA: (Exterior work onl ) Yes ❑ No If yes, provide letter from HOA Own N e: Phone#: 0 0 F Co tractor: h c Phone: ( e��/ Fax: Contractor License#: (Q b(Dcj�I a:�: Cupertino Business License#: Contact: Phone: Fax: Residential Commercialfie a-/t ❑ Job Description: ��/�� '�'X� S ✓ /`7 Jo P � + I � c . G� ! fit , s r Building Permit Info: Bldg ❑ Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): C--- l 3 Occupancy Type: ti1C i hn �L -7 1-A, 1-B ❑ II/III/V-A ❑ II/VI B, IV-HT, -�- VS are Fo Valuation: q93V Project Size: Express []Standard ❑ Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Buiiding/LEED Checklist & attach it to the application or if applicab-..e, include in plan set & the sheet index. Points Achieved: �j i For help, contact Build it Green at www.buildit�een.or Revised 07/14/09 3