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10020019 CITY OF CUPERTIIVO BUILDING PERMIT BUILDING ADDRESS: 10318 BRITTANY CT CONTRACTOR:TBD-TO BE PERMIT NO: 10020019 DETERMINED OWNER'S NAME: MANOUKIAN NUBAR S AND CAROL M DATE ISSUED:02/02/2010 WNER'S PHONE: 4082538525 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class C `f Lic.# 7��' Z REMODEL 65 SQ FT TO KITCHEN,UPGRADE ELECTRICAL, Contractor -Date Z O WINDOW REPLACEMENT 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. Sq.Ft Floor Area: Valuation:$20000 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 APN Number:36930022.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relatin; WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Issued by: Date: 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. 2h—Zell O RE-ROOFS: Signature DateAll 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. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I,as owner of the property,or my employees with wages as their sole compensatio 1, will do the work,and the structure is not intended or offered forsale(Sec.7044, Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 255 533,and 25 Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: � Date: 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 CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 croon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION .mnify and keep harmless the City of Cupertino against liabilities,judgments, .is,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. /f Signature G" Date Z L C CITY OF C'UPERTINO 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 369'-:,0022 . 00 DATE ISSUED. . . . . . . : 02/02/2010 RECEIPT #. . . . . . . . . : BS000009671 REFERENCE ID # . . . : 100::0019 SITE ADDRESS 103:_8 BRITTANY CT SUBDIVISION . . . . . . . CITY CUPERT INO IMPACT AREA . . . . . . OWNER MANOUKIAN NUBAR S AND CAROL M ADDRESS 10318 BRITTANY CT CITY/STATE/ZIP . . . : CUP:,,RTINO, CA 95014-3101 RECEIVED FROM . . . . : A S:IARP BUILDER CONTRACTOR TBD - TO BE DETERMINED LIC # 00096 COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED ADDRESS . . . . . . . . . . CITY/STATE/ZIP . . . : TELEPHONE . . . . . . . . FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ------ 1BCBSC VALUATION 20, 000 . 00 1. 00 0 . 00 1 . 00 0. 00 1BSEISMICR VALUATION 20, 000 .00 2 . 00 0 . 00 2 . 00 0 . 00 1BUSLIC FLAT RATE 1 . 00 114 . 00 0 .00 114 . 00 0 . 00 1REMRESKIT SQ FEET 65 . 00 570 . 00 0 . 00 570 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 687 . 00 0 . 00 687. 00 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 687 . 00 19843 --------------- TOTAL RECEIPT 687. 00 RESIDENTIAL PROJECT COVER SHEET Assessor's Parcel Number: Name of owner. C v'10 uk�C.V"\ Project address. /D;� �� +��' cn Contact person. I"r'�dt,� �1�� ✓� 'hone. hof �30 'ax. fOS QS9 79 3 S- Net square footage of lot. Existing Proposed Square footage: First floor: Second floor: Garage: TOTAL: Are there at least two 10 foot by 20 foot clear spaces inside the garage? Is privacy protection planting required for the projecl? 'I—Y---,< N Build it Green Total Points On what floor(s) is work being done? Brief description of work. c.1,/�vz eLele- e e C f:r Ca X/c ���/'•'fir /!7 i/�i2��'.'� �'�'!(�� E)LzY� G./i/7�O�tJ �//��L� `T©I'.' r�/� Code editions: 2007 CBC -N)2007 CFC N)2007 CMC ON) 2007 CPC - N)2007 NEC -N) Effective 1/1/08 - APPROVED IN ACCORDANCE WITH THE CITY OF CUPERTINO CODES AND ORDINANCES DATE SIGNED This set of plans and�ificat,,ns be kept on the lob at all times and it is x v unlawful to make ary changes or alterations on same without w Men permission from 9 the Building De parimt-r,t City of Cupertino. The stamping of thus pKir .ind specifications E T SHALL NOT be hc+1 ,permit or to be an approval of the vi�,ht, , A ary provisions of any City 0r: I aw Plan Review Process Work Book Page-8-Revised 8/05'08 Ails--1sy`s3A) ' pr A. IIARP BUILDER/TILE 10513 McVay Avenue +; San Jose, California 95127 State License - - 758244 B/G54 lJ Y a O O O O O 1. rj 4 � CITY OF CUPERTINO ADDITION/REMODEL CUPEkTINO PERMIT APPLICATION FORM �pub po) G1 APN # Date: �C1 3C> 022 .6o 2 U Is a 2° unit being added? Yes ❑ No Z If yes, please fill out the permi application for 2° unit. Building Address: Mailing Address (if different from building ddress): Owner's e: Phone# Contractor: Phone#: .4 10 F &d 9 i�-3 9 V �l Fax#: O Contractor License#: 75y,;Z`�4 Cupertino Business License#: Contact: i Phone#: i�&r 309 q3 7 9 /�r►� r Fax#: S 9 S Building Permit Info: Bldg. ❑ Elect. Plumb. [ Mech. Hillside ❑ Job Description: A—ddjjftmr 3� s-b.eing added?(Be Specific): '7t Xb'tvfp,C?►'Y=t(e.' e-le- �'"ytrr tt. •" C,;"e it 1 S �l� /�f"f C �� // �^pG✓' . ll What is being remodeled (not including addition)? Remodel Includes Re-Roof. Yes ❑ No ❑ If yes list number of squares Remodel Includes Structural: Yes ❑ No ❑ Do you have the pre-application planning approval? Yes ❑ No 1'n If yes, please provide a copy of your plannirtg approval letter. Planners name: Square Footage: Addition: Porch: Deck: _ Garage: Detached Attached Remodel: Kitchen Bath Other Type of Construction(Usage Class): Occupancy Type: I-A, I-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-B Q-"-� Valuation Please check this box if the project is a 0/ 0 00 second-story addition ❑ Project Size: Express A Standard ❑ Large ❑ Major❑ 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. ***For Office Use Only*** F-1Revised 07/06/09 Over-the-Counter CITY OF CUPERTINO ADDITOrUREMODEL FEE SCHEDULE Quantity Fee ID Fee Descripl:ion Fee Group Permit Type Sq Ft DECKS 1R3SFDADD OR 1R3SFDREM 1DECKWOOD Deck (Wood)-]-ach B (Each) 1 DECKRAIL Deck Railing-Each B (Each) GARAGES 1R3SFDADD OR DETACHED 1R3SFDREM 1 GARDTW<=1 K Wood Frame L p to B 1,000 SF (eacl,) 1 GARDTM<=1 K Masonry up to 1,000 SF B (each) 1BCONSTAXR Construction Tax Res (new detached garage) PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM 1PATIOWOOD Wood Frame up to 300 B SF 1PATIOMETAL Metal Frame up to 300 B SF 1PATIOOTHER Other Frame i p to 300 SF B PATIO'S CLOSED 1R3SFDADD OR & SUN ROOMS 1R3SFDREM 1PATIOENCLW Enclosed Wood up to 300 B SF 1PATIOENCLM Enclosed Metal up to 300 B SF 1PATIOENCLO Other Enclosed Patio up B to 300 SF 1COVPORCH Porch Covered-Each B , (Each) REMODELS 1R3SFDREM 1 REMRESKIT Kitchen Rem Adel up to B (Deduct "$"for ea plan 300 SF check 1REMRESBAT Bath Remod(I up to 300 B " SF 1REMREOTH Other Remoc el up to 300 B " SF CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity Fee ID Fee Descrip tion Fee Group Permit Type Sq Ft 1MECPLNCK Stand Alone Mechanical M Pln Ck(hourly, 1 PLMPLNCK Stand Alone Plumbing P Pln Ck (hourly) 1 1BCBSC Cal Bldg Stanlards B ALL PERMIT TYPES I Commission Fee 1BSEISMICRE Seismic Residential B 1TRAVDOC Travel &Documentation B I1BUSLIC Business License B Community Development 10300 Torre Avenue �i Cupertino CA 95014 Telephone(408)777-3228 Fax(408)777-3333 CITY OF UPEkTINO Buildir!7PERMIT artment JOB ADDRESS: � U 'Z D01 �( /Y Agfigiii� G OWNER'S NAME: PHONE # 57409 30Y 9 GENERAL CONTRACTOR: . FAX# 9 9 ,33 2- I am not using any subcontractors: Date Sig�iaturea Please check applicable subcontractors and complete the folloEin information: LICENSE # SUBCONTRACTOR BUSINESS NAM Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile ------------ Owner/Contractor Signature Date