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07100070 CITY OF CU�'ERTINO n � , � T T ` ` n� ' BU[LDINGDIVISI£�\'• �F,�v�11 �� ` : ;:: ,. . . PERMIT NO. BUfL ��essCZ,�VENS CREEK BLVD COOL' S�;USTOM 07100070 . pERMIT lSSUE DATE OWNE ' A . ALAN TABER 4718 ME]ZIDIAN AVE � 10/09/2007 SANITARY NO. COMROL NO. �NE: (408)35:3-9692 BUILDING PERMI'I' INFO ARCHI7ECT/ENGINEER: BLDG ELECT PLUMB MECH C� � � 0 i p p LICENSED CONTRAC'DQR'S DECLARATION JOb DCSCTIptlOfl : V� I hcrcby aCGrm tha� I am liccnscd unJcr provisions ot Chapicr 9(commcncing ; Z� with Sccdon 7000) of Division 3 of thc Busincss and Pro[cssions Code and my liccnsc is RE P LAC E K I T C H EN CAB I NET S �= y in full fo�cc and cfCec�. � � ? Licensc Class Lic. k : F � py� Coniractor � ARCHI'CECTS DECLARATION i a a i undcrstand my plans shall bc uscd as public rccorcls >yU ' a F' Licensed P�u(essional ' � a OWNER-BUILDER DECI.ARATION '�� I hcrcby alYrm �hat 1 am czcmpt frum ihc Cantracwr s Liccnsc Law for thc � p O Collowing reasan. (Sectian 7U31.5, Busincss and ProCcssions Calc: Any city or county �,°, �i which rcquims a permit to conswc4 alter. improvc, dcmolish, or repair any structure �" y prior to i�s issuancc. also requires ihc applicam for such permit ta filc a signed statemcn� �_ � that hc is liccnscd pursuanl to thc provisions oi ihc Contracwr's Liccnse Caw (Chaptcr 9 ; iq. Ft. Floor Area Va uat�on � t- �(commencing with Scction 7000) of Division 3 of Ihc Busincss and Profcssions Codc) or � 6 � � L �.. that he is exempt Ncreftom and �he basis [or �he alleged exemption. Any violation of Section 7031.5 by a�ry applicant for a permit sabjecu the applicant to a civil penalty of 3 6 9 010 6 7�� Number Oceupaney Type nat more than fivc hundred dollars (S50(1). ❑ I, u owner o[ Uie properry, ar my employces with wagu az iheir solc compensaUon, will do �hc work, and We stcucime is notintendcd or nf[ered (or salc (Sec. 7044. Business Required Inspeciions and Professions Code: The Conuactors License Law does not apply w an ow�r of propeny who builds or improves ihercon, and wha does such work himself or through his own emplayccs, provided that such improvemen�s are not intended or o[(ered for sale. IC. however, the building or improvement is sold within om year of complction, the ownu- builder will have the burden oC proving �at he did not build or improvc for puryose of � 1, as awner of the property, am exclusively conuacting with licensed conuactors to consuuct the pcojett (Sec. 7044. Business and Professions Code:) The Conuaccors Li- ccnse Law docs not apply �o an owncr of propeny who builds or improves theieon, and , who convacts for such pmjeca with a conuactor(s) licensed pursuant to �he Contrxtofs License Law. ❑ I am ue p u e c . B dc P C for U�' U Owner Date _... _. WOR 'S COMPENSATION DECLARATION I heceby aHirm under penalty o[ pery'ury one of the fallowing declarations: ❑] hare and will maintain a CeniGcatc of Consent to sclf-insurc for Workcr's Compen- sazion, as provided for by Secdon 3700 ot the Cabor Code, for the performancc o[ the work for which this pertnit is issucd. ❑ I have and will maintain Workers Compensadon Insurance, as reyuired 6y Section 3700 oC �he Labor Code, Cor the performance af the work [or which �Ais permit is iss�d. My Worker's Compensation lnsurancc cartier and Policy numbcr arc: Cartier. Policy No.: CER1'IF[CATE OP EXEMP'1'(ON FROM WORKERS' COMPENSATIONINSURANCE (fhis section necd not bc complcleJ if the pe[mit is for one hundred dallacs (S1a0) or Icss.) I cenify thxt in thc pertonnance of thc work tor which ihis permi� is issued, 1 s6a11 not employ any person in ang mannG�o a;Jp ¢CQbtl�c su4iee/to �he Workers' Compensatian Laws of Califomia��d � I � ��' �%� V l Appliwnt NOTICE TO APPC�1. C I. aRcr rtiGcatc of Excmption, you shoutJ become subject to the Worl:er's Compcnsadon provisions of thc Lador Codc, you must , z forthwi�h comply with such provisions or this pccmit shall6c dccmcd revokcd. z O CONSTRUCfION LENDING AGENCY E r r�-i I hccchy affirtn Wat thcre is a construction knding agc�y tbr thc performarMC of . p�., � �hc work Cor which ihis permit is issucd (Scc. 3097, Civ. C.) �7 A L.endcr's Narnc � z Lender's Address (� � I certify ihat 1 havc rcad �his application and statc that ihe ahove informauun is w ►�-� cortec�. 1 agree to comply with all city and county ordinances and su�e laws relating to 0 U building conswction, and heoeby authori�e representatives of ihis city to en�er u�n thc � W abovc-mcntiuncd property for inspccuon puqwses. a (Wc) agrce to save, indcmai(y and kecp harmlcss the City of Cupertino against �� liabilities, judgmcn�s, costs and expcnscs which may in any way accruc against said City V z in consequcncc oC thc granting of ihis permi� /� � �+ APPLICANT NDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by Date _�,� SOURC G L N . � ,� ..p.�� y�%� Re-roofs /��" Signature of Applican ontractor �� T e of R oof � HAZARDOUS MATERIALS DISCLOSURE yP Will the applicant or futurc building acupant scorc or handle haiardous matcria! as deficed by tlu Cupenino Municipal Codc. Chaptcr 9.12, and the Hcalth and Safety coa� Scction 25532(a)? All roofs �hall be inspected prior to any roofing material being installed. ❑ Ycs �No , Will the applicant or Cuture building acupant use eyuipment or devices which If a roof i� installed without first obtaining an inspection, I agree to remove cmit haxardaus air con�aminants az dcfincd by thc Bay Area Air Quality Managcmcnt all new m aterials for inspecr.ion. District? ��/ QYcs [aN� I havc rca�i Uie haiardous maierials rcquircments undcr Chap�er 6.95 o(ihc Cali[or- nia Hcalth & Safety Code, Secdons 25505, 25533 and 25534.1 undcrsund �hat iCUx building Jocs no� currcntly ha a tcnan4 �hat il is my responsiAility to noul'y ihc occupam af Ihc rcyuircmen�s w h � et prio,�n r �o issuance of a Ccnifica�c of Occupancy. g D;� Signature of Applicant Date �fi--= —"_ r� ��r o �� All roof coverings to be Class "B" �r better Owncr a authori•r.cd agcnt ��i000��c� � CITY OF CUPERTINO � +n �F pERMIT APPLI CATION FORM CUPEf�TINO Date� _�N #�� g oi a�� o c� �� 2�a 7 Buildin Address: Ivlailing Address (if different from building address): 2c�4�g S�V�S � �1�� 0 �So /�- Owner's Name: Phone #: A�� i�� 5��0��? g�q� q Contractor: License #: �o � �s C.v�� s o� Contact: Phone: 3.5�3 �- �(Z Cupertino Business License#: �a �� ' 0 L Fax: ' 3 s�3 -- �S� Z Building ermit Info: ��- c�+ �'e- o J�- � ",�� r� S"t`� �'��"'r� r `' �""�a-�' �;�,�,-�h 1�n� ��-OC�S � rec�. �' , �3� � ��z.s.� Y�cx•�.4 v �r Bldg � Elect [� Plumb � Mech LL� Job Description: ��C"� � ft $� 1�' C� '' Residential Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: � Cost of Project: �� Occupancy Groupi � Type of Construction: ��,�,O�f� � L.�'C.e Please check this box if t� project is a ��, f second-stor addition: � Project Size: Standard � Large ❑ Maj or ❑ Quanti Fee ID ]�ee Descri tion Fee Grou BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boile�� > 100K to SOOK Btu MECHANICAL BBOILER3 Boil�;r > SOOK to 1M Btu MECHANICAL BBOILER4 Boile r> 1M to 1.75 M Btu MECHANICAL BBOILERS B�iler > 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX IncVOff/Comm/Quasi BUILDING BCONSTAXBQ Co�i. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Co�istax - Resi/Mobile BUILDING BELEC 1000 El�,c 600V <= l 000A ELECTRICAL BELEC1001 E lec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD F;nergy Add Multi BUILDING BINVESTIGA [nvestigation fee BUILDING 1 of 3 � F � � CITY OF CUPERTINO ��n�F pERMIT APPLICATION FORM CUPER,�TfNO Quantit Fee ID �'ee Descri tion Fee Grou BMISCELL Miscellaneous Fee BUILDING BMITIGATC Corrun. Housing Mit. Fee BUILDING BNLTCOMME New Comm Electric ELECTRICAL BNLJCOMMM New Comm Mechanical MECHANICAL BNLTCOMMP NE;w Comm Plumb PLLTMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atniospheric Vacuum PLLTMBING BPCESSPOOL Cesspool PLLTMBING BPERMFEE Bld Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK l'lan Check Fee BUILDING BPLANCKADD Plali Check Add Multi BUILDING BPLANCKREP Plar. Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewa e Dis osal PLUMBING BPSEWER Sewers PLUMBING gpSpRINK Lawn S rinklerBackflo PLUMBING BPSTORM S torm�Rain Water PLUMBING gpT�p,p Kitchen Tra PLIJMBING BPVENT Alt of Drain & Vent PLUMBING BPWATER InstalUAlter Water Pi e PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT F;einspection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfm MECHANICAL BREMAIlZHAN A/C Jnits <= 10,000 cfm MECHAI�TICAL BREMAPPLI ��ppliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREIVI�'URN ReJocation of Furnace MECHAI�ICAL BREMFURNOV Relc� Furnace > l OK btu MECHANICAL BREMHEAT F eater Installation MECHANICAL BREMINHOOD In:�tallation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL . BREl��NRApP Rem Non-Res Appliance ELECTRICAL BREMPOLE Po �.e/Platform Fixture ELECTRICAL BREMPOWER Powfr Device/A aratus ELECTRICAL BREMRECEPT Rc �:1, Switch & Outlets ELECTRICAL BREMRELOCA R�location of Hood MECHANICAL BREMREPALT Re:pair/Alter Heating MECHANICAL BREMRESAPP Ren►odel Res Appliance ELECTRICAL 2 of 3 k� r� CITY OF C UPERTINO � ��na� pERMIT APPLI CATION FORM CUPEI�TINO Quanti Fee ID l�ee Descri tion Fee Grou BREMSIGNAD Rmd 1 Signs Add Branch ELECTRICAL BREMSIGNS Rem��del Signs, Marquee ELECTRICAL BREMTHEATR The �trical Lighting Fix ELECTRICAL (' BREMVENFAN Ver.t Fan Sin le Duct MECHANICAL BREMVENSYS Ventilation S stems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISM�COM Sei�mic Commercial BUILDING BSEISMICRE ��eismic Fee Res BUILDING BSPECIAL S �ecial Inspection BUILDING BSWIM ;iwimming Pool BUILDING BTEMP Tcm ora Power ELECTRICAL BTEMPPERM Tem �orar Bld Permit BUILDING BTEMPSVCS 'I'emp Dist Svcs ELECTRICAL BUSLIC B usiness License BUILDING ELECTRIC F;lectrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanical sq. foot MECHANICAL / MPERMITFEE Mec.h Permit Issuance MECHANICAL / PPERMITFEE Plurnbin Permit Issue PLUMBING PPLBG P1Lmbing Fee sq foot PLIJMBING PLLONGRNGC Plannin LR Comme/ Multi-Fam PLANNING PLLONGRNGR Plannin Lon Ran e Residential PLANNING 3 of 3 CITY OF �UPERTINO 10 ITEMS OF 10 PERMIT RECEIPT OPER.ATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN ......... 36901067.00 DATE ISSUED.......: 10/09/2007 RECEIPT #.......... BS000002935 REFERENCE ID # ...: 07100070 SITE ADDRESS .....: 20488 STEVENS CREEK BLVD #1301 SUBDIVISION ....... CITY .............. CUFERTINO IMPACT AREA ....... OWNER ............: ALPN TABER ADDRESS ..........: 20988 STEVENS CREEK BLVD # 130 CITY/STATE/ZIP ...: CUFERTINO, CA 95014 RECEIVED FROM ....: ALFN T TABER CONTR.ACTOR .......: PHILLIP COOL LIC # 22976 COMPANY ..........: COC�L'S CUSTOM ADDRESS ..........: 4718 MERIDIAN AVE CITY/STATE/ZIP ...: SAI�f JOSE, CA 95118 TELEPHONE ........: (4C�8)353-9692 FEE ID UNIT QUANTITY �,MOUNT PD-TO-DT THIS REC NEW BAL ------------- ---------- ---------- -------- BENERGY PERMIT FEE 83.16 39.92 0.00 39.92 0.00 BPERMFEE VALUATION 600.00 83.16 0.00 83.16 0.00 BPFIXTURE UNITS 1.00 9.00 0.00 9.00 0.00 BPLANCHK PERMIT FEE 83.16 110.98 0.00 110.98 0.00 BREMRECEPT NO. OUTLETS 1.00 1.20 0.00 1.20 0.00 BREMVFNFAN NO UNITS 1.00 45.39 0.00 45.39 0.00 BSEISMICRE VALUATION 600.00 0.50' 0.00 0.50 0.00 EPERMITFEE FLAT RATE 1.00 4C.79 0.00 40.79 0.00 MPERMITFEE FLAT RATE 1.00 40.79 0.00 40.79 0.00 PPERMITFEE FLAT RATE 1.00 40.79 0.00 40.79 0.00 -�--------- ---------- ---------- ---------- TOTAL PERMIT : 412.52 0.00 412.52 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- --------------- CHECK 412.52 #2176 --------------- TOTAL RECEIPT : 412.52 ' � .r -- a a; i x .. a � L : " �, - �.a ¢ ? � ' : �. � -. r . � � -aF � �. � h ft. � � 3 :�°' .� ky '�3x s: s � f �' r < .-� `� '� a� � �.- k"� �� Ya n � '� � . .a`r"' � k r�7r,�. . � �*"°',z�`�' y - 3 �"� �'ix � ��u."i�u.s ae`�3', �:��;� '� � i"" � � r a�,� c& �� -v,�*s��,�-k�" �`.s�r .: "°`; .�� ,�,`� rr ."��, sm +��. = ��. 3'i; { H- v.�`�? �-� a z� �i � 4' � 1r:.� r� V. -^ ,� i ' `'� � � ,�x �t ++�"w �" 3 : . �"� �'��' � � �� ; A :. � �� £ ��4�� '� .. . � :: . y B L - -�n .S`aS: x ¢• z.' ' r - .. �� 3u � "�"�r�n .��,� ' �; � .,. �,.n � .z. �,+ �,� .a,�� _��. � . ��^�' � r £ -� � :, . z � - "€ `'.$t Tg"� - ,.£„�� . .. � . � e�,� � . ° �� `?n" a'�. "`x+ �� x� "'�'� rs. C fTY OF � ' � p� . -n : 3� :� a� �,�� .�`'„ �. i � �� a «.x� cuPE��NO ��.� � �� Assessor's Parcel Number: — Name of owner. ��L �� 8 �� 4-�=� ��IS �=�?. �� l �� I I�roject address. — - Contact p erson. L/� ��8c —. Phone. =�� '��k�7 �� 2�!` �`� 4`(�` Fax. Net square footage of lot. ��' Exi:>� Pro�osed Square footage: First floor: _�----- Second floor: � Garage: ,,, TOTAL: � Are there at least two 10 foot by 20 foot clear sp ices inside the garage? N Is privacy protection planting reQwl'ed for the pr �j ect? 1' r� pn what floor(s) is work bei.n done? �._ � ��'�o c�.e I � L 1. � C � Brief description of wor k. I� ��"�=�= �� b �� ' ��- r�w f`m x�� ,� � h �� :� �,.�T' ( � j � '\'� ��,R �� i � i , ( —,—+�('L c/�U(' c.�� _ '.\ � «_�..�_ _ � 2001 CFC (��20 CMC � � Code editions: 2001 CBC � � 2ao 1 cFC �� 200 � r��c �- ?v? Effective 11/1/02 .� t1 �t� � t1� � �'o �� Plan Review Process Work Book Page -B-Revisf:d 8/22/OS � � -� , , o 0 0 � co W N � � Y � N 3 � � � Y O N � u Q �4� ' U O W Q f=, (?� Q � �n��O� � Qp �LL �ui �WQU� F N , d'J��fniN ZI� � .0 ,..., � Q C1' g U ' a' W O O c�? ¢'. �jJZ�=..ZF' JF" L� S � . . Ui (9 � � F LL N .." UtAWZZO— NO � � 1 ! ..�tiO�= 0f � �.. - .. � , ci Y p NS p�(� 0 w -- ;" .�. 'U L2, ^o _ __.._ _._. _.___ . � .. � � Q � O y � C � ...__..__ ...___._ _...____._ _._ .. ... ..._.._... .. . �� t / , i N' � U O � J CG / • L' N.-. �- a �- _ c� O��OOw x� / � � � O t-mU WF- � ��"'•"� ... . -.0 �' y G / �•�„ _ •y � N - :� .. . ;,-. � O W N j � , � ,-...; .. . ..,. .:.�;.1 t� �^� � • 'iy � 'O I � � . / '�j m0 =`� � ;, � � � �O . a � a •� � �. 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"; � � -- - _ _ ____ : � 1 . _ . . _. __ : � � ' o ;! --- - --_._ ^.. _..__ � � �� o '� f _ _ . _ _ `.' � oD •--� :t z ; �� I _."��,° � o � --.,ss� - ----- - _ __ __ ._ ._--- ._...-•- ' . a�" o ,n v � _ N ':� O .-a f - ..,:° � c� .--, ~ i V i U a-� (n __ :.�•t. , v� 4=W 4:� � i � ,. . . p �� - ' y > ..+ i , � � � � i � � � O � � Y � N i � � ��Q� � ^��i � ' r J t i W � -- ,fl ..� �; I sp [rJZU �'t7 I � p� LL (Q.` � -�-�Ji , � Z "�' a � 1 � S �ILWQ ��) �� Qa ��i �muJ t n �� nwU� � :;� C�ZTa ' � �tOU� I T �z �C23WC~3 ' � � U / �4n ��.�>1 ( � � I� G�Q �jLLlj � � r �Z G �Il > JQ I _ V � � ^.:.Q� NQ�2 � I � �+ -;� � � �- I � � ; � � -- - - -- --__ - ----- ---- ----- _------- � -- _ ---- -- --- . � Comrriunity Development ` 10300 Torre Avenue � � Cu ertino CA 95014 � p Telephone (408) 777-3228 GTY OF Fax (408) 777-3333 _�f C��i�� - Puilding Department All Cupertino Uuilding permits must rr eet certain conditions related to maintaining environmental quality and public peac�� and safety. The two most coinmon conditions are described below. STORMWATER POLLUTION CONTROL State law requires that Cupertino, 12 other Silicon Valley cities, Santa Clara County and the Santa Clara Valley Water District con:rol stormwater pollution. Educating local residents and businesses and enforcing s'�ormwater pollution control laws are key parts of the City's compliance efforts. Stormwater pollution prevention: It'�� up to us In northern Santa Clara Valley, storm dr��ins flow directly to local creeks and San Francisco Bay, with no treatment. Storrrwater 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 ��tormwater pollution include: • Dripped oil, fuel, and antifreeze from vehicles and heavy equipment; • Construction debris, including dirt, concrete and paint; • Landscaping runoff containing pes,ticides or weed killers; and • Any material dumped or spilled into streets or storm drains The property owner and the contractor sl�are ultimate responsibility for activities occurring at a construction site and will t�e held responsible for any environmental damage caused by subcontractors or em �loyees. For more information on construction-rel�ted stormwater requirements, see the Stormwater Quality Regulations section c>f the City of Cupertino web site at: http•//www cupertino.org/city gcvernment/departments and offices/ environmenta! services COMMUNITY NOISE CONTROL The basic noise control requirements for construction sites are as follows: • Typical construction work hours are: - Weekdays - 7 a.m. to 8 p.m, - Weekends - 9 a.m. to 6 p.m. • Construction other than street coi�struction is prohibited on holidays. • Residential daytime noise levels from complai,nt site - 60 dBA • Nonresidential daytime noise IevE Is from complaint site - 65 dBA For more information on noise co itrol, please see Chapter 10.48 of the Cupertino Municipal Code, which can be accessed at http•//www amleqal.com/cupertino ca/ Greg Casteel Building Official