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13050112 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10408 NORMANDY CT CONTRACTOR:JEMICO LLC DBA PERMIT NO: 13050112 RENEWAL BY ANDERSEN OWNER'S NAME: MICHAUD LEO HAND JANET D 30800 SANTANA ST DATE ISSUED:05/14/2013 OWNER'S PHONE: 4082523744 HAYWARD,CA 94544 PHONE NO:(510)263-3178 LICENSED CONTRACTOR 'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 0 COMMERCIALII License Class kC--IA. e Lic.# 1 2�s�OZ REMOVE AND REPLACE 10 WINDOWS LIKE FOR LIKE Contractor Sr, /.k ,, o Date J ��l3 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:$23861 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:36929023.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT E IRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 0 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 DA F M 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 2 granting of this permit. Additionally,the applicant understands and will comply Issued by: Dates; /4, with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature \'`1 Date S- ( q 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. O 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 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 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 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: \?�..�L permit is issued. Dater 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 CONSTRUCTION LENDING AGENCY 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 upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,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. Signature Date CONSTRUCTION PERMIT APPLICATION V COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE`CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•building(&-cupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS y cvPe�''�+rc� APN# I „ v' O 2 OWNERNAME Un MICIRWA PHONJf� /(, q E-MAIL STREET ADDRESS JOLJCITY, STATE,ZIP ., Y) -1 AX CONTACT NAME PHON�f,�/W H- T _ E-MAI wr (Q STREET ADDRES n �A CITY,STATE,ZIP /]� FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME CENSE NUMBER 7b. LICEN YP /� BUS.LIC# COMPANYNAME E-MAIL ` FA.`P[() �6�-5 f7IAJak - I STREET ADDRES'J04Z/Y ] , CITY,STATE,ZIP ARCHITECT/ENGINEER NAME f LICENSE NUMBER 7 BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK oy-Mre �� ` iA EXIST USE PROPOSED USE NSTR TYPE STORIES 2 USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH #DWELLING UNITS: ISA SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ONO ADDITION? []NO 0 v PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVE Y• TAL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO lx_J 1` By my signature below,I certify to each of the following: I am the property owner or authorizeden act on the property owner's behalf. I hav read this application and the information I have provided is correct. I have read the Description of Work an v it is accurate. I agree to comply with all applicable local ordinances and state laws relatin ttoo b�ding construct on. I authorize representatives ofCupertino to enter the abov�en ie prope.1 for inspection purposes. tqSignature of Applicant/Agent: 1,� Date: /✓� SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PuBLic WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. El MAJOR 1:1 SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10408 NORMANDY CT DATE: 05/14/2013 REVIEWED BY: MENDEZ LQ, APN: BP#: *VALUATION: 1$23,861 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Repair PRIMARY PENTAMATION USE: SFD or Duplex T PERMIT TYPE: 1GENRE i WORK REMOVE AND REPLACE 10 WINDOWS LIKE FOR LIKE SCOPE _4 l :� Mech.Plan Check Ph nrb.Plan Check Elec.Plan Check FechPermit Fee: Plumb.Permit Fee: F..lec.Permit Fee: Other Afech.In.sp, Cltlrer Plumh In,sp. Lltlrer!lec.InsxJ. El 1.Alech.Insp.I e:e: Plunth. htsp.Fee: Elec.Insp.Fee_ NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,eta). These fees are based on the prelfWdna information available and are only an estimate- Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 11-053 E . 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 10 # Window/Sliding Glass Door Suppl.PC Fee: (D Reg. ® OT0.0 hrs $0.00 $533.00 IWINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. Q OT0.0 hrs $0.00 PME Unit Feer $0.00 PME Permit Fee: $0.00 Conswuc°tion Tax: ALh'nlnistrative Fee: Work Without Permit? ®Yes (j) No $0.00 0 Advanced Planning?Feer $0.00 Select a Non-Residential E) Travel Documentation fees: Building or Structure ® Strong Motion Fee: 1BSEISMICR $2.39 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 f Orr $3.39 $533.00 4 $536.39 Revised: 04/29/2013 �. r "i wilding,Department City Of Cupertino- 10300 Torre Avenue j pertino,CA 9501473255 elephone 408-777-3228 CUP.ERTINO }�� . .� ._ Fax:408=777-3333 CONTRACTOR/SiJ$C® ' JOB ADDRESS: OWNER'S NAME: c3 / i c avr� is © ? GENERAL CONTRACTOR: ADDRESS: 4 S, *Our municipal code requires all businessesworking in.the 't o usiness license. NO BUILDING FINAL OR FINAL OCCUPANCY,INSPf , � d ) �i DULED UNTIL THE GENERAL CONTRACTOR AND ALLOGTRA - TY OF CUPERTINO BUSINESS LICENSE. I°am not using any subcontractors: Si •riatu a Date �.. Please check applicable subcontractors and completel% V SUBCONTRACTOR BUSINESS NA' ! °' {y ' 4' NESS LICENSE Cabinets &Millwork Cement Finishing Ee. Electrical Excavation 1 ' . Fencing aA - - Flooring/Carpeting Linoleum/Wood . Glass/Glazing y Heating , Insulation Landscaping Lathing " Masonry y Painting/Wallpaper _ E Paving Plastering Plumbing } Roofing Septic Tank '` Sheet Metal - Sheet Rock 7 Tile x LL Owner/Contractor Signature 1 y' Date W.T DW PROJECT NAME: Michard, Leo 10408 Normandy Ct. Cupertino Ca 95014 Rear elevation/Backyard Setback 20' Kitchen © a U Den/Study GW 6 x 3'4" s? Q Bedroom 1 � W © � a j c+� m o O Ground floor = z1 `~ LU GW6x3 4 O0 Guest/bed 2 O a m LU LU _ rr Living room Guest bath 5 w Set back 15' CT 10�6�ti— Entry CS 2� �' � Set back 10' GW 6x3 GW 6�x S PLOT Bedroom- 3 Bedroom 4 f xw WAM �t Z Second story PL G DJ6p3; elevation DATE GW 3 x 2 Hall bath >$fAG._piiT Master bath Master bed ` 0 � o c C!. GW3x2 SCO GPW8x2jG ( a `, lIJ'--1 .��.wa U) i c, At'J Ta a7 Gi -0 Q GLS, s�Pt _a L r �S t 0 rl Street elevation/Front yard 20'setback WII� Uwe r _ L cyCL Q JJ vt 1 5 `D cj LU I S O t+ C] d F- LL 2 �� h,.c�vK.t� � ^ � m o S 1 _ S � i y - t ; t { 711 1� VAQU ._ N I1 b " t 1