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13050101CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 23500 CRISTO REY DR UNIT 416E CONTRACTOR: BAY AREA ENTERPRISE PERMIT NO: 13050101 OWNER'S NAME: RONALD SOARES 2110 MANGIN WAY DATE ISSUED: 05/14/2013 OWNER'S PHONE: 6505371523 SAN JOSE, CA 95148 PHONE NO: (408)238 -5043 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL0 License Class2 /72t Lie; # & 416E- REMOVE AND REPLACE 10 SWITCHES, 22 Contractor (Jjtcy J4iAfi. Date !Z �Zt�l�i OUTLETS, REMOVE SHOWER TILE WALL AND INSTALL NEW I hereby affirm that I am licensed under the provisions of Chapter 9 SHOWER (commencing with Section 7000) of Division 3 of the Business & Professions VALVE, REPLACE HEAT PUMP AND DUCTING - Code and that my license is in full force and effect. MAINTENANCE 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 Sq. Ft Floor Area: Valuation: $35000 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 APN Number: 34253162.00 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 WITIIIN 80 DA S OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for insp ion purposes. (We) agree to save 180 DAY RO LAST CALLED INSP TION. indemnify and keep harmless the City of ertino:against liabilities, judgments, costs, and expenses which may accrue A said City in consequence of the Issued by: Date: granting of this permit. Additionally, plicant understands and will comply with all non -point sour c r ulations the Cupertino Municipal Code, Section 9.18. rj© Signature Date ((�� All roofs shall be inspected prior to any roofing material being installed. If a roof is any roofing 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 compensation, 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 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 devi s 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 Qu Management District I performance of the work for which this permit is issued. will maintain compliance with the Cup tin Muni al Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25 33, 534. 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 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 CITY OF CUPERTINO 1V1W1V F cTIX4 a TnR _ RI TII ,DING DIVISION Mech. Plan Check 10.0 1 hrs Mech. Permit Fee: Other Mech. Insp. TO.0 hrs ,tech. Insp, f'ec: NOTE: This estimate does not $0.00 1 Plumb, Plan Check FRMTT Plumb. Permit Fee: Elec. Plan Check 10.0 1 hrs $0.00 Elec. Permit Fee: IEPERMIT I' $45 00 $45.00 Other Plumb Insp. LJ Other Elea Insp. 0.0 rs Plumb. Insp. Fee: Elee. Insp. lee: defees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School Th are based on the relimina information available and are on[ an esumare. uonracr me ve r or uuurc c we o. D' rstrrct, etc . ese ees r. FEE ITEMS (Fee Resolution 11 -053 E . 711112) ADDRESS: 23500 Cristo Rey Dr QTY/FEE DATE: 05/14/2013 REVIEWED BY: Mendez Plan Check Fee: APN: BP #: *VALUATION: $35,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Rep it PRIMARY SFD or Duplex hrs PENTAMATION EAP 10 PERMIT TYPE: i USE: $0.00 1 # $67.00 WORK Unit 416F- remove and replace 10 switches 22 outlets REMOVE SHOWER TILE WALL AND SCOPE I INSTALL NEW SHOWER VALVE, replace heat pump and ducting- maintenance upgrade in kitchen, p Mech. Plan Check 10.0 1 hrs Mech. Permit Fee: Other Mech. Insp. TO.0 hrs ,tech. Insp, f'ec: NOTE: This estimate does not $0.00 1 Plumb, Plan Check FRMTT Plumb. Permit Fee: Elec. Plan Check 10.0 1 hrs $0.00 Elec. Permit Fee: IEPERMIT I' $45 00 $45.00 Other Plumb Insp. LJ Other Elea Insp. 0.0 rs Plumb. Insp. Fee: Elee. Insp. lee: defees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School Th are based on the relimina information available and are on[ an esumare. uonracr me ve r or uuurc c we o. D' rstrrct, etc . ese ees r. FEE ITEMS (Fee Resolution 11 -053 E . 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # $93.00 Electrical IBREMRECEP Recep /Switch/Outlets. Suppl. PC Fee:. Q Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 1 # $67.00 Mechanical IBREMAIR Heat Pump ( < =1 OK cfm) Permit Fee: Hourly Only? Q Yes (D No $0.00 Suppl. Insp. Fee O Reg. ® OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $90.00 slam Mech. Plan Check 10.0 1 hrs Mech. Permit Fee: Other Mech. Insp. TO.0 hrs ,tech. Insp, f'ec: NOTE: This estimate does not $0.00 1 Plumb, Plan Check FRMTT Plumb. Permit Fee: Elec. Plan Check 10.0 1 hrs $0.00 Elec. Permit Fee: IEPERMIT I' $45 00 $45.00 Other Plumb Insp. LJ Other Elea Insp. 0.0 rs Plumb. Insp. Fee: Elee. Insp. lee: defees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School Th are based on the relimina information available and are on[ an esumare. uonracr me ve r or uuurc c we o. D' rstrrct, etc . ese ees r. FEE ITEMS (Fee Resolution 11 -053 E . 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # $93.00 Electrical IBREMRECEP Recep /Switch/Outlets. Suppl. PC Fee:. Q Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 1 # $67.00 Mechanical IBREMAIR Heat Pump ( < =1 OK cfm) Permit Fee: Hourly Only? Q Yes (D No $0.00 Suppl. Insp. Fee O Reg. ® OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $90.00 Consiruction :Tax. Administrative Fee: IADMIN $42.00 Work Without Permit? ® Yes (j) No $0.00 Advanced Planning, Fee: $0.00 C� hours $133.00 Inspections ISTINSP Inspection, Hourly 0 Travel Documentation Fee: ITRAVDOC $45.00 Strom; Motion Fee: 1BSEISMICR $3.50 Select an Administrative Item Bldp- Stds Commission Fee: IBCBSC $2.00 a $182.50 $293.00J. LF $475.50 Revised: 04/29/2013 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 a� O l o tl *Our municipal code re(Mires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPE ON(S) WILL . BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONT CT S HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the. following information 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 r tq Z�i3 c Date JOB ADDRESS: Z p rr WO PERMIT #.,' OWNER'S NAME: �2 3 - E S GENERAL CONTRACTOR: B BUSINESS LICENSE # ADDRESS: 7-it O 1't CITY /ZIPCODE: *Our municipal code re(Mires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPE ON(S) WILL . BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONT CT S HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the. following information 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 r tq Z�i3 c Date k: Pon b t�e c e C , Demo S3 �7I'� tQ�fGL,eC °`'`- 7a �r PiS r r� 1"I"Y "' �� 1 0• " daac Balcony Caner Unm 7,'5'x 7'2• W, Bedroom 010'11' x 13'7' Q $ p a v ° J Closet 68` x 42' w, Bath Entry q - K T` a 511'x8'11' 5'0"x9'5` v o - KRchen R U( W/D Closet -- 2' x 27. :E - Ul 0 S 0 5 U- HE C. a a I > o ,cq - 1 v- O O U, > C . O ca i C -2 ct U V I V 0 `y III - CO 2- CL 3�.. ° o 71 y z cv H cc o W CD o a ®- living Room 15 0' x 15'0• O O Dining Room 12'6- x 8'9` t _ u) — . "aI N t at Top floor ? _ _ ,_ co y-- _ Bath Entry q - K T` a 511'x8'11' 5'0"x9'5` v o - KRchen R U( W/D Closet -- 2' x 27. :E - Ul 0 S 0 5 U- HE C. a a I > o ,cq - 1 v- O O U, > C . O ca i C -2 ct U V I V 0 `y III - CO 2- CL 3�.. ° o 71 y z cv H cc o W CD o a Soy INS VLATrON INC InStalatiOn CGrtrf a[t _ I Site nddrcss: 23500 CRISTO REY DRIVE, UNITS 416' & 416F, CUPERTINO Permit Number County Subdivision tot Number WALL EXTERIOR CHASE (416E) * KNAUF R -19 KRAFT FACED BATT INSULATION @ 6.25" WALL 2X6 PARTITION ( #416E) 3 0 KNAUF R -19 UNFACED BATT INSULATION @ 6.25" WALL 2X4 PARTITION ( #416E) 5` 6 KNAUF R -13 UNFACED BATT INSULATION @ 3.S" FLOOR BETWEEN (#416E) 5_` 9 KNAUF R -19 UNFACED BATT INSULATION @ 6.25" WALL EXTERIOR CHASE (416F) 3 KNAUF R -19 KRAFT FACED BATT INSULATION @ 6.25" WALL 2X6 PARTITION ( #416F) 31,10 KNAUF R -19 UNFACED BATT INSULATION @ 6.25" WALL 2X4 PARTITION ( #416F) 516 KNAUF R -13 UNFACED BATT INSULATION @ 3.5" FLOOR BETWEEN ( #416F) 5159 KNAUF R -19 UNFACED BATT INSULATION @ 6.25" SDI INSULAT N C - 70 LANG RD, BURLINGAME, CA 94010 !E IFE RK,� CFO i GREG k Si i K.n.r X vl