The URL can be used to link to this page

13060163 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10720 CASTINE AVE CONTRACTOR:ALL VALLEY PLUMBING PERMIT NO:13060163 OWNER'S NAME: STERN JOSEPH AND CAROL C. 3345 SELDON CT STE B DATE ISSUED:06/20/2013 FR OWNER'S PHONE: 4087320860 EMONT,CA 94539 PHONE NO:(510)376-4816 ❑ b LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL LJ COMMERCIAL REPLACE(E)WATER HEATER,LIKE FOR LIKE,SAME Licensa.Class Lio.#. q 'O LOCATION Contractor 1 P&A SR L.t o Ll NI Date L9—Com- 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 Valuation:$750 performance of the work for which this permit is issued. Sq.Ft Floor Area: 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:32643034.00 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 relating WITIHN 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. RE-ROOFS: Signature Date V ��r 1 All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first ob ms ee to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION Date: I Signature of Applic I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROO O GS 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) HAZARDOUS MATERIALS DISCLOSURE I as owner of the property,am exclusively contracting with licensed contractors to 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(x)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 the Health&Safety Code,Sech5,25533,and 25534. I have and will maintain Worker's Compensation Insurance,as provided for by A Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: 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. It 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 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 b COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ('fi 10300 TORRE AVENUE•CUPERTINO, CA 950143255 CUPERTINO (408)777-3228•FAX(408)777-3333•buildin4Ca)cugertino.org N. ❑NEW CONSTRUCTION ❑ ADDITION ❑ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS ? ao QA € APN# / 3 OWNERNAME PHONE E-MAIL ✓ C A 46 • a STREET ADDRESSCITY,STATE,ZIP FAX Cn Q 9 wt-/ CONTACT NAME I PHONE T=- STREET ADDRESS CITY,STATE,ZIP FAX ❑OwNER ❑ OwNER-BUB.DER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC# '1 C) C- 3 a 3Ui COMPANY NAME E-MAIL FAX STREET ADDRESS Cr,STATE,ZIP PHONE lr 11 - 3-/0- ARCHrrECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK &94ma 6keEke- EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM MCBEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKNORCH AREA I GARAGE AREA: DETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT OYES SECONDSTORY []YES BEINGADDED? ❑NO ADDITION? []NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES y:. - TOTAL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO 75-04— By 4— By my signature below,I certify to each of the following: I am the property owner or autho n to ac roperty owner's behalf. I have read this application and the information I have provided is I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to builnslruction- orize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant(Agent: Date: S 30 SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for vER riIN c ourrrER ❑ 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 11 PUBLICWORKS 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 MAJOR 11SANrrARY SEWER DISTRICT submittal of Building Permit application ❑ ENvutoNlrmffAL HEALTH BldgApp_201 Ldoc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: .10720 CASTINE AVE DATE: 06/20/2013 REVIEWED BY: MELISSA APN: 326 43 034. BP#: "'VALUATION: $750 %PERMIT TYPE: Plumbing Permit PLAN CHECK TYPE: Alteration/Addition/ Repair PRIMARY PENTAMATION PRWHEATR USE: SFD or Duplex PERMIT TYPE: WORK I REPLACE E WATER HEATER LIKE FOR LIKE SAME LOCATION SCOPE APPLIANCE/EQUIP TYPE FEE 1D QTY UNITS BP FEES Water Heater 1PRWHEATR 1 # $27 TOTALS: x r-' $27.00 a .k1ech.Plan Check 777 .0 hrs $0.00 Iilec.Plan('heck ;'111111. Permit Fee: rmit Fee: 1PPERMIT 1 Elec.PermitFee: Other h9ech.Insp. .0 hrs $45.00 Other£lec.Insp. ED-L #tech.Insp.Fee: I-:lec.Insp.Fee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These ees are based on the pirelimina information available and are only an estimate. Contact the Dept for addn7 info, FEE ITEMS Lee Resolution 11-053 E . 7ff 11/12) FEE QTY/FEE MISC ITEMS Plan Check T ce: Suppl. PC Fee PME Plan Check: $0.00 Permit Fee: Suppl. Insp Fee PME Unit Fee: $27.00 PME Permit Fee: $45.00 Consty-tiction :Tax: Administrative'Fee: 1ADMIN $42.00 Work Without Permit? 0 Yes (E) No $0.00 Advanced Planning F*ees: Travel Documentation Feer ITRAVDOC $45.00 i Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 $160.50 $0.00 a � ,�k: $150.50 N ,Revised: 04/29/2013 rnmr4ichu cmifficaft OTIA wster hmtw CF 3R:AI. - r Watear Unter 11072 z af$bsriies: ?.oar Nreut#:. ` IF Fey i3 Malts D� NATER UPATIMG I_ul water heotus amdbOWcrsfor Lnifs dog fivt�v -(,�* has or projiww fired Wld may not ezeredSOgollorrs [{at s hwgr�� w�LA`S' Adm D � heaaers Hurst be hot mater p�IresutM,-from-the DATE header to the Tdid.(s)aced on all wde-Wowtd Water Hems Type(Fuel DistnJution Type IVsmba sn Frnal Task rd, ), Tartl. Pnergy Factoror Izsatation system1._--- ( ) 7�erarat R-`l3lr,e3 ! ladica[e Type(��Meat Prtmp,licstmttar�eatq r1c 2. Recvcalatiags_vstentr aervmgvzvk k dwelluegW11(ld"N meet the recircrrl mw not allow tlae i IwypR a mcnrulat V wnrer �dwell mus of�150(n). The Pr ft requiremmis do 3. The estereraL tivazer - .tQ amd Zftff m nest g,mil� 1 ). 1 oee Amtkpt"s ces that this of I ame: tip a aonaabe And Company: — A Date: t Address: 3 If qv icime CEA or p CEpE �Y '•-cty/StatwZip: (Certification#): � 70, ltesgotasible ms's Dec#st Stakg*w I am 4 r this CrW-bia undrs Division oftlte CalifsBysioess_anrl Pmfessic�s Carle to accept ' I certi#p tha#-the energy e of - - atzd� r'�P°n-S'b'fsi-Y�Fca the bur7�rig iiesign gdee:tified on •io t�hye,regttitr ofrft24,Para I and,6 ofrlL- £��R on 'is CetSfic��ofCc�mplianoc conform D 11JG Ull[IllrQe„Flf Qn.fts eatif-r..�Is� bui[daig desigslon the ocher applicabic _�.••+•�•� C O with the urf -p�,�.lb this agimcv for -.Atli�bFs i>mmO°e fai°Q'Spermk P"'aril m tinecnforeemexrt Name: 66A ap�_ AID Address-, Da, Lioe�e: tyRwef,* c: fI2F$l�li3ItitIN C) 1t2S1T die?¢erer y foram-qUn house modiSed L'FLR's120M Cog CF ��T