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13060105 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10649 MAPLEWOOD DR APT A-D CONTRACTOR:ABE CONSTRUCTION, PERMIT NO:13060105 INC OWNER'S NAME: ESSEX PROPERTY TRUST 528 E WEDDELL DR STE 4 DATE ISSUED:06/18/2013 OWNER'S PHONE: 6504943700 SUNNYVALE,CA 94089 PHONE NO:(408)734-8416 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11S COMMERCIAL License Class b,C/Ut C3Co Lic.# � APT A-REMODEL BATHROOM(120),KITCHEN(160)ADD NEW LAUNDRY ROOM,UPGRADE ELECTRICAL PANEL Contractor AND I hereby affirm that I am licensed under the provisions of Chapter 9 PLUMBING (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:$24000 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:31643003.10649.A-D 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 WIT 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 OM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, //,n, costs,and expenses which may accrue against said City inconsequence of the Issued by Date: W, granting of this ermit Additionally,the applicant understands and will comply with all n- int ou a reg 'ons per the Cupertino Municipal Code,Section 9.18. ` RE-ROOFS: Signatur Date 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. ❑ 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(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 e y A ea Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance w th the er n unicipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code, ection 0 " 533,and 25534. cn� Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorize agent: Date: 'o 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,aftermaking 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 C�O(1t}fViUt Tlr'DEVEL03'MENT pE 'ARTMENT•BUILDING DIVISION hh� 1430(3 TOE�FZE AVENl1E 'CUPERTIItiIO,CA 35014-3255 ` V GLIIPERTiNO {408}777-322$ FAX(408}777 3333•building okupertino.org ❑NEW CONSTRUGTTON ❑:AIDDITTON i ALTERATION f TT ❑ REX'ISION/DEFERRED ORIGINAL PERMIT PROJECT AD RESS Al 31 tO `73 W 3 O NAME PEIONE 1 EMAIL. SIZEST ADDRESS CITY,STATE,ZIP FAX CONT NAME PONE E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑OwRaER ❑ OW?IM BUII.DER fl OWNER.hGEh'I' CONTRACTOR!. ❑CONTRACTORRGENT ❑ ARCHITECT ❑ENGMFE ❑ DEVELOPER ❑TENANT CO CIORNAME LI SE NUMBERLENS TYPE BUS.LIC n COMPANY NAME E.AAII FAX Ir STREET ADDRESSCirY STATE ZIP p 0 ARCIRTECTIENGIrIEER NANM LICENSE N1 M ER BUS LIC. COMPANXNAME E-MAIL FAX STREET ADDRESS CITY;STATE,M? PRONE DES ON OF WO VA EXISTING USE PROPOSED .. CONSTR•TYPE l-STORIES IISE TYPE OCC. SQ.FT. VALUATION($). RRFLOOR DEI.30 TOTAL, AREA '. AREA REA AREA NET AREA BATHROOM KITCHEN 'OTHER REMODEL AREA :20 REMODEI.AREA REMODELAREA :. PORCHAREA DECKAREA TOTALDEEKMORCH9RRA GARAGE AREA DETACH ❑ATTACH #M-ELLING UNITS: IS A SECOND UNIT yY:,E�S. - SECOND STORY YES BELNGADDED? . ❑tom, ADDITION? ''ONO PRE APPLICATION ❑YES IF YES,PROVII3E.COPY OF IS T8E"HLD6 Afi ❑YES RFCIIVED BX: TOTAL VALUATION: PLANNING APPL# ❑NO PLANNING g k VVAL I E3 TER' EICHLER HOME? ❑NO By my signature below,I certify to each of tiie foHoWing I ain the,proptaly owner or authorized agent to act ou the property owner's behalf. I havc.T=d this application and the information I have provided,' o' I ave read the Description of work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to n.VOze representativeS:of Cupertino to enter the above- ed pzogerry for inspection purposes. Signature of Applicant/Agmt Date. 21 SUPPLEMEIVTAVINFORMA O .REQUIRED PLAN CHECK TVrE RotiTU.csL>P' New SFD or Multifamily dwellrngs: Apply for demolition permit for © OVER THF-COUXTER ❑ 'BUILDING PLAN REVMW existing bi0ding(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PL.--NNLNG PLAN REvmw Commercial Bldgs: Provide a campleted Hazazdous Materials Disclosure ❑ STANDARD ❑ gUBLIC u oRxs form if any Hazardous Materials are:,'Dina used as part of this proj ect El LARGE ❑ DEPT _Copy of Planning Approval!;otter.or Meeting with Planning pear to ❑ �oR ❑ S S7ITARY SEWER submittal of Building Permit application. ❑ ENVIROINWENTALHEALTH BIdgApp_2011,doc revised 06121/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10649 Maplewood dr DATE: 06/13/2013 REVIEWED BY: Mendez APN: BP#: /30 �7al os. *VALUATION: 1$24,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY Buildino is PENTAMATION USE: Mufti-Family Dwelling >3 Stories 0 Yes 0 No PERMIT TYPE: 1 R2RE WORK apt a - remodel bathroom 120 kitchen 160 add new laundry room upgrade electrical panel and SCOPE plumbing , fcc °Icy<� Fllfl"�TZ_11 1'hrnt>. /'Irz ;dr.�=< Elec.Plan Check 0.0 hrs $0.00 eL1117111- gait f'ee t'f;tntr;. N..`r->niz' F�?eZ: Elec.Permit Fee: 1EPERMIT t"3Pr'tc't Irz<<f.Irr, C)rfr<-rfaznOr Ina?, L _j Other Elea Insp. 0.0 hrs $45.00 1c ch, h,zs,s, Fee,'s Phonb,Imp, Fee: cif°i'. h?sir, I-r:e: NOTE: This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These.fees are based on the prelimina information available and are only an estimate. Contact the De t or addn'Z info, FEE ITEMS (Fee Resolution 11-053 E . Zddj2 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 s.f. Remodel,Kitchen(<=300 sf) Suppl. PC Fee: (F) Reg. 00 T0.0 hrS $0.00 $0.00 IREMRESKIT PME Plan Check: $0.00 = amps Electrical Permit Fee: Hourly Only? 0 Yes Q No $0.00 $45.00 IBELEC200 Services Suppl. Insp.Fee.0 Reg. ® OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $45.00 Administrative Fee: 1ADMIN $42.00 Q Work Without Permit? 0 Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential 0 Travel Documentation Fee: ITRAVDOC $45.00 Building or Structure 0 i Stronjz Motion Fee: IBSEISMICR $2.40 5.0 hrs Inspections Bldg Stds Commission Fee: IBCBSC $1.00 $665.00 1STINSP Inspection,Hourly $710.00 TOTAL FEE..`. $135 40 - ... .. . .. $845.40 Revised: 04/29/2013