13060123CITY OF CUPERTINO BUILDING PERMIT I
BUILDING ADDRESS: 7344 RAINBOW DR I CONTRACTOR: ED I PERMIT NO: 13060123 1
OWNER'S NAME: BEEDLE FAMILY LLC I lYt5 l) l "C:r W 1 ki J>DLO.:� S I DATE ISSUED: 06/14/2013 I
OWNER'S PHONE: 4086748997 1 , 1 PHONE NO:
❑ LICENSSED CONTRACTOR'S DECLARATION
License Class C tl / L`ic. # / 6 J
Contractor 14406 l Date 6 I /
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.
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
permit is issued.
APPLICANT CERTIFICATION
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
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regOy per the upertino Municipal Code, Section
9.18.
Signature � Date
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
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.
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
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
become subject to the Worker's Compensation provisions of the Labor Code, I must
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
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
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
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.
Signature Date
BUILDING PERMIT INFO: BLDG r- ELECT r- PLUMB r-
MECH r- RESIDENTIAL r- COMMERCIAL r -
JOB DESCRIPTION: UNIT 3 & 4 - REMOVE AND REPLACE (2) WINDOWS,
REMOVE (2) SLIDING DOORS AND INSTALL WINDOWS
Sq. Ft Floor Area: I Valuation: $2900
APN Number: 36619021.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: :Figit/ r!/' lift Date: 6 '! y '%3
RE -ROOFS:
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.
Signature of Applicant: Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(a) should I store or handle hazardous material.
Additionally, should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Sins 25505, 25533, and 25534.
//%J !A
Owner or authortz gent: Date• V /7 - 2,0(1,
C'7
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of work's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingacugertino.org
13C) (, o r Z5
❑ NEW CONSTRUCTION ❑ ADDITI6N ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS � � � /'
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❑ OWNER 13OWNER-BUILDER1:3OWNER AGENT 11CONTRACTOR 13CONTRACTOR AGENT 13 ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
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LICENSE NUMBER��,7l `J {
LICENSE TYPE/' /
BUS. LIC #
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ARCHITECT/ENGINEER NAME
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BUS. LIC #
COMPANY NAME
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CITY, STATE, ZIP
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DESCRIPTION OF WORK / �� % ^t (-f ' keA " t"� 49�,A�--fi 7C�� !+ C/v l,.-A�w
EXISTING USE
PROPOSED USE
CONSTR TYPE
# STORIES
I
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA GARAGE AREA: LJ DETACH
❑ ATTACH
# DWELLING UNITS:
IS A SECOND UNrr ❑ YES
SECOND STORY ❑ YES
BEING ADDED? ONO
ADDITION? ONO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES51'-RECEIVED�B
'' '':�`
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TOTAL VALUATION:
PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER
EICHLER HOME? ❑ NO
_
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is correct a read the scription of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building constructio thorize re sentatives of Cupertino to enter the above -identified propertyfor inspection purposes. _
6 / �r /
Signature of Applicant/Agent: Date: 1
SUPPLEMENTAL INFO TION REQUIRED
��EY
�y EL4IVCHECKTYP
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ROirlI1�G LII's ..�1,
New SFD or Multifamily dwellings: Apply for demolition permit for
IPM
ROVER_TH>rCObNTER
-.
_
existing building(s). Demolition permit is required prior to issuance of building'
�fi`BUIiDINGPLANREVIBS�
permit for new building.
ExrisQ=
P ePiruvvsEt}
Commercial Bldgs: Provide Hazardous Materials Disclosure
ZVOIT
�fivP wolzxs_ _
_ a completed
_ ARDS
form if any Hazardous Materials are being used as part of this project.
04°
_ Copy of Planning Approval Letter or Meeting with Planning prior to
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submittal of Building Permit application.
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YsxISTRI:
BldgApp_2011.doc revised 06/21/11
� CITY OF CUPERTINO
1WF"'"�►IJJ1 1 1VF. F.CT11%4ATnR — 111TII DINE DIVigION
,Vf cch. Plan Check
v ch. Permit Fee:
Other Alech. Insp.
.A3ech. Insp. Fee:
Plumb, Plan Check
Plumb. Permit Fee:
Other Plumb Insp. Li
Plumb. Lisp. Fee:
Elec. Plan Check
Elee, Permit Fee:
Other Elee.Insp.
Elec. Insp. Fee:
NUI E: %his estimate noes not inctuaciees aue to orner ueparimems (Ne. riammng, ruuuc rrurna, -sic, .••u•y ��rv�• .�•�•••�•, �.�••��•
District, etc.. Theseees are based on the prefindna information available and are only an estimate Contact the Dept for addn'l info.
ADDRESS: 7344 Rainbow Dr
DATE: 06/14/2013
REVIEWED BY: Sean
MISC ITEMS
APN:
BP#:
'VALUATION: $2,900
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair'
PRIMARY SFD or Du lex
USE: p
$0.00
PENTAMATION 1GENRES
PERMIT TYPE: A
WORK
Units 3 and 4: Remove and replace 2 windows; remove 2 sliding doors and install windows.
SCOPE
$0.00
,Vf cch. Plan Check
v ch. Permit Fee:
Other Alech. Insp.
.A3ech. Insp. Fee:
Plumb, Plan Check
Plumb. Permit Fee:
Other Plumb Insp. Li
Plumb. Lisp. Fee:
Elec. Plan Check
Elee, Permit Fee:
Other Elee.Insp.
Elec. Insp. Fee:
NUI E: %his estimate noes not inctuaciees aue to orner ueparimems (Ne. riammng, ruuuc rrurna, -sic, .••u•y ��rv�• .�•�•••�•, �.�••��•
District, etc.. Theseees are based on the prefindna information available and are only an estimate Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/122
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
4 # Window / Sliding Glass Door
$400.00 1 WINREP Replacement
Suppl. PC Fee: 0 Reg. ® OT
0.0 1
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee—.0 Reg. Q OT
F0701hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax: _T_T
Adlinlnistrative .Fee:
0
Work Without Permit? 0 Yes 0 No
$0.00
Advanced Planning Feer
$0.00
Select a Non -Residential
Building or Structure
Travel Documentation Fees:
Strong Motion Fee: 1BSEISMICR
$0.50
Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC
$1.00
mom
,Vf cch. Plan Check
v ch. Permit Fee:
Other Alech. Insp.
.A3ech. Insp. Fee:
Plumb, Plan Check
Plumb. Permit Fee:
Other Plumb Insp. Li
Plumb. Lisp. Fee:
Elec. Plan Check
Elee, Permit Fee:
Other Elee.Insp.
Elec. Insp. Fee:
NUI E: %his estimate noes not inctuaciees aue to orner ueparimems (Ne. riammng, ruuuc rrurna, -sic, .••u•y ��rv�• .�•�•••�•, �.�••��•
District, etc.. Theseees are based on the prefindna information available and are only an estimate Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/122
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
4 # Window / Sliding Glass Door
$400.00 1 WINREP Replacement
Suppl. PC Fee: 0 Reg. ® OT
0.0 1
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee—.0 Reg. Q OT
F0701hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax: _T_T
Adlinlnistrative .Fee:
0
Work Without Permit? 0 Yes 0 No
$0.00
Advanced Planning Feer
$0.00
Select a Non -Residential
Building or Structure
Travel Documentation Fees:
Strong Motion Fee: 1BSEISMICR
$0.50
Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC
$1.00
$1.501 $400.00 $401.50
Revised: 04/29/2013
CUPERTINO
CONTRACTOR / SUBCONTRACTORLIST.
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS: �97f-�a G�� .
PERMIT,# `G6 4-1
OWNER'S NAME: -zCE L Z C
PHONE #
GENERAL CONTRACTOR: , ds f" S
BUSINESS LICENSE
CITY/ZIPGODE: x-72
*Our municipal code requires all businesses working in the city to have a City offCupertno-business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL -BESFsEDULED UNTIL THE
SA
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE-OBXAIN-EDA (CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors: _
Signature Date
Please check applicable subcontractors and complete the _following information:
Owner / Contractor Signature Date
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 Date