Loading...
13060122 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7330 RAINBOW DR CONTRACTOR:TBD-TO BE DETERMINED PERMIT NO:13060122 OWNER'S NAME: THE BEEDLE FAMILY DATE ISSUED:06/14/2013 OWNER'S PHONE: 4086748997 PHONE NO: ❑ LICENSED CONTRAC(T�jOR'S DECLARATION BUILDING PERMIT INFO: BLDG r– ELECT[_ PLUMB License Class �/ Lic.# / /Joy: MECH RESIDENTIAL COMMERCIAL Contractor A , (/yi/�eu. Date �' /y–/," I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:REMOVE AND REPLACE I SLIDING GLASS DOOR AND 1 (commencing with Section 7000)of Division 3 of the Business&Professions WINDOW IN UNITS 3 AND 4 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 Sq.Ft Floor Area: Valuation:$2900 permit is issued. APPLICANT CERTIFICATION APN Number:36619079.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. ,� 'J Si Issued by: �7� f}/=l% Date:�p `t�•�3 Signature Date 4` — / ❑ OWNER-BUILDER DECLARATION RE-ROOFS: 1 hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for 1,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. Compensation laws of California. If,after making this certificate of exemption,I aut ec e become subject to the Worker's Compensation provisions of the Labor Code,I must Owner or forthwith comply with such provisions or this permit shall be deemed revoked. Date: CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional 06041?,_,� CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPi~RTrNO (408)777-3228• FAX(408)777-3333•build ingO)cupertino.orq ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS -1 , / ` ^^ ,, V APNN# < 72 OWNER NAME f� t PHONEyd.0- � D�/ EMAIL STREET ADDRESS/ 3 / / , CITY, STATE,,ZIP a FAX CO.1 NAME4 S ���2 e PHONK5V � -7 f��� EMAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CO 'AC OR AME i, 1^ LICENSE NUMBERQ� LICENSE E/ BUS.LIC# C,OPI 4__.p ll GgVr (�I�'dJOL_S, FAx ADDRESS /J� C7 A CITYAr PHONE ARRCCiHITECT/ENGINEERNAME �J LICENSE NUMBER BUS. I COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK 11 C1 2 SL/d..t-C /i-S1-114& `." 1 (,A)-or -,-w 4A1W 6V1ii 4 EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXLSTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA I DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: LIDETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY OYES BEING ADDED? ONO ADDITION? ONO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES :12ECEIVED3BY "'I4 •4 �, -' TOTAL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO u 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. I e ead the Descr' tion of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building constmctio . 0 ' es of Cupertino to enter the above-identified property for inspect, n purposes. Signature of Applicant/Agent: Dater / �� SUPPLEMENTAL INFO TION REQUIRED r� ,� �t PLz1NCHECKTYP.< ROUTIISG¢I.IP6•. New SFD or Multifamily dwellings: Apply for demolition permit for �� t �>„ �� � •�-.��• existing building(s). Demolition permit is required prior to issuance of building4*of TCotm Ex Tyl � suILn1 cP> v �tEW permit for new building. _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ,sT +DARD� 1ruBLldoBxs form if any Hazardous Materials are being used as part of this project. i _ • Copy of Planning Approval Letter or Meeting with Planning prior to �E Fz bs r submittal of Building Permit application. aox � _SATTAR�YSEpvERDISTRI e. � BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION �10� 6 ADDRESS: 7330 Rainbow Dr DATE: 06/14/2013 REVIEWED BY: Sean APNs BP#: "VALUATION: 1$2,900 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Repair PRIMARY SFD or Du lex PENTAMATION 1GENRES USE: p PERMIT TYPE: WORK Units 3 and 4: Remove and replace 2 windows; remove 2 sliding doors and install windows. SCOPE y N.. _. , VOWS IN fech.Plan Check Plumb.Plart Check Elec..Plan Check 4lech, Permit Fee: Plumb.Permit Tee: Elec.Permit tee: r1f,h,h. Afcch.Insp. Other Plumb Insp. Either Elec.Insp. Insp.Fee: Plumb. Insp.Fee: Elec.Insp.Fee: NOTE:This estimate does not include fees due to other Departments(be.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'1 info. FEE ITEMS(Fee Resolution 11-053 E . 7ff 11/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 4 # Window/Sliding Glass Door Suppl.PC Fee: (j) Reg. ® OT 0.0 hr's $0.00 $400.00 1 WINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee-.0 Reg. ® OT0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Administrative.F e: Work Without Permit? ®Yes No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential Building or Structure Travel Documentation Fees: Building Strona Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 s _ 4 $1.50 $400.00L $401.50 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 JOB ADDRESS: PERMIT# OWNER'S NAMEV/j/�„ .GxL�sC€ /t.Nsf PHONE# GENERAL CONTRACTOR: 4.gAdA W;1"60 L-'f BUSINESS LICENSE41 ADDRESS:2 C(Y( 49,, #- 17-04� CITY/ZIPCODE: ��? yd©2 *Our municipal code requires all businesses working in the city to have a City of Cupe'rtirio business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL-BE-SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A .CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: / / U/3 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 Date : t , � A : I i i , , i - . : -- pit Or COMMUNITY DEVEI .,:t DFF7,ARTMILENT This bQ#iof plans and sort Fri os� 7ST b' kz,plf at the Job sits.dura Ic construe i, n. it 1s:,lsllom.`bl tr = a't J _.. !Hill `ci5s or alter i"', _- therefrom,without ass . S- 'I � ~ ' r.,arovz from i Ie 5.u. r, The ?pint of Cels p'.an 4r,.ti ,,_ cif iut " t 1 i— I I I id tU lv .a.1 i't'of .W i,ICif 7 <,o%'.a; ;y;t I., of any provisions of anty t✓i.l l is l co c ByDAXE O. $ -N PE��4�IT lv I