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13070145 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10313 COLBY AVE CONTRACTOR:ANDERSON PERMIT NO: 13070145 INSTALLATION OWNER'S NAME: WENDELL&STACI YEE 696 AUZERAIS AVE DATE ISSUED:07/23/2013 OWNER'S PHONE: 4082106331 SAN JOSE,CA 95126 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALE] License Class f3 Lic.# 5-6 0 6 U l REMOVE AND REPLACE 10 WINDOWS TO MEET EGRESS �L�—� > IN Contractor A n a e r s ,� In ST,4 ffiftie'' BEDROOMS,I DOOR 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. Sq.Ft Floor Area: Valuation:$4200 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:31629026.00 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 WITHIN 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 DA OM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City inconsequence of the 7.95/3granting of this permit. Additionally;the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date 7 Z 7—c ' 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) 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. .1 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 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 I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized ager Date: f 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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION �� CUP]=1aTtt�EO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333•build ing(a.cupertino.org �� [:]NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/Ti ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROTECT ADDRESS 10313 C� I &_,.( APN# OWNER NAMEee �e r PHONE C,/�()�/ 'Z_/G 43b, E-MAIL STREET ADDRESS 313 W /6 A� CITY, STATE, IZIP �� uFAX CONTACT NAMEd �/� SC /� (� f 11 PHONE �/�O U r�3 J E-MAIL- STREET ADDRESS Gj �l CITY,STATE,ZIP Cl C/ / FAQ_ ✓�') g( -e`(00 11 OWNER 11 OWNER--BUILDER 13 OWNER AGENT N1'RACTOR 11 CONTRACTOR AGENT ❑ ARCHITECT ❑OENGINEER 11 DEVELOPER ❑TENANT LICENSENUMEER LICENSETYPE BUS.LIC# CONTRACTOR NAME h cue�sdti Vj tl r/iv COMPANY NAME E-MAIL FAX STREET ADDRESS 6 V u7_e r i f ,--c CITY,STATE,ZIP S( C S) L / PHONE Yc, Z.15- c-52,06ARCHITECT/ENGINEER NAME LICENSE NUMBER ! C BUTS.LI # l COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION(S) ExLSTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA I GARAGE AREA DETACH []ATTACH :DWELLING UNITS: IS A SECOND UNIT F]YES SECOND STORY []YES BEING ADDED? []NO ADDITION? ANO 17 PRE-APPLICATION []YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES :RECEIVED_ ., r -' TOTAL VALUATION: PLANNING ADPL# []NO PLANNING,APPROVAL LETTER EICHLER HOME? []NO Y { c"� � By my signature below,I certify to each of the following: I am the property owner or authorize gen act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and v it is accurate. I agree to comply with all applicable local ordinances and state laws relating to build' c nstruction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: ` 7 SUPPLE AL INFORMATION REQUIRED ` 56� Q r At?� c Yr. a ou .c L-10 New SFD or Multifamily dwellings: Apply for demolition permit for RTHIrCO.IIh�ER BUIL�L�GLANREVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ExPxEs Edi rLANNONGriNn _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure rII�L�Icw = F form if any Hazardous.Materials are being used as part of this project. �_5�FII SEPT _Copy of Planning Approval Letter or Meeting with Planning prior to ' submittal of Building Permit application. �� sATrax�s xDssTxreF w mss: v .r El�VD20!�VIE\TAIHEAIsZA .' B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 10313 colby ave DATE: 07/23/2013 REVIEWED BY: Mendez APN: BP#: *VALUATION: 1$4,200 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1GENRE wORK remove and replace 10 windows to meet egress in bedrooms 1 door SCOPE 4 11110 e . Lfech.Plan Check Phimb.Plan Check F_lec..Plan Check iLlech.Permit Fee: Plumb.Permit Fee: Ekx. Permit Pee: Other Alech.h-up. Other Plumb Insp. LJ Other flee.Insp. A3ech,Insp,Fee: Plumb. Insp.Fee: Elec.hasp.Fee: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Theseees 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 . 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 11 # Window/Sliding Glass Door Suppl.PC Feer Reg. ® OT 0.0 hrs $0.00 $557.00 IWINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee-(E) Reg. ® OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 tonstruction .Tent: Administrative Fee: Work Without Permit? ®Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential Travel Docum entation Fees: Building or Structure_ i Strong Motion.Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 $1.50 $557.00 ��. - $558.50 - Revised: 07/01/2013 f fo3 ► .l �',) i b V( C�pe�rl� o � SDiY l0 wi �►o�w.� I Door R (�lg6f Like e7'�15f-5 a�enrn(5� 6040 6066 xJr �04� Sc X& 6040 L � �I�� s L _ 0 P- C��o BLOW res S L ►h f`n CMCKSD DY 7 ,/,9 tl Z NG DEPT. SL " =� fo e ,e U ACD(:. PF.PT.�— 60V (dY� S )( 0 Q Vd s 13 NE 3 ti0 P c COMMUNITY DEVELOP,,."ENT D;:PAR7",el "NT /Vl A I h O�c J� BUILDING DI`,fiSiON-'CUP=R1"iiVO This set of plans and spec..ifica ±ons lv!U'T hr� r:fi Job site during construction it unlav changes or alterations on ,,nr16; cr.,.." therefrom,without approval Fec"m the. The s" :nping of this plmn mid s-c�ci5c.!;t ... ., . be hold to pe snit or to ' s"; , . of any provisions of any Gi_y Cnd,,ance ANk Aft BY S 1 Vt c DATEa _ Uupfl PERMIT NO. 3 chi