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13080058 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21558 FLINTSHIRE ST CONTRACTOR:CHRIS DONATELLI PERMIT NO:13080058 BUILDERS OWNER'S NAME: JENKS JEFFREY MAND NANCY S 534 HORNING ST DATE ISSUED:08/07/2013 OWNER'S PHONE: 4082556865 SAN JOSE,CA 95112 PHONE NO:(408)2874886 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALEI License Class Lic.# &q t'1 0 J REMOVE(E)BEDROOM WINDOW,ENLARGE OPENING d PER Contractor Date t� PLAN TO MEET EGRESS 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: [1, I have and will maintain a certificate of consent to self-insure for Worker's YY 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:$8000 �V 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:35620028.00 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 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 M LAST CALLED INSPCTION. 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 Issued by: Date. with all non-point source regulat' s per the Cupertino Municipal Code,Section 9.18. � OJ %gip ✓ p RE-ROOFS: Signature 1 A Al Date o 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-BUILDERIDECLARATION 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(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 25505,25 ,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this O permit is issued. Owner or authorized agent: Date: b 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. It 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 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•building(cDcupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS �J L K rn i ,C^� ` APN# 2 S 6 , ca , b 7 0 _ OWNERNAME 5e ` oN ' P�' c� E-MAIL J STREET ADDRESS �� ! �L CITY, STATE,ZIP j/ �(_:, Cf C f ) FAX CONTACT NAME D�� OAJ r PHONE g .-8-4` n E-MAIL / STREET ADDRESS C�2J(„'V 1( � , CITY&TE,ZIP ❑ pox OWNER ❑ O✓WNER•J-BUILDER ❑ OWNER AGENT CONTRACTOR 11 CONTRACTOR AGENT F❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME l�` //I� / LICENSE NUMBER //�� LICENSE TYPE /� BUS.LIC# COMPANY NAM 01�;S In /I �t/"f oCC S EMAIL r {0FAX � ��`i _/�. ( O C•f1�' �j f STREET ADDRESS r 3 CITE,STATE,ZIPlct k7 C� (�s PHO .�8 6 41 ARCHITECT/ENGINEER NAME LICENSE NUMBER 'C BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK \ QO7 y I � f� 8�3 i� I�ce Jc J(h� e (�A- cv SL o� l EXISTING USE PROPOSED USE CONSTR TYPE #STORIES 21 7 _ USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR � DEMO TOTAL v AREA AREA I/1 AREA /60 NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA I GARAGE AREA: DETACH ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY []YES 1 BEING ADDED? AZNO ADDITION? XINO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YESRECE TOTAL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO Q o `1 0 By my signature below,I certify to each of the following: I am the property owner or autho ze gent to act on the property owner's behalf. CC1II have read this application and the information I have provided is correct. I have read the Description ofWorkWnd verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buMng construction a tho. e representatives of Cupertino to enter the al�e-identified property for inspection purposes. Signature of Applicant/Agent: Date: 0 SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for OVER-TUE-COUNTER BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance ofbuildingo permit for new building. ❑ EXPRESS ""PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. E LARGE ❑ FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. ❑ MAJOR ❑ SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 21558 FLINTSHIRE ST DATE: 08/07/2013 REVIEWED BY: MENDEZ APN: BP#: *VALUATION: 1$8,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or DuplexI- I PENTAMATION 1GENRES USE: p PERMIT TYPE: WORK REMOVE E BEDROOM WINDOW ENLARGE OPENING PER PLAN TO MEET EGRESS SCOPE . IN (n 01,111 Mech. Plan Check Phnrrb.Plan Check Elec..Plan Check Ntech.Permit Fee: Plumb.Permit Pee: Elec. Permit Pee: Other;t4eeh.Insp. Other Plumb Insp. Other Elec.Insp, Li 11eeh.Insp.l'czc: Plumb. Insp.Tee: Elec.Insp.I'c'e: NOTE:This estimate does not include fees due to other Departments(Le.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'l info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F-T-1 # Window/Sliding Glass Door Supp/.PC Fee: Reg. OT TF0.0 hrs $0.00 $418.00 I WIIVREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee-0 Reg. Q OT F070 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Conswttction .Tax.- -F-T Administrative Fee. Work Without Permit? 0 Yes (j) No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential E) Building or Structure Travel Documentation Fees0: Strong Motion Fee: 1BSEISMICR $0.80 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 Via_ � 5 � $1.80 $418.00 �. , J �� $419.80 Revised: 07/01/2013 07/24/2013 . 23:17 4682556865 TENKS PAGE 02 (A-X A-It Document referred to in Chapter 19.28.070B (2) Release of Privacy Protection Measures Single-Family Residential Ordinance Ordinance 19.28 (Single-Fm ly) requires that after September 21, 1998, all new two-story additions or homes be required to complete privacy protection mea$ures. Staff may grant a modification or deletioTi. to this requirement if the adjacent affected property owners sign a release agreeing to modify or delete the requirement Date Property Location Address �r Jr. 4/N S{ 1 agree to waive or modify the privacy protection measures required of the Single-Family Residential Ordinance as follows: Property Owner; V V (�- Address- Mone; ` Signature: (Ord,1860,f§1(part),200Q;Ord.1834,(part),1 07/26/2013 06:02 4082556865 JENKS PAGE 01 Me%#,�w Afpmvd P-d Document referred to in Chapter 19.28.0701(2) Release of privacy Protection Measures Single-Family Residential Ordinance Ordinance 1.9.28 (Single-Family) requires that after September 21, 1998, all new two-story additions or homes be required W complete privacy protection meastires. Staff may gxant a modification or deletion to this requirement if the adjacent affected property owners sign a release agreeing to modify or delete the requirement. Date _ -- PropeTty Location 7, CSC [0 !M ,Address 1 agree to waive or modify the privacy protection measures required of the Single-Pamily Residential Ordinance as follows: Property Owner; -T7 5kbk ' Address'. Phone: O — Signature: (Ord.185o, (part),20ap:Ord.1834,(part),1999) 08/01/13 09:12AN SHASTRI 6509381267 p.01 Document referred to in Chapter 19.28.070B (2) Release of Privacy Protection Measures Single-Family Residential Ordinance Ordinance 19.28 (Single-Family) requires that after September 21, 1998, all new two-story additions or homes be required to complete privacy protection measures. Staff may grant a modification or deletion to this requirement if the adjacent affected property owners sign a release agreeing to modify or delete the requirement. Date—t Propeity LAddrocation Z !`.5.� �/ s I agree to waive or modify the privacy protection measures required of the Single-Family Residential Ordinance as follows: Property Owner`� 1_a:z Y� �,v�; ��• c4 �' ��1 ..1Lv' �M �.��µ Address: Z Z e f'rDr- C 1-i-_ P/! Phone: (2 • fa Signature: `(Ord.1860,§1(part),2000;Ord.1834,(part),1999) Site Information: Scope of Work: APN #: 356-20-0281) Remove (E) bedroom window. COMMUt`11TYD��Et_OPPJIENTDEPARTMENT 2) Enlarge opening per planCUPERTIN© . BUILDING DIVISION-CUPERTINO Euiiding Department 2 Story Residence APPROVED .3) Donot change any existing diagonal bracing or shear walls. Eglc This set of plans and specifications MUST be kept at the 4) Place (N) 4x8 PSL under (E) top plate. AUG 0 -7 2013 M jo`�site d ;n cons#ruction. It is unlawful to make any 5) Frame rest of window using conventional framing practices. o REVIEWED FOR CODE COMPLIANCE N c`rar,utis or alterati ens on same,or to d:�viaie \ Zoned: R-1 , th(-refrom,without approval from the Building 0rficia.l. Reviewed BY: Original Build: 1973 T` of this plan and specifications SHALL NOT 9 . :`p,i mit or t0 lit an applroval of the,L tOi:'`t-rl Applicable Codes. (' )F'O ! ions of any'Oity 0idinance or Law. 2010 CA Residential Code l'LOT 2010 CA Building Code xEc BY AaTE � ,13' � d- cit o ANNINC W 4J o �q ARL NOW ILL 110 Structural Detail. Floor Plan: �Ve 1-4 U 8036TS (N) 4x8 PSL under (E) top plate 1413/411 (same size as (E) Header) Remove(E)8030 and co Bath Replace with(N)8636 pp a (N) opening 6" wider & 6" taller than (E) C0 2468 2' _ 1 _ 70 d total of 8'-6" x 3 -611 M cVPAa _ Bedroom •+ A V) a r Closet 01) � LO •� V o�0 r 0 O 2x4 tods @ 16 O.C. - N ° c00 . S _ d' c co UM � � 130" � scale: 1/4" = 1'-0" x o a a N Q dye