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13080089 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22242 BITTER OAK ST CONTRACTOR:BROTHERS HOME PERMIT NO: 13080089 IMPROVEMENT OWNER'S NAME: VICTORIA ! BRUNMEIER 2510 DOUGLAS BLVD DATE ISSUED:08/13/2013 OWNER'S PHONE: 4087731015 ROSEVILLE,CA 95661 PHONE NO:(408)295-0680 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALD License Class i cicl Lic..# qqo REMOVE AND REPLACE 4 WINDOWS TO MEET EGRESS Contractor t i�° � Nt t�Date INBEDROOMS,2 PATIO DOORS 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:$7068 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:32651030.00 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 F OM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, /� costs,and expenses which may accrue against said City in consequence of the Issued by: Date: �� granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Co p,Section 9.18. RE-ROOFS: Signatur Date 3 t 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. ❑ WNER-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(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,Sec 25 , 3,and 25534. QQ Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: J �� 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,after making 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 APPLICANTCERTIFICATION 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 CUPEiYTINO (408)777-3228 FAX(408)777-3333•buildinq(cilcupertino.orq ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS APN# OWNER NAME �APHON,qL 17 �� E-MAIL STREET ADDRESS G 7 CITY, STATE,ZIP I FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ?R ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME /L LICENSE NUMBER LICENSE TYPE /y BUS.LIC# COMPANY NAME 2 1� E-MAIL C. FAX STREET ADDRESSn CTTY,STATE,ZIPv PHONE 0o 66, n 7-J ARCHITECT/ENGINEERNAME LICENSENUMBER BUS-LIC 4 G COMPANY NAME E-MAIL FAX - STREET ADDRESS. CITY,STATE,ZIP PHONE DESCRIPTION OF WORK Z4t' n P� EXISTING USE PROPOSED USE CONSTR.TYPE 1 #STORIES 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 I GARAGE AREA: U DETACH ❑ATTACH #DWELLING UMTS: IS A SECOND UNIT []YES SECOND STORY ❑YES BEING ADDED? []NO ADDITION? ❑NO PRE-APPLICATION [I YES IF YES,PROVIDE COPY OF 1S THE BLDG AN ❑YES T016L VALUATION: PLANNING APPL# []NO PLANNING APPROVAL.LETTER EICHLER HOME? []NO F d By my signature below,I certify to each of the following: I am the property owner or auth rized ent to act on the property owner's be If I have read this application and the information I have provided is correct. I have read the Description of Work k6d verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating t ing co ruction. authorize representatives of Cupertino to enter the above-i entified rorpe��rty for inspection purposes. Signature of Applicant/Agent: Date: 3 J SUPPL RMA QUIRED a _New SFD or Multifamily d ings: Apply for demolition permit for Ux *F � O R TAUNTER existingbuilding(s). Demolition permit is required prior to issuance of buildm trg permit QBTJII DIIQ61zLAN RE a for new building. a�mlEXPRSs '�� ❑ r TrGLA15itEc IEw � Commercial Bldgs: Provide a completed Hazardous Materials Disclosure , TaIyDARD `r ; x �pg4PVBYcwb form if any Hazardous Materials are being used as part of this project. 11RGE � fit " � "` � ,,�, �' *� `"❑ SIRE DEPT� € � �,-� _Copy of Planning Approval Letter or Meeting with Planning prior to fi� MAJOR z� � �- ❑ SANTTARY4SEWER,DJSTRICT � � submittal of Building Permit application. „ >,, .❑;ENYIROP(IYIENTALSIiEALTH ,�' B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ." ADDRESS: 22242 BITTER OAK ST DATE: 08/13/2013 REVIEWED BY: MENDEZ APN: BP#: *VALUATION: 1$7,068 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex PENTAMATION 1GENRES USE: PERMIT TYPE: WORK REMOVE AND REPLACE 4 WINDOWS TO MEET EGRESS IN BEDROOMS 2 PATIO DOORS SCOPE jWch..Plan Check Phuub.Plan Check Elec.flan Check 4leclt. Permit Fee; Plumb.Permit Fee: Elec. Permit Fee: Other;llech.Imp. Other Plumb Insp. Other Elec.Insp. Li <llech.Insp.Fete: Plumb. hts1).Fee: Elec.Insp,Fee: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). These AW are based on the prelimina information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS(Fee Resolution 11-053 E . 7�f /1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # Window/Sliding Glass Door Suppl.PC Fee: (F) Reg. ® OT0.0 hrs $0.00 $418.00 I WINREP 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 Construction Tax: Adininis trative.Fee: Work Without Permit? ®Yes 0 No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential 0 Building or Structure 0 Trovel Documentation Fees: Strong Motion Fee: IBSEISMICR $0.71 Select an Administrative Item. Bldg Stds Commission Fee: IBCBSC $1.00 $1.71 $418.00 - :< ,n _ $419.71 Revised: 07/01/2013 GLENOAKS PARK VILLAS ASSOCIATION 10902 Sweet Oak Street • Cupertino,California 95014 EXTERIOR MODIFICATION PERMIT (( j N�— - Applicant(homeowner)Name Vi L Co.Y&2i A- A� t Address L2 `7- K Lot Number C7 Nature of modification� � c 10 1 k)b e)u-)5 LLr I •T11 ��tl�'� ��� L�-f�TI�� �,l i l� `/�-- ��'i�-1 The Architectural Committee and Board have reviewed your application received on APPROVED DENIED ❑ PERMIT NO.- Conditions O:Conditions of Approval(where boxes checked): Full maintenance of modification will now and ever after remain at your expense or that of any future owner of this property. You or a future owner may not alter this modification without prior approval of the Architectural Committee. ❑ You must submit this permit to obtain a building permit from the City of Cupertino. ❑ You must submit a copy of the drawing as approved by the City of Cupertino. Upon completion of the modification you must notify the Architectural Committee so it may inspect for its final approval. Additions/repairs must be painted to match original structure. Wood trim: Kelly-Moore 1245 Acry-Shield Wood Moss#197 Stucco: Kelly-Moore 1240 Acry-Shield, Oyster#26 ❑ S Approved by XrcW=tuml Committee Date Biiard of Directors Date Owner agrees to conditions of approval Date Final Approval-Architectural Committee/Board =f-` ��- Date Glenoaks/ExtModPermit rev 0312 C, .eA--(Wo -g 130(12-& 222y2 f�rrTElr o4) Sr- q w I UPERTIN4 ��-�$� CG--v� ._.. De anent � a to . iiuilding P plat 13 2013 uANCE � CODE COMP © � REVIEWEa � OR 'i Reviewed BY X D fD O E� BATS 16 m D ._h it O O d O W 0 NOEr Oa. 0 co OM O a c�i j Fz C W :w ErS N O W C={ O O ' ro ai ;q: t J l< s � < va 0-0 1 JAL n ` o rn [ � -a l ti'Y6' n i� m p G p )A� ) (D g ING DEQ'ii' eorrrd l � � O (A o < G m Co <. BLDG. `SD