The URL can be used to link to this page

13080142 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22331 KENDLE ST CONTRACTOR. G'j L PERMIT NO:13080142 CoYvST?1�v�T�On� OWNER'S NAME: SCHOOLEY LOUISE B DATE ISSUED:08/20/2013 OWNER'S PHONE: 4082451277 PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALE] License Class_ Lie.# 5 S—F ADD 2(N)POST LIGHTS ON(E)FENCE(FENCE BEING RE-BUILT,3 FT HEIGHT) Contractor � t �f�Z"Date 0 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:$5000 1 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:32613107.00 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 WO OT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 PE SSUANCE 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>3W-FROM LAST LED 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 granting 1 granting of this permit. Additionally,the applicant understands and will comply sued by: Date; �d wit�all on-point so ulationsper the Cupertino Municipal Code,Section9.1RE-ROOFS: Sige Date 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) 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 ,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent Date: 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 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 GENERAL PERMIT APPLICATION � MEP COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION �v 10300 TORRE AVENUE•CUPERTINO,CA 95014-32550 CUPERTINO (408)777-3228•FAX(408)777-3333•building(ftypertino.org \ MISC ❑PLUMBING ❑MECHANICAL LECTRICAL [—]MISCELLANEOUS PROJECT ADDRESS 2- 331 E LE T APN# _ r ( Q OWNER NAME / O { S c ' C�^ ,^O L PH TjlEO�_ q�_- 1 ,2 ,2 � E-MAIL STREET ADDRESS `] CITY,STATE,ZIP FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAMEf _ k+uC O-` LICENSE NUMB R LICENSE TYPE B LI # Si COMPANY NAME M lll.... "'�I N C, E-MAIL - FAX Co Ez C •N�T- STREET ADDRESS� CAE l C Y,STATE,ZIP rVA-I l f ([6-9(, 9`o Pvit l y,.3 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# (p COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SFD or DUPLEX ❑ MULTI-FAMILY PROJECT IN wnDLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑ YES BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑ NO DESCRIPTION OF WORK �^ ,C W1 w t 1 TOTAL VALUATION: oo 0 . 00 EIVEDBY: 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 be alf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relat g t ullding cc n. I utho' e represen 'ves of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION MR1,ED OFFICE USE ONLY W OVER-THE-COUNTER ❑ EXPRESS x V ❑ STANDARD U ❑ LARGE a ❑ MAJOR MEPMiscApp_2011.doc revised 06121111 1. CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 22331 KENDLE ST DATE: 08/20/2013 REVIEWED BY: MELISSA APN: 326 13 107 BP#: "VALUATION: 1$5,000 *PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration/Addition/ Repair PRIMARY SFD or Duplex PENTAMATION 1 REAP12 USE: p PERMIT TYPE: WORK ADD 2 N POST LIGHTS ONE FENCE FENCE BEING RE-BUILT 3 FT HEIGHT SCOPE APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES Fixtures, Pole Lighting 113REMPOLE 2 # $32 TOTALS: °fir .;t_ sH- I- $32 00 ,Meeh. Plan Check Plumb.Plan Check Elec.Plan Check 0.0 hrs $0.00 L1ecl,.Permil. ee: Plumb.Permit Fee: Elec.Permit Fee: IEPER1l1IT FUkh- ech.Insp. Other Plumb Insp. Other Elec.Insp. 0.0 hrs $47.00 Insp.Fee: Plumb. lisp.Fee: Elec.Insp.Fee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These fees are based on the prellmina information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS(Fee Resolution 11-053 Eff. 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check 1,ee: :Suppl. PC Fee PME Plan Check: $0.00 Permit Fe'e: Supp/, Insp Fee PME Unit Fee: $32.00 PME Permit Fee: $47.00 Consir fiction Tax: Administrative Fee: 1ADMIN $44.00 Work Without Permit? ®Yes 0 No $0.00 Advanced Planning Fees: Travel Documentation Fee: ITRAVDOC $47.00 Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 $171.50 $0.00 $171.50 RffRevised: 07/01/2013 Building Department h 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/WBCONTRACTOR.LIST'' JOB ADDRESS: 14"i-E 5—`tale—c— PERMIT# '«O C —L OWNER'S NAME: LOU j S F_- SCWwUfL PHONE# GENERAL CONTRACTOR: VG L CONS-04Y C-T, o tJ 4USINESS LICENSE— ADDRESS. ICENSEADDRESS:-S,4l P-� CLF_ V CITY/zlPCODE ,'5 4 *Our municipal code requires all businesses working in the city to have a City of Cupertino.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: Signature Date Please check applicable subcontractors and complete the following irifo"rmat on: . 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 _e_��Okner/Contractor Signature Date ._.___. ____ ___ _ _. ______ _ _-___-__ __ __ -__. __-__ _ .___-. ---------- PL( -_ I { I I T ;r.A s Y. —9 CK 2 Ii� i I G LOW imoon" WG PT. — AUGfzoo s I i MUN d ELO MEN DEP RTM NT BUIL ING IVISi N-C PER INO 1 1 PROVED i is set of Plans and specifications MU T be (ePt at the aV , Z Z site dur ng c nstru tion. It is nlaw ul to ake any 3 � �� L T ob c anC r s or Iterat ens n s a a e,or o de iate S�Q�i t3 U c �j F!*t !__ U T1O here roan, Mthout approval from he Building Official. 0-k--'T' 8 uIldirg Depart ent Tier stns 7Pinq of this P1,91 and speci icati ns SMALL NOT C),4 Imo ) 1= NGS t c 11L:d to i°ermit or to o �3 f as al f the Violation i ? ance or St to Law. EVI WED FOR CC DE COMPLIA 4CE D#E /3 i evie ed y: PE miT 140. 1 p I I