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13110104CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 23500 CRISTO REY DR UNIT 317F CONTRACTOR: BAY AREA ENTERPRISE PERMIT NO: 13110104 OWNER'S NAME: BARBARA INSEL 2110 MANGIN WAY DATE ISSUED: 11/15/2013 OWNER'S PHONE: 6505371523 SAN JOSE, CA 95148 PHONE NO: (408)238-5043 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIP'T'ION: RESIDENTIAL ❑ COMMERCIAL License Class Lic. # UNIT 317F- REPLACE BATHROOM FAN &SENSOR, y� Contractor(-" Date REPLACE E 18 OUTLETS AND SWITHCES, 7 RECESSED LIGHTS, 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 Sq. Ft Floor Area: Valuation: $2900 performance of the work for which this permit is issued. 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: 34253140.00 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 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 DAY OM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may true against said City in consequence of the granting of this permit. Adda ally, the applicant understands and will comply Issued by: Date: _ with all non -point so ce re ions per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: Signature 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 isnot intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIAL ISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirem is under Chapter 6.95 of the California Health &Safety Code, Sections 25 95, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Mu icipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) sho d 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 equipm nt 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 , re Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the rtin Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sec ' S 5, 5533 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 aboveinformation 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 indemnify and keep harmless the City ofCupertino against liabilities, judgments, ARCHITECT'S DECLARATION 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 V 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 `1� l CUPERT[NC3 (408) 777-3228 • FAX (408) 777-3333 • buildino0cuoertino.orn i�1 ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI REVISION / DEFERREDORIGINAL PERMIT # ltml PROJECT ADDRESS�'3� a Cf -t` - `i v � # �' 1 '341 Z S ! 410 OWNERNAME a&q:M se E-MAIL STREET CII o Cr(r r�f CITY, STAT: ZIP EQ FAX 3R'U � C CONTACT NAME l 1 5 PHONE �fv �^ Z �� r E-MAIL STREET ADDRESS CITY, STATE,, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT VCONTIRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME } L q LICENSE j F� , C LICENSE TYPE BUS. LIC # COMPANY NAME n E-MAIL` FAX STREET ADDRESS f / • G CITY, STATE, ZIP C el h j , PHONE ARCHITECT/ENGINEERNAME V LICENSENUMBER BUS. LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK` f C r— EXISTING USE PROPOSED USE CONSTR TYPE #STORIES I USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: EIDErACH []ATTACH I DWELLING UNITS: IS A SECOND UNIT []YES SECOND STORY ❑ YES BEINGADDED? ❑NO ADDITION? NO Cz� PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES, CE D$,Y''' -;=- TOT V �i; PLANNING APPL # ❑ NO PLANNING APPROVAL ER EICHLER HOASE. []NO T ...cam.._ - ; ` s/%'�. By my signature below, I certify to each of the fo I am the property r authorized age to act o e property o ner's behalf have read this application and the information I have provided ' come t. I have read scnpti0n of Work and verify it ' a e. I agr to comply with all applicable local ordinances and state laws relating to buil ' n. I autho repr entatives of Cupertino to enter the abo 'de tifi property for ' pection purposes. Zf� Sig nature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED az' �IIE4' _ New SFD or Multifamily dwellings: Apply for demolition permit for'j-111 existing building(s). Demolition permit is required prior to issuance of building � WOVE �'HE-COUIITER� ©B DI�CPL�AN,�2E��ES1 z permit for new building. _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project ..:� GE EP Copy of Planning Approval Letter or Meeting with Planning prior to _ submittal of Building Permit application. D 01 rT S3VERUIS RIC B1dgApp_2011.doc revised 06121111 CITY OF CUPERTINO FFF, F4TIMATOR — RIJILDING DIVISION {' ADDRESS: DATE: 11/15/2013 REVIEWED BY: Mendez APN: BP#: *VALUATION: 1$2,900 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Du lex p 0.0 1 PENTAMATION 1REAP10 USE: PME Plan Check: PERTYPE: MIT WORK unit l 7f- replace bathroom fan & sensor, replace 18 outlets and swithces 7 recessed lights, Permit Fee: SCOPE Suppl. Insp. Fee -.0 Reg. ® OT ikfech. Plan Check llech. Permit Fee: Ocher ,Vech. Insp. A3e ch. Insp. Fere: Phimb. Plum Check Plumb. Permit Pee: Oiher Plumb Insp. Plumb. hasp. Fee: Elec. Plan Check 10.0 1 hrs $0.00 Elec. Permit Fee: IEPERMIT Other Elec. Insp. 1 0.0 1 hrs 1 $47.00 Elee. Insp. £'e(.,: NOTE: "Phis estimate does not tnctuaeJeeS aue to other uepanments (ce. manning, ruotic rrurtts, rire, aurutury aewer "tmm_s, ofsuut n:s-:s s.. TG...... F ., n mond — thn Contact the Dent for ad&t 7 info. FEE ITEMS (Fee Resolution 11=053 E . 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 =# Electrical $47.00 IBREMRECEP I Recep/Switch/Outlets Suppl. PC Fee: (j) Reg. ® OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 7 1 Electrical $70.00 1 IBREMFIXT Fixtures, Lighting Permit Fee: $0.00 Suppl. Insp. Fee -.0 Reg. ® OT F0701hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $47.00 t;onsirucaion Tax: Administrative Fee: 1ADMIN $44.00 E) Work Without Permit? ® Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure E) 0 i Travel Documentation Fee: ITRAVDOC $47.00 Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 $139.50 $117.00 � �����' ,�� � �1' � L�FEE� E $256.50 Revised: 10/01/2013 tle-GT-v`(C&-1 K-ep 6c e r� 31 R&P101lw- Old CF -L %r' h¢ih `c%A /� � L�- ,� f f =f !� � r, to S ° *W b&i4 Rz ,,—Qcc qt�,r_ J b y rale f - 2 1"A) Not Available an Comer Units - Si rage -Balcony.-- --- . 13'3'-x TO°__ Bulldin-Depat►E7t --.._Fi place Top Floor _ VIEWEf3 11'0` x..12'9 CODE.COMPLIANCE 8 _lying Room_ _OR 6 z '13Y:, _ .. -- ---- Bedroom•_ Revie ... 11'5° x 07 -Closet Dining Room ` 3'9' x 6'5°-- 14'0°x8'.3° :..—._ . _ ........... _.. - -----.Jiigh.Ceiling- at Top Floor - =--- - - - - - -- - - :4 5- 8 8 - i I _ - _=.Kitchen —_ _.:. Errtry — -- Bath 94' x 991® — 'I: Emergency Response System ° ElectricalOutlet 48 x 87 --- 6'5' x 5'4!_Ab —'This set of plans and specifications MUST be kept at the job site during construction. It is unlawful to make any changes or alterations On same, or to deviate t�arefram, twitl'Out 2NPrc1,-a1 from the Uui�L 6 iii. Tire Stamping of t tis plan and specifications SHALL NOT ba bed to permit or to be an approval of the violation Of any provisions of any City Ordinance or State Law. E __S Int..,' © Cagle Tele Taiennone Uutlet = INTERIOR LIVING SP1 Model C BALCONY Square Feet BALCONY SPACE Two Bedrooms a Two Baths 95 Square Feet STORAGE SPACE T 7 Square Feet AT RANCHO Ftaor plans are Tepramauiae. Aauat measurements and lay= may spry. :s 35bo �;`r-��' ' < F"d -er a ild C_LL0.em- -ntv,a j A- 311 F s � J 3