14010095 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 22330 HOMESTEAD RD CONTRACTOR:SILICON VALLEY PERMIT NO:14010095
BUILDERS GROUP
OWNER'S NAME:
MOUNTAIN VIEW,CA 94043 PHONE NO:(408)6274177
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALE]
License Class_ L/i/c.# �w 10o IJ/ REMOVE AND REPLACE SIDING ON TOWNHOUSE 9,440
Contractor Slli to,,, Ua 111 v � Date Z'- 16 � 4t
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:$74256
1 have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the.perfonnance of the work for which this APN Number:32659999.MAIN 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 WIT 180 DA 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 D YS FRO 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 Date t/ 4I f
granting of this permit. Additionally,the applicanfiinderstands and will comply Issued by:
with all non-point source regulations per the Cupertino Municipal Code,Section
918.
/�'/� A/ 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
I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date:
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1,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. 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(x)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 25 3 and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this _
permit is issued. Owner or authorized agent: Date:
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
918.
Signature Date
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 ��t
CUPERTINO (408)777-3228•FAX(408)777-3333•building(ftugertino.or4
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS G ^' APN# �
In
OWNER NAME PHONE E-Ml/
STREET ADDRESS l CITY,STATE ZIP FAX
Amo t e ,
CONTACT NAMEPHONE E-MAIL
iqt eV M42 �' S Z N V Lbcr
STREET ADDRESS CITY,STATE,ZIP FAX
L161 dUTCY-MIS9,/e— Scl CA 5/ Zd
❑OWNER ❑ OwNER-BUILDER ❑ owNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRArTnv WANAP1�eLICENSE NUMBERMiO f LICENSE TYPE Q BUS.LIC#
`�2✓ti► o S ac✓l cZ ` O y (gip
COMPA i NtiSME V �' S EMAIL SV0�71%A YwLW�. I So) UU 1- 7-V4
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S`REs I ADDRESS Wtom � CITY,STATE,,ZIP
sAriat. V4 1 S1 Zt`V w H�E Zn•,•,0
ARCHITECT/ENGINEERNAME LICENSENUMBER BUS.LIC#
COMPANY NAME )-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
EXISTING USE PROPOSED USE CONST.'R TYPE 1 #STORIES
USE TYPE OCC. SQ.FT. VALUATION($)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM i KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA I GARAGE AREA: ODETACH
ATTACH
#DWELLINGUNITS: ISASECONDUNIT OYES SECOND STORY []YES
BEINGADDED? ONO ADDITION? []NO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEI BY: OT AL VALUATION:
PLANNINGAPPL# ❑NO PLANNINGAPPROVALLETTER EICHLERHOME? ❑NOZ
56.
By my signature below,I certify to each of the following: I am the property owner or authorized ag 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 verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to buildi I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agem: Date:
SUPPLEMEN QUIRED PLAN CHECK TYPE ROUTING SLIP
_New SFD or Multifamily dwellings: Apply for demolition permit for OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. ❑ EXPRESS PIA PLAN REV[EVY
.So
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ Pv [c woRKs l �; 11
form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT
_Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DIS'T'RICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp_201 1.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 22330 homestead rd DATE: 01/16/2014 REVIEWED BY: Mendez
APN: BP#: *VALUATION: 1$74,256
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY PENTAMATION
USE: SFD or Duplex PERMIT TYPE: 1GENRE i
WORK remove and re lace sidnq on townhouse 9,440
SCOPE p
u�.
Mech. Plan Check Phimb.Plan Cheek Elec..Plan(:heck
:lfech. Permit Fee: Plumb.Permit Fee: Elec. Permit Pee:
Le,
tech.Insp. Other Plumb Insp. Other Elee.Insp..Insp.Fee: . Plumb. leap.Fee: flee.Insp.Fee:
NOTE:This estimate,does not inchide fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District etc). Theseees are based on-the relimina information available and are only an estimate. Contact the De t or addn'l info.
FEE ITEMS(Fee Resolution 11-053 E,f. 7111131 FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 9,440 s.f. Siding
Suppl.PC Fee: (E) Reg. ® OT 0.0 his $0.00 $5,225.00 1SIDEOTHER I All Other
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Fee:Q Reg.. ®OT 0,0 hrs. $0.00
PME Unit Feer $0.00
PME Permit Fee: $0.00
Construction Tian:
Adinlnistrat.lve Fee:
Work Without Permit? :0 Yes (E) No $0.00 E)
Advanced Planning Fee:. : $0.00 Select a Non-Residential O
Travel Documentalion Fees: Building or Structure
Strong Motion Fee: IBSEISMICR $7.43 Select an Administrative Item
131da Stds Commission Fee: 1BCBSC $3.00
$10.431$5,225.00 .m $5,235.43
Revised: 01/15/2014
WOODSPRING CONDOMINIUM
ASSOCIATION
22330 HOMESTEAD ROAD
CUPERTINO,CA 95014
January 8, 2414
City of Cupertino
Attn: Planning/Building Department
RE: Woodspring Condominium Association
Roof Parapet Wall Wood Repair Project
To Whom It May Concern:
Please be advised that the Woodspring Condominium Association retained the firm
Silicon Valley Builders, Inc. to act as our agent for the above referenced repair
project for the Association.
Silicon Valley Builders, Inc. is authorized to work on our behalf with the City of
Cupertino on this project.
Please contact the undersigned, if you have any questions or need additional
information.
Sincerely,
On behalf of the Woodspring Condominium Association
Jackie McGarry
Association Manager
Archway, The Management Company
cc: Board of Directors